Impeta yo hanze

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Impeta yo hanze

Reba ： 6100-1207

Byakoreshejwe kuri ： Femur ， Tibia

Iboneza ： Impeta zifite ugutwi 1 ， impeta n'amatwi atandatu post post isanzwe 6 pc.

Impeta yo hanze ikosora: Ubuyobozi bwuzuye

Ku bijyanye no kuvura imvune zitoroshye hamwe nubumuga bwamagufwa, kubaga amagufwa akenshi bashingira kubikoresho byo hanze. Imwe muma verisiyo ikosora kandi ikora neza ni impeta yo hanze ikosora. Iki gikoresho kigizwe nimpeta zizunguruka, guhuza inkoni, nubwoko butandukanye bwa pin ninsinga zikoreshwa mugufata amagufwa yamenetse cyangwa yahinduwe. Muri iyi ngingo, tuzatanga ubuyobozi bwuzuye kumpeta yo hanze ikosora, harimo amateka yayo, ubwoko, porogaramu, nibishobora kugorana.

Amateka yimpeta yo hanze

Igitekerezo cyo gukosora hanze cyatangiranye nigihe cyakera, mugihe uduce twakozwe mubiti, ibyuma, cyangwa uruhu byakoreshwaga mu guhagarika ingingo zavunitse. Icyakora, mu ntangiriro z'ikinyejana cya 20 ni bwo impeta ya mbere yo gutunganya impeta yo hanze yatunganijwe n'Umudage wabaga Dr. Gavril Ilizarov. Ivumburwa rya Ilizarov, rizwi ku izina rya Ilizarov, ryahinduye uburyo bwo kuvura kuvunika amagufwa no kuvunika, kandi kuva icyo gihe ryemejwe cyane n'abaganga babaga amagufwa ku isi.

Anatomy yimpeta yo hanze ikosora

Impeta yo hanze ikosora igizwe nibice byinshi, harimo impeta zizunguruka, guhuza inkoni, hamwe na pin / insinga. Ubusanzwe impeta ikozwe mubyuma cyangwa titanium, kandi iraboneka mubunini no muburyo butandukanye kugirango yakire uturere dutandukanye. Inkoni zihuza nazo zikozwe mubyuma kandi zikoreshwa muguhuza impeta. Amapine ninsinga byinjizwa muruhu no mumagufwa, bitanga ituze ninkunga kumagufa yamenetse cyangwa yahinduwe.

Ubwoko bw Impeta yo hanze

Hariho ubwoko bwinshi bwimpeta yo hanze ikosora, buri kimwe gifite igishushanyo cyihariye na progaramu. Bumwe mu bwoko bukunze kuboneka harimo:

Ilizarov

Ikosora ya Ilizarov niyo mpeta yumwimerere yo gutunganya hanze yakozwe na Dr. Gavril Ilizarov. Igizwe nimpeta zizunguruka zahujwe ninkoni zometse, kandi zomekwa kumagufwa ukoresheje insinga zoroshye cyangwa igice cya pin. Ikosora rya Ilizarov irahuzagurika cyane kandi irashobora gukoreshwa mukuvura ibintu byinshi byamagufwa, harimo kuvunika bigoye, kwandura amagufwa, hamwe nuburebure bwibihimba.

Ikibanza cya Taylor

Ikibanza cya Taylor ni impeta igezweho yo gukosora ihuza amahame yuwakosoye Ilizarov hamwe nikoranabuhanga rifashwa na mudasobwa. Igizwe nimirongo itandatu ishobora guhinduka ihujwe nimpeta kuri buri mpera, kandi irashobora guhindurwa mubice bitatu kugirango ikosore ubumuga bwamagufwa cyangwa uburebure butandukanye. Ikibanza cya Taylor gifite akamaro kanini mukuvura ubumuga bugoye bwamagufwa maremare, nko kunama cyangwa kugoreka.

Uruziga rwo hanze

Uruziga rwo hanze ruzenguruka ni verisiyo yoroshye yo gutunganya Ilizarov, igizwe nimpeta zizunguruka zahujwe ninkoni yoroshye. Bikunze gukoreshwa muguhindura imvune no gukomeretsa ingirangingo zoroshye zamaguru namaguru.

Porogaramu yimpeta yo hanze ikosorwa

Impeta yo hanze ikosora ifite porogaramu nyinshi mu kubaga amagufwa, harimo:

• Kuvura ibice byavunitse bidashobora kuvurwa hamwe nubuhanga gakondo bwo gutara cyangwa gusasa.

• Gukosora ubumuga bwamagufwa, nkuburebure bwigihimba kinyuranyo, ubumuga buringaniye, cyangwa guhinduranya.

• Gucunga indwara zamagufwa, nka osteomyelitis, mugutanga neza no guteza imbere amagufwa.

• Kongera kubaka ingirangingo zangiritse cyangwa zabuze, ukoresheje tekinike nko kurangaza osteogenezi cyangwa gutwara amagufwa.

Ibishobora kugora Impeta yo hanze

Kimwe nuburyo ubwo aribwo bwose bwo kubaga, impeta yo hanze ikosora itwara ingaruka zimwe ningaruka zishobora kubaho. Bimwe mubibazo bikunze kugaragara harimo:

• Indwara ya pin yanduye: Amapine ninsinga zikoreshwa mugukosora hanze birashobora gutera kwandura iyo bidakozwe neza cyangwa niba uruhu ruzengurutse amapine rurakaye.

• Gukomera hamwe: Kumara igihe kirekire immobil ization ifitanye isano nimpeta yo hanze irashobora gukurura gukomera hamwe no kugabanya umuvuduko.

• Kwangirika kw'imitsi: Amapine n'insinga zikoreshwa mugukosora hanze birashobora kwangiza imitsi iyo byinjijwe cyane cyangwa iyo bihuye neza na nervice.

• Kunanirwa kw'ibyuma: Impeta, inkoni, pin, hamwe ninsinga zikoreshwa mugukosora hanze birashobora kumeneka cyangwa guhinduka, biganisha ku gutakaza umutekano no kunanirwa kwuburyo.

Kugirango ugabanye ingaruka ziterwa nibibazo, ni ngombwa ko abarwayi barimo gukosorwa hanze kugirango bakurikize hafi amabwiriza yabaganga babaga yo kwita no gufata neza ibikoresho, harimo isuku ikwiye ya pin hamwe nogusezerana buri gihe.

Umwanzuro

Impeta yo hanze ikosora ni igikoresho cyiza cyane kandi gihindagurika mugukiza kuvunika bigoye, ubumuga bwamagufwa, nibindi bihe byamagufwa. Igishushanyo cyacyo kidasanzwe hamwe nibisabwa byinshi byagize igikoresho cyingenzi mubikoresho byamaganga ya orthopedic. Ariko, kimwe nuburyo ubwo ari bwo bwose bwo kubaga, impeta yo hanze ikosora itwara ingaruka zimwe na zimwe n'ingaruka zishobora guterwa, zishobora kugabanywa binyuze mu kwita neza no gukurikiranira hafi hamwe n’umuganga ubaga amagufwa kabuhariwe.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire impeta yo hanze ikosorwa? Uburebure bwo gukira buterwa n'ubwoko n'uburemere bw'indwara irimo kuvurwa, ndetse n'ubuzima bw'umurwayi muri rusange no kubahiriza amabwiriza yo kuvura nyuma yo kubagwa. Bamwe mu barwayi barashobora gusaba amezi menshi yo kudahagarikwa no gusubiza mu buzima busanzwe mbere yo gusubira mu bikorwa bisanzwe.

2. Impeta yo gukosora hanze irababaza? Kwinjiza amapine ninsinga birashobora gutera ibibazo cyangwa kubabara, mubisanzwe birashobora gucungwa hakoreshejwe imiti yububabare cyangwa anesthesi yaho. Abarwayi barashobora kandi kutoroherwa cyangwa gukomera mugihe cya immobilisation, ariko ibi mubisanzwe bigenda bitera imbere uko amagufwa akira no gusubiza mu buzima busanzwe.

3. Ese impeta yo hanze ishobora gukoreshwa kubarwayi b'abana? Nibyo, impeta yo hanze irashobora gukoreshwa kubarwayi babana bafite imvune zikomeye cyangwa ubumuga. Icyakora, hagomba kwitonderwa bidasanzwe kugirango imikurire ikure neza niterambere ryigihimba cyanduye, ndetse no kugabanya ingaruka ziterwa ningaruka nko kwandura pin cyangwa kwangirika kw'isahani.

4. Impeta yo hanze ikeneye kugeza ryari? Uburebure bwigihe gikosorwa cyo hanze gikeneye kuba giterwa nubwoko nuburemere bwindwara irimo kuvurwa, kimwe numurwayi ku giti cye yivuza. Rimwe na rimwe, uwakosoye hanze arashobora gukenera kuba mumezi menshi cyangwa kugeza kumwaka.

5. Nzabasha gusubira mubikorwa bisanzwe nyuma yimpeta yo hanze ikosorwa? Kenshi na kenshi, abarwayi barashobora gusubira mubikorwa bisanzwe nyuma yo gukosorwa hanze kandi igufwa rimaze gukira. Nyamara, ibi birashobora guterwa n'ubwoko n'uburemere bw'indwara irimo kuvurwa, hamwe n'umurwayi ku giti cye ku kwivuza. Umuganga wawe ashobora gutanga ubuyobozi ku gihe gikwiye cyo gusubukura ibikorwa byihariye.