Impeta ya Conteator kuri Tibial & Femur Kuvunika

Intego y'ibanze yo kuvunika ikosora ni ugutera amagufwa yavunitse, kugira ngo ashobore gukira kw'amagufwa yakomeretse, no gusubiza imikoranire yakomeretse n'imikorere yuzuye.

Gukosora hanze ni tekinike ikoreshwa mugufasha gukiza amagufwa yamenetse cyane. Ubu bwoko bwubuvuzi bwa orthopedic bukubiyemo kubona kuvunika hamwe nigikoresho cyihariye cyitwa fixator, ari hanze yumubiri. Gukoresha imiyoboro idasanzwe yamagufa (bikunze kwitwa pin) inyura mu ruhu n'imitsi, filime ihujwe n'amagufwa yangiritse kugirango ayishyireho.

Ni ubuhe buryo bwo hanze bukoreshwa?

Igikoresho cyo gukosora hanze gishobora gukoreshwa mugukomeza amagufwa yamenetse kandi ahuza. Igikoresho kirashobora guhinduka hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikoreshwa mubana nigihe uruhu hejuru yigitanda cyangiritse.

Ni ubuhe bwoko bwa filime yo hanze?

Hariho ubwoko butatu bwibanze bwa politotor yo hanze: Igipimo gisanzwe cya Uniplanar, Impeshyi

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro byinshi byingenzi: insinga, amapine n'imigozi, amasahani, hamwe ninkoni zo mu misumari cyangwa inkoni.

Ibikoresho n'ibice nabyo bikoreshwa rimwe na rimwe kuri Osteotomy cyangwa kuvunika gukosorwa. Amagufwa ya Autogen, Allografts, abasimbuye amagufwa bakoreshwa kenshi mugufata amagufwa abumoko yimpamvu zitandukanye. Ku miterere yanduye kimwe no kuvura amafeza, amasaro ya antibiyotike akoreshwa kenshi.

Impeta ya Conteator kuri Tibial na Femur Kuvunika: Igitabo cyuzuye

Intangiriro

Kuvunika Tibial na Femur ni ubwoko busanzwe bwibikomere bikunze gutabara. Uburyo gakondo bwo kwivuza kuri ibi bice birimo gukosora amasahani hamwe n'amasahani, gukosora hanze n'amapine n'inkoni, cyangwa guhuza byombi. Ariko, ubu buryo bufite aho bugarukira, nkurwego ruto rwo kugenda, ibyago byanduye, n'ibipimo byatsinzwe. Mu myaka yashize, impengamico yavuzaga yagaragaye nkiyindi yatangajwe no kuvurwa mubisobanuro no femur. Iyi ngingo igamije gutanga igitabo cyuzuye kumukosora, ibimenyetso, tekiniki, inyungu, nibishobora kugira ingaruka.

Ni ubuhe butumwa bwakosowe?

Impeta fixator nigikoresho cyo gukosora hanze gikubiyemo impeta yicyuma gihujwe na strot na insinga. Impeta zometse kumagufwa hamwe ninsinga zinyura mu ruhu n'imitsi. Insinga zitangajwe no guhagarika ibice byamagufwa no kubafata mumwanya. Imirongo ikoreshwa muguhindura ubumwe nuburebure bwamagufwa, kimwe no gutanga umutekano no gushyigikirwa. Porogaramu isanzwe imbarwa ibyumweru byinshi cyangwa ukwezi kugeza igihe amagufwa akiza.

Ibimenyetso byo guceceka

Impeshyi yerekana ko ibicuruzwa bitandukanye byibintu binini kandi bya femur, harimo:

• Ibipimo bigoye cyangwa byemejwe bidashobora kuvurwa no gukosora imbere cyangwa guta

• Kuvunika hamwe nigihombo cyamagufwa cyangwa kudahuza

• Kuvunika bifitanye isano no gukomeretsa byoroshye cyangwa syndrome

• Kuvunika bifite amagufwa mibi, nka osteoporose cyangwa osteogenezi sinshobora kudakora

• Kuvunika mubarwayi bacuruza hamwe nubushobozi bwo gukura

Impeshyi ya impeta irashobora kandi gukoreshwa muramburwa, gukosorwa, no kurekura amasezerano.

Tekinike ya ficator

Tekinike ya Filime ya Filime irimo intambwe nyinshi:

1. Igenamigambi ryabanjirije Gukora: Umuganga ubaga akoresha ubushakashatsi, nka x-imirasire, scan, cyangwa mri, ubuziranenge bwamagufwa, hamwe nibintu byoroshye. Umuganga uca ashushanya icyiciro cyakosowe, gushira umugozi, hamwe nibiboneza bya strut.

2. Anesthesia: Umurwayi ahabwa anesthesia general cyangwa akarere k'akarere, bitewe n'ubwoko n'ahantu havunika.

3. PIN INSHINGANO: Umuganga ubaga ashyiramo pin unyuze mu ruhu n'imitsi mu bice by'amagufwa, akoresheje imyitozo ngororamubiri cyangwa umushoferi w'intoki. Amapine agomba gushyirwa muri zone itekanye kugirango yirinde gukomeretsa imitsi, inzabya, cyangwa ingingo.

4. Gushyira Impeta: Umuganga ubaga ahuza impeta kumapine afite insinga ninsinga, ukurikije gahunda yabanjirije iki. Impeta zigomba gushyirwaho muburyo butuma kugirango bibe amagufwa akwiye yo guhuza amagufwa.

5. Umugereka wa Strot: Umuganga ubaga ahuza imitsi no guhindura uburebure bwabo no kwerekeza, ukoresheje ibikoresho byihariye. Imirongo igomba gushyirwa muburyo bwo kwirinda kwivanga hamwe ningingo zoroshye hamwe ningingo.

6. Kwita ku mwanya wa nyuma: Umurwayi akurikiranwa kubera ububabare, kubyimba, kwandura, no kumvikana na Neurovascular. Umurwayi kandi yibanze ku buryo bwo gusukura no kurinda imbuga za PIN, uburyo bwo gukora imyitozo yo kugenda, n'uburyo bwo kwishyuza buhoro buhoro.

Inyungu zo Gutezi

Impeta firing itanga ibyiza byinshi kubintu gakondo:

• Guhura neza no guhuza ibicuruzwa bitanga umutekano-uhoraho uharanira inyungu kandi ugenzura neza amagufwa, ashobora guteza imbere ibice, bishobora guteza imbere byihuse kandi gukira byuzuye.

• Uburyo bwiza bwo kugenda: Gukora ibicuruzwa byemewe kwemerera ubukangurambaga hakiri kare no kubyara ibiro, bishobora gukumira ubukana na atrophy yimitsi.

• Kugabanya ibyago byanduye: Impeshyi igabanya ibyago byo kwandura cyane, kuko amapine n'insinga bigaragara mu kirere kandi birashobora kugenzurwa byoroshye kandi bisukura.

• Ibyangiritse bya tissue: Gukora ibicuruzwa ntibisaba gutandukana cyangwa kwambura imyenda yoroshye, bishobora kubungabunga amaraso no kugabanya ibyago byo kugorana.

• Customed kandi ihuza: Gukora ibicuruzwa birashobora gukosorwa uburyo bwo guhuza anatomiya no kuvunika, kandi birashobora guhinduka mumasomo yo kwivuza kugirango ahindure impinduka mumagufwa, uburebure, cyangwa kurakara.

Irashobora guhura na codetor

Nubwo inyungu, ibicuruzwa bitwara neza nabyo bitwara ingaruka nibibazo, nka:

• Indwara yo gutora: Amapine n'insinga arashobora kumenyekanisha bagiteri mu magufa, biganisha ku kwandura. Ingaruka zirashobora kugabanywamo no kwitaho (antibiyotike, no gukurikirana.

• PIN irekuye cyangwa gusenyuka: Amapine n'insinga birashobora kurekura cyangwa kumena kubera guhangayika, kunama, cyangwa ruswa. Ibi birashobora kuvamo gutakaza umutekano no gukiza amagufwa. Ingaruka zirashobora kugabanywamo ukoresheje pine nziza, wirinde impagarara zikabije, na radiyo isanzwe.

• Ibyangiritse byoroheje: insinga nimpeta birashobora kurakaza cyangwa kwangiza uruhu, imitsi, imitsi, cyangwa imitsi. Ibi birashobora gutera ububabare, kubyimba, kunanirwa, cyangwa intege nke. Ingaruka zirashobora kugabanywamo witonze witondewe, wirinde gukomera, no gukurikirana ibimenyetso byimitsi cyangwa ibikomere.

• Gukomera cyangwa kwanduye: Gukoresha igihe kirekire kuri codemuco birashobora gukomera cyangwa kwandura ibintu, cyane cyane mumavi cyangwa akaguru. Ibi birashobora kugabanya urutonde rwibitekerezo kandi bisaba gusubiza mu buzima busanzwe.

• Ingaruka zo mumitekerereze: Gukora ibicuruzwa birashobora gutontoma, bitoroheye, kandi bidashoboka. Barashobora kandi kugira ingaruka kumurwayi kwihesha agaciro, ishusho yumubiri, n'imikoranire myiza. Ingaruka zirashobora kugabanywamo gutanga inkunga ihagije yo mumitekerereze nubujyanama.

Umwanzuro

Impedoo ya Impeta yabaye inzira izwi cyane yo kuvura tibial no kuvunika tibial na femur, tubikesha imiterere yabo, gushikama, no kugenda. Ariko, bakeneye kandi gutegura neza, tekinike, no kwita kubisubizo byiza kandi bigagabanya ingorane. Abarwayi n'abaganga bagomba kumenya ibimenyetso, inyungu, ingaruka, hamwe nubundi buryo bwa posootor, kandi bagakorera hamwe kugirango bagere kubisubizo byiza bishoboka.

Ibibazo

1. Bifata igihe kingana iki kugirango ushyireho impeta?

• Gusaba finateri yimpeta mubisanzwe bifata amasaha 1-2, bitewe nubunini bwivunika nubunararibonye bwo kubaga.

1. Impeta yangirije?

• Gushyira amapine ninsinga birashobora gutera ikibazo cyangwa ububabare, ariko anesthesia nububabare birashobora kugabanya ngo bigabanye.

1. Nshobora kwiyuhagira hamwe na codetor ya chat?

• Nibyo, urashobora kwiyuhagira ufite impeta ya filime, ariko ugomba gutwikira amapine ninsinga zifite imifuka ya pulasitike cyangwa imyambarire itagira amazi yo gukumira umwanda.

1. Ni kangahe nkwiye gusukura imbuga za PIN?

• Ugomba gusukura imbuga za pin burimunsi ukoresheje isabune n'amazi, kandi ukoreshe amavuta antibiyotike hamwe nimyambarire ya sterile.

1. Nshobora gukina siporo hamwe na codetor ya chat?

• Biterwa nubwoko nuburemere bwivunika, kimwe nibikorwa bya siporo. Ugomba kugisha inama umuganga wawe ubaga na Therapiste mbere yo gusubukura ibikorwa byose.