Reba: 214 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2025-12-27 Inkomoko: Urubuga
Imisumari yimbere ni bumwe muburyo bukoreshwa cyane mugukosora amagufwa maremare nka femur na tibia. Iyo gukira kuvunika bimaze kugerwaho, abarwayi benshi nabaganga bahura nikibazo cyingenzi cyamavuriro: Ese imisumari yimbere igomba gukurwaho cyangwa gusigara mumwanya?
Iyi ngingo itanga ishusho rusange yigihe cyo gukuraho imisumari ikenewe, ingaruka zishobora kuvuka, nuburyo abaganga bafata ibyemezo bishingiye kubimenyetso.
Umusumari uteganijwe ni icyuma cyinjijwe mu muyoboro wa medullary w'amagufa maremare kugirango uhagarike kuvunika. Itanga imbaraga zikomeye imbere mugihe yemerera gukanguka hakiri kare no gukira imikorere.
Porogaramu zisanzwe zirimo:
Ivunika ry'umugore
Ibice byavunitse
Ivunika rya Subtrochanteric na intertrochanteric
Wige byinshi kuri twe Sisitemu yimisumari igenewe gukosorwa neza hamwe nubuvuzi bwizewe.
Ububabare budashira nimpamvu ikunze gukurwaho imisumari. Ibimenyetso bisanzwe birimo:
Kubabara ivi imbere nyuma yo gutera imisumari
Ikibuno cyangwa ikibero bitameze neza nyuma yo gutera imisumari
Kurakara byoroheje byatewe no gufunga imigozi igaragara
Iyo ububabare bufitanye isano neza no kuvura no kuvura indwara byananiranye, gukuramo imisumari birashobora kunoza ihumure ry’abarwayi.
Shakisha ibisubizo bijyanye nibicuruzwa nkibyavunitse PFNA Umusumari hagati ya subtrochanteric cyangwa subtrochanteric akenshi bifitanye isano nububabare.
Nubwo imisumari igezweho iraramba, kunanirwa gukanika bishobora kubaho kubera:
Ubumwe bwatinze cyangwa kudahuza
Guhangayikishwa cyane
Kubyara imburagihe
Gushyira kumenetse cyangwa kurekurwa mubisanzwe bisaba kubagwa.
Kunanirwa kwa mashini birashobora kubaho kubera gutinda ubumwe, kudahuza, cyangwa guhangayika bikabije.
Amahitamo y'ibicuruzwa nka Gamma Nail na DFN Intera ya Femur Intramedullary Imisumari itanga gukosorwa neza hamwe no kuvunika.
Kwandura ni ikimenyetso cyerekana gukuraho imisumari, cyane cyane mubibazo birimo:
Osteomyelitis idakira
Inzira ya sinus idahwema
Gushinga biofilm
Kurandura ibyuma byanduye akenshi ni ngombwa muguhashya kwandura.
Mugihe cyo kudahuza, gukuramo imisumari birashobora gusabwa murwego rwo gusubiramo, akenshi bihujwe na:
Guhana imisumari
Amagufwa
Ubundi buryo bwo gukosora
Imisumari yimbere irashobora kubangamira inzira zizaza nka:
Arthroplasti yuzuye ivi
Gusimbuza ikibuno cyose
Muri ibi bihe, gukuramo imisumari akenshi bisabwa mbere yo gusimburana hamwe.
Gukuraho inzira mubisanzwe ntabwo byemewe mugihe umurwayi adafite ibimenyetso kandi gukira kuvunika kurangiye. Kugumana ibyatewe bishobora kuba amahitamo meza mubihe byinshi.
Kubaganga nabaganga bashishikajwe ningamba zo kubaga, reba ibyacu Urupapuro rwimbere rwimisumari kugirango wumve ibikoresho bikoreshwa muburyo bwo kwinjiza no gukuraho.
Nubwo bisanzwe bifite umutekano, gukuramo imisumari bitwara ingaruka zimwe:
Kuvunika
Indwara
Gukomeretsa kw'imitsi
Ububabare nyuma yo kubagwa
Icyemezo cyo kuvanaho imisumari idasanzwe kigomba kuba umuntu ku giti cye hashingiwe ku kwerekana ivuriro, kwerekana amashusho, hamwe n’ibiteganijwe ku barwayi.
Kuri CZMEDITECH, dutanga ibikoresho byujuje ubuziranenge byamagufwa nibikoresho bishyigikiwe na CE na ISO, byakozwe kugirango bishyigikire kandi bikurweho neza mugihe bibaye ngombwa.
Ongera usuzume ibyavuye mu kubaga no gutsinda kwa muganga muri twe Intramedullary Nail Kubaga Imanza kugirango urebe uko ibyo byatewe bikora kwisi yose.
Mubisanzwe ububabare bworoheje kandi buringaniye nyuma yuburwayi, bushobora gukoreshwa nimiti.
Mubisanzwe amezi 12-24 nyuma yubumwe bwemejwe.
Abarwayi benshi bakomeza kugenda bisanzwe nyuma yo gukira igihe gito.
Nibyo, niba gukiza kutavunitse no kuvunika byuzuye.
Intege nke zigihe gito zirashobora kubaho; guhindura ibikorwa birasabwa mugihe cyo gukira.
Impuguke ya Tibial Intramedullary Nail: Gutezimbere kubaga amagufwa
Multi-Lock Humeral Intramedullary Nail: Iterambere mukuvura kuvunika ibitugu
Femoral Intramedullary Nail: Umuti utanga ikizere cyo kuvunika k'umugore
Guhindura Imisumari Yigitsina gore: Uburyo butanga icyizere cyo kuvunika kwabagore