Suprapatellar Yegereye Tibial Nail: Ubuyobozi Bwuzuye
Ivunika rya tibia ni ibikomere bisanzwe bisaba kubagwa. Bumwe mu buryo bwo kubaga buzwi cyane ni ugukoresha imisumari. Suprapatellar yegereye tibial nail ni tekinike imaze kumenyekana mumyaka yashize kubera ibyiza byayo byinshi. Muri iki kiganiro, tuzaganira ku buryo bwa suprapatellar uburyo bwa tibial nail burambuye, harimo ibyiza byayo, ibimenyetso, tekinike yo kubaga, imiyoborere nyuma yubuvuzi, nibibazo bishobora kuvuka.
Imbonerahamwe
Intangiriro
Anatomy ya Tibia
Ibimenyetso bya Suprapatellar Yegera Tibial Nail
Ibyiza bya Suprapatellar Yegera Tibial Nail
Gutegura mbere yo gutangira
Ubuhanga bwo Kubaga Uburyo bwa Suprapatellar Uburyo bwa Tibial Nail
Ubuyobozi bwa nyuma yibikorwa
Ibishobora kubaho
Gereranya nubundi buryo
Umwanzuro
Ibibazo
1. Intangiriro
Tibia nimwe mumagufa maremare akunze kuvunika mumubiri. Ivunika rya tibia akenshi risaba ubufasha bwo kubaga kubera ibyago byinshi byo kurwara nabi no kudahuza ubumwe. Imisumari yimbere yahindutse igipimo cyizahabu cyo kuvura imitsi ya tibial kubera ibyiza byabo byinshi, harimo kunoza umutekano hamwe nigihe cyo gukira vuba.
Uburyo bwa suprapatellar uburyo bwa tibial nail ni tekinike imaze kumenyekana mumyaka yashize kubera ibyiza byinshi kurenza ubundi buhanga. Iyi ngingo igamije gutanga ubuyobozi bwuzuye kuri suprapatellar approach tibial nail.
2. Anatomy ya Tibia
Mbere yo kuganira kuri suprapatellar yegereye umusumari wa tibial, ni ngombwa gusobanukirwa anatomiya ya tibia. Tibia nini nini mumagufa abiri maremare mumaguru yo hepfo kandi ifite uburemere bwumubiri. Impera yegeranye ya tibia isobanura hamwe nigitsina gore kugirango ifatanye ivi, mugihe impera ya kure ivuga hamwe na fibula na talus kugirango bibe ingingo yibirenge.
Tibia ifite umuyoboro udasanzwe unyura muburebure. Umuyoboro ni mugari ku mpera yegeranye kandi ugenda ugana ku mpera ya kure. Uyu muyoboro niho winjizamo umusumari.
3. Ibyerekana Uburyo bwa Suprapatellar Uburyo bwa Tibial Nail
Inzira ya suprapatellar yerekana imisumari ya tibial yerekanwa mukuvura imvune zitandukanye za tibial, harimo:
4. Ibyiza bya Suprapatellar Yegera Tibial Nail
Inzira ya suprapatellar itanga imisumari itanga inyungu nyinshi kurenza ubundi buhanga, harimo:
Kugabanya kuvunika kuvunitse: Uburyo bwa suprapatellar butuma umuntu abona neza urubuga rwacitse, biganisha ku kugabanuka kuvunika.
Kugabanya gutakaza amaraso: Uburyo bwa suprapatellar burimo kugabanya uduce duto duto duto, bigatuma kugabanuka kwamaraso mugihe cyo kubagwa.
Kugabanya ibyago byo kwandura: Uburyo bwa suprapatellar bugabanya ibyago byo kwandura wirinda ingingo y'amavi, ishobora kuba intandaro yo kwandura.
Kugabanya ibyago byo gukomeretsa kwa patellar: Uburyo bwa suprapatellar bwirinda imitsi ya patellar, bikagabanya ibyago byo gukomeretsa kuriyi miterere yingenzi.
Gukira vuba: abarwayi babazwe na suprapatellar kubaga imisumari ya tibial bakunze gukira vuba kandi bakaguma mubitaro bigufi ugereranije nabakoresha ubundi buhanga.
5. Gutegura mbere yo gutangira
Mbere yo kubagwa uburyo bwa suprapatellar kubaga imisumari ya tibial, abarwayi bazajya bitegura mbere yo kubaga. Ibi bizaba birimo amateka yubuvuzi yuzuye, kwisuzumisha kumubiri, hamwe nubushakashatsi bwerekana amashusho nka X-imirasire, CT scan, cyangwa MRI scan kugirango harebwe urugero n’aho yavunitse.
Abarwayi barashobora kandi kwipimisha amaraso mbere yo kubagwa hamwe nubundi bushakashatsi bwa laboratoire kugirango basuzume ubuzima bwabo muri rusange kandi bamenye indwara zose zahozeho zishobora kugira ingaruka kubagwa no gukira.
Ni ngombwa ko abarwayi bamenyesha umuganga wabo imiti iyo ari yo yose bafata, harimo imiti irenga imiti ndetse n’inyongera, kubera ko imiti imwe n'imwe ishobora gukenera guhagarikwa mbere yo kubagwa kubera ibyago byo kuva amaraso cyangwa izindi ngaruka.
Abarwayi barashobora kandi gusabwa kureka itabi no kwirinda inzoga mu byumweru bibanziriza kubagwa, kuko ibyo bintu bishobora kubangamira inzira yo gukira kandi bikongera ibyago byo guhura nibibazo.
6. Ubuhanga bwo kubaga uburyo bwa Suprapatellar Uburyo bwa Tibial Nail
Ubuvuzi bwa suprapatellar kubaga tibial nail busanzwe bukorwa munsi ya anesthesia rusange kandi birashobora gufata amasaha menshi kugirango birangire. Ubuhanga bwo kubaga bukubiyemo intambwe zikurikira:
Umurwayi ashyizwe kumeza yibikorwa ahantu heza, ukuguru kwanduye kuzamuye kandi kugashyigikirwa nufite ukuguru.
Agace gato gakozwe mu ruhu hejuru ya patella, hanyuma insinga iyobora yinjizwa mu ruhu no mu muyoboro winjira muri tibia.
Reamer ikoreshwa mugutegura umuyoboro wo kwinjiza umusumari.
Umusumari uhita winjizwa unyuze hanyuma ukayoborwa mumuyoboro ukoresheje fluoroscope.
Umusumari umaze gushyirwaho, imigozi yo gufunga yinjizwa mumisumari no mumagufwa kugirango uyashyire mumwanya.
Igice cyarafunzwe, kandi ukuguru kudahagarikwa ukoresheje umupira cyangwa igitereko.
7. Ubuyobozi bwa nyuma yibikorwa
Nyuma yuburyo bwa suprapatellar kubaga imisumari ya tibial, abarwayi bazamara iminsi myinshi mubitaro kugirango bakurikirane kandi babone ububabare. Bazagirwa inama yo gukomeza ukuguru kwanduye kandi bakirinda kubishyiraho uburemere ibyumweru byinshi.
Abarwayi bazahabwa kandi imyitozo yo gukora kugirango ifashe gukomera imitsi ikikije ivi no kwirinda gukomera. Ubuvuzi bwumubiri bushobora kandi gusabwa gufasha abarwayi kugarura imbaraga zose mumaguru yanduye.
Abarwayi bazahabwa imiti yububabare na antibiotike mugihe gikenewe kugirango babone ububabare no kwirinda kwandura. Gahunda yo gukurikirana izashyirwaho kugirango ikurikirane inzira yo gukira no gusuzuma ibibazo byose.
8. Ingorane zishobora kubaho
Kimwe no kubaga ibyo aribyo byose, hashobora kubaho ingaruka ningorane zijyanye na suprapatellar uburyo bwo kubaga imisumari. Ibi bishobora kubamo:
Ni ngombwa ko abarwayi baganira kuri izo ngaruka hamwe n’umuganga ubaga kandi bagakurikiza amabwiriza yose abanziriza na nyuma yo kubagwa kugira ngo bagabanye ingaruka z’ingaruka.
9. Kugereranya nubundi buryo
Suprapatellar yegera imisumari ya tibial ni bumwe muburyo butandukanye bukoreshwa mukuvura imitsi ya tibial. Ubundi buhanga burimo infrapatellar yegereye tibial nail, retrograde tibial nail, hamwe nisahani hamwe na fixe ya screw.
Mugihe buri tekinike ifite ibyiza n'ibibi byayo, uburyo bwa suprapatellar uburyo bwa tibial nail butanga ibyiza byinshi bidasanzwe, harimo kugabanya kuvunika kuvunika, kugabanya amaraso, no kugabanya ibyago byo kwandura no gukomeretsa imitsi.
10. Umwanzuro
Uburyo bwa suprapatellar uburyo bwa tibial nail ni tekinike izwi cyane yo kubaga kuvura imitsi. Itanga inyungu nyinshi kurenza ubundi buhanga, harimo kugabanya kuvunika kuvunika, kugabanya amaraso, no kugabanya ibyago byo kwandura no gukomeretsa imitsi.
Nubwo bimeze bityo ariko, kimwe no kubagwa kwose, hashobora kubaho ingaruka n'ingorane, kandi ni ngombwa ko abarwayi batekereza neza kubyo bahisemo bakabiganiraho na muganga wabo kugira ngo bafate icyemezo kiboneye.
11. Ibibazo
Suprapatellar yegera igihe kingana iki kubaga imisumari ya tibial?
Kubaga mubisanzwe bifata amasaha menshi kugirango birangire.
Bifata igihe kingana iki kugirango ukire suprapatellar uburyo bwo kubaga imisumari?
Igihe cyo gukira kirashobora gutandukana bitewe nubunini bwavunitse hamwe nubushobozi bwumurwayi ku giti cye, ariko mubisanzwe bifata amezi menshi kugirango igufwa rikire neza.
Ni ikihe gipimo cyo gutsinda cya suprapatellar uburyo bwo kubaga imisumari?
Intsinzi yo kubagwa muri rusange ni myinshi, ariko irashobora gutandukana bitewe nuburwayi bwumuntu ku giti cye ndetse n’ubunini bwavunitse.
Nzakenera ubuvuzi bwumubiri nyuma ya suprapatellar yegera kubaga imisumari?
Ubuvuzi bwumubiri bushobora gusabwa kugufasha kugarura imbaraga zose mumaguru yanduye.
Hariho uburyo butari bwo kubaga bwo kuvura imitsi ya tibial?
Rimwe na rimwe, uburyo bwo kubaga nko kubaga cyangwa guterana bishobora gukoreshwa mu kuvura imvune za tibial, ariko ibi bizaterwa nuburwayi bwa buri muntu.
