Tibial Intramediat Umusumari: Igisubizo cyizewe cyo kuvunika Tibial

Kuvunika tibial, bigira ingaruka ku shine, birashobora kugira ingaruka zikomeye kubikorwa nibikorwa bya buri munsi. Kuvura ibyo bicuruzwa bisaba gusuzuma witonze, harimo ubwoko bwo kuvunika, aho biranga abarwayi. Ihitamo rimwe ryo kubaga ryagaragaye neza mumyaka yashize ni ugukoresha umusumari wa tibial. Iyi ngingo irashakisha inyungu, tekinike yo kubaga, ingaruka, no gukira bifitanye isano nuburyo bwo kuvura.

Intangiriro

Kuvunika bya Tibia birashobora gutuma, bigatera ububabare, guhungabana, n'ingorane zo kugenda. UBURYO BWO GUTANDUKANYE, nko gukosora cyangwa hanze yo gukosora, kugira aho bigarukira, bituma habaho ubushakashatsi bwikibazo gikomeye cyambere nkikibazo cya Tibial InterAid.

Ni ubuhe butumwa butavuza mu butayu?

Umusumari wa Tibial Intramediallary nigikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira kuvuka muri Tibial. Igizwe ninkoni yicyuma yinjijwe mu kigo cyijimye cyamagufwa, gitanga umutekano ninkunga mugihe cyo gukira. Imisumari isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingaruka kandi ije mubunini butandukanye kugirango yegure anatomi zinyuranye.

Ibimenyetso kuri tibial insttramediat umusumari

Imisumari ya Tibial Intramediat isanzwe ikoreshwa mugufata ibicuruzwa bya tibial. Bafite akamaro cyane cyane kubijyanye no gukosora ikosora, nkibishimwa cyangwa byimuwe cyangwa byashyizweho. Ubu buhanga nabwo bukwiriye imanza zifite amagufwa mabi cyangwa mugihe bishyuwe ibiro byihuse.

Ubuhanga bwo kubaga kuri Tibial Intramediat Umusumari

Igenamigambi

Igenamigambi ryimitekerereze myiza ni ngombwa kubikorwa byabereye intera imisumari yo kubaga imisumari. Ibi birimo gusuzuma byuzuye uburyo bwo kuvunika, ubuzima rusange bwumurwayi, hamwe nibikomere byose bifitanye isano. Tekinike yerekana nka x-imirasire, ct scan, cyangwa Mri irashobora gukoreshwa kugirango usuzume ibiranga kandi bigayobora gufata ibyemezo.

Umwanya

Mugihe cyo kubaga, umurwayi asanzwe akoreshwa kumeza yo gukora. Ukuguru kwanduye birategurwa no gutondekanya muburyo bworoshye. Umwanya ukwiye ni ngombwa kugirango wemererwe kugera ku kuvunika neza no koroshya imibonano mpuzabitsina.

Gutema no kubona

Gutema kwateganijwe kurubuga rwo kubaga kugirango ugere kumagufwa yavunitse. Uburebure niherererwa biterwa nuburyo bwo kuvunika hamwe nubuso bwayo kuruhande rwa Tibia. Gutondekanya byoroshye tissue ningirakamaro kugirango ugabanye ihungabana no kugabanya ibyago byo kwandura.

Imisumari

Nyuma yo gukora ingingo yinjira muri Tibia Proximal, umuganga ubaga yinjiza yitonze intera yo muri tibial intera umusumari mubitabo. Ubuyobozi bwa Fluorscopic bukoreshwa kugirango hamenyekane neza no guhuza neza. Umusumari wateye imbere mu magufa, uhuza ibice byose byimuwe no kugarura anatomike ikwiye.

Gufunga imigozi

Iyo umusumari umaze gutondekwa neza, gufunga imigozi yinjijwe kugirango umusumari mu magufwa. Iyi miyoboro itanga imbaraga zinyongera kandi irinde kugenda kuzunguruka cyangwa kwambara kashe ya fracraments. Umubare no gushyira imiyoboro biterwa nuburyo bwo kuvunika hamwe no kubaga.

Gufunga ibikomere

Nyuma yo guhakana neza no gukosorwa, gutemagurira bifunze gukoresha sutures cyangwa staples. Gufunga ibikomere bikorwa neza kugirango biteze imbere gukira no kugabanya ibyago byo kwandura. Imyambarire ya Sterile ikoreshwa, kandi urubuga rwo kubaga rurinzwe.

Ibyiza bya Tibial IntramediLary Umusumari

Gukoresha intera yo mu turere tutagira imisumari itanga ibyiza byinshi ku buryo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Gukosora Bihamye: Umusumari atanga ikosora, yemerera guhuza neza no guhuza ibice byavunitse.

2. Ubukangurambaga bwa mbere: Umusumari atanga ubukangurambaga bwa mbere, atuma abarwayi batangira kwikorera cyane no gusubiza mu buzima busanzwe, ugereranije nuburyo bwo kuvura.

3. Kubungabunga Amaraso: Mu gukoresha imiyoboro y'inyoni, tekinike ya tibiemedillary igabanya guhungabana ku maraso ya maraso, ari ngombwa kugira ngo akemure.

4. Ingaruka zikora zikora: hamwe no gukosora neza no gukangurira hakiri kare, abarwayi barimo kubaga imisumari ya tibialtedLary akenshi bahura nibisubizo bifatika kandi byihuse gusubira mubikorwa bya buri munsi.

5. Kugabanya ibyago byo guhura na tissue yoroheje: Ugereranije nuburyo bwo gukosora bwo hanze, tekinike yo gukosora yo hanze ikubiyemo imigenzo mito kandi igabanuka kwa tissue yoroheje, bikavamo ibyago byoroheje byo guhura no kwandura.

   
   

Ingorabahizi n'ingaruka

Mugihe kubabazwaga imisumari yo kubaga imisumari muri rusange bifite umutekano kandi bigira akamaro, hari ibibazo nibibazo bifitanye isano nuburyo bukoreshwa nuburyo. Ni ngombwa kumenya ibyo bishoboka mbere yo kwivuza. Bimwe mubibazo birimo:

Kwandura

Nkibintu byose babaga, hari ibyago byo kwandura. Ariko, hamwe nubuhanga bukwiye bwa sterile, antibiyotike prophylaxis, no kurera nyuma, ibyago byo kwandura birashobora kugabanywa.

Mala cyangwa Nonunion

Rimwe na rimwe, ibice byo kuvunika ntibishobora gukiza muburyo bwifuzwa cyangwa kunanirwa gukira burundu. Impamvu nk'igabanuka ridahagije, ubuziranenge bw'amagufwa, cyangwa ubwikorezi bukabije burashobora gutanga umusanzu mu ma malabrament cyangwa kuba adanion. Gukurikiranira hafi kandi, nibiba ngombwa, inzitizi yinyongera nko kubaga isubiramo birashobora gusabwa.

Ingorane zijyanye

Mugihe udasanzwe, ingorane zijyanye no kuba zitemewe, nko kudasohora, gusenyuka, cyangwa kurakara. Ibi bibazo birashobora gusaba no gutera no gutabara kubaga.

Imitsi cyangwa amaraso yamaraso

Mugihe cyo kubaga, hari ibyago bike byimitsi cyangwa imitsi yamaraso. Abaganga babaga bafata ingamba zo kugabanya iki kibazo, ariko abarwayi bagomba kumenya ibishoboka kandi bahita bavuga ibimenyetso byose cyangwa bikabije.

Gusana no Kugarura

Nyuma yo kubagwa mu butayubaji, gahunda yo gusubiza mu buzima busanzwe ni ngombwa mu gukira neza. Gahunda yihariye yo gusubiza mu buzima busanzwe burashobora gutandukana bitewe n'uburemere bwo kuvunika, ibiranga abarwayi, n'ubuyobozi bwabaga. Imyitozo yo gutembera mu buryo bwakeye, ifite uburemere buhoro buhoro, no kuvura umubiri gukina inshingano zingenzi mu gukora imirimo yo kugarura, kuzamura imbaraga, no guteza imbere amagufwa gukira.

Ubushakashatsi bwakozwe n'inkuru

Abarwayi benshi bahuye n'ibizavaho hamwe na Tibial Intramediat Kubaga Umusumari. Inyigisho imwe yibanze yarimo umuntu wimyaka 35 hamwe numubare wabigenewe. Nyuma yo kubagwa imisumari mu turere, umurwayi yageze ku kuvunika ubumwe bukomeye, yongeye kubona ibiro byuzuye byo kwitwaza ibiro, asubira mu nzego zabo z'ibikorwa mu mezi atandatu.

Kugereranya nubundi buryo bwo kuvura

Mugihe usuzumye uburyo bwo kuvura kubiranganya imitabili, ni ngombwa kugereranya inyungu n'imbogamizi za buri nzira. Mugihe kubabazwa imisumari yimisumari bitanga ibyiza byinshi, nko gukosora neza, gukangurira hakiri kare, no kugabanya ibibazo byoroshye bya tissue, ntibishobora kuba bikwiranye na buri buryo bwo kuvunika cyangwa umurwayi. Ubundi buryo, nko gutangaza cyangwa gukosora hanze, birashobora kuguhitamo mubihe bimwe. Kugisha inama inzobere mu magufwa bizafasha kumenya uburyo bukwiye bwo kuvura bushingiye ku mibereho.

Umwanzuro

Mu gusoza, kubaga turtttttttttttttttttttamediat nubusa ni inzira yizewe kandi nziza yo kuvura no kuvuza. Tekinike itanga ikosora ikosorwa, yemerera ubukangurambaga hakiri kare, kandi itanga ibyiza byinshi kubu buryo gakondo. Mugihe hariho ingaruka zishobora kubaho nibibazo bifitanye isano nuburyo, igenamigambi ryo kubaga neza, ubuvuzi bwubwitonzi bwuganje, kandi ubwitonzi bukwiye bwa nyuma bwa nyuma burashobora kugabanya izo mpungenge.