Kuvunika metacarpal ni iki?

Intangiriro

Kuvunika metacarpal ni igikomere gikunze kugaragara ku magufa maremare mu ntoki. Gusuzuma no kuvura neza ni ngombwa kugirango wirinde ingorane ndende nko kugabanya umuvuduko cyangwa ububabare budashira. Niba ufite ububabare bw'amaboko nyuma yo guhahamuka, gutabara ku gihe ni ngombwa.

Ibinyabuzima byavunitse bya Metacarpal

Urebye ku binyabuzima, amagufwa ya metacarpal akorerwa imitwaro ya axial, imbaraga zunama, hamwe nihungabana mugihe cyo gukoresha intoki za buri munsi. Iyo imbaraga zo hanze zirenze igipimo cyoroshye cya magufa, havunika.

Ibintu byinshi bigira ingaruka kumeneka:

• Icyerekezo n'ubunini bw'imbaraga

• Umwanya w'intoki ku ngaruka

• Ubucucike bw'amagufwa n'imyaka

• Gukurura imitsi kuva imitsi yimbere ninyuma

Kurugero, kuvunika kwijosi rya metacarpal ya gatanu mubisanzwe byerekana guhindagurika kwa volar bitewe no gukururwa kutarinze gukurura imitsi ya interossei na lumbrical.

Sisitemu yo gukosora bijyanye: Sisitemu yo gukosora ibyuma bya Metacarpal - CZMEDITECH

Guhinduranya Guhinduranya - Ikibazo Cyingenzi ariko Cyabuze Ikibazo

Bitandukanye no kurakara, ubumuga bwo guhinduranya ntibushobora kugaragara kumashusho ya X-ray. Mubuvuzi, nibyiza kugaragara nukureba guhuza urutoki mugihe umurwayi akora agafuni.

Ndetse na dogere nkeya zo kuzunguruka zishobora kuvamo:

• Gutunga urutoki

• Kugabanya gufata neza

• Kumara igihe kirekire kumikorere

Kubera iyo mpamvu, ubumuga bwo guhinduranya bufatwa nk'ikimenyetso gikomeye cyo gukosora abaganga, kabone niyo kuvunika kugaragara kwimuwe kuri radiyo.

Iyi clinique nuance itandukanya cyane isuzumabumenyi ryimyitozo ngororamubiri nubuyobozi bwibanze buvunika.

Ibimenyetso byo Kubaga

Mugihe imvune nyinshi za metacarpal zishobora kuvurwa neza, kubagwa birasabwa mubihe bikurikira:

• Angulation itemewe birenze kwihanganira imikorere

• Urwego urwo arirwo rwose rwo guhinduranya

• Ivunika ryinshi rya metacarpal

• Fungura ibice

• Uruhare rwimbere

• Kunanirwa kugabanuka gufunze

Intego yibanze yo kubaga ni anatomical ihuza hamwe no gukosorwa neza, kwemerera gukanguka hakiri kare kugabanya ibibazo.

Uburyo bwo Gukosora no Gutekereza kwa Clinical

Isahani hamwe

Itanga ituze rikomeye kandi ihuza neza, cyane cyane kuri:

• Kumeneka

• Kumeneka

• Ivunika ryinshi

Ariko, amasahani arasaba gukora neza byoroshye kugirango wirinde kurakara.

Kirschner Wire (K-Wire) Gukosora

Ihitamo rito cyane rikoreshwa kuri:

• Kumeneka kw'ijosi

• Indwara z'abana

• Guhagarika by'agateganyo

Gukosora Intramedullary

Tekiniki igenda ikundwa cyane iringaniza ituze hamwe na tissue yoroheje yoroheje.

Guhitamo gukosorwa biterwa nuburyo bwo kuvunika, ibyifuzo byabaganga, nurwego rwibikorwa byabarwayi.

Gucunga nyuma yubuvuzi no kuvura intoki

Ibisubizo byiza byo kubaga bishingiye cyane cyane kubuzima bwa nyuma yo kubagwa. Kugenda hakiri kare bifasha kwirinda gukomera no gufatira hamwe.

Gahunda yo gusubiza mu buzima busanzwe gahunda ikubiyemo:

• Kurwanya indwara

• Buhoro buhoro intera-yimyitozo

• Gukomeza gutera imbere

• Kongera imyitozo

Guhuza hafi hagati yo kubaga no kuvura intoki ni ngombwa kugirango ukire neza.

Ibitekerezo bidasanzwe mumatsinda atandukanye y'abarwayi

Abakinnyi

Abakinnyi akenshi basaba:

• Garuka vuba gukina

• Gukosora bihamye byemerera kugenda kare

• Gutandukana kurinda mugihe cyo gukira

 Abakozi b'intoki

Ku bakozi bashingiye ku mbaraga zo gufata, ubuvuzi bushyira imbere:

• Imashini itekanye

• Kuramba

• Kwirinda ububabare budashira

Abarwayi bageze mu zabukuru

Ubwiza bwamagufwa hamwe nibishobora kugira ingaruka kumahitamo yo kuvura no gukira igihe.

Ibisubizo by'igihe kirekire no guhanura

Hamwe n'ubuyobozi bukwiye:

• Abenshi mu barwayi bagarura imikorere-isanzwe y'intoki

• Grip imbaraga mubisanzwe igaruka kuri> 90% byibanze

• Ubumuga bw'igihe kirekire ntibusanzwe

Ingaruka mbi mubusanzwe ifitanye isano no gutinda kwisuzumisha, ubumuga bwo kuvura butavuwe, cyangwa gusubiza mu buzima busanzwe bidahagije.

Impamvu imicungire ya Metacarpal isaba ubuhanga bwihariye

Nubwo kuvunika metacarpal ari ibisanzwe, imiyoborere yabo isaba gusobanukirwa neza na anatomicale no guca imanza. Amakosa mato muguhuza arashobora kugira ingaruka zidasanzwe kumikorere y'intoki.

Niyo mpamvu kwita ku ihungabana rigezweho bishimangira:

• Isuzuma ryukuri

• Ibimenyetso bishingiye ku gukosora

• Gukangura hakiri kare

Igice cy'ibibazo

Ni ibihe bintu biranga kuvunika byerekana cyane gukosora kubaga?

Kubaga kwa surgicale bigaragazwa cyane cyane nubumuga bwo kuzunguruka, kurakara kudahindagurika, uruhare rwinshi rwa metacarpal, kuvunika gukinguye, kwaguka imbere, cyangwa kunanirwa kugabanuka. Muri ibyo, guhinduranya malalignment bifatwa nkibikorwa byingenzi.

Ni kangahe angulation yemewe mumikorere ya metacarpal?

Angulation yemewe iratandukana kumibare. Mubisanzwe, uburakari bukabije bwihanganirwa muri ulnar metacarpals kuruta muri metacarpals. Nyamara, urwego urwo arirwo rwose rwo guhinduranya ntirwemewe, hatitawe ku kwihanganira uburakari.

Ni ukubera iki ubumuga bwo guhinduranya bufatwa nkibyingenzi kuruta kurakara?

Guhinduranya ibintu biganisha ku gutunga urutoki mugihe cyo guhindagurika, bibangamira cyane ubukanishi bwo gufata no gukora amaboko. Ndetse no kuzunguruka kwinshi birashobora gutera imikorere idahwitse yimikorere kandi yishyurwa nabi ningingo zegeranye.

Ni izihe nyungu zingenzi zo gutunganya amasahani mu kuvunika metacarpal?

Ibyapa byo gutunganya ibyapa:

• Gushikama

• Guhuza neza

• Gukangura hakiri kare

• Kugabanya ibyago byo kwimurwa kabiri

Ni byiza cyane cyane kuvunika kwa shitingi, gushushanya, no gukomeretsa metacarpal nyinshi, nubwo kwitonda byoroheje-tissue bisabwa kugirango hagabanuke uburakari.

Ni mu buhe buryo insinga za Kirschner zikunzwe?

K-wire ikosora ikoreshwa muburyo bukurikira:

• Kumeneka kw'ijosi rya Metacarpal

• Uburyo buke bwo kuvunika

• Guhagarika by'agateganyo

• Imanza z'abana cyangwa zisabwa cyane

Nubwo byibasiwe cyane, K-insinga bisaba ubudahangarwa bwigihe kirekire ugereranije no gutunganya plaque.

Ni uruhe ruhare gukosora intramedullary bigira uruhare mubuvuzi bwa kijyambere bwa metacarpal?

Intramedullary fixation itanga impirimbanyi hagati yo gutuza no guhungabana byoroheje-tissue. Yemerera kugenda hakiri kare kuruta gutobora mugihe wirinze ibibazo bimwe na bimwe bifitanye isano nisahani, bigatuma bikwiranye no kuvunika uruziga nijosi.

Nigute ubukangurambaga bwambere bugira ingaruka kumusubizo wigihe kirekire?

Gukangura hakiri kare bigabanya:

• Gukomera hamwe

• Tendon

• Imitsi

Gukosora bihamye byemerera kugenda hakiri kare ningingo nyamukuru igena gukira kwimikorere, cyane cyane kubarwayi bakeneye cyane.

Ni izihe ngorane nyuma yo kubagwa abaganga bagomba gukurikiranira hafi?

Ingorane zisanzwe zirimo:

• Malunion cyangwa kudahuza

• Kurakara ibyuma

• Tendon

• Kugabanya imbaraga zo gufata

• Kwandura kuvunika

Ibicuruzwa byinshi byigihe kirekire bikora bifitanye isano no kudahuza bidahagije cyangwa gutinda gusubiza mu buzima busanzwe.

Nigute ingamba zo kuvura zitandukana kubakinnyi n'abakozi b'intoki?

Mu bakinnyi n'abakozi b'intoki, icyambere gihabwa:

• Gukosora neza

• Garuka hakiri kare

• Kuramba

Inzira yo kubaga irashobora kuba mike muri aba baturage kubera ibisabwa bikenewe cyane.

Nibihe bintu bigira uruhare runini mubikorwa byigihe kirekire?

Ibintu by'ingenzi byateganijwe birimo:

• Kugabanya kuvunika

• Ihamye ryo gukosorwa

• Kwisubiraho hakiri kare

• Kubura guhindagurika

Iyo ibi bintu bitezimbere, abarwayi benshi bagera kubikorwa bisanzwe byamaboko.