Wrist ihuriweho hanze yo gukosora

Wrist Joint External Fixator: Ubuyobozi Bwuzuye

Ihuriro ryikiganza nigice cyingenzi cyumubiri wumuntu kuko cyorohereza ingendo nini kandi kidushoboza gukora imirimo itandukanye. Ariko, kubera gukomeretsa cyangwa indwara, ingingo yintoki irashobora guhinduka, bigatera ububabare no gukora nabi. Mu bihe nk'ibi, intoki zifatanije zo hanze zishobora gukenerwa kugirango uhagarare kandi ushyigikire ingingo mugihe cyo gukira. Muri iki kiganiro, tuzaganira ku kuboko gufatanije gukosora hanze, ibiyigize, ibimenyetso, tekinike yo kubaga, ubuvuzi bwa nyuma yo kubagwa, hamwe n’ingaruka zishobora kubaho.

Intangiriro

Ukuboko gufatanyirijwe hamwe ni igikoresho gikoreshwa muguhuza urutoki mugihe cyo gukira nyuma yimvune cyangwa kubagwa. Bikunze gukoreshwa mugihe habaye kuvunika gukomeye, gutandukana, cyangwa gukomeretsa kw'imitsi yo mu kuboko. Fixator yo hanze ishyirwa hanze yuruhu kandi ifatanye namagufwa ukoresheje pin cyangwa insinga, byinjizwa muruhu mumagufwa.

Anatomy ya Wrist hamwe

Mbere yo kuganira ku kuboko gufatanyiriza hamwe gukosora, ni ngombwa gusobanukirwa anatomiya yigitereko. Ihuriro ryikiganza ni urugingo rugoye rugizwe namagufa umunani mato bita karpali, atondekanye mumirongo ibiri. Carpals ihujwe na radius na ulna amagufwa yikiganza, ikora ingingo yintoki.

Ihuriro ryikiganza ryemerera ibintu byinshi kugenda, harimo guhindagurika, kwaguka, gushimuta, kwiyongera, no kuzunguruka. Ihagarikwa na ligaments, imitsi, n'imitsi ikikije ingingo.

Niki Wrist ihuriweho na Fixator yo hanze?

Igikoresho cyo gufatisha urutoki ni igikoresho gikoreshwa muguhuza urutoki nyuma yimvune cyangwa kubagwa. Igikoresho kigizwe nibice bibiri byingenzi: ikadiri na pin cyangwa insinga. Ikadiri ifatanye n'amagufwa ukoresheje pin cyangwa insinga, byinjizwa mu ruhu mu magufa. Ikadiri noneho ihindurwa kugirango ifate amagufwa mu mwanya kandi yemererwe gukira neza kwintoki.

Ibigize Wrist ihuriweho na Fixator yo hanze

Ibigize intoki zifatanije zo hanze zirimo ikadiri na pin cyangwa insinga. Ikadiri isanzwe ikozwe mubyuma kandi yagenewe guhuza uruziga rwamaboko. Ifatanye n'amagufwa ukoresheje pin cyangwa insinga, zinjizwa mu ruhu mu magufa. Amapine cyangwa insinga bihujwe kumurongo ukoresheje clamps cyangwa screw, byemerera guhinduka kugirango bikorwe nkuko bikenewe.

Ibyerekana kuri Wrist ihuriweho hanze yo gukosora

Ukuboko gufatanije gukosora hanze kurashobora kwerekanwa kubikomere cyangwa ibihe bitandukanye, harimo:

• Ivunika rigoye ryikiganza

• Gutandukanya intoki

• Ibikomere byo mu ngingo

• Kudahuza ibice byavunitse

• Malunion yo kuvunika intoki

• Indwara zifatanije nintoki

Ubuhanga bwo kubaga Wrist ihuriweho hanze

Tekiniki yo kubaga intoki zifatanije hanze zirimo intambwe zikurikira:

1. Ubuyobozi bwa anesthesia: Umurwayi ahabwa anesthesia rusange cyangwa iyakarere.

2. Gushyira amapine cyangwa insinga: Amapine cyangwa insinga byinjizwa mu ruhu mu magufwa ukoresheje umwitozo cyangwa igikoresho kidasanzwe. Umubare nogushyira pin cyangwa insinga bizaterwa na miterere n’aho igikomere cyakorewe.

3. Umugereka wikadiri: Ikadiri ifatanye kumapine cyangwa insinga ukoresheje clamps cyangwa screw, kandi harahindurwa kumurongo nkuko bikenewe kugirango amagufwa ahuze neza.

4. Kwerekana amashusho nyuma yibikorwa: X-imirasire cyangwa ubundi bushakashatsi bwerekana amashusho birashobora gukorwa kugirango hemezwe neza neza.

Nyuma yubuvuzi Kwita kuri Wrist ihuriweho hanze

Nyuma yo kubagwa, umurwayi azakenera gukurikiranirwa hafi no gukurikiranwa kugira ngo akire neza ingingo y'intoki. Ingamba zikurikira zitaweho nyuma yubuvuzi zirasabwa:

• Gucunga ububabare: Umurwayi azahabwa imiti yububabare kugirango akemure ibibazo mugihe cyo gukira.

• Kwitaho pin cyangwa insinga: Amapine cyangwa insinga bizakenera guhanagurwa no kwambara buri gihe kugirango wirinde kwandura.

• Ubuvuzi bufatika: Umurwayi arashobora gusaba ubuvuzi bwumubiri kugirango agarure imbaraga ningendo mumaboko.

• Gahunda yo gukurikirana: Umurwayi azakenera kwitabira gahunda yo gukurikirana buri gihe hamwe nabaganga babaga kugirango bakurikirane inzira yo gukira kandi bahindure ibikenewe byose kubakosora.

Ingorane za Wrist zifatanije zo hanze

Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, intoki zifatanije zo hanze zitwara ingaruka zimwe na zimwe zishobora kubaho, harimo:

• Kwandura kurubuga rwa pin cyangwa insinga

• Kwangiza imitsi cyangwa imiyoboro y'amaraso

• Guhindura amagufwa

• Gutinda gukira cyangwa kudahuza amagufwa

• Kubabara cyangwa kutamererwa neza

• Urutonde ntarengwa rwo kugenda

Umwanzuro

Igikoresho cyo gufatisha urutoki ni igikoresho cyiza cyo gutuza no gushyigikira ingingo yintoki mugihe cyo gukira nyuma yimvune cyangwa kubagwa. Nuburyo bworoshye bushobora gukorwa munsi ya anesthesia rusange cyangwa yakarere. Ariko, kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka nibibazo bishobora kuganirwaho na muganga wawe mbere yo kubikora.

Ibibazo

1. Igihe kingana iki intoki zifatanije zo hanze zigumaho?

• Uburebure bwikiganza cyikiganza cyo hanze kigumaho bizaterwa na kamere nuburemere bwimvune. Rimwe na rimwe, uwakosoye arashobora gukenerwa gusa ibyumweru bike, mugihe mubindi bihe birashobora kuba bikenewe mumezi menshi.

1. Ese intoki zifatanije zo gukosora birababaza?

• Gushyira amapine cyangwa insinga birashobora gutera ibibazo cyangwa kubabara, ariko ibi birashobora gucungwa hakoreshejwe imiti yububabare. Iyo uwakosoye amaze kuba, ntagomba gutera ububabare cyangwa uburibwe bukomeye.

1. Ndacyashobora gukoresha ikiganza cyanjye hamwe nintoki zifatanije hanze ikosora?

• Ikosora irashobora kugabanya urugero rwimikorere mu kuboko, ariko abarwayi benshi barashobora gukoresha intoki nintoki kubikorwa byibanze mugihe cyo gukira.

1. Nzakenera kuvura kumubiri nyuma yo kugira intoki zifatanije hanze?

• Abenshi mu barwayi bazakenera uburyo bumwe na bumwe bwo kuvura kugira ngo bagarure imbaraga no kugenda mu kuboko nyuma yo gukuraho uwakosoye.

1. Bifata igihe kingana iki kugirango ukire intoki zifatanije hanze?

• Igihe kinini bifata kugirango ukire ukuboko gufatanyijemo hanze bizaterwa na kamere nuburemere bwimvune, hamwe nubuzima bwumuntu muri rusange nubushobozi bwo gukira. Muri rusange, abarwayi benshi bazakenera ibyumweru byinshi cyangwa amezi kugirango bakire neza.