Inyigo: Urubavu & Clavicle Kuvunika hamwe na Chest Wall Stabilisation muri Mexico

Ikimenyetso cya Clinical

Uru rubanza rurimo ihungabana ryurukuta rwigituza rwatewe no kuvunika imbavu nyuma yimpanuka yimodoka ifite ingufu nyinshi. Urukuta rwo kubaga urukuta rwasabwaga kugarura ubunyangamugayo bwa thoracic no kunoza imashini zubuhumekero.

Incamake y'urubanza

Umurwayi wumugabo wimyaka 60 ukomoka muri Mexico yagize impanuka ikomeye yimodoka, bimuviramo kuvunika inshuro nyinshi za scapula, imbavu, na clavicle. Umurwayi yerekanye ububabare bwo mu gatuza, ubuhumekero bwo guhumeka, hamwe n’imikorere idahwitse y’akazu ka thoracic.

Kwerekana amashusho mbere yo kwemeza kwemeza kuvunika imbavu kwimuwe bifitanye isano no kudahungabana k'urukuta rw'igituza, hamwe n'uruhare rwa clavicular. Urebye urugero rwo guhungabana kwa skeletale hamwe ningaruka zo guhumeka neza, hatoranijwe kubaga. Ubu buryo bwakozwe neza na Dr. Isiraheli Eduardo, bugamije kugarura imiterere ya thoracic, kunoza imashini z’ubuhumekero, no gutanga igisubizo gihamye cyo gukira hakiri kare.

Uru rubanza rugaragaza imbogamizi ihuriweho no kubaga ihahamuka rya thoracic, aho ubuyobozi bwaba conservateurs bwonyine bushobora kuba budahagije mugihe havunitse imbavu zimuwe hamwe n’imiterere idahwitse.

Ibishushanyo mbonera mbere yo gutangira

Isuzuma rya radiografiya mbere yo kwerekana ryerekanye kuvunika imbavu nyinshi zimuwe hamwe nibimenyetso bihuye nurukuta rwigituza. Ihungabana ryurubavu rwerekanaga umuvuduko udasanzwe wa thoracic, byongera ibyago byo guhumeka.

Ibyavuye mu mashusho byagize uruhare runini mu kwemeza uburemere bw’imvune kandi bishyigikira icyemezo cyo gutabara mu bikorwa aho kubaga atari kubaga.

Icyemezo cyo kubaga

Hashingiwe ku mashusho yemejwe no kwimura imbavu no gukora urukuta rwo mu gatuza, kuvura byonyine byafatwaga nkibidahagije. Urukuta rwo kubaga igituza rwatoranijwe kugirango hirindwe ko ubuhumekero bwangirika, kugabanya umuvuduko udasanzwe wa thoracic, no koroshya ubukangurambaga hakiri kare no gusubiza mu buzima busanzwe ibihaha.

Mugihe c'ihungabana ririmo kuvunika imbavu nyinshi, gutabara kubaganga mugihe birashobora kunoza cyane ubukanishi bwa thoracic no gukira kwabarwayi muri rusange mugihe ibimenyetso biboneka bihari.

  

Incamake ya tekinike yo kubaga

Uburyo bwo kubaga bwibanze ku kugarura urukuta rwo mu gatuza binyuze mu gukosora imbere mu gice cy’imbere n’urubavu, hamwe no guhagarika imvune zifitanye isano na clavicular iyo zerekanwe.

Intego z'ingenzi z'uburyo bukubiyemo:

• Ongera ushyireho thoracic cage guhuza no gukomeza

• Kugabanya urukuta rwa paradoxical

• Gutezimbere ubukanishi bwubuhumekero

• Gutanga igisubizo gihamye cyo gushyigikira ubukangurambaga hakiri kare

Hasi-ya-thoracic fixation yatewe yakoreshejwe kugirango igere kuri anatomique mugihe ikomeza imbaraga zihagije zo gukoresha ihahamuka.

Kwerekana amashusho nyuma yibikorwa

Kwerekana amashusho nyuma yibikorwa byemeje gukosora neza imbavu no kugarura guhuza thoracic. Akazu ka thoracic kagaragaje uburinganire bwimiterere nta bimenyetso byerekana kwimurwa.

Kubaka byakosowe byatanze ihame rihagije kugirango rishyigikire imikorere yubuhumekero nyuma yubuvuzi hamwe na protocole yo gusubiza mu buzima busanzwe.

Kwemeza Ibisubizo

Ibyavuye mu kubaga byagaragaje guhuza anatomical guhuza no guhagarara neza kwurukuta rwigituza, byemeza akamaro ko guhagarika urukuta rwigituza muri iki kibazo cy’ihungabana. Kugenzura amashusho no kunoza ivuriro byerekanaga ko byagenze neza.

Ibisobanuro Byimikorere Byakoreshejwe Muri Uru rubanza

Muri ubu buryo, a Isanduku yo Kuringaniza Isanduku yakoreshejwe mugucunga kuvunika imbavu no kwimura thoracic. Sisitemu yagenewe cyane cyane kubibazo byihungabana rya thoracic birimo kuvunika imbavu, kudahungabana kwurukuta rwigituza, no gukomeretsa amagufwa yigituza.

Sisitemu yo gukosora imbavu igizwe na plaque ya anatomatique hamwe na Imigozi ifunga , ituma ikosorwa rihamye mugihe gikomeza igishushanyo mbonera. Isahani irashobora guhurizwa hamwe kugirango ihuze na anatomiya yimbavu kugiti cye, bigatuma ikwiranye nurukuta rwimbere, kuruhande, ninyuma. Muri iki gihe, sisitemu yakoreshejwe kugirango ihagarike ibice byimbavu byimuwe kandi yongere igaragaze ubudahangarwa bwakazu ka thoracic.

Mubyongeyeho, a Sisitemu ya plaque ya plaque yakoreshejwe kugirango akemure kuvunika clavicular. Kugarura clavicular guhuza hamwe nuburebure byagize uruhare murukuta rwigituza hamwe nigitugu cyumukondo wigitugu, kikaba ari ingenzi cyane mubibazo byihungabana bya thoracic.

Ibyiza bya clinique ya sisitemu yatewe harimo:

• Igishushanyo mbonera cyo hasi kugirango ugabanye ibice byoroshye

• Ingano nisahani nyinshi kugirango ihuze imbavu na clavicle anatomy

• Sikulufu ifunga tekinoroji yo kuzamura ituze

• Bikwiranye no kuvunika imbavu no kongera kubaka urukuta

Seti y'ibikoresho Incamake

Kugirango ushyigikire ibikorwa byokubaga neza kandi neza, a Urubavu rweguriwe Seti y'ibikoresho yakoreshejwe mugihe gikwiye. Iki gikoresho cyashizweho muburyo bwihariye bwo kuvunika imbavu no kubagwa urukuta rwo mu gatuza, bikubiyemo uburyo bwuzuye bwo gukora kuva ku isahani kugeza ku cyuma cya nyuma.

Igikoresho gikubiyemo ibyuma bisobekeranye, imbaraga zo kugabanya kuvunika, kuyobora imyitozo, ibikoresho byo gucukura, hamwe na Sikulufu ifunga abashoferi, bigafasha gufata neza ibyapa byimbavu mumwanya muto wo kubaga thoracic. Imiterere itunganijwe yibikoresho byorohereza inzibacyuho yoroheje kandi ifasha kugabanya igihe cyo gukora.

Mugihe habaye kuvunika imbavu nyinshi no kurukuta rwigituza, gukoresha ibikoresho byabugenewe byatezimbere uburyo bwo kubaga kandi bigashyigikira ishyirwaho ryukuri, rikaba ari ngombwa kugirango umuntu agere ku gihagararo gihamye kandi kibyara umusaruro.

Ibintu by'ingenzi bigize ibikoresho byashizweho birimo:

• Ibikoresho byuzuye kubibabi byimbavu, kugabanya, no gukosora

• Igishushanyo cya Ergonomic kubikorwa bigenzurwa muburyo bwa thoracic

• Iboneza rya moderi ihuza nuburyo butandukanye bwo kuvunika imbavu

• Birakwiye kubijyanye no guhahamuka kwa thoracic no kubaga urukuta rwo kubaga

Incamake ya Surgical & Clinical Takeaways

Uru rubanza rw’ihungabana rushingiye kuri Mexico rwerekana ko, mu barwayi batoranijwe bafite imvune z’urubavu zimuwe hamwe n’urukuta rwo mu gatuza, guhagarika umutima bishobora kugarura neza ubusugire bwa thoracic no kunoza imikorere y’ubuhumekero.

Guhitamo neza abarwayi, gukosorwa neza, no gusuzuma amashusho nyuma yibikorwa ni ibintu byingenzi mugushikira umusaruro ushimishije mugubaga ihahamuka rya thoracic. Isanduku yo mu gatuza ihagaze neza iracyari uburyo bwingenzi bwo gucunga uburyo bwo kuvunika imbavu mugihe kuvura bidahwitse bidahagije.

Ibibazo