Gukosora hanze ni tekinike yapimwe kandi ikoreshwa cyane mubuvuzi bwo kuvunika. Ubu buryo bukubiyemo gukoresha ibikoresho byashyizwe hanze yumubiri kugirango bihamye kandi bihuze amagufwa yavunitse.
Incamake yo gukosora hanze
Gukosora hanze nubuhanga bwo kubaga bwakoreshejwe ibinyejana byinshi mugucunga ibice. Igitekerezo cyatangijwe bwa mbere na Hippocrates, wakoresheje ibiti bikozwe mu biti kugirango abuze amagufwa yavunitse. Igihe kirenze, tekinoroji yagiye ihinduka, ariko ihame ryibanze rikomeza kuba rimwe: gutanga ituze kumwanya wavunitse mugihe wemera kurinda ingirabuzimafatizo no gukira.
Intego zo Gukosora hanze: Komeza guhuza kuvunika, uburebure, no kuzunguruka. Tanga ihinduka ryigihe gito cyangwa risobanutse.Bishobora guhuzwa no gukosora igice cyimbere mubice bigoye.
Ibintu bigira ingaruka kumitekerereze ihamye
Ibintu byinshi bigira ingaruka kumutekano wigikoresho cyo hanze gikosora:
Iboneza rya pin:
Kongera umubare wibipapuro, kubitandukanya kure, no kubishyira hafi yikibanza cyacitse byongera ubukana.
Amapine agomba kugabanwa neza kugirango wirinde guhangayika cyane ahantu runaka.
Diameter:
Amapine manini atanga ituze ryinshi ariko arashobora kongera ibyago byo guhangayikishwa no guhangayika.
Ubwoko bw'ipine:
Amabati yo kwikorera wenyine, pin ya trocar, amabati asize, inkoni ya fibre.
Ubwoko bwabakosora hanze
Abakosora hanze baratandukanye mubishushanyo, buri kimwe gitanga ibyiza byihariye:
Abakosora Uniplanar:
Biroroshye kandi byoroshye kubishyira mubikorwa.
Umutekano muke ugereranije nibikoresho byinshi.
Abakosora Multiplanar:
Koresha pin mu ndege nyinshi, utange umutekano uhamye.
Nibyiza kuvunika bigoye.
Uruhande rumwe / Abakosora bombi:
Abakosora uruhande rumwe ntibahagaze neza, mugihe abakosora bombi batanga imbaraga ninkunga.
Abakosora uruziga:
Mubisanzwe bikoreshwa mukurambura ingingo no gukosora ubumuga.
Emerera uburemere igice hamwe no gukangurira hamwe mugihe cyo gukira.
![Ubwoko bwo Gukosora hanze]()
Ibitekerezo bya Anatomiki na Zone Zumutekano
Gushyira pin ni ngombwa kugirango wirinde ingorane nko gukomeretsa imitsi cyangwa imitsi. Ibyingenzi byingenzi bitekerezwaho birimo:
![Igikoresho cyo gukosora hanze]()
Femur:
Amabati y'imbere agomba gushyirwa kuri cm 5.8 munsi ya trocanter ntoya na cm 7.4 hejuru ya patellar apex.
Amabati yinyuma agomba kwirinda imitsi ya sciatic hamwe nimiyoboro ikikije.
Tibia:
Amapine agomba gushyirwaho byibuze mm 14 uvuye kumurongo uhuriweho kugirango wirinde kwinjira-imbere.
Gukabya hejuru:
Amababi ya Humerus agomba kwirinda imitsi ya axillary na radial.
Amababi yimbere agomba gushyirwa mukarere ka ulna kugirango agabanye kwangirika kwimitsi.
Ibimenyetso byo gukosora hanze
Gukosora hanze ni ingirakamaro cyane muburyo bukurikira:
Gukomeretsa impeta ya pelvic.
Ivunika ryimbere ryimbere (urugero, pilon, femur ya kure, tibial plateau, inkokora, na radiyo ya kure).
Kubyimba cyane byoroshye kubyimba cyangwa ecchymose.
hemodynamic ihungabana cyangwa kudashobora kubagwa kumugaragaro.
Osteoporose, kwandura, kurambura ingingo, osteomyelitis, ubudahangarwa bw'umubiri, kudahuza, no kuvura indwara.
Kurwanya
Gukosora hanze ntibishobora kuba bibereye mubihe bikurikira:
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Abarwayi bafite umubyibuho ukabije.
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Abarwayi batubahiriza.
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Abarwayi bafite amagufwa adahagije.
Abarwayi banze kubagwa cyangwa badashobora kwihanganira inzira.
Ubuhanga na Porogaramu
![Igikoresho cyo gukosora hanze]()
Isohora ry'amagufwa:
Irinde gukurura imyenda yoroshye mugihe winjizamo pin.
Koresha trocars na drill amaboko kugirango ugabanye kwangirika kwinyama.
Mbere yo gucukura no koza (kuhira) ni ngombwa kugirango ugabanye umwanda.
Icyerekezo cya Pelvic:
Bikunze gushyirwa kumurongo wa iliac cyangwa imbere ya iliac umugongo (AIIS).
C-ukuboko fluoroscopi itanga neza neza pin.
Ikirenga cyo hejuru cyo gukosora:
Amababi ya Humerus agomba kwirinda imiterere yimitsi.
Amaboko yimbere ashyirwa mukarere ka ulna.
Gukabya gukabije gukosorwa:
Amapine ya femorale ashyirwa muburyo butandukanye.
Amabati ya Tibial ashyirwa mumwanya wa anteromedial kugirango wirinde kwinjira.
Ivunika ry'indege:
Ibikoresho bya delta-bikoreshwa, bikubiyemo byombi bya calcaneal na tibial pin kugirango byongere ituze.
Ingorane zo Gukosora hanze
Nubwo inyungu zayo, gukosora hanze bifitanye isano nibishobora kugorana, harimo:
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Indwara zanduza
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Osteomyelitis
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Kunanirwa kw'ibikoresho cyangwa kurekura
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Malunion cyangwa kudahuza
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Kurakara byoroshye byoroshye cyangwa kwinjira
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Gukomeretsa imitsi cyangwa imitsi
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Indwara ya syndrome
Kuvunika
Akamaro ka Clinical
Gukosora hanze bigira uruhare runini mugucunga ihungabana:
Itanga ihinduka ryihuse muburyo bwo kugenzura ibyangiritse.
Kugabanya ibyago byo gukomereka kwa kabiri nibibazo.
Korohereza uburyo butandukanye burimo abaganga babaga amagufwa, abaforomo, abavura umubiri, hamwe nabavuzi babigize umwuga kugirango borohereze abarwayi.
CZMEDITECH Ibicuruzwa
Kuzenguruka hanze:
Ibiranga: Igizwe nimpeta zicyuma ninsinga nziza, kuzenguruka ingingo no kwemerera guhinduranya planari nyinshi.
Uwiteka
umuzenguruko wo hanze ukosora ni ibikoresho byubuvuzi bikoreshwa mugukosora kuvunika no kuvura amagufwa. Ibishushanyo mbonera byayo nibyiza bigaragara cyane mubice bikurikira:
Ibishushanyo mbonera
Imiterere yimpeta: Uruziga ruzenguruka hanze rwashizweho nuburyo bwimpeta, rukora uruziga rwuzuye ruzengurutse urubuga rwacitse kugirango rutange inkunga yuzuye kandi ikosorwe.
Ingingo nyinshi zo gukosora: Mubisanzwe hariho ingingo nyinshi zo gukosora kumurongo wizenguruko, zishobora guhuzwa nigufwa binyuze mumagufwa menshi cyangwa imisumari. Ibi bikwirakwiza imbaraga zo gukosora kandi bigabanya umuvuduko kumurongo umwe wo gukosora.
Guhindura: Igishushanyo mbonera cyizenguruka cyo hanze cyemerera abaganga kugira ibyo bahindura bakurikije imiterere yihariye yumurwayi, harimo ingano yimpeta, aho ingingo zifatika, hamwe nogukwirakwiza imbaraga, kugirango habeho ubwoko butandukanye bwimvune nubuzima bwamagufwa.
Umucyo woroshye kandi uramba: Gukosora ibizunguruka bigezweho akenshi bikozwe mubikoresho byoroheje kandi bikomeye cyane nka titanium alloy cyangwa fibre ya karubone, bikomeza umutekano mugihe bigabanya umutwaro umurwayi.
Byoroshye gushiraho no kuvanaho: Igishushanyo cyimpeta ituma gahunda yo kwishyiriraho no kuyikuraho byoroha, bigabanya igihe cyo kubagwa no kutoroherwa n’abarwayi.
Ibyiza
Umutekano muke:
Imiterere ya buri mwaka itanga 全方位 inkunga, ikumira neza kwimura ahavunitse no kwemeza ko igufwa riguma mumwanya mwiza mugihe cyo gukira.
Imbaraga zitatanya:
Ingingo nyinshi zo gukosora zikwirakwiza imbaraga zo gukosora, kugabanya umuvuduko wibanze kumagufa nuduce tworoshye, no kugabanya ibyago byingaruka ziterwa no gukosorwa nabi.
Urutonde runini rwa porogaramu:
Uruziga ruzenguruka rukwiranye nubwoko butandukanye bwimvune, cyane cyane kuvunika bigoye, kuvunika gufungura, hamwe nibibazo bisaba gukosorwa igihe kirekire.
Guteza imbere gukira:
Mugutanga ibidukikije bihamye, uruziga ruzenguruka hanze rufasha kwihutisha gukira kuvunika no kugabanya ibyago byo kudahuza cyangwa gutinda gukira.
Mugabanye ingorane:
Bitewe n'imbaraga zitatanye zo gukosora ,. umuzenguruko wo hanze ugabanya ibyangiritse byoroshye kandi bigabanya ibibazo byingaruka nko kwandura no gutwika pin.
![CZMEDITECH Igikoresho cyo hanze cyo gukosora]()
Byoroshye kuvura nyuma yo kubagwa:
Igishushanyo mbonera cya buri mwaka cyorohereza abarwayi kwiyitaho nyuma yo kubagwa, nko gukora isuku no guhindura imyambarire, bitagize ingaruka ku gukosora.
Ibikurikizwa
Kuzenguruka kuzenguruka hanze bikoreshwa mubisanzwe bikurikira:
Kuvunika bigoye: Birakwiye kuvunika bigoye birimo ibice byinshi byamagufwa cyangwa ingingo.
Gucika kuvunika: Bitewe nuburyo bukwirakwiza imbaraga, umuzenguruko wo hanze uzenguruka ukwiranye no gucunga imvune zifunguye kandi bigabanya ibyago byo kwandura.
Ihuriro ridahuje ubumwe cyangwa ryatinze: Rimwe na rimwe, uruziga ruzengurutse hanze rushobora gufasha mu gukiza amagufwa rutanga ituze hamwe ninkunga ikenewe.
Gukosora nyuma yibikorwa: Byakoreshejwe muguhagarara no gushyigikirwa nyuma yo kubagwa amagufwa, kwemeza aho urubuga rwo kubaga ruhagaze.
Igishushanyo mbonera cyumuzenguruko wo hanze nacyo gishingiye ku barwayi, cyibanda ku gutuza no guhumurizwa, kandi ni igikoresho cyingenzi mu kuvura amagufwa.
Umwanzuro
Gukosora hanze bikomeje kuba urufatiro rwo kuvura imvune, bitanga ibintu byinshi kandi bigahuza nibihe bitandukanye byubuvuzi. Muguhuza ubu buhanga nuburyo butandukanye, abaganga barashobora kugera kubisubizo byiza kubarwayi. Hamwe n'iterambere rikomeje mu ikoranabuhanga, gukosora hanze bikomeje kugenda bihinduka, byemeza akamaro kacyo mubikorwa bya orthopedic bigezweho.
