Bone Lengthening External Fixator: Overview, Types, uye Benefits
Kana munhu achitambura nekusiyana kwehurefu hwemakumbo, kuremara kwepfupa, kana kusaputsika kusiri kwemubatanidzwa, pfupa rekuwedzera rekunze fixator (BLEF) rinogona kuve sarudzo inoshanda yekurapa. BLEF mudziyo wekuvhiya unonamira pabhonzo rakabatwa, uye kuburikidza nemasimba emagetsi, inorebesa bhonzo zvishoma nezvishoma kusvika kureba kwaunoda kana kurongeka kwaitwa. Ichi chinyorwa chine chinangwa chekupa tarisiro yakazara yeBLEF, marudzi ayo, uye mabhenefiti.
Chii chinonzi Bone Lengthening External Fixator?
BLEF chirongwa chekuvhiya chemapfupa chinoshandiswa kurebesa mapfupa. Chinhu chakaoma kunzwisisa chine pini, waya, tsvimbo, uye screws izvo zvinoiswa pakuvhiya kuburikidza neganda uye tsandanyama uye zvakanamirwa pabhonzo. Chigadzirwa chacho chinoshandisa masimba emagetsi pabhonzo, izvo zvinokurudzira mapfupa matsva kukura uye kureba.
Bone Lengthening External Fixator Inoshanda Sei?
BLEF inoshanda nemusimboti wekuvhiringidza osteogenesis, iyo inosanganisira kushandisa tension kubhonzo nenzira inodzorwa. Kushushikana uku kunokonzeresa micro-fractures mubhonzo, izvo zvinokonzeresa kupora kwemuviri. Mutsva wemapfupa emapfupa anoumba mumagapu akagadzirwa ne-micro-fractures, zvishoma nezvishoma kuwedzera pfupa.
Mhando dzeBone Lengthening External Fixator
Kune marudzi matatu makuru eBLEF:
Circular External Fixator: Iyi mhando yeBLEF ine zvindori zviviri zvakabatanidzwa nezvinogadziriswa struts. Mapini anoiswa kuburikidza nebhonzo uye akabatanidzwa kune zvindori, izvo zvino zvinogadziriswa kuti zvishandise kushushikana kune pfupa.
Monolateral External Fixator: Iyi mhando yeBLEF ine tsvimbo imwe chete kana ndiro inosungirirwa pabhonzo uchishandisa mapini kana screws. Tsvimbo kana ndiro inozogadziriswa kuti ishandise tension pabhonzo.
Bilateral External Fixator: Iyi mhando yeBLEF ine matanda maviri kana mahwendefa akasungirirwa pabhonzo achishandisa mapini kana screws. Tsvimbo kana ndiro dzinobva dzagadziriswa kuti dzishandise tension pabhonzo.
Benefits yeBone Lengthening External Fixator
BLEF inopa mabhenefiti akati wandei kana ichienzaniswa nemaitiro echinyakare ekurebesa mapfupa, akadai se:
Minimally Invasive: BLEF inzira yekuvhiya ine zvishoma isingade kuchekwa kukuru, inoderedza njodzi yehutachiona uye mavanga.
Kureba Kwazvo: BLEF inobvumira kunyatso kudzora pamusoro pekurebesa maitiro, kuderedza njodzi yekupfuura-kururamisa kana pasi-kururamisa.
Shorter Healing Time: BLEF inokurudzira kukura kwemapfupa matsva, kuderedza nguva yekuporesa kana ichienzaniswa nemaitiro ekurebesa mapfupa.
Kuvandudzwa kweBone Regeneration: BLEF inokurudzira kuvandudzwa kwemapfupa, izvo zvinoita kuti pfupa rive rakasimba uye rakasimba kana richienzaniswa nemaitiro echinyakare ekurebesa pfupa.
Ndiani Mumiriri weBone Lengthening External Fixator?
BLEF isarudzo yekurapa kune vanhu vane kureba kwemakumbo, kuremara kwebhonzo, kana kutyora kusiri mubatanidzwa. Inonyanya kushandiswa muvana vane congenital yemakumbo kureba kusawirirana kana vanhu vakuru vane kuwanikwa kwehurefu hwemakumbo nekuda kwekukuvara kana utachiona.
Pre-Operative Kugadzirira
Kuvhiyiwa kusati kwaitwa, murwere achaita ongororo dzakatevedzana uye ongororo kuti aone kana ari mumiriri akakodzera kuBLEF. Izvi zvinosanganisira kuongororwa kwemuviri, X-rays, uye MRI kana CT scan.
Kuvhiya Maitiro
Kuvhiya kweBLEF kunosanganisira matanho anotevera:
Anesthesia: Murwere anopiwa general anesthesia kuti ave nechokwadi chokuti vakasununguka uye vasina kurwadziwa panguva yekuvhiyiwa.
Incision: Kuchekwa kudiki kunoitwa muganda kuti uwane bhonzo rakabatwa.
Kuiswa kweChishandiso: Iyo BLEF mudziyo wakanamirwa pabhonzo uchishandisa mapini kana screws.
Activation yeChishandiso: Chishandiso chinoitwa kuti chishandise kushushikana kupfupa, uye murwere anotariswa zvakanyanya kuti ave nechokwadi chekuti hapana zvinonetsa.
Kutevera-Up Care: Murwere achada kugara achitevera kugadzwa nachiremba wavo anovhiya kuti atarise maitiro ekurebesa pfupa uye kugadzirisa mudziyo sezvinodiwa.
Post-Operative Recovery
Mushure mekuvhiyiwa, murwere achada kutora mishonga inorwadza uye kutevedzera mirairo yavo yekuvhiya mushure mekuvhiyiwa kuti vaone kupora kwakanaka. Vangangoda kupfeka brace kana kukandira kudzivirira nhengo yakabatwa uye kutsigira kupora. Physical therapy inogonawo kukurudzirwa kubatsira mukugadzirisa maitiro.
Ngozi uye Zvinetso zveBone Lengthening External Fixator
Sezvakaita chero nzira yekuvhiya, BLEF inotakura dzimwe njodzi uye zvinogona kunetsa. Izvi zvinogona kusanganisira:
Infection: Mapini kana screws anoshandiswa kubatanidza mudziyo pabhonzo anogona kutapukirwa, izvo zvingada kumwe kuvhiyiwa kurapa.
Kukuvadzwa Kwetsinga: Mapini kana ma screws anoshandiswa kubatanidza mudziyo pabhonzo anogona kukuvadza tsinga dziri pedyo, zvichikonzera kurwadziwa, kusanzwa, kana kurira.
Bone Fracture: Pfupa rinogona kuputsika panguva yekurebesa, inoda kuvhiyiwa kumwe.
Joint Stiffness: Kurebesa kwemaitiro kunogona kukonzera kuoma kwekubatana, izvo zvingada kurapwa kwemuviri kuti uvandudze huwandu hwekufamba.
Kukundikana Kwemudziyo: Iyo BLEF mudziyo inogona kutadza kana kutyora, izvo zvingada kumwe kuvhiyiwa kugadzirisa kana kutsiva mudziyo.
Mhedziso
Kurebesa bhonzo rekunze fixator isarudzo yakakosha yekurapa kune vanhu vane mutsauko kureba kwemakumbo, kuremara kwebhonzo, kana kutyora kusiri mubatanidzwa. Inopa mabhenefiti akati wandei pamusoro pechinyakare nzira dzekurebesa pfupa, kusanganisira ipfupi nguva yekuporesa, kuvandudzwa kwebhonzo patsva, uye kunyatsorebesa. Nekudaro, inzira yakaoma yekuvhiya iyo inotakura dzimwe njodzi uye zvinogona kunetsa. Varwere vari kufunga BLEF vanofanira kuonana nachiremba wavo kuti vaone kana iri nzira yekurapa yakakodzera kwavari.
FAQs
Kurebesa bhonzo kunotora nguva yakareba sei neBLEF? Kureba kwemaitiro kunoenderana nehuwandu hwekurebesa kunodiwa, asi kazhinji zvinotora mwedzi yakati wandei kusvika pagore.
Ndichada kurapwa kwemuviri mushure mekuvhiyiwa? Kurapa kwepanyama kunogona kukurudzirwa kubatsira mukugadzirisa maitiro uye kuvandudza mararamiro ekufamba.
Ko BLEF inovharwa neinishuwarenzi? BLEF inowanzovharwa neinishuwarenzi, asi kugoverwa kunogona kusiyana zvichienderana nehurongwa hweinishuwarenzi.
Ndeipi mwero wekubudirira kwekuvhiyiwa kweBLEF? Kubudirira kwekuvhiyiwa kweBLEF kunosiyana zvichienderana nenyaya uye murwere, asi inowanzoonekwa seyakachengeteka uye inoshanda yekurapa sarudzo.
BLEF inogona kushandiswa kurapa kuremara kwemapfupa muvana here? Ehe, BLEF inogona kushandiswa kurapa kuremara kwemapfupa muvana vane congenital makumbo kureba kusawirirana.
