Chii chinonzi intramedullary nail?
Chipikiri che intramedullary imhando yekuvhiya inoshandiswa mukuvhiyiwa kwemapfupa kugadzirisa kuputika kwebhonzo, kunyanya kureba kwebhonzo. Isimbi yakareba, yakatetepa, inopinzwa mugoronga medulari yebhonzo uye yakabatwa panzvimbo ine screws kana mabhaudhi ekukiya kumativi ese. Iyo mbambo inopa kugadzikana kwemukati uye kutsigirwa kune pfupa rakaputsika, richibvumira kuporesa panzvimbo yakakodzera. Intramedullary misumari inowanzoshandiswa pakurapa femur uye tibia fractures.
Mhando dze intramedullary nail
Kune akati wandei marudzi e intramedullary zvipikiri anoshandiswa mukuvhiya kwemapfupa, kusanganisira:
Zvipikiri zvechikadzi: Izvi zvinoshandiswa kurapa kuputsika kwechikadzi (chidya chepfupa). Inogona kunge iri retrograde, kuiswa kubva kumagumo emabvi emapfupa, kana antegrade, akaiswa kubva kumucheto wehudyu.
Tibial misumari: Izvi zvinoshandiswa kurapa kuputsika kwetibia (shin bone). Ivo vanowanzoiswa kubva kumagumo emabvi epfupa.
Zvipikiri zvehumeral: Izvi zvinoshandiswa kurapa kuputsika kwehumerus (bhonzo repamusoro reruoko).
Zvipikiri zveIntramedullary zveruoko netsoka: Idzi zvipikiri zvidiki zvedhayamita zvinoshandiswa pakutyoka muruoko netsoka.
Zvipikiri zvinochinjika: Idzi zvipikiri zvakagadzirirwa zvinogona kushandiswa muvana nevechiri kuyaruka kurapa kuputsika kuchiri kukura.
Mhando ye intramedullary mbambo inoshandiswa mukuvhiya ichaenderana nenzvimbo uye kuoma kwekuputsika, pamwe nezera uye hutano hwese hwemurwere.
Zvinhu zve intramedullary nail
Intramedullary misumari inogona kugadzirwa kubva kune zvakasiyana-siyana, kusanganisira simbi isina tsvina, titanium, cobalt-chromium, uye titanium-nickel alloy. Chinhu chega chega chine zvimiro zvayo zvakasiyana uye mabhenefiti, senge simba, kusimba, uye kuramba corrosion. Kusarudzwa kwezvinhu kunoenderana nezvido zvemurwere uye rudzi rwekutsemuka kuri kurapwa.
Ndezvipi zvinhu zvichakurukurwa nachiremba asati avhiya?
Asati avhiyiwa, chiremba achafunga zvinhu zvakawanda kuti aone nzira yakanakisisa yekurapa murwere. Zvinhu izvi zvinogona kusanganisira:
Zera remurwere, nhoroondo yekurapa, uye hutano hwese.
Mhando uye kuoma kwemamiriro emusana kana kukuvara.
Zviratidzo zvemurwere nehuwandu hwemarwadzo.
Kubudirira kwemishonga isina kuvhiyiwa.
Njodzi dzinogona kuitika uye zvakanakira kuvhiyiwa.
Mararamiro emurwere uye danho rekuita.
Zvinotarisirwa nemurwere uye zvinangwa zvekuvhiyiwa.
Kuvepo uye hunyanzvi hwenzvimbo dzekuvhiya nevarapi vehutano.
Nekurangarira zvinhu izvi, chiremba anogona kugadzira chirongwa chemunhu chekurapa icho chinoenderana nezvido zvemurwere.
Kubatsira kwe intramedullary nail mukushanda.
Zvakanakira kushandisa intramedullary chipikiri pakuvhiya zvinosanganisira:
Minimal incision: Kushandiswa kwembambo ye intramedullary kunobvumira kuchekwa kudiki kana kuchienzaniswa nekuvhiyiwa kwechinyakare, izvo zvinogona kuderedza njodzi yehutachiona uye mavanga.
Kukurumidza kupora: Sezvo mbambo ye intramedullary yakapinzwa mubhonzo, inodzikamisa kuputsika kana kuremara, zvichibvumira kukurumidza kupora uye kupora.
Kuderedza kurwadziwa: Kugadzikana kunopiwa ne intramedullary nail kunogona kuderedza kuwanda kwemarwadzo anowanikwa panguva yekupora.
Zvinetso zvishoma: Intramedullary nailing ine njodzi yakaderera yezvinetso zvichienzaniswa nemamwe marudzi ekuvhiya.
Kuvandudzwa kwekufamba: Nekugadzirisa kwakakodzera, varwere vanopinda intramedullary nailing vanogona kutarisira kudzorera hutano hwavo hwekare hwekufamba uye basa.
Iyo mbambo yakasungirirwa inoda kuburitswa kunze?
Muzviitiko zvakawanda, zvipikiri zvinopindirana hazvibviswi mushure mekunge zvaiswa. Izvo zvakagadzirirwa kuti zvirambe zviri munzvimbo zvachose, chero bedzi zvisiri kukonzera chero matambudziko kana nyaya kumurwere. Zvisinei, mune dzimwe nguva, mbambo inogona kubviswa nekuda kwehutachiona, kusabatanidzwa kwepfupa, kana zvimwe zvinetso. Muzviitiko izvi, sarudzo yekubvisa mbambo ichaitwa nechiremba wevarwere zvichienderana nemamiriro avo ega.
Zvinotora nguva yakareba sei kuti uwanezve kubva ku intramedullary nail kubviswa?
Nguva yekudzorera mushure me intramedullary kubviswa kwembambo inogona kusiyana zvichienderana nezvinhu zvakadai senzvimbo uye saizi yembambo, chikonzero chekubviswa, uye hutano hwemunhu wese. Kazhinji, kupora kubva ku intramedullary kubviswa kwembambo kunowanzo kukurumidza uye kusingarwadze kupfuura kuvhiya kwekutanga kuisa chipikiri. Varwere vanogona kutangazve mabasa akareruka mukati memazuva mashoma mushure mekuita, asi vanofanirwa kudzivirira kurovedzera muviri kana kusimudza zvinorema kwemavhiki akati wandei kuti nzvimbo yekuchekwa ipore zvakanaka. Zvinogona kutora mavhiki akawanda kana mwedzi kuti pfupa rinyatsopora uye kuti murwere awanezve kufamba kwakazara munzvimbo yakakanganiswa. Zvakakosha kutevera mirairo yechiremba yekuchengetedzwa kwepashure nekugadziriswa kuitira kuti uve nechokwadi chemigumisiro yakanakisisa.
