Jabka Scaphoid
Jajabka Scaphoid waa jabka ugu caansan ee carpal, oo xisaabiya qiyaastii 70% dhammaan jabka lafaha carpal. Sababtoo ah booskeeda anatomical ee gaarka ah ee ku dhex jira nidaamka lafaha carpal, jabka scaphoid cusub ayaa inta badan lagu waayaa ogaanshaha kiliinikada. Waxaa intaa dheer, sahayda xididdada dhiigga ee gaarka ah ee scaphoid waxay u horseedaa bukaannada dhibaatooyinka sida kuwa aan mid ahayn, necrosis avascular (AVN), iyo xasillooni-darrada carpal ee marxaladaha dambe. Kiliinik ahaan, jabka scaphoid waa ay adagtahay in la daweeyo oo inta badan waxay ka tagaan daba-galka sida xanuunka curcurka ee joogtada ah, dhaqdhaqaaqa xaddidan, iyo arthritis-ka post-traumatic.
Doorka Anatomical ee Gaarka ah ee Scaphoid
Scaphoid waa lafta ugu dheer ee safka carpal dhow, oo u qaabaysan sida doon yar (sidaa darteed magaca 'scaphoid'). Waxay u dhaxaysaa safafka carpal ee u dhow iyo kan fog, iyadoo door muhiim ah ka ciyaaraysa xasilinta iyo isku xirka labada saf. Dhaqdhaqaaqa gacanta ee caadiga ah, oo ay ku jiraan dabacsanaanta, fidinta, leexashada shucaaca, iyo leexashada ulnar, dhamaantood waxay ku xiran yihiin dhaqdhaqaaqa isku dubaridka ah ee scaphoid. Marka la jabo, biomechanics-ka dhammaan wadajirka curcurka ayaa burburay.
Qalab Jilicsan
Scaphoid-ku wuxuu inta badan ka helaa sahayda dhiigga ee laamaha xididdada radial, oo ka soo gala cidhifka dhabarka iyo cirifka fog:
Qiyaastii 70-80% qulqulka dhiiggu wuxuu ka soo galaa tubercle fog, dib u qulqulaya si uu u nafaqeeyo cirifka u dhow.
Kaliya dhawr laamood ayaa si toos ah u galaya cirifka u dhow.
Saamaynta:
Sida ugu dhow ee jabku u yahay cirifka u dhow, ayaa sii weynaan doonta khatarta khalkhalka xididada.
Mar haddii socodka dhiigga uu go'o, jajabka u dhow wuxuu aad ugu nugul yahay AVN iyo mid la'aan.
Habka Dhaawaca Caadiga ah
Habka ugu badan ee dhaawacu waa ku dhicid gacanta fidsan (FOOSH) .Markay dhacayaan, shakhsiyaadku waxay si dareen leh u fidiyaan gacanta oo ay fidiyaan faraha si ay u nuugaan saamaynta calaacasha. Habkan dhaawaca ah ee soo noqnoqda ayaa soo jiitay fiiro gaar ah oo bukaan-socod iyo cilmi-baaris ah, waxaana si weyn u tixraacay ereyga FOOSH ee la soo gaabiyo.
Ogaanshaha Daahitaanka Jabka Scaphoid
Jabka scaphoid wuxuu badanaa ka yimaadaa dhaawacyada FOOSH. Xaalado fudud, calaamaduhu waxay ku koobnaan karaan xanuun yar oo cudud ah, taas oo u horseedaysa bukaanada inay dayacaan raadinta daryeel caafimaad. Xataa marka raajooyinka (AP iyo lateral views) la qaado, jabka waxaa laga yaabaa inaan isla markiiba la arkin. Bukaan-socodka ayaa laga yaabaa inay ku soo laabtaan bilo ka dib xanuunka curcurka ee sii socda, markaas oo sawirku muujinayo jabka scaphoid ee daba-dheeraada-si weyn u dib u dhigaya ogaanshaha iyo maqnaanshaha daaqada daaweynta ugu fiican.
Talooyinka muhiimka ah ee ogaanshaha:
Sawirka raajada waa in loo sameeyaa dhammaan dhaawacyada gacanta, oo ay ku jiraan aragtiyaha scaphoid marka la tuhunsan yahay jabka.
Haddii raajadu ay taban yihiin laakiin shakigu weli jiro, waa in dhaqdhaqaaq la'aanta la mariyaa, oo ay ku xigto sawir-qaadista 2 toddobaad ka dib.
Dhaqdhaqaaq-la'aanta hore waxay u adeegi kartaa labadaba ogaanshaha iyo cabbirka daaweynta.
Ikhtiyaarada daawaynta
Hagaajinta Dibadda
Jabka cusub, ee aan kala guurin waxaa lagu daweyn karaa dhaqdhaqaaq-la'aan. Si kastaba ha noqotee, hagaajintu waa inay noqotaa mid adag si loo hubiyo bogsashada. Malaasta caadiga ah ama kabyada resinka ayaa laga yaabaa inay ku guuldareystaan inay xakameeyaan wareega gacanta iyo cududda hore, taasoo yaraynaysa xasilloonida.
Dhaqdhaqaaqa Kabka Balaastarka:
Kabka suulka gacanta-dheer:
Lagu tilmaamay jabka saddex-meelood meel u dhow (khatarta ugu sarreysa ee AVN), khadadka jaban ee toosan/muddo, iyo kiisaska hore ee ogaanshaha.
Waxay ka ilaalisaa suxulka 90°, cududda hore, curcurka, iyo suulka.
Waxay bixisaa xasiloonida ugu badan iyadoo meesha laga saarayo wareegtada gacanta hore.
Kabka suulka gacanta gaaban:
Ku habboon jabka saddexaad ee fog, dillaaca tuberosity, iyo jab dhexda dhexda oo deggan (marxaladda dambe).
Waxay bixisaa raaxo badan laakiin xasillooni yar.
Hagaajinta Gudaha
Isku xidhka madaxa la'aanta ah (Herbert Screw)
Hadda heerka dahabka ah ee jabka dhexda scaphoid.
Herbert Cannulated Compress Screw
Bevelled Cannulated Herbert Screw
Qalabaynta Kirschner Wire (K-fire)
Hab dhaqameed weli faa'iido leh, oo inta badan ku xiran.
Faa'iidooyinka : dabacsanaan, jaban, khalkhal yar ee xididdada dhiigga.
Khasaaraha : xasillooni yar, waxay u baahan tahay hagaajin dibadda ah, khatarta caabuqa, ka saarida loo baahan yahay bogsiinta ka dib.
Tilmaamaha : jabka carruurta, hagaajin ku meel gaar ah oo ku-meel-gaar ah, oo ku xiran hagaajinta xoqidda.
Daro-xakamaysan Qayb ahaan
Daro-xakamaysan Qayb ahaan
Scaphoid Nonunion
Sababo la xiriira sahaydeeda gaarka ah ee xididdada xididdada dhiigga, dhexda scaphoid iyo jabka u dhow ayaa u nugul midnimo la'aan iyo AVN.
Daawaynta : Tallaalka lafaha (aan-vascularized ama vascularized) oo ay weheliso hagaajin gudaha ah (Herbert screw ama K-wire). Meelaynta saxda ah ee tallaalka iyo dib u soo celinta dusha articular ee siman ayaa muhiim ah. Xaaladaha qaarkood, radial styloidectomy ayaa laga yaabaa in loo baahdo haddii caannimada lafaha ay soo food saarto inta lagu jiro dhaqdhaqaaqa gacanta.
Global Top 10 Herbert Screw Suppliers iyo CZMEDITECH Dulmarka Alaabta
Daawaynta jabka scaphoid waa muhiimad muhiim ah-ma aha oo kaliya dib u soo celinta shaqada curcurka laakiin sidoo kale ilaalinta tayada nolosha bukaanka iyo kartida shaqada. Doorashada qalabka saxda ah ee gudaha ayaa fure u ah ka hortagga dhibaatooyinka, gaaritaanka hagaajinta saxda ah, iyo horumarinta baxnaanintu.
Ka mid ah implants kala duwan, ah Herbert Screw ayaa u taagan sababtoo ah naqshadeeda gaarka ah iyo waxqabadka caafimaad ee la xaqiijiyay, taas oo ka dhigaysa mid ka mid ah qalabka ugu muhiimsan ee maareynta jabka scaphoid.
10-ka ugu sarreeya ee Herbert Screw Suppliers ee
| darajada guud |
ee shirkadda Magaca |
Logo |
| 1 |
DePuy Synthes |
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| 2 |
Styker |
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| 3 |
Zimmer Biomet |
![Herbert Cannulated Compress Screw]() |
| 4 |
Artrex |
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| 5 |
Smith & adeer |
![Herbert Cannulated Compress Screw]() |
| 6 |
Kooxda Caafimaadka ee Wright |
![Herbert Cannulated Compress Screw]() |
| 7 |
La xisaabtamay |
![Herbert Cannulated Compress Screw]() |
| 8 |
Aap Implantate AG |
![Herbert Cannulated Compress Screw]() |
| 9 |
Orthofix |
![Herbert Cannulated Compress Screw]() |
| 10 |
CZMEDITECH |
![Herbert Cannulated Compress Screw]() |
CZMEDITECH Herbert Screw Products
Sida hormoodka ah soo saaraha Shiinaha iyo iibiyaha maqaar-galaha lafaha, CZMEDITECH waxay bixisaa faylal dhammaystiran oo Herbert Screws oo loogu talagalay jabka scaphoid iyo dhaawacyada kale ee lafaha yar yar.
Astaamaha Muhiimka ah:
Naqshadaynta isku-buuqa madax-la'aanta: waxay hubisaa hagaajinta xasilloon iyadoo la yareynayo xanaaqa carjawda articular.
Deganaanshaha biomechanical sare: isku-duubnida isku-dhafka ah ee la isku halayn karo waxay kor u qaadaa midow adag.
Ikhtiyaarada maadada: waxaa lagu heli karaa birta-daawaynta ahama birta iyo alloy titanium, oo leh isqabqabsi aad u wanaagsan iyo iska caabin daxalka.
Iswaafajinta ugu yar: ku haboon labada waji iyo waji furan.
Tilmaamo dhowr ah: dhexroor iyo dherer ballaaran oo kala duwan si wax looga qabto baahiyaha caafimaad ee kala duwan.
Faa'iidooyinka Caafimaad:
Waxay fududaysaa bogsashada jabka scaphoid ee degdega ah oo la isku halayn karo, gaar ahaan dhexda khatarta sare leh iyo jabka tiirka u dhow.
Waxay sahlaysa abaabulka hore ee gacanta, yaraynta qallafsanaanta iyo hagaajinta soo kabashada shaqada.
Waxay si weyn u yaraynaysaa khatarta midnimo-la'aanta iyo AVN marka la barbar dhigo hababka hagaajinta dhaqanka.
Alaabta CZMEDITECH
