Xana Switirhisiwa swa Trauma i yini?
Switirhisiwa swa ku vaviseka i switirhisiwa swo hlawuleka swa vuhandzuri leswi tirhisiwaka eku tshunguleni ka ku tshoveka ka marhambu, ku tshoveka ka marhambu ni ku vaviseka kun’wana loku vavisaka. Switirhisiwa leswi swi endleriwe ku lawula ni ku cinca-cinca loku kongomeke ka marhambu, tinyama to olova ni swilo leswi nghenisiweke hi nkarhi wa vuhandzuri.
Switirhisiwa swa trauma hi ntolovelo swi endliwe hi switirhisiwa swa xiyimo xale henhla, leswi tiyeke swofana na stainless steel kumbe titanium kutiyisisa matimba swinene xikan’we naku lwisana na corrosion.
Swikombiso swa switirhisiwa swa trauma swikatsa ti bone drills, reamers, saws, pliers, forceps, bone clamps, bone holding and reduction forceps, ti bone plates na swikwirikiri, na ti fixators tale handle.
Switirhisiwa leswi swi tirhisiwa hi madokodela ya vuhandzuri bya marhambu ni vativi va ku vaviseka ku tlhela va lulamisa marhambu lama tshovekeke, ku lunghisa marhambu lama tshovekeke ni ku tiyisa swirho leswi vavisekeke.
Ku tirhisiwa loku faneleke ka switirhisiwa swa khombo i swa nkoka swinene eku fikeleleni ka mimbuyelo leyi humelelaka eka vuhandzuri bya khombo, ku hunguta khombo ra swiphiqo na ku tiyisisa ku hola lokunene ka muvabyi.
Switirhisiwa swa Switirhisiwa swa Trauma !
Switirhisiwa swa trauma hi ntolovelo swi endliwe hi stainless steel kumbe titanium alloys ya xiyimo xale henhla kutiyisisa leswaku switshama swirikarhi switshama, swinga rhurhumeli naswona swina biocompatibility.
Swilo leswi swi tsakeriwa hikwalaho ka matimba ya swona, ntiko wa le hansi ni ku fambisana ni miri wa munhu. Stainless steel i xihlawuhlawu lexi dumeke hikokwalaho ka ku ringanela ka yona xikan’we na swivumbeko swa kahle swa michini, kasi titanium yitsakeriwa ngopfu hikokwalaho ka matimba ya yona yale henhla-ku-weight ratio xikan’we na biocompatibility.
Switirhisiwa swin’wana swa ku vaviseka swi nga ha tlhela swi va ni ku peta kumbe ku tshungula ehenhla leswaku swi antswisa matirhelo ya swona ni ku hunguta ku onhaka ni ku handzuka.
Ha yini ku tirhisiwa tipuleti ta titanium eka vuhandzuri?
Tipuleti ta titanium ti tala ku tirhisiwa eka vuhandzuri hikwalaho ka swivangelo swo hlayanyana, ku katsa ni:
Biocompatibility: Titanium i nchumu lowu fambisanaka na swilo leswi hanyaka, leswi vulaka leswaku a swi nge endleki leswaku wu vanga ku angula ko biha kumbe ku ariwa hi masocha ya miri. Leswi swi endla leswaku yi va nchumu lowunene eka ku nghenisiwa ka marhambu hi ndlela ya vutshunguri, ku katsa ni tipuleti ta marhambu.
Matimba na ku tiya: Titanium yi tiveka hi matimba na ku tiya ka yona, leswi endlaka leswaku yiva nhlawulo lowu tshembekaka eka switirhisiwa swa vutshunguri. Yitlhela yikota ku lwisana na corrosion, leswi pfunetaka ku tiyisisa vutomi byo leha bya implant.
Low Density: Titanium yina density yale hansi, leswivulaka leswaku ya vevuka loko yi pimanyisiwa na tinsimbi tin’wana letingana matimba yofana. Leswi swi nga pfuna ku hunguta ntiko hinkwawo wa xirho lexi nghenisiweke, leswi nga ha pfunaka eka maendlelo yo karhi ya vuhandzuri.
Radiopacity: Titanium ayi radiopaque, leswivulaka leswaku yinga voniwa eka X-rays na swikambelo swin’wana swa swifaniso swa vutshunguri. Leswi swi pfumelela madokodela ku languta endlelo ro hola ni ku tiyiseka leswaku xirho lexi nghenisiweke xi vekiwile kahle.
Xana ti Non-Locking plate ti tirhisiwa yini?
Ti plates letinga pfalekiki hi ntolovelo titirhisiwa eka swiyimo laha rigid immobilization ya bone fracture yinga lavekiki, naswona xikongomelo iku nyika kutshamiseka eka marhambu hiku sivela ku rhurha ka swiphemu swa marhambu hi nkarhi wa maendlelo yo hola.
Tinga tlhela titirhisiwa eka swiyimo laha kungana ku lahlekeriwa lokukulu ka marhambu kumbe ku tshoveka (ku tshoveka) ka marhambu, tani hileswi ti plates letinga pfalekiki tinga pfunetaka ku khoma swiphemu swin’we loko marhambu ya hola.
Ti plates letinga pfalekiki titala kutirhisiwa eka vuhandzuri bya marhambu byofana na fracture fixation, ku pfuxetiwa ka marhambu, na ku pfuxetiwa ka mahlangano.
Xana pulati ya marhambu yi tirha njhani?
Bone plate i xitirhisiwa xa vutshunguri lexi tirhisiwaka eka vuhandzuri bya marhambu ku lunghisa marhambu lama tshovekeke. Yi tirha hiku nyika nseketelo lowu tiyeke naku khoma swiphemu swa marhambu, leswi pfumelelaka ku hola kahle.
Puleti ya marhambu yi namarhetiwa ehenhla ka marhambu hi ku tirhisa swikwirikiri kumbe switirhisiwa swin’wana swo khoma, leswi khomaka swiphemu swa marhambu endhawini ya swona. Puleti leyi yi tirha tanihi xivumbeko lexi tiyisaka, yi sivela ku famba-famba loku engetelekeke ka swiphemu swa marhambu, naswona yi pfumelela marhambu leswaku ma hola handle ko onhaka kun’wana.
Puleti ya marhambu yi tirha hiku hundzisela ntshikelelo na ndzhwalo wo rhwala ntiko kusuka eka marhambu kuya eka plate, kutani kuya eka ti tissues leti rhendzeleke. Leswi swi pfuna ku sivela marhambu ku gombonyoka kumbe ku tshoveka ehansi ka ntshikilelo, leswi nga hungutaka kumbe hambi ku ri ku sivela ku hola loku faneleke ka marhambu. Loko marhambu ya horile, pulati na swikwirikiri swi nga susiwa loko swi laveka.
