Ukwandiswa Kwamathambo External Fixator : Isishwankathelo, Iintlobo, kunye neeNzuzo
Xa umntu ehlupheka ngenxa yokungahambelani kobude bomzimba, ukukhubazeka kwamathambo, okanye ukuphulwa kwe-non-union fracture, ubude bethambo External Fixator (BLEF) ingaba yindlela yonyango esebenzayo. I-BLEF sisixhobo sotyando esincamathela kwithambo elichaphazelekayo, kwaye ngokusebenzisa amandla omatshini, ngokuthe ngcembe sandise ithambo kude kufike ubude obufunwayo okanye ulungelelwaniso. Eli nqaku lijolise ekuboneleleni ngombono obanzi we-BLEF, iintlobo zayo, kunye nezibonelelo.
Yintoni Ubude bamathambo External Fixator ?
I-BLEF sisixhobo sokutyanda amathambo esisetyenziselwa ukolula amathambo. Sisixhobo esintsonkothileyo esinezikhonkwane, iingcingo, iintonga, nezikrufu ezifakwa ngotyando ngolusu nakwimisipha zize zincanyathiselwe ethanjeni. Esi sixhobo sisebenzisa amandla omatshini kwithambo, nto leyo evuselela ukukhula kwamathambo amatsha kunye nokwandisa.
Kusebenza Njani Ubude Bamathambo External Fixator ?
I-BLEF isebenza ngomgaqo wokuphazamiseka kwe-osteogenesis, ebandakanya ukusetyenziswa kwe-tension kwithambo ngendlela elawulwayo. Olu xinzelelo lubangela i-micro-fractures kwithambo, ebangela inkqubo yokuphilisa yendalo yomzimba. Iifom zethambo ezitsha kwiifom kwizithuba ezenziwe yi-micro-fractures, ngokuthe ngcembe ukwandisa ithambo.
Iintlobo zoLwahlulo lwamathambo External Fixator
Kukho iintlobo ezintathu eziphambili ze-BLEF:
Isetyhula External Fixator : Olu hlobo lwe-BLEF luquka amakhonkco amabini adityaniswe ngama-struts ahlengahlengiswayo. Izikhonkwane zibekwe ngethambo kwaye ziqhagamshelwe kwiindandatho, ezithi zihlengahlengiswe ukuze zifake uxinzelelo kwithambo.
I-Monolateral External Fixator : Olu hlobo lwe-BLEF luquka intonga enye okanye ipleyiti efakwe kwithambo usebenzisa izikhonkwane okanye izikhonkwane. Intonga okanye ipleyiti iyahlengahlengiswa ukuze ifake uxinzelelo kwithambo.
I-Bilateral External Fixator : Olu hlobo lwe-BLEF luqukethe iintonga ezimbini okanye iipleyiti ezifakwe kwithambo usebenzisa izikhonkwane okanye izikhonkwane. Iintonga okanye iipleyiti zihlengahlengiswa ukuze zifake uxinzelelo kwithambo.
IiNzuzo zoLwandiso lwamathambo External Fixator
I-BLEF ibonelela ngeengenelo ezininzi xa kuthelekiswa neendlela eziqhelekileyo zokwandisa amathambo, ezinje:
I-Invasive Kancinci: I-BLEF yinkqubo yotyando ehlaselayo kancinane engafuni kwenzelwa izinto ezinkulu, inciphisa umngcipheko wosulelo kunye namanxeba.
Ubude obuchanekileyo: I-BLEF ivumela ulawulo oluchanekileyo phezu kwenkqubo yokwandisa, ukunciphisa umngcipheko wokulungiswa ngokugqithisileyo okanye ukulungiswa ngaphantsi.
Ixesha lokuphilisa elifutshane: I-BLEF ivuselela ukukhula kwamathambo amatsha, ukunciphisa ixesha lokuphilisa xa kuthelekiswa neendlela eziqhelekileyo zokwandisa amathambo.
UkuPhuculwa kweBone Regeneration: I-BLEF ivuselela ukuvuselelwa kwamathambo, okubangela ukuba ithambo elinamandla kunye nelomelele ngakumbi xa kuthelekiswa neendlela eziqhelekileyo zokwandisa amathambo.
Ngubani uMgqatswa Wokolulwa Kwamathambo External Fixator ?
I-BLEF lukhetho lonyango lwabantu abanobude obungafaniyo, ukukhubazeka kwamathambo, okanye ukwaphuka okungeyomanyano. Isetyenziswa kakhulu kubantwana abazalwa kunye nokungafani kobude belungu okanye abantu abadala abafumene ukungafani kobude ngenxa yokwenzakala okanye usulelo.
ULungiselelo lwaPhambi kokuSebenza
Ngaphambi kotyando, isigulana siya kuqhuba uthotho lweemvavanyo kunye neemvavanyo zokufumanisa ukuba ngaba bangumgqatswa ofanelekileyo we-BLEF. Oku kubandakanya uvavanyo lomzimba, ii-X-rays, kunye ne-MRI okanye i-CT scan.
Inkqubo yoTyando
Inkqubo yotyando ye-BLEF ibandakanya la manyathelo alandelayo:
I-Anesthesia: Isigulane sinikwa i-anesthesia jikelele ukuqinisekisa ukuba zikhululekile kwaye zingenabuhlungu ngexesha lotyando.
I-Incision: I-incision encinci yenziwa esikhumbeni ukufikelela kwithambo elichaphazelekayo.
Ukubekwa kwesixhobo: Isixhobo se-BLEF sincanyathiselwe kwithambo kusetyenziswa izikhonkwane okanye izikrufu.
Ukusebenza kweDivaysi: Isixhobo sivuliwe ukuze sisebenzise uxinzelelo kwithambo, kwaye isigulane sibekwe esweni ngokusondeleyo ukuqinisekisa ukuba akukho zingxaki.
Ukunyamekela okulandelwayo: Isigulane siya kufuneka silandele ukuqeshwa ngokulandelelana rhoqo kunye nodokotela wabo ogqirha ukubeka iliso kwinkqubo yokwandisa amathambo kunye nokulungelelanisa isixhobo njengoko kuyimfuneko.
UBuyiselo emva kokuSebenza
Emva kotyando, isigulane siya kufuneka sithathe iyeza leentlungu kwaye silandele imiyalelo yonyango emva kokuhlinzwa ukuze kuqinisekiswe ukuchacha kakuhle. Kusenokufuneka banxibe izihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana okanye intsimbi ukuze bakhusele ilungu elichaphazelekayo kunye nokuxhasa inkqubo yokuphilisa. Unyango lomzimba lunokucetyiswa ukuba luncede kwinkqubo yokubuyisela kwimeko yesiqhelo.
Imingcipheko kunye neeNgxaki zoLwandiswa kwamathambo External Fixator
Njengayo nayiphi na inkqubo yotyando, i-BLEF inomngcipheko kunye neengxaki ezinokubakho. Oku kunokubandakanya:
Usulelo: Izikhonkwane okanye izikrufu ezisetyenziselwa ukuncamathisela isixhobo ethanjeni zinokusuleleka, nto leyo enokufuna utyando olongezelelweyo ukunyanga.
Ukonakala kweNerve: Izikhonkwane okanye izikrufu ezisetyenziselwa ukuncamathisela isixhobo ethanjeni zingonakalisa imithambo-luvo ekufutshane, ekhokelela kwiintlungu, ukuphazamiseka, okanye ukubetha.
I-Bone Fracture: Ithambo lingaphuka ngexesha lenkqubo yokwandisa, ifuna utyando olongezelelweyo.
Ubunzima obuhlangeneyo: Inkqubo yokwandisa inokubangela ukuqina okuhlangeneyo, okunokufuna unyango lomzimba ukuphucula uluhlu lokunyakaza.
Ukungaphumeleli kwesixhobo: Isixhobo se-BLEF sinokungaphumeleli okanye siphuke, esinokufuna utyando olongezelelweyo ukulungisa okanye ukubuyisela isixhobo.
Ukuqukumbela
Ukwandiswa kwethambo External Fixator lukhetho oluxabisekileyo lonyango kubantu abanobude obungafaniyo, ukukhubazeka kwamathambo, okanye ukuphuka okungahambelaniyo. Ibonelela ngeenzuzo ezininzi kwiindlela zokwandiswa kwamathambo esintu, kubandakanya ixesha elifutshane lokuphilisa, ukuphuculwa kokuvuselelwa kwamathambo, kunye nobude obuchanekileyo. Nangona kunjalo, yinkqubo yotyando entsonkothileyo ethwala imingcipheko ethile kunye neengxaki ezinokubakho. Izigulana eziqwalasela i-BLEF kufuneka ziqhagamshelane nogqirha wazo wotyando ukuze ziqinisekise ukuba lolona khetho lufanelekileyo lonyango kubo.
Ii-FAQs
Ingaba inkqubo yokwandisa amathambo ithatha ixesha elingakanani nge-BLEF? Ubude benkqubo buxhomekeke kubungakanani bobude obufunekayo, kodwa ngokuqhelekileyo kuthatha iinyanga ezininzi ukuya kunyaka.
Ngaba ndiza kufuna unyango emva kotyando? Unyango lomzimba lunokucetyiswa ukuba luncede kwinkqubo yokubuyisela kunye nokuphucula uluhlu lokunyakaza.
Ngaba i-BLF ihlawulwa yi-inshurensi? I-BLEF idla ngokuhlawulwa yi-inshurensi, kodwa i-inshorensi inokwahluka ngokuxhomekeke kwisicwangciso esithile se-inshurensi.
Lithini izinga lempumelelo yotyando lwe-BLEF? Izinga lokuphumelela kotyando lwe-BLEF luyahluka ngokuxhomekeke kwimeko ethile kunye nesigulane, kodwa ngokuqhelekileyo kuthathwa njengonyango olukhuselekileyo nolusebenzayo.
Ngaba i-BLEF ingasetyenziselwa ukunyanga iziphene zamathambo ebantwaneni? Ewe, i-BLEF inokusetyenziselwa ukunyanga ukukhubazeka kwamathambo kubantwana abazalwa kunye nokungafani kobude bomzimba.
