Dynamic Axial Hip Joint Traction yangaphandle Fixator

I-Dynamic Axial Hip Joint Traction External Fixator: Unyango olusebenzayo lwe-Proximal Femoral Fractures

I-proximal femoral fractures yingozi eqhelekileyo, ngakumbi phakathi kwabantu abadala. Ezi fracture zinokuchaphazela kakhulu umgangatho wobomi bomntu, okwenza kube nzima ukuhamba, ukuma, kunye nokwenza imisebenzi yemihla ngemihla. Nangona kukho iindlela ezahlukeneyo zonyango ezikhoyo kwi-proximal femoral fractures, i-axial hip joint traction yangaphandle fixator (DAPHT) iye yavela njengenye indlela esebenzayo kunyango lwendabuko olufana nezikhonkwane ze-hip kunye nezikhonkwane ze-intramedullary.

Yintoni i-Dynamic Axial Hip Joint Traction External Fixator (DAPHT)?

I-DAPHT sisixhobo sokulungiswa kwangaphandle esisetyenziselwa ukuzinzisa kunye nokulungelelanisa i-femur ehamba phambili emva kokuphuka. Isixhobo siqukethe izikhonkwane ezimbini ezifakwe kwintloko ye-femal kunye nentamo, kunye nentonga yokudibanisa efaka i-traction kwindawo yokuphuka. Izikhonkwane zihlala zibekwe phantsi kwesikhokelo se-fluoroscopic ukuqinisekisa ukubekwa kunye nokulungelelaniswa okufanelekileyo. Isixhobo senzelwe ukuvumela ukunyakaza okulawulwayo kwendawo yokuphuka, okukhuthaza ukuphulukiswa kwamathambo kunye nokuthintela iingxaki ezinjengokungahambelani kunye nokungaphumeleli kokufakelwa.

Isebenza njani iDAPHT?

I-DAPHT isebenza ngokusebenzisa i-axial traction eguquguqukayo kwi-proximal femur. Isixhobo senzelwe ukuvumela ukunyakaza okulawulwayo kwendawo yokuphuka, okukhuthaza ukuphulukiswa kwamathambo kunye nokuthintela iingxaki ezinjengokungahambelani kunye nokungaphumeleli kokufakelwa. Amandla okutsala asetyenziswa ngentonga yokudibanisa edityaniswe kwizikhonkwane ezifakwe kwintloko ye-femal nentamo. Amandla okutsala anokulungiswa ukuze kuqinisekiswe ukulungelelaniswa okufanelekileyo kunye nokuphulukiswa kokuphuka.

Izinto eziluncedo zeDAPHT ngaphezu koNyango lwesiNtu

I-DAPHT ineenzuzo ezininzi kunyango lwesintu olufana nezikrufu zehip kunye nezikhonkwane ze-intramedullary. Enye yeenzuzo eziphambili kukuba ivumela ukunyakaza okulawulwayo kwendawo yokuphuka, okukhuthaza ukuphulukiswa kwamathambo kunye nokuthintela iingxaki ezifana nokungahambelani kunye nokungaphumeleli kokufakelwa. Ukongeza, i-DAPHT ayihlaseli kancinci kunonyango lwesintu, olunokunciphisa umngcipheko wosulelo kunye nezinye iingxaki. I-DAPHT iphinda ivumele ukuthwala ubunzima kwangaphambili xa kuthelekiswa nonyango lwendabuko, olunokukhokelela kumaxesha okubuyisela ngokukhawuleza kunye neziphumo eziphuculweyo.

Ubuchwephesha boTyando lweDAPHT

Indlela yotyando ye-DAPHT ibandakanya la manyathelo alandelayo:

1. Isigulane sibekwe phantsi kwe-anesthesia jikelele kwaye sibekwe kwitafile yokuphuka.

2. I-fracture iyancitshiswa phantsi kwesikhokelo se-fluoroscopic.

3. Izikhonkwane ezimbini zifakwe kwintloko ye-femal kunye nentamo phantsi kwesikhokelo se-fluoroscopic.

4. Intonga yokudibanisa ifakwe kwizikhonkwane, kwaye i-traction isetyenziswe kwindawo yokuphuka.

5. Amandla okutsala ahlengahlengiswa ukuqinisekisa ukulungelelaniswa okufanelekileyo kunye nokuphulukiswa kokuphuka.

6. Inxeba liyavalwa, kwaye isigulane sibekwe esweni kwigumbi lokuchacha.

Imingcipheko kunye neengxaki zeDAPHT

Nangona i-DAPHT ngokuqhelekileyo ithathwa njengekhuselekile kwaye isebenza, kukho imingcipheko kunye neengxaki ezinxulumene nenkqubo. Ezi ziquka usulelo, usulelo lwe-pin tract, ukwenzakala kwemithambo-luvo, ukwenzakala komthambo wegazi, kunye nokusilela kokufakelwa. Ugqirha wakho wamathambo uya kuxoxa ngale mingcipheko kunye nawe kwaye akuncede wenze isigqibo esinolwazi malunga nonyango olufanelekileyo lokuphuka kwakho.

Ukuqukumbela

I-DAPHT yenye indlela esebenzayo kunyango lwesintu lwe-proximal femoral fractures. Isixhobo sivumela ukunyakaza okulawulwayo kwendawo yokuphuka, ikhuthaza ukuphulukiswa kwamathambo, kwaye ivumela ukuthwala ubunzima kwangaphambili xa kuthelekiswa nonyango lwendabuko. Nangona kukho imingcipheko kunye neengxaki ezinxulumene nenkqubo, i-DAPHT ngokuqhelekileyo ithathwa njengekhuselekile kwaye isebenza. Ugqirha wakho wamathambo unokukunceda ukuba ufumane unyango olufanelekileyo lokuphuka kwakho ngokusekelwe kwiimfuno zakho kunye neemeko.

Ii-FAQs

1. Kuthatha ixesha elingakanani ukuchacha kuqhaqho lweDAPHT?

Ixesha lokubuyisela liyahluka ngokuxhomekeke kubunzima bokuphuka, impilo yonke yesigulane, kunye nezinye izinto. Ngokuqhelekileyo, izigulane zinokulindela ukuba zingabi bunzima kwiiveki ezimbalwa emva kokuhlinzwa kwaye ziza kuqala ukubeka ubunzima emlenzeni ochaphazelekayo njengoko ukuphilisa kuqhubeka. Kungathatha iinyanga ezininzi ukuba ithambo liphole ngokupheleleyo, kwaye ukubuyisela kwimeko yesiqhelo kunokuqhubeka iinyanga ezininzi emva koko.

1. Ngaba i-DAPHT ifanelekile kuzo zonke iintlobo zokuqhekeka kwe-femoral proximal?

I-DAPHT isetyenziswa ngokuqhelekileyo kwi-stable, displaced proximal femoral fractures kwizigulane ezisebekhulile. Nangona kunjalo, ugqirha wakho wamathambo uya kugqiba ukuba i-DAPHT ifanelekile kwi-fracture yakho ethile ngokusekelwe kwizinto ezahlukeneyo ezifana nobukhulu kunye nendawo yokuphuka, iminyaka yakho kunye nempilo yonke.

1. Ndimele ndilindele ntoni ngexesha lotyando lwe-DAPHT?

Ngethuba lotyando, uya kuba phantsi kwe-anesthesia jikelele, kwaye ugqirha uya kwenza izithintelo ezincinci kwesikhumba ukufaka izikhonkwane kunye nentonga yokudibanisa. Unokufumana ukungakhululeki kunye neentlungu emva kotyando, kodwa oku kunokulawulwa ngamayeza eentlungu.

1. Ingaba izikhonkwane kufuneka zihlale ixesha elingakanani?

Izikhonkwane zihlala zihlala iiveki ezimbalwa ukuya kwiinyanga ezininzi, kuxhomekeke kubunzima bokwaphuka kunye nesantya sokuphiliswa kwethambo. Ugqirha wakho wamathambo uya kubeka esweni inkqubela yakho kwaye abone ukuba izikhonkwane zingasuswa nini.

1. Zeziphi ezinye iindlela kwi-DAPHT zokunyanga ukophuka kwe-femoral proximal?

Unyango lwesintu olunje ngezikrufu ze-hip kunye nezikhonkwane ze-intramedullary lunyango olulolunye lonyango lwe-proximal femoral fractures. Ugqirha wakho wamathambo uya kukunceda ukuba ufumane unyango olufanelekileyo lokuphuka kwakho ngokusekelwe kwizinto ezahlukeneyo ezifana nobukhulu kunye nendawo yokuphuka, iminyaka yakho kunye nempilo yonke.