Ingcaphephe yeFemoral Intramedullary Nail

Utyando lwamathambo luye lwavela ngokuphawulekayo kwiminyaka, lubonelela ngeendlela ezingcono zonyango zokuphuka kunye nokukhubazeka kwamathambo. Enye yezo nkqubela phambili kutyando lwamathambo yingcaphephe ye-femoral intramedullary nail. Obu buchule bokusungula butshintshe unyango lokuqhekeka kwe-femoral, lubonelela ngeenzuzo ezininzi kunye neziphumo eziphuculweyo.

Intshayelelo

Ingcali ye-femoral intramedullary isikhonkwane sisifakelo sotyando esisetyenziselwa ukulungiswa kweefractures ze-femoral. Yenzelwe ukubonelela ngokuzinza kunye nenkxaso kwithambo eliqhekekileyo, okuvumela ukuphulukiswa ngokukhawuleza kunye nokubuyisela ngokufanelekileyo. Le nkqubo incinci ifumene ukuthandwa phakathi koogqirha bamathambo ngenxa yokusebenza kwayo kunye nokuthembeka.

Yintoni na Ingcaphephe Femoral Intramedullary Nail?

Ingcali ye-femoral intramedullary nail yintonga yensimbi eyenzelwe ngokukodwa efakwe kwi-femur (ithambo lethanga) ukuze lizinzise kwaye lilungelelanise amacandelo amathambo aphukileyo. Isikhonkwane senziwe nge-titanium okanye insimbi engenasici, eqinisekisa amandla kunye nokuqina. Ifumaneka ngobude obahlukeneyo kunye nobubanzi ukuze kuhlaliswe i-anatomies yezigulane ezahlukeneyo kunye neepateni zokuphuka.

Iingenelo kunye neengenelo

Ukusetyenziswa kwengcali ye-femoral intramedullary nail inikezela ngeenzuzo ezininzi xa kuthelekiswa neendlela zemveli zokulungisa ukuphuka. Ezinye zezibonelelo eziphambili ziquka:

1. I-Invasive Invasive: Inkqubo yokuhlinzwa ibandakanya izithintelo ezincinci, ezikhokelela kumonakalo omncinci wezicubu kunye nokunciphisa intlungu emva kokuhlinzwa.

2. Ukuzinza kunye nokulungelelaniswa: Isikhonkwane sibonelela ngokuzinza okuhle kakhulu, ukukhusela ukujikeleza kunye nokukhubazeka kwe-angular, kunye nokukhuthaza ukulungelelaniswa kwamathambo okufanelekileyo.

3. Ukuhlanganiswa kwangethuba: Izigulane ziyakwazi ukuqala ukuthwala ubunzima kunye ne-ambulation, enceda ekubuyiseleni umsebenzi kunye nokukhawulezisa inkqubo yokubuyisela.

4. Umngcipheko woSulelo oNcitshisiweyo: Ubuchule obuvaliweyo be-intramedullary bunciphisa umngcipheko wosulelo olunxulumene neenkqubo ezivulekileyo.

5. Ukuphilisa ngokukhawuleza: Isikhonkwane se-intramedullary sikhuthaza ukuphulukiswa kwezinto eziphilayo ngokuvumela ithambo eliqhekekileyo ukuba lihlaziywe ngokwemvelo.

6. I-Cosmetic Benefits: Xa kuthelekiswa nezixhobo zokulungisa zangaphandle, isikhonkwane se-intramedullary sifakwe ngaphakathi kwethambo, okubangela ukuba kubonakale kukhangeleka ngakumbi.

   
   

UbuCwangciso bokuSebenza

Ukulungiselela kwangaphambili

Ngaphambi kotyando, uvavanyo olucokisekileyo lwemeko yesigulane luyenziwa, kubandakanywa iimvavanyo ze-imaging ezifana ne-X-rays kunye ne-CT scans. Imbali yonyango yesigulana kunye naziphi na iimeko esele zikhoyo nazo zithathelwa ingqalelo. Imiyalelo yangaphambi kotyando, njengokuzila ukutya kunye nokulawula amayeza, ibonelelwa ukuqinisekisa ngamava otyando akhuselekileyo.

Inyathelo ngeNyathelo Inkqubo

1. I-Anesthesia: Isigulana sinikwa i-anesthesia jikelele okanye i-anesthesia yengingqi, kuxhomekeke kukhetho logqirha kunye nempilo yesigulane.

2. I-Incision kunye nokufakwa kwe-Nail: I-incision encinci yenziwe kufuphi ne-hip okanye idolo elihlangeneyo, kwaye ucingo lwesikhokelo lufakwe kwi-canal ye-femoral. Isikhonkwane se-intramedullary ke sikhokelwa phezu kocingo kwaye sibekwe ngononophelo ngaphakathi kwe-femur.

3. Ukutshixa kunye noLungelelwaniso: Emva kokuba isikhonkwane sibekwe ngendlela efanelekileyo, izikrufu zokutshixa zifakwe kwisikhonkwane ukuze zikhuseleke endaweni. Oku kuqinisekisa ukuzinza kunye nokulungelelaniswa kwamaqhekeza amathambo aphukileyo.

4. Ukuvalwa Kwenxeba: I-incision ivaliwe nge-sutures okanye i-staples, kwaye isambatho esiyinyumba sisetyenziswa kwindawo yotyando.

   
   

Ukhathalelo lwasemva kotyando

Emva kotyando, izigulane zijongwa ngokusondeleyo kwindawo yokubuyisela. Izicwangciso zokulawula iintlungu, njengamayeza kunye nonyango lomzimba, ziphunyezwa ukuqinisekisa induduzo yesigulane. Ukuqeshwa okulandelwayo kucwangciselwe ukuvavanya inkqubela phambili yokuphilisa, ukubeka iliso ukuhamba kwesigulane, kunye nokujongana nayo nayiphi na inkxalabo okanye iingxaki.

UkuBuyisa kunye nokuBuyiselwa kwisimo sesiqhelo

Ixesha lokubuyisela emva kotyando lwezikhonkwane lwe-femoral intramedullary luyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa ubungakanani bokuphuka kunye nempilo yonke yesigulane. Unyango lomzimba ludlala indima ebalulekileyo kwinkqubo yokubuyisela, ejolise ekubuyiseleni amandla, ukuguquguquka, kunye noluhlu lwentshukumo. Isigulane sivunyelwe ngokuthe ngcembe ukuba sithwale ubunzima emlenzeni ochaphazelekayo, sikhokelwa ngugqirha wamathambo kunye nonyango lomzimba.

Iingxaki kunye nemingcipheko

Ngelixa utyando lwezikhonkwane lwe-femoral intramedullary lubonwa lukhuselekile kwaye lusebenza, njengayo nayiphi na inkqubo yotyando, luthwala imingcipheko ethile kunye neengxaki ezinokubakho. Oku kunokubandakanya ukusuleleka, i-nerve okanye ukulimala kwemithambo yegazi, i-nonunion (ukungaphumeleli kokuphulukisa amathambo), ukungahambi kakuhle, ukungaphumeleli kokufakelwa, kunye ne-vein thrombosis enzulu. Nangona kunjalo, iziganeko zezi ngxaki ziphantsi kakhulu, kwaye iinzuzo zenkqubo zihlala zidlula iingozi.

Ukuqukumbela

Ingcali ye-femoral intramedullary nail iye yaphucula kakhulu iziphumo zonyango zokuphulwa kwe-femoral fractures. Olu buchule luncinci lunika uzinzo, lukhuthaza ukuphilisa ngokukhawuleza, kwaye luvumela ukuhlanganiswa kwangaphambili. Ngelixa iingxaki zinokwenzeka, zinqabile, kwaye uninzi lwezigulana zifumana ukuchacha ngempumelelo. Ukubonisana kunye nengcali yamathambo kunconywa ukuba kunqume isicwangciso sonyango esifanelekileyo kwimeko nganye.