I-Humeral Nail: Isishwankathelo soNyango loTyando lwe-Proximal Humerus Fractures
Intshayelelo
I-proximal humerus fractures ixhaphake kubantu abadala kwaye inokubangela ukugula okukhulu kunye nokufa. Ulawulo lotyando luhlala luyimfuneko kwiifractures ezifudukayo okanye ezingazinzanga, kwaye i-humeral nail yindlela yonyango esetyenziswa ngokubanzi. Eli nqaku libonelela ngamagqabantshintshi otyando lwezikhonkwane olune-humeral, kubandakanya imiqondiso, ubuchule kunye neziphumo.
I-Anatomy ye-Proximal Humerus
I-humerus ehamba phambili iqukethe intloko ye-humeral, i-tuberosities enkulu kunye nencinci, kunye ne-shaft. Intloko ye-humeral ichaza kunye ne-glenoid fossa ye-scapula ukuze yenze i-glenohumeral joint, evumela ukunyakaza kwamagxa. I-tuberosities enkulu kunye nencinci inika i-attachment ye-rotator cuff muscles, ebalulekileyo ekuzinzeni kwamagxa.
Ukuqhekeka kwe-Humerus Proximal
Ukuqhekeka kwe-humerus ekufutshane ngokuqhelekileyo kuhlelwa ngokusekwe kwindawo kunye nenqanaba lokufuduswa. Iifracture ezingagxothwanga zihlala zilawulwa ngononophelo kunye ne-sling immobilization kunye noluhlu olungaphambili lwemithambo yentshukumo. Nangona kunjalo, iifractures ezifudukayo zingadinga ukungenelela kokuhlinzwa ukuze kubuyiselwe umsebenzi wamagxa kunye nokukhusela iingxaki ezifana ne-avascular necrosis kunye ne-non-union.
Iinketho zoTyando kwi-Proximal Humerus Fractures
Iinketho ezininzi zotyando zikhona kulawulo lwe-humerus fractures, kubandakanya ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi (ORIF), i-hemiarthroplasty, kunye ne-reverse shoulder arthroplasty. Ukhetho lobuchule botyando luxhomekeke kwizinto ezahlukeneyo, kubandakanya iminyaka yesigulana, indawo yokwaphuka, inqanaba lokufuduka, kunye ne-comorbidities.
IHumeral Nail Surgery
Utyando lwe-humeral lwezikhonkwane lubandakanya ukufakwa kwesikhonkwane eside, esine-intramedullary ngokusebenzisa i-proximal humerus ukuzinzisa ukwaphuka. Isikhonkwane sifakwe ngokusikeka okuncinci kufutshane negxalaba kwaye sikhokelwa kwi-medullary canal kusetyenziswa isikhokelo se-fluoroscopic. Emva kokuba isikhonkwane sisendaweni, izikrufu zifakwe kwisikhonkwane kunye nentloko ye-humeral ukukhusela i-fracture.
Iimpawu zeHumeral Nail Surgery
Utyando lwe-humeral lwezikhonkwane luboniswa ngenxa yokufuduka okanye ukungazinzi kwe-humerus fractures engenakulawulwa ngononophelo. Oku kubandakanya iifracture ezinobukhulu obungaphezu kwe-1 cm yokufuduswa okanye ukwaphuka nge-angle yokwaphuka okukhulu kune-45 degrees. Utyando lwezikhonkwane lweHumeral lunokuboniswa nakwizigulane ezingakwaziyo ukunyamezela iinkqubo zotyando ezihlaselayo, ezifana ne-hemiarthroplasty okanye i-reverse shoulder arthroplasty.
Ubuchwephesha boTyando lweZikhonkwane lweHumeral
Utyando lwe-humeral lwezikhonkwane lunokwenziwa kusetyenziswa indlela ye-antegrade okanye yokubuyisela umva. Indlela ye-antegrade ibandakanya ukufaka isikhonkwane kwi-proximal end of humerus, ngelixa i-retrograde approach ibandakanya ukufaka isikhonkwane kwi-distal end of humerus. Ukukhethwa kwendlela yokufikelela kuxhomekeke kwindawo yokuphuka kunye nokukhethwa kogqirha.
Iziphumo zoTyando lweZikhonkwane lweHumeral
Utyando lwe-humeral lwezikhonkwane lubonakaliswe ukuba lukhetho olusebenzayo lonyango lwe-proximal humerus fractures, kunye namazinga aphezulu e-fracture union kunye neziphumo ezilungileyo zokusebenza. Nangona kunjalo, iingxaki ezifana ne-screw cutout, i-non-union, kunye nosulelo lungenzeka. Ukukhetha isigulane ngononophelo kunye nobuchule botyando zibalulekile ekunciphiseni ezi ngxaki.
Ukuqukumbela
I-proximal humerus fractures ingaba neempembelelo ezibalulekileyo kwisigulana kunye nokufa, ngakumbi kubantu abadala. Utyando lwe-humeral lwe-nail lukhetho olusetyenziswa ngokubanzi olunokubuyisela ngokufanelekileyo umsebenzi wamagxa kunye nokuthintela iingxaki. Ukukhetha isigulane ngononophelo kunye nobuchule botyando bubalulekile ekuphuculeni iziphumo kunye nokunciphisa iingxaki.
Ii-FAQs
Kuthatha ixesha elingakanani ukuchacha kuqhaqho lwezikhonkwane olune-humeral? Ixesha lokubuyisela liyahluka ngokuxhomekeke kwiminyaka yesigulane kunye nempilo yonke, kunye nobukhulu bokuphuka. Ngokuqhelekileyo, izigulana zinokulindela ukunxiba isilingi kwiiveki ezimbalwa emva kokuhlinzwa kwaye zinokudinga iinyanga ezininzi zonyango lomzimba ukuze ziphinde zisebenze ngokugqibeleleyo.
Ngaba kukho nayiphi na imingcipheko enxulumene noqhaqho lwezinzipho ze-humeral? Njengayo nayiphi na inkqubo yotyando, kukho imingcipheko eyayanyaniswa noqhaqho lwezikhonkwane. Oku kunokubandakanya usulelo, ukwenzakala kwemithambo-luvo, kunye nokonakala komthambo wegazi. Ukongeza, kukho umngcipheko weengxaki ezifana ne-screw cutout, i-non-union, kunye nokusilela kokufakelwa.
Ukukhethwa kwesigulana sotyando lwezikhonkwane kumiselwa njani? Ukukhethwa kwesigulane kwi-humeral nail operation kunqunywe ngokusekelwe kwizinto ezininzi, kubandakanywa iminyaka yesigulane kunye nempilo yonke, ubunzima kunye nendawo yokuphuka, kunye nobukho bezo naziphi na izifo ezinokuchaphazela iziphumo zotyando.
Ngaba utyando lwezikhonkwane lwe-humeral lunokusetyenziswa kuzo zonke iifractures ze-humerus? Hayi, utyando lwezikhonkwane lwe-humeral luhlala lugcinelwe ukufuduswa okanye ukwaphuka okungazinzanga okungenakulawuleka ngokucokisekileyo. Izaphulelo ezinokususwa okuncinci okanye ezo zingabandakanyi intloko ye-humeral zinokulawulwa ngamanyathelo olondolozo afana nokunyanzeliswa kwe-sling kunye noluhlu lwangaphambili lokuzivocavoca.
Ingaba i-humeral nail ihlala ixesha elingakanani kwindawo? Isikhonkwane se-humeral sihlala sishiywe kwindawo kangangeenyanga ezininzi ukuvumela ukuphiliswa kokwaphuka. Ubude bexesha apho isikhonkwane sihlala sikhona sinokwahluka ngokuxhomekeka kubukhulu bokwaphuka kunye nenkqubo yokuphilisa yesigulane.
