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Ukuqhekeka kwe-humeral shaft, ithambo elide kwingalo ephezulu, lingenzeka ngenxa yezizathu ezahlukahlukeneyo ezifana nokulimala, izingozi, okanye ukulimala kwezemidlalo. Ezi fractures zinokuchaphazela kakhulu ubomi bomntu bemihla ngemihla, kubangela intlungu, ukuhamba okulinganiselwe, kunye namaxesha okuphilisa ixesha elide. Ukutyhubela iminyaka, iyeza lamathambo libone inkqubela phambili kunyango lwezo fractures, kunye nenye into entsha ephawulekayo yipleyiti yokutshixa i-humeral shaft.
Kule nqaku, siza kuhlolisisa izibonelelo kunye nokusebenza kwe-humeral shaft ipleyiti yokutshixa njengendlela yanamhlanje yokulawula ukwaphuka. Siza kuphonononga iingenelo zayo kwiindlela zonyango lwesintu, inkqubo yotyando, kunye nokhathalelo lwasemva kotyando. Ngaphezu koko, siya kujongana neenkxalabo eziqhelekileyo zesigulane kwaye sixoxe ngamathemba azayo okulawulwa kwefracture.
I-Humeral shaft fractures ibandakanya i-midsection ye-humerus bone, edibanisa igxalaba kunye ne-elbow joint. Ezi ziqhekeza zinokusuka kwizinto ezilula ukuya eziyinkimbinkimbi, kuxhomekeke kubunzima bokulimala. Izigulane zinokuva iintlungu, ukuvuvukala, ukubetha, kunye nobunzima bokuhambisa ingalo emva kokuphuka okunjalo.

Ngaphambili, i-humeral shaft fractures yayilawulwa ngokuqhelekileyo kusetyenziswa iindlela zokulondoloza, ezifana nokungahambi kakuhle kunye neentsimbi okanye i-splints. Ngelixa ezi ndlela zivumela ithambo ukuba liphile, zihlala zikhokelela kwixesha elide lokubuyisela kunye nokusebenza okulinganiselwe.

Ukulungiswa kwangaphandle, okubandakanya ukukhusela ithambo usebenzisa izikhonkwane ngaphandle komzimba, yayiyenye indlela yonyango. Ngelixa yayibonelela ngozinzo, yayinemiqobo efana nosulelo lwephecana lepin kunye nokuthintelwa kwentshukumo yamalungu.
I-Intramedullary nailing, apho intonga yentsimbi ifakwe kwi-medullary canal yethambo, nayo yafumana ukuthandwa. Nangona yayinika uzinzo olungcono, yayingasoloko ifanelekile kwiifracture ezinzima.
Iindlela zonyango zemveli zidibene nemida ethile. Ukungashukumi ixesha elide kunokukhokelela ekuqineni kwamalungu kunye ne-muscle atrophy. Ukulungiswa kwangaphandle kunye nokubethelwa kwe-intramedullary kwakungasoloko kusenzeka, ngakumbi kwiimeko zokuqhekeka kwe-comminuted.
Ukukhangela isisombululo esingcono, uluntu lwamathambo lwaphendukela kwingcamango ukulungiswa kwepleyiti yokutshixa .
I ipleyiti yokutshixa i-humeral shaft yi-implant eyenzelwe ukubonelela ukulungiswa okuzinzileyo kwiifractures ze-humeral. Yakhiwe ngendlela yokutshixa ebamba ngokukhuselekileyo izikrufu endaweni, iqinisekisa ujongano olungcono lwethambo ukuya kwipleyiti kunye nokuzinza okuphuculweyo ngexesha lenkqubo yokuphilisa.

Ngexesha lotyando, ugqirha wamathambo ulungelelanisa ngononophelo amaqhekeza amathambo aphukileyo kwaye akhusele amathambo. ipleyiti yokutshixa phezu kwendawo yokwaphuka. Izikrufu ezikhethekileyo zifakwe kwipleyiti nakwithambo, zenza ulwakhiwo oluqinileyo oluvumela ukunyakaza kwangaphambili kunye nokuphilisa ngokukhawuleza.
I ipleyiti yokutshixa i-humeral shaft ibonelela ngeenzuzo ezininzi kwiindlela zonyango zesintu. Ezi ziquka:
Ukuzinza okuphuculweyo: Indlela yokutshixa ikhusela ukukhulula i-screw, ukunciphisa umngcipheko wokungaphumeleli kokufakelwa kunye nokubonelela ngokuzinza okungcono ngexesha lenkqubo yokuphilisa.
UkuHlanganisa kwangethuba: Ngokungafaniyo neendlela ezigcinayo, ukulungiswa kweplate yokutshixa kuvumela ukunyakaza kwangaphambili, ukunciphisa amathuba okuqina okuhlangeneyo kunye nokukhuthaza ukubuyiswa ngokukhawuleza.
Ukuguquguquka: Ipleyiti yokutshixa ingasetyenziselwa iipateni ezahlukeneyo zokuqhekeka, iyenza ibe lukhetho oluguquguqukayo koogqirha bamathambo.
Iziphumo zeklinikhi eziphuculweyo: Uphononongo lubonise ukuba ukulungiswa kweplate yokutshixa kubangela iziphumo ezingcono zeklinikhi kunye nokwaneliseka kwesigulane.
Inkqubo yotyando ye Ukulungiswa kwepleyiti yokutshixa i-humeral shaft kwenziwa phantsi kwe-anesthesia jikelele. Emva kokwenza i-incision, ugqirha uveza indawo yokuphuka kwaye ulungelelanise amaqhekeza amathambo. Ipleyiti yokutshixa emva koko ibekwe kwaye ilungiswe kusetyenziswa izikrufu. Emva kokuba ipleyiti isendaweni, i-incision ivaliwe, kwaye ingalo ifakwe kwi-sling.
Ukubuyisela emva utyando lokutshixa ngepleyiti lubandakanya inkqubo yokubuyisela kwisimo sangaphambili ecwangciswe ngononophelo. Unyango lomzimba luqaliswa kwangoko ukuphucula uluhlu lwentshukumo kunye nokomeleza ingalo. Ngokuhamba kwexesha, izigulana zinokuphinda ziqalise imisebenzi yazo yemihla ngemihla ngokuthe ngcembe.
Emva kotyando, izigulane kufuneka zithobele imiyalelo yogqirha wazo ukuqinisekisa ukuphiliswa ngokufanelekileyo. Ingalo kufuneka igcinwe iphakanyisiwe, kwaye ukunyakaza okubeka uxinzelelo kwithambo lokuphilisa kufuneka kugwenywe. Utyelelo lokulandelela rhoqo lubalulekile ekubekeni iliso kwinkqubo kunye nokwenza naluphi na uhlengahlengiso oluyimfuneko kwisicwangciso sokubuyisela kwisimo sangaphambili.
Uphononongo oluninzi lubonise iziphumo ezithembisayo nge-humeral shaft ukulungiswa kwepleyiti yokutshixa . Izigulane ziye zabika iintlungu ezincitshisiweyo, ukuphuculwa komsebenzi, kunye nokubuyela ngokukhawuleza emsebenzini kunye nemisebenzi yemihla ngemihla. Ngaphezu koko, izinga leengxaki kunye nokulungiswa kwepleyiti yokutshixa liphantsi.
Ngoxa zombini Ukulungiswa kwepleyiti yokutshixa kunye nokubethelwa kwe-intramedullary kubonelela ukulungiswa okuzinzileyo, iipleyiti zokutshixa zinika inzuzo yokugcina igazi le-periosteal kunye ne-biological osteosynthesis. Oku kunokukhokelela kwimiphumo engcono yokuphilisa, ngakumbi kwiifractures ezivulekileyo.
Ukulungiswa kwepleyiti yokutshixa kufumene ukuthandwa ngaphezulu kokubekwa ngokwesiko ngenxa yozinzo oluphezulu kunye neenzuzo zokuhlanganisa kwangethuba. Amacwecwe emveli axhomekeke kuxinzelelo phakathi kwethambo kunye nepleyiti, nto leyo enokukhokelela ekungaphumeleli kokumiliselwa kwamathambo e-osteoporotic.
Njengayo nayiphi na inkqubo yotyando, Ukulungiswa kwepleyiti yokutshixa i-humeral shaft kuthwala imingcipheko ethile. Oku kunokubandakanya usulelo, ukwenzakala kwemithambo-luvo, ukungahlali kunye, kunye neengxaki ezinxulumene nokufakelwa. Nangona kunjalo, izinga lengxaki lilonke lihlala lisezantsi, kwaye uninzi lwezigulane zifumana ukuchacha ngempumelelo.
Iipleyiti zokutshixa zenzelwe ukuba zithwale umthwalo kwaye zinokuhlala emzimbeni ngokungenasiphelo. Kwezinye iimeko, zinokuthi zisuswe xa zibangela ukungahambi kakuhle okanye ukuba ugqirha ubona kuyimfuneko.
Ixesha lokuchacha liyahluka ukusuka kwisigulana ukuya kwisigulana, kodwa abantu abaninzi banokulindela ukuphucuka okukhulu kwiinyanga ezimbalwa zokuqala. Ukuchacha ngokupheleleyo kunokuthatha iinyanga eziliqela ukuya kunyaka.
Uninzi lwezigulane ezine-humeral shaft fractures ngabaviwa bokulungiswa kwepleyiti yokutshixa. Nangona kunjalo, iimeko zonyango zomntu ngamnye kunye neepatheni zokuphuka ziya kuqwalaselwa ngugqirha wotyando ngaphambi kokucebisa le ndlela.
Ukulungiswa kweplate yokutshixa kucetyiswa kwizigulane ezine-humeral shaft fractures, ngakumbi ezo zineefracture ezinzima okanye ezidibeneyo. Ikwafanelekile kwizigulana ezinqwenela ukuhlanganiswa kwangoko kunye nokuchacha ngokukhawuleza.
Oogqirha bamathambo badla ngokuthanda ukulungiswa kwepleyiti yokutshixa ngenxa yeziphumo zayo ezigqwesileyo zeklinikhi kunye nokuguquguquka. Izinga lobunzima obuphantsi lwenkqubo kunye nokukwazi ukubonelela iipateni ezahlukeneyo zokwaphuka kuyenza ibe lukhetho olunomtsalane koogqirha botyando.
Inkalo ye-orthopedics iyaqhubeka nokuvela, kwaye kukho iinzame eziqhubekayo zokuphucula ngakumbi iindlela zokulawula ukuphuka. Abaphandi baphonononga imathiriyeli ephucukileyo kunye noyilo lokuyila lokufakela ukunyusa uzinzo kunye nokukhawulezisa ukuphiliswa.
I ipleyiti yokutshixa i-humeral shaft imele ukuqhubela phambili okubonakalayo kunyango lwe-humeral shaft fractures. Indlela yayo yokutshixa ibonelela uzinzo oluphuculweyo kunye nokuhlanganisa kwangethuba, okukhokelela kwiziphumo eziphuculweyo zeklinikhi kunye nokwaneliseka kwesigulane. Ngelixa iindlela zonyango zemveli zinendawo yazo, ukulungiswa kwepleyiti yokutshixa kunika indlela yanamhlanje ezisa iziphumo ezingcono kunye nokuchacha ngokukhawuleza kwezigulana.
Ngaba Ukulungiswa kwepleyiti yokutshixa kusetyenziswe amanye amathambo ngaphandle kwe-humerus?
Ewe, ukulungiswa kwepleyiti yokutshixa kusetyenziswa kwezinye iifractures zamathambo amade, njenge-femur kunye ne-tibia.
Ngaba Utyando lokutshixa ipleyiti lufanelekile kwizigulana zabantwana?
Ngelixa ukulungiswa kweplate yokutshixa kungasetyenziswa kwizigulane zabantwana, ugqirha uya kuvavanya ngononophelo imeko nganye kwaye aqwalasele ezinye iindlela zonyango ngokusekelwe kwiminyaka yomntwana kunye nohlobo lokuphuka.
Yintoni izinga lempumelelo ye ukulungisa ipleyiti yokutshixa ?
Izinga lokuphumelela lokulungiswa kwepleyiti yokutshixa liphezulu, uninzi lwezigulane ezifumana ukuphulukiswa okuphumelelayo kokuphuka kunye nomsebenzi obuyiselweyo.
Ngaba zikhona ezinye iindlela ezingezizo utyando zokwaphuka kwe-humeral shaft?
Iinketho ezingezizo utyando ezifana nokuphosa kunye nebracing zinokuthathelwa ingqalelo kwiimeko ezithile, kodwa zihlala zingasebenzi ngendlela ukulungiswa kweplate yokutshixa , ngakumbi kwiifractures ezinzima.
Ngaba i ipleyiti yokutshixa ilungiselelwe izigulane ngabanye?
Ewe, iipleyiti zokutshixa ziza ngobukhulu kunye neemilo ezahlukeneyo, nto leyo evumela oogqirha bamathambo ukuba bakhethe esona sifakelo sifanelekileyo kwisigulana ngasinye sokwakheka komzimba kunye nepateni yokwaphuka.
Kuba I-CZMEDITECH , sinomgca wemveliso ogqityiweyo kakhulu wokufakelwa kotyando lwe-orthopedic kunye nezixhobo ezihambelanayo, iimveliso ezibandakanya ukufakelwa komqolo, iinzipho ze-intramedullary, ipleyiti yokwenzakala, ipleyiti yokutshixa, i-cranial-maxillofacial, iprosthesis, izixhobo zamandla, izilungisi zangaphandle, arthroscopy, ukhathalelo lwezilwanyana kunye neeseti zezixhobo ezixhasayo.
Ukongeza, sizibophelele ekuqhubekeni siphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze sihlangabezane neemfuno zotyando zoogqirha abaninzi kunye nezigulana, kwaye senze inkampani yethu ikhuphisane ngakumbi kulo lonke ilizwe lehlabathi lokufakelwa kwamathambo kunye nezixhobo.
Sithumela kumazwe ngamazwe, ukuze ukwazi qhagamshelana nathi kwidilesi ye-imeyile ingoma@orthopedic-china.com ngesicatshulwa samahhala, okanye uthumele umyalezo kwi-WhatsApp ukuze uphendule ngokukhawuleza + 86- 18112515727 .
Ukuba ufuna ukwazi ngakumbi, cofa CZMEDITECH ukufumana iinkcukacha ezithe vetshe.
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