Msumari wa ndani ya mfupa Iseti yokuSuswa: Isishwankathelo seZibonelelo, imingcipheko kunye neeNkqubo
Izikhonkwane ze-Intramedullary, ezaziwa ngokuba zizikhonkwane ze-IM, zihlala zisetyenziselwa ukunyanga ukwaphuka kwamathambo amade njenge-femur, tibia, kunye ne-humerus. Ezi zikhonkwane zifakwe kwi-marrow cavity yethambo ukunika ukuzinza kunye nenkxaso ngexesha lokuphulukisa. Nangona zisebenza kakuhle ekukhuthazeni ukuphulukiswa kwamathambo, kunokufuneka ukuba zisuswe kwinqanaba elithile ukukhusela iingxaki ezifana nokungaphumeleli kokufakelwa okanye intlungu. Apha kulapho i- Msumari wa ndani ya mfupa iSeti yokususa iza ngokufanelekileyo. Kweli nqaku, siza kuphonononga ukuba yintoni Msumari wa ndani ya mfupa iSeti yokususa, inzuzo kunye nobungozi bokuyisebenzisa, kunye nenkqubo echaphazelekayo.
Yintoni i- Msumari wa ndani ya mfupa iSeti yokususa?
I- Msumari wa ndani ya mfupa i-Removal Set yisethi yezixhobo ezilungiselelwe ngokukodwa ukususwa kwezikhonkwane ze-intramedullary. Iseti ngokuqhelekileyo ibandakanya izixhobo ezahlukeneyo ezifana nabasiki bamathambo, iisarha zethambo, kunye nee-drills, ezisetyenziselwa ukusika kunye nokususa isikhonkwane kwithambo. Iseti inokubandakanya isixhobo esibizwa ngokuba yi-reamer, esetyenziselwa ukukhulisa umngxuma wethambo ojikeleze isikhonkwane ukuze kube lula ukususwa kwawo.
Izibonelelo zokusebenzisa i Msumari wa ndani ya mfupa iSeti yokususa
Kukho iingenelo ezininzi zokusebenzisa i Msumari wa ndani ya mfupa iSeti yokususa, kuquka:
Ithintela iingxaki
Ukushiya isikhonkwane se-intramedullary endaweni ixesha elide kunokukhokelela kwiingxaki ezifana nokungaphumeleli kokufakelwa, ukusuleleka kunye neentlungu. Ukususa isikhonkwane usebenzisa Msumari wa ndani ya mfupa iSeti yokususa inokuthintela ezi ngxaki.
Iyahlasela kancinci
Inkqubo yokususa usebenzisa i- Msumari wa ndani ya mfupa i-Removal Set i-invasive kancinane, oku kuthetha ukuba ifuna ukutshintshwa okuncinci kwaye ibangele umonakalo omncinci wezicubu xa kuthelekiswa notyando oluvulekileyo lwendabuko.
Ukuchacha ngokukhawuleza
Iinkqubo ezincinci ezihlaselayo zihlala zikhokelela kumaxesha okubuyisela ngokukhawuleza xa kuthelekiswa notyando oluvulekileyo lwemveli. Izigulana eziye zakhutshwa nge-intramedullary nail zisebenzisa i- Msumari wa ndani ya mfupa Removal Set zinokubuyela kwimisebenzi yazo yesiqhelo ngokukhawuleza.
Imingcipheko yokusebenzisa i Msumari wa ndani ya mfupa iSeti yokususa
Ngelixa ukusetyenziswa kwe Msumari wa ndani ya mfupa iSeti yokususa ibonelela ngeengenelo ezininzi, ikwathwala umngcipheko othile, kubandakanya:
Usulelo
Njengayo nayiphi na inkqubo yotyando, kukho umngcipheko wosulelo olunxulumene nokususwa kwe-intramedullary nail. Ubuchule obufanelekileyo bokuvala inzala kunye namanyathelo okuthintela usulelo kufuneka kuthathwe ukunciphisa lo mngcipheko.
Umonakalo kwizicubu ezijikelezileyo
Ngethuba lenkqubo yokususa, kukho umngcipheko wokonakalisa izicubu ezijikelezileyo ezifana neentsholongwane kunye nemithambo yegazi. Lo mngcipheko unokuncitshiswa ngokusebenzisa iindlela eziphambili zokucinga ezifana ne-fluoroscopy.
Ukuqhekeka kokufakelwa
Ngethuba lenkqubo yokususa, isikhonkwane se-intramedullary sinokuphuka, esinokukwenza ukuba inkqubo yokususa ibe nzima kwaye yandise umngcipheko weengxaki.
I Msumari wa ndani ya mfupa Inkqubo yokususa
Inkqubo yokususa iinzipho kwi-intramedullary usebenzisa i- Msumari wa ndani ya mfupa Isethi yokususa ibandakanya la manyathelo alandelayo:
I-Anesthesia: Isigulane sinikwa i-anesthesia ukuqinisekisa ukuba abaziva naziphi na iintlungu ngexesha lenkqubo.
Ukusikwa: Ukusikwa okuncinci kwenziwa kwindawo yokufakwa kwezikhonkwane ze-intramedullary.
Ukutsalwa kwezikhonkwane: I Msumari wa ndani ya mfupa Isethi yokususa izixhobo zisetyenziselwa ukusika kunye nokususa isikhonkwane kwithambo.
Ukuvala: I-incision ivaliwe ngokusebenzisa izititshi okanye i-staples.
Ii-FAQs
Q1. Ithatha ixesha elingakanani inkqubo yokususa iinzipho kwi-intramedullary?
A1. Inkqubo yokususwa kwezikhonkwane ze-intramedullary idla ngokuthatha phakathi kwemizuzu engama-30 ukuya kwiyure.
Q2. Ngaba ukususwa kwe-intramedullary nail kubuhlungu?
A2. I-anesthesia isetyenziswe ngexesha lenkqubo ukuqinisekisa ukuba isigulane asiva nantlungu. Nangona kunjalo, izigulane zinokufumana ukungonwabi okanye ukuqaqanjelwa emva kwenkqubo, enokulawulwa ngamayeza eentlungu.
Q3. Kuthatha ixesha elingakanani ukuchacha emva kokususwa kwezikhonkwane ze-intramedullary?
A3. Ixesha lokubuyisela liyahluka ukusuka kwisigulana ukuya kwisigulana, kodwa izigulane ezininzi zinokubuyela kwimisebenzi yazo yesiqhelo kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa emva kwenkqubo.
Q4. Kuyimfuneko nini ukususwa kwezikhonkwane ze-intramedullary?
A4. Ukususwa kwezikhonkwane ze-Intramedullary kunokuba yimfuneko ukuba isikhonkwane sibangela intlungu okanye iingxaki ezifana nokusilela kokufakelwa okanye ukusuleleka.
Q5. Ngaba ukususwa kwezikhonkwane ze-intramedullary kunokwenziwa ngaphandle kotyando?
A5. Hayi, ukususwa kwe-intramedullary nail kufuna utyando. Nangona kunjalo, inkqubo inokwenziwa kusetyenziswa ubuchule obuncinci, obufuna ukutshintshwa okuncinci kwaye kubangele umonakalo omncinci wezicubu xa kuthelekiswa notyando oluvulekileyo lwendabuko.
Ukuqukumbela
Izikhonkwane ze-Intramedullary ziyindlela yonyango eqhelekileyo yokuphuka kwamathambo amade, kodwa kunokufuneka ukuba kususwe ngexesha elithile ukukhusela iingxaki. Ukusetyenziswa kwe Msumari wa ndani ya mfupa iSeti yokususa ibonelela ngeenzuzo ezininzi, kubandakanywa nokuthintela iingxaki, ukuhlaselwa kancinci, kunye nokukhokelela kumaxesha okubuyisela ngokukhawuleza. Nangona kunjalo, ikwanemingcipheko ethile, njengosulelo, umonakalo kwiithishu ezijikelezileyo, kunye nokwaphuka kokufakelwa. Inkqubo yokususa izikhonkwane ze-intramedullary usebenzisa i- Msumari wa ndani ya mfupa iSeti yokususa ngokuthe ngqo kwaye ibandakanya i-anesthesia, i-incision encinci, ukutsalwa kwe-nail, kunye nokuvalwa. Izigulana zinokungakhululeki okanye zibe buhlungu emva kwenkqubo, kodwa oku kunokulawulwa ngamayeza eentlungu. Ukuba ufumana intlungu okanye iingxaki ezivela kwi-intramedullary nail, thetha nogqirha wakho malunga nokuba ukususwa kwe-intramedullary nail kunokuba kulungile kuwe.
