Yintoni na nail intramedullary?
Isikhonkwane se-intramedullary luhlobo lofakelo lotyando olusetyenziswa kuqhaqho lwamathambo ukulungisa ukwaphuka kwamathambo, ngakumbi amathambo amade. Yintonga ende, ebhityileyo, yentsimbi efakwe kumngxuma we-medullary wethambo kwaye ibanjwe ngezikrufu okanye iibholiti zokutshixa kuzo zombini iziphelo. Isikhonkwane sinikezela ukuzinza kwangaphakathi kunye nenkxaso kwithambo eliqhekekileyo, livumela ukuba liphilise kwindawo efanelekileyo. Izikhonkwane ze-Intramedullary zisetyenziswa ngokuqhelekileyo kunyango lwe-femur kunye ne-tibia fractures.
Iintlobo zezikhonkwane ze-intramedullary
Kukho iintlobo ezininzi zezikhonkwane ze-intramedullary ezisetyenziselwa utyando lwamathambo, kuquka:
Izikhonkwane ze-Femoral: Ezi zisetyenziselwa ukunyanga ukuphuka kwe-femur (ithambo lethanga). Ziyakwazi ukubuyiswa kwakhona, zifakwe ukusuka ekupheleni kwamadolo ethambo, okanye i-antegrade, ifakwe ukusuka ekupheleni kwe-hip.
Izikhonkwane zeTibial: Ezi zisetyenziselwa ukunyanga ukuphuka kwe-tibia (ithambo lethambo). Ngokuqhelekileyo zifakwa ukusuka ekupheleni kwedolo lethambo.
Izikhonkwane zeHumeral: Ezi zisetyenziselwa ukunyanga ukuphuka kwe-humerus (ithambo lengalo ephezulu).
Izikhonkwane ze-Intramedullary zesandla kunye nonyawo: Ezi zizikhonkwane ezincinci zedayamitha ezisetyenziselwa ukwaphuka kwesandla kunye nonyawo.
Izikhonkwane eziguquguqukayo: Ezi zizikhonkwane ezenziwe ngokukodwa ezinokuthi zisetyenziswe kubantwana nakwishumi elivisayo ukunyanga iifractures ezisakhulayo.
Uhlobo lwesikhonkwane se-intramedullary esisetyenziselwa utyando luya kuxhomekeka kwindawo kunye nobukhulu beqhekeza, kunye nobudala kunye nempilo yonke yesigulane.
Izinto eziphathekayo zesikhonkwane se-intramedullary
Izikhonkwane ze-Intramedullary zingenziwa kwizinto ezahlukeneyo, kubandakanywa insimbi engenasici, i-titanium, i-cobalt-chromium, kunye ne-titanium-nickel alloy. Imathiriyeli nganye ineempawu zayo ezizodwa kunye neenzuzo, ezinjengokuqina, ukuqina, kunye nokuxhathisa ukubola. Ukukhethwa kwezinto eziphathekayo kuxhomekeke kwiimfuno ezithile zesigulane kunye nohlobo lokuphuka oluphathwayo.
Zeziphi izinto eziya kuqwalaselwa ngugqirha phambi kotyando?
Ngaphambi kwenkqubo yotyando, ugqirha uya kuqwalasela izinto ezininzi ukuze anqume indlela yonyango efanelekileyo yomguli. Ezi zinto zinokubandakanya:
Iminyaka yesigulana, imbali yonyango, kunye nempilo iyonke.
Uhlobo kunye nobukhulu bemeko yomgogodla okanye ukulimala.
Iimpawu zesigulane kunye nenqanaba lentlungu.
Ukusebenza konyango olungasebenzisi utyando.
Iingozi ezinokubakho kunye neenzuzo zotyando.
Indlela yokuphila yesigulane kunye nenqanaba lomsebenzi.
Ulindelo lwesigulana kunye neenjongo zotyando.
Ubukho kunye nobuchule bamaziko otyando kunye nababoneleli bezempilo.
Ngokuqwalasela ezi zinto, ugqirha unokuphuhlisa isicwangciso sonyango lomntu siqu esilungiselelwe iimfuno zomntu ngamnye zesigulane.
Inzuzo yesikhonkwane se-intramedullary ekusebenzeni.
Iingenelo zokusebenzisa isikhonkwane se-intramedullary kuqhaqho ziquka:
I-incision encinci: Ukusetyenziswa kwesikhonkwane se-intramedullary kuvumela ukusika okuncinci xa kuthelekiswa notyando oluvulekileyo lwendabuko, olunokunciphisa umngcipheko wokusuleleka kunye nokulimala.
Ukubuyisela ngokukhawuleza: Ekubeni isikhonkwane se-intramedullary sifakwe kwithambo, izinzile ukuphuka okanye ukukhubazeka, okuvumela ukuphulukiswa ngokukhawuleza kunye nokubuyisela.
Iintlungu ezincitshisiweyo: Ukuzinza okunikezelwe yi-intramedullary nail kunokunciphisa ubuninzi beentlungu ezifunyenwe ngexesha lokubuyisela.
Iingxaki ezimbalwa: Ukubethelwa kwe-Intramedullary kunomngcipheko ophantsi weengxaki xa kuthelekiswa nezinye iintlobo zongenelelo lotyando.
Ukuhamba okuphuculweyo: Ngokuvuselelwa okufanelekileyo, izigulane ezifumana i-intramedullary nailing zingalindela ukubuyisela izinga labo lokuhamba kunye nokusebenza kwangaphambili.
Ngaba isikhonkwane esidibeneyo kufuneka sikhutshwe?
Kwiimeko ezininzi, izikhonkwane ezidibeneyo azisuswanga emva kokuba zibekwe. Ziyilelwe ukuba zihlale kwindawo ngokusisigxina, nje kuphela ukuba zingabangeli naziphi na iingxaki okanye imiba kwisigulane. Nangona kunjalo, kwezinye iimeko, isikhonkwane sinokufuna ukususwa ngenxa yokusuleleka, ukungahambi kwethambo, okanye ezinye iingxaki. Kule meko, isigqibo sokususa isikhonkwane siya kwenziwa ngugqirha wesigulane ngokusekelwe kwimeko yabo ngabanye.
Kuthatha ixesha elingakanani ukuchacha ekususweni kwezikhonkwane ze-intramedullary?
Ixesha lokubuyisela emva kokususwa kwe-intramedullary nail inokwahluka ngokuxhomekeke kwizinto ezifana nendawo kunye nobukhulu besikhonkwane, isizathu sokususwa, kunye nempilo yonke yomntu. Ngokubanzi, ukuchacha ekususweni kwezikhonkwane ze-intramedullary kudla ngokukhawuleza kwaye kubuhlungu kancinci kunotyando lwangaphambili lokufaka isikhonkwane. Izigulana ziyakwazi ukuqalisa kwakhona imisebenzi elula kwiintsuku ezimbalwa emva kwenkqubo, kodwa kufuneka zithintele umthambo onzima okanye ukuphakamisa ubunzima kwiiveki ezininzi ukuvumela indawo yokusika ukuba iphile kakuhle. Kungathatha iiveki okanye iinyanga ezininzi ukuba ithambo liphole ngokupheleleyo kwaye isigulane siphinde siphinde siphinde sihambe ngokupheleleyo kwindawo echaphazelekayo. Kubalulekile ukulandela imiyalelo kagqirha yokunyamekela emva kokuhlinzwa kunye nokuvuselelwa ukuze kuqinisekiswe umphumo ongcono kakhulu.
