Ibhokisi le-PFNA Nail: Isikhokelo esiBanzi soGqirha
Njengoko iteknoloji yezonyango iqhubeka nokuguquka, oogqirha bamathambo banokufikelela kwiintlobo ezininzi zezixhobo kunye nobuchule bokunceda ukuphucula iziphumo zesigulane. Esinye sezixhobo ezibaluleke kakhulu kwi-arsenal yayo nayiphi na i-orthopedic surgeon yi-PFNA ibhokisi yesikhonkwane. Kweli nqaku, siza kuntywila nzulu ukuba yintoni ibhokisi ye-PFNA yezikhonkwane, isebenza njani, kunye nezibonelelo ezinokubonelela izigulana.
Yintoni i-PFNA Nail Box?
I-PFNA imele i-proximal femoral nail antirotation. Ibhokisi ye-PFNA yesikhonkwane sisixhobo sotyando esisetyenziselwa ukunyanga iifractures ze-femur, ngokukodwa ezo zenzeka entanyeni ye-femur. Olu hlobo lokuphuka luqhelekileyo phakathi kwezigulane ezikhulileyo kwaye kunokuba nzima ukunyanga ngeendlela zendabuko.
Ibhokisi ye-PFNA yesikhonkwane iqukethe isikhonkwane sentsimbi esingenanto esifakwe kwi-femur, sidlula kwindawo yokuphuka. Emva koko isikhonkwane sigxininiswe kwindawo kunye nezikrufu phezulu nasezantsi kwi-femur. Oku kuzinzisa ukuphuka kwaye kuvumele ukuba kuphole ngokufanelekileyo.
Isebenza Njani Ibhokisi Yezikhonkwane yePFNA?
Ibhokisi yesikhonkwane ye-PFNA yenzelwe ukuba ingangeneleli kancinci, oku kuthetha ukuba ifuna ukusika okuncinci kuneendlela zotyando lwesintu. Oku kunokubangela iintlungu ezincinci kunye nokulimala kwizigulane, kunye nexesha elifutshane lokubuyisela.
Ngethuba lenkqubo, ugqirha wenza i-incision encinci kwindawo ye-hip kwaye ifake isikhonkwane kwindawo yokuphuka. Emva kokuba isikhonkwane sisendaweni, izikrufu zifakwa phezulu nangaphantsi kwe-femur ukuze zikhuseleke endaweni. Ugqirha wotyando emva koko uvala ukusika kwaye isigulane sibekwe esweni naziphi na iimpawu zeengxaki.
Iinzuzo zokusebenzisa i-PFNA Nail Box
Kukho iingenelo ezininzi zokusebenzisa ibhokisi yesikhonkwane ye-PFNA ukunyanga ukwaphuka kwe-femoral. Ezi ziquka:
Ukuphuculwa kozinzo: Izikhonkwane kunye nezikrufu zinika uzinzo olubalaseleyo kwithambo eliqhekekileyo, elivumela ukuba liphole ngokukhawuleza nangempumelelo.
Ukuhlasela okuncinci: Njengoko bekutshiwo ngaphambili, ibhokisi yesikhonkwane ye-PFNA ifuna ukusika okuncinci kuneendlela zotyando lwesintu. Oku kunokukhokelela kwiintlungu ezisezantsi, amanxeba, kunye nexesha elifutshane lokubuyisela.
Ukunciphisa umngcipheko weengxaki: Ngenxa yokuba ibhokisi le-PFNA le-nail lincinci, kukho umngcipheko omncinci weengxaki ezifana nokusuleleka, ukopha, okanye umonakalo we-nerve.
Ifanelekile kuluhlu lwezigulane: Ibhokisi ye-PFNA yesikhonkwane ingasetyenziselwa ukunyanga i-femoral fractures kwizigulane zayo yonke iminyaka, kubandakanywa nezigulane ezikhulileyo ezinokuthi zingafanelanga iindlela ezingaphezulu zokuhlinzwa.
Imingcipheko enokubakho yokusebenzisa i-PFNA Nail Box
Ngelixa ibhokisi ye-PFNA yesikhonkwane ithathwa njengekhuselekile, kukho imingcipheko enokubakho ehambelana nenkqubo. Ezi ziquka:
Usulelo: Njengayo nayiphi na inkqubo yotyando, kukho umngcipheko wokosuleleka. Izigulane ziya kunikwa amayeza okubulala iintsholongwane phambi nasemva kotyando ukunciphisa lo mngcipheko.
Umonakalo we-Nerve: Iimbilini ezikummandla we-hip zingonakaliswa ngexesha lenkqubo, ekhokelela ekuxubeni okanye ukuxubha kwindawo echaphazelekayo.
Ukopha: Kukho umngcipheko wokopha ngexesha lenkqubo, nangona oku ngokuqhelekileyo kuncinci.
Ixesha lokuBuyisa kunye nokuBuyiselwa kwisimo sesiqhelo
Ixesha lokubuyisela emva kwenkqubo yebhokisi ye-PFNA ye-nail inokwahluka ngokuxhomekeke kwisigulane kunye nobunzima bokuphuka. Ngokuqhelekileyo, izigulane ziya kufuneka zigweme ukubeka ubunzima emlenzeni ochaphazelekayo kwiiveki ezimbalwa, kwaye kunokufuna ukusetyenziswa kweentonga okanye umntu ohambahambayo.
Unyango lomzimba lunokufuneka kwakhona ukunceda izigulane ziphinde zibe namandla kunye nokuhamba emlenzeni ochaphazelekayo. Oku kunokubandakanya imithambo yokuphucula uluhlu lwentshukumo, ibhalansi, kunye namandla.
Ukuqukumbela
Ibhokisi le-PFNA yesikhonkwane sisixhobo esibalulekileyo kunyango lwezahlulo ze-femoral, ngakumbi ezo zenzeka entanyeni ye-femur. Ngokubonelela ngozinzo olugqwesileyo kunye nokuhlasela okuncinci, ibhokisi yesikhonkwane ye-PFNA inokunceda izigulana ukuba zibuyele ngokukhawuleza kwaye zineentlungu ezisezantsi kunye namanxeba kuneendlela zotyando lwesintu. Nangona kunjalo, njengayo nayiphi na inkqubo yotyando, kukho imingcipheko enokubakho ekufuneka izigulane zizazi.
Ukuba wena okanye umntu omthandayo ujongene nokwaphuka kobufazi, qiniseka ukuba uthetha nogqirha wakho wamathambo malunga nokuba ibhokisi yesikhonkwane yePFNA inokuba lukhetho olulungileyo kwimeko yakho ethile. Ngesicwangciso esifanelekileyo sonyango kunye nokunyamekela, izigulane ezininzi ziyakwazi ukubuyisela ngokupheleleyo kwaye zibuyele kwimisebenzi yazo eqhelekileyo.
