IRingi yangaphandle yeFixator: Isikhokelo esiBanzi
Xa kuziwa ekuphatheni iifracture eziyinkimbinkimbi kunye nokukhubazeka kwamathambo, oogqirha bamathambo bahlala bexhomekeke kwizixhobo zokulungiswa kwangaphandle. Enye yezona zinto ziguquguqukayo kunye nezisebenzayo zangaphandle zilungisa umsesane wangaphandle. Esi sixhobo sinezangqa ezijikelezayo, iintonga zokudibanisa, kunye neentlobo ezahlukeneyo zezikhonkwane kunye neengcingo ezisetyenziselwa ukubamba amathambo aphukileyo okanye akhubazekileyo. Kweli nqaku, siza kubonelela ngesikhokelo esibanzi kwisilungisi sangaphandle sendandatho, kubandakanywa nembali yayo, iindidi, izicelo, kunye neengxaki ezinokubakho.
Imbali yeRingi yoLungiso lwaNgaphandle
Ingcamango yokulungiswa kwangaphandle ibuyele kumaxesha amandulo, xa izibonda ezenziwe ngamaplanga, isinyithi, okanye isikhumba zazisetyenziselwa ukuthintela amalungu aphukileyo. Nangona kunjalo, bekungekho kwasekuqaleni kwekhulu lama-20 ukuba i-ring yokuqala yokulungisa yangaphandle yaphuhliswa ngugqirha waseJamani uGqr Gavril Ilizarov. Ukwenziwa kwe-Ilizarov, eyaziwa ngokuba yi-Ilizarov apparatus, iguqule unyango lwezoqhekezo ezintsonkothileyo zamathambo kunye nokukhubazeka, kwaye sele yamkelwa ngokubanzi ngoogqirha bamathambo emhlabeni jikelele.
I-Anatomy yeRingi yangaphandle Fixator
I-fixator yangaphandle yendandatho iqulethwe ngamacandelo amaninzi, kubandakanywa izindandatho zesetyhula, iintonga zokudibanisa, kunye nezikhonkwane / iingcingo. Amakhonkco ahlala enziwe ngentsimbi engenasici okanye i-titanium, kwaye afumaneka ngobukhulu obahlukeneyo kunye neemilo ukuze kuhlaliswe imimandla eyahlukeneyo ye-anatomical. Iintsimbi zokudibanisa nazo zenziwe ngetsimbi kwaye zisetyenziselwa ukudibanisa amakhonkco omnye komnye. Izikhonkwane kunye neengcingo zifakwe ngesikhumba kunye nethambo, zibonelela ngokuzinza kunye nenkxaso kwithambo eliqhekekileyo okanye eliphosakeleyo.
Iintlobo zeRingi yoLungiso lwangaphandle
Kukho iindidi ezininzi zeringi yezixhobo zokulungisa zangaphandle, nganye inoyilo oluthile kunye nokusetyenziswa kwayo. Ezinye zezona ntlobo zixhaphakileyo ziquka:
Ilizarov Fixator
I-Ilizarov fixator yintsimbi yokuqala yangaphandle ephuhliswe nguDkt Gavril Ilizarov. Iqulethwe ngamakhonkco ajikelezayo adityaniswe ngamacangci, kwaye akhuselwe kwithambo usebenzisa iingcingo ezincinci okanye i-half-pins. I-Ilizarov fixator ineendlela ezininzi kwaye ingasetyenziselwa ukunyanga uluhlu olubanzi lweemeko ze-orthopedic, kubandakanywa iifractures ezinzima, izifo zethambo, kunye nokungafani kobude bemilenze.
Isakhelo seSithuba sikaTaylor
Isakhelo se-Taylor Spatial yindandatho yanamhlanje ye-fixator yangaphandle edibanisa imigaqo ye-Ilizarov fixator kunye nobuchwepheshe obuncediswa ngekhompyutha. Iqukethe i-struts emithandathu ehlengahlengiswayo edityaniswe kwindandatho ekupheleni kwayo, kwaye inokulungelelaniswa kwimilinganiselo emithathu ukulungisa ukukhubazeka kwamathambo okanye ukungafani kobude. Isakhelo seTaylor Spatial siluncedo ngakumbi ekunyangeni ukukhubazeka okuntsokothileyo kwamathambo amade, njengokugoba okanye ukujija.
Isetyhula yangaphandle Fixator
I-fixator yangaphandle yesetyhula yinguqulo elula ye-Ilizarov fixator, equlethwe ngamakhonkco ajikelezayo axhunywe ngeentonga ezigudileyo. Ihlala isetyenziselwa ukuzinzisa iifractures kunye nokulimala kwezicubu ezithambileyo zonyawo kunye ne-ankle.
Usetyenziso lweRingi yoLungiso lwaNgaphandle
Isilungisi sangaphandle seringi sinezicelo ezininzi kutyando lwamathambo, kubandakanya:
Ukunyangwa kweefracture eziyinkimbinkimbi ezingenakho ukunyangwa nge-casting yendabuko okanye ubuchule be-plating.
Ukulungiswa kokukhubazeka kwamathambo, okufana nokungafani kobude bemilenze, ukukhubazeka kwe-angular, okanye ukukhubazeka okujikelezayo.
Ukulawulwa kwezifo zethambo, ezifana ne-osteomyelitis, ngokubonelela ukulungiswa okuzinzile kunye nokukhuthaza ukuvuselelwa kwamathambo.
Ukwakhiwa kwakhona kwezicubu zamathambo ezonakalisiweyo okanye ezilahlekileyo, usebenzisa iindlela ezifana nokuphazamiseka kwe-osteogenesis okanye ukuthuthwa kwethambo.
Iingxaki ezinokuthi zenzeke kwiRingi yoLungiso lwaNgaphandle
Njengayo nayiphi na inkqubo yotyando, iringi yokulungiswa kwangaphandle ithwala imingcipheko ethile kunye neengxaki ezinokubakho. Ezinye zeengxaki eziqhelekileyo ziquka:
Izifo ze-Pin site: Izikhonkwane kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zingabangela usulelo ukuba alugcinwanga kakuhle okanye ukuba ulusu olujikeleze izikhonkwane luyacaphuka.
Ukuqina okuhlangeneyo: I-immobil ization ende ehambelana nokulungiswa kwangaphandle kwendandatho kunokukhokelela ekuqiniseni ngokubambisana kunye nokunciphisa uluhlu lokunyakaza.
Ukulimala kwe-nerve: Izikhonkwane kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zingabangela umonakalo we-nerve ukuba zifakwe ngokunzulu kakhulu okanye ukuba zidibene ngokuthe ngqo neentsholongwane.
Ukungaphumeleli kwe-Hardware: Iindandatho, iintonga, izikhonkwane, kunye neengcingo ezisetyenziselwa ukulungiswa kwangaphandle zinokuphuka okanye zikhutshwe, ezikhokelela ekulahlekelweni kozinzo kunye nokungaphumeleli kwenkqubo.
Ukunciphisa umngcipheko weengxaki, kubalulekile kwizigulane ezifumana i-ring yangaphandle yokulungiswa ukuba zilandele ngokusondeleyo imiyalelo yogqirha wabo wokunyamekela kunye nokugcinwa kwesixhobo, kubandakanywa nococeko olufanelekileyo lwendawo yepini kunye nokuqeshwa okulandelwa rhoqo.
Ukuqukumbela
I-ring yangaphandle ye-fixator iyisixhobo esisebenza kakhulu kunye nesiguquguqukayo sonyango lwezahlulo ezinzima, ukukhubazeka kwamathambo, kunye nezinye iimeko zamathambo. Uyilo lwayo olulodwa kunye nezicelo ezininzi zenze ukuba ibe sisixhobo esibalulekileyo kwikhithi yezixhobo zogqirha wamathambo. Nangona kunjalo, njengayo nayiphi na inkqubo yotyando, ukulungiswa kweringi yangaphandle kuthwala imingcipheko ethile kunye neengxaki ezinokubakho, ezinokuncitshiswa ngokhathalelo olufanelekileyo kunye nolandelelwano olusondeleyo kunye nogqirha onobuchule wamathambo.
Ii-FAQs
Kuthatha ixesha elingakanani ukuchacha kwiringi yokulungiswa kwangaphandle? Ubude bokubuyisela buxhomekeke kuhlobo kunye nobunzima bemeko ephathwayo, kunye nempilo yonke yesigulane kunye nokuthotyelwa kwemiyalelo yokunyamekela emva kokuhlinzwa. Ezinye izigulana zinokufuna iinyanga ezininzi zokungashukumi kunye nokubuyisela kwisimo sangaphambili ngaphambi kokuba zibuyele kwimisebenzi eqhelekileyo.
Ngaba ukulungiswa kweringi kwangaphandle kubuhlungu? Ukufakwa kwezikhonkwane kunye neengcingo kunokubangela ukungahambi kakuhle okanye intlungu, enokuthi ilawulwe ngamayeza eentlungu okanye i-anesthesia yendawo. Izigulana nazo zinokufumana ukungonwabi okanye ukuqina ngexesha le-immobilization, kodwa oku kuphucula ngokuqhelekileyo njengoko ithambo liphilisa kwaye ukuvuselelwa kuqhubeka.
Ngaba ukulungiswa kweringi yangaphandle kungasetyenziselwa izigulana zabantwana? Ewe, ukulungiswa kwangaphandle kweringi kungasetyenziselwa izigulana zabantwana abaneefractures ezinzima okanye ukukhubazeka. Nangona kunjalo, kufuneka kuthathelwe ingqalelo ekhethekileyo ukuze kuqinisekiswe ukukhula okufanelekileyo kunye nophuhliso lwelungu elichaphazelekayo, kunye nokunciphisa umngcipheko weengxaki ezifana nokusuleleka kwendawo ye-pin okanye umonakalo weplate yokukhula.
Ingaba isilungisi sangaphandle seringi kufuneka sibe khona ixesha elingakanani? Ubude bexesha ekufuneka i-fixator yangaphandle ibekwe kuyo ixhomekeke kuhlobo kunye nobukhulu bemeko ephathwayo, kunye nempendulo yesigulane sonyango. Kwezinye iimeko, i-fixator yangaphandle ingadinga ukuba ibe khona kwiinyanga ezininzi okanye kude kube ngunyaka.
Ngaba ndiya kukwazi ukubuyela kwimisebenzi yesiqhelo emva kweringi yokulungiswa kwangaphandle? Kwiimeko ezininzi, izigulane ziyakwazi ukubuyela kwimisebenzi eqhelekileyo emva kokuba i-fixator yangaphandle isuswe kwaye ithambo liye laphila. Nangona kunjalo, oku kunokuxhomekeka kuhlobo kunye nobunzima bemeko ephathwayo, kunye nempendulo yesigulane kunyango. Ugqirha wakho unokukunika isikhokelo kwixesha elifanelekileyo lokuqalisa kwakhona imisebenzi ethile.
