I-Mini Locking Plate engu-2.0mm: Umhlahlandlela Ophelele
Uma kukhulunywa ngokuhlinzwa kwamathambo, izimila zidlala indima ebalulekile ekuqinisekiseni imiphumela eyimpumelelo. Esinye sezigxivizo esiye sathola ukuthandwa okukhulu eminyakeni yamuva nje ipuleti lokukhiya elincane. Kulesi sihloko, sizobheka kabanzi ukuthi iyini ipuleti lokukhiya elincane, ukusetshenziswa kwalo, izinzuzo, kanye nokubi.
1. Isingeniso
Ipuleti lokukhiya elincane wuhlobo lokufakelwa olusetshenziswa ekuhlinzeni amathambo. Ipuleti lephrofayili ephansi elinobuchwepheshe bezikulufu zokukhiya esiza ukuzinzisa ukuphuka kwamathambo. Izikulufu zokukhiya zinikeza ukuzinza okwengeziwe, okuzuzisa kakhulu ezimweni zethambo le-osteoporotic. Ezigabeni ezilandelayo, sizoxoxa ngepuleti lokukhiya elincane ngokuningiliziwe.
2. Yini ipuleti lokukhiya elincane?
Ipuleti lokukhiya elincane uhlobo lwepuleti elisetshenziswa ekuhlinzeni kwamathambo ukwelapha ukuphuka kwamathambo. Icwecwe elinephrofayili ephansi, okusho ukuthi lizacile futhi liyisicaba kunezinye izinhlobo zamapuleti asetshenziswa ekuhlinzeni amathambo. Ipuleti linobuchwepheshe besikulufu sokukhiya esiza ukuzinzisa ithambo ngokucindezela ipuleti endaweni yethambo. Ipuleti lokukhiya elincane lenziwe nge-titanium, ehambisana ne-biocompatible futhi engagqwali.
3. Izinhlobo zokuphuka ezingaphathwa ngamapuleti okukhiya ama-mini
Ipuleti lokukhiya elincane linenzuzo ikakhulukazi ekwelapheni ukuphuka kwesandla nonyawo. Isetshenziswa kakhulu ekuhlinzeni ukwelapha:
4. Izinzuzo zamapuleti okukhiya ama-mini
Kunezinzuzo ezimbalwa zokusebenzisa amapuleti okukhiya ama-mini ngaphezu kwezinye izinhlobo zamapuleti ekuhlinzeni amathambo:
Idizayini yephrofayili ephansi: Umklamo ophansi wepuleti unciphisa ingozi yokucasuka kwezicubu ezithambile, okungaholela ezinkingeni ngesikhathi sokuhlinzwa.
Ubuchwepheshe besikulufu sokukhiya: Ubuchwepheshe bezikulufu zokukhiya buhlinzeka ngokuzinza okwengeziwe, okuzuzisa kakhulu ezimeni zethambo lamathambo.
I-Biocompatible kanye ne-non-corrosive: Ipuleti lenziwe nge-titanium, ehambisana ne-biocompatible futhi engagqwali, inciphisa ingozi yezinkinga futhi iqinisekise ukuzinza kwesikhathi eside.
Ukuhlinzwa okuhlaselayo kancane: Usayizi omncane wepuleti usho ukuthi ukuhlinzwa kungenziwa kusetshenziswa indlela encane yokuhlasela, ukunciphisa ingozi yezinkinga nokukhuthaza ukululama ngokushesha.
5. Ukungalungi kwamapuleti okukhiya ama-mini
Naphezu kwezinzuzo, kukhona futhi okunye okungalungile kokusebenzisa amapuleti okukhiya ama-mini:
Isicelo esilinganiselwe: Ipuleti lokukhiya elincane lifaneleka kuphela ukwelapha izinhlobo ezithile zokuphuka esandleni nasenyaweni.
Izindleko eziphakeme: Ukusetshenziswa kwezikulufu zokukhiya nezinto ze-titanium kwandisa izindleko zokufakelwa, kukwenze kubize kakhulu kunezinye izinhlobo zamapuleti.
6. Ukuhlinzwa kwenziwa kanjani kusetshenziswa izingcwecwe zokukhiya ezincane?
Ukuhlinzwa kusetshenziswa ipuleti lokukhiya elincane kwenziwa ngaphansi kwe-anesthesia evamile noma i-anesthesia yesifunda, kuye ngokuthi isiguli sikhethani kanye nohlobo lokuphuka olulashwayo. Udokotela ohlinzayo wenza ukusika okuncane eduze kwendawo yokuphuka futhi uqondise ngokucophelela izingcezu zamathambo. Ipuleti lokukhiya elincane libe selibekwa phezu kwesayithi lokuphuka futhi liqiniswe endaweni kusetshenziswa izikulufu zokukhiya. Izikulufu zokukhiya zicindezela ipuleti endaweni yethambo, zinikeze ukuzinza okwengeziwe.
Ngemuva kokuthi ipuleti livikelekile endaweni, i-incision ivaliwe kusetshenziswa ama-sutures noma ama-staples okuhlinzwa. Isiguli sibe sesiqashwa ngeso elibukhali ukuze sibheke noma yiziphi izimpawu zezinkinga futhi sinikezwe imithi yezinhlungu ukuze silawule ukungakhululeki.
7. Ukunakekelwa nokululama ngemva kokuhlinzwa
Ngemva kokuhlinzwa, isiguli kuzodingeka sigcine isitho esithintekile siphakeme futhi singanyakazi sisebenzisa ukhonkolo noma i-splint amasonto ambalwa. Ukwelapha ngokomzimba kungase kunconywe ukusiza ukubuyisela uhla lokunyakaza namandla esithweni esithintekile. Isiguli kuzodingeka futhi silandele isimiso somuthi esiqinile futhi sihambele izikhathi zokulandelela nodokotela waso osihlinzayo ukuze aqaphe inqubo yokuphulukisa.
Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuphuka kanye nempilo yonke yesiguli, kodwa iziguli eziningi zingalindela ukuqalisa kabusha imisebenzi evamile phakathi kwamaviki ayisithupha kuya kwayishumi nambili ngemva kokuhlinzwa.
8. Izibonelo zezifundo
Kuye kwenziwa izifundo eziningana ngokusetshenziswa kwamapuleti okukhiya ama-mini ekuhlinzeni amathambo. Olunye ucwaningo olwanyatheliswa kuyi-Journal of Orthopedic Surgery and Research lwathola ukuthi ukusetshenziswa kwamapuleti okukhiya ama-mini kwaphumelela ekwelapheni ukuphuka kwe-distal radius futhi kwaholela emiphumeleni emihle kakhulu yomtholampilo. Olunye ucwaningo olwanyatheliswa kuyi-Journal of Hand Surgery lwathola ukuthi ukusetshenziswa kwamapuleti okukhiya ama-1.5mm mini ekwelapheni ukuphuka kwe-metacarpal kubangele ukwaneliseka okuphezulu kwesiguli kanye nezinkinga ezincane.
9. Isiphetho
Ipuleti lokukhiya elincane liwukufakelwa okunephrofayili ephansi okusetshenziselwa ukuhlinzwa kwamathambo ukwelapha ukuphuka kwamathambo esandleni nasenyaweni. Ubuchwepheshe besikulufu sokukhiya buhlinzeka ngokuzinza okwengeziwe, futhi impahla ye-titanium ehambisana ne-biocompatible nengagqwali iqinisekisa ukuzinza kwesikhathi eside. Nakuba kukhona ukungalungi okuthile, njengokufaka isicelo esilinganiselwe kanye nezindleko eziphakeme, izinzuzo zokusebenzisa amapuleti okukhiya amancanyana zidlula izithiyo.
10. Imibuzo Evame Ukubuzwa
Ukuhlinzwa kuthatha isikhathi esingakanani?
Ukuhlinzwa ngokuvamile kuthatha phakathi kwehora elilodwa namabili, kuye ngobunkimbinkimbi bokuphuka kanye nohlobo lwe-anesthesia esetshenzisiwe.
Ingabe ngizodinga ukwelashwa ngokomzimba ngemva kokuhlinzwa?
Ukwelapha ngokomzimba kungase kunconywe ukusiza ukubuyisela uhla lokunyakaza namandla esithweni esithintekile.
Yiziphi izingozi zokusebenzisa ipuleti lokukhiya elincane?
Izingozi zokusebenzisa ipuleti lokukhiya elincane zihlanganisa ukutheleleka, ukulimala kwezinzwa, nokwehluleka kokufakelwa.
Ingabe ipuleti lingasuswa ngemva kokuba ukuphuka sekupholile?
Kwezinye izimo, ipuleti lingasuswa ngemva kokuba ukuphuka sekupholile. Udokotela wakho ohlinzayo uzoxoxa nawe ngezinketho ngesikhathi sokuqokwa kwakho kokulandelela.
Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni usebenzisa ipuleti lokukhiya elincane?
Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuphuka kanye nempilo yonke yesiguli, kodwa iziguli eziningi zingalindela ukuqalisa kabusha imisebenzi evamile phakathi kwamaviki ayisithupha kuya kwayishumi nambili ngemva kokuhlinzwa.
Sengiphetha, ipuleti lokukhiya elincane liwukufakelwa okusebenzayo okusetshenziselwa ukuhlinzwa kwamathambo ukuze kwelaphe ukuphuka esandleni nasenyaweni. Ngobuchwepheshe baso besikulufu sokukhiya nezinto ezisetshenziswayo ze-titanium biocompatible, inikeza ukuzinza okwengeziwe nokuzinza kwesikhathi eside. Nakuba kunezinye izithiyo, izinzuzo zidlula ubungozi ezimweni eziningi.
