I-Dynamic Axial Hip Joint Traction yangaphandle Fixator

I-Dynamic Axial Hip Joint Traction Fixator yangaphandle: Ukwelashwa Okuphumelelayo Kokuphuka Kwezinsikazi Eziseduze

I-Proximal femoral fractures ukulimala okuvamile, ikakhulukazi phakathi kwabantu asebekhulile. Lokhu kuphuka kungathinta kakhulu izinga lempilo yomuntu, kwenze kube nzima ukuhamba, ukuma, nokwenza imisebenzi yansuku zonke. Nakuba kunezinketho ezihlukahlukene zokwelapha ezitholakalayo zokuphuka kwe-femoral proximal, i-axial hip joint traction yangaphandle fixator (DAPHT) iye yavela njengendlela ephumelelayo yokwelashwa kwendabuko njengezikulufu ze-hip nezinzipho ze-intramedullary.

Iyini i-Dynamic Axial Hip Joint Traction External Fixator (DAPHT)?

I-DAPHT iyidivayisi yokulungisa yangaphandle esetshenziselwa ukuzinzisa nokuqondisa i-proximal femur ngemva kokuphuka. Lolu cingo luqukethe izikhonkwane ezimbili ezifakwe ekhanda nasentanyeni yesifazane, kanye nenduku yokuxhuma esebenza ukubambelela endaweni yokuphuka. Izikhonkwane zivame ukufakwa ngaphansi kokuqondisa kwe-fluoroscopic ukuze kuqinisekiswe ukubekwa nokuqondanisa okufanele. Idivayisi yakhelwe ukuvumela ukunyakaza okulawulwayo kwesayithi lokuphuka, okukhuthaza ukuphulukiswa kwamathambo futhi kuvimbele izinkinga ezifana nokungaphumeleli kokuhlanganisa nokufaka.

Isebenza kanjani i-DAPHT?

I-DAPHT isebenza ngokusebenzisa i-axial traction enamandla ku-proximal femur. Idivayisi yakhelwe ukuvumela ukunyakaza okulawulwayo kwesayithi lokuphuka, okukhuthaza ukuphulukiswa kwamathambo futhi kuvimbele izinkinga ezifana nokungaphumeleli kokuhlanganisa nokufaka. Amandla okudonsa asetshenziswa ngenduku yokuxhuma ehlanganiswe nezikhonkwane ezifakwe ekhanda lentamo yesifazane. Amandla okudonsa angalungiswa ukuze kuqinisekiswe ukuqondana kahle nokuphulukiswa kokuphuka.

Izinzuzo ze-DAPHT ngaphezu Kokwelashwa Kwendabuko

I-DAPHT inezinzuzo ezimbalwa ngaphezu kokwelashwa kwendabuko njengezikulufu zenyonga nezinzipho ze-intramedullary. Enye yezinzuzo eziyinhloko ukuthi ivumela ukunyakaza okulawulwayo kwendawo yokuphuka, okukhuthaza ukuphulukiswa kwamathambo futhi kuvimbele izinkinga ezifana nokungaphumeleli kokungahlangene nokufaka. Ukwengeza, i-DAPHT ayihlaseli kancane kunezokwelapha zendabuko, ezinganciphisa ingozi yokutheleleka nezinye izinkinga. I-DAPHT iphinde ivumele ukuthwala isisindo kwangaphambili uma kuqhathaniswa nokwelashwa kwendabuko, okungaholela ezikhathini zokululama ngokushesha kanye nemiphumela ethuthukisiwe.

I-Surgery Technique ye-DAPHT

Indlela yokuhlinzwa ye-DAPHT ibandakanya lezi zinyathelo ezilandelayo:

1. Isiguli sifakwa ngaphansi kwe-anesthesia ejwayelekile futhi sibekwe etafuleni lokuphuka.

2. Ukuphuka kwehliswa ngaphansi kokuqondisa kwe-fluoroscopic.

3. Izikhonkwane ezimbili zifakwa ekhanda lesifazane nasentanyeni ngaphansi kokuqondiswa kwe-fluoroscopic.

4. Induku yokuxhuma ihlanganiswe nezikhonkwane, futhi i-traction isetshenziswa endaweni yokuphuka.

5. Amandla okudonsa ayalungiswa ukuze kuqinisekiswe ukuqondana kahle nokuphulukiswa kokuphuka.

6. Inxeba liyavaleka, futhi isiguli sigadwa egunjini lokululama.

Izingozi Nezinkinga ze-DAPHT

Nakuba i-DAPHT ngokuvamile ibhekwa njengephephile futhi isebenza ngempumelelo, kunezingozi kanye nezinkinga ezihlobene nenqubo. Lokhu kufaka phakathi ukutheleleka, ukutheleleka kwe-pin tract, ukulimala kwenzwa, ukulimala komkhumbi wegazi, nokwehluleka kokufakelwa. Udokotela wakho ohlinzayo wamathambo uzoxoxa nawe ngalezi zingozi futhi akusize wenze isinqumo esinolwazi mayelana nokwelashwa okufanele kakhulu kokuphuka kwakho.

Isiphetho

I-DAPHT iyindlela esebenzayo yokwelashwa kwendabuko yokuphuka kwe-femoral proximal. Idivayisi ivumela ukunyakaza okulawulwayo kwendawo yokuphuka, ikhuthaza ukuphulukiswa kwamathambo, futhi ivumela ukuthwala isisindo kwangaphambili uma kuqhathaniswa nokwelashwa kwendabuko. Nakuba kunezingozi nezinkinga ezihlobene nenqubo, i-DAPHT ngokuvamile ibhekwa njengephephile futhi isebenza ngempumelelo. Udokotela wakho ohlinzayo wamathambo angakusiza ukuthi unqume ukwelashwa okufanele kakhulu kokuphuka kwakho ngokusekelwe ezidingweni zakho nezimo zakho.

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwe-DAPHT?

Isikhathi sokululama siyahlukahluka kuye ngobunzima bokuphuka, impilo yesiguli iyonke, nezinye izici. Ngokuvamile, iziguli zingalindela ukuthi zingabi nesisindo amasonto ambalwa ngemva kokuhlinzwa futhi kancane kancane zizoqala ukubeka isisindo emlenzeni othintekile njengoba ukuphulukiswa kuqhubeka. Kungathatha izinyanga ezimbalwa ukuze ithambo liphole ngokugcwele, futhi ukuvuselelwa kungase kuqhubeke izinyanga ezimbalwa ngemva kwalokho.

1. Ingabe i-DAPHT ifanele zonke izinhlobo zokuphuka kwe-femoral proximal?

I-DAPHT isetshenziswa kakhulu ezigulini esezikhulile, ezinzile, eziphuma ezindaweni ezisondelene nokuphuka kwe-femoral. Kodwa-ke, udokotela wakho ohlinzayo wamathambo uzonquma ukuthi i-DAPHT ifanele yini ukuphuka kwakho okuthile ngokusekelwe ezicini ezihlukahlukene ezifana nobukhulu nendawo yokuphuka, iminyaka yakho, kanye nempilo yonke.

1. Yini okufanele ngiyilindele ngesikhathi sokuhlinzwa kwe-DAPHT?

Ngesikhathi sokuhlinzwa, uzobe ungaphansi kwe-anesthesia ejwayelekile, futhi udokotela ohlinzayo uzokwenza izimbotshana ezincane esikhumbeni ukuze afake izikhonkwane kanye nenduku yokuxhuma. Ungase uzwe ukungakhululeki nobuhlungu ngemva kokuhlinzwa, kodwa lokhu kungalawuleka ngemithi yezinhlungu.

1. Izikhonkwane zidinga ukuhlala isikhathi eside kangakanani?

Izikhonkwane ngokuvamile zihlala endaweni amasonto ambalwa kuya ezinyangeni ezimbalwa, kuye ngobunzima bokuphuka kanye nezinga lokuphulukiswa kwethambo. Udokotela wakho ohlinzayo wamathambo uzoqapha ukuqhubeka kwakho futhi anqume ukuthi izikhonkwane zingasuswa nini.

1. Yiziphi ezinye izindlela ze-DAPHT zokwelapha ukuphuka kwe-femoral proximal?

Ukwelashwa kwendabuko okufana nezikulufu zenyonga nezinzipho ze-intramedullary ezinye izindlela zokwelapha zokuphuka kwe-femoral proximal. Udokotela wakho ohlinzayo wamathambo uzokusiza ukuthi unqume ukwelashwa okufanele kakhulu kokuphuka kwakho ngokusekelwe ezicini ezihlukahlukene ezifana nobukhulu kanye nendawo yokuphuka, iminyaka yakho, kanye nempilo yonke.