I-Humeral Nail: Uhlolojikelele Lokwelashwa Kokuhlinzwa Kwe-Proximal Humerus Fractures
Isingeniso
Ukuphuka kwe-proximal humerus kuvamile kubantu asebekhulile futhi kungaholela ekuguleni okukhulu nokufa. Ukuphathwa kokuhlinzwa kuvame ukudingekile ekuqhekekeni okususiwe noma okungazinzile, futhi isipikili se-humeral siyindlela yokwelapha esetshenziswa kabanzi. Lesi sihloko sinikeza ukubuka konke kokuhlinzwa kwe-nail humeral, okuhlanganisa izinkomba, amasu, kanye nemiphumela.
I-Anatomy ye-Proximal Humerus
I-proximal humerus iqukethe ikhanda le-humeral, ama-tuberosities amakhulu namancane, kanye ne-shaft. Inhloko ye-humeral ikhuluma nge-glenoid fossa ye-scapula ukuze yakhe i-glenohumeral joint, evumela ukunyakaza kwehlombe. Ama-tuberosities amakhulu futhi amancane ahlinzeka ngokunamathiselwe kwemisipha ye-rotator cuff, ebalulekile ekuzinzeni kwehlombe.
I-Proximal Humerus Fractures
Ukuphuka kwe-proximal humerus ngokuvamile kuhlukaniswa ngokusekelwe endaweni kanye nezinga lokufuduka. Ukuphuka okungasuswanga endaweni ngokuvamile kungaphathwa ngendlela elondolozayo nge-sling immobilization kanye nohlu lwangaphambi kwesikhathi lokuzivocavoca. Kodwa-ke, ama-fractures asusiwe angadinga ukungenelela kokuhlinzwa ukuze kubuyiselwe umsebenzi wehlombe futhi kuvimbele izinkinga ezifana ne-avascular necrosis kanye ne-non-union.
Izinketho zokuhlinza ze-Proximal Humerus Fractures
Kunezinketho eziningi zokuhlinza ezikhona zokuphatha ukuphuka kwe-humerus eseduze, okuhlanganisa ukunciphisa okuvulekile nokulungiswa kwangaphakathi (ORIF), i-hemiarthroplasty, kanye ne-reverse shoulder arthroplasty. Ukukhetha indlela yokuhlinza kuncike ezicini ezihlukahlukene, okuhlanganisa iminyaka yesiguli, indawo yokuphuka, izinga lokufuduka, kanye nezifo ezihambisana nakho.
I-Humeral Nail Surgery
Ukuhlinzwa kwe-humeral nail kuhilela ukufakwa kwesipikili eside, esingaphakathi kwe-intramedullary ngokusebenzisa i-proximal humer ukuze kuzinzise ukuphuka. Uzipho lufakwa ngokusika okuncane eduze kwesihlanganisi sehlombe futhi luqondiswe emseleni we-medullary kusetshenziswa isiqondiso se-fluoroscopic. Uma isipikili sesisendaweni, izikulufo zifakwa phakathi kwesipikili nasekhanda elithambile ukuze kuvikeleke ukuphuka.
Izinkomba Zokuhlinza Kwa-Humeral Nail
Ukuhlinzwa kwe-humeral kwezinzipho kukhonjiswe ukuqhekeka kwe-humerus okugudlukile noma okungazinzile okungakwazi ukulawulwa ngendlela efanele. Lokhu kufaka phakathi ukuphuka okukhulu kuno-1 cm wokususwa noma ukuphuka okune-engeli yokuphuka enkulu kuno-45 degrees. Ukuhlinzwa kwe-Humeral nail kungase kuboniswe ezigulini ezingakwazi ukubekezelela izinqubo zokuhlinza ezihlaselayo, njenge-hemiarthroplasty noma i-reverse shoulder arthroplasty.
Amasu Okuhlinzwa Kwezinzipho Ezinyakazayo
Ukuhlinzwa kwe-humeral nail kungenziwa kusetshenziswa indlela ye-antegrade noma ye-retrograde. Indlela ye-antegrade ihilela ukufaka isipikili ekugcineni kwe-humerus, kuyilapho indlela yokubuyisela emuva ihlanganisa ukufaka isipikili ekugcineni kwe-humerus. Ukukhethwa kwendlela kuncike endaweni yokuphuka kanye nokuthandwa ngudokotela ohlinzayo.
Imiphumela Yokuhlinzwa Kwezinzipho EzikwaHumeral
Ukuhlinzwa kwe-Humeral nail kuye kwaboniswa njengendlela yokwelapha ephumelelayo ye-proximal humerus fractures, namazinga aphezulu e-fracture union kanye nemiphumela emihle yokusebenza. Kodwa-ke, izinkinga ezifana nokusika isikulufu, okungezona inyunyana, kanye nokutheleleka kungenzeka. Ukukhetha ngokucophelela isiguli kanye namasu okuhlinza kubalulekile ukuze kuncishiswe lezi zinkinga.
Isiphetho
I-proximal humerus fracture ingaba nomthelela omkhulu ekuguleni nasekufeni kwesiguli, ikakhulukazi kubantu asebekhulile. Ukuhlinzwa kwe-Humeral nail kuyindlela yokwelapha esetshenziswa kabanzi engabuyisela ngempumelelo umsebenzi wehlombe futhi ivimbele izinkinga. Ukukhetha ngokucophelela isiguli kanye nezindlela zokuhlinza zibalulekile ekwenzeni imiphumela ibe ngcono kanye nokunciphisa izinkinga.
Imibuzo Evame Ukubuzwa
Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni kwezinzipho ze-humeral? Isikhathi sokululama siyahlukahluka kuye ngeminyaka yesiguli kanye nempilo iyonke, kanye nobukhulu bokuphuka. Ngokuvamile, iziguli zingalindela ukugqoka isihlilingi amasonto ambalwa ngemva kokuhlinzwa futhi zingase zidinge izinyanga ezimbalwa zokwelapha ngokomzimba ukuze ziphinde zisebenze ngokugcwele ehlombe.
Ingabe zikhona izingozi ezihlobene nokuhlinzwa kwe-nail humeral? Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihlobene nokuhlinzwa kwe-humeral nail. Lokhu kungabandakanya ukutheleleka, ukulimala kwezinzwa, nokulimala kwemithambo yegazi. Ukwengeza, kunobungozi bezinkinga ezifana nokusika isikulufu, okungezona inyunyana, nokwehluleka kokufakelwa.
Kunqunywa kanjani ukukhethwa kwesiguli sokuhlinzwa kwe-humeral nail? Ukukhethwa kwesiguli sokuhlinzwa kwe-humeral nail kunqunywa ngokusekelwe ezicini eziningana, okuhlanganisa iminyaka yesiguli kanye nempilo yonke, ubunzima kanye nendawo yokuphuka, kanye nokuba khona kwanoma yikuphi ukugula okungase kuthinte imiphumela yokuhlinzwa.
Ingabe ukuhlinzwa kwe-humeral nail kungasetshenziswa kukho konke ukuphuka kwe-humerus? Cha, ukuhlinzwa kwezinzipho ezithambile ngokuvamile kugcinelwe ukuqhekeka okususiwe noma okungazinzile okungakwazi ukulawulwa ngendlela enakekelayo. Ukuphuka okungagudluki kancane noma lezo ezingabandakanyi ikhanda le-humeral zingase ziphathwe ngezinyathelo ezilondolozayo ezifana ne-sling immobilization kanye nohlu lwangaphambi kwesikhathi lokuzivocavoca.
I-humeral nail ngokuvamile ihlala isikhathi esingakanani endaweni? I-humeral nail ngokuvamile ishiywa endaweni izinyanga ezimbalwa ukuze ivumele ukuphulukiswa kokuphuka. Ubude besikhathi lapho uzipho luhlala khona bungahluka kuye ngokuthi ukuphuka kungakanani kanye nenqubo yokuphola komuntu ngamunye yesiguli.
