I-Humerus intramentary nail: Isixazululo esisebenzayo sokwelapha amahlaya athobekile

Ukuqhekeka kwe-humerus, ithambo engalweni engenhla, ingayithinta kakhulu imisebenzi yansuku zonke yomuntu kanye nekhwalithi yempilo. Ukwelapha lokhu kuqhekeka kudinga ukucubungula ngokucophelela kwezinto ezahlukahlukene, kufaka phakathi uhlobo lwe-Fracture, indawo, kanye nezimpawu zeziguli. Inketho eyodwa yokuhlinzwa ethole ukuthandwa eminyakeni yamuva ukusetshenziswa kwe-humerus intramentary nail. Lo mbhalo uhlola izinzuzo, inqubo yokuhlinza, ubungozi kanye nokuvuselelwa kabusha okuhambisana nale ndlela yokwelashwa.

Ukuqalisa

Lapho ukwehla kwenzeka ku-humerus, kungadala ubuhlungu obukhulu, ukuhamba okulinganiselwe, nokulimazeka okusebenzayo. Izindlela zokwelashwa zendabuko, njengokusakaza noma ukufakwa kwamapulangwe, zinokulinganiselwa kwazo, kanye nokufuna izixazululo ezisebenzayo kuholele ekuthuthukisweni kwe-humerus intramentary nail intramenduvary nail.

Yini i-humerus intrament ullary nail?

I-humeris intramentary nail yithuluzi lezokwelapha elenzelwe ukuzinza nokukhuthaza ukwelashwa kwamahlane ku-shaft ethobelayo. Siqukethe induku yensimbi ende efakwe enkabeni eyize yethambo, ukuhlinzeka ngozokwazi ukuxhatha nokusekelwa ngesikhathi senqubo yokuphulukisa. Isipikili ngokujwayelekile senziwe nge-titanium noma ngensimbi engagqwali futhi siza ngosayizi abahlukahlukene ukuze bakwazi ukuhlalisa ama-anatomies ahlukene wesiguli.

Izinkomba ze-humerus intramentary nail

I-Humerus intramentary izipikili zisetshenziselwa ukwelashwa kwe-MidShaft kanye nokuphuthumayo kwama-sumelital. Zisebenza kakhulu ekuqhekekeni okudinga ukulungiswa okuzinzile, okufana nokuqhekeka okususiwe noma ukuqhekeka okuhlotshaniswa nokufuduka okukhulu. Ngaphezu kwalokho, le ndlela ilungele iziguli ezinekhwalithi yamathambo ampofu noma lapho kufiswa isimo esingesisindo.

Amasu okuhlinza we-humerus intramentary nail

Ukuhlelwa kobukhulu

Ngaphambi kokuhlinzwa, ukuhlelwa okusebenziseka kahle kubalulekile. Lokhu kufaka phakathi ukuhlolwa okuphelele kwephethini yokuqhekeka, impilo ejwayelekile yesiguli, kanye nanoma yikuphi ukulimala okuhambisana nakho. Ama-X-ray, ama-CT Scans, noma i-MRI angahle asetshenziswe ukuze athole ukuqonda okucacile kwezimpawu ze-fracture futhi uhlele indlela yokuhlinzwa ngendlela efanele.

Ukubekwa kweziguli

Ngesikhathi sokuhlinzwa, isiguli ngokujwayelekile sibekwe esihlalweni sasolwandle noma isikhundla sokukhuleka se-lateral. Ukukhetha kuncike ekukhetheni okuhlinzayo kanye nendawo yokuqhekeka. Ukuma kahle kuqinisekisa ukufinyelela okulungile kwisiza esikhubazekile futhi kusiza ukufakwa kwezipikili.

Ukuvela nokufinyelela

I-incision yenziwa ngaphezulu kwesiza sokuhlinza ukufinyelela ithambo elikhubazekile. Ubude nendawo ye-incnision kuncike kuhlobo lwe-Fracture kanye nendawo yalo eduze kwe-humerus. Ukuphathwa kwezicubu ezithambile ngokucophelela kubalulekile ukuze unciphise usizi futhi unciphise ubungozi bokutheleleka.

Ukufakwa kwezipikili

Ngemuva kokudala iphuzu lokungena, udokotela ohlinzayo ufaka i-humerus intramerary nail in the canal ethobekile. Umhlahlandlela we-Fluoroscopic usetshenziselwa ukuqinisekisa ukubekwa nokuqondanisa okuqondile. Isipikili sithuthukile ngethambo, sibuyisela ezinye izingcezwana ezidingiselwe, futhi sibuyise i-anatom efanele

Ukukhiya ukubekwa kwesikulufa

Lapho izipikili zibekwe kahle, kufakwa izikulufa ezivalekile ukuvikela izipikili ngaphakathi kwethambo. Lezi zikulungi zinikeza ukuqina okwengeziwe futhi zivikele ukunyakaza okujikelezayo noma kwe-axial kwezingcezwana zokuqhekeka. Inombolo nokubekwa kwezikulufo kuncike kuphethini yokuphuka kanye nokuthandwa ngudokotela ohlinzayo.

Ukuvalwa kwenxelo

Ngemuva kwezipikili nezikulufa zisendaweni ephephile, ukuvela kuvaliwe kusetshenziswa ama-suture noma izinkumba. Ukuvalwa kwesilonda okufanele kubalulekile ukukhuthaza ukwelashwa nokunciphisa ingozi yokutheleleka. Isiza sokuhliswa bese sigqokwa, futhi i-bandage enyumba noma ukugqoka kuyasetshenziswa.

Izinzuzo ze-humerus intramentary nail

Ukusetshenziswa kwe-humerus intramentary nail kunikeza izinzuzo eziningana ngaphezu kwezindlela zokwelashwa kwendabuko. Ezinye izinzuzo ezibalulekile zifaka:

1. Ukuqina nokuqondanisa: Izipikili zihlinzeka ngokulungiswa okuzinzile, zivumela ukuqondanisa okufanele kwezingcezwana zokuqhekeka, ezikhuthaza ukwelashwa okuphezulu.

2. Ukuphazamiseka kwezicubu eziphansi

3. Ukukhulisa kusenesikhathi: Izipikili zinikeza ukuqina okwanele ukuvumela ukunyakaza kusenesikhathi kanye nokuvuselelwa kabusha, ukukhuthaza ukululama okusheshayo kanye nokubuyiselwa okusebenzayo.

4. Ukwenza ingozi yokutheleleka yokutheleleka: Inqubo evaliwe yokufaka izikhala zomculo inciphisa ubungozi bokutheleleka kwesayithi okuhlinzayo uma kuqhathaniswa nokuncishiswa okuvulekile kanye nezindlela zokulungiswa kwangaphakathi.

Izinkinga nezinsolo

Ngenkathi i-humerus intramengrary ukuhlinzwa kwezipikili kuphephile futhi kuyasebenza, kukhona izinkinga nezinkinga ezingaba khona kanye nobungozi obuhambisana nenqubo. Kubalulekile ukuqaphela la mathuba ngaphambi kokulashwa. Ezinye zezinkinga zifaka:

Okuthelelayo isifo

Noma iyiphi inqubo yokuhlinzwa ithwala ingozi yokutheleleka. Yize amazinga okutheleleka aphansi kakhulu nge-humerus intramentary kiling, amasu afanele athambekele kanye nokunakekelwa kwe-postoperative kubalulekile ukunciphisa le ngozi. Uma kwenzeka ukutheleleka, ukwelashwa okulwa namasosha antibiotic futhi kungenzeka ukungenelela okuhlinzayo kungadingeka.

I-Malonion noma i-nonunion

Kwezinye izimo, ama-fractures angeke aphulukise kahle, okuphumela ekuvumelaneni okungafanele (ukuvumelanisa okungafanele) noma ukungahambi kahle (ukuntula ukuphulukiswa). Izici ezifana nekhwalithi enamathambo ampofu, ukungatholakali okunganele, noma ukunyakaza ngokweqile kungaba nomthelela kulezi zinkinga. Ukuqapha okusondele, ukuvakasha okujwayelekile kokulandela, kanye nokungenelela okufika ngesikhathi kungasiza ekubhekaneni nezinkinga uma zivela.

Ukuhluleka Ukuhluleka

Kuyaqabukela, okufakwayo okusetshenziselwa ukukha kwezintambo kwe-intramerary kungahluleka. Lokhu kungenzeka ngenxa yokuqhekeka kokufakelwa, ukukhulula, noma ukufuduka. Ukukhetha okufanelekile okufakiwe, inqubo yokuhlinza, nokunakekelwa kwe-postoperative kunganciphisa ubungozi bokuhluleka kokufakelwa.

Ukulimala kwezinzwa

Ngesikhathi sokuhlinzwa, kunengozi encane yokulimala kwezinzwa, okungaholela ekushoneni kwemizwa noma kwezimoto. Odokotela abahlinzayo bathatha izinyathelo zokugwema ukulimala kwezinzwa, njengokuphambanisa ngokucophelela nolwazi olufanele lwe-anatomical. Noma yiziphi izimpawu ezihlobene nezinzwa kufanele zibikwe ngokushesha eqenjini lezokwelapha ukuze zihlolwe.

Ukuvuselelwa nokululama

Ngemuva kokuhlinzwa kwe-Humerus intramentary Nail, uhlelo lokuvuselelwa okuphelele lubalulekile ekuvuseleleni kahle. Uhlelo oluthile Lokuvuselela Ukulungiswa lungahluka ngokuya ngobunzima bokuqhekeka kanye neziguli. Ukukhulisa kusenesikhathi, ukuzivocavoca okunomnene-kokunyakaza, futhi izivivinyo eziqinisa ukwethulwa kancane kancane ukubuyisela umsebenzi nokwenza ngcono amandla emisipha. Izikhathi zokwelapha ngokomzimba, ziqondiswa yi-ferapist efanele, zidlala indima ebalulekile kwinqubo yokubuyisa.

Izifundo zamacala nezindaba zempumelelo

Iziguli eziningi zithole imiphumela emihle nge-humerus intramentary izipikili zokuhlinzwa. Olunye ucwaningo lwecala lwabandakanya umuntu oneminyaka engu-45 ubudala nge-Shefral St Shaft elahlekile. Ngemuva kokuhlinzwa nge-intramerary nail, isiguli sithola ukuvumelanisa okuhle kakhulu kwe-fracture, futhi sibuyele ezingeni labo lokulimala ngaphambi kokulimala kungakapheli izinyanga eziyisithupha.

Qhathanisa nezinye izinketho zokwelashwa

Uma ucabanga ngezinketho zokwelashwa zokuqhekeka kokwelashwa, kubalulekile ukuqhathanisa izinzuzo kanye nemikhawulo yendlela ngayinye. Ngenkathi ukusetshenziswa kwe-humerus intramentary nail kunikeza izinzuzo eziningi, njengokuqina, ukuhlanganisa izingane kusenesikhathi, kanye nokuphazamiseka kwezicubu ezincanyana, kungenzeka kungalungele konke ukwaphuka noma isiguli. Izindlela ezihlukile, njengokuqoqeka noma ukulungiswa kwangaphandle, kungakhethwa ezimweni ezithile. Ukubonisana nochwepheshe wamathambo kuzosiza ukunquma indlela efanele ukwelashwa okusekelwe ezimweni ngazinye.

Ukugcina

Ekuphetheni, ukusetshenziswa kwe-humerus intramentaundary nail kuqhamuke njengenketho yokwelashwa esebenzayo nethembekile yokuqhekeka okuthobekile. Le ndlela yokuhlinza inikezela ngokulungiswa okuzinzile, ikhuthaza ukuhlanganisa kusenesikhathi, futhi inikeze izinzuzo eziningana ngaphezu kwezindlela zendabuko. Ngenkathi kunezingozi ezingaba khona nezinkinga ezihambisana nenqubo, ukuhlela okufanelekile, inqubo yokucophelela, nokunakekelwa kwe-postoperative kungasiza ukunciphisa lokhu kukhathazeka. Ngokuvuselelwa okufanelekile nokubhekisisa okusondelene nangokubhekisisa okusondelene, iziguli zingathola ukutakula ngempumelelo futhi ziphinde zithole amakhono azo.