Iyini i-intramedullary nail?
I-intramedullary nail wuhlobo lokufakelwa kokuhlinzwa olusetshenziswa ekuhlinzeni amathambo ukulungisa ukuphuka kwethambo, ikakhulukazi ukuphuka kwamathambo amade. Kuyinduku ende, ezacile, yensimbi eshuthekwe kumsele we-medullary ongenalutho wethambo futhi ibanjwe endaweni yawo ngezikulufo noma amabhawudi okukhiya kuzo zombili iziphetho. I-nail inikeza ukuzinza kwangaphakathi nokusekela ithambo eliphukile, elivumela ukuba liphulukise endaweni efanele. Izinzipho ze-Intramedullary zivame ukusetshenziselwa ukwelashwa kwe-femur kanye ne-tibia fractures.
Izinhlobo zezinzipho ze-intramedullary
Kunezinhlobo ezimbalwa zezinzipho ze-intramedullary ezisetshenziswa ekuhlinzeni kwamathambo, okuhlanganisa:
Izinzipho zesifazane: Lezi zisetshenziselwa ukwelapha ukuphuka kwe-femur (ithambo lethanga). Zingaba i-retrograde, ifakwe kusukela ekupheleni kwethambo lethambo, noma i-antegrade, ifakwe kusukela ekugcineni kwe-hip.
Izinzipho ze-Tibial: Lezi zisetshenziselwa ukwelapha ukuphuka kwe-tibia (ithambo le-shin). Ngokuvamile zifakwa kusukela emadolweni ekupheleni kwethambo.
Izinzipho ze-Humeral: Lezi zisetshenziselwa ukwelapha ukuphuka kwe-humerus (ithambo lengalo engenhla).
Izinzipho ze-intramedullary zesandla nonyawo: Lezi izinzipho ezincane ezinobubanzi obusetshenziselwa ukuphuka kwesandla nonyawo.
Izinzipho eziguquguqukayo: Lezi izinzipho eziklanywe ngokukhethekile ezingasetshenziswa ezinganeni nasebancane ukwelapha ukuphuka okusakhula.
Uhlobo lwezinzipho ze-intramedullary ezisetshenziswa ekuhlinzeni luzoncika endaweni nobukhulu bokuphuka, kanye neminyaka kanye nempilo yonke yesiguli.
Izinto ze-intramedullary nail
Izinzipho ze-Intramedullary zingenziwa ngezinto ezahlukene, okuhlanganisa insimbi engagqwali, i-titanium, i-cobalt-chromium, ne-titanium-nickel alloy. Impahla ngayinye inezici zayo ezihlukile kanye nezinzuzo, njengamandla, ukuqina, nokumelana nokugqwala. Ukukhethwa kwezinto kuncike ezidingweni ezithile zesiguli kanye nohlobo lokuphuka oluphathwayo.
Yiziphi izici udokotela azozicabangela ngaphambi kokuhlinzwa?
Ngaphambi kwenqubo yokuhlinzwa, udokotela uzocabangela izici eziningana ukuze anqume indlela engcono kakhulu yokwelapha isiguli. Lezi zici zingabandakanya:
Iminyaka yesiguli, umlando wezokwelapha, kanye nempilo iyonke.
Uhlobo nobulukhuni besimo somgogodla noma ukulimala.
Izimpawu zesiguli kanye nezinga lobuhlungu.
Ukusebenza kokwelashwa okungahlinzeki.
Izingozi ezingaba khona kanye nezinzuzo zokuhlinzwa.
Indlela yokuphila yesiguli kanye nezinga lomsebenzi.
Okulindelwe yisiguli kanye nemigomo yokuhlinzwa.
Ukutholakala nobungoti bezikhungo zokuhlinza nabahlinzeki bezempilo.
Ngokucabangela lezi zici, udokotela angakha uhlelo lokwelapha lomuntu siqu oluhambisana nezidingo zomuntu ngamunye zesiguli.
Inzuzo ye-intramedullary nail ekusebenzeni.
Izinzuzo zokusebenzisa i-intramedullary nail ekuhlinzeni zifaka:
Ukusika okuncane: Ukusetshenziswa kwe-intramedullary nail kuvumela ukusika okuncane uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko, okunganciphisa ingozi yokutheleleka kanye nezibazi.
Ukululama ngokushesha: Njengoba i-intramedullary nail ifakwe ethanjeni, iqinisa ukuphuka noma ukukhubazeka, okuvumela ukuphulukiswa okusheshayo nokululama.
Ubuhlungu obuncishisiwe: Ukuzinza okuhlinzekwa yi-intramedullary nail kunganciphisa inani lobuhlungu obuzwiwa ngesikhathi sokululama.
Izinkinga ezimbalwa: I-Intramedullary nailing inengozi ephansi yezinkinga uma kuqhathaniswa nezinye izinhlobo zokungenelela kokuhlinzwa.
Ukuhamba okuthuthukisiwe: Ngokuvuselelwa okufanele, iziguli ezithola i-intramedullary nailing zingalindela ukubuyisela izinga lokuhamba nokusebenza kwangaphambi kokulimala.
Ingabe isipikili esihlangene sidinga ukukhishwa?
Ezimweni eziningi, izipikili ezihlangene azisuswa ngemva kokubekwa. Zenzelwe ukuthi zihlale zikhona unomphela, inqobo nje uma zingabangeli izinkinga noma izinkinga esigulini. Nokho, kwezinye izimo, uzipho lungase ludinge ukususwa ngenxa yokutheleleka, ukungalungi kwethambo, noma ezinye izinkinga. Kulezi zimo, isinqumo sokususa isipikili sizokwenziwa udokotela wesiguli ngokusekelwe esimweni sabo ngabanye.
Kuthatha isikhathi esingakanani ukululama ekukhishweni kwe-intramedullary nail?
Isikhathi sokuthola kabusha ngemva kokususwa kwe-intramedullary nail singahluka kuye ngezinto ezifana nendawo nobukhulu bezipikili, isizathu sokususwa, kanye nempilo yomuntu iyonke. Ngokuvamile, ukululama ekukhishweni kwezinzipho ze-intramedullary kuvame ukushesha futhi kungabi buhlungu kunokuhlinzwa kwasekuqaleni kokufaka isipikili. Iziguli zingakwazi ukuqalisa kabusha imisebenzi elula phakathi nezinsuku ezimbalwa ngemva kwenqubo, kodwa kufanele zigweme ukuvivinya umzimba okukhandlayo noma ukuphakamisa kanzima amaviki ambalwa ukuze kuvunyelwe isayithi lokusikeka ukuthi lilulame kahle. Kungase kuthathe amasonto noma izinyanga ezimbalwa ukuze ithambo liphole ngokugcwele futhi isiguli siphinde sithole ukunyakaza okugcwele endaweni ethintekile. Kubalulekile ukulandela imiyalelo kadokotela yokunakekelwa kwangemva kokuhlinzwa kanye nokuvuselelwa ukuze kuqinisekiswe umphumela omuhle kakhulu.
