Isethi Yensimbi Enkulu Yezingcezu: Umhlahlandlela Ophelele
Uma usebenza ekuhlinzeni amathambo, kungenzeka ukuthi ujwayelene netemu 'isethi yensimbi yesinqamu esikhulu.' Le sethi yamathuluzi ibalulekile kodokotela abahlinza amathambo lapho benza izinqubo ezidinga ukulungiswa kwezingcezu zamathambo amakhulu. Kulo mhlahlandlela obanzi, sizocubungula ukuthi iyini isethi yensimbi enkulu, ukuthi ihlanganisani, nokuthi isetshenziswa kanjani ekuhlinzeni amathambo.
Iyini Isethi Yensimbi Enkulu Enkulu?
Isethi yensimbi enkulu yengcezu iqoqo lamathuluzi okuhlinza asetshenziselwa ukulungisa izingcezu ezinkulu zamathambo, ngokuvamile ku-femur, tibia, noma i-humerus. Lawa mathuluzi asetshenziswa ekuhlinzeni amathambo njengokunciphisa okuvulekile kanye nokulungiswa kwangaphakathi (i-ORIF) kokuphuka, okubandakanya ukulungisa amathambo aphukile kusetshenziswa izikulufu, amapuleti, namanye amathuluzi.
Izingxenye Zesethi Yensimbi Enkulu Yengcezu
Isethi yensimbi enkulu yesinqamu ngokuvamile ihlanganisa izingxenye ezilandelayo:
Izinsimbi Zokunciphisa
Izinsimbi zokunciphisa zisetshenziselwa ukuphatha izingcezu zamathambo endaweni efanele. Lezi zinsimbi zihlanganisa ama-forcep okunciphisa amathambo, ama-forcep okunciphisa acijile, nama-force-holding forceps.
Izinsimbi Zokubhoboza
Amathuluzi okubhoboza asetshenziselwa ukudala izimbobo ethanjeni zokubekwa kwezikulufu nezinye izinto zokulungisa. Lawa mathuluzi ahlanganisa i-drill hand, isethi ye-drill bit, kanye nomhlahlandlela wokubhoboza.
Ipuleti kanye Nezikulufa Izinsimbi
Izinsimbi zepuleti nezikulufi zisetshenziselwa ukuvikela izingcezu zamathambo endaweni. Lawa mathuluzi ahlanganisa amapuleti amathambo, izikulufu, nesethi ye-screwdriver.
I-Bone Graft Instruments
Izinsimbi zokuxhunyelelwa kwethambo zisetshenziselwa ukuvuna ukuxhunyelelwa kwamathambo kwezinye izingxenye zomzimba ukuze kusetshenziswe ukulungisa ukukhubazeka kwamathambo. Lezi zinsimbi zihlanganisa ama-bone curettes nama-bone gouges.
Izinsimbi Ezihlukahlukene
Amathuluzi ahlukahlukene afaka izinto ezifana namagilavu okuhlinzwa, ama-drapes angenalutho, nomthombo wokukhanya wokuhlinzwa.
Indlela Isethi Enkulu Yensimbi Esetshenziswa Ngayo
Lapho wenza ukuhlinzwa kwamathambo, isethi yensimbi enkulu yesiqephu isetshenziselwa ukulungisa izingcezu ezinkulu zamathambo. Udokotela ohlinzayo kuqala usebenzisa amathuluzi okunciphisa ukuze asebenzise izingcezu zamathambo endaweni efanele. Okulandelayo, amathuluzi okumba asetshenziselwa ukudala izimbobo ethanjeni zokubekwa kwezikulufu namanye amadivaysi okulungisa. Izinsimbi zepuleti nezikulufi zibe sezisetshenziswa ukuze kuvikeleke izingcezu zamathambo endaweni. Okokugcina, izinsimbi zokuxhunyelelwa kwethambo zingase zisetshenziselwe ukuvuna ukuxhunyelelwa kwamathambo kwezinye izingxenye zomzimba ukuze kusetshenziswe ukulungisa ukukhubazeka kwamathambo.
Izinzuzo Zesethi Yensimbi Enkulu Yengcezu
Isethi yensimbi enkulu yezingcezu inikeza izinzuzo ezimbalwa kunezinye izinhlobo zamathuluzi okuhlinza. Lokhu kubandakanya:
Ukunemba
Amasethi ensimbi enkulu yezingcezu aklanyelwe ngokukhethekile ukuhlinzwa kwamathambo okubandakanya izingcezu zamathambo amakhulu, okuqinisekisa ukunemba nokunemba phakathi nenqubo.
Ukusebenza Kwesikhathi
Isethi enkulu yezingcezu zensimbi ingasiza ekunciphiseni isikhathi esidingekayo sokuhlinzwa kwamathambo, njengoba ihlanganisa zonke izinsimbi ezidingekayo zenqubo kusethi eyodwa.
Kuqiza kahle
Ukusebenzisa isethi yensimbi enkulu yengcezwana kungabiza kakhulu kunokuthenga amathuluzi angawodwana ngenqubo ngayinye.
Isiphetho
Ekuphetheni, isethi yensimbi enkulu ye-fragment iyithuluzi elibalulekile lodokotela abahlinzayo bamathambo lapho benza izinqubo ezidinga ukulungiswa kwezingcezu ezinkulu zamathambo. Kuhlanganisa amathuluzi ahlukahlukene aklanyelwe ngokukhethekile lezi zinhlobo zokuhlinzwa, okuqinisekisa ukunemba nokusebenza kahle phakathi nenqubo. Ngokusebenzisa isethi enkulu yensimbi yezingcezu, odokotela abahlinzayo banganikeza iziguli zabo imiphumela engcono kakhulu ngenkathi benciphisa isikhathi nezindleko ezihlobene nalezi zinhlobo zokuhlinza.
Imibuzo Evame Ukubuzwa
Q1. Ingabe ithuluzi elikhulu lesiqephu lingasetshenziselwa ezinye izinhlobo zokuhlinzwa?
A1. Cha, isethi enkulu yezingcezu zensimbi iklanyelwe ngokukhethekile ukuhlinzwa kwamathambo okubandakanya izingcezu ezinkulu zamathambo.
Q2. Kuthatha isikhathi esingakanani ukwenza inqubo ye-ORIF usebenzisa isethi enkulu yensimbi yesiqephu?
A2. Isikhathi esidingekayo senqubo ye-ORIF kusetshenziswa isethi yensimbi enkulu yesiqephu singahluka kuye ngobunkimbinkimbi benqubo kanye nesimo sesiguli. Kodwa-ke, ukusebenzisa isethi yensimbi enkulu yocezu kungasiza ukunciphisa isikhathi esidingekayo senqubo.
Q3. Yiziphi izinto ezisetshenziswayo ukwenza izinsimbi kusethi enkulu yezingcezu zensimbi?
A3. Amathuluzi asesethi yensimbi enkulu yesiqeshana ngokuvamile enziwa ngensimbi engagqwali noma i-titanium.
Q4. Ingabe bukhona ubungozi obuhlobene nokusebenzisa isethi enkulu yezingcezu zensimbi?
A4. Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihlobene nokusebenzisa isethi enkulu yezingcezu zensimbi. Lezi zingozi zihlanganisa ukutheleleka, ukopha, nokulimala kwezinzwa noma imithambo yegazi. Kodwa-ke, ukusetshenziswa kwesethi enkulu yezingcezu zensimbi kungasiza ekunciphiseni lezi zingozi ngokuqinisekisa ukunemba nokunemba phakathi nenqubo.
Q5. Ingabe ithuluzi elikhulu lesiqephu lingasetshenziselwa iziguli zezingane?
A5. Nakuba isethi yensimbi enkulu yesiqeshana ngokuvamile isetshenziselwa iziguli zabantu abadala, ezinye izingxenye zesethi zingase zilungele ukusetshenziswa ezigulini zezingane. Kodwa-ke, udokotela ohlinzayo uzodinga ukuhlola ngokucophelela isimo sesiguli futhi akhethe izinsimbi ezifanele zenqubo.
