Ukubuka: 96 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2023-07-15 Umsuka: Isayithi
Uma kuziwa ekwelapheni ukuphuka kwamathambo okuyinkimbinkimbi, ukuhlinzwa kwepuleti lokukhiya kuye kwavela njengesixazululo esithuthukile nesisebenzayo. Le ndlela yokuhlinza ihlanganisa ukusetshenziswa kwamapuleti nezikulufu ezikhethekile ukuze kuzinziswe futhi kusekelwe amathambo aphukile phakathi nenqubo yokuphola. Ukuhlinzwa kwepuleti lokukhiya kunikeza izinzuzo eziningi kunezindlela zendabuko, ukuhlinzeka iziguli izikhathi zokululama ngokushesha, imiphumela ethuthukisiwe, nokusebenza okuthuthukisiwe kwesikhathi eside. Kulesi sihloko, sizohlola ubunkimbinkimbi bokuhlinzwa kwepuleti lokukhiya, izinzuzo zalo, kanye nokusetshenziswa kwalo emkhakheni we-orthopedics.
Ukuhlinzwa kwepuleti lokukhiya kuyindlela yesimanje yamathambo esetshenziselwa ukwelapha ukuphuka emathanjeni ahlukahlukene, okuhlanganisa i-femur, i-tibia, i-humerus, ne-radius. Ngokungafani nezindlela zendabuko zokulungisa ukuphuka, ezithembele ekucindezelweni phakathi kwepuleti nethambo, amapuleti okukhiya aklanyelwe ukunikeza ukuqiniswa okuzinzile ngomshini okhiya izikulufu epuletini. Lesi sici sivimbela ukunyakaza phakathi kwethambo nepuleti, okuvumela ukuzinza okungcono phakathi nenqubo yokuphulukisa.
Amapuleti okukhiya ahlanganisa izingxenye ezimbili eziyinhloko: ipuleti ngokwalo nezikulufu zokukhiya. Ipuleti liyisakhiwo sensimbi esiqinile esijikijelwa ukuze sihambisane nokuma kwethambo futhi sibekwe eduze kwendawo ephukile. Izikulufu zokukhiya, ezifakwa ethanjeni ngezimbobo ezinqunywe kusengaphambili epuletini, zisebenzisana nezingxenye ezinentambo zepuleti. Njengoba izikulufu ziqiniswa, zikhiyeleka epuletini, zenze isakhiwo esine-engeli engagxili esinzisa i-fracture sit.

Ukuhlinzwa kwepuleti lokukhiya kunikeza izinzuzo ezimbalwa uma kuqhathaniswa nezindlela ezijwayelekile zokulungisa ukuphuka:
Indlela yokukhiya yepuleti iqinisekisa ukuzinza okuthuthukisiwe, kunciphisa ubungozi bokwehluleka kokufakelwa kanye nokungahlangani. Lokhu kuzinza kuvumela ukuhlanganisa kusenesikhathi, ukukhuthaza ukuphulukiswa okusheshayo nokuvuselelwa.
Ukuhlinzwa kwepuleti lokukhiya kunciphisa umonakalo ekuhanjisweni kwegazi kwethambo, njengoba kudinga izikulufu ezimbalwa futhi akunciki ekucindezelweni. Ukugcina ukunikezwa kwegazi kubalulekile ukuze kuphulukiswe kahle amathambo futhi kunciphise ingozi yezinkinga.
Amapuleti okukhiya afika ngezindlela ezihlukahlukene nobukhulu obuhlukahlukene, okwenza avumelane namaphethini ahlukene okuphuka. Lokhu kuguquguquka kuvumela odokotela abahlinzayo bamathambo ukuthi bakhethe ipuleti elifaneleka kakhulu lesiguli ngasinye, okwenza umphumela wokwelashwa ube ngokugcwele.
I isistimu yepuleti lokukhiya ihilela indlela engenele kancane, enciphisa ingozi yokutheleleka uma kuqhathaniswa nokunciphisa okuvulekile kanye nokuhlinzwa kokulungiswa kwangaphakathi. Ukucutshungulwa okuncane kanye nokuncipha kwe-tissue dissection kunomthelela emathubeni aphansi ezinkinga zangemva kokuhlinzwa.
Ukuhlinzwa kwepuleti lokukhiya kunconyiwe ezinhlobonhlobo zokuqhekeka, okubandakanya:
Amapuleti okukhiya afaneleka ngokukhethekile ukuqhekeka okuyinkimbinkimbi, njengokuqhekeka okuqhubekayo (lapho ithambo liphuka libe yizicucu eziningana) kanye nokuphuka ngekhwalithi ephansi yamathambo (isb, i-osteoporosis). Ukulungiswa okuzinzile okunikezwa amapuleti okukhiya kuthuthukisa amathuba okwelapha ngempumelelo kulezi zimo eziyinselele.
Ukuphuka eduze kwamalunga, aziwa ngokuthi ama-periarticular fractures, angelashwa ngokuphumelelayo ukuhlinzwa kwepuleti lokukhiya . Ukwakhiwa kwe-engeli engaguquki kusiza ukugcina ukuqondana nokuzinza okuhlanganyelwe, kuthuthukise ukutakula kokusebenza okuphelele.
Iziguli ezine-osteoporosis zivame ukuba namathambo abuthakathaka adinga ukunakwa okukhethekile ngesikhathi sokwelashwa kokuphuka. Ukuhlinzwa kwepuleti lokukhiya kunikeza isisombululo esinokwethenjelwa, njengoba kungavikela ithambo eliphukile ngisho nalapho kukhona ukuminyana kwamathambo aphansi.

Inqubo yokuhlinzwa ye ukuhlinzwa kwepuleti lokukhiya ngokuvamile kulandela lezi zinyathelo:
Ukuhlela ngaphambi kokuhlinzwa: Udokotela ohlinzayo wamathambo wenza ukuhlola okuningiliziwe kokuphuka futhi uhlela indlela yokuhlinzwa. Lokhu kuhlanganisa ukukhetha usayizi wepuleti ofanele kanye nokunquma i-trajectory yesikulufu efanelekile.
Ukusika nokuchayeka: Ukusika okuncane kwenziwa eduze kwendawo ephukile, futhi izicubu ezithambile zihlakazwa ngokucophelela ukuze ziveze ithambo.
Ukubekwa kwepuleti: The ipuleti lokukhiya libekwe eduze kwendawo yethambo futhi livikelwe kusetshenziswa izikulufu. Idizayini yepuleti kanye nekhonta kufanele ifane nethambo lokwakheka kwethambo ukuze lizinze kahle.
Ukufaka isikulufu: Izikulufu zokukhiya zifakwa ngokucophelela ngezimbobo ezinqunywe kusengaphambili epuletini, zihlangene nezingxenye ezinentambo zepuleti.
Ukulungiswa kokugcina nokuvalwa: Izikulufu ziyaqiniswa, zidale ukwakheka okuzinzile. Ukusika kuyavalwa, bese kunikezwa ukunakekelwa okufanele kwenxeba.
Ngemva ukuhlinzwa kwepuleti lokukhiya , iziguli ngokuvamile zidingeka ukuthi zilandele uhlelo oluthile lokunakekelwa kwangemva kokuhlinzwa, okuhlanganisa:
Ukuphathwa kobuhlungu: Imithi inqunyelwe ukuphatha ubuhlungu be-postoperative.
Ukwelashwa ngokomzimba: Izivivinyo zokuvuselela ziqalwa ukuze kubuyiselwe ukuhamba kwamalunga namandla emisipha.
Ukuqokwa kokulandelela: Ukuhlolwa njalo kuvumela udokotela ohlinzayo ukuthi aqaphe ukuqhubeka kokuphola futhi enze noma yiziphi izinguquko ezidingekayo ohlelweni lokwelapha.
Ngenkathi ukuhlinzwa kwepuleti lokukhiya ngokuvamile kuphephile futhi kuyasebenza, kunezinkinga ezingaba khona iziguli okufanele zizazi, okuhlanganisa:
Ukutheleleka endaweni yokuhlinzwa
Ukuphulukiswa kwamathambo okubambezelekile noma okungeyona inyunyana
Ukungahambi kahle kwethambo
Ukuhluleka kokufakelwa noma ukuxega
Ukulimala kwezinzwa noma imithambo yegazi
Kubalulekile ukuthi iziguli zixoxe ngezingozi ezingase zibe khona kanye nezinkinga nodokotela wazo wamathambo ngaphambi kokwenza inqubo.
Ubuchwepheshe bepuleti lokukhiya buyaqhubeka nokuvela, ngentuthuko eqhubekayo ehloselwe ukuthuthukisa imiphumela yesiguli. Ezinye zentuthuko eziphawulekayo zihlanganisa:
Izinto ezisebenza nge-Biocompatible: Ukuthuthukiswa kwezinto ezintsha, njengama-alloys e-titanium, kuthuthukisa amandla nokuvumelana kwe-biocompatibility yamapuleti okukhiya.
Imiklamo yepuleti ethuthukisiwe: Amapuleti okukhiya manje aseyatholakala ngamajamo we-anatomical, ahlinzeka ngokulingana okungcono futhi anciphisa isidingo sokugoba amapuleti.
Izinketho zokukhiya izikulufu: Odokotela abahlinzayo bangakhetha kusukela kuzinketho ezihlukene zezikulufu, okuhlanganisa izikulufu ze-polyaxial, ezinikeza ukuguquguquka okukhulu ekubekweni kwesikulufa.
Lezi ntuthuko zinomthelela ekulungiseni ukuphuka okuphumelelayo nokuthembekile, okuholela ekwanelisekeni okungcono kwesiguli kanye nemiphumela.
Ngenkathi ukuhlinzwa kwepuleti lokukhiya kubonakale kuphumelela kakhulu, kunezinye izindlela zokwelapha ezitholakalayo zokuphuka kwamathambo, kuye ngecala elithile. Lokhu kungase kuhlanganise:
Ukukhipha noma ukuhlukaniswa: Ukuphuka okulula okungadingi ukungenelela kokuhlinzwa ngokuvamile kungaphathwa ngokuphonsa noma ukuhlukaniswa, okuvumela ithambo ukuba liphulukise ngokwemvelo.
I-Intramedullary nailing: Le nqubo ihilela ukufakwa kwenduku yensimbi emseleni we-medullary wethambo ukuze kuzinze ukuphuka.
Ukulungiswa kwangaphandle: Ezimweni ezithile, ifreyimu yangaphandle enezikhonkwane isetshenziselwa ukuzinzisa ithambo eliphukile lize liphole.
Ukukhethwa kokwelashwa kuncike ezintweni ezihlukahlukene, okuhlanganisa uhlobo nendawo yokuphuka, iminyaka yesiguli, kanye nempilo yonke.
Ukuhlinzwa kwepuleti lokukhiya kuthola izicelo kumakhono ahlukahlukene amathambo, okuhlanganisa:
Ukuhlinzwa kwe-trauma: Amapuleti okukhiya ngokuvamile asetshenziselwa ukwelapha ukuphuka okubangelwa ukulimala okubuhlungu, njengokuphuka okubangelwa izingozi noma ukuwa.
Umuthi wezemidlalo: Abasubathi bavame ukusekela ukuphuka ngesikhathi semidlalo. Amapuleti okukhiya ahlinzeka ngokulungiswa okuzinzile futhi akhuthaze ukubuyela ngokushesha kwezemidlalo.
I-Orthopedic oncology: Ezimeni lapho izimila zithinta ubuqotho bamathambo, amapuleti okukhiya angasetshenziswa ukuze kuqiniswe ithambo ngemva kokukhishwa kwesimila.
Ukuhlukahluka kokuhlinzwa kwepuleti lokukhiya kukwenza kube ithuluzi elibalulekile ku-armamentarium yamathambo.
Ucwaningo oluningi luveza impumelelo ye ukukhiya ukuhlinzwa kwepuleti ekwelapheni ukuphuka okuhlukahlukene. Izibonelo zifaka:
I-Case Study: I-Distal Femur Fracture
Isiguli esaphuka kakhulu i-distal femur senziwe ukuhlinzwa kwepuleti lokukhiya . Ukulungiswa okuzinzile okunikezwa ipuleti lokukhiya kuvunyelwe ukuhlanganisa kusenesikhathi, futhi isiguli sazuza ukululama okuphelele phakathi nezinyanga eziyisithupha.
I-Case Study: I-Proximal Humerus Fracture
Isiguli esikhulile esaphuka i-humerus cishe sahlinzwa ipuleti lokukhiya. Ukwakhiwa kwe-engeli engaguquki kunikeze ukuzinza okuhle kakhulu, okwenza isiguli siphinde sithole umsebenzi wehlombe futhi siqale kabusha imisebenzi yansuku zonke.
Lezi zibonelo zezifundo zibonisa ukusebenza kahle kwe ukukhiya ukuhlinzwa kwepuleti ekuzuzeni imiphumela emihle ezigulini ezineziphambeko eziyinkimbinkimbi.

Ukuhlinzwa kwepuleti lokukhiya kwenziwa ngaphansi kwe-anesthesia, ngakho iziguli azizwa ubuhlungu ngesikhathi senqubo. Kodwa-ke, ukungakhululeki okuncane nobuhlungu kungalindelwa phakathi nesigaba sokululama, esingalawulwa ngemithi yobuhlungu enqunywe udokotela ohlinzayo.
Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuphuka, iminyaka yesiguli, kanye nempilo yonke. Ngokuvamile, kungathatha amasonto ambalwa kuya ezinyangeni ukuze ithambo liphole ngokuphelele, futhi ukululama ngokugcwele kungase kuthathe izinyanga ezimbalwa kuya onyakeni.
Kwezinye izimo, amapuleti okukhiya angasuswa uma ukuphuka sekuphulukisiwe, ikakhulukazi uma kubangela ukungakhululeki noma kuvimbela ukunyakaza okuhlangene. Nokho, lesi sinqumo senziwa umuntu ngamunye futhi kufanele kuxoxwe ngaso nodokotela wamathambo owelaphayo.
Ngemuva kokuhlinzwa kwepuleti lokukhiya, iziguli zingadinga ukugwema imisebenzi ebeka ukucindezeleka ngokweqile ethanjeni elilashiwe noma ilunga. Ukwelashwa ngokomzimba kuzosiza ukuqondisa iziguli ngenqubo yokuvuselela futhi kancane kancane ubuyisele imisebenzi njengoba ithambo liphulukisa.
Ukuhlinzwa kwepuleti lokukhiya kungenziwa ezigulini ezineminyaka ehlukene, kuhlanganise nezingane kanye nasebekhulile. Isinqumo sokuhlinzwa sisekelwe empilweni yomuntu iyonke, izici zokuphuka, kanye nezinzuzo ezingaba khona zokungenelela ngokuhlinzwa.
Ukuhlinzwa kwepuleti lokukhiya kumelela intuthuko enkulu emkhakheni wezokwelashwa kwamathambo, okuhlinzeka ngendlela ephumelela kakhulu futhi eguquguqukayo yokwelapha ukuphuka kwamathambo okuyinkimbinkimbi. Ngokuzinza okuthuthukisiwe, izikhathi zokuphulukisa ngokushesha, kanye nemiphumela engcono yesikhathi eside, le nqubo yokuhlinzwa inikeza iziguli isisombululo esinokwethenjelwa sokubuyisela ubuqotho bamathambo nokusebenza. Njengoba ubuchwepheshe buqhubeka buthuthuka, ukuhlinzwa kwepuleti lokukhiya sekumi ngomumo ukuze kuthuthukiswe ukwelashwa kokuphuka, kuzuzise iziguli zabo bonke ubudala futhi kuthuthukiswe izinga lempilo yazo.
Ngoba I-CZMEDITECH , sinomugqa womkhiqizo ophelele kakhulu wezimila zokuhlinza amathambo nezinsimbi ezihambisanayo, imikhiqizo ehlanganisa izimila zomgogodla, izipikili ze-intramedullary, ipuleti lokuhlukumezeka, ipuleti lokukhiya, i-cranial-maxillofacial, izitho zokufakelwa, amathuluzi amandla, izilungisi zangaphandle, i-arthroscopy, ukunakekelwa kwezilwane kanye namasethi amathuluzi asekelayo.
Ngaphezu kwalokho, sizibophezele ekuthuthukiseni imikhiqizo emisha ngokuqhubekayo nokwandisa imigqa yemikhiqizo, ukuze sihlangabezane nezidingo zokuhlinzwa zodokotela abaningi neziguli, futhi senze inkampani yethu iqhudelane kakhulu kuwo wonke umkhakha womhlaba wonke wokufakwa kwamathambo nezinsimbi.
Sithumela emhlabeni wonke, ukuze ukwazi xhumana nathi ekhelini le-imeyili elithi song@orthopedic-china.com ukuze uthole isilinganiso samahhala, noma uthumele umlayezo ku-WhatsApp ukuze uthole impendulo esheshayo +86- 18112515727 .
Uma ufuna ukwazi okwengeziwe, chofoza CZMEDITECH ukuthola imininingwane eyengeziwe.
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