Uzipho Lwezinsikazi Oluhlehlisiwe

Ividiyo yemininingwane yokusebenza komkhiqizo

I-CZMEDITECH Ibuyiselwe Uzipho Lwezinsikazi

Isingeniso

Izehlakalo zokuphuka kwe-proximal femoral ziye zanda ngezibalo ezikhulayo zabantu abadala abanesifo samathambo kanye nezingozi zomgwaqo entsheni esikhulile.

Ama-fractures mayelana nendawo ye-trochanteric ahlukaniswa ngokuvumelana nesistimu yokuhlukaniswa kwe-Orthopedic Trauma Association njenge-AO/OTA 31-A, ewachaza njengama-fractures e-extracapsular of the hip. Lezi ziqhekeko zihlukaniswe ngamaqembu A1, A2 kanye ne-A3. I-A1 fracture ilula, izingxenye ezimbili zephuka, kanti i-A2 inezicucu eziningi. Ukuphuka kwe-A3 kufaka phakathi amaphethini okuphuka okutshekile kanye namaphethini okuphuka okuphambene.

Kunezinhlobo ezimbili eziyinhloko zokufakelwa ezitholakalayo zokwelashwa kwalokhu kuphuka, okungukuthi, izimila ze-extramedullary kanye ne-intramedullary [1-3]. Nakuba ukufakelwa kwe-extramedullary esetshenziswa kakhulu kuyi-screw ye-hip eguquguqukayo, ehlanganisa isikulufu sentamo eslayidayo esixhunywe epuleti ku-lateral femoral cortex, ababhali abaningi babike ukuthi le divayisi ayifanele i-AO/OTA 31-A3 i-reverse oblique noma i-transverse fractures ngenxa yezehlakalo eziphezulu zokuhluleka ukulungisa. Ngakho-ke, ukwelashwa kwalokhu kuphuka kwe-femoral engazinzile kuseyinselele, futhi imibiko yomtholampilo mayelana ne-intramedullary hip nailing for reverse obliquity intertrochanteric fractures imbalwa ngenombolo.

I-Reversed Femoral Nail: Umhlahlandlela Ophelele

Ekuhlinzweni kwamathambo, ukuphuka kwezinsikazi kuyisenzakalo esivamile. Izinzipho zezinsikazi zivame ukusetshenziselwa ukulungisa ukuphuka okunjalo. I-nail ye-femoral ehlehlisiwe iyindlela entsha nentsha yokulungisa ukuphuka, ikakhulukazi ezigulini esezikhulile. Kulesi sihloko, sizoxoxa ngakho konke okumele ukwazi mayelana nezinzipho zesifazane ezihlehlisiwe, okuhlanganisa izinzuzo zazo, izinkomba, kanye nezinkinga ezingaba khona.

Iyini I-Reverse Femoral Nail?

I-nail ye-femoral ehlehlisiwe iyithuluzi lamathambo elisetshenziselwa ukwelapha ukuphuka kwesifazane. Kuyindlela entsha uma kuqhathaniswa ehlanganisa ukufaka isipikili kusukela phansi kwefemur kuya phezulu, okuphambene nendlela evamile. Uzipho lufakwa ngembobo encane ejoyintini ledolo futhi luqiniswe endaweni kusetshenziswa izikulufu kuzo zombili iziphetho.

Izinkomba Zezinzipho Zezinsikazi Ezihlehlisiwe

Indlela ye-nail ye-femal ehlehlisiwe iwusizo ikakhulukazi ezimeni ezithile, njenge:

• Iziguli esezikhulile ezinamathambo antekenteke

• Iziguli ezine-distal femoral fracture

• Iziguli ezine-subtrochanteric fracture

• Iziguli ezinokwephuka esifundeni se-metaphyseal

Kulezi zimo, inqubo ye-nail ye-femoral ehlehlisiwe ingaba inketho engcono kunamasu avamile.

Izinzuzo Zezinzipho Zezinsikazi Ezihlehlisiwe

Izinzipho zesifazane ezihlehlisiwe zinikeza izinzuzo eziningana phezu kwamasu avamile. Lokhu kubandakanya:

• Ukuncipha kwegazi ngesikhathi sokuhlinzwa

• Ukuhlukumezeka okuncane kwezicubu ezithambile ezizungezile

• Ubuhlungu obuncane kanye nesikhathi sokululama ngokushesha

• Ingozi ephansi yokutheleleka

• Ukunciphisa ingozi yokungahlangene (isimo lapho ithambo lihluleka khona ukuphulukisa kahle)

Inqubo Ehlehlisiwe Yezinzipho Zabesifazane

Inqubo ye-nail ye-femoral ehlehlisiwe ifana nokuhlinzwa okuvamile kwezinzipho zesifazane, okunomehluko obalulekile ambalwa. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi isiguli sibekwe emhlane imilenze yaso iphakanyisiwe.

Ithimba labahlinzayo lizokwenza ukusika okuncane ngenhla nje kwelunga ledolo bese lifaka ucingo oluqondisayo edolweni lukhuphuke lungene ku-femur. Intambo yomhlahlandlela izosetshenziswa ukuqondisa isipikili endaweni. Uzipho lube selushuthekwa ejoyintini ledolo bese lukhuphukela ku-femur, kube nezikulufu ezibekwe emaphethelweni womabili ukuze lubambe endaweni yalo.

Izinkinga Zezinzipho Zezinsikazi Ezihlehlisiwe

Njengazo zonke izinqubo zokuhlinzwa, izinzipho zesifazane ezihlehlisiwe zinezingozi ezithile. Lokhu kubandakanya:

• Ukutheleleka endaweni yokuhlinzwa

• Ukuphuka kwe-femur ngesikhathi sokuhlinzwa

• Ukulimala kwezinzwa

• Ukulimala kwemithambo yegazi

• Ukuhluleka kwethambo ukuphola ngendlela efanele

Iziguli eziye zabhekana nenqubo yezinzipho zesifazane ehlehlisiwe kufanele ziqaphe kakhulu ukululama kwazo futhi zibike noma yiziphi izimpawu ezingavamile kudokotela wazo ngokushesha.

Ukuthola kabusha kusuka ku-Reversed Femoral Nails

Ukubuyiselwa kwenqubo yezinzipho zesifazane ehlehlisiwe kufana nokululama ekuhlinzeni izinzipho ezivamile zesifazane. Iziguli zingase zizwe izinhlungu nokuvuvukala endaweni yokuhlinzwa, okungalawulwa ngemithi yobuhlungu nokuphumula. Iziguli zizodinga ukusebenzisa izinduku noma umuntu ohamba ngezinyawo isikhathi esithile ngemva kokuhlinzwa ukuze zigweme ukubeka isisindo emlenzeni othintekile.

Iziguli kufanele zilandele imiyalelo kadokotela wazo ngokucophelela ukuze ziqinisekise ukululama okuphelele nokushesha.

I-FAQ Ehlehlisiwe Yezinzipho Zowesifazane

1. Yisiphi isikhathi sokululama senqubo ehlehlisiwe yezinzipho zesifazane?

   Isikhathi sokubuyisela siyahlukahluka kuye ngokuthi isiguli kanye nezinga lokuhlinzwa, kodwa iziguli eziningi zingalindela ukubuyela emisebenzini evamile phakathi kwamaviki angu-6-12.

2. Ingabe inqubo yezinzipho zesifazane ehlehlisiwe ibuhlungu?

   Kungase kube khona ubuhlungu nokungaphatheki kahle ngemva kokuhlinzwa, kodwa lokhu kungalawuleka ngemithi yezinhlungu.

3. Ukhona ongaba nenqubo yezinzipho zesifazane ehlehlisiwe?

   Cha, inqubo yezinzipho zesifazane ehlehlisiwe ayizifanele zonke iziguli. Udokotela wakho uzohlola izimo zakho ngazinye ukuze anqume ukuthi kuyindlela engcono kakhulu kuwe.

4.  Uzipho lwe-femoral oluhlanekezelwe luhlala isikhathi esingakanani endaweni?

   Uzipho luvamise ukushiywa endaweni izinyanga ezingu-6-12 ukuze ithambo liphole kahle.

5. Ingabe isikhonkwane sesifazane esibuyiselwe emuva singasuswa?

   Yebo, uzipho lungasuswa uma ithambo selipholile. Udokotela wakho uzohlola ukuthi ukususwa kuyadingeka yini futhi axoxe nawe ngezingozi nezinzuzo.

Isiphetho

Izinzipho zezinsikazi ezihlehlisiwe zinikeza izinzuzo eziningana ngaphezu kwamasu avamile okulungisa ukuphuka kwe-femoral. Le nqubo iwusizo ikakhulukazi ezigulini esezikhulile noma lezo ezinezinhlobo ezithile zokuphuka. Nakuba kunezinkinga ezingaba khona ezihlobene nenqubo, izinzuzo zivame ukudlula ubungozi. Iziguli eziye zabhekana nenqubo yezinzipho zesifazane ehlehlisiwe kufanele zilandele imiyalelo kadokotela wazo ngokucophelela ukuze ziqinisekise ukululama okuphelele nokushesha.

Kafushane, i-nail ye-femoral ehlehlisiwe iyindlela entsha futhi entsha yokulungisa ukuphuka kwe-femoral enikeza izinzuzo eziningana phezu kwamasu avamile. Uma uhlangabezana nokuphuka kwesifazane, khuluma nodokotela wakho ukuze uthole ukuthi indlela yokuhlehla yezinzipho zesifazane ikulungele yini.