I-Rib Reconstruction Locking Plate: Uhlolojikelele Lwenketho Yokwelapha Ethembisayo
Isingeniso
Ukuphuka kwezimbambo kuwukulimala okuvamile, okufika ku-10% wezimo ezibuhlungu eziphumela ekwephukeni kwezimbambo. Ukuphuka kwezimbambo kungase kuthene amandla futhi kubeke ukuphila engozini, okuholela ezinkingeni ezifana ne-pneumothorax, i-hemothorax, kanye ne-pulmonary contusion. Nakuba izimbambo eziningi ziphulukisa ngokwazo, ezinye zidinga ukungenelela kokuhlinzwa, ikakhulukazi ezimeni lapho ukuphuka kususwa khona, kungazinzile, noma kuhilela izimbambo eziningi. Eminyakeni yamuva nje, ukusetshenziswa kwamapuleti okukhiya izimbambo kuye kwavela njengendlela yokwelapha ethembisayo yalezi zimo eziyinkimbinkimbi.
I-Anatomy kanye nomsebenzi we-Rib Cage
Ukuze uqonde ukubaluleka kokukhiya amapuleti okwakhiwa kabusha kwezimbambo, kubalulekile ukuqonda i-anatomy kanye nomsebenzi we-rib cage. I-rib cage yakhiwe ngamapheya angu-12 ezimbambo, ngayinye inamathele emgogodleni kanye ne-sternum. I-rib cage ivikela izitho ezibalulekile njengenhliziyo namaphaphu futhi inikeza ukwesekwa kokuphefumula kanye nokunyakaza komzimba ophezulu.
Ukuphuka Kwezimbambo: Izimbangela, Izimpawu, Nokuxilongwa
Ukuphuka kwezimbambo kungabangelwa izenzakalo ezihlukahlukene ezihlukumezayo, njengezingozi zemoto, ukuwa, nokushaywa okuqondile esifubeni. Uphawu oluvame kakhulu lokuphuka kwezimbambo ubuhlungu, obungabhebhezelwa ukuphefumula, ukukhwehlela, noma ukunyakaza. Ukuxilongwa ngokuvamile kuhilela ukuhlolwa ngokomzimba, ama-X-ray, nama-CT scan.
Izinketho Zokwelapha Zendabuko Zokuphuka Izimbambo
Ezimweni eziningi, ukuphuka kwezimbambo kuzipholisa ngokwabo ngokwelashwa okuvamile, njengokulawula ubuhlungu nokuphumula. Kodwa-ke, ezimweni lapho i-fracture isuswa khona noma ingazinzile, ukungenelela kokuhlinzwa kungase kudingeke. Ukwelashwa okujwayelekile kokuhlinzwa kuhlanganisa ukufakwa kwezimbambo, okubandakanya ukusetshenziswa kwamapuleti angavali, kanye nokufakwa kwe-intramedullary, okubandakanya ukufakwa kwenduku emgodini womnkantsha wombambo.
Izingcwecwe Zokukhiya Izimbambo: Inketho Entsha Yokwelapha
Amapuleti okukhiya okwakha kabusha izimbambo avele njengenketho entsha ethembisayo yokwelashwa kokuphuka kwezimbambo okuyinkimbinkimbi. Lawa mapuleti enziwe nge-titanium futhi enziwe ukuthi alingane phezu kombambo futhi ayibambe lapho ilulama. Indlela yokukhiya epuleti ivumela ukuqiniswa okuvikeleke kakhudlwana kombambo, kunciphisa ubungozi bokuhluleka kwezingxenyekazi zekhompuyutha kanye nokugudluzwa.
Izinzuzo Zezinsimbi Zokukhiya Izimbambo Kabusha
Ukusetshenziswa kwamapuleti okukhiya izimbambo kunezinzuzo eziningana kunezinketho zokwelapha zendabuko. Okokuqala, amapuleti okukhiya ahlinzeka ngokulungiswa okuvikeleke kakhudlwana kombambo, okunciphisa ubungozi bokuhluleka kwehadiwe kanye nokugudluzwa. Okwesibili, amapuleti okukhiya avumela ukuhlanganisa kusenesikhathi futhi angathuthukisa ukusebenza kwamaphaphu ngokunciphisa ubuhlungu obuhambisana nokuphefumula. Okokugcina, amapuleti okukhiya izimbambo aboniswe ukuthi anezinga eliphansi lezinkinga kunezinketho zokwelapha zendabuko.
Inqubo Nokubuyisela
Inqubo yepuleti lokukhiya lokwakha kabusha izimbambo ihlanganisa ukusika esifubeni ukuze kuvezwe ubambo oluphukile. Ipuleti lokukhiya libe selibekwa phezu kombambo futhi liqiniswe endaweni ngezikulufo. Isiguli ngokuvamile siyaphuma esibhedlela phakathi nezinsuku ezimbalwa futhi singaqhubeka nemisebenzi evamile phakathi namaviki ambalwa.
Izinkinga Nezingozi
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihlobene namapuleti okukhiya izimbambo. Lezi zingozi zihlanganisa ukutheleleka, ukopha, ukwehluleka kwe-hardware, nokulimala kwemizwa. Kodwa-ke, inani eliphelele lenkinga lamapuleti okukhiya izimbambo liphansi kunezinketho zokwelapha zendabuko.
Isiphetho
Amapuleti okukhiya okwakha kabusha izimbambo avele njengenketho entsha ethembisayo yokwelashwa kokuphuka kwezimbambo okuyinkimbinkimbi. Ukusetshenziswa kwalawa mapuleti kunikeza ukulungiswa okuvikeleke kakhudlwana kombambo, kuvumela ukuhlanganisa kusenesikhathi, futhi kunezinga eliphansi lezinkinga kunezinketho zokwelapha zendabuko. Nakuba kunezingozi ezihlobene nenqubo, izinzuzo zidlula ubungozi ezimweni eziningi. Iziguli eziqhekeke izimbambo eziyinkimbinkimbi kufanele zixoxisane nomhlinzeki wazo wokunakekelwa kwezempilo okungenzeka ukuthi kube namapuleti okwakha kabusha izimbambo.
Imibuzo Evame Ukubuzwa
Ubani ozongenela amapuleti okukhiya izimbambo?
Iziguli eziphuka izimbambo eziyinkimbinkimbi, okuhlanganisa ukuphuka kwezimbambo ezisusiwe noma ezingazinzile ezihlanganisa izimbambo eziningi, zingase zibe amakhandidethi wokukhiya amapuleti okwakha kabusha izimbambo.
Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni kwepuleti lokukhiya izimbambo?
Ingabe zikhona izindlela ezingahlinzeki zokwelapha ukuphuka kwezimbambo?
Ezimweni eziningi, ukuphuka kwezimbambo kuzipholisa ngokwazo ngokwelashwa okuvamile njengokulawula ubuhlungu nokuphumula. Kodwa-ke, kwezinye izimo lapho ukuphuka kunzima, ukuhlinzwa kungase kudingeke.
Ipuleti lokukhiya izimbambo lihlala isikhathi esingakanani emzimbeni?
Yiziphi izingozi ezingaba khona ezihlobene namapuleti okukhiya izimbambo?
Izingozi ezingaba khona zihlanganisa ukutheleleka, ukopha, ukwehluleka kwehadiwe, nokulimala kwemizwa. Kodwa-ke, inani eliphelele lenkinga lamapuleti okukhiya izimbambo liphansi kunezinketho zokwelapha zendabuko.
