Khalisa Isilungisi sangaphandle

Umgomo oyisisekelo wokulungisa ukuphuka uwukuzinzisa ithambo eliphukile, ukunika amandla ukuphulukiswa ngokushesha kwethambo elimele, nokubuyisela ukuhamba kwangaphambi kwesikhathi nokusebenza okugcwele komkhawulo olimele.

Ukulungiswa kwangaphandle kuyindlela esetshenziselwa ukusiza ukuphulukisa amathambo aphukile kakhulu. Lolu hlobo lokwelapha lwamathambo luhlanganisa ukuvikela ukuphuka ngomshini okhethekile obizwa ngokuthi i-fixator, ongaphandle komzimba. Ngokusebenzisa izikulufo ezikhethekile zamathambo (ezivamise ukubizwa ngokuthi izikhonkwane) ezidlula esikhumbeni nasemisipha, i-fixator ixhunywe ethanjeni elimele ukuze lihlale lihambisana kahle njengoba liphulukisa.

Isetshenziselwani isilungisi sangaphandle?

Idivayisi yokulungisa yangaphandle ingase isetshenziselwe ukugcina amathambo aphukile ezinzile futhi ehambisana. Idivayisi ingalungiswa ngaphandle ukuze kuqinisekiswe ukuthi amathambo ahlala endaweni efanele ngesikhathi senqubo yokuphulukisa. Lo mshini uvame ukusetshenziswa ezinganeni nalapho isikhumba esingaphezu kokuphuka sonakele.

Yiziphi izinhlobo ze-fixator yangaphandle?

Kunezinhlobo ezintathu eziyisisekelo zezilungisi zangaphandle: i-standard uniplanar fixator, i-ring fixator, ne-hybrid fixator.

Amadivayisi amaningi asetshenziselwa ukulungisa kwangaphakathi ahlukaniswe cishe ngezigaba ezimbalwa ezinkulu: izintambo, izikhonkwane nezikulufu, amapuleti, nezinzipho noma izinduku ze-intramedullary.

Ama-staples nama-clamp nawo asetshenziswa ngezikhathi ezithile ukuze kulungiswe i-osteotomy noma i-fracture. I-autogenous bone grafts, i-allografts, ne-bone graft substitutes ivame ukusetshenziselwa ukwelapha ukukhubazeka kwamathambo ezimbangela ezihlukahlukene. Ngokuphuka okuthelelekile kanye nokwelashwa kwezifo zamathambo, ubuhlalu be-antibiotic buvame ukusetshenziswa.

Khalisa Isilungisi sangaphandle

Inombolo yepholisi: 6100-1207

Isetshenziselwa: Femur, Tibia

Ukucushwa: Izindandatho ezinendlebe engu-1, izindandatho ezinezindlebe eziyisithupha, okuthunyelwe okujwayelekile 6 ama-pcs.

I-Ring External Fixator: Umhlahlandlela Ophelele

Uma kuziwa ekwelapheni ukuphuka okuyinkimbinkimbi nokukhubazeka kwamathambo, odokotela abahlinzayo bamathambo bavame ukuthembela kumadivayisi okulungisa angaphandle. Esinye sezilungisi zangaphandle eziguquguqukayo nezisebenzayo isilungisi sangaphandle esiyindandatho. Lo mshini uqukethe izindandatho eziyindilinga, izinduku zokuxhuma, nezinhlobo ezihlukahlukene zezikhonkwane nezintambo ezisetshenziselwa ukubamba amathambo aphukile noma akhubazekile. Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele ku-fixator yangaphandle yendandatho, okuhlanganisa umlando waso, izinhlobo, izinhlelo zokusebenza, kanye nezinkinga ezingaba khona.

Umlando Wokulungiswa Kwangaphandle Kwendandatho

Umqondo wokulungiswa kwangaphandle uhlehlela ezikhathini zasendulo, lapho izintambo ezenziwe ngokhuni, insimbi, noma isikhumba zazisetshenziselwa ukuvala izitho eziphukile. Kodwa-ke, kuze kube sekuqaleni kwekhulu lama-20 lapho indandatho yokuqala yokulungisa yangaphandle yasungulwa udokotela ohlinzayo waseJalimane uDkt. Gavril Ilizarov. Ukusungulwa kuka-Ilizarov, okwaziwa ngokuthi i-Ilizarov apparatus, kwashintsha kakhulu ekwelapheni ukuqhekeka kwamathambo okuyinkimbinkimbi nokukhubazeka, futhi kusukela ngaleso sikhathi kuye kwamukelwa kabanzi odokotela abahlinza amathambo emhlabeni jikelele.

I-Anatomy ye-Ring External Fixator

Isilungisi sangaphandle esiyindandatho siqukethe izingxenye ezimbalwa, okuhlanganisa amasongo ayindilinga, izinduku zokuxhuma, nezikhonkwane/izintambo. Amasongo ngokuvamile enziwe ngensimbi engagqwali noma i-titanium, futhi atholakala ngobukhulu obuhlukahlukene kanye nokwakheka ukuze amukele izifunda ezihlukahlukene ze-anatomical. Izinduku zokuxhuma nazo zenziwe ngensimbi futhi zisetshenziselwa ukuxhuma izindandatho komunye nomunye. Izikhonkwane nezintambo zifakwa esikhumbeni nasethanjeni, zinikeze ukuzinza nokusekelwa kwethambo eliphukile noma elikhubazekile.

Izinhlobo Zokulungiswa Kwangaphandle Kwendandatho

Kunezinhlobo ezimbalwa zemishini yokulungisa yangaphandle eyindandatho, ngayinye inomklamo wayo othile kanye nokusebenza kwayo. Ezinye zezinhlobo ezivame kakhulu zihlanganisa:

I-Ilizarov Fixator

I-Ilizarov fixator iyisilungisi sangaphandle esiyindandatho sokuqala esakhiwe uDkt. Gavril Ilizarov. Iqukethe izindandatho eziyindilinga ezixhunywe ngezinduku ezinezintambo, futhi zivikelekile ethanjeni kusetshenziswa izintambo ezincane noma izikhonkwane eziyingxenye. I-Ilizarov fixator iguquguquka kakhulu futhi ingasetshenziswa ukwelapha izimo eziningi zamathambo, okuhlanganisa ukuphuka okuyinkimbinkimbi, izifo zamathambo, nokungafani kobude bezitho.

I-Taylor Spatial Frame

I-Taylor Spatial Frame iyisilungisi sesimanje sendandatho sangaphandle esihlanganisa izimiso ze-Ilizarov fixator nobuchwepheshe obusizwa yikhompyutha. Iqukethe ama-struts ayisithupha alungisekayo axhunywe kwendandatho ekugcineni ngakunye, futhi angalungiswa ngezinhlangothi ezintathu ukuze kulungiswe ukukhubazeka kwamathambo noma ukungafani kobude. I-Taylor Spatial Frame iwusizo ikakhulukazi ekwelapheni ukukhubazeka okuyinkimbinkimbi kwamathambo amade, njengokukhothama noma ukusonteka.

Isilungisi sangaphandle esiyindilinga

I-fixator yangaphandle eyindilinga iyinguqulo elula ye-Ilizarov fixator, ehlanganisa izindandatho eziyindilinga ezixhunywe izinduku ezibushelelezi. Ivame ukusetshenziselwa ukuqiniswa kokuphuka kanye nokulimala kwezicubu ezithambile zonyawo kanye neqakala.

Izicelo Zokulungiswa Kwangaphandle Kwendandatho

Isilungisi sangaphandle esiyindandatho sinezinhlelo eziningi zokuhlinza amathambo, okuhlanganisa:

• Ukwelashwa kwama-fractures ayinkimbinkimbi angeke aphathwe ngezindlela zendabuko zokuphonsa noma zokucwenga.

• Ukulungiswa kokukhubazeka kwamathambo, njengokungafani kobude bezitho, ukukhubazeka kwe-angular, noma ukukhubazeka kokujikeleza.

• Ukuphathwa kwezifo zamathambo, njenge-osteomyelitis, ngokunikeza ukulungiswa okuzinzile nokukhuthaza ukuvuselelwa kwamathambo.

• Ukwakhiwa kabusha kwezicubu zamathambo ezilimele noma ezilahlekile, kusetshenziswa amasu afana nokuphazamiseka kwe-osteogenesis noma ukuthuthwa kwethambo.

Izinkinga Ezingaba Khona Zokulungiswa Kwangaphandle Kwendandatho

Njenganoma iyiphi inqubo yokuhlinza, ukulungisa indandatho yangaphandle kunezingozi ezithile kanye nezinkinga ezingaba khona. Ezinye zezinkinga ezivame kakhulu zihlanganisa:

• Izifo ze-pin site: Izikhonkwane nezintambo ezisetshenziselwa ukulungiswa kwangaphandle zingabangela ukutheleleka uma zinganakekelwa kahle noma uma isikhumba esizungeze izikhonkwane sicasuka.

• Ukuqina kwamalunga: Ukumiswa kwe-immobil okuhlala isikhathi eside okuhlotshaniswa nokulungiswa kwangaphandle kwendandatho kungaholela ekuqineni kwamalunga kanye nokunciphisa ububanzi bokunyakaza.

• Ukulimala kwemizwa: Izikhonkwane nezintambo ezisetshenziswa ekulungiseni kwangaphandle zingabangela ukulimala kwezinzwa uma zifakwe zijule kakhulu noma uma zihlangana ngqo nezinzwa.

• Ukuhluleka kwezingxenyekazi zekhompuyutha: Amaringi, izinduku, izikhonkwane, nezintambo ezisetshenziswa ekulungiseni kwangaphandle zingaphuka noma zikhishwe, okuholela ekulahlekelweni kokuzinza kanye nokwehluleka okungenzeka kwenqubo.

Ukuze kuncishiswe ubungozi bezinkinga, kubalulekile ezigulini ezilungiswa ngaphandle kweringi ukuthi zilandele eduze imiyalelo kadokotela wazo wokunakekela nokunakekela idivayisi, okuhlanganisa ukuhlanzeka okufanele kwendawo yamaphini kanye nokuqokwa kokulandelela njalo.

Isiphetho

I-fixator yangaphandle yendandatho iyithuluzi elisebenza kahle kakhulu futhi eliguquguqukayo lokwelapha ukuphuka okuyinkimbinkimbi, ukukhubazeka kwamathambo, nezinye izimo zamathambo. Idizayini yayo eyingqayizivele kanye nezinhlelo eziningi ezisetshenziswayo kuyenze yaba ithuluzi elibalulekile kukhithi yamathuluzi kadokotela ohlinzayo wamathambo. Kodwa-ke, njenganoma iyiphi inqubo yokuhlinza, ukulungisa indandatho yangaphandle kunezingozi ezithile kanye nezinkinga ezingaba khona, ezingancishiswa ngokunakekelwa okufanele kanye nokulandelela eduze nodokotela ohlinzayo wamathambo onekhono.

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama ekulungisweni kwangaphandle kwendandatho? Ubude bokululama buncike ohlotsheni nobukhulu besimo esiphathwayo, kanye nempilo yesiguli iyonke kanye nokuthobela imiyalelo yokunakekelwa kwangemva kokuhlinzwa. Ezinye iziguli zingadinga izinyanga ezimbalwa zokunganyakazi kanye nokuvuselelwa ngaphambi kokubuyela emisebenzini evamile.

2. Ingabe ukulungiswa kwendandatho yangaphandle kubuhlungu? Ukufakwa kwezikhonkwane nezintambo kungabangela ukungaphatheki kahle noma ubuhlungu, obungalawuleka ngemithi yezinhlungu noma i-anesthesia yendawo. Iziguli zingase futhi zithole ukungakhululeki noma ukuqina phakathi nesikhathi sokunganyakazi, kodwa lokhu kuvame ukuba ngcono njengoba ithambo liphulukiswa futhi ukuvuselelwa kuqhubeka.

3. Ingabe i-ring yangaphandle yokulungisa ingasetshenziselwa iziguli zezingane? Yebo, ukulungiswa kwangaphandle kwendandatho kungasetshenziswa ezigulini zezingane ezinemifantu eyinkimbinkimbi noma ekhubazekile. Kodwa-ke, ukunakekelwa okukhethekile kufanele kuthathwe ukuze kuqinisekiswe ukukhula nokuthuthukiswa okufanele kwesitho esithintekile, kanye nokunciphisa ingozi yezinkinga ezifana nokutheleleka kwendawo yephini noma ukulimala kwepuleti lokukhula.

4. Ngabe isilungisi sangaphandle esiyindandatho sidinga ukuhlala isikhathi esingakanani? Ubude besikhathi okudingeka ukuthi isilungisi sangaphandle sibe sesikhundleni sincike ohlotsheni nobukhulu besimo esiphathwayo, kanye nendlela isiguli esisabela ngayo ekwelashweni. Kwezinye izimo, i-fixator yangaphandle ingase idinge ukuba ibe khona izinyanga ezimbalwa noma kuze kube unyaka.

5. Ingabe ngizokwazi ukubuyela emisebenzini evamile ngemva kokulungiswa kwangaphandle kokukhala? Ezimweni eziningi, iziguli ziyakwazi ukubuyela emisebenzini evamile ngemva kokususwa kwe-fixator yangaphandle futhi ithambo seliphulukisiwe. Kodwa-ke, lokhu kungancika ohlotsheni nobukhulu besimo esiphathwayo, kanye nendlela isiguli esisabela ngayo ekwelashweni. Udokotela wakho ohlinzayo angakunikeza isiqondiso ngomugqa wesikhathi ofanelekile wokuqalisa kabusha imisebenzi ethile.