Yini ucezu oluncane?

Isiqephu esincane sisho uhlobo lwe-orthopedic ukumiswa olusetshenziselwa ukulungiswa kwama-fractures noma ukungawona emathanjeni amancane noma ezindaweni ezinokuhlanganiswa kwezicubu ezithambile. Lezi zifakwe zenzelwe ukuhlinzeka ngohlelo oluzinzile futhi zivumele ukuhlanganisa kusenesikhathi nokululama okusheshayo. Izimpawu ezincane zokufakwa kwezimpawu zivame ukuba nobubanzi be-3.5mm noma ngaphansi futhi zitholakala ngezimo ezahlukahlukene nosayizi, kufaka phakathi izikulufo, amapuleti kanye nezintambo. Bajwayele ukusetshenziswa ezinhlelweni ezinjengokwehliswa kwezandla kanye nonyawo, ama-ankle fractures, kanye nokuqhekeka kwe-clavicle.

Izinto zokwakha ipuleti lokukhiya?

Ukukhiya amapuleti ngokuvamile kwenziwa ngezinto ezihambelana ne-titanium, titanium alloy, noma insimbi engenacala. Lezi zinto zokwenziwa zinamandla amahle kakhulu, ukuqina, kanye nokumelana nokugqwala, okwenza kube yinto elungele ukusetshenziswa ku-orthopedic izimila. Ngaphezu kwalokho, bayakwazi futhi abasabeli ngezicubu zomzimba, behlisa ubungozi bokwenqatshwa noma ukuvuvukala. Amanye amapuleti okukhiya nawo angahlanganiswa nezinto zokwakha ezifana ne-hydroxyapatite noma ezinye izigqoko zokuthuthukisa ukuhlanganiswa kwazo nezicubu zamathambo.

Yiliphi ipuleti elingcono titanium noma insimbi engenacala?

Kokubili amapuleti ensimbi e-titanium nama-brainless asetshenziswa kakhulu ekuhlinzweni kwamathambo, kufaka phakathi amapuleti okukhiya. Ukuzikhethela phakathi kwalezi zinto ezimbili kuncike ezicini eziningana, kufaka phakathi uhlobo lokuhlinzwa, umlando wezokwelapha wesiguli kanye nezintandokazi, kanye nokuhlangenwe nakho kukadokotela ohlinzayo.

I-Titanium iyinto engasindi futhi eqinile ehambelana ne-biofePoMpeible futhi imelana nokugqwala, okwenza kube ukukhetha okuhle kwezimila zezokwelapha. Amapuleti e-titanium awakakhulu kangako kunamapuleti ensimbi angenasici, angasiza ekunciphiseni ukucindezelwa ethanjeni futhi akhuthaze ukuphulukiswa. Ngokwengeziwe, amapuleti e-titanium ane-radiolicent ethe xaxa, okusho ukuthi abaphazamisi ukuhlolwa kokucabanga okufana nama-x-ray noma i-MRI.

Ngakolunye uhlangothi, insimbi engagqwali, ingabe impahla enamandla futhi eqinile futhi ehambelana nayo futhi imelana nokugqwala. Kusetshenziswe ezimisweni zamathambo ama-orthopedic amashumi eminyaka futhi kuyinto esomileyo neqiniso. Amapuleti ensimbi angenasisekelo awabizi kakhulu kunamapuleti we-titanium, angabhekwa kwezinye iziguli.

Kungani kusetshenziswa amapuleti kaTitanium ngokuhlinzwa?

Amapuleti e-titanium ajwayele ukusetshenziswa ekuhlinzekeni ngomoya ngenxa yezakhiwo zazo ezihlukile ezenza zibe yinto efanelekile yezitha zezokwelapha. Ezinye zezinzuzo zokusebenzisa amapuleti titanium ngokuhlinzwa zifaka:

1. I-BioCOMSTILITIty: I-Titanium ihambelana kakhulu, okusho ukuthi akunakwenzeka ukubangela ukusabela komzimba noma ukwenqatshwa amasosha omzimba. Lokhu kwenza kube yinto ephephile futhi ethembekile yokusebenzisa izimila zezokwelapha.

2. Amandla nokuqina: I-Titanium ingenye yezinsimbi eziqine kakhulu futhi ezihlala isikhathi eside, okwenza kube yinto efanelekile yezimpawu ezidinga ukumelana nezingcindezi nezinkinga zokusetshenziswa kwansuku zonke.

3. Ukumelana nokugqwala: I-Titanium imelana kakhulu nokugqwala futhi mancane amathuba okuthi isabele ngoketshezi lomzimba noma ezinye izinto emzimbeni. Lokhu kuyasiza ukuvikela ukufakwa ngokufakelwa noma kukonakele ngokuhamba kwesikhathi.

4. I-RADIOPAMIC: I-Titanium i-radiopaque kakhulu, okusho ukuthi ingabonakala kalula kuma-x-ray kanye nezinye izivivinyo zokucabanga. Lokhu kwenza kube lula ukuthi odokotela babheke ukufakwa futhi baqinisekise ukuthi isebenza kahle.

Kusetshenziswa ini amapuleti okukhiya?

Kukhiya amapuleti asetshenziselwa ukuhlinzwa kwamathambo ukuhlinzeka ngozolwazi nokusekelwa emathanjeni aqhekekile, aphukile, noma abe buthaka ngenxa yezifo noma ukulimala.

Ipuleti linamathiselwe kwithambo lisebenzisa izikulufa, futhi ama-screws ekhiya epuletini, adala ukwakha okulungiselelwe okulungiselelwe okunikezela ukwesekwa okuqinile kwethango ngesikhathi senqubo yokwelashwa. Ukukhiya amapuleti kuvame ukusetshenziswa ekwelashweni kokuqhekeka kwesandla, ingalo, i-ankle, kanye nomlenze, kanye nokuhlinzwa komgogodla.

Zilusizo ikakhulukazi ezimweni lapho ithambo lincane noma i-osteoporotic, njengoba indlela yokukhiya ipuleti ihlinzeka ngozolwazi olungeziwe futhi inciphisa ubungozi bokuhluleka kokufakelwa.

Isebenza kanjani ipuleti lamathambo?

Ipuleti lamathambo yithuluzi lezokwelapha elalisetshenziselwa ukuqinisa amathambo phakathi kwenqubo yokuphulukisa. Kuyinto eyisiqeshana sensimbi, ngokujwayelekile eyenziwe ngensimbi engagqwali noma i-titanium, enamathiselwe ebusweni bethambo lisebenzisa izikulufa. Ipuleti lisebenza njenge-splint yangaphakathi yokubamba izingcezwana zamathambo aqhekekile ngokulandelana okufanele futhi zinikeze ukuqina ngesikhathi senqubo yokuphulukisa. Izikulufo zivikela ipuleti kuthambo, futhi ipuleti libamba izingcezwana zamathambo esikhundleni esifanele. Amapuleti e-Bone aklanyelwe ukuhlinzeka ngokulungiswa okuqinile futhi avikele ukunyakaza endaweni yokuqhekeka, evumela ithambo ukuba liphuluke kahle. Ngokuhamba kwesikhathi, ithambo lizokhula lizungeze ipuleti bese lilifaka ezicubu ezizungezile. Lapho ithambo seliphulukise ngokugcwele, ipuleti lingasuswa, yize lokhu kungadingeki ngaso sonke isikhathi.

Ingabe ukukhiya izikulufa zinikeza ukucindezelwa?

Izikulufa ezikhiyiwe azinikezi ukucindezelwa, njengoba zenzelwe ukukhiya epuletini futhi zizinze izingcezwana zamathambo ekhempini. Ukucindezelwa kutholakala ngokusebenzisa izikulufo ezingezona ezikhiyiwe ezibekwe ezindaweni zokucindezela noma izimbobo zepuleti, okuvumela ukucindezelwa kwezingcezwana zamathambo njengoba izikulufa ziqiniswa.

Ngabe amapuleti nezikulufa zilimaze?

Kuyinto evamile ukuzwa izinhlungu nokungaphatheki kahle ngemuva kokuba namapuleti nezikulufa zifakwe ngesikhathi sokuhlinzwa. Kodwa-ke, izinhlungu kufanele zinciphise ngokuhamba kwesikhathi njengoba umzimba uphulukisa futhi indawo yokuhlinzwa ilulama. Ubuhlungu bungalawulwa ngemithi nangokwelashwa ngokomzimba. Kubalulekile ukulandela imiyalo yangemva kokusebenza okunikezwe udokotela ohlinzayo futhi abike noma yiluphi lobuhlungu obuphikelelayo noma obandayo eqenjini lezokwelapha. Ezimweni ezingavamile, i-Hardware (amapuleti kanye nezikulufo) kungadala ukungahambi kahle noma ubuhlungu, futhi ezimweni ezinjalo, udokotela ohlinzayo angancoma ukususwa kwehadiwe.

Kuthatha isikhathi esingakanani amathambo ukuba aphulukise ngamapuleti nezikulufo?

Isikhathi esithatha isikhathi sokuphola ngamapuleti nezikulufo zingahluka ngokuya ngobukhulu bokulimala, indawo yokulimala, uhlobo lwethambo, kanye nempilo yonke yesiguli. Ngokuvamile, kungathatha amasonto ambalwa ziye ezinyangeni ezimbalwa ukuze amathambo aphuluke ngokuphelele ngosizo lwamapuleti nezikulufo.

Ngesikhathi sokutakula kokuqala, okuvame ukuhlala cishe emavikini ayi-6-8, isiguli sizodinga ukugqoka noma i-brace ukuze igcine indawo ethintekile futhi ivikelwe. Ngemuva kwalesi sikhathi, isiguli singaqala ukwelashwa ngokomzimba noma ukuvuselelwa kokusiza ukuthuthukisa uhla lokunyakaza namandla endaweni ethintekile.

Kodwa-ke, kubalulekile ukuqaphela ukuthi inqubo yokuphulukisa ayiphelele uma sekususwe i-cast noma i-brace, futhi ingathatha ezinye izinyanga eziningi ukuze ithambo liphinde liphinde liphinde lisebenze. Kwezinye izimo, iziguli zingathola izinhlungu ezisele noma ukungakhululeki izinyanga ezimbalwa ngemuva kokulimala, ngisho nangemva kokuba ithambo liphulukise.