1. Isingeniso
Amapuleti amancane ayisicaba agobile ohlobo lwe-T ayizinto zamathambo ezivame ukusetshenziselwa ukwelapha ukuphuka kwamathambo amancane, njengalawo asezandleni, ezinyaweni, nasemaqakaleni. Lawa mapuleti aklanyelwe ukuhlinzeka ngokulungiswa okuzinzile ngenkathi enciphisa ukulimala kwezicubu ezizungezile.
2. I-Anatomy yamathambo amancane
Ngaphambi kokuxoxa ngamapuleti ayisicaba agobile ohlobo lwe-T, kubalulekile ukuqonda i-anatomy yamathambo amancane. Amathambo amancane anesakhiwo esiyingqayizivele esenza ahluke emathanjeni amade, njengalawo asezingalweni nasemilenzeni. Amathambo amancane avamise ukuba mafishane futhi akheke ngendlela engavamile kunamathambo amade, futhi aqukethe ingxenye ephezulu yezicubu zamathambo ayisipontshi.
3. Ayini amapuleti ayisicaba amancane agobile ohlobo lwe-T?
Amapuleti amancane ayisicaba agobile ohlobo lwe-T ayizigxivizo zamathambo ezisetshenziselwa ukulungisa ukuphuka emathanjeni amancane. Lawa mapuleti enziwe ngensimbi, ngokuvamile i-titanium noma insimbi engagqwali, futhi amise okwe-T. Ingxenye egobile yepuleti ihambisana nokuma kwethambo, kuyilapho ingxenye eyisicaba inikeza indawo ezinzile yezikulufu noma ezinye izinto zokulungisa.
4. Izinzuzo zamapuleti ayisicaba agobile amancane ohlobo lwe-T
Kunezinzuzo ezimbalwa zokusebenzisa amapuleti ayisicaba agobile ohlobo lwe-T ukulungisa ukuphuka emathanjeni amancane. Lokhu kubandakanya:
Ukuphazamiseka okuncane ezicutshini ezizungezile: Ukuma okugobile kwepuleti kulivumela ukuthi livumelane nama-contours wethambo, okunciphisa ukulimala kwezicubu ezithambile ezizungezile.
Ukulungiswa okuzinzile: Ingxenye eyisicaba yepuleti inikeza indawo ezinzile yezikulufu noma ezinye izinto zokulungisa, okusiza ukubamba ithambo endaweni lapho liphola.
I-Versatility: Amapuleti amancane ayisicaba agobile ohlobo lwe-T angasetshenziswa ukulungisa ukuphuka ezinhlobonhlobo zamathambo amancane, okuwenza abe inketho yokwelashwa eguquguqukayo.
5. Afakwa kanjani amapuleti ayisicaba amancane agobile wohlobo lwe-T?
Inqubo yokuhlinzwa yokufaka ipuleti elincane eliyisicaba eligobile lohlobo lwe-T ngokuvamile lihilela ukusika eduze nokuphuka nokubeka ipuleti phezu kwethambo. Ipuleti libe selivikelwa ethanjeni kusetshenziswa izikulufu noma ezinye izinto zokulungisa. I-incision ivalwa kusetshenziswa ama-sutures noma ama-staples. Inqubo ngokuvamile yenziwa ngaphansi kwe-anesthesia yendawo noma yesifunda futhi ingathatha isikhathi esingaphansi kwehora, kuye ngobunkimbinkimbi bokuphuka.
6. Izingozi nezinkinga ezihlobene nohlobo lwe-T oluncane lwamapuleti ayisicaba agobile
Nakuba amapuleti ayisicaba amancane agobile ohlobo lwe-T ngokuvamile ephephile futhi esebenza kahle, kunezingozi ezithile kanye nezinkinga ezingaba khona ezihlobene nokusetshenziswa kwazo. Lokhu kubandakanya:
Ukutheleleka: Njenganoma iyiphi inqubo yokuhlinzwa, kunengozi yokutheleleka endaweni okusikwe kuyo noma eduze kokufakelwa.
Ukuhluleka kokufakelwa: Ipuleti lingase lihluleke ukunikeza ukulungiswa okwanele, okungaholela ekubambezelekeni kwenqubo yokuphulukisa noma isidingo sokuhlinzwa okwengeziwe.
Ukulimala kwemizwa nemithambo yegazi: Inqubo yokuhlinzwa yokufaka ipuleti ingase ilimaze imizwa ezungezile noma imithambo yegazi, okungabangela ubuhlungu noma ezinye izinkinga.
Ukungezwani nokungezwani nomzimba: Abanye abantu bangase bangezwani nezinto ezisetshenziswa epuletini, okungabangela ukungezwani komzimba.
Kubalulekile ukuxoxa ngalezi zingozi kanye nezinkinga ezingase zibe khona nodokotela wakho ohlinzayo wamathambo ngaphambi kokuba wenze inqubo.
7. Ukubuyiselwa nokuvuselelwa ngemva kokuhlinzwa kwepuleti eliyisicaba eligobile elincane le-T
Ukuthola nokubuyisela esimweni ngemva kokuhlinzwa kwepuleti eliyisicaba eligobile oluncane lwe-T kungahluka kuye ngobunzima bokuphuka kanye nempilo yomuntu iyonke. Ngokuvamile, iziguli zizodinga ukugwema imisebenzi yokuthwala isisindo amasonto ambalwa noma izinyanga ngemva kwenqubo. Ukwelapha ngokomzimba kungase futhi kunconywe ukusiza ukubuyisela amandla nokuhamba esithweni esithintekile.
8. Ezinye izindlela zokwelapha zokuphuka kwamathambo amancane
Nakuba amapuleti ayisicaba agobile ohlobo lwe-T kuyindlela yokwelapha ephumelelayo yokuphuka kwamathambo amancane, kunezinye izindlela zokwelapha ezitholakalayo. Lokhu kubandakanya:
Ukuphonsa noma ukuqiniswa: Kwezinye izimo, ukuphuka kungelashwa nge-cast noma i-brace ukuze kuvinjwe isitho esithintekile futhi kuvumele ithambo ukuthi lizipholele ngokwalo.
Ukulungiswa kwangaphandle: Lokhu kuhilela ukusetshenziswa kwezikhonkwane noma izikulufu ezishuthekwa ethanjeni futhi zixhunywe kuhlaka lwangaphandle ukuze kubambe ithambo endaweni yalo ngenkathi liphulukiswa.
I-Intramedullary nailing: Lokhu kuhilela ukufaka insimbi phakathi nendawo yethambo ukuze ibambe lapho ilulama.
Ukukhethwa kwendlela yokwelashwa kuyoncika endaweni nobukhulu bokuphuka, kanye nempilo yomuntu iyonke kanye nendlela yokuphila.
9. Isiphetho
Amapuleti ayisicaba agobile ohlobo lwe-T amancane ayindlela yokwelapha ephumelelayo yokuphuka kwamathambo amancane. Bahlinzeka ngokulungiswa okuzinzile ngenkathi benciphisa ukulimala kwezicubu ezizungezile, futhi bangasetshenziswa ukuphatha ukuhlukana okuhlukahlukene kwamathambo amancane. Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezingase zibe khona ezihlobene nokusetshenziswa kwazo, futhi kubalulekile ukuxoxa ngalokhu nodokotela wakho wamathambo ngaphambi kokuba wenze inqubo.
Imibuzo Evame Ukubuzwa
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwepuleti eliyisicaba elincane eligobile? Isikhathi sokululama singahluka kuye ngobunzima bokuphuka kanye nempilo yomuntu iyonke, kodwa iziguli eziningi zizodinga ukugwema imisebenzi yokuthwala isisindo amasonto ambalwa noma izinyanga ngemva kwenqubo.
Ingabe zikhona izingozi ezihlobene nokuhlinzwa kwepuleti eliyisicaba eligobile le-T encane? Yebo, kukhona ubungozi obuthile kanye nezinkinga ezingaba khona ezihlobene nokusetshenziswa kwamapuleti ayisicaba agobile ohlobo lwe-T, okuhlanganisa ukutheleleka, ukwehluleka kokufakelwa, ukulimala kwemizwa nemithambo yegazi, kanye nokungezwani komzimba.
Ingabe amapuleti amancane ayisicaba agobile ohlobo lwe-T angasetshenziswa ukwelapha ukuphuka kunoma yiliphi ithambo elincane? Amapuleti amancane ayisicaba agobile we-T angasetshenziswa ukwelapha ukuphuka ezinhlobonhlobo zamathambo amancane, kodwa ukukhetha ukwelashwa kuzoncika endaweni kanye nobukhulu bokuphuka.
Ipuleti livikelwa kanjani ethanjeni? Ipuleti livamise ukuvikeleka ethanjeni kusetshenziswa izikulufu noma ezinye izinto zokulungisa.
Yiziphi ezinye izindlela zokwelapha zokuphuka kwamathambo amancane? Ezinye izindlela zokwelapha zokuphuka emathanjeni amancane zihlanganisa ukuphonsa noma ukuqiniswa, ukulungiswa kwangaphandle, nokubethelwa kwe-intramedullary. Ukukhethwa kwendlela yokwelashwa kuyoncika endaweni kanye nobukhulu bokuphuka, kanye nempilo yomuntu iyonke kanye nendlela yokuphila.
