By I-CAHEzonyango | Sichuan, eTshayina
Kubathengi abafuna ii-MOQ eziphantsi kunye nohlobo oluphezulu lwemveliso, ababoneleli beMultispecialty banikezela ngokwezifiso ze-MOQ eziphantsi, izisombululo zezothutho ukusuka ekuqaleni ukuya ekugqibeleni, kunye nokuthengwa kweendidi ezininzi, kuxhaswa ngamava abo atyebileyo kushishino kunye neenkonzo kunye nokuqonda okuqinileyo kweendlela ezintsha zemveliso.
I. Yintoni i-external fixation?
Izinto ezisetyenziswa kakhulu ngaphandle ziquka iiplasta kunye nee-splints ezincinci. Ukubambelela okuqhubekayo (njengokubambelela kwamathambo kunye nokubambelela kwesikhumba) kukwanomsebenzi wokunciphisa, ukuqhobosha, kunye nokulungisa ukukhubazeka, kwaye kukwayindlela yokubopha yangaphandle. Ukongeza, ukubambelela kwangaphandle, okubandakanya ukubhoboza iziphelo zethambo ngeenaliti zentsimbi kunye nokuncamathisela ii-stents zangaphandle, kukwayindlela yokubopha yangaphandle. Isetyenziswa kakhulu kwiingxaki zokuqhekeka okukhulu kunye nokuqhekeka okukhulu kwezicubu ezithambileyo, apho ukubambelela kwangaphandle kungenzeki kwaye ukubambelela kwangaphakathi ngotyando kunzima.
I-external fixator sisixhobo esisetyenziselwa ukulungisa ilungu elichaphazelekileyo ngaphandle. Sibamba ilungu kwindawo yokunyanga efunekayo ukuze kube lula ukulungiswa kwamathambo aqhekekileyo kunye nezinye izicubu ezithambileyo. Injongo ye-external fixator kukugcina indawo ethile ukuze kube lula ukulungiswa kwamathambo aqhekekileyo kunye nezinye izicubu ezithambileyo.
II. Ithini inkqubo yokulungiswa kwangaphandle?
Ukulungiswa kwamathambo ngaphandle yindlela yokulungisa amathambo esetyenziselwa ukunyanga iimeko zamathambo ezifana nokuqhekeka kwamathambo kunye nokukhubeka kwamathambo. Nantsi ingcaciso emfutshane:
Ukunciphisa ukwaphuka kwamathambo:
Ukunciphisa kubandakanya ukutsala kunye nokujikeleza ngesandla ukulungisa ukufuduka kwe-pelvic. Kwiingxaki zamalungu e-sacroiliac, ugqirha utyhala i-ilium ukuya ezinyaweni nasemgogodleni. Ukutsala kwamathambo kwenziwa ngokufaka inaliti kwi-femoral condyle. Kwiimeko ezingezizo ezingxamisekileyo, ukutsala kwamalungu asezantsi anobunzima obuyi-15-20 kg kuqala kusetyenziswa. Emva kokunciphisa, kufakwa i-fixator yangaphandle ye-pelvic, kunye nokutsala okuyi-10 kg kangangeeveki ezi-4-6. Kwiingxaki zokuqhekeka kwendandatho yangaphambili ngaphandle kokususwa kwe-hemipelvic, kufuneka i-fixator yangaphandle kuphela, kungekhona ukutsala kwamalungu asezantsi.
Ukuthunga ngenaliti:
Chonga iindawo eziphawulweyo ezinamathambo ezifana ne-iliac crest kunye ne-anterior superior iliac spine. Iintambo zeKirschner zifakwa ngecala ecaleni kodonga lwe-iliac ukuze kuchongwe ukuthambekela kwe-iliac crest. Ii-fixation pin zifakwa phakathi kweepleyiti ze-iliac zangaphakathi nezangaphandle. Iintambo ezintathu ze-3mm zifakwa kumqolo ohambelanayo ecaleni kwe-iliac crest nganye. Kwenziwa ukusika kwe-5mm emva kwe-2 cm ukuya kumqolo we-iliac ophambili. Ii-pin zifakwa phakathi ecaleni kwe-iliac crest ukuya kwi-medullary cavity, zijike nge-15°-20° ukuya kwi-sagittal plane, zijonge phakathi nasezantsi, kwaye ziqiniswe malunga ne-5-6 cm ubunzulu.
Ixesha leposi: Sep-16-2025
