Okwangoku, ukusetyenziswa kweizibiyeli zokubopha zangaphandlekunyango lwezaphuko zingahlulwa zibe ziindidi ezimbini: ukulungiswa kwangaphandle okwethutyana kunye nokulungiswa kwangaphandle okusisigxina, kwaye imigaqo yazo yokusetyenziswa nayo yahlukile.
Ukulungiswa kwangaphandle okwethutyana.
Ifanelekile kwizigulana ezineemeko zomzimba nezengingqi ezingavumeliyo okanye ezingenakunyamezela ezinye iindlela zonyango. Ukuba akukho mingxunya yokutsha, ifanelekile okanye inyanyekelwa kuphela xa ifakelwa okwethutyana ngeebrakethi zokubopha zangaphandle. Emva kokuba iimeko zomzimba okanye zengingqi ziphucukile,ukulungiswa kwangaphandleisusiwe. Ipleyiti okanye ukubethelwa kwezipikili ngaphakathi kwe-medullary, kodwa kusenokwenzeka ukuba olu lungiso lwangaphandle lwexeshana luhlale lungatshintshanga kwaye lube lolona nyango luphezulu lokuqhekeka.
Ifanelekile kwizigulana ezineengozi ezivulekileyo kakhulu okanye ezenzakeleyo ezininzi ezingafanelekanga ukufakwa ngaphakathi. Xa kunzima ukukhetha indlela engcono yangaphakathi yokwenzakala okunjalo, ukufakwa ngaphandle kuyindlela engcono yokufaka.
Ukulungiswa kwangaphandle okungapheliyo.
Xa usebenzisa i-confixation yangaphandle esisigxina ukunyanga ukwaphuka, kuyimfuneko ukuqonda iimpawu zoomatshini zee-scaffold ezisetyenzisiweyo kunye nempembelelo yazo kwinkqubo yokuphiliswa kwaphuka, ukuze kuqinisekiswe ukuba ii-scaffolds zokufakelwa kwangaphandle zisetyenziswa kuyo yonke inkqubo yokuphiliswa kwaphuka, kwaye ekugqibeleni zifezekise ukuphiliswa kwamathambo okwanelisayo. , kunye neengxaki ezinxulumene noko ezinokuvela ngexesha lenkqubo, ezinje ngosulelo lwendlela yenaliti kunye nokungonwabi kwendawo, nazo kufuneka ziqwalaselwe.
Xa usebenzisaukulungiswa kwangaphandleNjengendlela esisigxina yokunyanga ukwaphuka okutsha, kufuneka kusetyenziswe i-stent enamandla okuqina kwangaphandle, kwaye ukuqina okuqinileyo nokuzinzileyo kwangoko kunokubonelela ngendawo efanelekileyo yokuphiliswa kwezicubu ezithambileyo zasekuhlaleni kunye nokuphiliswa kwasekuqaleni kokuqhekeka. Nangona kunjalo, ixesha lokuqina kwangaphakathi okuqinileyo akufuneki ligcinwe ixesha elide, kuba kuya kuthintela uxinzelelo lwasekhaya lokuqhekeka kwaye kubangele i-osteoporosis, ukuwohloka okanye ukungadibani kwindawo yokuqhekeka. Isiphelo esiqhekekileyo sithwala umthwalo kancinci kancinci, okuluncedo ekukhuthazeni nasekukhuthazeni inkqubo yokuphiliswa kwamathambo asekuhlaleni de ukwaphuka kuphole ngokuqinileyo. Ngokwezonyango, xa kwenzeka into yokuphiliswa kwamathambo asekuhlaleni, indawo yokuqhekeka kwasekuqaleni yenziwa, kwaye ukuthwala umthwalo kancinci kancinci kunokuguqula i-callus yokuqala ibe yi-callus yokuphilisa. Olu xinzelelo lucocekileyo okanye uxinzelelo lwe-hydrostatic ekupheleni kokuqhekeka lunokukhuthaza ukwahluka kweeseli zangaphakathi, ezifuna ukunikezelwa kwegazi okwaneleyo kwasekuhlaleni, kungenjalo ziya kuchaphazela inkqubo yokuphiliswa kwamathambo. Izinto ezichaphazela inkqubo yokuphiliswa kwamathambo ziquka ukunikezelwa kwegazi lasekuhlaleni kwindawo yokuqhekeka kunye neendlela zangaphandle eziFixed njalo njalo.
Xa kunyangwa ukulungiswa kwangaphandle kwezaphuko, kufuneka kufunyanwe ukulungiswa okuqinileyo kwendawo, kwaye emva koko amandla okulungiswa kufuneka ancitshiswe kancinci kancinci ukuze kuvunyelwe ukuphela kwezaphuko ukuba zithwale umthwalo kwaye kukhuthazwe inkqubo yokuphiliswa kwamathambo ukuze kufunyanwe imvumelwano, kodwa kuthatha ixesha elingakanani ukutshintsha amandla okulungiswa ukuze kuvunyelwe ukuphela kwezaphuko? Ixesha elifanelekileyo lokuqala ukuthatha umthwalo licacile ngokupheleleyo. Ukulungiswa kwezaphuko yi-fixator yangaphandle luhlobo lokulungiswa okuguquguqukayo. Umgaqo wolu lungiso oluguquguqukayo sisiseko sepleyiti yokutshixa yanamhlanje. Ulwakhiwo lwayo lufana nokulungiswa kwangaphandle, kubandakanya ukusebenzisa iipleyiti ezinde kunye nezikrufu ezimbalwa ukuze kufumaneke iziphumo ezingcono. Isiphumo sonyango: Isikrufu sitshixiwe kwiipleyiti yesinyithiukufezekisa isiphumo esiluncedo sokulungisa.
Ngokusekelwe kumgaqo ofanayo, i-stent efana neringi ifikelela ekuqineni kokuqala ngokufaka inaliti kwiindlela ezininzi. Ekuqaleni, ukuthwala ubunzima kuyancitshiswa ukuze kugcinwe ukuqina kwendawo. Kamva, ukuthwala ubunzima kuyandiswa kancinci kancinci ukuze kwandiswe i-axial fretting kwaye kunike ukhuthazo kwisiphelo sokwaphuka ukukhuthaza ukuphiliswa nokuqina kokwaphuka. Isakhelo ngokwaso siqinile kwaye sizinzile, kwaye umphumo ofanayo ufunyanwa ekugqibeleni.
Ixesha lokuthumela: Juni-02-2022
