Okwangoku, ukusetyenziswa kweizibiyeli zokulungisa zangaphandlekunyango lweefractures zingahlulwa zibe ngamacandelo amabini: ukulungiswa kwangaphandle kwesikhashana kunye nokulungiswa kwangaphandle okusisigxina, kunye nemigaqo yabo yesicelo nayo ihluke.
Ukulungiswa kwangaphandle okwethutyana.
Ifanelekile izigulane ezinenkqubo kunye neemeko zendawo zingavumeli okanye azikwazi ukunyamezela ezinye iindlela zonyango.Ukuba akukho ziqhekeza ngokutshisa, zifanelekile kuphela okanye zinyamezelwe ukulungiswa kwesikhashana kunye neebhakethi zokulungiswa kwangaphandle.Emva kokuba iimeko zenkqubo okanye zendawo ziphuculwe, iukulungiswa kwangaphandleiyasuswa.I-Plate okanye i-intramedullary nailing, kodwa kwakhona kunokwenzeka ukuba oku kulungiswa kwangaphandle okwethutyana kuhlala kungatshintshi kwaye kuba yinto yokugqibela yonyango lokuphuka.
Ifanelekile izigulane ezineentlungu ezivulekileyo ezivulekileyo okanye ukulimala okuphindaphindiweyo okungafanelekanga ukulungiswa kwangaphakathi.Xa kunzima ukukhetha indlela engcono yangaphakathi yokulimala okunjalo, ukulungiswa kwangaphandle kuyindlela engcono yokulungisa.
Ukulungiswa kwangaphandle okusisigxina.
Xa usebenzisa ukulungiswa kwangaphandle okusisigxina ukunyanga iifractures, kuyimfuneko ukuqonda kunye nokuqonda iimpawu zomatshini ze-scaffolds ezisetyenzisiweyo kunye nefuthe labo kwinkqubo yokuphulukisa i-fracture, ukwenzela ukuba kuqinisekiswe ukuba i-scaffolds yokulungiswa kwangaphandle isetyenziswe kuyo yonke inkqubo yokuphulukisa ukuphuka, kwaye ekugqibeleni uzuze ukuphiliswa kwamathambo okwanelisayo., kunye neengxaki ezinxulumene nazo ezinokuvela ngexesha lenkqubo, ezifana nokusuleleka kwintsholongwane yenaliti kunye nokungahambi kakuhle kwendawo, kufuneka kuqwalaselwe.
Xa usebenzisaukulungiswa kwangaphandlenjengendlela esisigxina yokunyanga i-fractures entsha, i-stent enamandla okulungiswa kwangaphandle kufuneka isetyenziswe, kwaye ukulungiswa kwangaphambili kunye nokulungiswa okuzinzileyo kunokubonelela ngeyona ndawo ingcono kakhulu yezicubu ezithambileyo zendawo kunye nokuphulukiswa kwangaphambili kokuphuka.Nangona kunjalo, ixesha lokulungiswa kwangaphakathi okunamandla akufanele kugcinwe ixesha elide, kuba liya kuthintela uxinzelelo lwendawo yokuphuka kwaye kubangele i-osteoporosis, i-degeneration okanye i-nonunion kwindawo yokuphuka.Isiphelo esiqhekekileyo sithwala ngokuthe ngcembe umthwalo, oluncedo ekuvuseleleni nasekukhuthazeni inkqubo yokuphulukisa amathambo asekuhlaleni kuze kube yilapho i-fracture iphiliswa ngokuqinileyo.Ngokweklinikhi, xa isenzeko sokuphilisa ithambo lendawo senzeka, indawo yokuqala yokuqhekeka kwe-callus yenziwa, kwaye ngokuthe ngcembe ukuthwala umthwalo kunokuguqula i-callus yokuqala ibe yifowuni yokuphilisa.Olu xinzelelo olucocekileyo okanye uxinzelelo lwe-hydrostatic ekupheleni kokuphuka lunokukhuthaza ukuhlukana kweeseli ze-interstitial, ezifuna ukunikezelwa kwegazi okwaneleyo kwendawo, ngaphandle koko kuya kuchaphazela inkqubo yokuphulukisa amathambo.Izinto ezichaphazela inkqubo yokuphulukisa amathambo ziquka ukunikezelwa kwegazi lendawo kwindawo yokuphuka kunye neendlela zangaphandle eziqingqiweyo kunye nokunye.
Kunyango lokulungiswa kwangaphandle kweefractures, ukulungiswa okunamandla kwendawo kufuneka kufezekiswe, kwaye emva koko amandla okulungiswa kufuneka ancitshiswe ngokuthe ngcembe ukuvumela ukuphela kweqhekeza ukuba kuthwale umthwalo kunye nokukhuthaza inkqubo yokuphulukisa amathambo ukufumana imvumelwano, kodwa ixesha elide kangakanani. thatha ukutshintsha amandla okulungisa ukuvumela ukuphela kwe-fracture?Elona xesha lifanelekileyo lefestile ukuqalisa ukuthatha umthwalo licace ngokupheleleyo.Ukulungiswa kweefractures yi-fixator yangaphandle luhlobo lokulungiswa okuguquguqukayo.Umgaqo wolu lungiso oluguquguqukayo lusisiseko sepleyiti yokutshixa yanamhlanje.Ulwakhiwo lwalo lufana nokulungiswa kwangaphandle, kubandakanywa ukusebenzisa iipleyiti ezinde kunye nezikhonkwane ezimbalwa ukuphumeza iziphumo ezingcono Isiphumo sonyango: I-screw itshixiwe kwi-screws.ipleyiti yentsimbiukufezekisa umphumo wokulungisa oluncedo.
Ngokusekwe kumgaqo ofanayo, i-stent emile njengesangqa ifezekisa ukulungiswa okuqinileyo kokuqala ngokuxutywa kweenaliti ezininzi.Ekuqaleni, ukuthwala ubunzima kuyancitshiswa ukuze kugcinwe ukulungiswa okuqinileyo kwendawo.Kamva, ubunzima bunyuka ngokuthe ngcembe ukwandisa i-axial fretting kunye nokubonelela ngokuvuselela ekupheleni kokuphuka ukukhuthaza ukuphulukiswa kunye nokulungiswa.Isakhelo ngokwaso sinzima kwaye sizinzile, kwaye umphumo ofanayo ufezekiswa ekugqibeleni.
Ixesha lokuposa: Jun-02-2022
