Isahani yo gufunga nigikoresho cyo kuvunika gifite umwobo.Iyo umugozi ufite umutwe wumugozi winjijwe mu mwobo, isahani iba igikoresho cyo gukosora inguni.Gufunga (inguni-ihamye) ibyuma birashobora kugira ibyuma byombi bidafunga kandi bidafunze kugirango imigozi itandukanye ihindurwe (nanone bita ibyuma bisobekeranye).
1.Amateka n'iterambere
Isahani yo gufunga yatangijwe bwa mbere hashize imyaka 20 kugirango ikoreshwe mu kubaga umugongo na maxillofacial.Mu mpera za 1980 na 1990, ubushakashatsi bwubushakashatsi bwubwoko butandukanye bwibikoresho byo gutunganya imbere bwinjije amasahani yo gufunga kuvura kuvunika.Ubu buryo bwo gukosora umutekano bwateguwe mbere kugirango birinde gutandukana kworoshye.
Ibintu byinshi byateje imbere ikoreshwa ryamavuriro yisahani, harimo:
Umubare w'imvune zavunitse zikomeje kwiyongera uko umubare w'ubuzima ugenda wiyongera ku barwayi bafite ibikomere byinshi ndetse n'umubare w'abarwayi bageze mu zabukuru barwaye osteoporose wiyongera mu Burayi bw'i Burengerazuba no muri Amerika y'Amajyaruguru.
Abaganga n'abarwayi ntibanyuzwe n'ibisubizo byo kuvura imvune zimwe na zimwe.
Ibindi bintu biteza imbere amavuriro bishobora kuba birimo: guteza imbere inganda zikoranabuhanga rishya n'amasoko mashya;buhoro buhoro gukundwa kubagwa byoroheje byibasiye, nibindi
2.Ibiranga n'amahame ahamye
Itandukaniro nyamukuru ryibinyabuzima hagati yo gufunga amasahani hamwe nisahani gakondo nuko iyanyuma yishingikiriza ku guterana amagambo kuri plaque-plaque kugirango irangize igufwa ryamagufa.
Inenge ya biomehanike yibyuma gakondo: guhagarika periosteum kandi bigira ingaruka kumaraso kugeza kumeneka.Kubwibyo, gakondo isanzwe ihamye neza osteosynthesis (nka compression intergragmentary compression na lag screw) ifite igipimo cyinshi cyo kugorana, harimo kwandura, kuvunika amasahani, gutinda ubumwe, no kudahuza.
Mugihe umutwaro wikizunguruka uzamuka, imigozi itangira kurekura bigatuma guterana kugabanuka, amaherezo bigatuma isahani irekura.Niba isahani irekuye mbere yuko kuvunika gukira, impera yamenetse izahinduka idahungabana kandi amaherezo isahani izacika.Biragoye cyane kubona no gukomeza gukosora neza (nka metafhysis na osteoporotic amagufwa arangira), niko bigoye gukomeza guhagarara neza kumeneka.
Ihame rihamye:
Gufunga amasahani ntibishingiye ku guterana amagambo hagati yamagufa-isahani.Igihagararo gikomezwa nu ntera ihamye hagati yimigozi nicyuma.Kuberako ubu bwoko bwo gufunga imbere bukosora bufite ubunyangamugayo butajegajega, imbaraga zo gukuramo imbaraga zo gufunga umutwe ni hejuru cyane kuruta izisanzwe.Keretse niba imigozi yose ikikije iyo ikuweho cyangwa ivunitse, biragoye ko umugozi ukururwa cyangwa kumeneka wenyine.
3.Ibimenyetso
Ibice byinshi byavuwe kubagwa ntibisaba gufunga ibyapa.Igihe cyose amahame yo kubaga amagufwa akurikijwe, kuvunika kwinshi kurashobora gukira hamwe namasahani gakondo cyangwa imisumari yimbere.
Nubwo bimeze bityo ariko, mubyukuri hari ubwoko bwihariye bwimvune bukunda gutakaza kugabanuka, isahani cyangwa kuvunika imigozi, hamwe no kudahuza amagufwa.Ubu bwoko, bakunze kwita kuvunika "kutarakemuka" cyangwa "ikibazo", burimo kuvunika imbere-articular kuvunika, kuvunika amagufwa magufi, no kuvunika osteoporotic.Ivunika nkiryo ryerekana gufunga amasahani.
4.Gusaba
Umubare munini wabakora nabo batanga amasahani ya anatomique hamwe nu mwobo.Kurugero, ibyapa bya anatomic byateguwe kubigore byegeranye kandi byitaruye, tibiya yegeranye kandi ya kure, hafi ya humerus ya kure na kure, na calcane.Igishushanyo cya plaque yicyuma kigabanya cyane isano iri hagati yicyuma namagufwa mugihe kinini, bityo bikarinda amaraso ya periosteal hamwe no gutunganya impera.
LCP (gufunga isahani yo gufunga)
Udushya dushya two gufunga plaque ihuza tekinoroji ebyiri zitandukanye zo gutunganya imbere muburyo bumwe.
LCP irashobora gukoreshwa nka plaque yo guhunika, gufunga imbere imbere, cyangwa guhuza byombi
Ntibisanzwe:
Umubare wiyongereye wibisahani bifunga ibyuma bya stent byo hanze, abifata, hamwe nibishushanyo mbonera byemerera abaganga gushyira isahani muburyo butandukanye cyangwa munsi yubutaka kubwimpamvu zoroshye.
Niba ushaka kumenya ibicuruzwa byacu, nyamuneka hamagara:
Yoyo
Whatsapp / Tel: +86 15682071283
Igihe cyo kohereza: Nzeri-25-2023
