I. Ni iyihe mpamvu ituma vis irimo kannule igira umwobo?
Uburyo bwo gukurura bukozwe mu macupa bukora bute? Hakoreshejwe insinga nto za Kirschner (insinga za K) zashyizwe mu igufwa kugira ngo ziyobore neza inzira z'udukingirizo mu duce duto tw'amagufwa.
Gukoresha insinga za K birinda gucukura cyane imyobo y'inyuma y'igufwa kandi bigatuma ibice by'amagufwa byegeranye bifatwa mu gihe cyo gushyiramo insinga. Ibikoresho by'ubusa n'insinga z'ubusa bishyirwa mu igufwa hejuru y'insinga za K. Gufata insinga z'ubusa ni ingirakamaro mu mugongo w'inkondo y'umura kugira ngo bifashe neza imvune z'amagufwa no kuvura ihungabana rya atlantoaxial.
Screws zifite kannules zifite ibyiza byinshi ugereranije na screws zitari kannules: 1) insinga za K ziyobora aho screws zijya mu igufwa;
2) inzira ya K-wire ihindura aho iherereye byoroshye iyo inzira ya mbere itari nziza;
3) insinga za K zemerera gukomeza gufata ibice by'amagufwa bidakomeye biri hafi aho;
4) Insinga za K zirinda ko ibice by'amagufwa bidakora neza bigenda mu gihe cyo gushyiramo utuzunguru.
Ingorane zijyanye n'insinga ya K (gucika, kuyishyira mu mwanya wayo, no kuyitera imbere) zishobora kugabanuka hakoreshejwe uburyo bwo kubaga bunoze. Sisitemu yihariye y'ibikoresho byo gufunga umugongo wo hejuru yakozwe by'umwihariko kugira ngo yemererwe gucukura impande zombi hakoreshejwe ibikoresho birebire byo gucukura, ibyuma bifunga imigozi, ibyuma biyobora imigozi, n'insinga ndende za K. Ibi bikoresho byemerera kohereza ibyuma byo gufunga umugongo ku nguni ntoya unyuze mu nzira ndende zoroshye. Ibikoresho byo gufunga umugongo bifite inyungu zikomeye ugereranije n'ibitari byo gufunga umugongo wo hagati w'umugongo udakomeye ku mubiri.
II. Ni iyihe misumari ikoreshwa mu gufunga cyangwa inzara zo mu nda nziza kurusha izindi?
Inzara zo mu nda n'iz'ingobyi zombi ni ibikoresho by'ubuvuzi bikoreshwa mu gufata imbere imvune. Buri imwe ifite ibyiza byayo kandi ikwiriye ubwoko butandukanye bw'imvune n'ibikenewe mu kuvura.
| Ubwoko | Akamaro |
| Urusumari rwo mu nda | Ingaruka zo gufata inzara mu magufwa maremare ni nziza, aho gukomereka guke kandi amaraso agake. Gufata inzara mu magufwa ni ingenzi mu gufata inzara hagati. Ugereranyije n'ibyuma, inzara mu magufwa zishobora no kurinda ubusugire bw'ururenda rudasanzwe, zikarinda ko imvune zitinda gukira, kandi zikagira uruhare mu kwirinda kwandura. |
| Screw ifite kannule | Ikoreshwa cyane cyane mu bice nko kuvunika ijosi ry’ijosi, hamwe n’uburyo bwihariye bwo kuyishyiraho no kuyikanda. Byongeye kandi, ibyangiritse ni bike cyane kandi nta ntera z’icyuma zikenewe. |
III. Ni ryari wakoresha vis za cancellous vs cortical?
Udupira two mu bwoko bwa "Cancellous" na "cortical screws" twombi ni ubwoko bw'udupira two mu magufwa dukoreshwa mu gufata amagufwa, ariko twagenewe ubwoko butandukanye bw'amagufwa kandi dufite akamaro kadasanzwe:
Screws zikoreshwa mu buryo bwihariye mu igufwa rifite imirasire, ridafite ubucucike bwinshi, kandi ridafite ubucucike bwinshi, rikunze kuboneka ku mpera z'amagufwa maremare, nka femur na tibia. Akenshi zikoreshwa ahantu igufwa rifite imyenge myinshi kandi ridafite ubucucike bwinshi, nko mu duce twa metaphyseal tw'amagufwa maremare. Akenshi zikoreshwa mu buryo bukoreshwa mu gutera uruti rw'umugongo, ikibuno, n'ibice bimwe na bimwe by'urutugu n'ikibuno.
Cortical Screws yagenewe gukoreshwa mu magufwa akomeye, agize urwego rw'inyuma rw'amagufwa menshi kandi akomeye cyane kandi akomeye kurusha amagufwa agabanya ubukana. Muri rusange ikoreshwa mu bihe bikenewe imbaraga n'ubudahangarwa, nko mu gufata amagufwa maremare mu gice cy'amagufwa. Ikoreshwa kandi mu bikoresho bimwe na bimwe byo gufata imbere no mu byuma bifunga imbere.
Muri make, guhitamo hagati y’amagufwa akoreshwa mu gufunga no gufunga biterwa n’ubwoko bw’amagufwa ashyirwaho ndetse n’ibisabwa byihariye mu buryo bwo gukora amagufwa. Amagufwa akoreshwa mu gufunga akwiriye amagufwa yoroshye kandi afite imyenge myinshi, mu gihe amagufwa akoreshwa mu gufunga no gufunga ari meza ku magufwa akomeye kandi yikorera imizigo.
Igihe cyo kohereza: Gicurasi-09-2025
