I.Ni iyihe ntego umugozi wateguwe ufite umwobo?
Nigute sisitemu ya screw yamashanyarazi ikora? Ukoresheje insinga zoroshye za Kirschner (K-insinga) zacukuwe mumagufwa kugirango zereke inzira zerekanwa neza mubice bito byamagufwa.
Gukoresha K-insinga birinda kurenza umwobo windege kandi bigufasha gukosora ibice byamagufwa byegereje mugihe cyo gushiramo. Ibikoresho bidafite umumaro hamwe ninshundura zinjizwa mumagufwa hejuru ya K-insinga. Gukosora imigozi ya kanseri ifite akamaro mumugongo wigitereko kugirango uhagarike imvune ya odontoid no kuvura ihungabana rya atlantoaxial.
Imigozi isunitswe ifite ibyiza byinshi ugereranije n’imigozi idateganijwe: 1) K-insinga ziyobora imyanya mu magufa;
2) inzira ya K-wire ituma reposition byoroshye niba inzira yumwimerere itari nziza;
3) K-insinga zemerera gukomeza gukosora ibice byamagufwa yegeranye;
4) K-insinga zirinda kwimuka ibice byamagufwa adahindagurika mugihe cyo kwinjiza screw.
Ingorane zijyanye na K-wire (kumeneka, gusubiramo, no gutera imbere) birashobora kugabanuka ukoresheje tekinoroji ikora neza. Sisitemu idasanzwe ya kannu ya sisitemu yateguwe byumwihariko kugirango ikorwe hejuru yinkondo y'umura kugirango yemere gucukura hakoreshejwe ibikoresho birebire bya tunnel, ibyuma bya tissue, ubuyobozi bwa drill, hamwe na K-insinga ndende. Ibi bikoresho byemerera gutanga imiyoboro ya kanseri ku nguni ntoya ku rugongo binyuze mu nzira ndende yoroshye-tissue. Imiyoboro isunitswe ifite ibyiza byingenzi ugereranije ninteguza zidafite gahunda yo gukosora uruti rwumugongo rudahungabana kuri sisitemu.
II.Ni ubuhe buryo bwiza bwakoreshwa neza cyangwa imisumari idasanzwe?
Imisumari yombi yimbere hamwe n imisumari ikoreshwa nibikoresho byubuvuzi bikoreshwa mugukosora imbere kuvunika. Buriwese afite ibyiza bye kandi birakwiriye muburyo butandukanye bwo kuvunika no gukenera kuvurwa.
| Andika | Ibyiza |
| Umusumari | Ingaruka yimisumari yimitsi kumeneka ihamye yamagufa maremare nibyiza, hamwe no gukomeretsa gake no kuva amaraso make. Intramedullary imisumari ikosorwa ni iyikosorwa hagati. Ugereranije n'amasahani y'ibyuma, imisumari yimbere irashobora kandi kurinda ubusugire bwa membrane idasanzwe, kurinda gukira kuvunika gutinda, kandi bigira uruhare mukwirinda kwandura. |
| Umuyoboro | Ikoreshwa cyane mubice nko kuvunika ijosi ryigitsina gore, hamwe no gukosora bidasanzwe hamwe ningaruka zo kwikuramo. Byongeye kandi, ibyangiritse ni bito cyane kandi nta byuma bikenerwa. |
III.Iyo wakoresha kanseri ya cortical vs cortical screw?
Imiyoboro ya kanseri hamwe na cortical screw byombi ni ubwoko bwimikorere ya orthopedic ikoreshwa mugukosora amagufwa, ariko yagenewe ubwoko butandukanye bwamagufwa kandi afite uburyo butandukanye:
Imiyoboro ya Cancellous Yakozwe muburyo bwihariye kugirango ikoreshwe mu mitsi ya spongy, idafite ubucucike, na trabecular igufwa, ikunze kuboneka kumpera yamagufa maremare, nka femur na tibia. Mubisanzwe bikoreshwa mubice aho igufwa riba ryinshi kandi ridafite ubucucike, nkuturere twa metafhyseal yamagufa maremare. Bakunze gukoreshwa muburyo bujyanye numugongo, igitereko, nibice bimwe byigitugu nigituba.
Cortical Screws yagenewe gukoreshwa mumagufwa yuzuye, cortical cortique, agize urwego rwinyuma rwamagufwa menshi kandi rukomeye kandi rukomeye kuruta amagufwa ya kanseri. Mubisanzwe bikoreshwa mubihe bisabwa imbaraga nyinshi nogukomera, nko mugukosora imvune muri diaphysis (shaft) yamagufa maremare. Zikoreshwa kandi mubikoresho bimwe byo gutunganya imbere.
Muncamake, guhitamo hagati ya kanseri ya kanseri na cortical biterwa nubwoko bwamagufwa atunganijwe hamwe nibisabwa byihariye byuburyo bwimikorere. Imiyoboro ya kanseri ikwiranye n'amagufwa yoroshye, yoroheje cyane, mugihe imigozi ya cortique ari nziza kumagufwa yuzuye, yikoreye imitwaro.
Igihe cyo kohereza: Gicurasi-09-2025
