Bivugwa ko Ishami ry’Ubumwe bw’Amagufwa n’Ibibyimba mu Bitaro bya Wuhan ryarangije kubaga bwa mbere “bukozwe mu buryo bwa 3D-printed reverse shoulder arthroplasty hamwe no kubaka hemi-scapula”. Kubaga neza bigaragaza urwego rushya mu ikoranabuhanga ryo gukata no gusana ikibyimba cy’urutugu mu bitaro, bizaniye inkuru nziza abarwayi bafite ibibazo bikomeye.
Nyirasenge Liu w’imyaka 56 muri uyu mwaka, yari afite ububabare mu rutugu rw’iburyo mu myaka myinshi ishize. Byarushijeho kwiyongera cyane mu mezi 4 ashize, cyane cyane nijoro. Ibitaro byo muri ako gace byasanze "ibisebe bya kanseri yo mu rutugu rw’iburyo" kuri iyo filime. Yaje mu bitaro by’amagufwa n’ibibyimba byo mu rutugu bya Wuhan Union Hospital kugira ngo avurwe. Nyuma y’uko itsinda rya Porofeseri Liu Jianxiang ryakiriye umurwayi, hakozwe ibizamini bya CT na MR mu ngingo z’urutugu, maze ikibyimba cyakoreshejwe mu gice cy’urutugu cy’imbere na scapula, bitandukanye. Ubwa mbere, hakozwe biopsy yo gutobora umurwayi, maze isuzuma ry’indwara ryemezwa ko ari "biphasic synovial sarcoma yo mu rutugu rw’iburyo". Bitewe n’uko iki kibyimba ari ikibyimba kibi kandi umurwayi afite ikintu kimwe mu mubiri wose, itsinda ryateguye gahunda y’ubuvuzi yihariye yo gukuraho burundu igice cy’urutugu rw’imbere n’igice cya scapula, no gusimbuza ingingo y’urutugu rw’inyuma rw’icyuma cyacapwe mu buryo bwa 3D. Intego ni ukugera ku gucibwa ikibyimba no kongera kubaka insimburangingo, bityo ingingo z'urutugu rw'umurwayi zigasubirana imiterere n'imikorere bisanzwe.
Nyuma yo kumenyesha umurwayi uko amerewe, gahunda yo kumuvura, n'ingaruka z'ubuvuzi yiteze ku murwayi n'umuryango we, no kubona uburenganzira bwabo, itsinda ryatangiye kwitegura kubagwa byihuse. Kugira ngo habeho gucibwa burundu ikibyimba, kimwe cya kabiri cy'agasabo k'inyuma kigomba gukurwaho muri iki gikorwa, kandi kongera kubaka ingingo y'urutugu ni ikintu kigoye. Nyuma yo gusuzuma neza amashusho, gusuzuma umubiri, no kuganira, Porofeseri Liu Jianxiang, Dr. Zhao Lei, na Dr. Zhong Binlong bateguye gahunda irambuye yo kubaga kandi baganira ku miterere n'uburyo bwo gutunganya iyi poroteyine n'umuhanga mu by'ingufu inshuro nyinshi. Biganye uburyo bwo gupima no gutunganya poroteyine n'ingufu ku gishushanyo cyacapwe mu buryo bwa 3D, barema "uburyo bwihariye" ku murwayi - poroteyine y'urutugu rw'ubukorano ihuza amagufwa ye bwite mu gipimo cya 1: 1.
A. Pima ingano y'uburyo bwo gupima amenyo. B. Kora igishushanyo mbonera cya 3D. C. Capa igishushanyo mbonera cya 3D. D. Shyiramo igishushanyo mbonera mbere y'igihe.
Urugingo rw'urutugu rw'inyuma rutandukanye n'urw'urutugu rw'ubukorano rusanzwe, aho urugingo rw'umuzenguruko rushyirwa ku ruhande rw'agasafuriya k'umugongo w'umugongo, hanyuma agakombe gashyirwa ku gasafuriya k'umugongo gashyirwa ku ruhande rw'agasafuriya k'umugongo, mu gice cy'urutugu cy'umugongo gishyirwa ku gice cy'umugongo cy'umugongo gishyirwa ku gice cy'umugongo cy'umugongo gishyirwa ku gice cy'umugongo cy'umugongo. Ubu buryo bwo kubaga bufite ibyiza bikurikira: 1. Bushobora guhuza neza n'ubusembwa bw'amagufwa manini buterwa no gucibwa ikibyimba; 2. Utwobo two gusana imitsi twakozwe mbere dushobora gukosora ingingo zoroshye zikikije no kwirinda kudakomera kw'ingingo guterwa no gucibwa agasafuriya k'umugongo; 3. Imiterere ya trabecular ya bio-mimetic ku buso bw'agasafuriya ishobora gutuma amagufwa n'ingingo byoroshye biyikikije bikura; 4. Urugingo rw'urutugu rw'umugongo rwihariye rushobora kugabanya neza igipimo cyo kwimuka kw'agasafuriya nyuma yo kubagwa. Bitandukanye n'uburyo busanzwe bwo gusimbuza urutugu rw'umugongo, ubu buryo bwo kubaga busaba kandi gukuraho umutwe wose w'umugongo n'igice cy'igikombe cy'umugongo, no kongera kubaka umutwe w'umugongo n'igikombe cy'umugongo nk'igice cy'umugongo wose, bisaba igishushanyo mbonera cyiza n'ubuhanga bwiza bwo kubaga.
Nyuma yo gutegura no kwitegura neza mu gihe cyo kubagwa, kubagwa byakozwe neza ku murwayi vuba aha, biyobowe na Porofeseri Liu Jianxiang. Itsinda ryakoranye bya hafi kandi ryakoze ibikorwa byo kubaga neza kugira ngo barangize gukuraho ikibyimba burundu, bakore osteotomy neza y'umugongo n'inyuma y'igufwa, bashyireho kandi bateranye insimburangingo y'ubukorano, byatwaye amasaha 2 kugira ngo birangire.
D: Kata neza igice cyose cya humerus na scapula ukoresheje icyuma gikata amagufwa kugira ngo ukureho ikibyimba (H: Intraoperative fluoroscopy yo gukuraho ikibyimba)
Nyuma yo kubagwa, umurwayi yari ameze neza, kandi bashoboye kugenda bakoresheje icyuma gikingira ku kuguru kwagize ikibazo ku munsi wa kabiri no gukora ingendo z'ingingo z'urutugu zidakora. Imiterere ya X-ray yakurikiranye yagaragaje aho ingingo z'urutugu zihagaze neza kandi zigakira neza.
Ubu buryo bwo kubaga ni bwo bwa mbere bwakorewe mu bitaro bya Wuhan Union Hospital Department of Orthopedics, aho bakoresha uburyo bwa 3D capacited cutting guide hamwe n’insinga zihariye zo gusimbuza ingingo z’urutugu zisubira inyuma ndetse n’ingufu zo gusimbuza hemi-scapula. Gushyira mu bikorwa neza ubu buryo bizatanga icyizere cyo kurokora amaguru ku barwayi benshi bafite ibibyimba byo ku rutugu, kandi bigirire akamaro umubare munini w’abarwayi.
Igihe cyo kohereza: 28 Mata 2023
