DHS na DCS ni iki?
DHS (Dynamic Hip Screw)ni uburyo bwo kubaga bukoreshwa cyane cyane mu kuvura kuvunika kw'ijosi ry'umugore no kuvunika hagati. Igizwe na screw na sisitemu ya plaque itanga gukosorwa neza mukwemerera kwikuramo imbaraga kumwanya wavunitse, bigatera gukira.
DCS (Dynamic Condylar Screw)ni igikoresho cyo gukosora gikoreshwa kumeneka ya femur ya kure na tibia yegeranye. Ihuza ibyiza byombi byashizwemo imigozi myinshi (MCS) hamwe na DHS yatewe, itanga compression igenzurwa binyuze mumigozi itatu itondekanye muburyo butatu bwa mpandeshatu.
Ni irihe tandukaniro riri hagati ya DHS na D.CS?
DHS (Dynamic Hip Screw) ikoreshwa cyane cyane mumajosi yumugore no kuvunika intertrochanteric, itanga gukosorwa neza hamwe na sisitemu ya plate. DCS.
DCS Ikoreshwa Niki?
DCS ikoreshwa mukuvura kuvunika muri femur ya kure na tibia yegeranye. Ifite akamaro kanini mugutanga ituze no guteza imbere gukira muri utwo turere ukoresheje compression igenzurwa igenzurwa ahavunitse.
Ni irihe tandukaniro riri hagati ya DCS na DPL?
DPL (Gufunga Umuvuduko Ukabije)ni ubundi bwoko bwa sisitemu yo gukosora ikoreshwa mu kubaga amagufwa. Mugihe DCS na DPL byombi bigamije gutanga igisubizo gihamye cyo kuvunika, DPL mubisanzwe ikoresha imigozi yo gufunga hamwe namasahani kugirango igere ku gukosorwa gukomeye, mugihe DCS yibanda ku kwikuramo imbaraga kugirango byongere gukira kuvunika.
Ni irihe tandukaniro riri hagati ya DPS na CPS?
DPS (Sisitemu ya Dynamic Sisitemu)naCPS (Sisitemu yo guhunika)byombi bikoreshwa mugukosora kuvunika. DPS itanga imbaraga zo kwikuramo imbaraga, zishobora kongera gukira kuvunika mugutezimbere gutandukana mugihe cyo kwikorera ibiro. Ku rundi ruhande, CPS, itanga compression ihagaze kandi ikoreshwa kumeneka ihamye aho guhagarika imbaraga bidakenewe.
Ni irihe tandukaniro riri hagati ya DCS 1 na DCS 2?
DCS 1 na DCS 2 bivuga ibisekuru bitandukanye cyangwa iboneza rya sisitemu ya Dynamic Condylar. DCS 2 irashobora gutanga iterambere mubijyanye nigishushanyo, ibikoresho, cyangwa tekiniki yo kubaga ugereranije na DCS 1. Ariko, itandukaniro ryihariye ryaterwa namakuru agezweho niterambere ryakozwe muri sisitemu.
Nigute DHS?
DHS ni uburyo bwo kubaga bukoreshwa mu kuvura kuvunika kw'igitsina gore cyegeranye, harimo kuvunika hagati ya subtrochanteric. Inzira ikubiyemo intambwe zikurikira:
1.Gutegura mbere yo gutangira: Umurwayi asuzumwa neza, kandi kuvunika gushyirwa mubikorwa hakoreshejwe ubushakashatsi bwerekana amashusho nka X-ray.
2.Anesteziya: Anesthesia rusange cyangwa anesthesi yakarere (urugero, anesthesia yumugongo) itangwa.
3.Gufata no Kumenyekanisha: Gukomeretsa kuruhande bikozwe hejuru yibibuno, imitsi igasubira inyuma kugirango igaragaze igitsina gore.
4.Gabanya no gukosora: Kuvunika kugabanuka (guhuza) munsi ya fluoroscopique. Imiyoboro minini ya kanseri (lag screw) yinjizwa mumajosi no mumutwe. Iyi screw ibitse mumaboko yicyuma, ifatanye nisahani ishyizwe kumurongo winyuma wumugore hamwe ninsinga. DHS yemerera kwikuramo imbaraga, bivuze ko umugozi ushobora kunyerera mumaboko, bigatera kuvunika no gukira.
5.Gufunga: Gucibwa bifunze mubice, kandi hashobora gushyirwaho imiyoboro kugirango birinde indwara ya hematoma.
Kubaga PFN ni iki?
Kubaga PFN (Proximal Femoral Nail) ni ubundi buryo bukoreshwa mu kuvura imvune zegeranye. Harimo kwinjiza umusumari winjiye mu muyoboro wigitsina gore, utanga igisubizo gihamye kiva mumagufwa.
Niki Z Phenomenon muri PFN?
"Z phenomenon" muri PFN bivuga ingorane zishobora kuba aho umusumari, bitewe nigishushanyo cyawo n'imbaraga zashyizwe mu bikorwa, bishobora gutera varus gusenyuka kw'ijosi ry'umugore. Ibi birashobora kuganisha ku malaignment hamwe ningaruka mbi zimikorere. Bibaho iyo geometrie yimisumari nimbaraga zashyizwe mugihe cyo kwikorera ibiro bitera umusumari kwimuka cyangwa guhinduka, biganisha kumiterere ya "Z" iranga imisumari.
Niki Cyiza: Imisumari yimbere cyangwa Dynamic Hip Screw?
Guhitamo hagati yimisumari idasanzwe (nka PFN) na Dynamic Hip Screw (DHS) biterwa nibintu byinshi, harimo ubwoko bwavunitse, ubwiza bwamagufwa, nibiranga abarwayi. Ubushakashatsi bwerekanye ko PFN muri rusange itanga inyungu zimwe:
1.Gutakaza Amaraso Kugabanuka: Kubaga PFN mubisanzwe bituma habaho gutakaza amaraso make ugereranije na DHS.
2.Igihe cyo Kubaga Igihe: Gahunda ya PFN akenshi irihuta, igabanya igihe munsi ya anesthesia.
3.Mobilisation kare: abarwayi bavuwe na PFN barashobora gukanguka no kubyara ibiro hakiri kare, bigatuma bakira vuba.
4.Ibibazo byagabanijwe: PFN yajyanye nibibazo bike, nko kwandura na malunion.
Nyamara, DHS ikomeje guhitamo neza, cyane cyane kubwoko bumwe na bumwe bwimvune zihamye aho igishushanyo cyacyo gishobora gutanga igisubizo cyiza. Icyemezo kigomba gufatwa hashingiwe kubyo abarwayi bakeneye hamwe nubuhanga bwo kubaga.
PFN irashobora gukurwaho?
Kenshi na kenshi, PFN (Proximal Femoral Nail) ntigomba gukurwaho iyo kuvunika gukize. Ariko, kuvanaho birashobora gusuzumwa niba umurwayi afite ibibazo cyangwa ingorane zijyanye no guterwa. Icyemezo cyo gukuraho PFN kigomba gufatwa hifashishijwe inama n’umuganga ubaga amagufwa, urebye ibintu nk’ubuzima bw’umurwayi muri rusange n’ingaruka zishobora guterwa n’inyungu zo gukuraho.
Igihe cyo kohereza: Apr-19-2025
