Igikoresho cy'ibyuma bifunga inzara by'abagore

By CAHUbuvuzi | Sichuan, Ubushinwa

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Ⅰ. Ni ubuhe bwoko bune bw'imvune zo mu gitsina?

1. Gucika kw'inyuma y'ikibuno

Kuvunika kw'ijosi ry'ingore: Bikunze kugaragara ku barwayi bageze mu za bukuru bafite indwara ya osteoporosis kandi bishobora gutuma umutwe w'ingore ugabanuka cyane ndetse bigatera no kwangirika kw'ijosi ry'ingore.

Gucika kw'amagufwa hagati y'amagufwa: Umurongo w'amagufwa uba hagati y'amagufwa manini n'amagufwa make, amaraso atangwa neza kandi akira neza.

Kuvunika kw'ingingo zifata igice cya trochanteric: biba munsi y'agace gato ka trochanteric, ahanini biterwa n'imvune zikoresha imbaraga nyinshi, kandi akenshi bisaba kubagwa.

2. Kuvunika kw'umugongo w'umugore

Kuvunika biba hagati mu gice cy'inyuma cy'impyiko kandi akenshi biterwa n'urugomo rutaziguye (urugero: impanuka z'imodoka, kugwa), akenshi biherekezwa no kwimuka gukomeye no kwangirika kw'ingingo zoroshye.

3. Kuvunika kw'ikirenge cya kure

Kuvunika kwa Supracondylar ku gice cy'ivi: hafi y'ingingo y'ivi, bishobora gufata ubuso bw'ingingo, kandi bigasaba kugabanya imiterere y'umubiri kugira ngo ingingo zigarure imikorere.

Gucikamo ibice hagati y'inkondo y'umugongo: bifitanye isano n'imitsi yo hagati n'iy'inyuma y'inkondo y'umugongo, ubugari bw'ingingo bugomba gusuzumwa kugira ngo hirindwe indwara yo mu mutwe.

Ⅱ. Ni izihe ngamba zikwiye gufatwa mu gihe cyo kubaga inzara zo mu gitsina?

Nyuma yo kubagwa, hagomba kwitabwaho cyane ibi bikurikira: Ubwa mbere, kwita ku gice cy'amaraso ava mu gice cyo kubagwa, kandi ukoreshe imiti yica udukoko mu buryo bukwiye mu masaha 24-48 nyuma yo kubagwa kugira ngo wirinde kwandura. Igice cyo kubagwa gihindurwa buri gihe, kandi amazi agakurwa mu masaha 24. Icya kabiri, kora imirimo yo mu kibuno n'ivi hamwe n'imyitozo ngororamubiri vuba bishoboka nyuma yo kubagwa. Inzasa zo mu nda zikoreshwa mu kuvura imvune zo mu kibuno cyangwa mu ivi zirimo inzara zigomba guterwa imisumari mu kibuno cyangwa mu mavi, ibyo bikazatera kwangirika ku ngingo zoroshye zikikije ingingo kandi bishobora gutera amaraso kwirundanya mu ngingo. Kubwibyo, ni byiza gukora uburyo ingingo zigenda zitera imbere hakiri kare nyuma yo kubagwa kugira ngo hirindwe ingorane nko gufatana kw'ingingo, ndetse no kugabanya ikorwa rya thrombosis y'imitsi yo hasi mu ngingo. Icya gatatu, ntibyemewe gutwara ibintu kare cyane nyuma yo kubagwa, kandi ni ngombwa gusuzuma X-rays buri gihe kugira ngo usobanukirwe uko igituza cyavunitse gikura kandi gikire, kandi uteze imbere gukira kw'imvune mu buryo bukwiye binyuze mu miti.

Ⅲ. Ni irihe tandukaniro riri hagati ya PFN A na A2?

PFN-A na A2 ni ibitekerezo bibiri bitandukanye rwose, icya mbere ni igikoresho cyo gushyira imbere mu kuvura imvune zo mu nda y'inyuma y'impyiko (urusenda rwo mu nda y'inyuma y'impyiko rurwanya kuzunguruka), naho icya kabiri ni ubwoko bw'imvune zo mu nda y'inyuma y'impyiko muri sisitemu yo kwandika AO.

PFN-A ni igikoresho cyihariye cyo kubaga imbere mu nda, bisobanura "Proximal Femoral Nail Anti-rotation". Ni sisitemu y'inzara yo mu nda ikosora imvune ishyirwa mu mwobo wa femoral medullary, ifite imiterere yo kurwanya kuzunguruka no gufunga neza, kandi ikoreshwa cyane cyane mu kuvura imvune zo mu bwoko bwa AO A1, A2, A3 n'imvune zo mu bwoko bwa subtrochanteric.

A2 ni ubwoko bw'ibisobanuro by'ivunika ry'inyuma ry'umugongo hagati ya trochanteric muri sisitemu yo gushyira mu byiciro AO kandi ishyirwa mu cyiciro cy'ivunika ridahindagurika. Dukurikije icyiciro cya AO, ivunika ry'ubwoko bwa A2 rirangwa n'umurongo w'ivunika unyura mu gace ka trochanteric n'ivunika ry'inyuma ry'umugongo ahantu nibura habiri hafite umubare munini w'ivunika. Igabanyijemo kabiri muri ibi bikurikira:

Ubwoko bwa A2.1: Hari ubugari bw'amagufwa hagati y'amagufwa.

Ubwoko bwa A2.2: Hariho ibice byinshi byo hagati byo gucikamo ibice hagati y'ama-trochanter.

Ubwoko bwa A2.3: Umurongo w'ivunika urenga cm 1 munsi y'agace gato k'inyuma

Muri make, PFN-A ni igikoresho cyo kuvura naho A2 ni ubwoko bw'imvune. Mu buvuzi, abaganga bazahitamo uburyo bukwiye bwo gufata imbere hakurikijwe uburyo bwa AO bw'imvune y'umurwayi (nk'ubwoko bwa A2), kandi PFN-A ni bumwe mu buryo busanzwe bwo kubaga mu kuvura imvune zidakora neza zo mu gitsina nko mu bwoko bwa A2.