Intramedillarni umwuga ukoreshwa mubuhanga bwimbere bwamatariki yagarutse muri 1940. Bikoreshwa cyane mu kuvura amagufwa maremare y'amagufwa, bidafite ubumwe, ndetse n'ibindi bikomere bifitanye isano. Tekinike ikubiyemo kwinjiza umusumari wa Intramedillary mu muyoboro wo hagati w'amagufwa kugirango uhagarike urubuga. Mu magambo yoroshye, intera Imeshidlary ni imiterere ndende hamwe na byinshiGufunga ScrewIbyokurya ku mpande zombi, bikoreshwa mu gukosora impera nziza kandi ya kure ya frecture. Ukurikije imiterere yabo, imisumari yinjira irashobora gushyirwa mubikorwa nkibikomeye, tubular, cyangwa gufungura-igice, kandi ikoreshwa mugufata ubwoko butandukanye bwabarwayi. Kurugero, imisumari ikomeye intera irwanya kwandura ibyiza kubera kubura umwanya wapfuye.
Ni ubuhe bwoko bw'imivuza bubereye intera imisumari?
Intramedillary Umusumarini impimbano ryiza ryo gufata ibiranga diaphyseal, cyane cyane muri femur na tibia. Binyuze muburyo buteye ubwoba, intramedullary umusumari arashobora gutanga umutekano mwiza mugihe bigabanye ibyangiritse byoroshye mumiterere yavunitse.
Kugabanya gufunga no kutavuga kubaga imisumari byoherejwe neza bifite inyungu zikurikira:
Kugabanuka no kurwara intera (crin) bifite ibyiza byo kwirinda guhagarika urubuga no kugabanya ibyago byo kwandura. Hamwe no gucika intege, yirinda gutandukana kwamatanura no kwangiza amaraso no kwangiza amaraso kurwego rwo kuvunika, bityo bituma habaho igipimo cyo gukira. Kubwoko bwihariye bwakuvunika amagufwa, Crin irashobora gutanga ihamye ihagije, yemerera abarwayi gutangira kugenda hakiri kare; Nibyiza kandi mubijyanye no kwinjiza imihangayiko ya aille ugereranije nubundi buryo bwo gutunganya ibicuruzwa muburyo bwibinyabuzima. Irashobora gukumira neza gukosorwa imbere nyuma yo kubagwa mu kongera aho ihurira hagati yintera n'amagufwa, bikaba bikwiriye abarwayi bafite Osteoporose.
Byakoreshejwe Kuri Tibia:
Nkuko bigaragara ku gishushanyo, uburyo bwo kubaga burimo gukora buto ya cm 3-5 gusa hejuru yigituba cya tibial, no gushyiramo imiyoboro yo gufunga 2-3 binyuze muri ibipimo bya cm 1 kuri ukuguru kumwe. Ugereranije kugabanuka gakondo no gukosorwa imbere nisahani yicyuma, ibi birashobora kwitwa tekinike idahwitse.
Byakoreshejwe Kuri Femur:
1.Imikorere yimikorere ya femoral ifunze intera umusumari:
Yerekeza kubushobozi bwayo bwo kurwanya kuzenguruka binyuze muburyo bwo gufunga imisumari ya Intramedillary.
2.Gushyira mu bikorwa by'intoki zifunze mu misumari:
Kubijyanye n'imikorere: Ibisanzwe bya Intramedullary Umusumari no Kwiyubaka Ifunze Intramedillary Umusumari; Ahanini bigenwa no kwanduza imihangayiko uhereye ku kibero kugeza ku ivi, kandi niba ibice byo hejuru no hepfo hagati ya rotands (muri 5cm) bihamye. Niba bidahungabana, kwiyubaka kwangiza imihangayiko birakenewe.
Kubijyanye n'uburebure: muburyo bugufi, bwa proximine, nuburyo bwongewe, cyane cyane byatoranijwe ukurikije uburebure bwurubuga rwavuzagurika mugihe bahitamo uburebure bwimisumari ya Intramedillar.
2.1 Ibisanzwe bihuza intera umusumari
Imikorere nyamukuru: Guhungabana kwa Axial.
Ibimenyetso: Kuvunika kwa shaft femoral (ntibisabwa kuvunika subtrochantere)
2.2 Kubaka Guhuza IntertttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttTullary
Imikorere nyamukuru: Kwanduza imihangayiko uhereye ku kibero mu gicuku cy'umunya femoral ntigihungabana, kandi hashingiwe ku kwanduza imihangayiko muri iki gice bigomba kubakwa.
Ibimenyetso: 1. Kuvunika subrochanter; 2. Kuvunika kw'ijosi ryahujwe n'umuyoboro wa femoral ku ruhande rumwe (ibicuruzwa byombi ku ruhande rumwe).
PFNA nayo ni ubwoko bwo kwiyubaka, andika intera ya Intramedullary!
2.3 Uburyo bwo gufunga kure bwa intramedillary umusumari
Uburyo bwo gufunga kure bwimisumari ihindagurika biratandukanye bitewe nuwabikoze. Mubisanzwe, imitekerereze imwe yo gufunga ikoreshwa mumisumari ya femorafer, ariko kugirango imisumari ikuze cyangwa intera ndende, imigozi ibiri ifunze ifite imbaraga zikoreshwa cyane kugirango ziteze imbere ituze rihanamye. Byombi femoral na tibial byongerewe mumisumari bigarukiramo imigozi ibiri yo gufunga.
Igihe cya nyuma: Werurwe-29-2023
