Gutera imisumarini uburyo bukoreshwa cyane bwimikorere ya orthopedic imbere yo gukosora guhera muri 1940.Ikoreshwa cyane mukuvura amagufwa maremare, kudahuza ubumwe, nizindi nkomere zijyanye nayo.Tekinike ikubiyemo kwinjiza umusumari winjiye mu muyoboro wo hagati w'amagufwa kugirango uhagarike aho yavunitse.Mumagambo yoroshye, imisumari yimbere ni imiterere ndende hamwe na byinshigufungaumwobo ku mpande zombi, zikoreshwa mugukosora impera yegeranye kandi ya kure yimvune.Ukurikije imiterere yabyo, imisumari yimbere irashobora gushyirwa mubice nkibikomeye, tubular, cyangwa ifunguye, kandi bikoreshwa mukuvura ubwoko butandukanye bwabarwayi.Kurugero, imisumari ikomeye yimbere ifite uburyo bwiza bwo kurwanya kwandura kubera kubura umwanya wimbere.
Ni ubuhe bwoko bw'imvune bubereye imisumari?
Umusumarini ikintu cyiza cyo kuvura kuvunika diaphyseal, cyane cyane muri femur na tibia.Binyuze muburyo bworoshye bwo gutera, imisumari yimbere irashobora gutanga ituze ryiza mugihe igabanya ibyangiritse byoroshye mubice byavunitse.
Kugabanya gufunga no kubaga imisumari yo kubaga bifite inyungu zikurikira:
Kugabanya gufunga no gutera imisumari (CRIN) bifite ibyiza byo kwirinda gukomeretsa ahavunitse no kugabanya ibyago byo kwandura.Hamwe no gutemagura gato, birinda gutandukana kwinshi kwinyama no kwangirika kwamaraso ahavunitse, bityo bikazamura umuvuduko wo gukira kuvunika.Kubwoko bwihariye bwakuvunika amagufwa yegeranye, CRIN irashobora gutanga ihame ryambere ryambere, ryemerera abarwayi gutangira kugenda hakiri kare;ni byiza cyane mubijyanye no kwihanganira imitekerereze ya axial ugereranije nubundi buryo bwo gutunganya eccentricique mubijyanye na biomehanike.Irashobora kwirinda neza kurekura imbere yimbere nyuma yo kubagwa hongerwa aho uhurira hagati yatewe n'amagufwa, bigatuma bikwiranye nabarwayi barwaye osteoporose.
Bikoreshwa kuri tibia:
Nkuko bigaragara kuri iki gishushanyo, uburyo bwo kubaga burimo gukora agace gato ka cm 3-5 hejuru yigituntu cya tibial tibial, no gushiramo imigozi 2-3 yo gufunga ukoresheje ibice bitarenze cm 1 kumpera yegeranye kandi ya kure yamaguru yo hepfo.Ugereranije no kugabanuka gakondo no gukosora imbere hamwe nicyuma, ibi birashobora kwitwa tekinike yibasiwe cyane.
Bikoreshwa kuri femur:
1.Imikorere yo gufunga imikorere yumugore ifunze imisumari:
Yerekeza ku bushobozi bwayo bwo kurwanya kuzunguruka binyuze mu buryo bwo gufunga imisumari yimbere.
2.Gushyira imisumari ifunze imisumari:
Kubireba imikorere: imisumari isanzwe ifunze imisumari hamwe no kwiyubaka bifunze imisumari yimbere;ahanini bigenwa no kwanduza kuva mu kibuno kugera ku ivi, kandi niba ibice byo hejuru no hepfo hagati ya rotateur (muri 5cm) bihamye.Niba bidahindagurika, birakenewe kongera kwiyubaka kwa hip stress.
Ukurikije uburebure: ubwoko bugufi, bwegeranye, kandi bwagutse, cyane cyane bwatoranijwe bushingiye ku burebure bwikibanza cyavunitse mugihe uhitamo uburebure bwimisumari yimbere.
2.1 Imisumari isanzwe ihuza imisumari
Igikorwa nyamukuru: guhagarika umutima.
Ibyerekana: Ibice byavunitse byigitsina gore (ntibikoreshwa kumeneka ya subtrochanteric)
2.2 Kwiyubaka guhuza imisumari yimbere
Igikorwa nyamukuru: Ihererekanyabubasha riva mu kibuno kugera ku gitsina gore ntirihungabana, kandi ihame ryo kwanduza imihangayiko muri iki gice rigomba kongera kwiyubaka.
Ibyerekana: 1. Ivunika rya Subtrochanteric;2. Ivunika ry ijosi ryigitsina gore rivanze no kuvunika kwa femorale kuruhande rumwe (kuvunika byombi kuruhande rumwe).
PFNA nayo ni ubwoko bwo kwiyubaka-ubwoko bwimisumari!
2.3 Uburyo bwo gufunga intera yimisumari yimbere
Uburyo bwo gufunga intera yimisumari iratandukanye bitewe nuwabikoze.Mubisanzwe, umugozi umwe wo gufunga static ukoreshwa kumisumari ya femorale yegeranye cyane, ariko kubuvunike bwigitsina gore cyangwa imisumari miremire, imisumari ibiri cyangwa itatu yo gufunga static hamwe no gufunga imbaraga zikoreshwa muburyo bwo kuzunguruka.Byombi byigitsina gore na tibial birebire imisumari yimbere ikosorwa hamwe n'imigozi ibiri ifunga.
Igihe cyo kohereza: Werurwe-29-2023
