Uburyo bwo gufunga imbere muri PFNA

Ingingo zikurikira zigomba kwitabwaho mu kuvura imvune zo mu gitsina hamweGushyiraho PFNA imbere:

(1) Abarwayi benshi bageze mu zabukuru barwaye indwara z’ibanze kandi ntibashobora kwihanganira kubagwa. Mbere yo kubagwa, imiterere rusange y’umurwayi igomba gusuzumwa neza. Niba umurwayi ashobora kwihanganira kubagwa, kubagwa bigomba gukorwa hakiri kare, kandi urugingo rwangiritse rugomba gukorwa hakiri kare nyuma yo kubagwa. Kugira ngo hirindwe cyangwa kugabanyirizwa ingaruka zitandukanye;

(2) Ubugari bw'umwobo wa medullary bugomba gupimwa mbere y'uko igikorwa kiba. Umurambararo w'umusumari w'imbere mu kanwa ni muto kuri mm 1-2 ugereranije n'umwobo wa medullary nyirizina, kandi ntabwo bikwiriye gushyirwaho cyane kugira ngo hirindwe ingorane nko kuvunika kwa distal femur;

(3) Umurwayi aba aryamye, urugingo rwangiritse rugororotse, kandi uruziga rw'imbere ni 15°, byoroshye gushyiramo urushinge rw'umuyobozi n'inzara nyamukuru. Gufata neza no kugabanya imvune zifunze hakoreshejwe fluoroscopy ni byo bituma abaganga babasha kubaga neza;

(4) Gukoresha nabi aho urushinge rw’ingenzi ruyobora urushinge bishobora gutuma urushinge rw’ibanze rwa PFNA rufungwa mu mwobo wa medullary cyangwa aho icyuma gifata urushinge rw’insinga giherereye hadasobanutse neza, bishobora gutuma imvune igabanuka cyangwa stress y’ijosi ry’insinga n’umutwe w’insinga ifata urushinge nyuma yo kubagwa, bigabanura ingaruka zo kubagwa;

(5) Imashini ya X-ray yo mu ruhu (C-arm X-ray) igomba kwita ku burebure n'ubudasa bw'urushinge rw'icyuma giyobora icyuma iyo ikora, kandi uburebure bw'umutwe w'icyuma gikoresha icyuma bugomba kuba hagati ya mm 5-10 munsi y'ubuso bw'agatsinsino k'umutwe w'inyuma;

(6) Ku mvune zivanze za subtrochanteric cyangwa ibice birebire bya oblique, ni byiza gukoresha PFNA yagutse, kandi gukenera kugabanya bivangwa biterwa no kugabanuka kw'imvune n'uko iguma imeze nyuma yo kugabanuka. Iyo bibaye ngombwa, insinga y'icyuma ishobora gukoreshwa mu gufata icyuma cyavunitse, ariko izagira ingaruka ku gukira kw'imvune kandi igomba kwirindwa;

(7) Ku mvune zacitsemo ibice hejuru ya trochanter nini, igikorwa kigomba kuba cyoroshye uko bishoboka kose kugira ngo hirindwe ko ibice byacitse bikomeza gutandukana.

Ibyiza n'imbogamizi bya PFNA

Nk'ubwoko bushya bwaigikoresho cyo gufata amenyo imbere mu nda, PFNA ishobora kohereza umutwaro binyuze mu gusohora, ku buryo impande z'imbere n'inyuma z'ikibuno zishobora kwihanganira umuvuduko umwe, bityo bikagera ku ntego yo kunoza uburyo imbere ifata imvune. Ingaruka zihamye ni nziza n'ibindi.

Gukoresha PFNA bifite imbogamizi zimwe na zimwe, nko kugorwa no gushyira vis yo gufunga iri kure, ibyago byinshi byo kuvunika hafi y’vis yo gufunga, ubumuga bwa coxa varus, n’ububabare mu gice cy’imbere cy’ikibero buterwa no kurakara k’umugozi wa iliotibial.gufungana kw'imbere mu mugongoakenshi ishobora gutuma icyuma gihagarara nabi kandi kikavunika.

Kubwibyo, ku barwayi bageze mu zabukuru bafite imvune zidakora neza hagati y’imitsi kandi bafite osteoporosis ikomeye, kwitwara ibiro hakiri kare ntibyemewe na gato nyuma yo gufata PFNA.