PFNA tekinike yo gutunganya imbere
PFNA (Antirotation ya Proximal Femorale), hafi ya femorale anti-rotation intramedullary umusumari.Irakwiriye ubwoko butandukanye bwimvune zomugore;kuvunika subtrochanteric;kuvunika ijosi ry'umugore;kuvunika ijosi ryigitsina gore hamwe no kuvunika kwumugore;kuvunika femorale intertrochanteric ivanze hamwe no kuvunika kwumugore.
Ibishushanyo nyamukuru byerekana imisumari nibyiza
（1 design Igishushanyo mbonera cy’imisumari cyerekanwe n’imanza zirenga 200.000 za PFNA, kandi cyageze ku mukino mwiza hamwe na anatomiya y’umuyoboro wa medullary ；
（2） Impagarike ya dogere 6 ya misumari nyamukuru kugirango yinjizwe byoroshye kuva hejuru ya trochanter nini ；
（3 na Umusumari wuzuye, byoroshye gushiramo ；
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Icyuma kizunguruka:
(1) Igikorwa kimwe cyimbere icyarimwe cyuzuza anti-rotation na stabilisation inguni;
(2) Icyuma gifite ubuso bunini hamwe na diameter yiyongera buhoro buhoro.Mugutwara no guhonyora amagufwa ya kanseri, imbaraga zomugozi zicyuma zirashobora kunozwa, zikaba cyane cyane kubarwayi bafite imvune zidakabije;
.Impera yamenetse ifite ubushobozi bukomeye bwo gusenyuka no guhinduka kwa varus nyuma yo kwinjizwa.
Ingingo zikurikira zigomba kwitonderwa mukuvura kuvunika kwabagore hamwePFNA ikosora imbere:
(1) Benshi mu barwayi bageze mu zabukuru barwaye indwara z’ubuvuzi kandi ntibihanganira kubagwa.Mbere yo kubagwa, imiterere rusange yumurwayi igomba gusuzumwa byimazeyo.Niba umurwayi ashobora kwihanganira kubagwa, kubagwa bigomba gukorwa hakiri kare, kandi ingingo yanduye igomba gukorwa hakiri kare nyuma yo kubagwa.Kurinda cyangwa kugabanya ibibaho bitoroshye;
(2) Ubugari bwa cavite ya medullary bugomba gupimwa mbere mbere yo gukora.Diameter yumusumari nyamukuru winjiza ni mm2 ntoya kurenza ubuvumo bwa medullary, kandi ntibikwiye ko hashyirwa urugomo kugirango wirinde ko habaho ibibazo nko kuvunika femur kure;
.Gukurura bihagije no kugabanya gufunga kuvunika munsi ya fluoroscopi nurufunguzo rwo kubaga neza;
. y'ijosi ry'umugore n'umutwe w'igitsina gore ukoresheje umuhoro nyuma yo kubagwa, bigabanya ingaruka zo kubaga;
. umutwe w'umugore;
.Bibaye ngombwa, umugozi wibyuma urashobora gukoreshwa muguhuza ibice byavunitse, ariko bizagira ingaruka kumuti wavunitse kandi ugomba kwirinda;
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Ibyiza n'imbibi za PFNA
Nubwoko bushya bwaigikoresho cyo gukosora, PFNA irashobora kwimura umutwaro binyuze mu gusohora, kugirango impande zimbere ninyuma zumugore zishobora kwihanganira imihangayiko imwe, bityo bikagera ku ntego yo kunoza ituze ningaruka zo gukosora imbere.Ingaruka ihamye nibyiza nibindi.
Ikoreshwa rya PFNA rifite kandi imbogamizi zimwe na zimwe, nk'ingorabahizi mu gushyira umugozi wo gufunga kure, kongera ibyago byo kuvunika hafi y'umugozi ufunga, ubumuga bwa coxa varus, n'ububabare mu kibero cy'ibibero by'imbere biterwa no kurakara k'umutwe wa iliotibial.Osteoporose, bityogukosorwaakenshi ifite amahirwe yo gukosorwa kunanirwa no kuvunika kudahuza.
Kubwibyo, kubarwayi bageze mu zabukuru bafite imvune zidahungabana hamwe na osteoporose ikabije, kubyara ibiro kare ntibyemewe rwose nyuma yo gufata PFNA.
Igihe cyo kohereza: Nzeri-30-2022
