Guhitamo aho umuntu yinjira mu ivuriro ry’imitsi yo mu bwoko bwa Tibial Fractures ni imwe mu ntambwe z'ingenzi mu gutuma ubuvuzi bwo kubaga bugenda neza. Aho umuntu yinjira mu ivuriro ry’imitsi yo mu bwoko bwa Intramedullary, haba mu buryo bwo kuvura amenyo cyangwa mu buryo bwo kuvura amenyo, bishobora gutuma umuntu atabasha gusubira mu mwanya we, aho amenyo avunitse, ndetse no gukomeretsa ingingo z’ingenzi z’ivi zikikije aho umuntu yinjira.
Hazasobanurwa ibice bitatu by'aho inzara zishyirwa mu gice cy'imbere cy'umugongo w'ikibuno.
Ni iyihe ngingo isanzwe yo gushyiramo inzara mu gice cy'imbere cy'umugongo wa tibial?
Ingaruka z'urukara rw'imbere mu gice cy'inyuma cy'umugongo (tibial intramedullary) rwacitse ni izihe?
Ni gute aho umuntu yinjira neza hagaragazwa mu gihe cyo kubagwa?
I. Ni iyihe ngingo isanzwe yo kwinjiramoTibialIntramedullary?
Aho ingingo iherereye ni mu gace k’aho uruziga rw’inyuma n’uruti rw’umugongo, igice cyo hagati cy’uruti rw’inyuma rw’uruti rw’umugongo, naho igice cyo ku ruhande kiri ku mugezi uri hagati y’uruti rw’umugongo n’agace k’uruti rw’umugongo.
Intera y'ahantu hatekanye aho binjirira
22.9±8.9mm, aho urushinge rushobora gushyirwa nta kwangiza igufwa rya ACL n'inyama za meniscus.
II. Ni izihe ngaruka z'umuntu wataye umurongoTibialIinteramedullary Nail?
Bitewe n'uduheri two mu gice cyo hasi, hagati, n'aho duherereye, uduheri two mu gice cyo hasi ni two tugira ingaruka zigaragara cyane, uduheri two hagati mu gice cyo hasi ni two dufite ingaruka nke, naho impera yo hagati ifitanye isano ahanini n'aho urura rw'imbere mu gice cyo hagati ruherereye n'aho ruhagaze.
# Imvune zo mu gice cyo hasi cy'amabere
# Imvune zo mu gice cyo hagati cy'amagufwa
Aho umuntu yinjira nta ngaruka nyinshi agira ku kwimura, ariko ni byiza gushyiramo umusumari uhereye aho umuntu yinjira.
# Imvune zo mu gice cya kure cy'amagufwa y'uruti rw'umugongo
Aho kwinjira hasabwa kuba kimwe n'aho amenyo yavunitse, kandi aho inzara zo mu nda ziherereye hasabwa kuba hagati mu gice cy'imbere cy'uruti rw'umugongo.
Ⅲ. HEse ni ukumenya niba aho urushinge rwinjirira ari heza mu gihe cyo kubagwa?
Dukeneye fluoroscopy kugira ngo tumenye niba aho urushinge rwinjirira ari heza. Ni ngombwa cyane gufata orthopantomogram isanzwe y'ivi mbere yo kubagwa, none se byakorwa bite?
Umurongo usanzwe wa orthopantomogramu - umurongo uhwanye n'umutwe wa fibulari
Umurongo wa ortho-x-ray ukorwa nk'umurongo ugororotse, kandi umurongo uteganye w'umurongo wa mechanical ukorwa ku nkengero z'uruhande rw'ikibaya cya tibial, ugomba guca umutwe wa fibulari kuri ortho-x-ray mo kabiri. Iyo habonetse umwe muri iyo x-ray, bigaragara ko yafashwe neza.
Niba ortho-slice atari isanzwe, urugero, niba umunyu urimo gutungwa n’aho usanzwe ufungurirwa, iyo habayeho kuzunguruka inyuma, bizagaragaza ko aho ufungurira hari hanze, naho aho uzunguruka imbere hakagaragaza ko aho ufungurira hari imbere, ibyo bizagira ingaruka ku isuzuma ry’uko ugiye kubagwa.
Ku gipimo cya X-ray gisanzwe cyo ku ruhande, imiyoboro y'imbere n'iy'inyuma y'ijisho ry ...
IV. Incamake y'ibikubiye muri iyi nyandiko
Aho inzara zinjira mu gice cy'imbere cy'umugongo wa tibia haherereye ku ruhande rw'imbere rw'uruti rw'umugongo rwa tibia, no ku ruhande rw'amazi hagati y'ikibaya cya tibia n'agace k'impinduka z'umugongo wa tibia.
Agace k'umutekano aho winjirira ni gato cyane, ni mm 22.9±8.9 gusa, kandi urushinge rushobora gushyirwa muri ako gace rutangiza igufwa rya ACL n'ingingo zo mu bwoko bwa meniscal.
Hagomba gufatwa orthopantomographe isanzwe mu gihe cyo kubagwa hamwe na radiographe zo ku ruhande rw'ivi, ari nabyo bifasha kumenya niba aho urushinge rwinjirira ari ho cyangwa atari ho.
Igihe cyo kohereza: Mutarama-02-2023
