Kuvunika kw'ingingo mu gice cya kure ni kimwe mu bikomere bikunze kugaragara mu buvuzi, bishobora kugabanywamo ibice byoroheje n'ibikomeye. Ku mvune zitari zakuwe mu mwanya wazo, gufunga byoroshye no gukora imyitozo ikwiye bishobora gukoreshwa mu gukira; icyakora, ku mvune zakuwe mu mwanya wazo cyane, gufunga intoki, gufunga igice cyangwa plaster bigomba gukoreshwa; ku mvune zangiritse ku buryo bugaragara kandi bukomeye ku gice cy'ingingo, ubuvuzi bwo kubaga burakenewe.
IGICE CYA 01
Kuki radius ya kure ikunze kuvunika?
Kubera ko impera y'ubugari bw'umurambararo ari yo ihinduka hagati y'igufwa ridafite igufwa n'igufwa rito, iba idafite imbaraga nyinshi. Iyo umurwayi aguye agakora hasi, imbaraga zikagera ku kuboko ko hejuru, impera y'ubugari bw'umurambararo iba ari yo ihinduka ryinshi, bigatuma habaho kuvunika. Ubwo bwoko bw'imvune bukunze kugaragara ku bana, kuko amagufwa y'abana aba ari mato kandi adakomeye bihagije.
Iyo ukuboko gukomeretse mu mwanya wagutse n'ikiganza cy'ukuboko kigakomereka kikavunika, byitwa fracture ya radius ya kure (Colles), kandi abarenga 70% muri bo ni abo muri ubwo bwoko. Iyo ukuboko gukomeretse mu mwanya wagutse n'inyuma y'ukuboko igakomereka, byitwa fracture ya radius ya kure (Smith). Ubusembwa bumwe na bumwe busanzwe bwo ku kuboko bukunze kubaho nyuma yokuvunika kwa radius ya kure, nko "ubusembwa bwa silver fork", "ubusembwa bwa bayonet" n'ibindi.
IGICE CYA 02
Ni gute kuvunika kw'imitsi yo mu gice cya kure cy'umugezi bivurwa?
1. Kugabanya ubukana + gufunga sima + amavuta yihariye yo kwisiga mu buvuzi gakondo bw'Abashinwa bo muri Honghui
Ku bwinshi bw'ibyavunitse mu gice cya kure cy'umugongo, ibisubizo bishimishije bishobora kuboneka binyuze mu kugabanya neza intoki + gufunga plaster + gukoresha ubuvuzi gakondo bw'Abashinwa.
Abaganga b'amagufwa bagomba gufata imyanya itandukanye yo kuyifata nyuma yo kugabanuka hakurikijwe ubwoko butandukanye bw'imvune: Muri rusange, imvune za Colles (ubwoko bwo kwaguka kwa radius distal fracture) zigomba gukomezwa kuri 5°-15° y'impinduka z'ikiganza no kunyura mu gice cy'uruhande rw'inyuma; Smith. Imvune (impinduka za radius distal fracture) zashyizwe mu ruhande rw'ukuboko no mu kuguru kw'ukuboko. Imvune ya Barton yo mu mutwe (ivunika ry'ubuso bw'impinduka z ...ingingo y'ukubokon'uburyo ukuboko guhagarara, n'uburyo imvune ya Barton yavunitse byari mu mwanya wo guhagarara kw'urugingo rw'ukuboko no mu ruhande rw'ukuboko. Suzuma buri gihe DR kugira ngo usobanukirwe aho imvune iherereye, kandi uhindure uburyo imishumi mito y'urugingo igumana imbaraga ku gihe kugira ngo imvune nto igumane imbaraga.
2. Gufata urushinge rwo mu ruhu
Ku barwayi bamwe bafite ikibazo cyo kudakomera neza, gufunga plasta byoroshye ntibishobora kugumana neza aho yavunitse, kandi gufunga urushinge rwo mu ruhu muri rusange ni byo bikoreshwa. Iyi gahunda yo kuvura ishobora gukoreshwa nk'uburyo butandukanye bwo gufunga inyuma, kandi ishobora gukoreshwa hamwe na plasta cyangwagufunga inyumauduce duto, twongera cyane umurambararo w'igice cyavunitse mu gihe cy'ihungabana rike, kandi gifite imiterere yo kubaga byoroshye, gukuraho byoroshye, kandi kitagira ingaruka nyinshi ku mikorere y'urugingo rw'umurwayi rwangiritse.
3. Ubundi buryo bwo kuvura, nko kugabanya igice cy'amaraso mu buryo bufunguye, gushyiramo ibice by'imbere mu gikoresho, n'ibindi.
Ubu bwoko bw'iyi gahunda bushobora gukoreshwa ku barwayi bafite ubwoko bugoye bw'imvune n'ibikenewe cyane mu mikorere. Amahame yo kuvura ni ukugabanya imiterere y'umubiri w'imvune, gushyigikira no gufata ibice by'amagufwa byakuwe mu myanya, guteranya amagufwa afite inenge, no gufasha hakiri kare. Ibikorwa by'imikorere kugira ngo wongere imikorere mbere yo gukomereka vuba bishoboka.
Muri rusange, ku ndwara nyinshi za radius ya distal, ibitaro byacu bikora uburyo bwo kuvura busanzwe nko kugabanya intoki + gufunga plaster + gukoresha plaster gakondo yo mu bwoko bwa Honghui, nibindi, bishobora gutanga umusaruro mwiza.
IGICE CYA 03
Amabwiriza yo kwirinda nyuma yo kugabanya kwangirika kwa radius ya distal:
A. Witondere urwego rw'uburibwe mu gihe ukosora imvune zo mu gice cya kure. Urwego rw'uburibwe rugomba kuba rukwiye, rutagomba kuba rurerure cyane cyangwa ngo rurerure cyane. Iyo rurerure cyane, bigira ingaruka ku miyoboro y'amaraso igera ku gice cya kure, bishobora gutuma igice cya kure kidakora neza. Iyo uburibwe burerure cyane ku buryo budashobora gutuma igice cya kure kidakora neza, ihindagurika ry'amagufwa rishobora kongera kubaho.
B. Mu gihe cyo gukomeretsa imvune, si ngombwa guhagarika burundu imirimo, ahubwo ni ngombwa no kwita ku myitozo ngororamubiri ikwiye. Nyuma y'uko imvune imaze igihe idakora, hagomba kongerwamo imyitozo y'ibanze y'ukuboko. Abarwayi bagomba gukomeza gukora imyitozo buri munsi, kugira ngo barebe ko imyitozo izatanga umusaruro. Byongeye kandi, ku barwayi bafite imashini zifata imvune, uburyo imashini zifata imvune zishobora guhindurwa bitewe n'ubukana bw'imyitozo.
C. Nyuma yuko imvune ya radius yo mu gice cya kure irangiye, witondere uko amaguru n'amaboko byayo bifata n'ibara ry'uruhu. Iyo amaguru n'amaboko byo mu gice cya kure cy'umurwayi bikonje kandi bikagira ubukonje, ibyiyumvo bikagabanuka, kandi ibikorwa bikaba bike cyane, ni ngombwa gusuzuma niba biterwa no gufunga cyane, kandi ni ngombwa gusubira mu bitaro kugira ngo bikosorwe ku gihe.
Yoyo
Sichuan Chenanhui Technology Co., Ltd
Terefone/WhatsApp: +8615682071283
Email: liuyaoyao@medtechcah.com
Igihe cyo kohereza: Mutarama-06-2023
