Ikoranabuhanga ryimisumari ryimisumari ni uburyo bwo gukosora amade yo gukosora imbere. Amateka yacyo arashobora gukurikiranwa kugeza muri 1940. Bikoreshwa cyane mugufata imiyoboro miremire yamagufwa, adanunion, nibindi, mugushira imisumari yinkuta hagati yigituba gisabuwe. Gukosora urubuga. Muri ibyo bibazo, tuzamenyekanisha ibijyanye nawe hafi yimisumari.
Muri make, umusumari wa Intramedillary ni imiterere miremire ibyombo byinshi byo gufunga kumpande zombi kugirango ukemure impera yivunike. Dukurikije inzego zitandukanye, zirashobora kugabanywamo, tubula, gufungura-igice, nibindi, bikwiranye nabarwayi batandukanye. Kurugero, imisumari ikomeye intera inzitizi irahanganye kwandura kuko nta mwanya wapfuye. Ubushobozi bwiza.
Gufata Tibia nk'urugero, diameter yo mu cyumba gisambanye iratandukanye cyane mu barwayi batandukanye. Dukurikije niba gusubiramo bikenewe, imisumari yinjira irashobora kugabanywamo imisumari yahinduwe kandi idasubirwamo. Itandukaniro ririho niba reamers igomba gukoreshwa kuri medullary reaming, harimo nigitabo cyangwa ibikoresho byamashanyarazi, nibindi bikinisho binini bikoreshwa muguka kwagura umwobo munini wa diamedter.
Ariko, inzira yo kwagura Marrow kwangiza sogotoum, nkuko bigaragara ku gishushanyo, kandi bigira ingaruka igice cyisoko itanga amagufwa yo gutanga amagufwa, zishobora gutera insombyaga yamagufwa yibanze kandi wongere ibyago byo kwandura. Ariko, bifitanye isano nubushakashatsi bujyanye no guhakana ko hari itandukaniro rikomeye. Hariho n'ibitekerezo byemeza agaciro kadukinguye. Ku ruhande rumwe, intera imisumari hamwe na diameters nini irashobora gukoreshwa mubyifuzo. Imbaraga nimbaho byiyongera hamwe no kwiyongera kwa diameter, hamwe nubuturere hamwe nubuvumo bwa Medullary bwiyongera. Hariho kandi kureba ko imiyoboro mito yamagufwa ikozwe mugihe cya Marrow Kwagura kandi ugira uruhare runaka mumyitozo ngororamubiri.
Impaka nyamukuru zishyigikira uburyo budasubirwamo ni uko bishobora kugabanya ibyago byo kwandura no guhandura embolism, ariko ibidashobora kwirengagizwa ni uko diameter yayo izana imitungo yo hejuru. Kugeza ubu, imisumari myinshi yo mu turere ikunda gukoresha imisumari yaguye, ariko ibyiza n'ibibi biracyakenewe gupimwa hashingiwe ku bunini bw'akazi k'umuhanga no kuvunika. Icyifuzo kuri reamer nukugabanya amakimbirane mugihe cyo gukata no gukata no kugabanya umubyimba muto, bityo akagabanya igitutu mubyago bikabije kandi birinda kwishyuza amagufwa no mu ngingo zoroshye ziterwa no guterana amagambo. Necrosis.
Nyuma yimvura ya Intramedorlary yinjijwe, irasabwa gukosora. Gukosora imyanya gakondo byitwa gufunga static, kandi abantu bamwe bizera ko bishobora gutera gukira. Nkigutezimbere, ibyobo byo gufunga byateguwe muburyo bwa oval, bwitwa gufunga.
Ibyavuzwe haruguru ni intangiriro kubice bya intramedillary imisumari. Mu kibazo gikurikira, tuzasangira nawe inzira ngufi yo kubaga imisumari.
Igihe cya nyuma: Sep-16-2023
