Amavuriro akoreshwa muburyo bwo guhagarika imiyoboro ya kanseri mu kubaga amagufwa

Imiyoboro ya compression yamashanyarazi yabaye kimwe mubikoresho byinshi kandi byingenzi byo gukosora muburyo bwo kubaga amagufwa agezweho. Byashizweho hamwe numuyoboro wo hagati utuma winjiza hejuru yubuyobozi, iyi screw ituma hashyirwa neza, gukosorwa neza, hamwe nubuhanga bwo kubaga bworoshye.

Ubushobozi bwabo bwo gutanga compression igenzurwa kumirongo yamenetse ituma biba byiza mugucunga ibice byavunitse cyangwa byoroshye, cyane cyane ikibuno, amaguru, namagufwa mato yintoki namaguru. Iyi ngingo isubiramo amavuriro yingenzi yubuvuzi bwa compression yamashanyarazi kandi ikanagaragaza uburyo biteza imbere ibyavuye mu kubaga mu turere dutandukanye.

Kubaga ikibuno: Gukosora bihamye kuvunika kw'ijosi ry'umugore

Kuvunika kw'ijosi ry'umugore-bikunze kugaragara mu bantu bakuze ndetse no ku barwayi bafite ihungabana rikomeye-bisaba gukosorwa imbere kugira ngo bigarure umuvuduko kandi birinde ingorane nka nonunion cyangwa necrosis avascular.Amashanyarazi yamenetseni igisubizo gisanzwe bitewe nuburyo buhanitse kandi bworoshye bwo kwinjiza inzira.

Urugero rwa Clinical:

Umurwayi wimyaka 65 ufite kuvunika ijosi ryigitsina gore adafite aho ahuriye no kugabanuka gufunga no gukosorwa imbere hamwe ninshuro eshatu zibangikanye. Kuyoborwa na K-insinga, imigozi yashyizwe muburyo butatu bwa mpandeshatu kugirango ibinyabuzima bigabanuke. Nyuma ya X-imirasire yerekana kwerekana neza kandi ikomeza kwikuramo. Mugihe cibyumweru 12, umurwayi yerekanye ubushobozi bwuzuye bwo gutwara ibiro hamwe na radiyo ikomeye.

Impamvu bakora neza kuvunika ikibuno:

Guidewire-ifashijwe gushira itanga inzira nyayo ya screw.

Gucomeka kugenzurwa bitezimbere ituze ryambere no gukiza amagufwa.

Inzira ntoya itera kugabanya ihahamuka ryoroshye kandi ryihuta gukira.

Ibice byinshi-iboneza byongera kuzenguruka no guhagarara neza.

Kubaga amaguru: Gukosora kuvunika kwa Malleolar na Talar

Amagambo ahuriweho hamwe na anatomiya hamwe no kwikorera ibiro bisaba gushyirwaho gukosora bitanga kwikuramo imbaraga no gukomeza guhuza imbaraga mukibazo cya mehaniki. Imiyoboro yo guhunika ikoreshwa cyane mugukomeretsa kwa malleolus yo hagati, kuvunika kwa malleolus kuruhande, no gukomeretsa umubiri wa talar cyangwa ijosi.

Urugero rwa Clinical:

Umukinnyi wimyaka 30 yakomeretse hagati ya malleolus mugihe cyimvune ya siporo. Abaganga babaga bagabanije kuvunika kandi bashyiramo imigozi ibiri yometseho urumogi kugirango bagere kuri compression kurubuga rwacitse. Uburyo buyobowe bwagabanije guhagarika ingirabuzimafatizo zoroheje-cyane cyane izengurutse akaguru, aho imitsi y'amaraso iba yuzuye. Umurwayi yagarutse mu mahugurwa mu mezi ane, ashyigikiwe no gukosorwa neza no gukangurwa hakiri kare.

Ibyiza mu Karere ka Ankle:

Nibyiza cyane kubito, byoroshye, cyangwa bigoye-kubona-ibice.

Kwiyunvikana biteza imbere byihuse amagufwa ya kanseri.

Kugabanya ingano yo kugabanya kugabanya ibyago byo guhura nibibazo.

Bihujwe nubundi buryo bwo gukosora (urugero, ibyapa-screw byubaka) kuvunika bigoye.

Amagufwa mato mato: Ukuboko, ukuboko, no kuvunika ibirenge

Amagufwa mato akenera ibyuma byoroshye bitanga ituze nta bwinshi. Imiyoboro yo guhunika yamenetse-akenshi iboneka muri diametre ntoya - nibyiza kuvunika scaphoide, kuvunika metacarpal, no gukomeretsa kwa phalanx, ndetse no kuvunika ukuguru, nka metatarsal ya navicular na gatanu.

Urugero rwa Clinical:

Umurwayi wimyaka 22 ufite kuvunika ikibuno cya scaphoide yakosowe muburyo butandukanye akoresheje umugozi wo kwikuramo utagira umutwe. Umugozi watanze kwikuramo bikomeje kumeneka, bituma intoki zigenda kare. Mugihe cibyumweru umunani, CT scan yemeje guhuza amagufwa, umurwayi akomeza imirimo isanzwe nta gukomera.

Impamvu bakora neza mumagufwa mato:

Ibishushanyo bidafite umutwe bikuraho ibyuma byamamare no kurakara.

Gushyira neza birinda imitsi ikikije hamwe nubuso rusange.

Gukomeza kwikuramo byongera igipimo cyubumwe mumagufwa afite amaraso make (urugero, scaphoide).

Inzira ntoya itera kugabanya inkovu nigihe cyo gukira.

Ibyiza bya Tekinike Gutwara Ibyiza byo Kubaga

Hirya no hino mu turere dutandukanye twa anatomique, imigozi yo guhunika yamashanyarazi isangiye ibyiza bya tekinike ituma bikundwa nabaganga babaga amagufwa:

Gushyira hejuru cyane:

Guidewire ishingiye ku kwinjiza igabanya ibyago byo kudahuza.

Kwiyunvikana guhoraho:

Ibice bimwe bifatanye cyangwa bidafite umutwe bitanga igenzura ryagabanijwe rikenewe kugirango ukire neza.

Guhindagurika muburyo bwo kwegera:

Birakwiye kubifungura no gufungura byibuze kubaga byibasiye.

Kugabanya ihungabana ryo kubaga:

Ibice bito biganisha ku gihe gito cyo gukora no gusubiza mu buzima bwihuse.

Imbaraga za Biomechanical:

Yashizweho kugirango ihangane n'imizigo izenguruka hamwe na axial, ndetse no mubice bitwara ibiro nkibibuno.

Umwanzuro：

Imiyoboro ya compression yamenetse igira uruhare runini mugucunga imvune zamagufwa, zitanga ibisobanuro byuzuye, bihamye, hamwe nibyiza byibasirwa muburyo butandukanye bwamavuriro. Byaba bikoreshwa mu kuvunika ijosi ryigitsina gore, gukomeretsa kwa malleolar, cyangwa kugorora amagufwa mato mumaboko no mukirenge, iyi miyoboro ihora itezimbere umusaruro wumurwayi nigipimo cyo gukira. Guhuza n'imiterere itandukanye ya anatomique hamwe nuburyo bwo kuvunika bituma bakora ikintu cyingenzi mubikorwa byimyitozo ngororamubiri.