Isahani yo gufunga icyapa

Isahani ifunga plaque yo kuvura ivunika rya radiyo ya kure hamwe no kutongera amagufwa ntabwo bigira ingaruka kumaradiyo. Mu kuvunika kugabanijwe, kongera amagufwa yinyongera ntabwo ari ngombwa niba kugabanya anatomical intraoperative kugabanya no gukosora bikorwa mugihe bishoboka.

Ikoreshwa rya plaque ya volar yo kubaga gukosora ibice bya radiyo ya kure bimaze kumenyekana. Nyamara, ibibazo byinshi bifitanye isano nubu bwoko bwo kubaga byagaragaye, harimo no guturika. Ihungabana rya flexor pollicis longus tendon hamwe na extensor pollicis longus tendon ijyanye no gusana ibice bya radiyo ya kure hamwe nisahani nkiyi byavuzwe bwa mbere mu 19981 na 2000,2. Indwara zivugwa ko zanduye flexor pollicis longus tendon iturika ifitanye isano no gukoresha icyuma gifunga icyuma gifunga radiyo ya kure kuva kuri 0.3% kugeza kuri 12% .3,4 Kugira ngo hagabanuke kubaho kwa flexor pollicis longus tendon guturika nyuma yo gukosora plaque ya volar ivunika rya radiyo ya kure, abanditsi bitaye ku gushyira isahani. Mu ruhererekane rw'abarwayi bafite imvune ya radiyo ya kure, abanditsi bakoze ubushakashatsi ku mibare ya buri mwaka mu mubare w'ingaruka zijyanye n'ingamba zo kuvura. Ubushakashatsi buriho bwakoze iperereza ku kibazo cy’ingorane nyuma yo kubagwa kuvunika imirasire ya kure hamwe na plaque ya volar.

Hariho igipimo cyingutu cya 7% murwego rwubu rwabarwayi bafite imvune ya radiyo ya kure bavuwe hamwe no kubagwa hamwe na plaque ya volar. Ingorane zirimo syndrome ya carpal tunnel, periferique nerval palsy, imbarutso yimibare, hamwe no guturika. Umurongo wamazi nikimenyetso cyingirakamaro cyo kubaga kugirango ushyire icyapa gifunga. Nta kibazo cyo guhindagurika kwa flexor pollicis longus tendon cyabaye mu barwayi 694 kubera ko hitaweho cyane ku isano iri hagati yo guterwa na tendon.

Ibisubizo byacu bishyigikira ko plaque ya volar ihamye-ifunze ni uburyo bwiza bwo kuvura imvururu zidasanzwe za radiyo zidasanzwe, bituma hasubirwamo hakiri kare nyuma yuburwayi.