IM Rod ndi Misomali Zogwiritsidwa Ntchito Pogwiritsa Ntchito Mfupa
Ndodo za Intramedullary (IM) zimagwiritsidwa ntchito kuti zigwirizane ndikukhazikika. Mitengo ya IM imalowetsedwa mumtsinje wa mafupa amkati pakati pa mafupa aatali a m'mphepete mwake. Zikhoza kugwiritsidwa ntchito mu chikazi (ntchafu fupa) kapena tibia (fupa fupa), mwachitsanzo. Amatchedwanso intramedullary misomali.
Imodzi mwa mapindu a IM omwe amagwiritsa ntchito njira zina zowonongeka ndikuti ma IM amagawana katundu ndi fupa m'malo mochirikiza mafupa.
Chifukwa cha ichi, odwala amatha kugwiritsa ntchito mofulumira mofulumira.
IM rods silingagwiritsidwe ntchito pa zophulika zonse, ndipo nthawi zambiri zimakhala zodandaula zokhudzana ndi ululu ndi zizindikiro zina pa malo omwe IM-rods amalowetsamo. Pachifukwa ichi, ntchito yachiwiri ingafunike kuchotsa IM chipangizo ngati muli ndi zizindikiro zowawa. Apo ayi, IM imapangidwa kuti ikhale mkati mwa mafupa anu kwamuyaya.
Machiritso a Matenda ndi Intramedullary Rods
Ndikofunika kuzindikira kuti mitundu iyi ya implants siimayendetsa kwambiri machiritso a mafupa ndipo samatenga malo a machiritso a mafupa. Chokhachokha chokhazikika chomwe chimagwiritsidwa ntchito kuti chizikhala cholimba chimapangidwira kuti chiwonongeko chikhale choyendetsa bwino pamene njira yachiritse ya machiritso imachitika.
Ngakhale machiritso a phungu sangathe kufulumizitsa, magulu ena a IM amapangidwa kuti akhale ndi mphamvu zokwanira kuti anyamule katundu, ndipo chifukwa chake anthu amatha kulemera pang'onopang'ono kusiyana ndi momwe muyenera kuyembekezera kuchiritsa kwa mafupa .
Zochita za Intramedullary Rods
Chimake cham'mimba chophwanyika (chisweka chakuphwa mafupa) nthawi zambiri amachiritsidwa ndi intramedullary nailing. Kawirikawiri, ndodoyo imapangidwa ndi titaniyamu ndipo amadza kutalika ndi diameters kuti agwirizane ndi odwala a mibadwo yosiyana ndi yapamwamba. Kutengeka pang'ono kumapangidwa pakhosi kapena pondo ndipo ndodo imalowetsedwa mumtsinje wa marrow.
Zojambulazo zimagwiritsidwa ntchito kuti zikhale pamalo pomwe pamapeto pake.
Mphuno ya Shinbone imatulutsidwa kawirikawiri ndi intramedullary nailing. Iyo imayikidwa pansi pamtsinje wa tibia kuchokera pa bondo, kuwoloka dera la fracture kukonzekera kwanthawi yaitali. Mipukutu imayikidwa pamapeto onse kuti ikhale pamalo pomwe mukuchiritsidwa. Ndodo imatsimikizira kuti malo adzakhala osungika bwino kuposa kungogwiritsa ntchito kuponyedwa kunja kapena kunja. Komabe, izi nthawi zambiri zimapewa mwa ana chifukwa ndodo idzadutsa mthunzi wa mafupa ndipo ikhoza kukhala ndi mphamvu pamtunda.
Mitambo ya Intramedullary ingagwiritsenso ntchito m "mitsempha ya mitsempha ya khansara yokonzekera ndikuthandizira fupa pambuyo pa kuchotsa mimba. Izi zikhoza kuchitidwa kwa mafupa omwe ali pachiopsezo chophwanyika.
Mu matenda a majeremusi osteogenesis imperfecta, kapena matenda otupa mafupa, opaleshoni yamtundu angagwiritsidwe ntchito pofuna kuteteza kuphulika kwa mafupa ndi kuphulika kwa mafupa aatali. Ndondomeko zing'onozing'ono zingagwiritsidwe ntchito pophunzitsa ana. Zimatalika ngati fupa limakula.
> Zotsatira:
> Femur Shaft Fractures (Nsalu Yogwidwa). American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00521.pdf.
> Matenda a Matenda a Matenda. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00093.pdf.
> Kugwiritsira ntchito opaleshoni. Osteogenesis Imperfecta Foundation. http://www.oif.org/site/DocServer/Fact_Sheet_Rodding_Surgery.pdf?docID=17867.
> Tibia (Shinbone) Fractures Zopangira. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00522.pdf.