Kodi DHS ndi DCS ndi chiyani?
DHS (Dynamic Hip Screw)ndi choyikamo opaleshoni chomwe chimagwiritsidwa ntchito makamaka pochiza kusweka kwa khosi la femoral ndi kusweka kwa intertrochanteric. Chimakhala ndi screw ndi dongosolo la mbale lomwe limapereka kukhazikika kokhazikika mwa kulola kupsinjika kwamphamvu pamalo osweka, zomwe zimathandiza kuchira.
DCS (Chokulungira Cholimba cha Dynamic Condylar)ndi chipangizo chomangira chomwe chimagwiritsidwa ntchito pochiza kusweka kwa distal femur ndi proximal tibia. Chimaphatikiza ubwino wa ma screws ambiri opangidwa ndi cannulated (MCS) ndi ma DHS implants, zomwe zimapangitsa kuti pakhale kupanikizika kwamphamvu kudzera mu ma screws atatu okonzedwa mu mawonekedwe a triangular inverted.
Kodi pali kusiyana kotani pakati pa DHS ndi D?CS?
DHS (Dynamic Hip Screw) imagwiritsidwa ntchito makamaka pa khosi la femoral ndi intertrochanteric fractures, zomwe zimapangitsa kuti zikhale zolimba ndi screw ndi plate system. DCS (Dynamic Condylar Screw) idapangidwa kuti igwiritsidwe ntchito pa distal femur ndi proximal tibia fractures, zomwe zimapangitsa kuti pakhale kupanikizika kwamphamvu kudzera mu triangular screw configuration.
Kodi DCS Imagwiritsidwa Ntchito Chiyani?
DCS imagwiritsidwa ntchito pochiza kusweka kwa mafupa m'dera la distal femur ndi proximal tibia. Ndi yothandiza kwambiri popereka bata ndikulimbikitsa machiritso m'malo awa mwa kugwiritsa ntchito mphamvu yolamulira pamalo omwe asweka.
Kodi Kusiyana Pakati pa DCS ndi DPL N'chiyani?
DPL (Kutseka kwa Mphamvu Yokakamiza)ndi mtundu wina wa njira yomangira yomwe imagwiritsidwa ntchito mu opaleshoni ya mafupa. Ngakhale kuti DCS ndi DPL zonse zimayesetsa kupereka malo okhazikika a mafupa osweka, DPL nthawi zambiri imagwiritsa ntchito zomangira ndi mbale zokhoma kuti ikwaniritse malo okhazikika, pomwe DCS imayang'ana kwambiri pa kupsinjika kwamphamvu kuti iwonjezere kuchira kwa mafupa osweka.
Kodi kusiyana pakati pa DPS ndi CPS ndi kotani?
DPS (Dynamic Plate System)ndiCPS (Kachitidwe ka Mbale Yopondereza)Zonsezi zimagwiritsidwa ntchito pokonza kusweka kwa mafupa. DPS imalola kupsinjika kwamphamvu, komwe kungathandize kuchiritsa kusweka kwa mafupa mwa kulimbikitsa kuyenda kwa mafupa pakati pa ziwalo panthawi yonyamula zolemera. Komabe, CPS imapereka kupsinjika kwamphamvu ndipo imagwiritsidwa ntchito pokonza kusweka kwa mafupa kokhazikika komwe kupsinjika kwamphamvu sikofunikira.
Kodi Kusiyana Pakati pa DCS 1 ndi DCS 2 N'chiyani?
DCS 1 ndi DCS 2 zimatanthauza mibadwo yosiyanasiyana kapena mawonekedwe a dongosolo la Dynamic Condylar Screw. DCS 2 ikhoza kupereka kusintha pankhani ya kapangidwe, zida, kapena njira yopangira opaleshoni poyerekeza ndi DCS 1. Komabe, kusiyana kwina kungadalire zosintha za wopanga ndi kupita patsogolo kwa dongosololi.
Kodi mungatani kuti mupange DHS?
DHS ndi njira yochitira opaleshoni yomwe imagwiritsidwa ntchito pochiza kusweka kwa proximal femur, kuphatikizapo kusweka kwa intertrochanteric ndi subtrochanteric. Njirayi imaphatikizapo njira zotsatirazi:
1. Kukonzekera Opaleshoni: Wodwalayo amayesedwa bwino, ndipo kusweka kwa fupa kumagawidwa m'magulu pogwiritsa ntchito maphunziro ojambulira zithunzi monga X-ray.
2. Mankhwala oletsa ululu: Mankhwala oletsa ululu kapena mankhwala oletsa ululu m'dera (monga mankhwala oletsa ululu m'msana) amaperekedwa.
3. Kudula ndi Kuwonekera: Kudula mbali kumapangidwa pamwamba pa chiuno, ndipo minofu imabwerera m'mbuyo kuti iwonetse femur.
4. Kuchepetsa ndi Kukhazikika: Kusweka kwa fupa kumachepetsedwa (kulinganizidwa) motsogozedwa ndi fluoroscopic. Skurufu yayikulu yochotsa fupa (skurufu yotsalira) imayikidwa m'khosi ndi mutu wa femoral. Skurufu iyi imayikidwa mkati mwa chikwama chachitsulo, chomwe chimalumikizidwa ku mbale yomwe imalumikizidwa ku lateral femoral cortex ndi zomangira. DHS imalola kupsinjika kwamphamvu, zomwe zikutanthauza kuti skurufu imatha kutsetsereka mkati mwa chikwama, zomwe zimapangitsa kuti kupsinjika kwa fupa kuchepe komanso kuchira.
5. Kutseka: Chodulidwacho chimatsekedwa m'magawo, ndipo ngalande zitha kuyikidwa kuti zisapangike hematoma.
Kodi PFN Surgery ndi chiyani?
Opaleshoni ya PFN (Proximal Femoral Nail) ndi njira ina yomwe imagwiritsidwa ntchito pochiza kusweka kwa fupa la proximal femoral. Imafuna kulowetsa msomali wa intramedullary mu ngalande ya femoral, yomwe imapereka kukhazikika kolimba kuchokera mkati mwa fupa.
Kodi Z Phenomenon mu PFN ndi chiyani?
"Z phenomenon" mu PFN imatanthauza vuto lomwe lingakhalepo pamene msomali, chifukwa cha kapangidwe kake ndi mphamvu zomwe zimagwiritsidwa ntchito, zingayambitse kugwa kwa varus pakhosi la femoral. Izi zingayambitse kusakhazikika bwino komanso zotsatira zoyipa pantchito. Zimachitika pamene mawonekedwe a msomali ndi mphamvu zomwe zimagwiritsidwa ntchito panthawi yonyamula zolemera zimapangitsa msomali kusuntha kapena kupunduka, zomwe zimapangitsa kuti msomali usinthe mawonekedwe ake kukhala "Z".
Ndi chiyani chabwino: Msomali wa Intramedullary kapena Dynamic Hip Screw?
Kusankha pakati pa msomali wamkati mwa msana (monga PFN) ndi Dynamic Hip Screw (DHS) kumadalira zinthu zingapo, kuphatikizapo mtundu wa kusweka kwa msana, ubwino wa fupa, ndi makhalidwe a wodwala. Kafukufuku wasonyeza kuti PFN nthawi zambiri imapereka ubwino wina:
1. Kutaya Magazi Kochepa: Opaleshoni ya PFN nthawi zambiri imapangitsa kuti magazi asatayike kwambiri panthawi ya opaleshoni poyerekeza ndi DHS.
2. Nthawi Yochepa Yochitira Opaleshoni: Njira za PFN nthawi zambiri zimakhala zachangu, zomwe zimachepetsa nthawi yochita opaleshoni.
3. Kuyenda Mofulumira: Odwala omwe amalandira chithandizo cha PFN nthawi zambiri amatha kuyenda momasuka komanso kunyamula kulemera msanga, zomwe zimapangitsa kuti achire mwachangu.
4. Mavuto Ochepa: PFN yakhala ikugwirizana ndi mavuto ochepa, monga matenda ndi malunion.
Komabe, DHS ikadali njira yabwino, makamaka pa mitundu ina ya kusweka kwa mafupa komwe kapangidwe kake kangapereke njira yothandiza yokonza. Chisankhocho chiyenera kupangidwa kutengera zosowa za wodwala aliyense payekha komanso luso la dokotala wa opaleshoni.
Kodi PFN Ingachotsedwe?
Nthawi zambiri, PFN (Proximal Femoral Nail) siifunika kuchotsedwa pamene fupa la fupa lathyoka lachira. Komabe, kuchotsa fupa kungaganiziridwe ngati wodwalayo akukumana ndi vuto kapena mavuto okhudzana ndi choyikamo. Chisankho chochotsa PFN chiyenera kupangidwa pokambirana ndi dokotala wa opaleshoni ya mafupa, poganizira zinthu monga thanzi la wodwalayo komanso zoopsa zomwe zingachitike komanso ubwino wa njira yochotsera fupa.
Nthawi yotumizira: Epulo-19-2025
