Kodi DHS ndi DCS ndi chiyani?
DHS (Dynamic Hip Screw)ndi opaleshoni yopangira opaleshoni yomwe imagwiritsidwa ntchito makamaka pochiza kuphulika kwa khosi lachikazi ndi intertrochanteric fractures. Zimakhala ndi screw ndi mbale dongosolo lomwe limapereka kukhazikika kokhazikika polola kuponderezedwa kwamphamvu pamalo osweka, kulimbikitsa machiritso.
DCS (Dynamic Condylar Screw)ndi chipangizo chokonzekera chomwe chimagwiritsidwa ntchito pothyoka fractures ya distal femur ndi proximal tibia. Imaphatikiza maubwino a zomangira zomangika zingapo (MCS) ndi ma implants a DHS, zomwe zimapatsa kukanikizana kosunthika koyendetsedwa ndi zomangira zitatu zokonzedwa munjira yotembenuzidwa yamakona atatu.
Kodi Kusiyanitsa Pakati pa DHS ndi D ndi Chiyani?CS?
DHS (Dynamic Hip Screw) imagwiritsidwa ntchito makamaka pakuphwanya khosi lachikazi ndi intertrochanteric fractures, kupereka kukhazikika kokhazikika ndi screw ndi mbale system. DCS (Dynamic Condylar Screw) idapangidwa kuti izipanga distal femur ndi proximal tibia fractures, yopereka kuponderezana kolamulirika kudzera mu masinthidwe a screw katatu.
Kodi DCS Imagwiritsidwa Ntchito Bwanji?
DCS imagwiritsidwa ntchito pochiza fractures mu distal femur ndi proximal tibia. Ndiwothandiza makamaka popereka bata ndi kulimbikitsa machiritso m'maderawa pogwiritsa ntchito kuponderezedwa kwamphamvu komwe kumayendetsedwa pamalo ophwanyika.
Kodi Kusiyana Pakati pa DCS ndi DPL ndi Chiyani?
DPL (Dynamic Pressure Locking)ndi mtundu wina wa dongosolo lokonzekera lomwe limagwiritsidwa ntchito pa opaleshoni ya mafupa. Ngakhale kuti DCS ndi DPL zimayang'ana kuti zikhazikitse zosweka, DPL nthawi zambiri imagwiritsa ntchito zomangira zotsekera ndi mbale kuti zikhazikike molimba, pomwe DCS imayang'ana kwambiri kuponderezana kwamphamvu kuti kuchiritse machiritso.
Kodi Kusiyana Pakati pa DPS ndi CPS ndi Chiyani?
DPS (Dynamic Plate System)ndiCPS (Compression Plate System)zonsezi zimagwiritsidwa ntchito pokonza fracture. DPS imalola kuponderezedwa kosunthika, komwe kumatha kuchiritsa machiritso a fracture polimbikitsa kuyenda kwapakati panthawi yolemetsa. CPS, kumbali ina, imapereka kuponderezedwa kosasunthika ndipo imagwiritsidwa ntchito paziphuphu zokhazikika pomwe kuponderezana kwamphamvu sikofunikira.
Kodi Kusiyana Pakati pa DCS 1 ndi DCS 2 ndi Chiyani?
DCS 1 ndi DCS 2 amatchula mibadwo yosiyanasiyana kapena masinthidwe a Dynamic Condylar Screw system. DCS 2 ikhoza kupititsa patsogolo kamangidwe, zinthu, kapena njira zopangira opaleshoni poyerekeza ndi DCS 1. Komabe, kusiyana kwina kungadalire pa zosintha za wopanga ndi kupita patsogolo kwadongosolo.
Kodi mungapange bwanji DHS?
DHS ndi njira yopangira opaleshoni yomwe imagwiritsidwa ntchito pochiza fractures ya proximal femur, kuphatikizapo intertrochanteric ndi subtrochanteric fractures. Ndondomekoyi imaphatikizapo njira zotsatirazi:
1.Kukonzekera Kukonzekera: Wodwalayo amayesedwa bwino, ndipo fracture imayikidwa pogwiritsa ntchito maphunziro a zithunzi monga X-rays.
2.Anesthesia: Anesthesia wamba kapena anesthesia wachigawo (mwachitsanzo, anesthesia ya msana) imayendetsedwa.
3.Kudulira ndi Kuwonekera: Kudulira kumbuyo kumapangidwa pamwamba pa chiuno, ndipo minofu imachotsedwa kuti iwonetsere chikazi.
4.Kuchepetsa ndi Kukonzekera: Kuphulika kumachepetsedwa (kugwirizanitsa) pansi pa chitsogozo cha fluoroscopic. Chophimba chachikulu chochotsera (chiwombankhanga) chimalowetsedwa mu khosi lachikazi ndi mutu. Zomangira izi zimayikidwa mkati mwa manja achitsulo, omwe amamangiriridwa ku mbale yomwe imakhazikika ku lateral femoral cortex yokhala ndi zomangira. DHS imalola kuponderezedwa kosunthika, kutanthauza kuti screw imatha kutsetsereka mkati mwa manja, kulimbikitsa kupanikizana kwa fracture ndi machiritso.
5.Kutseka: Kutsekedwa kumatsekedwa m'magawo, ndipo madzi amatha kuikidwa kuti ateteze mapangidwe a hematoma.
Kodi Opaleshoni ya PFN ndi chiyani?
Opaleshoni ya PFN (Proximal Femoral Nail) ndi njira ina yomwe imagwiritsidwa ntchito pochiza fractures zapakatikati. Zimaphatikizapo kulowetsa msomali wa intramedullary mu ngalande ya chikazi, yomwe imapereka kukhazikika kokhazikika kuchokera mkati mwa fupa.
Kodi Z Phenomenon mu PFN ndi chiyani?
"Z phenomenon" mu PFN imatanthawuza vuto lomwe lingakhalepo pomwe msomali, chifukwa cha kapangidwe kake ndi mphamvu zomwe zimagwiritsidwa ntchito, zingayambitse varus kugwa kwa khosi lachikazi. Izi zitha kubweretsa kusayenda bwino komanso kusagwira bwino ntchito. Zimachitika pamene geometry ya msomali ndi mphamvu zomwe zimagwira polemera zimachititsa kuti msomali usamuka kapena kupunduka, zomwe zimapangitsa kuti pakhale mawonekedwe a "Z" mumsomali.
Chabwino n'chiti: Intramedullary Nail kapena Dynamic Hip Screw?
Kusankha pakati pa msomali wa intramedullary (monga PFN) ndi Dynamic Hip Screw (DHS) zimadalira zinthu zingapo, kuphatikizapo mtundu wa fracture, khalidwe la fupa, ndi makhalidwe a odwala. Kafukufuku wasonyeza kuti PFN nthawi zambiri imapereka zabwino zina:
1.Kuchepetsa Kutaya kwa Magazi: Opaleshoni ya PFN nthawi zambiri imapangitsa kuti magazi azichepa kwambiri poyerekeza ndi DHS.
2.Nthawi Yochepa Opaleshoni: Njira za PFN nthawi zambiri zimakhala zofulumira, kuchepetsa nthawi pansi pa anesthesia.
3.Kulimbikitsa Kwambiri: Odwala omwe amathandizidwa ndi PFN nthawi zambiri amatha kusonkhanitsa ndikulemera msanga, zomwe zimapangitsa kuti achire mwachangu.
4.Kuchepetsa Mavuto: PFN yakhala ikugwirizana ndi zovuta zochepa, monga matenda ndi malunion.
Komabe, DHS imakhalabe njira yotheka, makamaka kwa mitundu ina ya fractures yokhazikika kumene mapangidwe ake angapereke kukonzanso bwino. Chisankhocho chiyenera kupangidwa malinga ndi zosowa za wodwala aliyense komanso luso la dokotala wa opaleshoni.
Kodi PFN Ikhoza Kuchotsedwa?
Nthawi zambiri, PFN (Proximal Femoral Nail) sichiyenera kuchotsedwa pamene fracture yachira. Komabe, kuchotsa kungaganizidwe ngati wodwala akukumana ndi zovuta kapena zovuta zokhudzana ndi implant. Chigamulo chochotsa PFN chiyenera kupangidwa pokambirana ndi dokotala wa opaleshoni ya mafupa, poganizira zinthu monga thanzi la wodwalayo komanso zoopsa zomwe zingatheke komanso ubwino wochotsa.
Nthawi yotumiza: Apr-19-2025
