I.Kodi mitundu yosiyanasiyana ya kukonza kwakunja ndi iti?
Kukhazikika kwakunja ndi chida chomwe chimalumikizidwa ndi mafupa a mkono, mwendo kapena phazi ndi zikhomo ndi mawaya. Ma pin ndi mawaya opangidwa ndi ulusiwa amadutsa pakhungu ndi m'minofu ndipo amalowetsedwa m'fupa. Zida zambiri zimakhala kunja kwa thupi, choncho zimatchedwa "external fixation." Nthawi zambiri zimakhala ndi mitundu iyi:
1. Unilateral nondetachble kunja fixation dongosolo.
2. Modular fixation system.
3. Njira yokonzera mphete.
Mitundu yonse iwiri yazitsulo zakunja imatha kumangirizidwa kuti chigongono, chiuno, bondo kapena phazi zisunthike panthawi ya chithandizo.
• Unilateral nondetachble out fixation system imakhala ndi bar yowongoka yomwe imayikidwa kumbali imodzi ya mkono, mwendo kapena phazi. Zimalumikizidwa ndi fupa ndi zomangira zomwe nthawi zambiri zimakutidwa ndi hydroxyapatite kuti ziwongolere zomangira ""kugwira" mu fupa ndikuletsa kumasula. Wodwalayo (kapena wachibale) angafunikire kusintha chipangizocho kangapo patsiku potembenuza zitsulo.
• Dongosolo lokonzekera modular limapangidwa ndi zigawo zosiyanasiyana, kuphatikiza zingwe zolumikizira singano, zingwe zolumikizira ndodo, ndodo zolumikizira kaboni, singano zolumikizira mafupa, zolumikizira zolumikizira, mphete, zolumikizira zosinthika, zolumikizira za singano, singano zachitsulo, ndi zina zambiri.
• Njira yokhazikitsira mphete imatha kuzungulira pang'ono kapena pang'ono mkono, mwendo kapena phazi lomwe likuthandizidwa. Ma fxator awa amapangidwa ndi mphete ziwiri kapena zingapo zozungulira zomwe zimalumikizidwa ndi ma struts, mawaya kapena zikhomo.
Chanindi magawo atatu a chithandizo cha fracture?
Magawo atatu a chithandizo cha fracture - thandizo loyamba, kuchepetsa ndi kukonza, ndi kuchira - ndizolumikizana komanso zofunika kwambiri. Thandizo loyamba limapanga zikhalidwe za chithandizo chotsatira, kuchepetsa ndi kukonza ndiye chinsinsi cha chithandizo, ndipo kuchira n'kofunika kuti kubwezeretsa ntchito.Panthawi yonse ya chithandizo chamankhwala, madokotala, anamwino, ochiritsa odwala ndi odwala ayenera kugwirira ntchito limodzi kuti alimbikitse machiritso a fracture ndi kubwezeretsa ntchito.
Njira zowonongeka zimaphatikizapo kukonza mkati, kukonza kunja ndi pulasitala.
1. Kukonzekera kwamkati kumagwiritsa ntchito mbale, zomangira, misomali ya intramedullary ndi zida zina kuti zithetse fracture mkati. Kukonzekera kwamkati ndi koyenera kwa odwala omwe ali ndi kulemera koyambirira kumafunika kapena kukhazikika kwapang'onopang'ono kumafunika.
2. Kukonzekera kwakunja kumafunikira chowongolera chakunja kuti chikonze fracture imathera kunja. Kukonzekera kwakunja kumagwiritsa ntchito ming'alu yotseguka, fractures ndi kuwonongeka kwakukulu kwa minofu yofewa, kapena milandu yomwe minofu yofewa iyenera kutetezedwa.
3. Kuponya kumapangitsa kuti mbali yovulalayo isasunthike ndi pulasitala. Kuponyera ndi koyenera kwa ma fractures osavuta kapena ngati muyeso wokhazikika kwakanthawi.
- Kodi mtundu wonse wa LRS ndi chiyani?
LRS ndi yachidule ya Limb reconstruction system, yomwe ndi chowongolera chakunja cha mafupa. LRS ndi yothandiza pochiza kuthyoka kovutirapo, kuwonongeka kwa mafupa, kusiyanasiyana kwa kutalika kwa mwendo, matenda, kusabadwa bwino kapena kupezeka.
LRS imakonza pamalo oyenera poika chokonzera chakunja kunja kwa thupi ndi kugwiritsa ntchito zikhomo zachitsulo kapena zomangira kuti zidutse fupa. Zikhomo kapena zomangira izi zimagwirizanitsidwa ndi fixator yakunja, kupanga dongosolo lokhazikika lothandizira kuti fupa likhalebe lokhazikika panthawi ya machiritso kapena kukulitsa.
Mbali:
Kusintha Kwamphamvu:
• Chofunika kwambiri pa dongosolo la LRS ndi luso lake lotha kusintha. Madokotala akhoza kusintha kasinthidwe ka fixator nthawi iliyonse malinga ndi momwe wodwalayo akuchira.
• Kusinthasintha kumeneku kumapangitsa kuti LRS igwirizane ndi zofunikira zosiyanasiyana za chithandizo ndikuonetsetsa kuti mankhwalawa akugwira ntchito.
Thandizo la Rehabilitation:
• Ngakhale kukhazikika kwa mafupa, dongosolo la LRS limalola odwala kuti azichita masewera olimbitsa thupi oyambirira ndi kukonzanso.
• Izi zimathandiza kuchepetsa atrophy ya minofu ndi kuuma kwa mgwirizano, kulimbikitsa kubwezeretsa ntchito ya ziwalo.
Nthawi yotumiza: May-20-2025
