Pakali pano, ntchito yamabatani okhazikika akunjapochiza fractures akhoza kugawidwa m'magulu awiri: kukonza kunja kwakanthawi ndi kukhazikika kwakunja kosatha, ndipo mfundo zawo zogwiritsira ntchito ndizosiyana.
Kukonzekera kwakunja kwakanthawi.
Ndiwoyenera kwa odwala omwe machitidwe awo am'deralo ndi am'deralo salola kapena sangathe kulekerera mankhwala ena.Ngati palibe fractures ndi zopsereza, ndizoyenera kapena kulekerera kukonzanso kwakanthawi ndi mabatani okhazikika akunja.Pambuyo pa dongosolo kapena m'deralo zinthu bwino, ndikukonza kwakunjachachotsedwa.Plate kapena intramedullary nailing, koma ndizothekanso kuti kukonza kwakanthawi kwakunja kumeneku kumakhalabe kosasinthika ndipo kumakhala chithandizo chomaliza cha fracture.
Ndiwoyenera kwa odwala omwe ali ndi fractures yotseguka kwambiri kapena kuvulala kochuluka komwe sikuli koyenera kukonza mkati.Pamene kuli kovuta kusankha njira yabwino yamkati ya kuvulala kotereku, kukonzanso kunja ndi njira yabwino yothetsera.
Kukonzekera kokhazikika kwakunja.
Mukamagwiritsa ntchito kukhazikika kwakunja kwanthawi zonse kuti muchepetse fractures, ndikofunikira kudziwa ndikumvetsetsa mawonekedwe amakina a ma scaffolds omwe amagwiritsidwa ntchito komanso momwe amakhudzira machiritso a fracture, kuti awonetsetse kuti ma scaffolds akunja akugwiritsidwa ntchito pochiritsa fractures, ndi pamapeto pake kupeza machiritso okhutiritsa a mafupa., ndi mavuto okhudzana nawo omwe angabwere panthawi ya ndondomekoyi, monga matenda a singano ndi kusapeza kwanuko, ayeneranso kuganiziridwa.
Pamene ntchitokukonza kwakunjamonga njira yokhazikika yochizira ma fractures atsopano, stent yokhala ndi mphamvu yabwino yowonjezera kunja iyenera kugwiritsidwa ntchito, ndipo kukonza koyambirira kolimba ndi kokhazikika kungapereke malo abwino kwambiri a minofu yofewa ya m'deralo ndi machiritso oyambirira.Komabe, nthawi ya kukhazikika kwamkati kwamphamvuyi sikuyenera kusungidwa kwa nthawi yayitali, chifukwa idzalepheretsa kupsinjika kwa m'deralo kwa fracture ndikuyambitsa matenda a osteoporosis, kuchepa kapena kusagwirizana pa malo ophwanyidwa.Mapeto osweka pang'onopang'ono amanyamula katundu, zomwe zimapindulitsa kulimbikitsa ndi kulimbikitsa ndondomeko ya machiritso a mafupa a m'deralo mpaka fracture ikuchiritsidwa mwamphamvu.Kachilombo, kamodzi kokha kamene kamachiritsira fupa la m'deralo kachitika, malo oyambirira a callus fracture amapangidwa, ndipo pang'onopang'ono kunyamula katunduyo kungasinthe callus oyambirira kukhala callus yochiritsa.Kuthamanga koyera kumeneku kapena kuthamanga kwa hydrostatic kumapeto kwa fracture kungayambitse kusiyana kwa maselo osakanikirana, omwe amafunikira magazi okwanira amderalo, mwinamwake zidzakhudza kuchiritsa kwa mafupa.Zomwe zimakhudza kuchiritsa kwa fupa kumaphatikizapo magazi a m'deralo pa malo ophwanyika ndi njira zakunja Zokhazikika ndi zina zotero.
Pochiza kukonzanso kwakunja kwa fractures, kukhazikika kwamphamvu kwa m'deralo kuyenera kukwaniritsidwa, ndiyeno mphamvu yowonjezera iyenera kuchepetsedwa pang'onopang'ono kuti mapeto a fracture athe kunyamula katundu ndikulimbikitsa njira yochiritsira mafupa kuti apeze mgwirizano, koma nthawi yayitali bwanji. kutenga kusintha kukhazikika mphamvu kulola fracture kutha?Zenera la nthawi yoyenera kuti muyambe kutenga katunduyo ndi lomveka bwino.Kukonzekera kwa fractures ndi fixator kunja ndi mtundu wokhazikika wokhazikika.Mfundo yokhazikika iyi yosinthika ndiyo maziko a mbale yotsekera yamasiku ano.Kapangidwe kake ndi kofanana ndi kukhazikika kwakunja, kuphatikiza kugwiritsa ntchito mbale zazitali ndi zomangira zochepa kuti mukwaniritse zotsatira zabwino Zotsatira za chithandizo: screw imatsekedwa pambale yachitsulokuti tikwaniritse zotsatira zothandiza kukonza.
Potengera mfundo yomweyi, stent yooneka ngati mphete imakwaniritsa kukhazikika koyambirira kokhazikika kudzera mu ulusi wa singano wosiyanasiyana.Poyambirira, kulemera kumachepetsedwa kuti mukhalebe okhazikika m'deralo.Pambuyo pake, kulemera kumawonjezeka pang'onopang'ono kuti kuwonjezeretse axial fretting ndikupereka chilimbikitso kumapeto kwa fracture kulimbikitsa machiritso a fracture ndi kukonza.Chimango chokhacho chimakhala cholimba komanso chokhazikika, ndipo zotsatira zomwezo zimatheka pamapeto pake.
Nthawi yotumiza: Jun-02-2022
