Kumvetsetsa Misomali ya Intramillal

Intradellallary yosanja mwachisawawa ndi njira yogwiritsidwa ntchito poyerekeza ndi mafuta orthopdic. Mbiri yake itha kutsatidwa ku 1940s. Amagwiritsidwa ntchito kwambiri pochiza mafupa a mafupa, omwe amatenga nawo mbali, ndi zina zambiri. Konzani tsamba la kuwonongeka. M'masiku awa, tidzayambitsa zofunikira kwa inu kuzungulira misomali intramillallary.

Mwachidule, msomali wa intramillal ndi gawo lalitali lokhala ndi mabowo angapo otsekera mabowo onse kuti akonze malekezero a kusokonekera. Malinga ndi magulu osiyanasiyana, amatha kugawidwa kukhala olimba, otseguka, ndi zina zambiri, zomwe ndizoyenera kwa odwala osiyanasiyana. Mwachitsanzo, misomali yolimba intradomullary imagonjetsedwa ndi matenda chifukwa alibe malo akufa amkati. Kuthekera kwabwinoko.

Kutenga Tibia monga chitsanzo, m'mimba mwake mwa medillaryke kumasiyana kwambiri mwa odwala osiyanasiyana. Malinga ndi kukulira kumene kukufunika, misomali ya intravedillary imatha kugawidwa kuti ikhale yolumikizana komanso yosanja. Kusiyana kwa mabodza ngati ogulitsa ayenera kugwiritsidwa ntchito pokonzanso chithandizo, kuphatikizapo zida zazikulu, ndi zina zotsogola, komanso zikuluzikulu zazikuluzikulu zamkati zakutha.

Komabe, njira ya kutukuka kwa ma mriko imawononga endosteum, monga momwe chithunzi, ndipo limakhudzira gawo la magazi kutulutsa fupa, lomwe lingayambitse matenda am'madzi osakhalitsa ndikuwonjezera chiopsezo cha matenda. Komabe, ndimaphunziro azachipatala amakana kuti pali kusiyana kwakukulu. Palinso malingaliro omwe amatsimikizira phindu la malingaliro osavomerezeka. Kumbali imodzi, misomali ya intradellary yokhala ndi ma diameters ambiri amatha kugwiritsidwa ntchito pokonzanso chithandizo. Mphamvu ndi zowonjezereka ndikuwonjezeka m'mimba, ndipo malo olumikizirana ndi medillary miyala imachuluka. Palinso malingaliro oti tchipisi tating'ono tating'ono timapangidwa nthawi yakukula kwa ma mriko kumathandizanso kugwiranso ntchito inayake mafupa.

Mkangano waukulu wogwirizana ndi njira yosasunthira ndikuti zitha kuchepetsera chiopsezo cha matenda a komanso zomwe sizinganyalanyazidwe ndichakuti mulingo wake wocheperako umabweretsa mphamvu zafooka. Pakadali pano, misomali yambiri intramial yambiri imakonda kugwiritsa ntchito misomali ya intravedillallary, koma imafunikirabe kulemedwa chifukwa cha kuchuluka kwa wodwala pakati. Chofunikira kuti muchepetse mikangano pakudula ndikukhala ndi chitoliro chakuya ndi shaft yaying'ono, potero kuchepetsa kukakamizidwa mu sublullary cell ndikupewa kutentha kwa mafupa. Necrosis.

Pambuyo pa msomali wa intradedollary adayikidwa, kusintha kokhazikika kumafunikira. Kukhazikika kwachikhalidwe kumatchedwa tinthu tating'ono, ndipo anthu ena amakhulupirira kuti zingayambitse machiritso. Monga kukonza, mabowo ena otsekera amapangika mu mawonekedwe ozungulira, omwe amatchedwa lotchire.

Izi pamwambapa ndi mawu oyamba kwa zigawo za intravedillary mitaing. M'magaziniyi, tidzagawana nanu mwachidule njira yachidule ya intravedollary opaleshoni yachisoni.