Imisumari ya Elastique ihamye yimisumari (ESIN) ni ubwoko bwimvune yamagufa maremare akoreshwa mubana.Irangwa nihungabana rito hamwe nigikorwa cyoroshye cyo gutera, kikaba kitagira ingaruka kumikurire yumwana, kandi ntigire ingaruka nke mugukiza kuvunika no gukura kumagufwa.Nimpano y'Imana rero kubana.
ESIN yaje ite?
Uburyo bwa kera bwo kuvura imvune mu bana bwitaye cyane ku kuvura amagufwa.Ubushobozi bwo kuvugurura amagufwa mubana bukosora ubumuga busigaye binyuze mumikurire, mugihe uburyo bwa kera bwa osteosynthesis bushobora gukurura ibibazo byinshi.Ariko, ibi bitekerezo ntabwo buri gihe byemezwa nukuri.Kuvugurura amagufwa bidatinze bigengwa n'amategeko yerekeza aho yavunitse, ubwoko n'urwego rwo kwimuka, n'imyaka umurwayi afite.Iyo ibi bintu bitujujwe, osteosynthesis irakenewe.
Uburyo bwa tekiniki burahari kubuvuzi bwabantu bakuru ntibushobora gukoreshwa kubana.Isahani ya osteosynthesis isaba kwamburwa periosteal, mubihe aho periosteum igira uruhare runini muguhuza imvune mubana.Osteosynthesis intramedullary, hamwe no kwinjira kwa karitsiye ikura, itera ihungabana ryimyanya ndangagitsina hamwe nibibazo bikura bikabije, kubera epiphysiodeis cyangwa gutera imbaraga gukura binyuze mukubuza burundu umuyoboro wa medullary.Mu rwego rwo gukuraho ibyo bibazo,imisumari ya elastikeyarakozwe kandi ikoreshwa.
Ihame shingiro Intangiriro
Ihame ryakazi ryimisumari ya elastique (ESIN) nugukoresha imisumari ibiri yimbere ikozwe muri titanium alloy cyangwa ibyuma bitagira umuyonga hamwe no gukira neza kwa elastike kugirango byinjizwe muburyo bwa metafizisi.Buri kimweimisumari ihuzaifite ingingo eshatu zunganira imbere yamagufa.Imbaraga zo kugarura elastike yimisumari ya elastike ihindura imbaraga nigitutu gisabwa kugirango ugabanye kuvunika ukoresheje ingingo 3 zihuza umwobo wa medullary.
Uwitekabyoroshyeimisumari ni C, ishobora kumenya neza no kubaka sisitemu ya elastique irwanya ihindagurika, kandi ikagira ihame rihagije ryimikorere yikibanza cyacitse no kwikorera imitwaro igice.
Ibyingenzi Byingenzi-Ibinyabuzima bihamye
1) Guhindagurika
2) Guhagarara neza
3) Guhagarara neza
4) Kurwanya ihindagurika.
Ibinyabuzima bihamye ni ishingiro ryo kubona ingaruka zo kuvura.Kubwibyo, Nibyiza guhitamo gukoraimisumari ya elastikegukosorwa.
Ibimenyetso bifatika
Ibimenyetso byubuvuzi kuri ESINICUMImubisanzwe bishingiye kumyaka yumurwayi, ubwoko bwavunitse, naho biherereye.
Imyaka yimyaka: Mubisanzwe, imyaka yabarwayi iri hagati yimyaka 3 na 15.Imyaka yo hejuru irashobora kongerwa muburyo bukwiye kubana bananutse, kandi imyaka yo hasi irashobora kugabanuka muburyo bukwiye kubana babyibushye.
Imirambararo yimisumari yimbere hamwe no gutoranya uburebure: Ingano yumusumari iterwa na diametre yu mwobo wa medullary, na diameter yumusumari wa elastique = diameter ya cavit medullary x 0.4.Guhitamo kugororotsebyoroshyemuri rusange imisumari ikurikiza amategeko akurikira: mm 3 z'umurambararo kumyaka 6-8, mm 3,5 z'umurambararo kumyaka 9-11, na mm 4 z'umurambararo kumyaka 12-14.Kubijyanye no kuvunika diaphyseal, uburebure bwumusumari wa elastike = intera kuva aho inshinge zinjirira zerekeza kuri plaque ikura itandukanijwe + cm 2.Uburebure bwiza bwurushinge rwa elastique bugomba kungana nintera iri hagati yamasahani yo gukura kumpande zombi, na cm 2-3 zurushinge zigomba kubikwa hanze yamagufa kugirango azakurwe ejo hazaza.
Ubwoko bwimvune zikoreshwa: kuvunika kwinyuma, kuvunika kuzunguruka, kuvunika ibice byinshi, kuvunika kabiri, kuvunika kugufi cyangwa kuvunika hamwe nuduce tumeze nk'utubumbe, kuvunika birebire hamwe na cortique, kuvunika indwara ziterwa na cysts yamagufa.
Ahantu hashobora kuvunika: shaft femorale, metafhysi ya femorale ya kure, agace kegereye femorale subtrochanteric, inyana ya diaphysis, inyana yinyana metafhysis, diaphysis ya humeral hamwe na subcapital, humerus supra-ankle, ulna na radius diaphysis, ijosi rya radiyo n'umutwe wa radiyo.
Kurwanya:
1. Kuvunika imbere;
2.Ivunika ryikiganza cyoroshye hamwe no kuvunika kwinyuma nta nkunga iyo ari yo yose, cyane cyane abakeneye kubyibuha cyangwa bakuze, ntibikwiye kuri ESIN.
Ingingo y'ibikorwa:
Intambwe yambere yo kugabanya kuvunika ni ugukoresha ibikoresho byo hanze kugirango ugabanye gufunga kuvunika.
Nyuma, animisumari ya elastikey'uburebure bukwiye na diameter byatoranijwe kandi byunamye muburyo bukwiye.
Hanyuma, imisumari ya elastike yatewe, mugihe imisumari ibiri ya elastike ikoreshwa mumagufwa amwe, imisumari ya elastique igomba guhindurwamo plastike hanyuma igashyirwa kugirango habeho kuringaniza imashini.
Mu gusoza, imisumari ya elastikeni uburyo bwiza cyane bwo kuvunika kwabana bageze mumashuri, ntibishobora gukora gusa kubinyabuzima byoroheje bikosorwa no kugabanya kuvunika, ariko kandi ntibishobora kongera ibyago byo guhura nibibazo.
Igihe cyo kohereza: Werurwe-18-2022