IM Rod uye Nemafundo Anoshandiswa Pfufu Fractures
Intramedullary (IM) tsvimbo dzinoshandiswa kugadzirisa uye kugadzikana kuputika. IM rods inowanikwa mufupa remvura inopisa mukati merefu marefu mapfupa emigumo. Ingave inoshandiswa mumudzimai (thivha bone) kana tibia (fini bone), somuenzaniso. Inonziwo intramedullary misumari.
Chimwe chezvakakosha zvakakosha zveMI mazano pamusoro peimwe nzira dzekugadzikana kwekuparara ndeyokuti maM rods anogovera mutoro nefupa, pane kunyatsotsigira pfupa.
Nemhaka yeizvi, varwere vanogona kushandisa mwero nekukurumidza.
IM rds haigone kushandiswa kwezvose zvinoputsika, uye pane kazhinji kacho kunoshungurudzwa kunosangana nekurwadziwa uye zvimwe zviratidzo panzvimbo iyo IM rds inowanikwa. Nokuda kwechikonzero ichi, kushanda kwechipiri kunogona kudiwa kuti ubvise maI device kana une zviratidzo zvinorwadza. Kana zvisina kudaro, IM rod yakagadzirirwa kugara mukati memapfupa ako nokusingaperi.
Bone Healing uye Intramedullary Rods
Zvakakosha kucherechedza kuti izvi zvinoshandiswa hazvikurumidzi kupora maperembudzi uye havatore nzvimbo yepfupa rinoporesa. Chero kushandiswa kwesimbi kunoshandiswa kugadzirisa kuputsika kwakagadzirirwa kuchengetedza kuputsika pakurongeka kwakakodzera apo chirwere chinowanzopodzwa chinoitika.
Kunyange zvazvo kuporesa kwemapfupa kusingakurumidze, mamwe maM rods akagadzirirwa kuva nesimba rakakwana kuti atakure mutoro womuviri, uye ndicho chikonzero vanhu vanogona kuisa uremu pamucheto nokukurumidza kupfuura kana iwe waifanira kumirira kuzora kupora kwefupa .
Zvishandiso zve Intramedullary Rods
Hondo yevakadzi inoputsika (yakaputsika gumbo bone) inowanzobatwa ne intramedullary nailing. Kazhinji, tsvimbo yakaitwa yeitanium uye inouya yakasiyana-siyana uye diameter kuti inokodzera varwere vemakore akasiyana-siyana uye nzvimbo dzakakwirira. Chinhu chiduku chinoshandiswa pamusana pechiuno kana pamabvi uye tsvimbo inowanikwa mumugero wemvura.
Zvirwere zvinoshandiswa kuti zvigadzike pachigaro pamagumo ose.
Shinone fractures inowanzobatwa ne intramedullary nailing. Inowedzerwa pasi pemugero wemugero we tibia kubva pamabvi, ichiyambuka nzvimbo yekuputsika kwekugadzirisa kwenguva refu. Mavara akaiswa kumativi ose maviri kuti achengetedze panguva apo aporeswa. Tsvimbo inogadzirisa kuti nzvimbo ichachengetedzwa zviri nani pane kungoshandisa yakagadzirwa kana kuti kunze kwekugadzirisa. Zvisinei, izvi zvinowanzodzivirirwa nevana nokuti tsvimbo yaizoyambuka mapfupa ekukura uye iyo inogona kuva nemigumisiro pakureba kwegumbo.
Intramedullary rods inogonawo kushandiswa mumamiriro ezvinhu e-metastatic bone chirwere mukenza yekugadzirisa uye kutsigira pfupa mushure mekubvisa kubvisa. Izvi zvinogona kuitwa kumapfupa ari pangozi yekuputsika.
Muine genetic disorder osteogenesis imperfecta, kana brittle bone, chirwere chinogona kushandiswa kudzivirira kuputika uye kufambira mberi kwemapfupa akawanda. Tsamba dzinyoropotera dzinogona kushandiswa pakukura vana. Dzinokura sezvinoita pfupa richikura.
> Sources:
> Femur Shaft Fractures (Broken Thighbone). American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00521.pdf.
> Metastatic Bone Disease. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00093.pdf.
> Rodding Surgery. Osteogenesis Imperfecta Foundation. http://www.oif.org/site/DocServer/Fact_Sheet_Rodding_Surgery.pdf?docID=17867.
> Tibia (Shinbone) Shaft Fractures. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00522.pdf.