Inqubo yokuhlinza okhethekile esetshenziselwa ukulungisa ukuhlukumeza okukhulu
I-ORIF yisifushaniso senqubo ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi okuhloswe ukulungisa ukuhlanganiswa kwamathambo noma amakhefu amakhulu.
"Ukunciphisa okuvulekile" kusho ukuthi i-bone ephukile idluliselwa ngokusebenzisa ukuhlinzwa (okungafani nokunciphisa okuvalwe ngaphandle kokuhlinzwa). "Ukulungiswa kwangaphakathi" kubhekisela kwi-hardware esetshenziselwa ukuqinisekisa ukuthi ithambo lizinzile futhi ligcinwe endaweni ukuze likwazi ukuphulukisa.
Nakuba sekuye kwaba nokuthuthuka okuphawulekayo ekuhlinzekeni kwamathambo nokwanda kwamazinga okuphumelela, ukutakula kuncike ikakhulu ebubini bekhefu, uhlobo lwethambo elihilelekile, ubukhulu bokuvuselelwa kokuthunyelwa komsebenzi, kanye nobudala bomuntu ngamunye.
Indlela i-ORIF yokuhlinzwa ngayo eyenziwa ngayo
Ukulungiswa kwangaphakathi kokunciphisa ukuncipha kungukuhlinzwa okuyingxenye ezimbili eyenziwa udokotela ohlinzayo wama - orthopedic ngaphansi kwe-anesthesia. Izinyathelo zichazwe kabanzi kanje:
- Isigaba sokuqala sihlose ukubeka kabusha amathambo aphukile ukuze abuyisele ukulungiswa kwawo okujwayelekile. Lokhu kuthiwa ukunciphisa ukuphulwa. Yonke imizamo yenziwa ukuqinisekisa ukuthi amathambo ahlelwe ngakwesokudla kanye nezikhala ezimbalwa kanye nokungahambi kahle kwendawo ngangokunokwenzeka.
- Isigaba sesibili ukulungiswa kwangaphakathi. Lokhu kungabandakanya ukusetshenziswa kwezinhlobo ezahlukene zezimila ukubamba amathambo aphukile ndawonye futhi unikeze ukuzinza okufanele ngesikhathi sokuphulukisa. Izinhlobo zamadivaysi okulungisa zangaphakathi zihlanganisa amapulethi zensimbi nezikrini, izikhonkwane zensimbi ezingenasici ( izintambo ze-Kirschner , noma izintambo ze-K), nezintambo ezizinzile ziphoqelelwe emathangeni amathambo (okuthiwa ama-intramedullary izipikili, noma izipikili ze-IM).
I-cast iphinde isetshenziswe emva kokuhlinzwa. Ukuze uphuphule umlenze othile kanye ne-ankle, izinhlobo ezahlukene zokuphonswa zingasetshenziswa ngesikhathi senqubo yokuphulukisa: umshini ongenayo isisindo osetshenziselwa izinsimbi zokuqala nesisindo esisodwa lapho ukuphulukiswa kuqhubekela phambili.
Nakuba izimila eziningi zamathambo zenzelwe ukuhlala emzimbeni unomphela, kunezikhathi lapho ukuhlinzwa kwesibili kungadingeka ukususa ukufakwa okukhona kuphela ukusekela ithambo ngesikhathi sokuphulukiswa.
Lokhu ngezinye izikhathi kwenzeka ngokuhlukana okukhulu kwe-tibia (bone bone) noma i-femur (ithambo lesitheni), noma uma kusetshenziswa isisetshenziswa sangaphandle (esibizwa ngokuthi i- fixator yangaphandle ).
Ukunakekelwa kokuthunyelwe kokulandela Kulandela i-ORIF
Ukubuyiselwa okuvela ekuhlinzekeni okunciphisa okuvulekile kungaba buhlungu. I-Acetaminophen neCodeine ivame ukushiwo; izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs) njenge-ibuprofen, ngokuphambene, ngokuvamile zigwetshwa njengoba zinganciphisa inqubo yokuphulukisa. Ama-painkillers anamandla angahle anqunywe amacala amakhulu kakhulu.
Ukwelashwa ngokwemvelo kuyisihluthulelo sokuphumelela kokubuyiselwa emuva ngemuva kokuthi ukukhubazeka kuzoholela ekutheni i-atrophy ye-muscle ibe nezinga elithile kanye nokubuthakathaka kwemigqa namathenda. Ukwelashwa ngokomzimba, okwakhiwe kahle ngaphansi kokunakekelwa kwesazi elayisensi , kungakusiza ukuthi ubuyisele amandla, ukukhuthazela, nokuhamba kokuhamba.
Izingozi ezikhona ze-ORIF Surgery
Ezimweni eziningi ezibandakanya ukuhlukumeza okuqinile noma okuhlanganiswayo, izinzuzo ze-ORIF zokuhlinzwa zidlula imiphumela. Uma kuthiwa, noma yikuphi icala "umngcele" lapho ukunciphisa okuvaliwe kuyindlela okufanele kuxoxwe ngayo nomchwepheshe wakho wamazinyo.
Imiphumela emibi yokuhlinzekwa okuvulekile kungafaka ukutheleleka kwebhaktheriya, ukukhwabanisa okuzwakalayo nokuphuma, ukulimala kwamantombazane, isifo samathambo, ukulahlekelwa kwezinyathelo zokuhamba, ukunciphisa kwesilungu, nokukhubazeka.
Eziningi zalezi zimpawu ezifanayo zingenzeka uma ungahlinzeki.
> Umthombo:
> I-American College of Odokotela. "I-ACS TQIP: Izindlela Ezinhle Zokuphathwa Kwe-Traped Orthopedic." I-Chicago, i-Illinois; 2014.