I.Don wane dalili cannulated dunƙule yana da rami?
Ta yaya tsarin dunƙule gwangwani ke aiki? Yin amfani da siraran wayoyi na Kirschner (K-wayoyin) waɗanda aka tono su cikin kashi don karkatar da yanayin yanayin daidai cikin ƙananan guntun kashi.
Yin amfani da wayoyi na K-wayoyi yana guje wa wuce gona da iri na ramukan matukin jirgi kuma yana ba da damar gyara gutsuttsuran kashi da ke gabatowa yayin saka dunƙulewa. Ana shigar da kayan aiki maras kyau da screws a cikin kashi akan K-wayoyin. Gyaran dunƙule gwangwani yana da amfani a cikin kashin mahaifa don daidaita karayar odontoid da kuma magance rashin zaman lafiyar atlantoaxial.
Cannulated screws suna da fa'idodi da yawa idan aka kwatanta da sukurori marasa gwargwado: 1) K-wayoyin suna jagorantar matsayi na dunƙule cikin kashi;
2) yanayin K-waya yana sa sakewa cikin sauƙi idan yanayin asali bai dace ba;
3) K-wayoyin suna ba da damar ci gaba da daidaitawa na guntun kasusuwa marasa ƙarfi;
4) K-wayoyin suna hana motsi na gutsuttsuran kashi mara ƙarfi yayin saka dunƙulewa.
Matsalolin da ke da alaƙa da K-waya (karyewa, sakewa, da ci gaba) ana iya rage su ta amfani da madaidaitan dabarun aiki. An ƙirƙiri tsarin kayan aikin dunƙule na musamman na musamman don gyaran mahaifa na sama don ba da damar hakowa ta hanyar amfani da dogayen na'urorin ramin rami, kwas ɗin nama, jagororin rawar soja, da dogayen wayoyi na K-wayoyi. Waɗannan kayan aikin suna ba da damar isar da kusoshi masu gwangwani a ƙaramin kusurwa zuwa kashin baya ta hanyar dogayen nau'ikan nama mai laushi. Sukurori masu gwangwani suna da fa'idodi masu mahimmanci idan aka kwatanta da sukurori marasa gwangwani don gyara ƙashin bayan mahaifa mara ƙarfi akan tsarin.
II.Wanne ne mafi kyau cannulated sukurori ko intrameduallary kusoshi?
Dukansu kusoshi na intramedullary da kusoshi masu gwangwani na'urorin likitanci ne da ake amfani da su don gyara karyewar ciki. Kowannensu yana da nasa amfanin kuma ya dace da nau'ikan karaya da buƙatun magani.
| Nau'in | Amfani |
| Intramedullary Nail | Sakamakon gyaran ƙusa na intramedullary akan karyewar kasusuwa masu tsayi yana da kyau, tare da ƙarancin rauni da ƙarancin jini. Intramedullary ƙusa ƙayyadaddun nasa ne na tsakiya gyarawa. Idan aka kwatanta da farantin karfe, kusoshi na intramedullary kuma na iya kare mutuncin membrane mai ban mamaki, hana jinkirin waraka, da kuma taka rawa wajen guje wa kamuwa da cuta. |
| Cannulation Screw | An fi amfani da shi a wurare irin su raunin wuyan mata na mata, tare da gyarawa na musamman da tasirin matsawa. Bugu da ƙari, lalacewa yana da ƙananan ƙananan kuma ba a buƙatar faranti na karfe. |
III. Yaushe za a yi amfani da soket vs cortical skru?
Screws da aka soke da kuma skru na cortical duka nau'ikan nau'ikan nau'ikan nau'ikan kasusuwa ne da ake amfani da su wajen gyaran kashi, amma an tsara su don nau'ikan kashi daban-daban kuma suna da aikace-aikace daban-daban:
Cancellous Screws an musamman tsara don amfani a cikin spongy, m, kuma trabecular kasusuwa nama, yawanci samu a karshen dogon kasusuwa, kamar femur da tibia.Yawanci amfani a yankunan da kashi ne mafi porous da kasa m, kamar metaphyseal yankunan na dogon kasusuwa. Ana amfani da su sau da yawa a cikin hanyoyin da suka shafi kashin baya, ƙashin ƙugu, da wasu sassa na kafada da kwatangwalo.
Cortical Screws an ƙera shi don amfani a cikin ƙasa mai yawa, ƙashi na cortical, wanda ke samar da saman saman mafi yawan ƙasusuwa kuma ya fi ƙarfi da ƙarfi fiye da kashi mai sokewa. Kullum ana amfani da su a cikin yanayi inda ake buƙatar ƙarfin ƙarfi da kwanciyar hankali, kamar a cikin gyaran gyare-gyare a cikin diaphysis (shaft) na dogon kasusuwa. Ana kuma amfani da su a cikin wasu na'urorin gyara na ciki da faranti.
A taƙaice, zaɓi tsakanin sokewa da screws cortical ya dogara da nau'in kashi da ake gyarawa da ƙayyadaddun buƙatun tsarin orthopedic. Screws da aka soke sun dace da mai laushi, mafi ƙasƙanci, yayin da screws na cortical sun dace don mafi girma, kashi mai ɗaukar kaya.
Lokacin aikawa: Mayu-09-2025
