I. Don me ake da rami a kan sukurin da aka yi da cannula?
Ta yaya tsarin sukurori masu ɗaurewa ke aiki? Ta amfani da siririn wayoyi na Kirschner (wayoyi masu ɗaurewa) waɗanda aka haƙa a cikin ƙashi don shiryar da hanyoyin sukurori daidai zuwa ƙananan gutsuttsuran ƙashi.
Amfani da wayoyin K yana hana haƙa ramukan matukin jirgi da yawa kuma yana ba da damar ɗaure ɓangarorin ƙashi da ke gabatowa yayin saka sukurori. Ana saka kayan aiki masu rami da sukurori masu rami a cikin ƙashin a kan wayoyin K. Gyaran sukurori mai kauri yana da amfani a cikin kashin baya na mahaifa don daidaita karyewar odontoid da kuma magance rashin kwanciyar hankali na atlantoaxial.
Sukuran da aka yi da kwalba suna da fa'idodi da yawa idan aka kwatanta da sukuran da ba a yi da kwalba ba: 1) wayoyin K suna jagorantar matsayin sukuran zuwa kashi;
2) hanyar K-waya tana sa a sake saita wurin cikin sauƙi idan hanyar asali ba ta dace ba;
3) wayoyin K suna ba da damar ci gaba da daidaita ɓangarorin ƙashi marasa ƙarfi da ke kusa;
4) Wayoyin K suna hana motsi na gutsuttsuran ƙashi marasa ƙarfi yayin saka sukurori.
Za a iya rage matsalolin da ke tattare da wayar K (karyewa, sake sanya ta a wuri, da kuma ci gaba) ta amfani da dabarun aiki na musamman. An ƙirƙiri tsarin kayan aikin sukuri na musamman na musamman don gyara ta saman mahaifa don ba da damar haƙa ta hanyar amfani da na'urori masu nisa, murfin nama, jagororin haƙa, da wayoyi masu tsayi na K. Waɗannan kayan aikin suna ba da damar isar da sukuri masu nisa a kusurwar ƙasa zuwa ga kashin baya ta hanyar dogayen hanyoyin nama masu laushi. Sukuri masu zagaye suna da fa'idodi masu mahimmanci idan aka kwatanta da sukuri marasa zagaye don gyara kashin baya mara ƙarfi na mahaifa akan tsarin.
II. Wanne ya fi kyau sukurori masu ɗaure ko kusoshin intrameduallary?
Farce a cikin medullary da kuma farce da aka yi da cannula na'urorin likitanci ne da ake amfani da su don gyara karyewar ciki. Kowannensu yana da nasa fa'idodi kuma ya dace da nau'ikan karyewar jiki da buƙatun magani daban-daban.
| Nau'i | Riba |
| Kusa ta Intramedullary | Tasirin gyaran farce a cikin medullary akan karyewar ƙasusuwa masu tsayi yana da kyau, tare da ƙarancin rauni da ƙarancin zubar jini. Gyaran farce a cikin medullary yana cikin gyaran tsakiya. Idan aka kwatanta da faranti na ƙarfe, farce a cikin medullary kuma yana iya kare mutuncin membrane na waje, hana jinkirin warkar da karyewar, da kuma taka rawa wajen guje wa kamuwa da cuta. |
| Sukurin Cannulated | Ana amfani da shi galibi a wurare kamar karaya a wuyan femoral, tare da gyarawa ta musamman da tasirin matsewa. Bugu da ƙari, lalacewar tana da ƙanƙanta sosai kuma ba a buƙatar faranti na ƙarfe. |
III. Yaushe za a yi amfani da sukurori masu cirewa ko masu cirewa?
Sukuran da ba su da ƙarfi da kuma sukuran cortical duk nau'ikan dashen ƙashi ne da ake amfani da su wajen gyara ƙashi, amma an tsara su ne don nau'ikan ƙashi daban-daban kuma suna da aikace-aikace daban-daban:
An ƙera sukurori masu cirewa musamman don amfani a cikin kyallen ƙashi mai laushi, mara kauri, da kuma trabecular, wanda aka fi samu a ƙarshen dogayen ƙasusuwa, kamar femur da tibia. Ana amfani da shi galibi a wuraren da ƙashin ya fi rami kuma bai yi kauri ba, kamar yankunan metaphyseal na dogayen ƙasusuwa. Sau da yawa ana amfani da su a cikin hanyoyin da suka shafi kashin baya, ƙashin ƙugu, da wasu sassan kafada da kwatangwalo.
An ƙera sukurori na Cortical don amfani a cikin ƙashin cortical mai kauri, wanda ke samar da layin waje na yawancin ƙasusuwa kuma yana da ƙarfi da ƙarfi fiye da ƙashin cancellous. Ana amfani da su gabaɗaya a cikin yanayi inda ake buƙatar ƙarfi da kwanciyar hankali, kamar wajen gyara karyewar ƙasusuwa a cikin diaphysis (shaft) na dogayen ƙasusuwa. Haka kuma ana amfani da su a wasu na'urori da faranti na ciki.
A taƙaice, zaɓin tsakanin sukurori masu kauri da masu kauri ya dogara ne akan nau'in ƙashin da aka gyara da kuma takamaiman buƙatun aikin kashin baya. Sukurori masu kauri sun dace da ƙashi mai laushi da mai ramuka, yayin da sukurori masu kauri sun dace da ƙashi mai kauri da ɗaukar nauyi.
Lokacin Saƙo: Mayu-09-2025
