Karyewar ƙashin ƙugu na ɗaya daga cikin karyewar ƙashin ƙugu da aka fi sani a asibiti, inda kashi 82% na karyewar ƙashin ƙugu suka zama karyewar tsakiyar shaft. Yawancin karyewar ƙashin ƙugu ba tare da wata matsala mai yawa ba ana iya magance su ta hanyar kiyayewa da bandeji mai siffar takwas, yayin da waɗanda ke da babban motsi, nama mai laushi da aka haɗa, haɗarin kamuwa da cutar jijiyoyin jini ko jijiyoyi, ko kuma yawan buƙatun aiki na iya buƙatar a haɗa su da faranti. Yawan rashin haɗin gwiwa bayan an gyara karyewar ƙashin ƙugu yana da ƙasa kaɗan, kusan kashi 2.6%. Rashin haɗin gwiwa mai alamun cututtuka yawanci yana buƙatar tiyatar gyara, tare da hanyar da aka fi amfani da ita ita ce dashen ƙashi mai lalacewa tare da gyara na ciki. Duk da haka, sarrafa rashin haɗin gwiwa mai maimaitawa a cikin marasa lafiya waɗanda suka riga sun yi gyaran rashin haɗin gwiwa yana da matuƙar ƙalubale kuma ya kasance matsala ga likitoci da marasa lafiya.
Domin magance wannan batu, wani farfesa a Asibitin Red Cross na Xi'an ya yi amfani da tsarin dashen ƙashi na autologous iliac tare da dashen ƙashi na autologous cancellous don magance karyewar ƙashi bayan tiyatar gyara da ta gaza, wanda hakan ya haifar da sakamako mai kyau. An buga sakamakon binciken a cikin mujallar "International Orthopaedics".
Hanyar tiyata
Za a iya taƙaita takamaiman hanyoyin tiyata kamar yadda aka nuna a ƙasa:
a: Cire asalin wurin da aka gyara clavicular, cire tabon ƙashi da zare a ƙarshen karyewar;
b: An yi amfani da faranti na sake gina clavicle na filastik, an saka sukurori masu kullewa a cikin ƙarshen ciki da na waje don kiyaye daidaiton clavicle gaba ɗaya, kuma ba a gyara sukurori a yankin da za a yi wa magani a ƙarshen clavicle da ya karye ba.
c: Bayan an gama gyaran faranti, sai a haƙa ramuka da allurar Kirschler a gefen karyewar karyewar zuwa ciki da waje har sai ramin ya zubar da jini (alamar barkono ja), wanda ke nuna kyakkyawan jigilar jinin ƙashi a nan;
d: A wannan lokacin, ci gaba da haƙa ramin 5mm a ciki da waje, sannan a haƙa ramukan tsayi a baya, wanda hakan zai taimaka wajen magance matsalar osteotomy ta gaba;
e: Bayan an yi tiyatar osteotomy a kan ramin haƙa na asali, a motsa ƙananan ƙashi zuwa ƙasa don barin wani ramin ƙashi;
f: An dasa ƙashin bicortical iliac a cikin ramin ƙashi, sannan aka gyara babban ɓangaren kwakwalwa, gefen iliac da ƙananan ɓangaren kwakwalwa da sukurori; An saka ƙashin iliac cancellous a cikin sararin karyewa
Na yau da kullun
shari'o'i:
▲ Majinyacin namiji ne mai shekaru 42 wanda ya karye a tsakiyar ɓangaren ƙwanƙolin hagu sakamakon rauni (a); Bayan tiyata (b); Karyewar ƙashi da rashin haɗuwa a cikin watanni 8 bayan tiyata (c); Bayan gyara na farko (d); Karyewar farantin ƙarfe watanni 7 bayan gyarawa da rashin warkarwa (e); Karyewar ta warke (h, i) bayan dasa ƙashi na tsarin (f, g) na cortex na ilium.
A cikin binciken marubucin, an haɗa jimillar shari'o'i 12 na rashin haɗin ƙashi, waɗanda duk suka sami waraka daga ƙashi bayan tiyata, kuma marasa lafiya 2 sun sami matsaloli, shari'a 1 ta thrombosis na jijiyoyin maraƙi da kuma shari'a 1 ta cire ƙashin iliac.
Rashin daidaituwar clavicular matsala ce mai matuƙar wahala a aikin asibiti, wadda ke kawo babban nauyi ga marasa lafiya da likitoci. Wannan hanyar, tare da haɗa ƙashi na tsarin ƙashi na cortical na ilium da kuma dashen ƙashi na cancellous, ta sami sakamako mai kyau na warkar da ƙashi, kuma ingancinsa daidai ne, wanda za a iya amfani da shi azaman nuni ga likitoci.
Lokacin Saƙo: Maris-23-2024
