Ƙunƙarar ƙwayar cuta tana ɗaya daga cikin raunin gaɓoɓin hannu na sama da aka fi sani a cikin aikin asibiti, tare da kashi 82 cikin 100 na ɓangarorin clavicle kasancewar fractures na tsakiya.Yawancin karaya ba tare da ƙaura mai mahimmanci ba za a iya bi da su ta hanyar kiyayewa tare da bandages guda takwas, yayin da waɗanda ke da ƙaura mai mahimmanci, nama mai laushi mai tsaka-tsaki, haɗarin jijiya ko rashin daidaituwa na jijiya, ko manyan buƙatun aiki na iya buƙatar gyaran ciki tare da faranti.Matsakaicin rashin haɗin kai bayan gyaran ciki na karaya ya yi ƙasa kaɗan, kusan 2.6%.Alamun rashin daidaituwa yawanci suna buƙatar tiyatar bita, tare da babban hanyar da za a soke dashen kashi tare da gyaran ciki.Duk da haka, kula da marasa lafiya na atrophic na yau da kullum a cikin marasa lafiya da suka riga sun yi gyare-gyare na rashin daidaituwa yana da ƙalubale sosai kuma ya kasance matsala ga duka likitoci da marasa lafiya.
Don magance wannan batu, wani farfesa a asibitin Red Cross na Xi'an ya yi amfani da sabbin fasahohin gyaran kasusuwa na iliac na kansa tare da gyaran kashin kansa na kansa don magance raunin da ya faru bayan gazawar aikin tiyata, wanda ya haifar da sakamako mai kyau.An buga sakamakon binciken a cikin mujallar "International Orthopedics".
Hanyar tiyata
Ana iya taƙaita ƙayyadaddun hanyoyin tiyata kamar hoton da ke ƙasa:
a: Cire ainihin clavicular gyarawa, cire sclerotic kashi da fiber tabo a karye karshen karaya;
b: An yi amfani da faranti na gyaran gyare-gyare na filastik, an saka ƙullun kullewa a cikin ciki da na waje don kiyaye zaman lafiyar gaba ɗaya, kuma ba a gyara kullun ba a cikin yankin da za a bi da shi a ƙarshen ƙarshen clavicle.
c: Bayan gyaran farantin karfe, ramuka ramuka tare da allurar Kirschler tare da karyewar ƙarshen karaya zuwa ciki da waje har rami ya zubar da jini (alamar barkono ja), yana nuna jigilar jini mai kyau a nan;
d: A wannan lokacin, ci gaba da yin rawar 5mm a ciki da waje, kuma a yi ramukan tsayi a baya, wanda zai dace da osteotomy na gaba;
e: Bayan osteotomy tare da ramin rawar jiki na asali, matsar da ƙananan kasusuwa zuwa ƙasa don barin kwandon kashi;
f: An dasa kashi na iliac na bicortical a cikin tsagi na kashi, sa'an nan kuma an yi gyaran gyare-gyare na sama, ƙuƙwalwar iliac da ƙananan ƙwayoyin cuta tare da sukurori;An shigar da kashi mai sokewar iliya a cikin sararin karaya
Na al'ada
lokuta:
▲ Majinyacin ya kasance namiji mai shekaru 42 da raunin tsakiyar sashe na clavicle na hagu wanda ya haifar da rauni (a);Bayan tiyata (b);Kafaffen karaya da rashin haɗin kai a cikin watanni 8 bayan tiyata (c);Bayan gyaran farko (d);Karfe farantin karfe 7 watanni bayan gyare-gyare da rashin warkarwa (e);Karyar ta warke (h, i) bayan gyaran kashi (f, g) na cortex ilium.
A cikin binciken marubucin, an haɗa jimlar 12 na rashin daidaituwa na kashin baya, duk wanda ya sami warkar da kashi bayan tiyata, kuma marasa lafiya na 2 suna da rikitarwa, 1 na ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.
Refractory clavicular nonunion matsala ce mai matukar wahala a aikin asibiti, wanda ke kawo nauyi mai nauyi ga marasa lafiya da likitoci.Wannan hanya, hade da tsarin kasusuwa na kasusuwa na cortical kashi na ilium da kuma soke kashi kashi, ya sami sakamako mai kyau na warkar da kashi, kuma ingancin ya kasance daidai, wanda za'a iya amfani da shi azaman tunani ga likitoci.
Lokacin aikawa: Maris-23-2024
