Gabatar da hanya don gano "jijiya na radial" a cikin hanyar baya zuwa humerus

Maganin tiyata don raunin humerus na tsakiya mai nisa (kamar waɗanda ke haifar da "kokuwar wuyan hannu") ko humeral osteomyelitis yawanci yana buƙatar amfani da hanya ta baya kai tsaye zuwa humerus.Babban haɗarin da ke tattare da wannan hanya shine raunin jijiya na radial.Bincike ya nuna cewa yuwuwar raunin jijiya na radial na iatrogenic wanda ya haifar da kusancin baya zuwa humerus ya fito daga 0% zuwa 10%, tare da yiwuwar raunin jijiya na dindindin daga 0% zuwa 3%.

Duk da ra'ayin aminci na jijiyar radial, yawancin binciken sun dogara ga ƙasusuwan ƙashi na jiki irin su yankin supracondylar na humerus ko scapula don matsayi na ciki.Duk da haka, gano jijiyar radial yayin aikin ya kasance mai kalubale kuma yana da alaƙa da rashin tabbas.

Misalin yankin aminci na jijiyar radial.Matsakaicin nisa daga jirgin jijiyar radial zuwa madaidaicin gefen humerus yana da kusan 12cm, tare da yankin aminci wanda ya shimfiɗa 10cm sama da madaidaicin gefen.

Dangane da wannan, wasu masu bincike sun haɗu da ainihin yanayin intraoperative kuma sun auna nisa tsakanin tip na triceps tendon fascia da jijiyar radial.Sun gano cewa wannan nisa yana da ɗanɗano kaɗan kuma yana da ƙima mai yawa don sakawa cikin ciki.Dogon kan triceps brachii tsoka tsoka yana gudana kusan a tsaye, yayin da kai na gefe ya samar da kusan baka.Haɗin gwiwar waɗannan tendons ya zama tip na tsokar tsokar triceps.Ta hanyar gano 2.5cm sama da wannan tip, ana iya gano jijiyar radial.

 Hanyar sanyawa

Ta amfani da koli na tsokar tsokar triceps a matsayin tunani, jijiyar radial za a iya samuwa ta hanyar motsawa kusan 2.5cm zuwa sama.

Ta hanyar binciken da ya shafi matsakaita na marasa lafiya 60, idan aka kwatanta da hanyar bincike na al'ada wanda ya ɗauki mintuna 16, wannan hanyar sanyawa ya rage ƙaddamarwar fata zuwa lokacin bayyanar jijiya na radial zuwa minti 6.Bugu da ƙari kuma, ya yi nasarar guje wa raunin jijiya radial.

Hoton macroscopic gyarawa intraoperative na tsakiyar nesa 1/3 humeral fracture.Ta hanyar sanya suturar da za a iya ɗauka guda biyu suna tsaka da kusan 2.5cm sama da jirgin saman ƙwanƙolin tsokar jijiya na triceps, bincike ta wannan tsaka-tsakin yana ba da damar bayyanar da jijiyar radial da tarin jijiyoyin jini.
Nisan da aka ambata hakika yana da alaƙa da tsayin majiyyaci da tsayin hannu.A cikin aikace-aikacen aikace-aikacen, ana iya daidaita shi dan kadan bisa yanayin yanayin majiyyaci da yanayin jiki.