Karyar radius mai nisa yana ɗaya daga cikin mafi yawan gama garikarayaa cikin aikin asibiti.Ga mafi yawan karaya mai nisa, ana iya samun kyakkyawan sakamako na warkewa ta hanyar farantin kusancin dabino da dunƙule gyaran ciki.Bugu da ƙari, akwai nau'o'in nau'i na musamman na radius fractures, irin su Barton fractures, Die-punch fractures,Karyawar Chauffeur, da dai sauransu., kowanne yana buƙatar takamaiman hanyoyin magani.Malaman kasashen waje, a cikin nazarin su na manyan samfurori na ƙananan radius fracture lokuta, sun gano wani nau'i na musamman inda wani ɓangare na haɗin gwiwa ya haɗa da raguwa na radius mai nisa, kuma kasusuwan kasusuwa suna samar da tsarin conical tare da tushe na "triangular" (tetrahedron). ake kira nau'in "tetrahedron".
Ma'anar "Tetrahedron" Nau'in Distal Radius Fracture: A cikin irin wannan nau'in radius mai nisa, karaya yana faruwa a cikin wani yanki na haɗin gwiwa, wanda ya ƙunshi duka palmar-ulnar da radial styloid facets, tare da daidaitawar triangular.Layin karaya ya miƙe zuwa ƙarshen radius.
Bambance-bambancen wannan karaya yana nunawa a cikin keɓantattun siffofi na guntuwar kasusuwan gefen dabino-ulnar na radius.A hannu ɗaya, fossa na wata da waɗannan guntuwar kasusuwan gefen palmar-ulnar ke zama a matsayin goyon baya ta jiki don tarwatsewar ƙasusuwan carpal.Asarar tallafi daga wannan tsarin yana haifar da ɓarkewar haɗin gwiwar wuyan hannu.A daya bangaren, a matsayin wani bangare na distal radioulnar hadin gwiwa ta radial articular surface, maido da wannan guntu guntu zuwa na jiki matsayi shi ne wani sharadi na maido da kwanciyar hankali a nesa da radioulnar hadin gwiwa.
Hoton da ke ƙasa yana kwatanta Harka ta 1: Hoton bayyanar da nau'in "Tetrahedron" na yau da kullun na radius distal.
A cikin binciken da ya shafe shekaru biyar, an gano lokuta bakwai na irin wannan karaya.Game da alamun tiyata, don lokuta uku, ciki har da Case 1 a cikin hoton da ke sama, inda aka fara samun raunin da ba a raba ba, an fara zaɓar magani mai ra'ayin mazan jiya.Koyaya, yayin bin diddigin, duk lamuran guda uku sun sami rarrabuwar kawuna, wanda ya haifar da tiyatar gyaran ciki na gaba.Wannan yana nuna babban matakin rashin zaman lafiya da kuma babban haɗari na sakewa a cikin raunin irin wannan nau'in, yana mai da hankali ga wani abu mai karfi don shiga tsakani.
Dangane da jiyya, lokuta biyu da farko sun fara bin tsarin al'ada na al'ada tare da flexor carpi radialis (FCR) don farantin karfe da dunƙule gyaran ciki.A ɗaya daga cikin waɗannan lokuta, gyara ya gaza, wanda ya haifar da ƙaura.Daga baya, an yi amfani da hanyar dabino-ulnar, kuma an yi wani ƙayyadaddun gyare-gyare tare da farantin ginshiƙi don sake fasalin ginshiƙi na tsakiya.Bayan faruwar gazawar gyarawa, shari'o'i biyar da suka biyo baya duk sun sami hanyar palmar-ulnar kuma an gyara su da faranti 2.0mm ko 2.4mm.
Case na 2: Yin amfani da tsarin volar na al'ada tare da flexor carpi radialis (FCR), an yi gyara tare da farantin dabino.Bayan aiki, an lura da raguwa na gaba na haɗin gwiwar hannu, yana nuna gazawar gyarawa.
Don Case 2, yin amfani da tsarin palmar-ulnar da sake dubawa tare da farantin shafi ya haifar da matsayi mai gamsarwa don gyaran ciki.
Idan aka yi la'akari da gazawar faranti na radius na al'ada na al'ada wajen gyara wannan guntun kashi na musamman, akwai manyan batutuwa guda biyu.Da fari dai, yin amfani da tsarin ƙwanƙwasa tare da flexor carpi radialis (FCR) na iya haifar da rashin isassun haske.Abu na biyu, girman girman farantin kulle-kulle na dabino mai yiwuwa ba zai iya tabbatar da ƙananan gutsuttsuran kashi ba kuma yana iya musanya su ta hanyar saka sukurori a cikin ramukan da ke tsakanin guntuwar.
Don haka, masana suna ba da shawarar yin amfani da faranti na kulle 2.0mm ko 2.4mm don ƙayyadaddun ƙayyadaddun ɓangarorin ginshiƙi na tsakiya.Baya ga farantin mai goyan baya, yin amfani da sukurori biyu don gyara guntun kashi da neutralizing farantin don kare sukurori shima zaɓi ne na gyara na ciki.
A wannan yanayin, bayan gyara guntun kasusuwa tare da kullun biyu, an saka farantin don kare kullun.
A taƙaice, nau'in ''Tetrahedron'' na distal radius fracture yana nuna halaye masu zuwa:
1. Ƙananan abin da ya faru tare da babban adadin rashin ganewar asali na fim na farko.
2. Babban haɗari na rashin zaman lafiya, tare da halin da ake ciki don sauyawa a lokacin jiyya na ra'ayin mazan jiya.
3. Makullin dabino na al'ada don ɓarkewar radius mai nisa yana da ƙarfin daidaitawa mai rauni, kuma ana ba da shawarar yin amfani da faranti na kulle 2.0mm ko 2.4mm don ƙayyadaddun gyare-gyare.
Idan aka ba da waɗannan halaye, a cikin aikin asibiti, yana da kyau a yi CT scans ko sake duba lokaci-lokaci don marasa lafiya da ke da alamun alamun wuyan hannu amma radiyo mara kyau.Domin irin wannankaraya, tsoma baki na farko tare da takamaiman farantin ginshiƙi ana ba da shawarar don hana rikitarwa daga baya.
Lokacin aikawa: Oktoba-13-2023
