Karyewar idon sawun na ciki sau da yawa yana buƙatar raguwar ɓarna da gyare-gyare na ciki, ko dai tare da gyare-gyaren dunƙule shi kaɗai ko tare da haɗin faranti da screws.
A al'ada, karyewar ana gyara shi na ɗan lokaci tare da fil ɗin Kirschner sannan a gyara shi tare da ƙulle-ƙulle mai ruɗi mai ruɗi, wanda kuma za'a iya haɗa shi tare da band ɗin tashin hankali.Wasu malaman sun yi amfani da sukurori masu cikakken zaren don magance raunin idon sawu na tsakiya, kuma ingancin su ya fi na gargajiya rabin zaren sokewar tashin hankali.Duk da haka, tsawon tsayin da aka yi da sukurori shine 45 mm, kuma an kafa su a cikin metaphysis, kuma yawancin marasa lafiya za su ji zafi a cikin idon kafa na tsakiya saboda ƙaddamar da gyaran ciki.
Dokta Barnes, daga Sashen Kula da Lafiyar Kasusuwa a Asibitin Jami'ar St Louis a Amurka, ya yi imanin cewa screws ɗin da ba su da kai na iya gyara karayar ƙafar idon sawu da kyau a kan saman kashi, da rage rashin jin daɗi daga fitowar gyare-gyaren ciki, da haɓaka waraka.A sakamakon haka, Dokta Barnes ya gudanar da wani bincike a kan ingancin matsi na matsi mara kai a cikin maganin karayar ƙafar idon sawu, wanda aka buga kwanan nan a Rauni.
Binciken ya haɗa da marasa lafiya 44 (yana nufin shekaru 45, 18-80 shekaru) waɗanda aka yi musu magani don raunin ƙafar ƙafa na ciki tare da ƙullun matsawa mara kai a Asibitin Jami'ar Saint Louis tsakanin 2005 da 2011. Bayan tiyata, marasa lafiya sun kasance marasa motsi a cikin splints, simintin gyaran kafa ko takalmin gyaran kafa har sai an samu. shaida na hoto na warkar da karaya kafin cikakken ɗaukar nauyi.
Yawancin karaya sun kasance saboda fadowa a tsaye yayin da sauran sun faru ne saboda haɗarin babur ko wasanni da sauransu (Table 1).Ashirin da uku daga cikinsu sun sami karaya sau biyu, 14 sun sami karaya sau uku saura 7 kuma suna da karaya guda daya (Hoto na 1a).Intraoperatively, 10 marasa lafiya da aka bi da guda daya matsawa matsawa dunƙule for medial idon karaya fractures, yayin da sauran 34 marasa lafiya da guda biyu matsawa sukurori (Hoto 1b).
Table 1: Hanyar rauni
Hoto 1a: Ƙunƙarar ƙafa ɗaya;Hoto na 1b: Karaya guda ɗaya da aka bi da shi tare da matsi guda 2 marasa kai.
A ma'anar ma'anar makonni 35 (makonni 12-208), an sami shaidar hoto na warkar da raunuka a duk marasa lafiya.Babu majiyyaci da ya buƙaci cire dunƙule saboda fitowar dunƙule, kuma majiyyaci ɗaya ne kawai ke buƙatar cire dunƙule saboda kamuwa da MRSA da aka rigaya ya yi a cikin ƙananan ƙarshen ƙarshen aiki da cellulitis na baya.Bugu da ƙari, marasa lafiya 10 suna da ƙananan rashin jin daɗi a kan palpation na ƙafar ciki.
Sabili da haka, marubutan sun kammala cewa maganin raunin ƙafar ƙafar ƙafa na ciki tare da ƙwanƙwasa ƙwanƙwasa ba tare da kai ba ya haifar da raguwar ƙwayar cuta mafi girma, mafi kyawun farfadowa na aikin idon kafa, da ƙananan ciwo na baya.
Lokacin aikawa: Afrilu-15-2024
