Karyewar patella matsala ce mai wahala a asibiti. Matsalar tana cikin yadda za a rage ta, a haɗa ta wuri ɗaya don samar da cikakken saman haɗin gwiwa, da kuma yadda za a gyara da kuma kula da gyara. A halin yanzu, akwai hanyoyi da yawa na gyarawa na ciki don karyewar patella, ciki har da gyaran band na waya na Kirschner, gyaran band na ƙusa da aka yi da cannulated, gyaran band na waya, gyaran faranti na patellar, da sauransu. Da yawan zaɓuɓɓukan magani, zaɓuɓɓukan magani daban-daban suna da tasiri ko amfani. Tsarin karyewar ba shine abin da ake tsammani ba.
Bugu da ƙari, saboda kasancewar nau'ikan kayan haɗin ƙarfe daban-daban da kuma tsarin jikin patella na sama, akwai matsaloli da yawa da suka shafi gyaran ciki bayan tiyata, ciki har da kumburin dashen, cire waya ta K, karyewar waya, da sauransu, waɗanda ba sabon abu ba ne a aikin asibiti. Don haka, masana ƙasashen waje sun gabatar da wata fasaha da ke amfani da dinki mara sha da dinki na raga, wanda ake kira "fasahar yanar gizo gizo-gizo", kuma ta sami sakamako mai kyau na asibiti.
An kwatanta hanyar dinki kamar haka (daga hagu zuwa dama, daga layi na sama zuwa layi na ƙasa):
Da farko, bayan an rage karyewar, ana dinka jijiyar patellar da ke kewaye da ita a lokaci-lokaci a kusa da patella don samar da wasu sassa masu sassauƙa na rabin shekara a gaban patella, sannan a yi amfani da dinki don ɗaure kowane tsarin annular mai sassauƙa a cikin zobe sannan a ɗaure shi da ƙulli.
Ana matse dinkin da ke kewaye da jijiyar patellar da kuma ƙulla shi, sannan a dinka dinkin guda biyu a gefe guda a kuma haɗa su don gyara patella, sannan a ƙarshe a dunkule dinkin a kewaye patella na tsawon mako guda.
Idan haɗin gwiwa ya lanƙwasa ya kuma faɗaɗa, za a iya ganin cewa karyewar ta tsaya cak kuma saman haɗin gwiwa ya yi faɗi:
Tsarin warkarwa da yanayin aiki na al'amuran yau da kullun:
Duk da cewa wannan hanyar ta sami sakamako mai kyau a asibiti a cikin bincike, a ƙarƙashin yanayin da ake ciki a yanzu, amfani da dashen ƙarfe mai ƙarfi har yanzu yana iya zama zaɓi na farko na likitocin gida, kuma yana iya taimakawa wajen hana motsi na plaster bayan tiyata don haɓaka karyewa da kuma guje wa gyarawa na ciki. Rashin nasara shine babban maƙasudin; sakamakon aiki da taurin gwiwa na iya zama abin la'akari na biyu.
Ana iya amfani da wannan zaɓin tiyata a matsakaici ga wasu marasa lafiya da aka zaɓa waɗanda suka dace kuma ba a ba da shawarar yin amfani da shi akai-akai ba. Raba wannan hanyar fasaha don tuntubar likitoci.
Lokacin Saƙo: Mayu-06-2024
