Kashe karaya na patella matsala ce mai wahala ta asibiti. Wahalar ita ce yadda za a rage shi, a raba shi tare don samar da cikakkiyar farfajiyar haɗin gwiwa, da yadda za a gyara da kuma kula da gyarawa. A halin yanzu, akwai da yawa na ciki kayyade hanyoyin domin comminuted patella fractures, ciki har da Kirschner waya tashin hankali band kayyade, cannulated ƙusa tashin hankali band fixation, waya cerclage kayyade, patellar claws, da dai sauransu The ƙarin magani zažužžukan, da mafi tasiri ko zartar da daban-daban magani zažužžukan. su ne. Tsarin karaya ba shine abin da ake tsammani ba.
Bugu da ƙari, saboda kasancewar gyare-gyaren ƙarfe daban-daban na ciki da kuma tsarin jiki na zahiri na patella, akwai matsaloli da yawa da suka shafi gyaran ciki na bayan aiki, ciki har da fushin dasa, cirewar K-waya, fasa waya, da dai sauransu, wanda ba sabon abu ba ne. a cikin aikin asibiti. Don haka, masanan kasashen waje sun ba da shawarar wata fasaha da ke amfani da suturar da ba za a iya sha ba da kuma suturar raga, wanda ake kira "fasahar yanar gizon gizo-gizo", kuma ta sami sakamako mai kyau na asibiti.
An kwatanta hanyar ɗinkin kamar haka (daga hagu zuwa dama, daga layi na sama zuwa ƙasa):
Da farko, bayan an rage karaya, ana suture tendon ɗin da ke kewaye da shi a kusa da patella don samar da sifofi da yawa marasa tushe a gaban patella, sa'an nan kuma ana amfani da sutures don ɗaure kowane tsarin shekara maras kyau a cikin zobe kuma a ɗaure shi cikin zobe. kulli.
Sutures ɗin da ke kusa da tendon patellar ana ɗaure su kuma a ɗaure su, sannan a ɗaure suturen diagonal guda biyu tare da dunƙule su don gyara patella, kuma a ƙarshe za a ɗaure sutures a kusa da patella har tsawon mako guda.
Lokacin da haɗin gwiwar gwiwa ya jujjuya kuma ya tsawaita, ana iya ganin cewa an gyara karaya da ƙarfi kuma haɗin gwiwa yana da lebur:
Tsarin warkarwa da matsayin aiki na al'amuran al'ada:
Kodayake wannan hanyar ta sami sakamako mai kyau na asibiti a cikin bincike, a ƙarƙashin yanayin da ake ciki yanzu, yin amfani da ƙarfe mai ƙarfi na iya zama zaɓi na farko na likitocin gida, kuma yana iya taimakawa wajen ƙaddamar da plaster bayan tiyata don inganta karyewa da kuma guje wa gyaran ciki. Kasawa shine manufa ta farko; sakamakon aiki da ƙwanƙwasa gwiwa na iya zama la'akari na biyu.
Za a iya amfani da wannan zaɓin tiyata a matsakaici a kan wasu zaɓaɓɓun marasa lafiya masu dacewa kuma ba a ba da shawarar yin amfani da su na yau da kullun ba. Raba wannan hanyar fasaha don tunani ta likitoci.
Lokacin aikawa: Mayu-06-2024
