Fahimtar Kusoshin Intramedullary

Fasahar ƙusa ta intramedullary wata hanya ce da aka saba amfani da ita wajen gyara ƙashi. Tarihinta za a iya gano shi tun daga shekarun 1940. Ana amfani da shi sosai wajen magance karyewar ƙashi mai tsawo, rashin haɗuwa, da sauransu, ta hanyar sanya ƙusa ta intramedullary a tsakiyar ramin medullary. Gyara wurin karyewar. A cikin waɗannan batutuwa, za mu gabatar muku da abubuwan da suka dace game da ƙusa ta intramedullary.

A taƙaice dai, ƙusa ta intramedullary wani tsari ne mai tsayi da ramukan sukurori da yawa a ƙarshen biyu don gyara ƙarshen karyewar da ke kusa da ta nesa. Dangane da tsari daban-daban, ana iya raba su zuwa sassa masu ƙarfi, tubular, sashe mai buɗewa, da sauransu, waɗanda suka dace da marasa lafiya daban-daban. Misali, ƙusa mai ƙarfi a intramedullary suna da juriya ga kamuwa da cuta saboda ba su da sarari a ciki. Ingantaccen iko.

Idan aka ɗauki tibia a matsayin misali, diamita na ramin medullary ya bambanta sosai a cikin marasa lafiya daban-daban. Dangane da ko ana buƙatar sake fasalin, ana iya raba kusoshin intramedullary zuwa reamed nailing da kuma wanda ba reamed ba. Bambancin yana cikin ko ana buƙatar amfani da reamers don reaming na medullary, gami da na'urorin hannu ko na lantarki, da sauransu, kuma ana amfani da manyan guntun haƙa a jere don faɗaɗa ramin medullary don ɗaukar manyan kusoshin intramedullary.

Duk da haka, tsarin faɗaɗa bargo yana lalata endosteum, kamar yadda aka nuna a cikin hoton, kuma yana shafar wani ɓangare na tushen samar da jini na ƙashi, wanda zai iya haifar da necrosis na wucin gadi na ƙasusuwan gida da kuma ƙara haɗarin kamuwa da cuta. Duk da haka, yana da alaƙa Nazarin asibiti ya musanta cewa akwai babban bambanci. Akwai kuma ra'ayoyi waɗanda ke tabbatar da ƙimar reaming na medullary. A gefe guda, ana iya amfani da kusoshin intramedullary masu girman diamita don reaming na medullary. Ƙarfi da juriya suna ƙaruwa tare da ƙaruwar diamita, kuma yankin hulɗa da ramin medullary yana ƙaruwa. Akwai kuma ra'ayi cewa ƙananan guntun ƙashi da aka samar yayin aiwatar da faɗaɗa bargo suma suna taka rawa a cikin dashen ƙashi na autologous.

Babban hujjar da ke goyon bayan hanyar da ba a sake yin gyaran fuska ba ita ce tana iya rage haɗarin kamuwa da cuta da kuma embolism na huhu, amma abin da ba za a iya watsi da shi ba shi ne cewa siraran diamita yana kawo raunin halayen injiniya, wanda ke haifar da ƙarin saurin sake yin tiyata. A halin yanzu, yawancin kusoshin tibial intramedullary suna amfani da ƙusoshin intramedullary da aka faɗaɗa, amma har yanzu ana buƙatar a auna fa'idodi da rashin amfani dangane da girman ramin medullary na majiyyaci da yanayin karyewar sa. Bukatar reamer ita ce a rage gogayya yayin yankewa kuma a sami sarewa mai zurfi da ƙaramin shaft mai diamita, ta haka rage matsin lamba a cikin ramin medullary da kuma guje wa zafi fiye da kima na ƙasusuwa da kyallen takarda masu laushi da gogayya ke haifarwa. Necrosis.

Bayan an saka ƙusa ta intramedullary, ana buƙatar gyara sukurori. Ana kiran gyaran wurin sukurori na gargajiya da kullewa mai tsauri, kuma wasu mutane suna ganin cewa yana iya haifar da jinkirin warkarwa. A matsayin ci gaba, an tsara wasu ramukan sukurori masu kullewa zuwa siffar oval, wanda ake kira kullewa mai tsauri.

Wannan gabatarwa ce ga abubuwan da ke cikin farce a cikin medullary. A fitowa ta gaba, za mu raba muku taƙaitaccen tsarin tiyatar farce a cikin medullary.