Fahimtar kusoshi na Intramedullary

Fasahar ƙusa ta intramedullary hanya ce ta gyaran kafa ta ciki da aka saba amfani da ita.Za a iya gano tarihinsa tun a shekarun 1940.Ana amfani da shi sosai wajen magance karyewar kasusuwa mai tsawo, rashin daidaituwa, da sauransu, ta hanyar sanya ƙusa intramedullary a tsakiyar rami na medullary.Gyara wurin karyewar.A cikin waɗannan batutuwa, za mu gabatar muku da abubuwan da suka dace a kusa da kusoshi na intramedullary.

A taƙaice, ƙusa na intramedullary tsari ne mai tsawo tare da ramukan kulle-kulle masu yawa a ƙarshen duka don gyara kusa da ƙarshen karaya.Dangane da nau'i-nau'i daban-daban, ana iya raba su zuwa m, tubular, bude-sashe, da dai sauransu, wanda ya dace da marasa lafiya daban-daban.Misali, ƙusoshi masu ƙarfi na intramedullary suna da ɗan juriya ga kamuwa da cuta saboda ba su da sarari matattu na ciki.Kyakkyawan iyawa.

Daukar tibia a matsayin misali, diamita na kogon medullary ya bambanta sosai a cikin marasa lafiya daban-daban.Dangane da ko ana buƙatar reaming, ana iya raba farcen intramedullary zuwa ƙusa da aka sake gyarawa da kuma ƙusa ba tare da reamed ba.Bambancin ya ta'allaka ne akan ko ana buƙatar amfani da reamers don reaming medullary, gami da na'urorin hannu ko na lantarki, da sauransu, kuma ana amfani da na'urori masu girma da yawa a jere don faɗaɗa rami na medullary don ɗaukar mafi girman diamita na kusoshi na intramedullary.

Duk da haka, tsarin fadada bargo yana lalata endosteum, kamar yadda aka nuna a cikin adadi, kuma yana rinjayar wani ɓangare na tushen samar da jini na kashi, wanda zai iya haifar da necrosis na wucin gadi na ƙasusuwa na gida kuma yana ƙara haɗarin kamuwa da cuta.Koyaya, yana da alaƙa da Nazarin Clinical sun musanta cewa akwai babban bambanci.Hakanan akwai ra'ayoyin da ke tabbatar da ƙimar medullary reaming.A gefe guda, ana iya amfani da kusoshi na intramedullary tare da manyan diamita don yin amfani da medullary reaming.Ƙarfin ƙarfi da dorewa yana ƙaruwa tare da haɓakar diamita, kuma yanki mai lamba tare da rami medullary yana ƙaruwa.Har ila yau, akwai ra'ayi cewa ƙananan guntuwar ƙasusuwan da aka samar yayin aiwatar da haɓakar bargo suma suna taka muhimmiyar rawa wajen dashen kashi na autologous.

Babban gardamar da ke goyan bayan hanyar da ba ta reaming ba ita ce, zai iya rage haɗarin kamuwa da cuta da ƙwayar cuta ta huhu, amma abin da ba za a yi watsi da shi ba shi ne cewa ƙananan diamita yana kawo ƙarancin kayan aikin injiniya, wanda ya haifar da ƙimar sake aiki.A halin yanzu, yawancin kusoshi na intramedullary na tibial suna yin amfani da faɗaɗa kusoshi na intramedullary, amma ribobi da fursunoni har yanzu suna buƙatar auna su dangane da girman rami na medullary na majiyyaci da yanayin karaya.Abin da ake buƙata don reamer shine a rage juzu'i yayin yankewa da samun sarewa mai zurfi da ƙaramin ramin diamita, don haka rage matsin lamba a cikin rami na medullary da guje wa zafi da ƙasusuwa da taushin kyallen takarda da ke haifar da gogayya.Necrosis.

Bayan an saka ƙusa na intramedullary, ana buƙatar gyara dunƙule.Gyaran matsayi na al'ada ana kiransa kulle-kulle, kuma wasu mutane sun yi imanin cewa yana iya haifar da jinkirin warkarwa.A matsayin haɓakawa, an ƙirƙira wasu ramukan kulle dunƙule su zama siffa mai kamanni, wanda ake kira kullewa mai ƙarfi.

Abin da ke sama gabatarwa ne ga abubuwan da ke cikin ƙusa intramedullary.A fitowa ta gaba, za mu raba tare da ku taƙaitaccen tsari na tiyatar farce ta intramedullary.