Iim Rod kunye neeNtshi ezisetyenziselwa ukuPhulwa kweThambo
Izindonga ze-intramedullary (IM) zisetyenziselwa ukulungelelanisa nokuzinzisa izifucu. Iigodo ze-IM zifakwe kwingxowa yomnyoba wethambo phakathi kwamaxesha amathambo emide. Zingasetyenziselwa kwi- femur (ithambo lesithambo) okanye i- tibia (ithambo lesifuba), umzekelo. Kwakhona kuthiwa yi-intramedullary izipikili.
Enye yeenzuzo eziphambili ze-IM izindlu ngezinye iindlela zokulungiswa kwephulo kukuba i-IM rod ikwabelana ngomthwalo ngethambo, kunokuba ixhase ngokupheleleyo ithambo.
Ngenxa yoko, izigulane ziyakwazi ukusebenzisa umda ngokukhawuleza.
Iingcingo ze-IM azikwazi ukusetyenziswa kuzo zonke iziqhekeza, kwaye kukho izikhalazo ezinxulumene nentlungu kunye nezinye iimpawu kwisayithi ii-IM rods zifakiwe. Ngenxa yalesi sizathu, kunokusebenza okwesibini ukususa ifowuni ye-IM ukuba unempawu ezibuhlungu. Ngaphandle koko, intonga ye-IM yenzelwe ukuhlala ngaphakathi kwethambo lakho ngonaphakade.
Ukuphulukiswa kweThambo kunye ne-Intramedullary Rods
Kubalulekile ukuba uqaphele ukuba ezi ntlobo zezimpembelelo aziphuculanga ukuphulukisa amathambo kwaye azithathi indawo yokuphulukisa amathambo. Naliphi na ukufakelwa kwesinyithi esetyenziselwa ukuzinzisa i-fracture yenzelwe ukubamba ukuphulwa kwendlela yokulungelelaniswa ngokufanelekileyo ngexesha inkqubo yokuphulukisa eqhelekileyo yenzeka.
Nangona ukuphulukiswa kwamathambo kungekukhawuleza, ezinye i-IM rods zenzelwe ukuba zinamandla okwaneleyo ukuba zithwale umthwalo womzimba, kwaye kutheni abantu banokuhlala bebeka ubunzima ekupheleni kwexesha kunokukhawuleza ukuba balinde ukuphiliswa ngokupheleleyo kwethambo .
Ukusetyenziswa kwee-Intramedullary Rods
Ukuqhekeka kwe-shaft ye-femal (i-bone break thigh) ihlala iphathwa nge-intramedullary nailing. Ngokuqhelekileyo, intonga yenziwe nge-titanium kwaye ifika ngobude obuhlukeneyo kunye neerameter ukudibanisa izigulane ezahlukeneyo kunye nobude. Isixhobo esincinci senziwa kwintsimbi okanye emadolweni kunye nentonga ifakwe emngeni womnquba.
Iifreyi zisetyenziselwa ukuyibeka kwindawo ekupheleni kwayo.
I-Shinbone fractures ixhaphazwa ngokuqhelekileyo nge-intramedullary nailing. Ifakwe phantsi komnquba womnquba we-tibia ukusuka emadolweni, uwela ngaphaya kommandla weqhekeza ukulungiswa kwexesha elipheleleyo. Izikrini zifakwe kuzo zombini iziphelo ukuze zigcinwe kwindawo ngexesha lokuphilisa. Intonga iqinisekisa ukuba indawo iya kugcinwa kangcono kunokuba isebenzise ukuphosa okanye ukulungiswa kwangaphandle. Nangona kunjalo, oku kuvame ukukhuselwa kubantwana kuba intonga iya kudlula iiplati zokukhula zethambo kwaye ibe nefuthe ebude bomlenze.
Izindonga ze-Intramedullary zingasetyenziselwa kwiziganeko zesifo se-metastatic disease emdlalweni wokulungisa kunye nokuxhasa ithambo emva kokususwa kwesisu. Oku kunokwenziwa ngamathambo asemngciphekweni wokuphuka.
Kwi-genetic disorder ye-osteogenesis imperfecta, okanye isifo se-bone, isifo sokutywala singasetyenziselwa ukuthintela ukuqhuma kunye nokukhubazeka kwamathambo amathambo. Izitera ze-Telescoping zingasetyenziselwa abantwana abakhulayo. Ziyakhula njengoko ithambo likhula.
> Imithombo:
> I-Femur Shaft Fractures (i-Broken Thighbone). I-American Academy ye-Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00521.pdf.
> IMatastatic Bone Disease. I-American Academy ye-Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00093.pdf.
> Ukugqithisa. Osteogenesis Imperfecta Foundation. http://www.oif.org/site/DocServer/Fact_Sheet_Rodding_Surgery.pdf?docID=17867.
> Tibia (Shinbone) I-Shaft Fractures. I-American Academy ye-Orthopedic Surgeons. http://orthoinfo.aaos.org/PDFs/A00522.pdf.