Intambo ye-Kirschner (ebizwa ngokuba yi-K-wire) ngumnxeba omncinci okanye ipini engasetyenziselwa ukuzinzisa iziqhekeza zethambo . Ezi fowuni zinokwenziwa ngethambo ukuze zibambe iziqhekeza endaweni. Ziyakwazi ukufakwa ngandlela-thile (ngesikhumba) okanye zingcwatywa ngaphantsi kwesikhumba.
I-w-wires ziza ngobukhulu obuhlukeneyo, kwaye njengoko zikhuphuka ngobukhulu, zithinteka kangako.
I-w-wires ihlala isetyenziselwa ukuzinzisa ithambo ephukile ize isuswe eofisini xa isiphene siphelile. Iimbambo nazo zinokufakwa ukuze zithintele ukunyakaza okanye ukuxhaswa ngaphandle kwecingo, nangona oko kunokubenza kube nzima nakakhulu ukususa.
I-w-iisetyenzisi ezisetyenziselwa ukusetyenziswa ngokuqhelekileyo xa ukulandelelana kwakukho unyango oluqhelekileyo lweentlobo ezithile zentlaka. Xa isetyenziselwa sisetyenziselwa, i-K-wire idla ngokufakwa kwisithambo ukuze inike i-anchor eqinile kwithambo, kwaye ke ukunyuka kuthathwa kwisithambo (ngokusebenzisa ucingo) ukukhupha umgca ogqityiweyo ukulungelelaniswa.
Iingxaki ngeepakeli
Kukho iingxaki ezinokubakho ngokusetyenziswa kwee-K-wires:
- Usuleleko : Indawo yokufakelwa kwepaji ingaba ngumthombo wesifo sokungena kwi-body. Ukuba ushiywe ngesikhumba, iibhaktheriya zihamba ngephepha lepini kwaye zingene emzimbeni, kwaye mhlawumbi kwithambo. Ngenxa yesi sizathu, izigulane ezine-K-wires ezishiywe zibonakaliswe ngokuqhelekileyo ngeendlela zokunyamekela ukukhusela intsholongwane.
- Ukwaphulwa : iipinki zinikeza ukulungiswa okuzinzileyo kweqhekeza, kodwa ezininzi izikhonkwane zincinci kwaye ziyakwazi ukuphuka ukuba kukho ukulungelelanisa ukulungiswa kwenyama.
- I-Movement Fracture : I-w-wires ngokubanzi inikezela ukulungiswa okungaphantsi kwezinto eziqhekekileyo kunamanye amacebo afana namacwecwe kunye neentloko, kunye neentsimbi zensimbi. Ngoko ke, ngamanye amaxesha kunokwenzeka ukuba i-fracture iguqule indawo yayo xa kuphela i-K-wires isetyenziselwa ukulungiswa.
- Ukufuduka : Enye yezona nkxalabo zengxaki yokufuduka kweepini. Ngenxa yoko, ukunyamekela okunyanzekileyo kufuneka kusetyenziswe ngakumbi xa usebenzisa i-K-wires kwisibindi okanye kwindawo yesisu. Kukho iingxelo zeengxelo zokubeka i-K-wires emathanjeni ecaleni kwephepheni kuphela ukufumana ukuba bafuduke kwiiveki zesifuba okanye emva kweenyanga.
Ukususwa kwePin
Ngokuqhelekileyo, i-K-wires iyakususwa kwithuba elithile emva kokuba ithambo liphilise ngokwaneleyo. Kukho ukungabikho ukuba ucingo lungcwatyelwe ngaphakathi ngaphakathi kwithambo, kodwa uninzi lwezikhonkwane luyakususwa xa ukuphilisa kugqityiwe (okanye ubuncinci ukuya kwinqanaba lephukile. Izikhonkwane ezirhoxayo zingasuswa kwiofisi ngaphandle kwe-anesthesia ekhethekileyo. Ukukhutshwa kwipinki akufanele kubangele ukugqithisa kakhulu izigulane ezininzi. Nangona kunjalo, izikhonkwane ezingaphantsi kwesikhumba, ezifakwe kwi-K-wires, okanye izikhonkwane ezingenakunzima ukususa kufuneka ziphume ekamelweni lokusebenza phantsi kwe-anesthetic.
Eyaziwayo Njenge: K-Wire