Inkqubo yokugocwa kweengcali esetyenziselwa ukulungisa iindawo eziqhekezayo
I-ORIF yinkcazo yenkqubo ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi okubhekiselele ekulungiseni ukuveliswa kweethambo okanye ikhefu elinzima.
"Ukunciphisa okuvulekileyo" kuthetha ukuba ithambo ephukileyo liye lenziwa ngokusetyenziswa ngokuhlinzwa (ngokuchasene nokunciphisa okuvaliweyo kwenziwa ngaphandle kokuhlinzwa). "Ukulungiswa kwangaphakathi" kubhekisela kwi-hardware esetyenzisiweyo ukuqinisekisa ukuba ithambo lizinzileyo kwaye ligcinwe endaweni ukuze likwazi ukuphilisa.
Nangona kukho intuthuko ephawulekayo ekusebenzisweni kwamathambo kunye namazinga okunyuka okwandayo, ukubuyiswa kuxhomekeka kuxhomekeke kubunzima bekhefu, uhlobo lwethambo olubandakanyekayo, ubukhulu bokubuyiswa komsebenzi, kunye nobudala bomntu.
Indlela i-ORIF yokunyanga ngayo eyenziwa ngayo
Ukulungiswa kwangaphakathi kokunciphisa ukunciphisa ukusetyenziswa kwangaphakathi yintsebenziswano emibini eyenziwa ngumgqirha wamazinyo phantsi kwe-anesthesia. Amanyathelo achazwe ngokubanzi ngolu hlobo lulandelayo:
- Isigaba sokuqala sijolise ekuhlaleni amathambo aphukileyo ukubuyisela ukulungelelaniswa kwazo ngokuqhelekileyo. Oku kuthiwa ukunciphisa i-fracture. Yonke inzame eyenziwe ukuqinisekisa ukuba amathambo abekwe kwinqanaba elifanelekileyo kunye neendawo ezimbalwa kunye nezitenxo zomhlaba njengoko kunokwenzeka.
- Isigaba sesibini kukulungiswa kwangaphakathi. Oku kunokubandakanya ukusetyenziswa kweentlobo ezahlukeneyo zezimpembelelo zokubamba amathambo aphukile kunye nokubonelela ngokuzinzileyo ngexesha lokuphulukisa. Iintlobo zangaphakathi zezixhobo zokuqhayisa ngaphakathi ziquka iiplati zetsimbi kunye nezikrini, izikhonkwane zensimbi ezingenasici (i- Kirschner wires , okanye i-K-wire), kunye neentambo ezizinzileyo eziphoqelelwe kwisigxina sethambo (ezibizwa ngokuba zikhonkwane ze-intramedullary, okanye izikhonkwane ze-IM).
Iphosa isetyenziswa emva kokuhlinzwa. Ukuphulwa kwemigqa ethile kunye neenqunu, iintlobo ezahlukeneyo zokuphosa zingasetyenziswa ngexesha lokuphulukisa: ukukhangela okungeyona isisindo esisetyenzisiweyo kunye neengqungquthela kwisigaba sokuqala kunye nesithintelo sokunyameka xa ukuphulukiswa kuqhubela phambili.
Nangona iimplantshi ezininzi zamathambo zenzelwe ukuhlala emzimbeni ngokusisigxina, kukho amaxesha apho ukuhlinzwa okwesibini kunokwenzeka ukuba kususwe ukutsalwa okukhoyo kuphela ukuxhasa ithambo ngexesha lokuphilisa.
Ngamanye amaxesha ityala liye lahlukana kakhulu ne-tibia (ithambo lesifuba) okanye i-femur (ithambo lesithambo), okanye xa isistim sangaphandle (esibizwa ngokuba ngumlondolozi wangaphandle ) sisetyenziswa.
Ukunyamekela emva kokuSebenza Ukulandela i-ORIF
Ukubuyiselwa kwindlela yokuhlinzwa ekunciphiseni ukuvuleka kuya kuba buhlungu. I-Acetaminophen neCodeine idla ngokuqhelekileyo; izidakamizwa ezingekho-steroidal ezichasayo (i-NSAID) njenge-ibuprofen, ngokuphambene, ngokuqhelekileyo, zikhutshwa njengoko zinokunciphisa inkqubo yokuphulukisa. Ama-painkillers anamandla angabhalwa kwiimeko ezinzulu.
Ulwaphulo olusisigxina luyimpumelelo kwimpumelelo yokubuyisela emva kwangoko kuba ukukhutshwa kwempahla kuya kubangela ukuba i-atrophy ye-muscle ifumaneke kunye nokudakalisa kwemizila kunye namathambo. Iyeza lonyango, elihlelwe phantsi kwenkathalo yesazi elayisenisi , lunokukunceda ukuba ubuyisele amandla, ukunyamezela, kunye nenqanaba lokunyakaza.
Izingozi ezinokwenzeka ze-ORIF Surgery
Kwiimeko ezininzi ezibandakanya ukugqithisa okunzima okanye okukrakra, izibonelelo ze-ORIF zokuhlinzwa zigqithise imiphumo. Xa kuthethwa oko, nayiphi na imeko "umngcele" apho ukunciphisa okuvaliweyo kukhetho kufuneka kuxoxwe kunye neengcali zakho zomzimba.
Imiphumo emibi yokutyunjwa okuvulekileyo ingaquka ukusuleleka kwe-bacterium, ukutshatyalaliswa ngokuzwakalayo kunye nokuphuma, ukulimala kwentsholongwane, isifo se-arthritis, ukulahleka kwenkqubo yokunyakaza, ukunciphisa isilungu kunye nokukhubazeka.
Uninzi lweempawu ezifanayo ziyakwenzeka xa ungaqhutywayo.
> Umthombo:
> Ikholeji yaseMerika yasezigqirha. "I-ACS TQIP: Iinkqubo ezilungileyo kwiCandelo loLawulo lwe-Orthopedic Trauma." Chicago, Illinois; 2014.