Ipuleti Lokucindezela Lokuvala Umgodi Wesifazane Ogobile

Inqubo yokusebenza kwepuleti lokucindezela i-femoral shaft locking compression plate (LC-DCP) egobile ivame ukuhilela izinyathelo ezilandelayo: Ukuhlela ngaphambi kokuhlinzwa: Udokotela ohlinzayo uzobuyekeza umlando wezokwelapha wesiguli, enze ukuhlolwa ngokomzimba, futhi abukeze izifundo zezithombe (ezifana ne-X-ray noma i-CT scans) ukuhlola uhlobo lokuphuka, indawo, kanye nobunzima. Ukuhlela ngaphambi kokuhlinzwa kuhilela ukunquma usayizi nesimo esifanele sepuleti le-LC-DCP nokuhlela indawo yezikulufo. I-Anesthesia: Isiguli sizothola i-anesthesia, engaba i-anesthesia ejwayelekile noma i-anesthesia yesifunda, kuye ngokuthanda kukadokotela ohlinzayo kanye nesiguli. Ukusikwa: Ukusikwa kokuhlinzwa kwenziwa eceleni kwethanga ukuze kufinyelelwe ku-femoral shaft ephukile. Ubude kanye nokubekwa kokusikwa kuncike kuphethini ethile yokuphuka kanye nokukhetha kukadokotela ohlinzayo. Ukunciphisa: Iziphetho zamathambo aphukile zihlelwa kabusha (zincishisiwe) zibe sesimweni sazo esifanele kusetshenziswa amathuluzi akhethekile njengezibambo noma ama-bone hook. Lokhu kusiza ukubuyisela i-anatomy evamile nokukhuthaza ukuphulukiswa okufanele. Ukulungiswa kwethambo: Ungqimba lwangaphandle lwethambo (i-periosteum) lungasuswa ukuze kuvele ubuso bethambo. Ubuso bethambo buyahlanzwa futhi bulungiswe ukuqinisekisa ukuthintana kahle nepuleti le-LC-DCP. Ukubekwa kwepuleti: Ipuleti le-LC-DCP le-femoral shaft eligobile libekwe ngokucophelela ebusweni obuseceleni kwe-femoral shaft. Ipuleti lilandela ukugoba kwemvelo kwe-femur futhi lihambisana ne-axis yethambo. Ipuleti libekwe kusetshenziswa amathuluzi akhethekile futhi linamathele ethanjeni okwesikhashana ngezintambo zokuqondisa noma izintambo ze-Kirschner. Ukubekwa kwesikulufu: Uma ipuleti selibekwe kahle, izikulufu zifakwa ngepuleti bese zingena ethanjeni. Lezi zikulufu zivame ukufakwa ngendlela ekhiyiwe, enikeza ukuzinza futhi isize ukukhuthaza ukuphulukiswa. Inani kanye nendawo yezikulufo kungahluka kuye ngephethini ethile yokuphuka kanye nokukhetha kukadokotela ohlinzayo. Ukuthwebula izithombe ngesikhathi sokuhlinzwa: Ama-X-ray noma i-fluoroscopy kungasetshenziswa ngesikhathi senqubo ukuqinisekisa ukuhambisana kahle kokuphuka, indawo yepuleti, kanye nokubekwa kwezikulufo. Ukuvalwa kwenxeba: Ukusika kuvalwa kusetshenziswa ama-suture noma ama-staple, bese kufakwa i-dressing engenamagciwane enxebeni. Ukunakekelwa ngemva kokuhlinzwa: Kuye ngesimo sesiguli kanye nokukhetha kukadokotela ohlinzayo, isiguli kungadingeka sisebenzise izinduku noma i-walker ukuze kube lula ukuhamba nokuthwala isisindo. Ukwelashwa ngokomzimba kunganconywa ukusiza ekuvuseleleni nasekubuyiseleni amandla nokuhamba emlenzeni othintekile. Kubalulekile ukuqaphela ukuthi inqubo yokuhlinzwa kanye nezinyathelo ezithile kungahluka kuye ngolwazi lukadokotela ohlinzayo, isimo sesiguli, kanye nephethini ethile yokuphuka. Lolu lwazi lunikeza umbono jikelele wenqubo, kodwa ukubonisana nodokotela ohlinzayo wamathambo oqeqeshiwe kubalulekile ukuze kuqondwe ngokuningiliziwe ngokuhlinzwa.