Isipikili Esinwebekayo Sangaphakathi Kwe-Elastic— Yakhelwe Izingane: Ukulimala Okuncane Ukuze Kululame Ngokushesha
KuyiniIsipikili Esinwebekayo? — I-Scaffold Yangaphakathi Enwebekayo
Isipikili Esinwebekayo Sangaphakathi Kwe-Elastic(ESIN) iwukufakwa kwensimbi okunwebekayo okuklanyelwe ngokukhethekile ukwaphuka kwamathambo amade ezingane. Yenziwe nge-titanium alloy, iyisipikili esincane esinobubanzi obusukela ku-1.5 mm kuya ku-4.0 mm. Usayizi ukhethwa ngokuya ngobukhulu bethambo lengane. Ngokugoba okuhleliwe kanye nokuqina, ifakwa emgodini ophakathi.
Inqubo yokuhlinzwa ibeka izikulufo ezimbili ezinwebeka ngaphakathi kwesikhala sethambo esingenalutho ukuze kusekelwe izingxenye eziphukile ngaphakathi. Asikho isidingo sokuvula indawo yokuqhekeka noma ukufaka amapuleti ethambo.
Kungani kubizwa ngokuthi “isipho sezingane”? – Kwenzelwe izingane ngokukhethekile
Izingane azibona abantu abadala abancane. Ukwelashwa kwamathambo ezingane akukwazi ukulandela nje izindlela ezisetshenziswa kubantu abadala. Uzipho olunwebekayo olungaphakathi kwe-medullary luklanywe ngokunembile ngokusekelwe ezicini ezihlukile zamathambo ezingane.
Okokuqala, Ungalimazi i-epiphysis (ipuleti lokukhula).
Zombili iziphetho zethambo elide lengane zine-epiphysis, okuyi-"injini" yokukhula kwamathambo. Uma i-epiphysis yonakele, ingabangela ubude noma ukukhubazeka okungalingani kwezitho. Indawo yokufaka ye-oi-rthopedicei-lasticnizinhlunguikude kakhulu ne-epiphysis (isibonelo, indawo yokufaka ekugcineni kwe-femur ikhethwa ngaphezu kwe-metaphysis ye-epiphysis), futhi uzipho ngeke ludlule ku-epiphysis, lugweme ngokuphelele ipuleti lokukhula. Lokhu kuyinto ebangelaamathamboamapuletikanye nomuntu omdalaizinzipho zangaphakathi kwe-medullaryayikwazi ukufeza.
Okwesibili, Akukho ukususwa kwe-periosteum, akukho ukuphazamiseka kokunikezwa kwegazi.
Ukwelashwa kokuphuka kwethambo kuncike ku-periosteum kanye nokuhlinzekwa kwegazi okuzungezile. Ukuhlinzwa okuvulekile kwendabuko kudinga ukunqunywa kwesikhumba kanye nemisipha endaweni yokuphuka kwethambo, kususwe i-periosteum, bese kufakwa ipuleti. Lokhu kuzophazamisa ukuhlinzekwa kwegazi ekugcineni kokuphuka kwethambo.ei-lasticni-ailoi-rthopedicAyivuli indawo lapho kwaqhekeka khona. Ifakwa ngesikhumba esincane esisikiwe sisuka endaweni ekude. I-periosteum iphelele futhi igazi elitholakala ekugcineni lapho kwaqhekeka khona alithinteki - isivinini sokuphulukiswa sishesha ngokwemvelo.
Okwesithathu, ukuqina kwe-Elastic kukhuthaza ukuphulukiswa.
Ekwelapheni ukwaphuka kwamathambo kwabantu abadala, kulandelwa “ukuqina okuqinile”, okuhlose ukugcina iziphetho zokuphuka zinganyakazi nhlobo. Kodwa-ke, amathambo ezingane anekhono elinamandla lokuphulukisa, futhi “ukunyakaza okuncane okunwebekayo” okufanele kungakhuthaza ukukhula kwe-bone callus.i-titaniumizinzipho ezinwebekayoinikeza lolu hlobo "lokuqiniswa kwe-elastic" - kukhona ukunyakaza okuncane emaphethelweni okuphuka, kodwa akukho ukugudluka okwenzekayo, futhi i-bone callus ikhula ngokushesha futhi kahle.
Okwesine, Ukusikwa okuncane, isilonda esincane.
Ukuhlinzwa kwensimbi yendabuko kudinga ukusikwa kwamasentimitha angu-8 kuya kwangu-15, okushiya isilonda eside ngemva kokuphola. Uzipho olunwebekayo olungaphakathi kwe-medullary ludinga ukusikwa okubili okuncane kwamasentimitha angu-1.5 kuya kwangu-2 (okukodwa noma okubili kuye ngokuthi indawo yokuphuka kwayo), futhi ngemva kokuphola, akusekho mkhondo osele.
Okwesihlanu, isikhathi sokulaliswa esibhedlela sifushane futhi ukululama kuyashesha.
Uzipho oluthambile olungaphakathi kwe-medullary lunikeza ukuzinza okuhle ngemva kokuhlinzwa, okuvumela ingane ukuthi iqale ukuhambahamba kusenesikhathi. Izingane ezine-femoral shaft fractures zingagqoka i-brace bese zizimele zingakapheli izinsuku ezi-3 kuya kwezi-5 ngemva kokuhlinzwa, zihambe ngezinduku zokuzibopha zingakapheli amasonto ama-3 kuya kwamane, bese zibuyela emisebenzini evamile zingakapheli izinyanga ezi-2 kuya kwezi-3. Uma kuqhathaniswa nokwelashwa okulondolozayo (ukulala phansi amasonto ayisithupha kuya kwayi-8) noma ukuqina kwepuleti (okudinga ukuvikelwa isikhathi eside ngemva kokuhlinzwa), isikhathi sokululama sifushane kakhulu.
Yimiphi imibuzo ebaluleke kakhulu abazali abakhathazeka ngayo?
Ingabe uzipho olunwebekayo olungaphakathi kwe-medullary luzohlala emzimbeni unomphela?
Cha. Kudingeka kususwe ngemva kokuba ukwaphuka sekupholile. Ngokuvamile, ukuhlinzwa kokususwa kwenziwa ezinyangeni eziyi-6 kuya kweziyi-12 ngemva kokuhlinzwa (okuqinisekiswa yi-X-ray ukuthi ukwaphuka sekupholile kahle).
Ingabe ukuhlinzwa kuyingozi? Ingabe kuzolimaza imizwa nemithambo yegazi?
Ukuhlinzwa kwezinzipho okunwebeka ngaphakathi kwe-medullary kuyindlela evuthiwe yokwelapha amathambo ezingane, enezingozi eziphansi kakhulu. Njengoba indawo yokungena kwezinzipho ikude kakhulu nezibopho zemithambo yegazi nemithambo yegazi ebalulekile, ingozi yokulimala ngengozi iphansi kakhulu.
Ingabe ngidinga ukufaka i-plaster cast ngemva kokuhlinzwa?
Cha, uzipho olunwebekayo olungaphakathi kwe-medullary lunikeza ukuzinza okwanele. Ngemva kokuphuka komgodi we-femoral, kuvame ukugqokwa i-brace (isembozo esiqinile esisuswayo) (umsebenzi waso oyinhloko ukuvikela kunokulungisa).
Umuntu angahamba isikhathi esingakanani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa kokuphuka komgodi we-femoral, i-brace ingagqokwa uma umi futhi uhamba kusukela osukwini lwesithathu kuya kolwesihlanu. Kusukela esontweni lesibili kuya kwelesithathu ngemva kokuhlinzwa, umuntu angathwala isisindo kancane ngezinduku zokusibekela (izinzwane zithinta phansi). Kusukela esontweni lesine kuya kwelesithupha ngemva kokuhlinzwa, umuntu angahamba kancane kancane ethwele isisindo esigcwele. Kusukela enyangeni yesi-2 kuya kweyesithathu ngemva kokuhlinzwa, umuntu angabuyela ekugijimeni nasekugxumeni okuvamile. Kufanele kugcizelelwe ukuthi nakuba izinzipho zinikeza ukuzinza, azikwazi ukufaka esikhundleni ngokuphelele amandla okuthwala imithwalo yethambo - isikhathi esiqondile sokuthwala isisindo esigcwele kufanele silandelwe ngeseluleko sikadokotela futhi sinqunywe ngokusekelwe ekukhuleni kwe-bone callus ku-X-ray.
Ingabe izindleko zezinzipho ezinwebekayo ngaphakathi kwe-medullary ziphakeme?
Izipikili ze-intramedullary ezinwebekayo zenziwe ngezinto ze-titanium alloy ezingenisiwe noma zasekhaya ezisezingeni eliphezulu. Izindleko zazo ziphakeme kunezintambo ezivamile zeKirschner, kodwa ziphansi kunezamacwecwe ensimbi.
Uma ufuna ukufunda kabanzi mayelana ne-Izipikili Ezinwebekayoulwazi, sicela ukhululekeXhumana nathi; ithimba lethu lizokunikeza ukwesekwa kochwepheshe kanye nezimpendulo.
Isikhathi sokuthunyelwe: Septhemba-08-2026