Gukosora hanze kumaguru & Amavi Kuzenguruka Ex Fix

1. Intangiriro

Gukosora hanze ni uburyo butandukanye, bworoshye cyane bwo guhagarika kuvunika no gucunga ibikomere byoroshye. Ikoreshwa cyane kumeneka ifunguye , kutandura kwanduye, kugenzura ibyangiritse muri polytrauma, gukosora ubumuga, no kurambura ingingo.

2. Kuki ukoresha gukosora hanze?

2.1 Ibyiza

• Kugabanya ihungabana ryamaraso yamagufwa hamwe no gukingira ingirabuzimafatizo.

• Gusaba byihuse mugihe cyihutirwa cyangwa ibyangiritse kugenzura.

• Ningirakamaro kumeneka / yanduye kuvunika hamwe namagufa yanduye aho gutera imbere bishobora guteza akaga.

• Emerera kwiyubaka byateguwe (stabilisation by'agateganyo fix gukosora neza).

• Yorohereza gufata amagufwa, kurangaza osteogenez, no gukosora ubumuga.

2.2

Ibisanzwe mubuvuzi aho hagaragaye gukosorwa hanze:

• Fungura kuvunika hamwe no kwangirika kwinyama zoroshye cyangwa kwanduza.

• Kumeneka gufunze kubarwayi ba polytrauma bisaba guhagarara byigihe gito.

• Kuvunika imbere-articular iyo tissue yoroshye idashobora kwihanganira gukosorwa imbere (ukuboko, ivi , akaguru).

• Gutakaza amagufwa cyangwa inenge zoroshye zicungwa no kugabanuka no kurangaza.

• Kwandura / kwandura nonunion - pin irashobora kwicara kure yanduye.

• Guhuriza hamwe (ikiraro) byubaka ibikomere bikabije bya peri-articular cyangwa ingingo zidahindagurika.

3. Amahame yo gukosora hanze

3.1 Urufunguzo rwibinyabuzima

• Koresha byibura pin ebyiri kubice byingenzi byashyizwe muri zone anatomic umutekano.

• Shira amapine hafi yo kuvunika (ariko hanze ya hematoma / kumeneka uruhu) kugirango wongere ituze.

• Komeza uhuze inkoni hafi yamagufwa kandi wongere pin ukwirakwize muri buri gice.

• Inkoni nyinshi hamwe nindege nyinshi zubaka byongera ubukana.

4. Ibigize - byihuse byerekanwe

5. Porogaramu zidasanzwe

5.1 Guhuriza hamwe hamwe

Gukosora hanze birashobora gukoreshwa muguhuza hamwe cyangwa nkikomatanyirizo hamwe kugirango urinde ingirabuzimafatizo zoroshye mugihe urinda guhuza ingingo (urugero, kuvunika amaguru akomeye).

6. Gukoresha, Kwerekana & Kwitaho nyuma yibikorwa

6.1 Uburyo Ikosora  ikoreshwa

1. Tegura inzira ya pin / wire ukoresheje zone zifite umutekano.

2. Shyiramo pin cyangwa insinga munsi yubuyobozi.

3. Ongeraho inkoni na clamp; Guhindura.

4. Tanga inyigisho z'abarwayi kubyerekeye ubuvuzi bwa pin.

6.2 Ibimenyetso bisanzwe

• Kuvunika kwa Tibial - akenshi ukoresheje tibial pin.

• Kuvunika amaguru hamwe no gukomeretsa ingirabuzimafatizo - birashobora gukenera gukomatanya .

• Ivunika rya Peri-articular mugihe gukosora imbere bidashoboka.

6.3 Kwitaho nyuma yubuvuzi

• Isuku yinzira: tangira umunsi ukurikira kubagwa . Sukura buri gice cya pin inshuro 1-2 kumunsi.

• Kurwanya ububabare: analgesia yoroshye no kwambara byumye.

• Indorerezi: reba umutuku, ububabare, amazi, cyangwa umuriro.

• Mobilisation: biremereye gutwara igice.

• Gahunda yo gukurikirana: kugenzura amavuriro asanzwe.

7. Igihe cyo gukosorwa hanze no guhinduka

• Ubuvuzi busobanutse kugeza kuvunika.

• Guhinduka hakiri kare gukosorwa imbere iyo byoroshye byoroshye.

• Inzibacyuho kuri plaster / orthose aho bikenewe.