Fixator yo hanze

1.Nibicuruzwa

Gukosora hanze birashobora gukoreshwa kugirango ugere kuri 'igenzura ryangiritse ryakoreshejwe ' kubiranga hamwe no kwangirika gukabije kwangiza no kuvura burundu kuvuka. Kwanduza amagufwa nigipimo cyingenzi cyo gukoresha gukosorwa hanze. Gukosora hanze birashobora kandi gukoreshwa mugukosora no gufata amagufwa.

2 .Kuki ukoresha an Gukosora hanze 

2.1 Ibyiza byo gukosora hanze

- Guhungabana gato k'amaraso bigana igufwa.

- Ingaruka nke kuri tissue yoroshye.

- irashobora gukoreshwa vuba mubihe byihutirwa.

- Gukosora kuvugurura no kwanduza.

- Emera gusiba no gukosora neza kuvunika ntabazwe.

- kuba hari umubiri muto w'amahanga mugihe wanduye.

- bisaba uburambe buke nubuhanga bwo kubaga kuruta kugabanya ibisanzwe no gukosorwa imbere (Orif).

- Gukosora amagufwa no guhindura ubumuga birashobora gukorwa.

2.2 ibimenyetso byo gukosora hanze

2.2.1 Gufungura

Gukosora byo hanze ni bumwe muburyo bwo guhindagurika by'agateganyo cyangwa busobanutse bwo kuvunika kandi bugaragazwa cyane cyane no gukomeretsa imiti ikabije. Ibirenge byo hanze ni byiza kumeneka hamwe ningaruka nyinshi zo kwandura, nko kwitabira kwitabira ivuriro no / cyangwa kwanduza. Gukosora hanze bimaze igihe kinini ari uburyo bwingirakamaro kuri ibyo bikomere kandi biracyafatwa nkibisanzwe bya zahabu.

2.2.2 Kuvunika

Ibimenyetso byo gushyira mu bikorwa gukosorwa no gufunga bifunze nibidahinduka by'agateganyo by'abarwayi bafite ibyuma bikabije, kandi ibikomere bikabije byoroheje cyangwa ibikomere. Muri ibi bihe, ibidahinduka by'agateganyo ukoresheje ibyangombwa byo hanze birashobora gukorerwa kure yuburyo bwo gukomeretsa, byaba byiza kure yubuso bwo kubaga, gufata imvune yoroheje mugihe ukomeje guhuza ingingo.

2.2.3 Gukomeretsa byinshi

Uburyo bwo gukosora hanze bugomba gusuzumwa mugihe ukora kubaga ibyangiritse kubarwayi bafite ibikomere byinshi. Ibyiza nyamukuru byo gukosora hanze ni uguhura umuvuduko wihuse wo kuvunika, fasha kugabanya ububabare, kugabanya kuva amaraso, no kugabanya symated syndroment synterromet yo gukemura ibibazo byorohereza.

2.2.4 Intra-arcticular kuvunika

Gukosora ibicuruzwa byo hanze mubisanzwe nigipimo cyigihe gito girinda tissue yoroshye yoroheje mumurongo udahungabana cyangwa uko utoroshye. Nuburyo kandi bwo gutandukanya hamwe cyangwa gusana ligamention aho umwe-stage isobanutse imbere ntabwo bishoboka. Ingingo zose zikomeye zirashobora gukemurwa muri ubu buryo, ariko mubisanzwe ni ukuboko, ivi, n'amaguru.

2.2.5 igufwa cyangwa tissue yoroheje

Mu barwayi bafite ibihangano byoroshye kandi byamagufwa, amakadiri yo hanze arashobora gukoreshwa mugugabanya ingingo muri kimwe hanyuma agarura uburebure bwa Osteogenezi ku cyiciro cya kabiri.

2.2.6 Ikadiri yo hanze ikoreshwa nkigikoresho cyo gusubiramo itaziguye

Kugabanya kugabanuka, mugihe isahani yo gukosora imbere cyangwa intera yimbere ishyizwemo, umwanya wo kuvunika urashobora kubungabungwa ufunga fineri yo hanze. Rimwe na rimwe, filime yo hanze irashobora kugumana mugihe cyigihe cyo gutanga igisubizo cyinyongera mugihe gukosorwa imbere bidakomeye bihagije. Ibicuruzwa byo hanze cyangwa ibirangaza byimbuto byagaragaye ko bifite uruhare runini mugihe cya Tibial InterAmedlary. Igice cya Schnee gitekerezwa kuruhande rwa dorsal yintangiriro ya minini yinjira mumurimo winjira mubyinjira no kumugereka, bifatanye n'inkoni ndende. Ibi bitanga gukomata ku buringanire kandi nanone ihindura uburebure, kuzunguruka, na axis yo kuvunika mbere yo kwinjiza intera intera ihindagurika cyangwa zometse.

Imbere ya Tibial Intramediry Gushyira hamwe no gukosora hanze ya Bracket

3.Prcistion Ibikorwa byo hanze Porogaramu

3.1 ibintu bizima

Shira byibuze amapine 2 kumurongo ukomeye unyuze muri zone yumutekano wa anatomic, hamwe nibikinisho byashyizwe ahagaragara. Niba ibintu byoroshye byoroheje, amapine yo gukosora agomba gushyirwa hafi yo gucika intege bishoboka, ariko ntigomba kwinjira mu kuvunika iherezo rya hematoma cyangwa mukarere cyo kwandura uruhu. Niba gukosora byimbere byimbere, amapikipi yo gukosora agomba kwirinda ibishoboka byo kubaga no kubaga (agace k'abatozo). Inkoni ihuza igomba gushyirwa hafi yamagufwa bishoboka kongera umutekano. Umutekano wa filime yo hanze biterwa nibintu bikurikira.

- Intera yo gukosora amakaramu kuva kuvunika iherezo: gukomera cyane.

- Umwanya wo gukosora amapiki muri buri gice cyo kuvunika: kinini cyane.

- Intera yinkoni ihuza amagufwa: Ibyo byashimishije cyane.

- Umubare wo guhuza inkoni: ebyiri zirakomeye kuruta imwe.

- Iboneza rya Ferisiyo yo Gukosora (kuva hasi cyane kugeza imbaraga zo hejuru): Indege imwe / imiterere / biplane.

- Ikadiri yo gukosora yo hanze ihujwe nicyuma cyimbere (imiyoboro ya tensiro): gake ikoreshwa kuko kuvanga kwa elastike no gukomera cyane ni iyigihe gito.

- Diameter ya Scharews cyangwa Amapine ya Schnee: 6mm yikubye kabiri imbaraga zoroheje za 5mm.

a. Indege imwe yindege imwe-imwe-imwe yo gukosora. Intera ya PIN kuva kumeneka iherezo (x).

Ibyegereye, biragenda neza. Intera yimikino itandukanye kuva kumenagura kwingenzi (Y): ukundi kure cyane.

Kure cyane, biragenda neza. Intera yinkoni ihuza amagufwa (z): niko byateye imbere.

b. Ibindi, Uniplantar, inkoni 3 zo guhuza ibicuruzwa byo hanze ni ikintu cyingirakamaro kubwuburyo butandukanye, harimo no kwinjiza.

Icyitegererezo kuri porogaramu nini ya porogaramu, harimo uburyo bwo gusubiramo.

c. Uniilateral Unipunlar Ihuza ryibintu bibiri byoherejwe hanze.

d. Iboneza rya biplateral (▲ Iboneza).

e. Iboneza ry'ibihugu byombi hamwe no gukosora amapine. Ubu ni gake ikoreshwa.

Gukosora bidasubirwaho gutinda gutunganya inzira yo gukira, ariko niko hakaba harakaye cyane.

Rimwe na rimwe birakenewe muburyo bukosorwa no kongera umutwaro ukoresheje uburemere bwigice cyangwa bwuzuye kandi / cyangwa guhindura iboneza ryukacuruzwa ryo hanze.

3.2 Ubuhanga bwishime

- Menya neza anatomy kugirango wirinde gukomeretsa imitsi, imiyoboro y'amaraso n'imitsi.

- Ntukemere ko amapine yo gukosora cyangwa imigozi kugirango winjire hamwe.

- Irinde kuvunika impera na hemamas.

- Irinde uturere twuruhu cyangwa kwikuramo.

- Mbere yo gushushanya amagufwa cortex kugirango wirinde kwangirika kwumva (biganisha ku mpeta ya necrosis).

- Amapikipino akosorwa agomba kuba afite uburebure bukwiye bwo kubaka ikadiri ikwiye.

3.2.1 Inyuma

Ikariso ya drill cyangwa ikosore PIN, ubushyuhe buke buzaba. Kwihuta gutya, hejuru ubushyuhe buzamuka. Kwangiza ubushyuhe mu magufa ni impungenge zikomeye kuko ibi bishobora gutera amagufwa yapfuye, nayo ishobora gutera hakiri kare kandi / cyangwa kwandura. Gushyira neza amapikipiki kugirango ufate neza cortices, mugihe inama ntigomba kwinjira kure.

3.2.2 Diaphysis

Muri epiphysis, umusaruro w'ubushyuhe ntabwo ari ikibazo. Birashobora kuba byiza gukoresha imiyoboro yo kwigumisha kuriyi ngingo, nkuko byoroshye kubura ibyobo byabanjirije byangiritse mugihe uhindagurika mumigozi. Gukosora PIN Kwinjira mu ngingo bigomba kwirindwa kuko hari ibyago byo gukingirwa gukingirwa urushinge rushingiye ku ngingo.

3.2.3 zone

Kugira ngo wirinde gukomeretsa imitsi, imiyoboro y'amaraso, imitsi, n'imitsi, umuganga ubaga anatomiya mu bice byose kandi koresha akarere k'umutekano kugira ngo ushyire pin.

Igicapo 3.3.3-2 zone itekanye kugirango ushyire hanze.

femur.

Igicapo 3.3.3-2 (Ibikurikira)

B Tibia.

Igicapo 3.3.3-2 (Ibikurikira)

c humerus, kureba inyuma.

Iyo ukoreshejwe mu ndege imwe, ntabwo ari ngombwa gutwara schanz screw muri tibial yimbere. Ikimenyetso cyimbere gifite amagufwa yubunini hamwe no gucukura bizabyara ubushyuhe bukabije, bushobora gutera osteonecrose ya kabiri. Muri Tibia ya Natal, hari akaga ko gukomeretsa materi yimbere hamwe no kwagura imitsi.

4. Ibigize

4.1 TUBE-ROD sisitemu

4.1.1 Scharews 

Imiyoboro ya Schanz irasenyuka igice cyuzuye. Baraboneka muri diameters zitandukanye, uburebure (uburebure bwinkoni, uburebure bwuzuye) hamwe ninama zitandukanye. Inama ya Schanz screw screw ni inama imeze nkigikombe (Ishusho 3.3.3-3a) kandi mubisanzwe isaba gucukura mbere.

Ishusho 3.3.3-3 Scharews.

Incket isanzwe ya POCT.

B Kwicuza Kwitegura.

Kwiyunga no kwigurika no kwikubita hasi bigira inama idasanzwe ishobora kwikinisha no gukata insanganyamatsiko icyarimwe iyo ikubiswe muri metaphysis (Ishusho 333-3b).

Imigozi ya Schanz iraboneka muri steel, Titanium cyangwa hydroyfaritate. HydroxyApatite pin irashobora kugera mu magufa, yemerera amagufwa yo kwisiga no kwirinda kurekura. Ubu bwoko bwa pin bukwiye kubarwayi bafite ibicuruzwa byo hanze mugikorwa kuva kera.

4.1.2 Amapine

Amapine ya Steine ​​yakoreshwa nkibicuruzwa byoherejweho amagufwa yinjira. Inama zabo ziri muburyo bwo guswera kandi zigomba kubanziriza mumagufwa corcal mbere.

4.1.3 Tubes / inkoni

Ukurikije ibisobanuro byimiyoboro / inkoni, hari moderi 4 zitandukanye:

• BIG: 11 mm tube / inkoni, imigozi ya Schanz ni 4 ~ 6 mm.

• Hagati: 8 MM Tube / Inkoni, imigozi ya Schanz ni 3 ~ 6 mm.

• Gitoya: 4 mm tube / inkoni, schanks screw 1.8 kugeza 4 mm.

• Mini: 2 MM sisitemu yintoki, igishushanyo gisanzwe, hamwe na clamp ya byinshi kugirango ukosore k-insinga na mm 2 mm.

Module yiyi sisitemu yishyuwe hamwe ninkoni ya mbere, igoramye inkoni za karubone. Kuri imbuga zikosorwa nkikiboko, t-guhuriza hamwe nabyo birahari.

4.1.4 Clamps

Clamps ikoreshwa muguhuza igituba / inkoni no gukosora amapiki. Imiyoboro / inkoni irashobora kandi guhuzwa hagati yacu hamwe na clamp ibereye (tube-tube).

Igicapo 3.3.3-5 Clamps

Gufunga cyane kugirango uhuze imigozi ya Schanz na tubes / inkoni.

b clamp clamp yo guhuza inkoni ebyiri cyangwa imiyoboro ibiri.

c clamp rusange yisi yose.

D tube-tube clamp yo guhuza imiyoboro ibiri.

4.2 Imiterere yo gukosora itangwa na sisitemu

Guhagarika guhagarika birashobora kugenzurwa nintwaro ebyiri cyangwa clamp yihariye. Ibigize gusa urutwe birashobora kuba bifatanye kugirango birangaze cyangwa kwikuramo amagufwa kurambura no / cyangwa amagufwa.

Sisitemu yo gukosora hanze yo gutwara amagufwa

4.3 ihujwe no gukosora hanze

Guhuza ikosora hanze kugirango bigabanuke byegeranye hamwe kandi bisaba kon yatsinze Pin kugirango ikosore impeta na Schanz isanzwe screw kuri diaphysis. Impeta ya 3/4 yerekana impeta isanzwe ikoreshwa. Guhuza impengamikorere bikoreshwa cyane cyane kubiti bya tibia.

Ihujwe no gukosorwa hanze yo gutunganya ibibaya bya tibial. Irashobora kandi gukoreshwa kubice bya peteroli ya tibia ya matal. Imiterere ya V-imeze neza itanga edics nziza

4.4 Bracerential Brace yo hanze

Ibyiza bya sisitemu yo gukosora byuzuye ni uko umurongo wo kwikorera hamwe na orthopedicique anyura hagati ya sisitemu yo gukosora hanze ya sisitemu yo gukosora. Sisitemu yo kuzenguruka hanze ya filime yo hanze irashobora gukoreshwa mumagufwa yororenge, gutunganya amagufwa, no kuvura ibicuruzwa byoroshye kandi bigoye.

Impeta ya Tibial Impeta yo hanze

Ifoto ya Clinical yintara ya tibial sisitemu yo gukosora hanze

Gushyira mu bikorwa ubu buhanga butuma habaho uburemere bwambere. Kubijyanye no kuvunika gushya, duhitamo uburyo bworoshye bwo gutunganya hanze kugirango buvure. Amagufwa yo gutondeka no kurambura birashobora kuvurwa hamwe na sisitemu yo gukosora hanze, ariko birashobora kugorana gukora ubumuga bugoye, burashobora gukosorwa, kubikorwa byinshi byo hanze birasabwa. Iyo ukoreshwa nkibicuruzwa byo hanze, umushinga wo kuzenguruka hanze utanga umutekano ugereranije. Iyo urushinge rumaze kunyura mu ndege zitandukanye zo gukosora mu kuyikosora mu kuyikosora, iyi miterere itanga urwego rwo hejuru. Imbaraga zimiterere ziratandukanye bitewe nibijyanye no gukosorwa, umubare wimpeta ukoreshwa, kandi ubwoko bwa pin bukoreshwa, nka Kirchner pin cyangwa imigozi ya Schanz. Ukurikije inteko, kuvunika birashobora gusubizwa cyangwa guhagarikwa, kandi ubumuga burashobora kandi gukosorwa. Impeta ibicuruzwa byo hanze mubisanzwe bikoreshwa muguranga Osteogenezi kugirango ukosore amagufwa, kugabanya no kunyura.

4.5 Urutonde rwo hanze rwo hanze

Byakoreshejwe kugirango ukomeze gusubiramo ingingo zatewe cyangwa gutondeka no kwemerera bimwe (bigenzurwa) kugirango wirinde gukomera. Bikoreshwa cyane kubwinkokora.

Ikadiri 5 yo kubaka imirongo yo hanze

5.1 Ituvu ryimiterere yimiterere

Hariho uburyo butandukanye bwo gushyira mu byiciro Inzego zifatika, cyane cyane zishingiye kuri:

- imikorere.

- Igishushanyo mbonera.

- Indege yo gusaba.

- Kuranga.

5.1.1 Amakadiri adashyize ahagaragara

Ikadiri idahwitse nuburyo busanzwe bukoreshwa muburyo bwo hanze uburyo bwo gufata uburyo bwo kuvura diféeseal. Ikadiri ikoreshwa mu ndege imwe, urugero anteromedial cyangwa metaial kuri tibia na anterolaramu cyangwa kuruhande muri femur. Amapikipi yo gukosora yinjijwe mu ruhu kuruhande rumwe kandi yinjira muri cortex ebyiri. PIN igomba gushyirwa kure yingingo, hanze yigice cyavuguruwe cya capsule ihuriweho, kugirango wirinde sepsis ihuriweho. Inkoni zombi zishyizwe mu ndege imwe cyangwa mu ndege ebyiri zitandukanye hanyuma zifatanije hamwe.

5.1.2 Amakanura

PIN ya Szczecin yanyuze mu ruhu ku ruhande rumwe, yinjira muri Bilansar Cortex, hanyuma agaruka mu ruhu ku rundi ruhande. Amakadiri y'ibindi ntabwo asabwa kuvura burundu ibiranga, ariko birashobora gukoreshwa mugukosora by'agateganyo.

5.1.3 Byambutse byo hanze

Ikoreshwa mu buryo bwo kugenzura ibyangiritse kugirango ugere ahantu havuza ibikomere bikabije cyangwa ibikomere bifatika hamwe no gukwirakwiza.

▲ Fuctures, kuvunika femur ya femur, hamwe no kuvunika gukabije tibia byahagaritswe hakoreshejwe imirongo yo hanze yigihe gito hejuru yivi no ku biguru.

Umutekano utangwa na Feliation Frocial Ikadiri yemerera gukira muri tissue yoroshye kimwe na ct scanning no gutegura mbere. Amakadiri adashyize ahagaragara akunze gukoreshwa, kandi amapikiko asohoza agomba gushyirwa hanze yuburyo bwo gukomeretsa no kurangiza burundu.

5.1.4 Amakadiri yo Kwagura

Ilizarov yashyize ahagaragara ubu buhanga hamwe nikiranga cyo gukosora hanze. Amakadiri yo hanze yo hanze hamwe n'amakadiri yo gutunganya hanze arashobora gukoreshwa mugukoresha iri hame ryo gusubira inyuma, hamwe nibibi bikosorwa mugihe kimwe keretse kurakara bikozwe na intera imisumari.

5.2 Ubuhanga bwo Kwiyongera

Ibyiza byimiterere ikosowe ni uko yemerera kugabanya, kumvikana, no gukosora amagufwa maremare yose, uduce twinshi twihuriweho hamwe, hamwe ningingo yonyine (transtoular).

Gushyira imigozi ya Schanz birashobora kuba ubuntu, bigatuma guhitamo kwa anatomic ya anatomic kuri schanz screw cyangwa ahantu hakosorwa bitewe nubwoko bwo kuvunika no gukomeretsa. Kugabanya ibice bikomeye byacitse birashobora gukorwa nuburyo bwo kugabanya uburyo butaziguye, mugihe uzigama amaraso kugeza kumagufwa no mu ngingo zoroshye. Gushyira mu bikorwa ubu buhanga butuma ihindura kugabanuka igihe icyo aricyo cyose.

Kugabanya uburyo bwo kugabanya.

Ubwoko bwa B Tibial Stem Stocture.

B kuri buri gice kinini cyo kuvunika, amapine 2 yo gukosora yashizwe hanze yakarere ko gukomeretsa.

C Amapikipiri akosorwa ashingiye ku nkoni ihuza hamwe na clamp ya bose, bigatuma imikoreshereze 2 yo kugabanya itarangwamo.

D Nyuma yo kuvunika, inkoni ya 3 ihuza inzangano zometse ku nkoni ya mbere ya mbere ihuza hamwe na tube-tube clamp.

▲ kwerekana umuyoboro ukosowe hanze. tibia. B Femur. c tranvi.

6 Porogaramu idasanzwe

6.1 Huint Fusion

Gukoresha bidasanzwe abapolitiki bo hanze ni ukusanya ingingo no kwikuramo ibicuruzwa byo hanze. Iri hame rimwe na rimwe rikoreshwa mu guhuza akaguru, ivi, hamwe n'inkokora, cyane cyane imbere y'ubwandu.

6.2 kwandura

Gukosora hanze nuburyo buhebuje bwanduye bukabije cyangwa kuba twanduye buvunika, nkuko ibizamini byo kugaragazwa mubisanzwe bishyirwa kure yikibanza cyanduye.

6.3 Osteotomy

Osteotomation yo gukosora igihe cyoroshye mugihe ibintu byoroshye cyangwa byangiritse kandi ibyago byo gukoresha ikosora imbere ni hejuru, mugihe udukoni twakosowe hashobora gukoreshwa mugukosora. Ikindi kimenyetso ni Osteotomy hamwe namagufwa icyarimwe. Ibi mubisanzwe bisaba gukosorwa hamwe nikiranga cyo gukosora hanze.

6.4 Amagufwa - Kurangaza Osteogenes

Kurangagura amagufwa bishingiye ku ihame rya Illizarov ryo kubungabunga persosteum kugirango igufwa ryaciwe neza rishobora kurangara buhoro (0.5-1 MM / D), hamwe namagufwa mashya yashinzwe muri iki cyuho. Ikigereranyo cyihuse cyo kurangaza bivamo amagufwa gukira, mugihe ibipimo byihuse byo kurangara birenze urugero kwihanganira imitekerereze idashiramo amagufwa. Yatwaye cyangwa yarangaye amagufwa, nk'ibyuma, nanone unyure mu byiciro byose byo gukura kwa Scab kugeza igihe bimaze kugaragara. Hano haribimenyetso 3 byo gukoresha ubu buhanga, kandi rimwe na rimwe ibi bimenyetso bishobora kubana:

- Limb kuramba.

- Amagufwa ya segmental yo kuvura indero.

- Gukosora Osteotomy.

Imyanya ikwiye cyane kuri iyi ntego ni ikadiri yo kuzenguruka hanze (hamwe cyangwa idafite igice cyo gukosora hanze) hamwe nikiranga cyo gukosora hanze.

6.5 Kugarura hamwe no gukomeza

Umushinga wo hanze washyizwe ahagaragara ningereranyo y'ingenzi ku mvururo zidasanzwe z'inkokora idahwitse, harimo no gutandukanya inkokora idakira cyangwa idakemuka zikurikira gusubiramo no gusana bisanzwe. Umushinga wo hanze washyizwe ahagaragara ukomeza kohereza inkokora hamwe nubukangurambaga bugenzurwa. Kugumana gusubiramo nicyo cyambere. Inkomoko iragoye gucunga kuruta gutakaza. Axis igomba gukurikizwa neza munsi ya flueroscopi. Gutandukana gato mumwanya wa hinge birashobora guhindura cyane imikorere yayo.

▲ gushyira umuco wo hanze washyizwe ahagaragara ku nkokora.

Ubuvuzi 7 nyuma

7.1 PIN TRACT

PIN TRACT TEACACY biterwa numwanya no gutuza muri PIN ya PIC, kuvura nyuma yitsinda ryimitindi hamwe numurwayi. Ubuhanga bwagabanijwe hamwe nibyiza kuko yemerera guhitamo umwanya mwiza wa anatomical kugirango ikosorwe pin ukurikije ubwoko bwubwonko. Ibitaro bigomba kugira gahunda yo kwita kuri Pin isobanutse, kandi abaforomo b'inararibonye bagomba kwigisha abarwayi gukora tract tract barebire bonyine. Mu kwirinda imvune zubushyuhe hamwe nubushyuhe bwa simama mugihe cya PIN gushiramo, no gukoresha inzoka zinzoga kugirango usukure urubuga rwa PIN mugukurikirana, no gukoresha imyambarire ifunze, kandi infection yo kugabanuka cyane.

7.2 Indwara yo gutora 

PIN TRACT Cather igomba kubanza kugira PIN ikubiyemo. Ku miyoboro isanzwe ya Schanz, mbere yo gucukura mubisanzwe birasabwa kandi pin yashizwemo intoki kugirango igabanye necrosinal. Impagarara zoroshye zidakwiye zizengurutse pin zigomba kurekurwa mugihe cyo kubagwa. Kwita ku mato ya PIN ni ngombwa kugabanya ibintu bya PIN tract congo. Indwara yo gutoranya kandi yatsinze irashobora gukemurwa no gukuraho PIN yoroshye kandi yongera guswera pin ahandi.

7.3 Gukangurira

Usibye imanza zidasanzwe (gukosora bikosorwa, gukoresha byihutirwa, guhindurwa no guhinduranya), ibiro byibintu biremewe mugitangira cyakosowe. Nkurukizashya rutera imbere, kwitwara byuzuye birashobora kwiyongera buhoro buhoro. Nta mpamvu yo kongeramo ibikoresho byinyongera kuri porototor yo hanze. Uburemere bwigice cyangwa byuzuye nuburyo bwiza kandi bwiza bwo gutanga imbaraga.

Igihe cya 8 cyo gukosora hanze

8.1 Guhindura kwivuza

Hariho uburyo 3 bwibanze bwo kuvura:

• Koresha ibicuruzwa byo hanze nkibikoresho byuzuye kugeza gucika intege.

• Guhindura hakiri kare kugirango ukosorwe imbere.

• Hindura kutitoza, nka plaster, orthosis, nibindi.

Niba guhindura ikosora imbere, bigomba gukorwa hakiri kare bishoboka (mugihe cyibyumweru 2) kuko igipimo cyo kugorana kirenze ku buryo bwo guhinduka.

Amategeko akurikira agomba gukurikizwa mugihe utegura mbere, mugihe, cyangwa nyuma yo gukosora by'agateganyo:

• Niba hashyizweho ingufu nshya kurubuga rwumwimerere rwo gukosora, udupapuro twose dukwiye. Rimwe na rimwe, inzira ikorwa mubyiciro bibiri, hamwe na stade imwe kugirango usukure tract yumwimerere ya PIN n'icyiciro cya kabiri kugirango ukore neza.

• Urupapuro urwo arirwo rwose rurenze iminsi 10 kugeza 14 rufatwa nkubukoloni kandi rugomba gusukurwa no kugavana muburyo bukabije mbere yo gukosorwa.

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• Antibiyotike igomba gukoreshwa prophylactique ifite spectrum igabanya ubukana ikubiyemo bagiteri kuva muri pin tractions.

• Gukurikira gukurikiranwa ibyumweru 6 byambere nyuma yo gusimbuza ibyakosowe imbere.

Niba hari ibimenyetso byikibazo hamwe na pan tract, nibyiza kumenya amoko ya bagiteri, shyira antibiotique, hindura PIN hanyuma ukomeze kwivuza, kandi ukomeze kwivuza hamwe na politor yo hanze. PIN TACT Cather igomba kuba irimo umurwayi kugirango habeho ibisubizo byiza. Niba ibicuruzwa byo hanze bigomba gusimburwa no gukosora imbere, birasabwa kugira igihe cya 'PIN ikiruhuko cyiminsi 10, hanyuma gikemurwa no kunyuramo ikibazo cyo hanze mbere yo gutinda kubagwa imbere. Antibiyotike irashobora gukoreshwa muburyo bukwiye muri iki gihe.

8.2 Gukosora kwanyuma

Gukosora byihutirwa birashobora kugera ku gipimo cyigihe gito cyo kugarura ibintu byoroshye. Igihe cyose ibintu byoroshye bya tissue bihamye, filime yo hanze irashobora gusimburwa no gukosora imbere. Byiza, bigomba gusimburwa no gukosora imbere muminsi 10.

Niba gukosora hanze biracyahamye kandi nta bimenyetso byibibazo, gukosora gusimburwa ntabwo ari ngombwa. Niba uruhu rukennye, cyangwa hari impungenge zijyanye no kwangirika kworoshye hamwe ningaruka zo kwandura ziva kumugaragaro ni ndende, filime yo hanze irashobora kugumana nkibikorwa byanyuma byujujwe.

Iterambere ryo gukiza rigomba kubahirizwa neza, kandi niba nta terambere, ubundi buvuzi bugomba gusuzumwa.