25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
Ukuhlinzwa kwe-Humerus Plating kudlala indima ebalulekile namuhla, njengengalo engenhla ukuphuka kwamathambo zithinta abantu abaningi unyaka ngamunye. I-Proximal humerus fractures yenza u-5-6% wakho konke ukuphuka futhi izinga njengengxenye yesibili evamile yokuphuka kwesitho esiphezulu ngemva kokuphuka kwe-distal radius.
Isidingo se-proximal humerus plating sikhule kakhulu kule minyaka embalwa edlule. Odokotela baphatha ukuphuka kwe-humerus ngaphandle kokuhlinzwa. Kodwa-ke, ukulungiswa kwangaphakathi kokunciphisa okuvulekile ngepuleti kuhlala kuyindlela evamile yokuhlinzwa. Le nqubo ivumela odokotela ukuthi basebenzise amapuleti akhethekile abamba izingcezu zamathambo aphukile ngesikhathi sokuphulukiswa.
Amapuleti okukhiya ama-proximal humerus abonisa imiphumela engcono uma kuqhathaniswa nezinye izimila. Lesi sihloko sizochaza ngokuhlinzwa kwe-humerus plating, izinkomba zayo, nemihlahlandlela yangaphambi nangemuva kokuhlinzwa.
Izibhedlela ze-CARE zihamba phambili njengesibhedlela esihamba phambili e-Hyderabad ngokuphuka kwamathambo kanye nezimbalwa izimo ze-musculoskeletal futhi inikeza izixazululo ezinemininingwane zezifo ezinzima nezingamahlalakhona. Isibhedlela sisebenza ngokukhethekile:
Odokotela Abahlinza Kakhulu Be-Humerus Plating eNdiya
Izibhedlela ze-CARE zengeze ukuhlinzwa kwerobhothi okunamandla e-AI ezinsizakalweni zayo zamathambo, okuyenza ibe umholi kwezobuchwepheshe bokuhlinza. Isibhedlela siqukethe:
Odokotela batusa ukuhlinzwa kwe-humerus plating lapho:
Odokotela abahlinzayo Bezibhedlela ze-CARE benza amasu amaningana okufaka i-humerus:
Ukuhlinzwa kwe-Humerus Plating kudinga ukulungiswa ngokucophelela kanye nokubulawa ngezigaba ezibalulekile ezimbalwa.
Odokotela badinga ukuhlolwa kwesithombe okunemininingwane efana nama-X-ray, ama-CT scan, noma ama-MRIs ukuze bahlole iphethini yokuphuka futhi bahlele ukuhlinzwa. Ithimba lezokwelapha lizocela iziguli ukuthi:
Ithimba labahlinzayo lenza lezi zinyathelo eziqondile:
Odokotela abahlinzayo bakhetha indlela yabo ngokusekelwe lapho ukuphuka kutholakala khona. Basebenzisa izindlela ze-anterolateral noma ze-deltopectoral ze-proximal fractures nezindlela zangemuva zokulimala kwe-distal.
Ukululama kwesiguli kwenzeka ngezigaba ezicacile:
Iziguli kufanele zazi ngalezi zingozi ezingaba khona:
Lokhu kuhlinzwa kunikeza izinzuzo ezimbalwa ezibalulekile:
Ukuhlinzekwa komshwalense kuyehluka kakhulu. Izibhedlela ze-CARE zisiza iziguli ngqo ngalezi zinselele zomshwalense.
Ukucela omunye umbono wezokwelapha mayelana nokuhlinzwa kwe-humerus plating kuyisinyathelo esihlakaniphile ngoba lezi zinqubo zingaba yinkimbinkimbi. Ochwepheshe bezokwelapha baphakamisa ukuthi ucele umbono wesibili lapho:
Udokotela ohlinzayo wesibili angase asikisele izindlela ezihlukene—ukuphatha ngendlela elondolozayo, ukubethelwa kwe-intramedullary, noma i-arthroplasty ehlehlisa ihlombe—ngokusekelwe kuphethini yakho ethile yokuphuka. Ngaphezu kwalokho, amasu amasha afana nokufakwa kabili akhombisa imiphumela emihle yokuphuka okuyinkimbinkimbi.
Ukuhlinzwa kwe-Humerus Plating kuwukwelashwa okubalulekile kokuphuka kwengalo okuvame kakhulu namuhla. Le nqubo isiza iziguli ukuthi zikwazi ukubuyisela ukuhamba kwazo ngamapuleti akhethekile agcina izingcezu zamathambo eziphukile zihlangene njengoba ziphola. Izibhedlela ze-CARE sezingumholi kulokhu kwelashwa, ikakhulukazi e-Hyderabad, ngenxa yamathimba azo okuhlinza ochwepheshe kanye nobuchwepheshe obusha.
Izibhedlela ze-CARE zinikeza ukusekelwa okuningiliziwe kuyo yonke indawo—kusukela ezindleleni zokuhlinzwa eziqondile kuye emaphepheni omshwalense. Indlela yabo yethimba ihlanganisa ubuchwepheshe bokuhlukumezeka nobuchwepheshe obusha obunikeza iziguli ukudubula kwazo okuhle kakhulu ekululameni. Ukugxila kwesibhedlela ekunakekelweni okuhambisanayo kusho ukuthi isiguli ngasinye sithola ukwelashwa okuhambisana nezidingo zaso ezithile kanye namaphethini okuphuka.
Ukululama kungase kube inselele, kodwa lokhu kuhlinzwa kuye kwasiza iziguli ezingenakubalwa ukuba ziphinde zisebenze izingalo futhi zibuyele ekuphileni okuvamile ngemva kokuphuka kabi kakhulu.
I-Humerus Plating Surgery Hospitals eNdiya
Ukuhlinzwa kwe-Humerus plating kulungisa amathambo aphukile engxenyeni engenhla. Udokotela ohlinzayo unamathisela amapuleti e-titanium ethanjeni le-humerus eliphukile ngezikulufu ukuze agcine ukuqondana kahle nokuzinza ngesikhathi sokuphulukiswa. Lawa mapuleti asebenza njengamadivayisi ane-engeli engaguquki ahlinzeka ngamaphoyinti amaningi okulungisa.
Ithimba lezokwelapha lincoma ukufakwa kwe-humerus ezimweni eziningana, njenge:
Amakhandidethi ahamba phambili yilaba:
Qaphela ukuthi lokhu kuhlinzwa kungase kungafaneleki iziguli esezikhulile ezinekhwalithi ephansi yamathambo noma izimo ezithile zezokwelapha.
Inqubo inikeza amaphrofayili amahle okuphepha kodwa iza nezingozi ezithile ezingavamile. Noma kunjalo, iziguli zivame ukubona imiphumela emihle lapho odokotela abahlinzayo abanekhono besebenzisa amasu afanele.
Iziguli ngokuvamile zizwa ubuhlungu obumaphakathi ngemva nje kokuhlinzwa okwehla kancane kancane. Uhlelo lokulawula ubuhlungu luhlanganisa:
Ukuhlinzwa kuthatha amahora angu-1-2, ngaphandle kokubala ukulungiselela kanye nesikhathi sokululama. Iziguli zichitha cishe amahora amathathu zingekho ewodini lazo ngenxa yokulungiselela ngaphambi kokuhlinzwa kanye nokuqapha ngemuva kokuhlinzwa.
I-Humerus Plating ifaneleka njengokuhlinzwa okukhulu okudinga:
Izinkinga ezivamile zihlanganisa:
Ukululama kuqhubeka ngezigaba ezahlukene. Ukuphulukiswa kwangempela kuthatha amaviki angu-6-12, kuyilapho ukululama okuphelele ngokubuyiselwa kwamandla kudinga izinyanga ezingu-3-6. Isikhathi sokuphulukiswa kwesiguli ngasinye siyahluka.
Iziguli zibonisa imiphumela emihle kakhulu eminyakeni eyishumi ngemva kokuhlinzwa. Umsebenzi wabo uhlala uzinzile uma uqhathaniswa nesimo sabo ngonyaka owodwa ngemva kokuhlinzwa. Amapuleti ensimbi ngokuvamile ahlala esendaweni unomphela ngaphandle uma edala noma ibuphi ubuhlungu noma ukutheleleka.
Odokotela basebenzisa i-anesthesia ejwayelekile noma i-anesthesia yesifunda. Izinketho zesifunda zihlanganisa:
Izindlela ezijwayelekile zokulungisa zangaphakathi zihlanganisa:
I-humerus yenza imisebenzi emibili ebalulekile: