Isibhedlela Esihamba phambili Sokuhlinzwa kwe-ORIF(Open Reduction Internal Fixation) e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe kwe-ORIF(Ukulungisa Ukuphuka Kwamathambo)

Ukuhlinzwa kokunciphisa okuvulekile nokulungiswa kwangaphakathi kunezinga elimangalisayo le-75% lempumelelo yokuphuka okuyinkimbinkimbi, okwenza kube yisixazululo esithembekile sokulimala okukhulu kwamathambo. Iziguli ezaphukile noma ezingazinzile zizuza kakhulu kule nqubo yokuhlinzwa, esebenzisa izingxenyekazi zensimbi eziqinile njengensimbi engagqwali noma i-titanium ukulungisa amathambo aphukile.

I-ORIF inqubo yokuhlinzwa enezinyathelo ezimbili elungisa kabusha izingcezu zamathambo ezisusiwe futhi iwavikele ngehadiwe elikhethekile ukuze kuthuthukiswe ukuphulukiswa okufanele. Kodwa-ke, ngentuthuko yesimanje yokuhlinzwa kanye nezimo ezifanele eziyinyumba, ukuhlinzwa kwe-ORIF sekuya ngokuya kuphephe futhi kusebenza ngempumelelo ekwelapheni ukuphuka okukhulu okungeke kuphole ngokungakwazi ukuhamba kukodwa.

Kungani Izibhedlela Zeqembu Le-CARE Kuyisinqumo Sakho Esiphezulu Sokuhlinzwa Kwe-ORIF e-Hyderabad

Izibhedlela ze-CARE zimi njengesibhedlela esingcono kakhulu sokuhlinzwa kwe-Open Reduction Internal Fixation (ORIF), esihlinzeka ngokwelashwa okuthuthukisiwe kwe-ORIF ngobuchwepheshe obuphambili nokunakekelwa komuntu siqu. Ukuzibophezela kwalesi sikhungo ekwenzeni kahle kukhanya ngemishini yaso yokuhlinza esezingeni eliphezulu, iqinisekisa izinqubo ezinembayo nezinembile. Izinsizakalo zokuhlinzwa ze-ORIF zesibhedlela ezibanzi zihlanganisa:

• Amasu okuhlinza athuthukile kanye nezifakelo zesimanje
• Izinhlelo zokwelashwa ezenzelwe wena
• Ukunakekelwa okuzinikezele kwangemva kokuhlinzwa
• Isiqondiso sochwepheshe sokuhlunyeleliswa
• Usizo lomshwalense

Odokotela Abahlinzayo Abahle kakhulu be-ORIF eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

• 

  UDkt. (Lt Col) P. Prabhakar

  Umqondisi Womtholampilo kanye Nomnyango Oyinhloko Wezokwelapha Zamathambo kanye Nokushintshwa Okuhlanganyelwe

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Anand Babu Mavoori

  Umqondisi Womtholampilo Wokululeka kanye ne-HOD, I-Orthopedics, Ukubuyisela Ngokuhlanganyela kanye Nokuhlinzwa Kwe-Arthroscopic

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. BN Prasad

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. KSPraveen Kumar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Sandeep Singh

  Inhloko yoMnyango - I-Orthopedics,
  Umeluleki Omkhulu - Ukuhlinzwa Kwerobhothi Nokulimala Kwezemidlalo

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Behera Sanjib Kumar

  Umqondisi Womtholampilo kanye neNhloko Yomnyango - I-CARE Bone and Joint Institute

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Sharath Babu N

  Umxhumanisi - Ukubuyiselwa Kwamajoyinisi, Udokotela Ohlinzayo Wamathambo kanye NeRobhothi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. P. Raju Naidu

  umxhumanisi

  ISITHOMBE SAMAJOPHO

  Bhala iNqunto
• 

  Dr. AK Jinsiwale

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Jagan Mohana Reddy

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Ankur Singhal

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Lalit Jain

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Pankaj Dhabaliya

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Manish Shroff

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Prasad Patgaonkar

  Sr. Consultant

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Repakula Kartheek

  Umxhumanisi - Odokotela Bamathambo kanye Nokuhlinzwa Kokubuyisela Ngokuhlanganyela

  I-Orthopedics kanye Nokushintshwa Kwamalunga

  Bhala iNqunto
• 

  UDkt. Chandra Sekhar Dannana

  Sr. Consultant

  I-Trauma kanye ne-Orthopedics

  Bhala iNqunto
• 

  UDkt. Hari Chaudhari

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Kotra Siva Kumar

  Umxhumanisi - I-Orthopedics & Sports Medicine

  Imithi Yamathambo Nezemidlalo

  Bhala iNqunto
• 

  UDkt. Romil Rathi

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Shiva Shankar Challa

  I-Consultant Joint Replacement & Robotic Surgeon

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Mir Zia Ur Rahaman Ali

  Sr. Consultant Orthopedic & Joint Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Arun Kumar Teegalapally

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Ashwin Kumar Talla

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Pratik Dhabalia

  umxhumanisi

  I-Orthopedics (Ukubuyisela Ngokuhlanganyela)

  Bhala iNqunto
• 

  UDkt. Subodh M. Solanke

  I-Arthroplasty engu-Consultant (Ukubuyisela Ngokuhlanganyela) kanye Nodokotela Wamathambo

  Umnyango Wokuhlinza Amathambo

  Bhala iNqunto
• 

  UDkt. Raghu Yelavarthi

  Umxhumanisi - Udokotela Wamathambo, Ukubuyisela Ngokuhlanganyela kanye Nodokotela Ohlinza Izandla

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Ravi Chandra Vattipalli

  I-Robotic Knee Replacement Surgeon

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Madhu Geddam

  Umxhumanisi - Udokotela Wamathambo, Ukushintshwa Kwamalunga, Ukuhlukumezeka kanye Nodokotela Ohlinza Amathambo

  Uchwepheshe wezifo zamathambo kanye nemithi yezemidlalo

  Bhala iNqunto
• 

  UDkt. Vasudeva Juvvadi

  Umxhumanisi - Udokotela Wokuhlinza Amathambo

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Ashok Raju Gottemukkala

  Umqondisi Womtholampilo kanye Nomeluleki Sr. - Amathambo

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Yadoji Hari Krishna

  Umxhumanisi - Udokotela Wamathambo & Udokotela Ohlinza I-Arthroscopy

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Ajay Kumar Paruchuri

  Sr. Consultant - I-Orthopedics

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. ES Radhe Shyam

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto
• 

  UDkt. Pushpvardhan Mandlecha

  Sr. Consultant Pediatric Orthopedist

  I-Pediatric Orthopedics

  Bhala iNqunto
• 

  UDkt. Zafer Satvilkar

  umxhumanisi

  I-Orthopedics

  Bhala iNqunto

Izindlela Ezithuthukile Zokuhlinza e-CARE Hospital

Intuthuko yakamuva kwezobuchwepheshe at CARE Izibhedlela balethe intuthuko enkulu ezinqubweni zokuhlinza. Umnyango wokuhlinza usebenzisa imishini yesimanjemanje eqinisekisa ukuhlinzwa okuthuthukisiwe kokulungisa amathambo aphukile njalo. Ukuqanjwa kabusha kwesibhedlela okuphambili kuhlanganisa:

• Imishini ye-Multi-degree-of-freedom yokuqondanisa okunembile kwesiqephu sethambo
• Izindlela ezithuthukisiwe zokuluka zokudonsa
• Izakhiwo zensimbi ngokwezifiso ngokusebenzisa ukuphrinta kwe-three-dimensional
• Amasistimu wokuhlanganisa wegumbi lokusebenza alula

Isixazululo esisizwa ngamarobhothi sibonise imiphumela emangalisayo, sinciphisa amandla amakhulu adingekayo ukuze kudonseke ngo-80%. 

Kunconywa Nini Ukuhlinzwa Kwe-ORIF?

Ukuhlinzwa kwe-ORIF kubaluleka kulezi zimo ezithile:

• Lapho amathambo ephuka ezindaweni eziningi noma aqhekeke abe yizicucu eziningana
• Ithambo eliphukile libhoboza esikhunjeni
• Ithambo eliphukile izingxenye ziyawa ekuqondaneni okufanele
• Imizamo yangaphambilini yokunciphisa ihlulekile
• Ijoyinti eliseduze nokuphuka liyaphuma

Isinqumo sokwenza ukuhlinzwa kwe-ORIF sincike ezintweni ezihlukahlukene, kuhlanganise nephethini yokuphuka, ukuqina kwayo, kanye nethambo elithile elithintekile. 

Thola Ukuxilongwa Okulungile, Ukwelashwa Nemininingwane Yesilinganiso Sezindleko ukuze
Yenza Isinqumo Esinolwazi Ngokugcwele.

Xoxa Nochwepheshe Bethu

Izinhlobo zezinqubo ze-ORIF

Ukukhethwa kwezingxenyekazi zekhompiyutha zokuhlinzwa kudlala indima ebalulekile empumelelweni yezinqubo ze-ORIF. Odokotela abahlinzayo bamathambo bakhetha ezinhlotsheni ezihlukahlukene zokufakelwa kwensimbi ngokusekelwe endaweni yokuphuka, iphethini, nobukhulu.

Izinhlobo eziyinhloko zehadiwe ye-ORIF zifaka:

• Amapuleti ensimbi nezikulufu zokuphuka okuhlobene nokuhlangana
• Izinduku ze-Intramedullary zokulungiswa kwamathambo amade
• Izintambo nezikhonkwane zezingcezu zamathambo amancane
• Izilungisi zangaphandle zokuzinzisa kwesikhashana

Ukukhetha phakathi kokulungisa unomphela noma kwesikhashana kuncike ezicini eziningana. Ngokuvamile, izikulufu namapuleti ahlala esendaweni ngaphandle kwalapho ebangela ukungakhululeki, kuyilapho izintambo namaphinikhodi kuvame ukususwa ngemva kokuphola okuphelele.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kwe-ORIF

Odokotela bahlola ngokucophelela iziguli ngaphambi kokuhlela ukuhlinzwa kwe-ORIF. Ukuthwebula izithombe kudlala indima ebalulekile ekuhleleni ukuhlinzwa. Odokotela benza ama-X-ray noma ama-CT scan ukuze bahlole ithambo eliphukile kahle. Nakuba i-ORIF ivame ukusebenza njengenqubo ephuthumayo, odokotela abahlinzayo bangase babambezele ukuhlinzwa kuze kuphele ukuvuvukala.

Ukulungiselela kahle kuthuthukisa imiphumela yokuhlinzwa. Izidingo ezibalulekile ngaphambi kokuhlinzwa zihlanganisa:

• Ukuzila ukudla phakathi kwamabili ngaphambi kokuhlinzwa
• Ukugqoka izingubo ezixegayo ngosuku lokuhlinzwa
• Ukunquma izinzipho nokugcina inhlanzeko efanele
• Ukuhlela ama-aphoyintimenti okulandelela kusengaphambili
• Ukuxoxa ngezinketho zokulawula ubuhlungu

Inqubo Yokuhlinzwa ye-ORIF

Ukuhlinzwa kwe-ORIF ngokuyinhloko kunezigaba ezimbili eziyinhloko. Isigaba sokuqala sibandakanya ukuncishiswa okuvulekile, lapho odokotela abahlinzayo benza khona ukujula okunembile ukuze bafinyelele futhi bahlele kabusha ithambo eliphukile. Izinyathelo zokuhlinzwa zihlanganisa:

• Ukwenza izimbobo ngokucophelela nxazonke ithambo eliphukile
• Ukubeka kabusha izingcezu zamathambo ukuze ziqondane kahle
• Ukuvikela amathambo nge-hardware yensimbi
• Ukuvala izimbobo ngemithungo noma okuyisisekelo
• Ukufaka ama-bandages noma ukusakaza njengoba kudingeka

Isigaba sesibili sigxile ekulungiseni kwangaphakathi, ngemva kwalokho odokotela abahlinzayo banamathisele i-hardware ekhethekile ukuze babambe izingcezu zamathambo ndawonye. Ukukhethwa kwezimila zensimbi kuncike ohlotsheni lokuphuka nendawo, ngezinketho ezihlanganisa i-titanium noma izingxenye zensimbi engagqwali.

Ukubuyiselwa Kokuhlinzwa Kwangemva kwe-ORIF

Ukulawulwa kobuhlungu kuyingxenye ebalulekile yokululama kusenesikhathi. Amaqembu ezokwelapha anikeza inhlanganisela yemithi kadokotela kanye nezidambisi zezinhlungu ezitholakala ngaphandle kwekhawunta ukuze kugcinwe ukungakhululeki kulawuleka. Inqubo yokutakula ihlanganisa lezi zici ezibalulekile:

• Ukugcina isitho esilimele siphezulu ngaphezu kwezinga lenhliziyo amahora angu-48
• Faka amaphakethe e-ice izikhathi ezingama-5-6 nsuku zonke imizuzu engama-20
• Ukulandela imiyalelo yokunakekelwa kwesilonda ukuvimbela izifo
• Ukuthatha imithi ebekiwe njengoba kuyalelwe
• Ukugcina i-hydration efanele ngokudla kwamanzi

Ukwelashwa ngokomzimba kuqala kancane kancane, kuqala ngokuzivocavoca okumnene ukuvimbela ukuqina. Ekuqaleni, iziguli zingase zidinge izinsiza ezifana nezinduku noma izihlalo zabakhubazekile ukuze zigweme ukufaka ingcindezi ethanjeni elilulamayo. Isikhathi esiphelele sokutakula ngokuvamile sithatha izinyanga ezi-3 kuye kweziyi-12, ngokuyinhloko kuye ngohlobo nendawo yokuphuka.

Izingozi Nezinkinga

Okulandelayo ezinye zezinkinga ezijwayelekile zokuhlinzwa kwe-ORIF:

• Izinkinga zokuphulukisa amathambo ngokungenzi lutho
• Izingozi zokutheleleka 
• Amahlule egazi ezitsheni eduze kwethambo eliphukile
• I-Acute compartment syndrome- ebangela ukunqwabelana kwengcindezi emisipha
• Izinkinga ezihlobene nezingxenyekazi zekhompuyutha ezidinga ukuhlinzwa kokususwa

Incwadi Ukuqokwa

Izinzuzo Zokuhlinzwa Kwe-ORIF

Izinzuzo ezibalulekile zokuhlinzwa kwe-ORIF zifaka:

• Ukuqiniswa kwe-fracture ngokushesha
• Ikhono lokusebenza elithuthukisiwe
• Ibanga elikhulisiwe lokunyakaza
• Amandla okubamba angcono
• Buyela kusenesikhathi emisebenzini yansuku zonke
• Ingozi ephansi yekhefu elizayo

Usizo Lomshwalense Wokuhlinzwa Kwe-ORIF

Izinhlelo zomshwalense wezempilo kulo lonke elaseNdiya zinikeza usizo olukhulu lwezinqubo zokuhlinzwa ze-ORIF. Izinqubomgomo eziningi zikhava izindleko ezihlukahlukene, kusukela ezindlekweni zetiyetha yokusebenza kuya kwezifakwa zokuhlinzwa. 

Izibhedlela ze-CARE zinethimba elizinikele elisiza iziguli ngezindaba eziphathelene nomshwalense. Ithimba lisebenzisana eduze nabalawuli bezinkampani zangaphandle ukuze lenze kahle inqubo yezimangalo. Iziguli zithola ukuxhumana okucacile mayelana nemininingwane yazo, kuzisiza ukuthi ziqonde noma yiziphi izindleko ezingaba khona eziphuma ephaketheni.

Umbono Wesibili Wokuhlinzwa Kwe-ORIF

Ukuthola umbono wesibili wezokwelapha isiza iziguli ukwenza izinqumo ezinolwazi mayelana nokuhlinzwa kwe-ORIF. Izibhedlela ze-CARE zinikeza imibono yesibili evela kochwepheshe abahlinzayo bamathambo, bahlinzeka: 

• Ukuhlolwa okuningiliziwe kohlelo lokuhlinzwa oluhlongozwayo
• Ukuqonda okubalulekile ngezinketho zokwelapha nezindlela zokuhlinza
• Chaza izinkinga ezingase zibe khona ze-ORIF, isikhathi sokutakula, kanye nemiphumela yesikhathi eside yenqubo
• Bhekana nanoma yikuphi ukukhathazeka noma imibuzo ongase ube nayo

Isiphetho

Amathambo aphukile adinga ukwesekwa okufanele kokuphulukiswa, okwenza ukuhlinzwa kwe-ORIF kube intuthuko ebalulekile yezokwelapha. Ucwaningo lubonisa ukuthi iziguli ezihlinzwa i-ORIF ngokuvamile ziyalulama phakathi nezinyanga ezi-3 kuya kwezingu-12, ngomugqa wesikhathi oqondile ngokuya ngezici ezifana neminyaka, isimo sezempilo, nokuqina kokuphuka.

Impumelelo yokuhlinzwa kwe-ORIF incike ngokuyinhloko ekunakekelweni okufanele kwangemva kokuhlinzwa kanye nokuhlolwa kwezokwelapha okuvamile. Ezibhedlela ze-CARE, umnyango wethu wamathambo osezingeni lomhlaba uhlanganisa ubuchwepheshe obusezingeni eliphezulu kanye nekhono lodokotela abahlinzayo abadumile, uqinisekisa ukuthi uthola izinga eligolide ekunakekelweni kokuqhekeka ngokuhlinzwa okuthuthukisiwe kwe-Open Reduction and Internal Fixation (ORIF).