Purati rinokiya mudziyo wekugadzirisa kukuvara une buri rine shinda. Kana sikuruu ine musoro une shinda yaiswa muburi, purati inova mudziyo wekugadzirisa angle (screw). Mapurati esimbi anokiya (angle-stable) anogona kuva nemaburi ese ari maviri anokiya uye asingakiyi kuti screws dzakasiyana dzibatanidzwe (dzinonziwo maplate esimbi akabatanidzwa).
1. Nhoroondo nebudiriro
Mapureti ekukiya akatanga kushandiswa makore angangoita makumi maviri apfuura kuti ashandiswe mukuvhiyiwa kwemusana nepamaxillofacial. Mukupera kwema1980 nema1990, zvidzidzo zvekuyedza pamhando dzakasiyana dzemidziyo yekukiya yemukati zvakaunza mapureti ekukiya mukurapa kutyoka. Nzira iyi yekukiya yakachengeteka yakatanga kugadzirwa kudzivirira kupatsanurwa kwenyama yakapfava.
Zvinhu zvakawanda zvakakurudzira kushandiswa kwepiritsi iri mukiriniki, zvinosanganisira:
Kuwanda kwevanhu vanotyoka mapfupa avo kuri kuramba kuchiwedzera sezvo huwandu hwevanhu vanorarama huchikwira muvarwere vane kukuvara kwakasimba uye huwandu hwevanhu vakwegura vane osteoporosis huchikwira kuWestern Europe neNorth America.
Vanachiremba nevarwere havasi kugutsikana nemigumisiro yekurapwa kwemamwe maronda epanguva pfupi.
Zvimwe zvinhu zvisiri zvekurapa zvinogona kusanganisira: kusimudzirwa kwetekinoroji itsva nemisika mitsva kuri kuitwa neindasitiri; kufarirwa zvishoma nezvishoma kwekuvhiyiwa kusingakuvadzi zvakanyanya, nezvimwewo.
2. Hunhu nemisimboti yakasimbiswa
Musiyano mukuru webiomechanical pakati pema "locking plates" nema "trade" echinyakare ndewekuti "last" inoshandisa "knight" panzvimbo ye "bone-plate" kuti ipedzise "compression" yebhonzo ne "plate".
Kukanganisika kwemaplate esimbi echinyakare: kudzvanya periosteum uye kukanganisa kuyerera kweropa kusvika kumucheto wekutyoka. Nokudaro, osteosynthesis yeplate yakagadzika yakasimba (yakadai sekumanikidzwa kwepakati pezvikamu uye screws dzekunonoka) ine mwero wepamusoro wezvinetso, kusanganisira hutachiona, kutyoka kweplate, kunonoka kubatana, uye kusabatana.
Sezvo kutenderera kwemutoro we axial kuchiwedzera, masikuru anotanga kusunungura uye kukonzera kukweshana kuderera, zvichizoita kuti sikuru isununguke. Kana sikuru ikasunungura kukuvara kusati kwapora, mugumo wekutyoka uchava usina kugadzikana uye pakupedzisira sikuru ichatyoka. Kana zvakaoma kuwana nekuchengetedza kugadzikana kwakasimba kwesikuru (senge metaphysis ne osteoporotic bone ends), zvinova zvakaoma kuchengetedza kugadzikana kwemugumo wekutyoka.
Nheyo yakagadziriswa:
Maplate anokiya haavimbi nekukweshana kuripo pakati pe bone-plate interface. Kugadzikana kunochengetedzwa ne anglery stable interface iri pakati pe screw ne steel plate. Nekuti rudzi urwu rwe lock internal fixator rune stable integrity, simba rekudhonza screw ye lock head rakakwira zvakanyanya kupfuura screws dzakajairika. Kunze kwekunge screws dzese dzakatenderedza dzabviswa kana kuputswa, zvinonetsa kuti screw ibviswe kana kuputswa yoga.
3. Zviratidzo
Mazhinji emapundu akarapwa nekuvhiyiwa haadi kuvharwa kweplate. Chero bedzi nheyo dzekuvhiya kwemapfupa dzichitevedzerwa, mapundu mazhinji anogona kuporeswa nemaplate echinyakare kana nzara dzemukati memedullary.
Zvisinei, kune mamwe marudzi akasiyana ekutyoka kwemapfupa anowanzo rasikirwa nekuderedzwa, kutyoka kweplate kana sikuruu, uye kusabatana kwemapfupa kunotevera. Mhando idzi, dzinowanzonzi kutyoka kwemapfupa "kusina kugadziriswa" kana "dambudziko", dzinosanganisira kutyoka kwemapfupa kwakachekwa mukati mearticular, kutyoka kwemapfupa mapfupi kweperiarticular, uye kutyoka kwemapfupa emapfupa. Kutyoka kwakadaro zviratidzo zvemaplate anokiya.
4.Kushandiswa
Vagadziri vari kuwedzera kupawo mapurati emuviri ane maburi anokiya. Semuenzaniso, mapurati emuviri akaumbwa kare emapazi eparutivi neparutivi, matibia eparutivi neparutivi, mahumerus eparutivi neparutivi, uye calcaneus. Kugadzirwa kwepureti yesimbi kunoderedza zvakanyanya kusangana pakati pepureti yesimbi nemapfupa muzviitiko zvakawanda, nokudaro zvichichengetedza ropa rinobuda uye kubuda kweropa muchikamu chakatyoka.
LCP (ndiro yekumanikidza inokiya)
Purati yekumanikidza inokiya inosanganisa matekinoroji maviri akasiyana zvachose ekugadzirisa mukati memuviri kuita chinhu chimwe chete.
LCP inogona kushandiswa sendiro yekumanikidza, bhureki remukati rinokiya, kana musanganiswa wezviviri izvi
Zvishoma zvinokanganisa:
Nhamba iri kuwedzera yemaplate anokiya ane mibato yekunze yestent, zvibatiso, uye magadzirirwo emiromo isina kusimba anobvumira vanachiremba kuisa plate pasi pemhasuru kana pasi peganda kuti isapinde zvakanyanya.
Kana muchida kuziva nezvezvigadzirwa zvedu, ndapota taurai ne:
Yoyo
Whatsapp/Nhare: +86 15682071283
Nguva yekutumira: Gunyana-25-2023
