Umusumari wo mu nda urekuye— Yagenewe Abana: Ihungabana Riciriritse kugira ngo Bakire Byihuse
Ni ikiUmusumari woroshye? — Inzu y'imbere irashya
Umusumari wo mu nda urekuye(ESIN) ni icyuma gishyirwa mu cyuma gikozwe mu buryo bwa elegitoroniki cyagenewe cyane cyane abana bavunitse amagufwa maremare. Gikozwe mu cyuma cya titaniyumu, ni umunyu muto ufite uburebure buri hagati ya mm 1.5 na mm 4.0. Ingano itoranywa hakurikijwe ubunini bw'amagufwa y'umwana. Hamwe n'uburyo bworoshye bwo kugorora no guhindagurika, gishyirwa mu mwobo usanzwe.
Uburyo bwo kubaga bushyira utubati tubiri tworoshye mu mwanya w’igufwa kugira ngo dushyigikire ibice byavunitse imbere. Nta mpamvu yo gufungura aho byavunitse cyangwa gushyiramo amagufwa.
Kuki byitwa "impano ku bana"? - Byagenewe abana by'umwihariko
Abana si abantu bakuru bato. Uburyo bwo kuvura imvune z'abana ntibushobora gukurikiza gusa uburyo bukoreshwa ku bantu bakuru. Udusimba two mu nda y'umwana twakozwe neza hashingiwe ku miterere yihariye y'amagufwa y'abana.
Ubwa mbere, Ntibyangize epiphysis (igice cyo gukura).
Impera zombi z'igufwa rirerire ry'umwana zifite epiphysis, ari nayo "moteri" yo gukura kw'amagufwa. Iyo epiphysis yangiritse, ishobora gutera uburebure bungana bw'ingingo cyangwa ubumuga. Aho igufwa ryinjiriraoindwara ya rtopedicelastikenindwarairi kure cyane ya epiphysis (urugero, aho umuntu yinjira ku mpera ya kure y'agace k'inyuma k'inyuma hatoranijwe hejuru ya metaphysis ya epiphysis), kandi urura ntiruzanyura muri epiphysis, bigatuma rutita ku gitereko cy'inyuma. Iki ni ikintu gitumaamagufwaamasahanin'umuntu mukuruinzara zo mu nda y'umugongontashobora kubigeraho.
Icya kabiri, Nta gukurwaho kwa periosteum, nta guhungabanya uburyo amaraso atangwa.
Gukira kw'imvune bishingiye ku gice cy'imbere n'amaraso akikije aho imvune iherereye. Kubaga bisanzwe bisaba gukata uruhu n'imitsi aho imvune iherereye, gukuraho igice cy'imbere, hanyuma ugashyiramo isahani. Ibi bizabangamira uburyo amaraso anyuramo ku gice cy'imbere cy'aho imvune iherereye.elastikenubuzimaoindwara ya rtopedicNtica aho imvune yavunitse. Ishyirwa mu gice gito cy'uruhu kiri kure. Periosteum iba yuzuye kandi amaraso ari ku mpera y'imvune nta kibazo agira - umuvuduko wo gukira uba wihuta mu buryo busanzwe.
Icya gatatu, gufunganya kw'ingufu bifasha gukira.
Mu kuvura imvune z'abantu bakuru, hakurikiranwa "gufata neza" hagamijwe gutuma impera z'imvune ziguma zitajegajega. Ariko, amagufwa y'abana afite ubushobozi bwo gukira, kandi "gukora neza" bishobora gutuma ubwiyongere bw'amagufwa butera kwiyongera.titaniyumuinzara zikozwe mu buryo bwa elasticgutanga ubwoko bw' "ugufata neza" - hari uburyo bwo kugenda buhoro ku mpera z'aho imvune ivunitse, ariko nta kwimuka bibaho, kandi ubwivumbure bw'amagufwa bukura vuba kandi neza.
Icya kane, Gukata gato, inkovu nto.
Kubaga icyuma gisanzwe bisaba gukata hagati ya santimetero 8 na 15, bigasiga inkovu ndende nyuma yo gukira. Urusenda rwo mu nda rukenera gukatamo uduce duto tubiri gusa twa santimetero 1.5 na 2 (imwe cyangwa ebyiri bitewe n'aho rwavunitse), kandi nyuma yo gukira, nta kimenyetso na kimwe gisigaye.
Icya gatanu, igihe cyo kujyanwa mu bitaro ni gito kandi gukira ni vuba.
Urusenda rwo mu nda rutuma umwana ahora amerewe neza nyuma yo kubagwa, bigatuma umwana atangira kugenda hakiri kare. Abana bafite imvune zo mu gice cy'imbere cy'inyuma bashobora kwambara icyuma gikingira amaguru no kwihagararaho mu minsi 3 kugeza kuri 5 nyuma yo kubagwa, bakagenda n'imbago mu byumweru 3 kugeza kuri 4, kandi bagasubira mu mirimo isanzwe mu mezi 2 kugeza kuri 3. Ugereranyije n'ubuvuzi bwo mu buryo busanzwe (kuryama hasi mu byumweru 6 kugeza kuri 8) cyangwa gushyiraho icyuma gikingira amaguru (gisaba uburinzi bwinshi nyuma yo kubagwa), igihe cyo gukira kiragabanuka cyane.
Ni ibihe bibazo by'ingenzi ababyeyi bahangayikishwa na byo?
Ese ururabo rwo mu nda ruzakomeza kuguma mu mubiri burundu?
Oya. Igomba gukurwaho nyuma yuko imvune ikize. Ubusanzwe, kubagwa bikorerwa amezi 6 kugeza kuri 12 nyuma yo kubagwa (byemezwa na X-ray ko imvune yakize neza).
Ese kubagwa bishobora guteza akaga? Ese bizangiza imitsi n'imiyoboro y'amaraso?
Kubaga inzara zo mu nda zikozwe mu buryo bwa elastic ni uburyo bugezweho mu buvuzi bw'amagufwa bw'abana, bufite ingaruka nke cyane. Kubera ko aho inzara zinjira atari ingenzi cyane mu mitsi n'imitsi y'amaraso, ibyago byo gukomereka mu buryo bw'impanuka ni bike cyane.
Ese ngomba kwambara plaster nyuma yo kubagwa?
Oya, ururabo rwo mu nda rutanga uburinzi buhagije. Nyuma yo kuvunika kwa femoral shaft, igipfukisho gikomeye gikurwaho gikunze kwambarwa (umurimo wacyo nyamukuru ni ukurinda aho gusana).
Nyuma yo kubagwa umuntu ashobora kugenda igihe kingana iki?
Nyuma yo kubagwa, umuntu ashobora kwambara icyuma gikingira umubiri (brace brace) cyo guhagarara no kugenda kuva ku munsi wa 3 kugeza ku wa 5. Kuva ku cyumweru cya 2 kugeza ku cya 3 nyuma yo kubagwa, umuntu ashobora kwikorera igice cy'ibiro akoresheje inkoni (amano akora hasi). Kuva ku cyumweru cya 4 kugeza ku cya 6 nyuma yo kubagwa, umuntu ashobora kugenda buhoro buhoro yikoreye ibiro byose. Kuva ku kwezi kwa 2 kugeza ku kwa 3 nyuma yo kubagwa, ashobora gusubira mu kwiruka no gusimbuka bisanzwe. Ni ngombwa gushimangira ko nubwo inzara zitanga ubusugire, zidashobora gusimbura burundu ubushobozi bwo kwikorera imizigo bw'igufwa - igihe cyihariye cyo kwikorera ibiro byose kigomba gukurikizwa nk'uko muganga yabimugiriye inama kandi kikagenwa hashingiwe ku mikurire y'amagufwa kuri X-ray.
Ese inzara zo mu nda zikoresha uburyo bwa elastic intramedullary zihenze cyane?
Imisumari yo mu nda ikora neza ikozwe mu bikoresho bya titaniyumu byiza bitumizwa mu mahanga cyangwa mu gihugu. Igiciro cyabyo kiri hejuru y'insinga zisanzwe za Kirschner, ariko kiri hasi ugereranyije n'iz'ibyuma.
Niba ushaka kumenya byinshi kuriImisumari irambitseubumenyi, nyamuneka mwumve nezaTwandikire; itsinda ryacu rizaguha ubufasha bw'inzobere n'ibisubizo.
Igihe cyo kohereza: Nzeri-08-2026