By I-CAHEzokwelapha | Sichuan, eShayina
Kubathengi abafuna ama-MOQ aphansi kanye nezinhlobonhlobo zemikhiqizo ephezulu, abaphakeli be-Multispecialty banikeza ukwenza ngokwezifiso kwe-MOQ ephansi, izixazululo ze-logistics kusukela ekuqaleni kuya ekugcineni, kanye nokuthengwa kwezigaba eziningi, okusekelwa ulwazi lwabo olucebile embonini kanye nensizakalo kanye nokuqonda okuqinile kwezitayela zomkhiqizo ezisafufusa.
I. Kuyini ukuqina kwangaphandle?
Ama-fixator angaphandle avamile afaka phakathi ama-plaster splints kanye nama-splint amancane. Ukudonsa okuqhubekayo (njengokudonsa amathambo kanye nokubambelela kwesikhumba) nakho kunomsebenzi wokunciphisa, ukubhuleka, nokulungisa ukukhubazeka, futhi kuyindlela yokubopha kwangaphandle. Ngaphezu kwalokho, ukubopha kwangaphandle, okubandakanya ukubhoboza iziphetho zethambo ngezinaliti zensimbi kanye nokufaka ama-stent angaphandle, nakho kuyindlela yokubopha kwangaphandle. Isetshenziswa kakhulu ekuqhekekeni okukhulu okuvulekile kanye nokuqhekeka okukhulu kwezicubu ezithambile, lapho ukubopha kwangaphandle kungenzeki khona futhi ukubopha kwangaphakathi kokuhlinzwa kunzima.
I-external fixator iyithuluzi elisetshenziselwa ukulungisa umlenze othintekile ngaphandle. Ibamba umlenze endaweni yokwelapha efiselekayo ukuze kube lula ukulungisa ukwaphuka nezinye izicubu ezithambile. Inhloso ye-external fixator ukugcina indawo ethile ukuze kube lula ukulungisa ukwaphuka nezinye izicubu ezithambile.
II. Iyiphi inqubo yokulungiswa kwangaphandle?
Ukulungiswa kwangaphandle kuyindlela yokwelapha amathambo esetshenziselwa ukwelapha izimo zamathambo njengokuphuka nokukhumuka. Nasi isifinyezo esifushane:
Ukunciphisa Ukuphuka Kwamathambo:
Ukunciphisa kuhilela ukubambelela kanye nokujikeleza ngesandla ukuze kulungiswe ukufuduka kwe-pelvic. Ngezinkinga zamalunga e-sacroiliac, udokotela ohlinzayo usunduza i-ilium onyaweni nasemgogodleni. Ukubambelela kwamathambo kwenziwa ngokufaka inaliti ku-femoral condyle. Ezimweni ezingezona eziphuthumayo, ukubambelela kwamalunga angezansi anesisindo esingu-15-20 kg kusetshenziswa kuqala. Ngemva kokunciphisa, kufakwa i-fixator yangaphandle ye-pelvic, ngokubambelela okungu-10 kg amasonto angu-4-6. Uma kuphuka indandatho yangaphambili ngaphandle kokuhlukana kwe-hemipelvic, kudingeka i-fixator yangaphandle kuphela, hhayi ukubambelela kwamalunga aphansi.
Ukuthunga ngenaliti:
Thola izindawo ezibalulekile njenge-crest ye-iliac kanye nomgogodla we-ialiac ophakeme kunayo yonke. Izintambo ze-Kirschner zifakwa nge-percutaneous odongeni lwe-ialiac oluseceleni ukuze kutholakale ukuthambekela kwe-crest ye-iliac. Izikhonkwane zokuqinisa zibekwa phakathi kwamapuleti e-ialiac angaphakathi nangaphandle. Izintambo ezintathu ze-3mm zifakwa emgqeni ohambisanayo eceleni kwe-crest ngayinye ye-iliac. Kwenziwa ukusika okungu-5mm ngemuva okungu-2 cm ukuya kumgogodla we-ialiac ophakeme kunayo yonke. Izikhonkwane zifakwa phakathi kwe-crest ye-iliac ziye emgodini we-medullary, zibekwe nge-angle engu-15°-20° kuya endizeni ye-sagittal, zikhomba phakathi naphansi, futhi ziboshwe cishe ngo-5-6 cm ukujula.
Isikhathi sokuthunyelwe: Septhemba 16-2025
