Ubuchwepheshe bokunameka ngezipikili ngaphakathi kwe-intramedullary buyindlela evame ukusetshenziswa kakhulu yokubopha amathambo ngaphakathi. Umlando wayo ungalandelelwa emuva ngawo-1940. Isetshenziswa kabanzi ekwelapheni ukuphuka kwamathambo amade, ama-nonions, njll., ngokubeka isipikili ngaphakathi kwe-medullary maphakathi nendawo ye-medullary. Lungisa indawo yokuphuka. Kulezi zinkinga, sizokwethula okuqukethwe okufanele kuwe mayelana nezipikili ngaphakathi kwe-medullary.
Kalula nje, uzipho lwe-intramedullary luyisakhiwo eside esinezimbobo eziningi ezikhiyayo kuzo zombili iziphetho ukuze kulungiswe iziphetho eziseduze nezikude zokuphuka. Ngokwezakhiwo ezahlukene, zingahlukaniswa zibe yiziqinile, ezishubhu, ezivulekile, njll., ezifanele iziguli ezahlukene. Isibonelo, izinzipho ze-intramedullary eziqinile azimelani nokutheleleka ngoba azinasikhala sangaphakathi esifile. Amandla angcono.
Uma sithatha i-tibia njengesibonelo, ububanzi bomgodi we-medullary buyahlukahluka kakhulu ezigulini ezahlukene. Ngokuya ngokuthi kudingeka yini ukujikijelwa kabusha, izinzipho zangaphakathi kwe-medullary zingahlukaniswa zibe ukujikijelwa kabusha kwezinzipho kanye nokujikijelwa okungajikijelwanga kabusha. Umehluko usekutheni ngabe ama-reamers adinga ukusetshenziswa ekujikijelweni kabusha kwe-medullary, okuhlanganisa namadivayisi esandla noma kagesi, njll., kanye nezingcezu ezinkulu ngokulandelana zokubhoboza ezisetshenziswayo ukukhulisa umgodi we-medullary ukuze kufakwe izinzipho zangaphakathi kwe-medullary ezinkulu.
Kodwa-ke, inqubo yokwanda komnkantsha ilimaza i-endosteum, njengoba kuboniswe esithombeni, futhi ithinta ingxenye yomthombo wegazi wethambo, okungaholela ekuqhekekeni kwesikhashana kwamathambo endawo futhi kwandise ingozi yokutheleleka. Kodwa-ke, kuhlobene Izifundo zemitholampilo ziyaphika ukuthi kukhona umehluko omkhulu. Kukhona nemibono eqinisekisa ukubaluleka kokufakelwa kwe-medullary. Ngakolunye uhlangothi, izinzipho zangaphakathi kwe-medullary ezinobubanzi obukhulu zingasetshenziswa ekufakweni kwe-medullary. Amandla nokuqina kuyanda ngokukhula kobubanzi, futhi indawo yokuxhumana nomgodi we-medullary iyanda. Kukhona futhi umbono wokuthi ama-chips amancane amathambo akhiqizwa ngesikhathi senqubo yokwandiswa komnkantsha nawo adlala indima ethile ekufakweni kwethambo le-autologous.
Impikiswano eyinhloko esekela indlela yokungaxubi ukuthi inganciphisa ingozi yokutheleleka kanye ne-pulmonary embolism, kodwa okungenakwenqatshwa ukuthi ububanzi bayo obuncane buletha izakhiwo ezibuthakathaka zemishini, okuholela ekusetshenzisweni okuphezulu kwesilinganiso sokusebenza kabusha. Njengamanje, izinzipho eziningi ze-tibial intramedullary zivame ukusebenzisa izinzipho ze-intramedullary ezandisiwe, kodwa izinzuzo nezingozi kusadingeka zilinganiswe ngokusekelwe kusayizi we-medullary cavity yesiguli kanye nezimo zokuphuka. Imfuneko ye-reamer ukunciphisa ukungqubuzana ngesikhathi sokusika futhi ibe nombhobho ojulile kanye nomgodi omncane wobubanzi, ngaleyo ndlela kuncishiswe ingcindezi emgodini we-medullary futhi kugwenywe ukushisa ngokweqile kwamathambo nezicubu ezithambile okubangelwa ukungqubuzana. I-Necrosis.
Ngemva kokufakwa kwesipikili sangaphakathi kwe-medullary, kudingeka ukulungiswa kwesikulufu. Ukulungiswa kwesimo sesikulufu sendabuko kubizwa ngokuthi ukukhiya okungaguquki, futhi abanye abantu bakholelwa ukuthi kungabangela ukuphola okulibazisekile. Njengentuthuko, ezinye izimbobo zesikulufu ezikhiyayo zakhiwe zaba yisimo se-oval, okubizwa ngokuthi ukukhiya okuguquguqukayo.
Lokhu okungenhla kuyisingeniso sezingxenye zokuzinzipha ngaphakathi kwe-medullary. Kumagazini olandelayo, sizokwabelana nawe ngenqubo emfushane yokuhlinzwa kokuzinzipha ngaphakathi kwe-medullary.
Isikhathi sokuthunyelwe: Septhemba 16-2023
