Apparatus-distraction apparatus kapena zipangizo za Ilizarov zakonzedwa kuti zikhale zolimba za mafupa, kulamulira malo a mafupa kapena zidutswa zawo, kuponderezana kwawo kapena mosiyana. Zotsatira zake zimapezeka poika mkati mwa mafupa, omwe amapangidwira panja pazipinda zolimba, zomwe zimagwirizanitsidwa pamodzi ndi ndodo.
Chipangizo cha Ilizarov choyamba chinali ndi mawu anayi a zitsulo, okonzedwa pa mphete ziwiri, zomwe zinagwirizanitsidwa pamodzi ndi ndodo zamtundu. Masiku ano, mankhwala osakanizika amavomerezedwa ndi ma semirings, mbale ndi katatu, zomwe zimapezeka ndi titaniyamu kapena fiber.
Zipangizo za Ilizarov zimagwiritsidwa ntchito pa matenda opatsirana pogwiritsa ntchito mankhwala ophwanyidwa, kuphatikizapo mafupa am'thupi pokonza kupindika kwa mafupa, kutalika miyendo , kukonza zolakwika zina.
Kodi mumayika bwanji zipangizo za Ilizarov?
Chipangizochi chimaikidwa m'chipatala, pansi pa anesthesia. Mothandizidwa ndi kudula pakati pa fupa lililonse limagwiritsa ntchito mau awiri omwe ali pamakona abwino. Mapeto a spokes amatchulidwa pa mphete kapena semirings, zomwe zimagwirizana pamodzi ndi ndodo zamtundu. Powasintha kutalika kwa ndodo zomwe zimasiyanitsa mtunda pakati pa mphete, kupanikizika kapena kutambasula kumapangidwa, malo a mafupa amatembenuzidwa. Ndiponso, pang'onopang'ono kuwonjezeka mtunda (kufalikira), miyendo imapangidwira opaleshoni ya mafupa.
Kusamalira makina a Ilizarov
Popeza kuti mawotchi a chipangizochi amatha kupyolera m'ziwalo zonse zofewa za thupi ndi kutuluka, ngati zikhalidwe zosasamala sizikuwonedwa, kutupa kuzungulira singano kungakhalepo. Pofuna kupewa izi, nsalu yosakanizidwa ndi mankhwala oledzeretsa (50% mowa ndi 50% madzi osungunuka) amagwiritsidwa ntchito kwa aliyense. N'kovomerezeka kugwiritsa ntchito mowa wabwino kusiyana ndi mowa popanda zowonjezera. Maapulo amasinthidwa masiku awiri aliwonse kwa milungu iwiri yoyamba pambuyo pa kugwiritsa ntchito chipangizocho, ndi kamodzi pa sabata.
Pakakhala kuti kuli kofiira kuzungulira nthano iliyonse yokha, kutupa, kupweteka pakamenyedwa, purulent discharge, ndiye napkins ndi 50% yothetsera dimexide amagwiritsidwa ntchito. Ngati chifuwa cha purulent chayamba, kugwiritsa ntchito compresses ndi mankhwala a saline kwatsimikizira bwino. Pochita izi, mu galasi la madzi omwe sisanayambe kuchepetsa supuni ya mchere, oziziritsa ndikugwiritsanso ntchito pa bala lakumapeto.
Kuonjezera apo, ndi zizindikiro zoyamba za kutupa, muyenera kuwona dokotala kuti adziwe mankhwala opha tizilombo.
Ndi angati amapita ndi zipangizo za Ilizarov?
Ngakhale mankhwala amakono amakulolani kuti mupangitse zipangizo Ilizarov pafupifupi mbali iliyonse ya thupi, nthawi zambiri imagwiritsidwa ntchito pa manja ndi mapazi.
Zomwe zidzatheke ndi Ilizarov zida zimadalira zovuta zowonongeka zomwe mafupa amavumbula, komanso pa mlingo wokonzanso mafupa omwe munthu aliyense ali nawo. Nthawi yosachepera, yomwe nthawi zambiri imaikidwa ndi zipangizo, ndi miyezi iwiri. Pa tibia ndi ma fractures ovuta, nthawi yonyamula zipangizo za Ilizarov zikhoza kukhala miyezi 4 mpaka 10. Pamene opaleshoni ikuchepetsera mwendo kapena kukonzanso kupindika kwa miyendo, nthawi yovala chipangizochi ili pafupi miyezi isanu ndi umodzi kapena kuposerapo.
Kodi kuchotsa zipangizo Ilizarov?
Kuchotsedwa kwa chipangizochi kumachitika kuchipatala, koma ndi njira yosavuta, yomwe nthawi zambiri imakhala popanda manjenje. Pambuyo pochotsa chipangizochi pamalo omwe alowetsamo, palinso mabala omwe amafunika kugwiritsa ntchito ma bandage ndi dimexide kapena mankhwala ena ophera tizilombo toyambitsa matenda.
Pambuyo pochotsa zipangizo pa thumba, linget yolinganiza ingagwiritsidwe ntchito kuti zisawonongeke mobwerezabwereza fupa losalimba mwamphamvu.
Kukhazikitsidwa pambuyo pochotsa zipangizo za Ilizarov ndi:
- kusamba;
- thupi;
- Zochita zochiritsira zapadera za kubwezeretsedwa kwa kuyenda kwabwino.
Ngati pali edema, gelisi ya Lioton kapena kukonzekera kwina kungagwiritsidwe ntchito pokonzetsa kuyendayenda kwa magazi.