Ilizarov apparatus, abaninzi ngempazamo ngokuba 'Umatshini Elizarova'

Ilizarov izixhobo (ngefowuni "isixhobo Elizarova") ixesha elide yaye sisetyenziswa ngokubanzi traumatology. Kweli nqaku, siza kuqwalasela yintoni na izixhobo Ilizarov yaye xa kuyimfuneko. Indlela yokunyamekela kwaye ziintoni ezinobuzaza nga kwenzeka xa usebenzisa kuyilo.

Ilizarov apparatus, abaninzi bathi "Elizarova izixhobo" Yintoni na le nto?

Isixhobo lwasungulwa 1953, isazinzulu enkulu, ugqirha Ilizarov. Ukususela ngoko, enkosi lo ukufunyanwa, baqala omnye xesha e zamathambo traumatology.

Ilizarov izixhobo - uyilo ucinezelo-ukuphazamiseka elungiselelwe ukulungisa kwamathambo elide xa izixhobo zabo kwaye ukuphazamiseka (zobude) okanye ucinezelo (ucinezelo).

Izixhobo na isakhiwo sikaloliwe eyenziwa amakhonkco. Ezi iiasi lowo yandisa ngenxa ithambo kwi-engile degrees 90. Izangqa amaqhina oqhagamshelwano ngokusebenzisa iintonga ezizodwa, apho ungalungisa loo zobude efunekayo okanye yindibanisela mlenze.

nomgomo

Ilizarov izixhobo (common "isixhobo Elizarova") akagqibelelanga ukusetyenziswa kakhulu kwiindawo ezininzi zezonyango namhlanje:

- in zamathambo - ukuphelisa iziphene isifo okanye enaso, kunciphisa amathambo kunye nomlenze deformation imiphumo ebuhlungu ezahlukeneyo (amalungu bobuxoki ngokuchanekileyo Ukophuka edidekile, kunye nezinye izifo);

- in traumatology - usifake ezimbaxa kunye waphuka ivulekileyo;

- in Paediatric zamathambo - in deformations zenkqubo skeletal (ngenxa yolwando ukukhula), imilenze ukulinganisa ubude ezahlukeneyo;

- kutyando aesthetic - ukwandisa ukukhula ngokuthi kululwa amathanga kunye drumsticks, imilenze nokulahla esime.

Ukusetyenziswa ophuka

Ilizarov izixhobo (okanye "Elizarova isixhobo"), noxa uyilo ngokwanelisayo elula, kodwa nje zilahleka kwi unyango kwabantu abaninzi. uyilo Ukusetyenziswa unyango iye yanceda ezininzi ukunwebeka kwizaphuko ezintsonkothileyo, eqondisa amathambo likhubazeke, iinyawo sokulinganisa.

Xa ekunyangeni naziphi na uyilo ngokwaphulwa phezu osekupheleni ubuncinane iinyanga ezimbini. Emva malunga neeveki ezimbini phezu kwesebe abachaphazelekayo kufuneka anikwe onke umthwalo kunokwenzeka. Ngokomzekelo, xa umlenze eyaphukileyo isigulane unako ukuhamba kakhulu ngokuqhelekileyo, nangengalo eyaphukileyo - ukuthatha izinto lula.

processing

ikwimeko efanelekileyo yoyilo kuya kusinceda siphephe iingxaki ezininzi yaye iza kuchaphazela impumelelo yenkqubo yokuphilisa. Ukuba izixhobo Ilizarov (ngempazamo ngokuba "izixhobo Elizarova ") kwelinye icala, kusenokwenzeka ukuba uye kungabotshwa kwikliniki yengingqi. Kunzima kakhulu ukuya kwiziko lezempilo umlenze eyaphukileyo. Kulo mzekelo, sinako ukwenza ukhathalelo eyimfuneko ekhaya ngokwakho.

Ubukhulu becala kufuneka iiasi unyango yonke imihla. Spitz kusoloko kukho inani, ukuya iiyunithi ezili-12, ngokulandelelana, ukuya iziphumo-24. imveliso nganye kufuneka aphathe iiasi-50% solution utywala (utywala ecocekileyo, exutywe kwisiqingatha ngamanzi Yek) okanye ivodka eziqhelekileyo quality elungileyo.

Inkqubo akufanele kuphela ezikufutshane ngokwendawo wathetha, kodwa yonke inaliti ngokupheleleyo. Emva kokuba processing endaweni iiasi imveliso lwenziwe igozi ngelaphu, desensitised nesisombululo utywala okanye chlorhexidine.

ukusebenzisa iingxaki

Ngokusisiseko, kuvela ingxaki xa lomzimba egula uqala ukuqhuba umthwalo. Amaninzi kuvela iingxaki xa umlenze eyaphukileyo xa isigulane liqalisa ehamba, kwizihlunu ezithambileyo asha kwingingqi iiasi. .Wathetha usulelo. Kubalulekile ukuba usebenzise kama.

Kwimeko iiasi ehlabathini ithumba, ukuba bomvu, iintlungu, netuwa ubovu kuyimfuneko ukunyanzela kummandla zelaphu ukudumba zifakwe Dimexidum isisombululo exutywe inxenye ngamanzi enkolo. Kukho enye indlela - ngokusebenzisa isisombululo hypertonic (sodium chloride-10%), ekufuneka yokunyakamisa ilaphu abeke ngeenxa arhabaxa. isisombululo Hypertonic inceda ukwehlisa nangokurhala, tsala ubomvu. Xa iingxaki amisiweyo antibiotics kunye zokubopha zasekuhlaleni.

emva kokususa

Emva kokuba izixhobo Ilizarov (ngempazamo - "izixhobo Elizarova") ziya shot kwi ukukhululwa ndawo amanxeba ezincinane kuhlala izinto zokubamba. Kufuneka banyangwe nge iintsholongwane bengabameli ukugqibezela impiliso. Kwiintsuku ezimbalwa kamva inxeba kwimali, kwaye kumlenze yokuthanjiswa owenzakeleyo enokusetyenziswa kunye nokusetyenziswa Amafutha kunye nezithambiso ngenxa yokubulala nokudumba (Lioton, Troxevasin, Troxerutin kunye nabanye).