Izixhobo zokuphazamisa uxinzelelo okanye idivayisi ye-Ilizarov yenzelwe ukulungiswa okuqinileyo kweethambo, ukulawula isikhundla samathambo okanye iziqhekeza zabo, ukunyanzeliswa kwabo okanye ukulandelana kwazo. Isiphumo siphumelele ngokufaka kwisithambo lesithambo, esilungelelwe ngaphandle kwizakhiwo ezizodwa ezizinzileyo, ezidibene kunye neentonga.
Isixhobo sokuqala sase-Ilizarov sasinezibane zentsimbi ezine, ezizinzileyo kumacangci amabini, ayexhunyiwe kunye namathonga eselula. Kwimichiza yanamhlanje, iindandatho ezingenakunqwenelekayo zithatyathwa ziimfuno, iiplate kunye neonxantathu, ezithathwa rhoqo ngeetanium okanye kwi-carbon fiber.
Izixhobo zika-Ilizarov zisetyenziselwa i-traumatology kwonyango lwezinto eziyinkimbinkimbi, kunye nama-orthopedics ekulungiseni ukuvuthwa kwamathambo, ekwandisa imilenze , ukulungisa ezinye iziphoso.
Ubeka njani idivayisi ye-Ilizarov?
Isixhobo sifakwe kuphela esibhedlele, phantsi kwe-anesthesia. Ngokuncedwa kwe-drill nganye kwi-bone chip uchitha iiseli ezimbini kwii-angles ezilungileyo komnye nomnye. Iiphelo zeenetho zifakwe kwiindandatho okanye kwiimigodi, ezixhunyiwe kunye nezindonga eziselula. Ngokulungelelanisa ubude beentonga ezichaza umgama phakathi kwamacangci, ukunyanzeliswa okanye ukuhanjiswa kuyadalwa, isikhundla seengcezu zethambo siyahlengahlengiswa. Kwakhona, ngokunyuka ngokukhawuleza umgama (ukongezwa), imilenze ixhomekeke ekusebenzisweni kwamathambo.
Ukunyamekela umshini we-Ilizarov
Ekubeni izithethi zeso sixhobo zidlula kuzo zonke izicubu ezithambileyo zomlenze kwaye ziphuma, ukuba imimiselo engcolileyo ayitholakali, ukuvuvukala malunga nenaliti yokudibanisa inokwenzeka. Ukuze ugweme oku, iingubo ezixutywe ngesisombululo sotywala (i-50% yotywala kunye ne-50% amanzi adibeneyo) isetyenziselwa ngamnye uthetha. Kuyamkeleka ukusebenzisa utywala obuphezulu kunokuba utywala ngaphandle kwezibonelelo. Iipapkins ziguqulwa zonke iintsuku ezingama-2-3 kwiiveki zokuqala ezimbini emva kokusetyenziswa kwesixhobo, kwaye emva kweveki.
Kwimeko apho kubomvu kujikeleza nayiphi na inaliti yokudibanisa, ukuvuvukala, intlungu xa ucinezelekile, ukukhutshwa kwe-purulent, emva kwee-napkins ene-50% isisombululo se-dimexide sisetyenziswa. Ukuba ukuqhaqhaqhaqhaqhaqha kuqalise, ukusetyenziswa koxinzelelo ngesisombululo saline kuqinisekisile ukuphumelela. Ukwenza oku, isipuni sesityuwa sihlanjululwa kwiglasi yamanzi angaphambi kokubilisa, sele sele selehlile kwaye isetyenziswe kwisilonda ngokugqoka ngesisombululo.
Ukongeza, kunye nemiqondiso yokuqala yokuvuvukala, kufuneka ubone ugqirha kwikhosi yamayeza.
Bangaphi bahamba nezixhobo zika-Ilizarov?
Nangona amayeza anamhlanje avumela ukuba ubeke idivayisi i-Ilizarov phantse kuyo nayiphi na inxalenye yomzimba, kaninzi isetyenziswe ezandleni nasezinyaweni.
Ingakanani eyogqitywa yi-Ilizarov yezinto ezixhomekeke kwiinkathazo zokulungiswa apho ithambo libonakala khona, kunye nezinga lokuhlaziywa kwamathambo esithambo, elowo umntu analo. Ixesha elincinci, elisoloko limiselwe lixhobo, ziinyanga ezimbini. Kwi-tibia eneentambo eziyinkimbinkimbi, ixesha lokuthwala i-Ilizarov zixhobo zivela kwiinyanga ezi-4 ukuya kwezi-10. Xa umsebenzi wokwandisa umlenze okanye ukulungisa ukukhawuleka kweenyawo, ixesha lokugqoka isixhobo li malunga neenyanga ezintandathu kunye nokunye.
Indlela yokususa idivayisi i-Ilizarov?
Ukususwa kwefowuni kwenziwa esibhedlele, kodwa yinkqubo elula, edlalwa ngaphandle kwe-anesthesia. Emva kokususa idivaysi kwindawo apho izithethi zingeniswa khona, zikhona amanxeba apho kukho imfuneko yokufaka iibhanji kunye ne-dimexide okanye enye i-disinfectant.
Emva kokukhipha ifowuni kwilungu, i-langet yokulungisa ingasetyenziselwa ukuthintela ukuphulwa ngokuphindaphindiweyo kwethambo elingenakulungeleka.
Ukubuyiselwa emva kokususwa kwezixhobo ze-Ilizarov kukuba:
- ukusilalisa;
- physiotherapy;
- I-gymnastics yokwelapha ekhethekileyo yokubuyisela ukuhamba ngokuqhelekileyo.
Ukuba kukho i-edema, i- Lioton gel okanye enye ilungiselelo ingasetyenziselwa ukuphucula ukujikeleza kwegazi.