Apparatus Ilizarov, vazhinji vakatadza kunzi 'Elizarov's apparatus'

Zvishandiso Ilizarov (vamwe vanozviti "mishonga Elizarova") kwenguva yakareba uye inowanzoshandiswa mukurapa. Muchikamu chino tichataura pamusoro peizvi Inaratv's apparatus iri uye mune zviitiko zvipi zvinoshandiswa. Nzira yekuchengetera sei uye zvinetso zvipi zvinogona kuitika kana uchishandura urongwa.

Ilizarov's apparatus, vanhu vazhinji vanoti "Elizarov's apparatus": chii ichi?

Chigadzirwa chacho chakaumbwa muna 1953 neasayendisiti mukuru, chiremba GA Ilizarov. Kubva panguva iyo, nekuda kwekuwana uku, imwe nguva yakatanga mumatope uye matambudziko.

I-Apparatus Inativ is a compression-distraction structure yakagadzirirwa kugadziriswa kwenguva refu kwemapfupa mumakumbo uye inowedzera kuvhiringidza kwavo (kutambanudza) kana kuomesa (compression).

Chigadzirwa chacho chigadzirwa chesimbi chine zvindori. Dzinosungirirwa kune spokes, iyo inopfuura nepfupa remapfupa paakona ye 90 degrees. Zvindori zvakabatanidzwa pamwechete netsvimbo dzakakosha, iyo inogona kugadzirisa kudiwa kwakakosha kana kudzvinyirira kwechimiro.

Chinangwa

Apparatus Ilizarov (kazhinji inowanikwa "mishonga Elizarova") inoshandiswa zvikuru munharaunda dzakawanda dzokurapa kwemazuva ano:

- mukurapa kwemapfupa - kubvisa zvakasiyana-siyana zvakagadzirirwa kana kushaya simba, nekutapudza kwemafupa uye kuora kwemakumbo, zvinokonzera kushungurudza migumisiro (masangano emanyepo, zvisakarurama zvakakanganiswa kuputsika nezvimwe zvikanganiso);

- Mukudarika-kwekutengesa-kuparadzanisa kuputika kwakanyanya uye kuzaruka;

- muchipatara chemapfupa - nemagadzirirwo emuitiro we skeleton (kuwedzera kukura), kuenzaniswa kwemakumbo ehurefu hwakasiyana;

- mukuvhiya kwepfungwa - kuwedzera kukura pamwe nekubatsirwa kwekuwedzeredza mahudyu uye gumbo rezasi, kubvisa kubviswa kwemakumbo.

Kushanda kwezviputi

Ilizarov's apparatus (kana "Elizarov's apparatus"), kunyange zvazvo yakagadziriswa nenzira yakajeka, asi inongonyanya kukosha pakurapa kwevanhu vakawanda. Kushandiswa kwesarudzo mukurapa kwave kwakabatsira vakawanda mukati mekurwa kwemafupa akaoma, kutwasuka kwemapfupa akaremara, kuenzanisa makumbo.

Mukurapa kwechinhu chero chipi zvacho chinoputsika, chimiro chiri pamuromo wechimwedzi miviri. Inenge mavhiki maviri gare gare, zvakakosha kupa mutengo usinganzwisisiki kune chikwata chinopunzika. Semuenzaniso, nemakumbo akaputsika, murwere anogona kufamba zvakanyanya, nekuputsika kwemaoko, kutora zvinhu zvishoma.

Processing

Kuchengetedza kwakakodzera kwekugadzirwa kuchabatsira kudzivisa matambudziko mazhinji uye kuchaita kuti kubudirira kwekurapa kuve nekubudirira. Kana iyo Ilizarov chigadzirwa (chakanganisa chinonzi "makamuri Elizarov ") paruoko rwake, zvinokwanisika kuenda kunzvimbo yekupfekedza panzvimbo yepolyclinic yemo. Zvakaoma zvikuru kushanyira imwe sangano rezvokurapa rine gumbo rakaputsika. Munyaya iyi, zvinokwanisika kuita kutarisirwa kwakakodzera kumba kumba kwako pachako.

Chokutanga pane zvose unoda kushandiswa kwezuva nezuva kumasero. Izwi rinogara riri kunyange nhamba, kusvika kune zvidimbu gumi nemaviri, zvichienderana, kusvika kune makumi maviri nemaviri. Chimwe nechimwe chechidimbu chinofanira kutarisirwa ne 50% yewaini (doro yakachena, inoderedzwa hafu nemvura yakasvibiswa) kana vodka yakawanda yehutano hwakanaka.

Usatora chete nzvimbo dzakapoteredza nekataura, asi zvakare yose yakataura. Mushure mokugadzirwa, jira rejasi rakanyoroveswa nedoro rinogadziriswa kana chlorhexidine rinoshandiswa kune nzvimbo yekubuda kwesaiti.

Matambudziko achishandisa

Chaizvoizvo, zvinetso zvinomuka apo gumbo rinorwadza rinopiwa mutoro. Matambudziko anowanzoitika anowanikwa nekuputsika kwetsoka: apo murwere anotanga kufamba, akadzikisa zvinyoro zvishoma munzvimbo ye spokes. Uyu ndiwo utachiona hutachiona. Zvakakosha kuti usatanga kuoma.

Kana bundu, ruvara, kurwadziwa, purulent tsvina inowanzopoteredza nheyo dzakagadzikana, zvinodiwa kushandisa jira rakanyoroveswa mumugadziro we dimexide yakanatswa nehafu nemvura yakasvibiswa panzvimbo yekuvhiringidza . Pane imwe nzira - kushandisa shanho ye hypertonic (sodium chloride 10%), iyo inoda kuchenesa mutsvuku uye kuvhara kumativi ekuputika. Hypertensive solution ichabatsira kubvisa kutuka, kubvisa pus. Mukana wezvinetso pamwe chete nekupfekedzwa kwemunharaunda, maantibayoti anorayirwa.

Mushure mokubviswa

Mushure mekunge Ilizarov's device (zvisiri izvo - "Elizarov's apparatus") ichabviswa, mavanga maduku anoramba ari panzvimbo yekubuda kwezwi. Vanofanirwa kurapwa nemishonga inodhaka kusvikira vapora zvachose. Mazuva mashomanana gare gare, mavanga acho akasimbiswa, uye kuisirwa kwemafuta nemafuta ekubvisa edema kunogona kushandiswa kune gumbo rinoputika (Lyoton, Troxevasin, Troxerutin nevamwe).