Amadivaysi okucindezela-ukuphazamisa noma idivayisi ye-Ilizarov yakhelwe ukulungiswa okuqinile kwezingcezu zethambo, ukulawula isikhundla samathambo noma izingcezu zabo, ukucindezela kwabo noma okufanayo. Umphumela utholakala ngokufaka okhulwini lwezithambo, ezibekiwe ngaphandle kwezakhiwo ezikhethekile eziqinile, ezixhunyaniswe ndawonye ngamathanga.
Okokuqala idivayisi ka-Ilizarov yayinezikhulumi ezine zensimbi, ezigcinwe emasongweni amabili, ayehlanganiswe ndawonye ngamathanga eselula. Emithini yesimanje, izindandatho ezinkulu ezingenakulungiswa ziyashintshwa yi-semirings, amapuleti kanye no-triangles, ngokuvamile okwenziwa nge-titanium noma nge-carbon fiber.
Amadivayisi ka-Ilizarov asetshenziselwa ukulimala ekudleni izinkinga eziyinkimbinkimbi, kanye nasezintweni zezinzwa ekuqondiseni ukuvuthwa kwamathambo, ekwandisa imilenze , nokulungisa ezinye iziphambeko.
Ubeka kanjani izinto zika-Ilizarov?
Idivayisi ifakwe kuphela esibhedlela, ngaphansi kwe-anesthesia. Ngosizo lwe-drill ngokusebenzisa i-bone chip ngalinye uchitha ama-spokes amabili amabili angakwesokudla. Imikhawulo yalaba bantu ihlanganiswe namasongo noma ama-semirings, axhunyiwe ndawonye ngamathanga eselula. Ngokulungisa ubude bezinduku ezichaza ibanga phakathi kwezindandatho, ukucindezela noma ukwelula kwenziwa, isikhundla sezintambo zamathambo sishintshwa. Futhi, ngokukhuphula kancane kancane ibanga (isandiso), imilenze ihlanganiswa nokuhlinzwa kwamathambo.
Ukunakekela umshini we-Ilizarov
Njengoba okhulumela idivaysi edlula kuzo zonke izicubu ezithambile zesilungu bese ephuma, uma imigomo yokuhlanzeka ingabonakali, ukuvuvukala eduze kwenaliti yokuboya kungenzeka. Ukuze ugweme lokhu, indwangu ehambelana nesisombululo sezophuzo (50% utshwala namanzi angu-50% distilled) sisetshenziselwa ngamunye ukukhuluma. Kuyamukeleka ukusebenzisa i-quality alcohol kunokuphuza ngaphandle kwezithasiselo. Ama-Napkins ashintshwe njalo ezinsukwini ezingu-2-3 zamasonto amabili okuqala ngemuva kokusebenzisa idivayisi, bese kanye kanye ngesonto.
Uma kwenzeka ukuthi ububomvu buzungeza noma iyiphi inaliti yokubopha, ukuvuvukala, ubuhlungu uma ucindezelwe, ukukhishwa kwe-purulent, khona-ke amaphuphu ane-50% isisombululo se-dimexide esetshenziswayo. Uma ukuvuvukala okuhlanzekile kuqalisile, ukusetshenziswa kwe-compresses ngesisombululo saline kufakazelwe ngempumelelo. Ukuze wenze lokhu, egumbini lamanzi angaphambi kokubilisa ukuphuza isipuni sikasawoti, epholile bese usebenza kuma-bandage enxeba nesisombululo.
Ngaphezu kwalokho, ngezibonakaliso zokuqala zokuvuvukala, udinga ukubona udokotela ngezinhlobo zokulwa namagciwane.
Bangaki abahamba ngezinsimbi zika-Ilizarov?
Nakuba imithi yesimanje ikuvumela ukuthi ufake imishini i-Ilizarov cishe noma iyiphi ingxenye yomzimba, ngokuvamile isetshenziswa ezandleni nasezinyaweni.
Ingakanani okuzobe igqoke izinto zika-Ilizarov zixhomeke ekubunjeni kokulungiswa lapho amathambo evezwayo, futhi ngesilinganiso sokuvuselelwa kwamathambo esithambo, umuntu ngamunye analo. Isikhathi esincane, esivame ukufakwa yi-apparatus, izinyanga ezimbili. E-tibia enezinkinga eziyinkimbinkimbi, isikhathi sokuthwala izixhobo zika-Ilizarov singaba izinyanga ezingu-4 kuya kwezingu-10. Lapho umsebenzi wokwandisa umlenze noma ukulungisa ukuvinjelwa kwamalungu, isikhathi sokugqoka idivayisi cishe izinyanga ezingu-6 nokuningi.
Ungasusa kanjani izinto zokusebenza i-Ilizarov?
Ukususwa kwedivayisi kwenziwa esibhedlela, kodwa kuyinkambiso elula, ejwayelekile eyenziwa ngaphandle kwe-anesthesia. Ngemuva kokukhipha idivayisi ezindaweni lapho okhulumela khona befakiwe khona, kunezilonda zendawo lapho kudingeka khona ukufaka amabhandeshi nge-dimexide noma enye i-disinfectant.
Ngemuva kokukhipha amadivaysi emlenzeni, i-langet yokulungisa ingasetshenziswa ukuvimbela ukwephulwa okuphindaphindiwe kwethambo elingenakuthembekile.
Ukuvuselelwa emva kokususwa kwezixhobo zika-Ilizarov kuyinto:
- ukusikhipha;
- i-physiotherapy;
- Izindlela zokuzivocavoca ezikhethekile zokubuyiselwa kokuhamba okuvamile.
Uma kukhona i-edema, i- Lioton gel noma enye ukulungiselela ingasetshenziselwa ukuthuthukisa ukujikeleza kwegazi.