Me pēhea ngā Injana Intramedullary e whakanui ana i te tūpono ki te Whakatika i ngā Whati o te Femur

Ko te whati i tōu femur, i mōhiotia ai hoki hei koiora o te puku, e paina ana tino. He mea nui te whakatika i te koiora whati, nā te mea ka taea ai e te tangata te haere me te nekehaia i te aronga noa. Ko tētahi o ngā huarahi pai rawa atu ki te whakatika i te femur whati ko te whakamahi i tētahi mea e kiia nei ko te karuwha intramedullary. Ko tēnei intramedullary nail femur ko tētahi taputapu hauora i hoahoaia mō te whakamahi motuhake, ā, ka whakaurua ki roto i te koiora kia pupuri ai. Ko Aoye tētahi tohu e mōhiotia ana mō te hanga i ēnei karuwha. E mōhiotia ana rātou mō te kounga, mō te whaiwāhitanga anō hoki i te wā e hoki mai ana i ngā whati koiora.

He huarahi tino pai ake i tētahi papamoni: te whakamahi i tētahi karuwha intramedullary mō ngā femur whati

Ko ngā ingoa whakapaku araiwhenua e rite ana ki ngā rokiroki hou mā te uru atu ki te kōiwi pūnaha hei tautoko mai i roto. Ina pakaru tō kōiwi, me tino pai te houhanga, ā, he tino nui te pumau. Āwhina ēnei ingoa kia mau ai ngā wāhanga pakaru ki ō rātou tūranga tika. Ina whakaurua e ngā rongoā te ingoa, ka whakaurua tāwahi ki roto i te kōiwi pūnaha kia iti ake ai te nekeneke e māmā ai te hinga atu anō. Pērā i te tangata i whakamātau kia maua e ana ringa ngā takotoranga e rua o te pepa—he uaua te pupuri i a rātou kia mau tonu. Ānā, whakaarohia te whakamahi i tētahi paraihepepa kia mau ai; he tino whaihua ake te pupuri i a rātou ki te tūranga. Ko tēnā te mahi mō ngā kōiwi ngā ingoa mārō kiko . 

Ko te mea anō he āhua ka taea e ngā rīwai intramedullary te whakamātau i ngā mōrehu ki te neke atu anō i te wā poto ake. Ina taea e te tangata te nuku, ka hoki anō ia ki te pai ake. Ko ngā rīwai a Aoye i hangaia kia kaha engari kaupeka māmā, kia taea e ngā kaiwhakaora te whakauru. Ka iti ake te mamae o ngā mōrehu, ā, ka taea hoki e rātou te haere anō i te wā poto ake i muri i te mahi whakaora i te porotiti, i te whānuitanga atu i ētahi atu ara hei tika i ngā porotiti femur. Mā reira ka rerekē te hokinga mai i te ora.

Te Whakarewa Anō i te Whakatika Porotiti Femur me te Arataki Intramedullary

Kua tipuna tō te takotoranga arataki o ngā rīwai intramedullary. Kei te āo hurihuri a Aoye, ā, kei te hanga i ngā rīwai pai ake i te wā i tima ai. Ko ngā hoahoa hou e whai ana i ngā āhuatanga motuhake e taea ai e ngā rongoā te arataki i ngā rīwai ki te tūnga tika ki roto i te koiora. Arā, ka tika ake, ka tere ake hoki te hāunga o ngā porotiti.

Ko tētahi mea atu ka taea te whakapaku mō ngā ririhi e hangaia ana i ngā matatini rerekē, i te wā hiato ka whakamahia te titanium, te hiko matawhero rānei. He tino kaha ngā matatini nei, ā, kāore he rūpahu, nō reira ka taea te whakamahi ki te tinana. Ko ētahi atu hoki ngā ririhi e ū ana ki ngā karuaka motuhake e āwhina ana i te hauora.

Me te pai ake hoki i te ara e tu ana ngā ririhi. I te mutunga, kei te whakamahi ia rongoā i ngā arataki whakaahua matatau kia kitea e ngā rongoā te wāhi tika hei tohu ai te ririhi. Ka taea ai e rātou te mahi i te mātai i te pono. Mā ngā ririhi Aoye hoki, ka pai ngā here o ngā rongoā, ka taea hoki e rātou te ratonga pai rawa. Ko te whanaketanga nui i tēnei ao, kāore i ngā ririhi anō; engari ko te hoatu i ngā oranga ki ngā tāngata. Ka taea e ngā tāngata te hoki ki te mahi i ngā mea e hiahia ana rātou, ahakoa ko te tākaro pāpori, ko te oma, ko te haere hoki kāore he mamae. Ko te take i te te mātai mate huna i te femur intramedullary panoni nui i te whakaritenga i te porohita o te kuaha.

Kei hea e taea ai te tiki i ngā karu whai kounga mō te toitū i ngā whati o te femur?

I mahara ahau ki te whakauru ki te panui i taku taitamariki i muri ake nei i te pakaru i taku kōiwi kuaha, i te femur, ā, mēnā ko te hiahia o ngā rongoā ki te tapahi i taku waewae hei tohu, ko tēnei kōiwi pakaru e pā ana anō ki te herekenga. Ko ēnei rapa he mea kaha noa iho, he paraoa taipari e uru ana ki te femur kia pumau ai te kōiwi i te wā e houhonga ana. Mēnā e hiahia koe ki te hoko i ngā IM rods o te kounga pai, ko tētahi kamupene pūmau pērā i Aoye tētahi wāhi pai hei timata ai. Ko Aoye e hoahoa ana, e hanga ana hoki i ngā taputapu hauora o te kounga, pērā i ngā rapa intramedullary, e taea ai e ngā rongoā te whakapono. E rua toru ngā mea e mea tika ana ina rapu koe i ēnei rapa: Te Reputa Pai – Ina rapu koe i ēnei rapa, he mea nui kia rapu i ngā kamupene e mōhio ana. Ka taea e koe te hoko i ngā hua o Aoye i runga i tō rātou pae ipurangi, i ngā toa taputapu hauora rānei. Heoi anō, he rerekē ngā rahi, ngā āhua o ngā rapa, nō reira he mea nui kia whiriwhiri ngā rongoā i te pai rawa atu mō ia mātātoko. Ka tuku a Aoye korero tino āhuatanga mō ō rātou hua, ā, ko te mea i te mea ka hiahiatia e ngā rongoā kia whiriwhiri i te pai rawa. Ka taea hoki e koe te pātai ki ngā hōhipera, ki ngā parakirihana rānei i tō takiwā mō te wāhi e kitea ai ēnei rapa. E mahi tahi ana ētahi hōpitala me ngā kamupene pērā i Aoye kia pāngia ai rātou ki ngā taputapu pai mō ō rātou whaiaronga. Ka taea hoki e koe te kite i ētahi rapa intramedullary o te kounga pai i ngā hui hauora, i ngā hui hokohoko rānei. Mā ēnei hui ka puta ake ngā hou rawa o ngā taputapu hauora, pērā i Aoye. Ka taea e ngā rongoā, e ngā kairongoā rānei te ako mō ngā hua hou, ā, ka taea hoki te whakamahi i aua hua i mua i te whakauru ki ngā tikanga. He mea nui kia kaha, kia pūmau ngā rapa e whakamahia ana i te whaiaronga, nā te mea he wāhanga nui ia ki te houhonga anō i te kōiwi. Mā te whakamahi i ngā rapa o te kounga teitei ka iti ake ngā raru e pā ana, ā, i tēnei take, he mea nui kia hokona i te puna tika. Mā te kounga o Aoye e hanga, ka houhonga ngā mātātoko pai ake, tere ake.

He aha ngā Whakaritenga Hoko mō ngā Karuwha Mō Te Mātai Mate Whatiwhati Intramedullary?

I ngā keehinga e hiahia ana ngā hōhipera, ngā kīniki rānei ki te hoko i tētahi rahinga o ngā totohu intramedullary, ka taea pea e rātou te whakauru atu ki ngā hokohoko pāpaku. Ka taea e te hoko maha te penapena moni, ā, ka whakarite kia ō rātou rawa e hāngai ana mō ngā mahi kirurgi. Kei Aoye ngā hokoānga pāpaku mō ngā totohu intramedullary, e nui ake ai te māmā ki ngā hōhipera te tiki i ngā mea e hiahiatia ana e rātou. Nā te hoko pāpaku a ngā hōhipera, ka taea e rātou te whakawhitinga utu, ā, ka tūmatanahia ngā hekenga paraihe i runga i te hekenga tino nui kē atu. Ka mārama a Aoye ki ngā hiahia a ngā kaiārahi hauora, ā, ka tukuna e rātou ngā utu motuhake mō ngā ota maha. He mea matua nui tēnei mō ngā hōhipera rahi e mahi ana i ētahi nui o ngā mahi kirurgi ia rā. Ka āwhina tēnei i ngā hōhipera kia noho tonu rātou ki te taputapu tika mō te mahi katoa te hoko i te bar mā te tona. Ko te hoko pāpaku hoki he painga e āwhina ai i ngā hōhipera kia hoko i ngā rahi rerekē, ngā momo hoki o ngā totohu. Nā te mea e hiahiatia ana e ngā rongoā ngā rahi rereke, he mea nui kia ō rātou maha ngā kōwhiringa. Mā ēnei hononga, ka taea e maha ngā hōhipera te pupuri i tētahi taumata katoa. Ka āwhina te kaupapa hoko pāpaku a Aoye. Anō hoki, mā te hoko maha, ka taea e ngā hōhipera te tiki i ngā totohu ki a rātou anō, kāore he huringa katoa mai i tētahi toihana. He mea matua nui tēnei, ina koa i ngā take tūmatanuku kei te hiahiatia e te rongoā te mātai tūmatanuku. Kātahi ka whakaurua e Aoye ngā ratonga tautoko, pērā i te whakamātauranga i ngā kaimahi hauora mō te tikanga whakamahi i ngā totohu. He pai hoki kia rite te raihana o ngā rongoā, ngā nihi rānei mō ngā mātai, e pai ake ai te tiaki i te rongoā. I te mutunga, ka āwhina ngā raihana hoko pāpaku a Aoye i ngā hōhipera kia pai ake te tiaki i ngā rongoā e pā ana ki ngā whati i te femur, ā, he iti ake hoki te utu.

Ngā Wero Whakawhitinga Kōrero i te Whakamahi i ngā Taputapu Tauau Roro

He pai ngā inei īmatawai mō te whakaora i ngā whati o te femur, engari he etahi take ka tū mai me te whakamahi i ēnei. Ko tētahi raru ko te kore e tika tonu te rahi o ngā inei ki roto i te kōiwi. Ki te nui ake, ki te iti ake rānei, ka arisai ētahi whakangarungaru i te whakaurunga. Kia āwhina ai i ngā rongoā ki te kite i te rahi tika, e hoahoa ana a Aoye i ōna inei īmatawai ki te haere o ngā rahi, engari he wātea tonu ina he mea motuhake te rongoā. Ka taea hoki e tētahi atu take te painga o ngā inei. Ki te noho ki tētahi wāhi kore tino pai te ine, ka puta ai te mamae, te uaua rānei ki te ora. Nō reira he mea nui kia pūkenga, kia mataara hoki ngā kaiwhakauru. Kei te whai whāinga a Aoye ki te āwhina i tēnei, e tuku ana i te āwhina whānui me te arataki mō te huarahi whakamahi i ō matou inei i ngā ara matua. I te wā, ka pā pea te mamae, te uaua rānei ki te nekeneke i te waewae o te rongoā i te wā, i muri rānei i te whakaurunga. Ka taea te pānga ki te ine e mirihou ana ki ngā pāpaku parurenga e takoto mai ana. Ka taea e ngā rongoā te whakahaere i tēnei mamae mā te rongoā, mā te mātauranga tinana hoki. Kia ārai i ēnei āhuatanga tōraro muri i te whakaurunga, he mea nui kia arataki katoa te rongoā i ngā tohutohu a tōna rongoā. Anō, ka taea e ētahi rongoā te urupare ki te paraihe o te ine, ka pā ai ia. Ahakoa he rare, e hoahoa ana a Aoye i ōna inei mā te matēria rerekē rawa atu kia mōhiotia ai ēnei take. He mea nui te whakawhitinga kōrero i waenganui i ngā rongoā me ngā rongoā kia whakaoti ngā raruraru e tū mai ana. Hei whakamutunga, ahakoa he ētahi whakangarungaru e hono ana ki te whakamahi i ngā inei īmatawai, kei te whai whāinga a Aoye ki te tuku hua tikangia, haumaru hoki mō ngā rongoā. Mā te mōhio pana i ngā wāhi uaua e pā ana, ka taea e ngā rongoā me ngā rongoā te mahi tahi hei tiaki i ngā putanga pai anoo mō te whakaoranga i ngā whati o te femur.