Lapho Kufanele Usebenzise Ilizarov External Fixator Esikhundleni Sa Internal Fixation

Kodwa kufikile ekubeni izinyawo ezingaqondi, abadokotela banezinkambo eziningi zokusebenzisa nokuthi baphinde bakhelwe ngemithombo emibili yokuphinda kuzoba yizinto ezinconyiwe. Indima yoyike yilokho i-Ilizarov external fixator, lokhu kuyindlela yezinkambo ezispeciale ezisebenza ngaphandle kwesibhozo sakho. Kuyabonakala njengomkhumbi wemetalu onemipini eyakhiwe kwinzawo. Kunezimithombo eziningi, kungaba yinkambo yokukhetha le fixator ngaphandle kwesibhozo kunezinkambo zokugcina ngaphakathi (izikhumba nezincwadi ngaphakathi kwesibhozo). Lokhu kukhetho okubhekene namanje amazwi, kubhekene nomthwalo wokubulawa, indawo yokubulawa, futhi ukuthi inzawo iyakhelwa njani. I-Aoye, oyisebenzisa ukudesigna izinkambo zokuhlela, uyazi ubukhulu bekukhetha inkambo yokuhlela yonke yabantu.

Kungani Ufanele Ukukhetha Izinkambo Zokugcina Ngaphandle Kwesibhozo Zokwepha Ilizarov Ukufuna Ukuphila Okwengeziwe

Kunezimithombo eziningi, ukukhetha inkambo yokugcina ngaphandle kwesibhozo yokuqonda Ilizarov kuyakwenzeka kahle. Isibonelo, uma inzawo ibulawa ngamaphepho amaningi angakhiwa ngendlela eyodwa—lokhu kuchazwa njengokubulawa okuphelele—kuyakwenzeka kahle. isicwangciso Sangaphandle  kungakusiza ukugcina konke kusuka kusuka. Le ndawo iyavumela abadokotela ukulawula ukuphefumula nokude phakathi kwemithambo ngaphandle kokufaka amasiko angaphezu kwezinye. Khumbula isibhelo esinezinkamba eziningi, futhi lezi zinkamba aziphili kahle. Futhi le ndawo yisibhelo esikusiza ukuzinika ngokuphelele. Kanti, uma umuntu unemihlaba yemitshambo, bangayisebenzisa le ndawo ukulungisa imithambo emihlabe ngaphansi kwokuvumela ukuthi kubhekwe kusuka kusuka. Kuyisisekelo esikhulu ukucleana indawo emzini yemitshambo uma le ndawo ibe ngaphandle.

Isimo esinye sokuthi kungakhethwa isikhombisa sesandla ngaphandle uma kufuneka ukuthi ubhodi libheke kude. Le ndlela yokuqala yekhombisa ubhodi ibizwa ngokuthi u-Distraction Osteogenesis, futhi inceba abantu abanemiphumela yezinhlobo zemithambo. Uma umsindisi wenyuka ngaphezulu kweyinye, umdla wokubheka umsindisi wenyuka ngaphezulu kweyinye ungakhethwa ukubheka umsindisi wenyuka ngaphezulu kweyinye ngokuphakama kancane njengalendlela yomzuzu. Kuyadinga isikhathi kodwa kungahlela kuze kube nenkumbulo enkulu. Ngokulingana nesikhombisa sangaphakathi, okungabikho kusukela emva kokugcina, isikhombisa sesandla ngaphandle singashintsha.

Amasikhombisa angaphandle angakhethwa kanye kwezinye izimo zokuhlanganisa. Uma umuntu unemiphumela engaphansi eyokuthi ukwenza ukuchitha kuyisibonele kakhulu, isikhombisa se-Ilizarov singaba senzakalo. Sinephakeme kunezindlela zangaphakathi, futhi sibonakala njengendlela enhle kubantu abaningi. Kwezifutha ezinkulu, ukusikhombisa ngaphandle kungasiza ekutholeni indlela eyodwa yokusebenza okungasebenzi ngokwesikhombisa sangaphakathi. Le ndlela yokusebenza iyisibonele kakhulu uma ukuzalela kuyisibonele kakhulu noma kuyisibonele.

Kuzi ziziphi izinkulungwane eziphakeme ezinokuthulwa ngokuphelele ngezinkampani ze-Ilizarov?  

I-Ilizarov apparatus iyisihlungu esihle kakhulu kubizigaba abaningi. Okuqondile kakhulu kukubhaka kwesibhakabhaka, lapho isibhakabhaka sibhaka emazini amaningi. Ukuchitha kwezomlando kungase kufanele ukuthula lezi zibhaka eziningi. I-apparatus, i i-Ilizarov external fixator , ibandlula konke ngelixa lezibhakabhaka zithula. Ngalesi simiso, ukuchitha okuphambili kungenzeka kahle.

Isilinganiso sesibili sokuthulwa ngokuphelele ngu-Ilizarov kukubhaka kwesibhakabhaka. Kunezabantu abadala ngobude obuncane kwezinye isibhakabhaka kunye nabo ababhekene nezibhakabhaka eziningi kusukela ekubhakeni kwesibhakabhaka. I-Ilizarov fixator ithula lezi zinkinga ngokuthintela isibhakabhaka ngemiphakathi emincane kakhulu, noma ngokuthintela ukuze kwenzeke ukuthuthuka. Lokhu akakwenzeka ngomzuzu wodwa, kodwa abaningana bafuna ukuthi kuyinto eyodwa.

Leqondo liyasebenza futhi kubonakalisa izinfeksheni ezinguqukileyo. Uma infeksheni yokuqondwa iyavuka, kungabikho ukuzivikela kahle. Leqondo lezindawo zokugcina liyavumela abadokotela ukucleansa indawo ngokushesha futhi ukuthumela amaphethamini kule ndawo lapho kufanele. Lokhu kusiza ekuvikelweni kwezinfeksheni ngokujabulisa ubukhulu bokuphatha kwemifula.

Uma unenqubo yemifula, leqondo le-Ilizarov liyakusiza futhi. Liyavumela ukususa inqubo futhi liyagcinisa imifula engaphansi. Liyakwenzeka futhi ukusebenza kwezindlela zokubuyisela isikhundla emva kokususa inqubo.

Kokugcina, leqondo le-Ilizarov lezindawo zokugcina liyisibindi esisheshayo kuzonke izinhlobo zezibhodi zokuphatha. I-Aoye iyazi ukuthi izinkampani zingakanani zizinga kakhulu uma kusebenziswa ngezintfombi zokuhlela abantu. Leqondo elihle liyakwenzela ukuthi ukuhlela kwezinye izinto kubhekise kwezinye, futhi liyakwenzela ukuthi abantu abancane kakhulu bakholelwe ukuthi baya kubona ukuthi bakhona kakhulu ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona ukuthi baya kubona......

Ukuqonda Izinkinga Zokusebenzisa Leqondo Le-Ilizarov

Amaphakamiso ase-Ilizarov ayezinkambo zokugcina ngaphandle ezinkulu ezinconywa ngabafundi bokubhukisa abantu ukubuyisela ubuhlungu bezinyawo noma ukubhukisa izinkinga zezinyawo. Kodwa kunezimo ezingaba yizinkinga. Indlela eyodwa yokuqondwa kukuthi abantu abaningi bakhwala ukugcina kwezinyawo. Abafundi banezimanga zokufundisa abantu ngokuthi lokhu kusebenza kanjani nokuthi kuyadingeka njani. Ngaphandle kokuba kuyisikhumba, lokhu kuyagcina ngaphandle kwezinyawo futhi kuyayibiza kakhulu kubantwana, uDr. Rathbone wathi. "Uma bazi ukuthi lokhu kusiza ubuhlungu bezinyawo ukubuyiselwa kahle kanye nokubuyiselwa kusheshile, uma abantu bazi ukuthi kuzobonakala kanjani, bayaqonda kakhulu. Indlela eyodwa yokuqondwa kukuthi kuyisikhumbu sokugcina. Abantu banezimanga zokugcina indawo emhlabeni yezinyawo esheshile nekusheshile. Ngaphezu kwalokho, abafundi banezimanga zokunikeza umlando othembekile ngendlela yokugcina indawo esheshile ukuze asibe yindlela yokuphuma kompho noma isibonelo sokuphuma kompho. Ngokulandela isiqinisekiso, ukucleansing indawo ngosapo oluncane nesiliva kanye nokusheshisa ngokuphatya kusiza ekugcineni ukusheshile. Ngaphezu kwalokho, abantu banezimanga zokubuya ngokuphakeme kubhekuzi. Kulezi zikhathi, ubafundi uyakwazi ukubona ukuthi amaphakamiso ayasebenza kangakanani futhi ukuthi kunezibonelo zokubuyiselwa kahle kwezinyawo. Ubafundi uyakwazi ukubuza ngamazinga amaningi. Ngaphandle kwalokho, kunezinkinga zokudlula. Abantu abaningi bayaqonda ukuthi kuzoba yizinkinga zokudlula kwezinyawo zabo uma kugcinwa. Abafundi banezimanga zokufundisa abantu ngamathuluzi okudlula okuyisifundo esihle esiyakwenza ngokubuyiselwa. Ukudlula kwemithombo engaphezu kwezinyawo kusiza abantu ukugcina ubukhulu ngaphandle kokuthi kubhekwe njengokuthi kuyadlula kahle. Amadragi namuntu abaningi bayasindiswa kodwa bayakwenzela ngokuhlanganisa futhi bakwenza inkulumo yabo iphakeme kakhulu, inqubo ngalenyanga. I-Aoye yisikrini esisiza ekuphakameni kwezinhlelo zokufunda abantu nabafundi ngokusebenzisa amaphakamiso ase-Ilizarov ngokulinganayo.

Izindlela abathengi basekhaya bakhwazi ukuthenga ngokuphelele izifakwa zokuhlanganisa i-Ilizarov

Kufuneka abathengi bokuthengiselwa kwezinguquko babeke izihospitali nezinkhambu zokugcina ubuhlungu ngamaphakethi asebenzayo okugcina ubuhlungu. Kukho iziphumo eziningi ezinokuthola abathengi bokuthengiselwa kwezinguquko ngekuphatha kwe-Ilizarov external fixator. Okokuqala, bangathenga ngomthwalo omncane ngalinye ngokuthenga ngemikhumbu. Lokhu kusakha imali, okuyisisekelo esikhulu kuma-hospitali onazo izibonelo ezingafanele. Uma izihospitali azikhozi kakhulu leli mali, bangaqasha leli mali emazweni enye okuyisisekelo esikhulu njengezindlu zokusebenza nezinhlanzi zokugcina ubuhlungu. Ngaphezu kwalokho, sithanda ukuthenga izi-fixator ezinamandla nezilungile kwi-Aovy. Okusho ukuthi, uma uthenga izi-fixator zethu njenge-thengi bokuthengiselwa kwezinguquko, uthenga izintshayelelo ozizimela amadokotela. Iziphumo ezinembile ziyasebenza ngemiphumela yezinto ezilungile ezinakha umthwalo wamadokotela abasebenza ngazo. Indawo eyodwa engenakho abathengi bokuthengiselwa kwezinguquko yileyo yokutholakala kwezifixator ezininzi nezihlukahlukene ngobude nezinhlobo kwi-inventory. Ngoba akukho bonke abantu abafanayo, ukutholakala kwemigqa eningi kuyakuvumela ukuthi amadokotela banezintshayelelo ezilungile kuzo zonke izimo. Lokhu kuyisisekelo esikhulu kuma-emergency ngoba kufuneka ubeke isibonelo ngomkhathi omncane. Ngaphezu kwalokho, i-Aoye inesiqondiso esikhulu sokugcina ubuhlungu. Isiqondiso sethu esihle sokugcina ubuhlungu singatholakala ngolimi lwesikhombisa noma ngemaili, futhi sinabantu abangathola isiqondiso sethu ngokuthi bafone sithi sibasize uma umthengi wabagcina kubudlelwane obuhlungu. Lokhu yisibonelo esikhulu esinamandla ekuthandeni abathengi ukuthi bangekholwa ngokuthenga kabo.

Izizindaba eziyisisekelo kuzo zezindlela zokusebenzisa izifixetha zikaIlizarov manje?  

Ndiku amaphartha we-Ilizarov external fixator kunezinkinga eziningi kwezinsizwa zemithambo. Indlela eyinkulu yokuziphatha kwezinkinga eziyisifundiswa ngayo kukusebenzisa lezi zikhulukana kwezindlela zokuphakama okungafanele. Amadokotela bafunda ukuthi izikhulukana zikaIlizarov zinakwenza ukuthi izihlathi zikhiphe izihlathi ezinzima ukukhipha, okungakhiphi kahle ngokwesibonelo. Lokhu kubalulekile kakhulu njengoba kubonisa ukuthi abantu abaningi banakwenzela ukuthi baphume kwezinhloko ezingcono futhi bavule imidlalo yabo. Indlela eyokuproducwa kwezikhulukana zikaIlizarov ibuyela kushintsha ngokusebenzisa teknoloji. Izinkampani ezintsha nezidingo zokuphakama ziyenza ukuthi izikhulukana zibe nzima kancane futhi zibe nzima kancane. Lokhu kuyisithembiso esihle kubantu abasebenzisa izikhulukana ngoba zibe nzima kancane futhi zibe nzima kancane, okunakekha ukuthi izikhulukana zingabona kakhulu kubantu abasebenzisa. Isifundo sithi sifuna ukufinyelela ekutholeni indlela eyenziwe ngamaprodukthi amahle, ukudluliswa kusasa, nokuthola isiphumo esihle kubantu abasebenzisa. Ngaphezu kwalokho, izinqanawa eziningi ziyasendleleni ukuthola isikhathi esifanayo sokusebenzisa izikhulukana ngabantu. Ukuthola isikhathi esifanele sokusebenzisa izikhulukana ngokwesibonelo sokuphakama kuyisifundo esisodwa. Lokhu kusiza amadokotela ukuthola iziphakamiso ezihle futhi kusiza abantu abasebenzisa ukuthola iziphakamiso ezihle ngokuthi bazi ukuthi bayaqhubeka kanjani kusasa. Ekugcineni, ukufundisa abantu abasebenzisa kubonisiwe. Aoye noma izinkampani ezingine ziyasebenzana namadokotela ukuthi abantu abasebenzisa izikhulukana emva kokuphakama bazi ukuthi bayaqhubeka kanjani kusasa, futhi bazi ukuthi bayaqhubeka kanjani kusasa. Lokhu kusiza abantu abasebenzisa ukuthi baze bakhululeke futhi bakwazi ukuthi bayaqhubeka kanjani kusasa, ukuthi izikhulukana zikaIlizarov ziyisifundo esihle noma ziyisifundo esihle kakhulu, futhi izinkampani ezintsha ziyasendleleni ukuthola iziphakamiso ezihle kubantu abasebenzisa.