Ilizarov sethusathuto, ba bangata ba etsa phoso e bitswang 'mochine Elizarova'

Ilizarov sethusathuto (ba bang ba e bitsa "sesebediswa Elizarova") bakeng sa nako e telele le ho pharaletseng sebelisoa ka traumatology. A sehloohong sena a, re tla ho ameha ka seo ke Ilizarov sethusathuto le ha ho hlokehang. Mokhoa oa ho hlokomela bakeng sa eona le seo mathata a ka hlaha ha ba sebelisa moralo.

Ilizarov sethusathuto, tse ngata li re "Elizarova sethusathuto" Ke eng see?

sesebediswa ne a qapa ka 1953, rasaense e moholo, eo e leng ngaka Ilizarov. Ho tloha ka nako eo, ka lebaka la sibolloa ena, ba ile ba qala puso ea mong ka malwetse a le traumatology.

Ilizarov sethusathuto - ya moralo compression-tšitiso ne a rerile hore ho lokisa telele fractures lesapo ha fittings bona le tšitiso (elongation) kapa compression (compression).

sethusathuto The ke sebopeho sa terene e entsoeng ka masale a. Tsena spokes tsitsitseng eo eketsa ka lesapo le ka e hlaha ka lehlakoreng le ya likhato 90. masale a ya kokangana ka melamu e khethehileng, e leng ka fetola le elongation hlokahalang kapa khutsufatso ea leoto la.

qetello

Ilizarov sethusathuto tloaelehileng ( "sesebediswa Elizarova") ke tsa tšebeliso haholo likarolong tse ngata tsa moriana morao-rao:

- ka malwetse a - ho felisa tse fapa-fapaneng ka likoli fumanweng kapa congenital, lesapo khutsufatsa le leoto deformation sithabetsang liphello (manonyeletso ba bohata ka nepo fused fractures le likoli tse ling);

- ka traumatology - balance rarahaneng le fractures bulehileng;

- ka la kokelo ea bana malwetse a - ka deformations systemic ya marapo (bakeng sa khōlo le keketseho ea), maoto batalatsa tsa bolelele bo fapaneng;

- ka ho buoa bokgabane - ho eketsa kgolo ya ka lelefatsa ea lirope le drumsticks, maoto a lahla kotlobane.

Kopo ea fractures

Ilizarov sethusathuto (kapa "Elizarova sethusathuto"), le hoja ho na le moralo ka toka e bonolo, empa e le feela ho irreplaceable ea ho phekola batho ba bangata. Kopo ya moralo wa kalafo e thusitse batho ba bangata ka accretion tsa fractures rarahaneng, ogee masapo a holofala, ho batalatsa maoto.

Ha ho phekola moralo leha e le ofe fracture ke ka isa pheletsong ea bonyane likhoeli tse peli. Ka mor'a ka libeke tse peli ka leoto ba anngoeng le lokela ho fuoa mojaro tsohle ho ka khonehang. Ka mohlala, ha e robehileng leoto mokuli ka tsamaea haholo ka tloaelo, ka letsoho robehileng - ho nka lintho tse bonolo.

sebetsa

tlhokomelo e loketseng ea moralo e tla re thusa hore re qobe mathata a mangata 'me o tla ama katleho ea ho phekola. Ha Ilizarov sethusathuto (phoso bitsoa "sethusathuto Elizarova ") ka letsohong le, ho ka etsahala ho ea apara ea tleliniking lehae. Haholo thata le ho feta ho ba teng setsing ya kalafi ka le leoto robehile. Tabeng ena, ho ka etsahala ho phetha tlhokomelo hlokahalang lapeng u le mong.

Haholo-holo hloka kalafo spokes letsatsi le letsatsi. Spitz ke kamehla e esita le nomoro, ho fihlela ho diyuniti 12, ka ho latellana, ho fihlela ho outputs 24. E mong le e khumo lokela sebetsana le spokes 50% joala tharollo (joala bo hloekileng, hlapolotsoeng ka halofo le metsi a distilled) kapa tloaelehileng Krrish boleng bo botle.

Process lokela, e seng feela haufi le libaka tseo li ne li bua, empa e boetse e le nale lohle ka ho feletseng. Ka mor'a ho sebetsa sebakeng sa spokes khumo superimposed gauze lesela, wetted le tharollo ea ho noa joala kapa chlorhexidine.

sebelisa mathata

Ha e le hantle, mathata a hlaha ha leoto kula qala ho khanna mojaro. Hangata ka ho fetisisa mathata a hlaha ha ho robehileng leoto ha mokuli qala ho tsamaea, a ruruhileng bonolo dinama tse nyenyane tse ka sebaka sa tshebetso sa spokes ea. Ho bua tshwaetso. Ho bohlokoa a se ke a matha e complication.

Ka ketsahalo ea spokes potolohileng hlahala e, redness, bohloko purulent maro ke ho hlokahala hore ho lefisa ka sebakeng sa ho ruruha lesela soaked ka Dimexidum tharollo hlapolotsoeng ka halofo le metsi a distilled. Ho na le tsela e 'ngoe - ka le tharollo hypertonic (sodium chloride 10%), e leng lokela ho moisten lesela le lefisa pota a hlabang. Hypertonic tharollo thusa fokotsa ho ruruha, hula boladu. Ha mathata a e behiloeng lithibela-mafu hammoho le dressings moo.

ka mor'a ho tlosa

Mora sethusathuto le Ilizarov (phoso - "Elizarova sethusathuto") o tla thunngoa hang-hang ho lokolloa maqeba nyane dula spokes. Ba lokela ho ho tšoaroa ka disinfecting mahlahana a ho tlatsa pholiso. Matsatsi a seng makae hamorao leqeba leo a tightened, 'me ka ea lemetseng sililoa leoto ka sebelisoa le ho sebelisa ha ditlotso le litlolo tse itlotsang bakeng sa ho tlosa edema (Lioton, Troxevasin, Troxerutin le ba bang).