Ilizarov apharathasi, abaningi ngephutha ngokuthi 'umshini Elizarova'

Ilizarov apharathasi (abanye basibiza ngokuthi "yisikhathi kudivayisi Elizarova") isikhathi eside futhi sisetshenziswa kabanzi e traumatology. Kulesi sihloko, sizogxila uyini Ilizarov apharathasi begodu lapho kufaneleko. Kanjani ukuba ayilime, ayigcine futhi yini yezinkinga kungenzeka uma usebenzisa i-design.

Ilizarov apharathasi, abaningi bathi "Elizarova apharathasi" Kuyini lokhu?

Idivayisi yasungulwa ngo-1953, usosayensi enkulu, Ilizarov udokotela. Kusukela ngaleso sikhathi, ngenxa yalesi ukutholakala, waqala enye inkathi e amathambo futhi traumatology.

Ilizarov apharathasi - umklamo kokucindezelwa-kokuthikamezeka senzelwe ukulungisa eside ithambo waphuka lapho nokufakwa yabo futhi kokuthikamezeka (ukunwebeka) noma kokucindezelwa (kokucindezelwa).

I-apharathasi isakhiwo ujantshi ehlanganisa izindandatho. Lezi spokes fixed ukuthi ukunweba ngokusebenzisa bone i-engela 90 degrees. Amasongo kuthiwa kuhlobene esebenzisa izinduku ekhethekile, ezingasetshenziswa ulungise ukunwebeka edingekayo noma ukusikwa esitho.

phetho

Ilizarov apharathasi (ezivamile "kudivayisi Elizarova") kuyinto ukusetshenziswa okukhulu ezindaweni eziningi zemithi yanamuhla:

- e amathambo - ukuze aqede izinkinga abalufundile noma azalwa naso, ithambo kokunciphisa nezitho zomzimba ukusonteka nemiphumela kuhlasimulise ehlukahlukene (amalunga omzimba zamanga kahle waphuka tho nezinye ukukhubazeka);

- e traumatology - splicing eziyinkimbinkimbi kanye waphuka evulekile;

- e Pediatric amathambo - e letindzala deformations lwamathambo (ekukhuleni ukwanda), imilenze yokululama anobude obungalingani;

- ekuhlinzeni tebuciko - ukwandisa ukukhula by ayewukela emathangeni kanye drumsticks, imilenze nokulahla ugobile.

Isicelo waphuka

Ilizarov apharathasi (noma "Elizarova apharathasi"), nakuba has a design kahle elula, kodwa kumane nje Irreplaceable ekwelapheni abantu abaningi. design Isicelo ukwelashwa kuye kwasiza abaningi kule accretion ka waphuka eziyinkimbinkimbi, eqondisa amathambo sikhubazekile, izinyawo yokululama.

Lapho ukwelaphe design ukwa ivuliwe emkhawulweni okungenani izinyanga ezimbili. Ngemva kwamasonto amabili ku esitho ethintekile kufanele inikwe wonke umthwalo kungenzeka. Ngokwesibonelo, lapho ophuke umlenze isiguli ukuhamba ngempela ngokuvamile, nge nokuphola kwengalo ephukile - ukuthatha izinto kalula.

ukucutshungulwa

ukunakekelwa kahle umklamo kuzosiza ugweme izinkinga eziningi futhi sizothinta impumelelo le nqubo zokuphulukisa. Uma ama-apharathasi Ilizarov (ngokuyiphutha ngokuthi "ama-apharathasi Elizarova ") phezu uhlangothi, kungenzeka ukuya sigqoka emtholampilo wendawo. nzima kakhulu ukuba abe khona isikhungo sokwelapha nge ophuke umlenze. Kulokhu, kungenzeka ukwenza ukunakekelwa ekhaya wedwa.

Ngokuyinhloko kudingeka nsuku zonke ukwelashwa spokes. Spitz kuhlale ngisho inombolo, kuze amayunithi 12, ngokulandelana, afika ku-24 okukhiphayo. okukhipha ngayinye kumele iphathe spokes 50% isixazululo utshwala (utshwala emsulwa, buhlanjululwe ngesigamu ngamanzi distilled) noma nge-vodka ezivamile asezingeni elifanele.

Inqubo akufanele kuphela eseduze izindawo wakhuluma, kodwa futhi wonke inaliti ngokuphelele. Ngemva ukucutshungulwa esikhundleni spokes okukhipha esikhulu gauze ngendwangu, wetted necebo utshwala noma chlorhexidine.

Ukusebenzisa izinkinga

Ngokuyinhloko, kuphakama izinkinga lapho ithambo ogulayo iqala ukushayela umthwalo. Ngokuvamile kuphakama izinkinga ezingase zivele lapho ophuke umlenze lapho isiguli iqala ukuhamba, elikhanyayo izicubu zomzimba ezithambile endaweni ye spokes. Lalikhuluma ukutheleleka. Akubalulekile nje ukusebenzisa kwetintfo.

Esimeni se-spokes emhlabeni isimila, ububomvu, ubuhlungu, ubovu uketshezi kuyadingeka ukuphoqelela esifundeni ukuvuvukala indwangu ofakwe isixazululo Dimexidum buhlanjululwe ngesigamu nge amanzi distilled. Kukhona enye indlela esingathola - esebenzisa isixazululo hypertonic (i-sodium chloride-10%), lapho kudingeka moisten indwangu futhi abeke emhlabeni ukuvuvukala. isixazululo Hypertonic kusiza ekwehliseni ukuvuvukala, ukudonsa ubomvu. Lapho kuvela izinkinga esimisiwe imithi elwa namagciwane kanye kusaladi wendawo.

emva kokukhipha

Ngemva Ilizarov apharathasi (ngokuyiphutha - "Elizarova apharathasi") uzobe esingu ku ukukhululwa indawo amanxeba amancane ahlale spokes. Kufanele belashwe nge-magciwane ejenti ukuqedela ukuphulukiswa. Ngemva kwezinsuku ezimbalwa isilonda some, futhi elimele umlenze massage singasetshenziswa nokusetshenziswa amafutha okhilimu zokususa edema (Lioton, Troxevasin, Troxerutin nabanye).