Whao Intramedullary Ātete— I hangaia mō ngā tamariki: He iti noa te whara mō te tere o te whakaoranga
He aha teWhao Rino? — He Tūāpapa Ā-roto Whakapūmau
Whao Intramedullary Ātete(ESIN) he mea whakauru whakarewa pīwariwari e hāngai ana ki ngā whati wheua roa o ngā tamariki. He mea hanga ki te koranu titanium, he whao angiangi, he whānui mai i te 1.5 mm ki te 4.0 mm. Ka tīpakohia te rahi i runga i te matotoru o te wheua o te tamaiti. Me te piko me te pīwariwari kua whakaritea, ka whakaurua ki roto i te kōhao medullary.
Ka whakanohoia e te pokanga ētahi tūāpapa rapa e rua ki roto i te āputa pokorua o te wheua hei tautoko i ngā wāhanga whati mai i roto. Kāore he take ki te whakatuwhera i te wāhi whati, ki te tāpiri rānei i ngā pereti wheua.
He aha i kiia ai he "koha mā ngā tamariki"? – He mea hanga motuhake mā ngā tamariki
Ehara ngā tamariki i te pakeke nohinohi. Kāore e taea te rongoā i ngā whati o ngā tamariki kia rite ki ngā tikanga e whakamahia ana mō ngā pakeke. He mea hanga tika te whao uaua i roto i te uaua o te hononga i runga i ngā āhuatanga ahurei o ngā wheua o ngā tamariki.
Tuatahi, kaua e kino te epiphysis (te pereti tipu).
Kei ngā pito e rua o te wheua roa o te tamaiti te epiphysis, arā, te "mīhini" mō te tipu o te wheua. Mēnā ka pakaru te epiphysis, ka puta pea he kore ōrite o te roa o ngā peka, he hapa rānei. Ko te pūwāhi whakauru o teorongoā-ā-rotoekirihounngā matekei tawhiti atu i te epiphysis (hei tauira, ko te pūwāhi whakauru i te pito tawhiti o te femur kua tohua ki runga ake i te metaphysis o te epiphysis), ā, e kore te whao e tika mā roto i te epiphysis, ka karo katoa i te pereti tipu. He mea tēnei ewheua wheuangā peretime te pakekengā whao o roto i te medullarykāore e taea te whakatutuki.
Tuarua, Kāore e tangohia te periosteum, kāore e whakararuraru i te rere o te toto.
Ko te whakaora o te whati e whakawhirinaki ana ki te periosteum me te rere o te toto e karapoti ana. Ko ngā pokanga tuwhera tuku iho me tapahi te kiri me ngā uaua i te wāhi whati, tangohia te periosteum, kātahi ka whakauru i tētahi pereti. Ka whakararuraru tēnei i te rere o te toto i te pito whati. Ko teekirihounmateorongoā-ā-rotokāore e tapahia te wāhi whati. Ka whakaurua mā roto i tētahi tapahi kiri iti mai i tētahi wāhi tawhiti. Kei te ora tonu te periosteum, ā, kāore te rere o te toto i te pito whati e pāngia – he tere ake te tere o te whakaora.
Tuatoru, ka whakatairanga te whakapiripiri i te whakaora.
I roto i te rongoā mō ngā whati o te pakeke, ka whaihia te "whakapūmau kaha", ko te whāinga kia noho pūmau ngā pito whati. Heoi, he kaha ake te kaha o ngā wheua o ngā tamariki ki te whakaora, ā, mā te "nekehanga moroiti elastic" tika ka taea te whakaoho i te tipu o te wheua callus. Ko tetitāniumawhao rapakia whakaratohia tēnei momo "piripiri ngāwari" – he nekehanga moroiti kei ngā pito whati, engari kāore he nekehanga e puta, ā, ka tere, ka pai hoki te tipu o te karu wheua.
Tuawhā, He iti ake te tapahi, he iti ake te koha.
Ko te pokanga pereti maitai tuku iho me tapahi i te 8 ki te 15 henimita te roa, ka waiho he koha roa i muri i te whakaoranga. Ko te whao intramedullary elastic e hiahia ana kia rua noa ngā tapahi iti, 1.5 ki te 2 henimita te roa (kotahi, e rua rānei i runga i te wāhi i whati ai), ā, i muri i te whakaoranga, kāore he tohu e toe ana.
Tuarima, he poto te wā e noho ana i te hōhipera, ā, he tere te whakaoranga.
Mā te whao uaua o roto o te hononga o te waewae ka pai te pumau i muri i te pokanga, ka taea ai e te tamaiti te nekeneke wawe. Ka taea e ngā tamariki he whati te waewae o te waewae te mau i te whitiki tautoko me te tū takitahi i roto i ngā rā e 3 ki te 5 i muri i te pokanga, te hikoi me te tokotoko i roto i ngā wiki e 3 ki te 4, ā, ka hoki ki ngā mahi o ia rā i roto i ngā marama e 2 ki te 3. Ki te whakatauritea ki te maimoatanga matatapu (te takoto mō ngā wiki e 6 ki te 8) te whakapiri pereti rānei (me roa ake te tiaki i muri i te pokanga), ka tino poto ake te wā whakaora.
He aha ngā pātai tino nui e āwangawanga ana ngā mātua?
Ka noho tonu te whao uaua o roto i te tinana mō ake tonu atu?
Kāo. Me tango i muri i te ora o te whati. I te nuinga o te wā, ka mahia te pokanga tango i muri i te 6 ki te 12 marama i muri i te pokanga (mā te hihi-X ka whakaūtia kua ora pai te whati).
He mōrearea te pokanga? Ka kino rānei ngā io me ngā uaua toto?
He tikanga pakari te pokanga whao ā-roto-upoko i roto i te rongoā tamariki, he iti noa iho ngā mōrearea. Nā te mea kei tawhiti te wāhi tomo o te whao i ngā paihere io me ngā uaua toto nui, he tino iti te mōrearea o te whara aituā.
Me mau rānei he maka paraikete i muri i te pokanga?
Kāo, he pai te pumau o te whao uaua o roto o te hononga. Whai muri i te whati o te kakau o te femur, ka mau tonu he tautoko (he uhi mārō ka taea te tango) (ko tana mahi matua he tiaki, kaua he whakatika).
Kia pēhea te roa ka taea e te tangata te hikoi i muri i te pokanga?
I muri i te pokanga mō te whati o te kakau o te femur, ka taea te mau i te whitiki tautoko mō te tū me te hikoi mai i te 3 ki te 5 o ngā rā. Mai i te 2 ki te 3 o ngā wiki i muri i te pokanga, ka taea te hāpai i te taumaha mā te whakamahi i ngā tokotoko (me te pā o ngā māikuku ki te whenua). Mai i te 4 ki te 6 o ngā wiki i muri i te pokanga, ka taea te hikoi mārire me te pikau taumaha katoa. Mai i te 2 ki te 3 o ngā marama i muri i te pokanga, ka taea te hoki ki te oma me te peke noa. Me whakanui ahakoa he pumau ngā whao, kāore e taea te whakakapi katoa i te kaha pikau o te wheua – me whai i te tohutohu a te tākuta te wā tika mō te pikau taumaha katoa, ā, me whakatau i runga i te tipu o te wheua i runga i te hihi-X.
He nui te utu mō ngā whao intramedullary elastic?
He mea hanga ngā whao intramedullary rapa ki ngā rauemi koranu titanium kounga teitei mai i tāwāhi, mai i tāwāhi rānei. He nui ake te utu i ērā o ngā waea Kirschner noa, engari he iti iho i ērā o ngā pereti maitai.
Ki te hiahia koe ki te ako atu mō ngāNgā Whao Rinomōhiotanga, tēnā koa whakapā maiwhakapā mai; mā tā mātou tīma koe e whakarato ki te tautoko ngaio me ngā whakautu.
Wā tuku: Hepetema-08-2026