Amapuleti okukhiya isifuba ayingxenye yemikhiqizo ye-THORAX.Fanisa ngesikulufa sokukhiya esingu-Φ3.0mm.
Izici:
1. Indlela yokukhiya isiqondiso sochungechunge ivimbela ukwenzeka kokuhoxiswa kwesikulufu.(isikulufu sizoba 2. sikhiywe kanye u-1stiluphu ishintshwa ibe yipuleti).
3. Ukwakheka kwephrofayili ephansi kusiza ukunciphisa ukucasuka kwezicubu ezithambile.
4. Kokubili uhlobo olubalulekile kanye nohlobo lokuhlukaniswa kuyatholakala.
5. Isiqeshana se-U-shape sisetshenziswa epuleti lohlobo lokuhlukaniswa, singadedelwa esimweni esiphuthumayo.
6. Ipuleti lokukhiya lenziwe nge-titanium yezokwelapha yeBanga lesi-3.
7. Izikulufu ezifanayo zenziwe nge-titanium yezokwelapha yeBanga lesi-5.
8. Ukukhokhela i-MRI ne-CT scan.
9. Ubuso bune-anodized.
10.Ukucaciswa okuhlukahlukene kuyatholakala.
Sincazelo:
Ipuleti lokukhiya ubambo
Isithombe sepuleti | Into No. | Ukucaciswa |
10.06.06.04019051 | Uhlobo Oluhlanganisiwe, Izimbobo ezi-4 | |
10.06.06.06019051 | Uhlobo Oluhlanganisiwe, 6 Izimbobo | |
10.06.06.08019051 | Uhlobo Oluhlanganisiwe, Izimbobo eziyi-8 | |
10.06.06.10019151 | Uhlobo Oluhlanganisiwe I, Izimbobo eziyi-10 | |
10.06.06.10019251 | Uhlobo lwe-Integral II, Izimbobo eziyi-10 | |
10.06.06.12011051 | Uhlobo Oluhlanganisiwe, Izimbobo eziyi-12 | |
10.06.06.20011051 | Uhlobo Oluhlanganisiwe, Izimbobo ezingama-20 | |
10.06.06.04019050 | Uhlobo lokuhlukanisa, Izimbobo ezi-4 | |
10.06.06.06019050 | Uhlobo lokuhlukanisa, izimbobo ezi-6 | |
10.06.06.08019050 | Uhlobo lokuhlukanisa, Izimbobo eziyi-8 | |
10.06.06.10019150 | Hlukanisa uhlobo I, 10 Izimbobo | |
10.06.06.10019250 | Hlukanisa uhlobo II, Izimbobo eziyi-10 | |
10.06.06.12011050 | Uhlobo lokuhlukanisa, Izimbobo eziyi-12 | |
10.06.06.20011050 | Uhlobo lokuhlukanisa, Izimbobo ezingama-20 |
Φ3.0mm isikulufu sokukhiya(Quadrangle drive)
I-Median sternotomy isalokhu isetshenziswa kakhulu ezigulini ezihlinzwa inhliziyo.Ukutheleleka kwenxeba elijulile lomgogodla (DSWI) kuyinkinga enzima kakhulu ngemuva kwe-sternotomy.Nakuba amanani e-DSWI ephansi uma kuqhathaniswa (ububanzi obungu-0.4 kuya ku-5.1%), ahlotshaniswa nokufa okuphezulu nokugula, ukuhlala isikhathi eside esibhedlela, nokwanda kokuhlupheka kwesiguli kanye nezindleko.Ukwelashwa okuvamile kwe-DSWI kuhlanganisa ukukhishwa kwesilonda, ukwelapha ngenxeba lokuvala inxeba (VAC) kanye nokuxhuma kabusha komgogodla.Kodwa-ke, ama-sternum acwile futhi angenwe yileli gciwane ngezinye izikhathi antekenteke kangangokuba ukuphinda kuxhunywe izintambo kungase kungasebenzi, ikakhulukazi ezigulini ezinokugula okuhlangene okuningi.Ukuhlinzwa kwepulasitiki kuvame ukuthintwa ukuze kwakhiwe kabusha udonga lwesifuba uma ukuxhuma kabusha kwe-sternum kuhluleka ukuzinzisa.
Ukuphuka komgogodla kubala cishe u-3-8% wokungeniswa ngenxa yokulimala kwesifuba.Akuvamile futhi kuvame ukubangelwa ukuhlukumezeka okuqondile, okungaphambili, okufiphele ku-sternum.Ukuphuka kwangaphandle okuningi kuphulukiswa ngokuphathwa ngendlela eqinile, kodwa izimo ezimbalwa ezinokuntengantenga noma ukufuduka okusobala kungaholela ezimweni ezinzima zokukhubaza, okuhlanganisa ubuhlungu obukhulu besifuba, i-dyspnea, ukukhwehlela okuphikelelayo, nokunyakaza okuxakayo kodonga lwesifuba.
Ukwelashwa okuvame ukusetshenziselwa lesi simo ukulungisa i-corset nokuphumula kombhede izinyanga, noma ukulungiswa kwezintambo zensimbi.Ukwelashwa kuvame ukuhluleka ngenxa yokulahlekelwa amandla aqinile noma umphumela wokusika izintambo.Ababhali abaningi babike umphumela onenzuzo wokulungiswa kwangaphakathi kwepuleti lokutheleleka okungapheli noma okungezona i-nonunion ngemuva kwe-sternotomy.I-Sternal Plating ibonakala iyindlela yokwelapha ephumelelayo yokuwohloka kwesilonda okuhambisana nokungaqini kahle kwangaphakathi.Indlela yokuvala intambo yensimbi ifanele i-longitudinal sternotomy, kodwa ukuphuka okuningi okulimazayo kuwukuphuka okuphambene noma okungezona izinyunyana.Kulezi zimo, ukulungiswa kwangaphakathi ngepuleti lokukhiya i-titanium kuyisinqumo esingcono
Ukulungiswa kwepuleti le-Titanium kubonakala kuyindlela ephumelelayo ekwelapheni ukuhlinzwa komgogodla.Uma kuqhathaniswa nokwelashwa okuvamile, ukulungiswa kwepuleti yangasese kuhlotshaniswa nezinqubo zokunciphisa kancane kanye nokwehluleka kokwelashwa.Okwamanje isiqeshana se-U-shape sisetshenziswa kupuleti lohlobo lokuhlukaniswa, singadedelwa esimweni esiphuthumayo.