Ilizarov taputapu, he tokomaha pōhēhē i huaina 'mīhini Elizarova'

taputapu Ilizarov (karanga reira etahi "te pūrere Elizarova") mo te wa roa, me te Kei te whānui whakamahia i roto i te traumatology. I roto i tenei tuhinga, ka arotahi tatou i runga i te mea ko te taputapu Ilizarov me ka hāngai. Me pēhea te ki te tiaki hoki reira me aha pōauautanga taea puta ka whakamahi i te hoahoa.

Ilizarov taputapu, he tokomaha e mea "Elizarova taputapu" He aha te mea tenei?

Ko te pūrere whakaaro i roto i te 1953, he kaiputaiao nui, he tākuta Ilizarov. Mai reira, whakawhetai ki tenei kitea, ka anga tetahi kuonga i roto i orthopedics me traumatology.

Ilizarov taputapu - he hoahoa kōpeketanga-rorona tikanga mō te whakatika piere wheua roa ka o ratou whare, me te rorona (elongation) kōpeketanga (kōpeketanga) ranei.

Ko te taputapu ko te hanganga rerewē arā, o mowhiti. Enei titi whakaritea e whakawhānui i roto i te wheua i te koki o 90 nekehanga. e toaati e te tikanga o rakau motuhake, e taea te whakatika i te elongation hiahiatia ranei hukihuki o te e alangá nga mowhiti.

iku'anga

Ilizarov taputapu (noa "pūrere Elizarova") he o te whakamahi nui i roto i te maha ngā wāhi o te rongoā hou:

- i roto i te orthopedics - ki te whakakore i te hē i Hokona congenital ranei, wheua shortening me te e alangá mo deformation nunu'a ngaukino ngā (hononga teka tika piere tauta me ētahi atu koha);

- i roto i te traumatology - splicing matatini me piere tuwhera;

- i roto i te Pediatric Orthopedics - i roto i deformations kōhiwi nahanaha (mo te hua tipu), whakaōritenga waewae o roa rerekē;

- i roto i te pokanga rerehua - ki te whakapiki ake i tupu na roto i te tawharara te huha me ngā waewae, waewae tikanga o curvature.

Taupānga o piere

Ilizarov taputapu ( "taputapu Elizarova" ranei), ahakoa te mea he hoahoa tika ohie, engari ko reira koha noa i roto i te maimoatanga o te iwi maha. kua tokomaha i roto i te puuranga o piere matatini awhinatia hoahoa Taupānga o maimoatanga, te faaafaro i wheua i hira ake, waewae whakaōritenga.

A, no te penei tetahi hoahoa whati kei i runga i te pito o te iti rawa e rua nga marama. I muri kia e pā ana ki e rua wiki i runga i te e alangá kua pā kia hoatu kawenga taea katoa. Hei tauira, ka he waewae whati te manawanui e taea te haere rawa te tikanga, ki te ringa whati - ki te tango i nga mea ngāwari.

tukatuka

te tiaki tika o te hoahoa, ka āwhina i karo maha nga matenga, a ka pā te angitu o te tukanga whakaora. Ki te te taputapu Ilizarov (hetia i huaina "taputapu Elizarova ") i runga i te ringa, he reira taea ki te haere ki te tauiraa ki te whare hauora rohe. He nui atu uaua ki te haere i te whare hauora ki te waewae whati. I roto i tenei take, he mea ka taea ki te mahi i te tiaki e tika ana i te kāinga e koe.

Me matua titi maimoatanga rā. Ko Spitz tonu te ara maha, ki runga ki te 12 wae, aua, ake ki te 24 ngä. Me hapai i ia putanga i te titi 50% otinga waipiro (waipiro parakore, diluted i roto i te hawhe ki te te wai māturu) ranei vodka tikanga kounga pai.

kia Tukanga kore anake pātata ki te wāhi korero, engari ano hoki te ngira katoa rawa. I muri i te tukatuka i wahi o nga titi putanga superimposed kakahu whāriki, nana ki te otinga o te waipiro chlorhexidine ranei.

Mā te raruraru

Fele, whakatika raruraru ina tīmata te alangá mate ki te pei i te kawenga. Nuinga o ngā wā e ara pōauautanga ka he waewae whati, ka tīmata haere ana te manawanui, kiko ngohengohe matia i te rohe o te titi. korero te reira i mate. He mea nui kia kaua e rere te pōauautanga.

I roto i te kaupapa o te titi a tawhio noa te puku, whero, mamae, he tika secretions purulent ki tangohia i runga i te rohe o te kakahu mumura waiwaitia i Dimexidum otinga diluted i roto i te hawhe ki te wai māturu. He he ara i tetahi - e tikanga o te otinga hypertonic (konutai pūhaumāota 10%), e hiahia ana ki te whakamakuku i te kakahu, me te tangohia a tawhio noa inflammatory. otinga Hypertonic āwhina whakaiti mumura, wahia i te pirau. A, no te whakaritea pōauautanga paturopi me dressings rohe.

i muri i te tango i te

I muri i te taputapu Ilizarov (hetia - "taputapu Elizarova") ka kia koperea i runga i te tuku wahi patunga iti noho titi. kia tukinotia ratou ki ringihia āpiha ki te whakaoti i whakaora. Tau mahana i muri tightened te motu, a ki runga ki te mirimiri waewae kafó taea te tono ki te whakamahi o hinu, me aihikirīmi mō te tango i edema (Lioton, Troxevasin, Troxerutin me ētahi atu).