Syme prosthesis, yomwe imadziwikanso kuti ankle prosthesis, imagwiritsidwa ntchito makamaka pambuyo pa kudulidwa kwa Syme, ndipo nthawi zina, imatha kugwiritsidwanso ntchito pambuyo podula phazi ndi akakolo monga kudulidwa kwa Pirogov.Prosthesis ya Syme imatha kuwonedwa ngati njira yapadera yopangira ng'ombe yoyenera kudulira akakolo.
Kudulidwa kwa Syme tsopano kumagwiritsidwa ntchito podula phazi ndi akakolo.Chifukwa chakuti nsonga ya tibia ndi fibula imasiyidwa pambuyo pa kudulidwa kwa phazi, mapeto ake sangathe kupirira, kotero palibe kudulidwa kwa bondo kuti adulidwe.M'mbuyomu, zinkanenedwa kuti mtundu uwu wa prosthesis umatchedwa "ankle yodulidwa prosthesis", zomwe mwachiwonekere siziri zomveka.
Komanso, ambiri ntchito Pirogov amputation, Boyd kudula ndi Choppart olowa amputation sagwiritsidwa ntchito kawirikawiri chifukwa cha pafupipafupi phazi, zipsera khungu, osauka mapeto kubala ndi zina..
Prosthesis ya Syme imatha kunyamula kulemera kwa kumapeto kwa mwendo wotsalira ndipo imakhala ndi ntchito yabwino yobwezera.M'mbuyomu, njira yachikhalidwe yopangira ma Sym prostheses inali kugwiritsa ntchito chikopa kupanga socket yolowera, ndikuwonjezera zitsulo zachitsulo zolimbitsa.
Tsopano, prosthesis ya Sym imagwiritsa ntchito utomoni wopangira utomoni kuti apange socket yolumikizana, yomwe imathandizira kwambiri mawonekedwe ndi magwiridwe antchito a prosthesis.
Syme amputation ndi kudulidwa kwa supracondylar kumapeto kwa tibia ndi fibula.Makhalidwe a Syme prosthesis ndi awa:
1. Chifukwa chotsalira chotsaliracho ndi chotalika kwambiri, palibe malo oti akhazikitse mgwirizano wa ankle, ndipo phazi la static ankle (SACH) amagwiritsidwa ntchito kawirikawiri;
2. Chifukwa chakuti mapeto a chiwalo chotsalira nthawi zambiri amakhala bulbous, omwe ndi aakulu kuposa gululo, chithandizo chapadera (monga kutsegula zenera) chimafunika popanga phokoso lolandira kukhudzana kwathunthu, ndipo maonekedwe si abwino kwambiri;
3. Chiwalo chotsalira chimakhala chachitali, minofu ya ng'ombe imakhala yokwanira, ndipo pali mkono wautali wautali, ndipo chotsaliracho chimakhala ndi zotsatira zabwino pa prosthesis;
4. Mapeto a mwendo wotsalira amalemera.Poyerekeza ndi prosthesis ya mwana wa ng'ombe, mapeto a chiwalo chotsalira amalemera kwambiri kuposa patellar ligament, yomwe imagwirizana kwambiri ndi makhalidwe a thupi la munthu;
Kuti mukwaniritse cholinga chovala bwino ndikuvula, kuyimitsidwa kogwira mtima, komanso kuwongolera mawonekedwe, mtundu wolandila wa Syme prosthesis nawonso ukusintha, ndipo mitundu yotsatirayi imapangidwa makamaka.
(1) Sym prosthesis ndi kutseguka kwamkati: khomo lolandirira limapangidwa ndi zinthu za utomoni, ndipo prosthesis ya SACH imasankhidwa, ndipo zenera limatsegulidwa kumbali yamkati.
(2) Syme prosthesis yokhala ndi kutseguka kumbuyo: zinthu zomwezo monga pamwambapa, koma ndi zenera kumbuyo.
(3) Pang'ono-wosanjikiza kawiri wolandila Syme prosthesis: Khomo lamkati lolandirira ndi chivundikiro cha mwendo chotsalira chopangidwa ndi zinthu zofewa.Pambuyo popanga vacuum, zotsalira zakunja zimafunika kudzazidwa ndi kusanjidwa, kenako vacuum lamination ndi zotsekera zakunja zimapangidwa.Prosthesis ndi yolimba, koma mawonekedwe ake ndi olimba kwambiri.
⑷ Mbali yofewa ya khoma la Syme prosthesis: Khoma la cholandirira kumtunda ndi kumbuyo kwa bondo limapangidwa ndi utomoni wofewa, womwe umakhala wofewa ndipo sufunika kutsegula zenera, zomwe zimapangitsa mawonekedwe a prosthesis.
Nthawi yotumiza: Aug-25-2022