Ibipimo byumutekano
Ubushakashatsi bwasohotse mu kinyamakuru Infection Control and Hospital Epidemiology (tinyurl.com/pdjoesh) bugaragaza ko 99% by’abaganga babaga babajijwe byibuze inshinge 1 mu mwuga wabo.Abashakashatsi bavuga ko ikibazo ari uko gutobora uturindantoki two kubaga akenshi bitamenyekana mu gihe, bivuze ko abaganga bashobora guhura n’amaraso ndetse n’ingaruka ziterwa no kwandura batabizi.
SURGEON SENSATION
Bifata ibyumweru 2 gusa kugirango ubone Ibyiyumvo Byikubye kabiri
Ykubaga kwacu birashoboka ko batekereza ko gukubitwa kabiri bigabanya ibyiyumvo byamaboko hamwe nubwitonzi.Abashakashatsi Ramon Berguer, MD, na Paul Heller, MD, mu kinyamakuru cyo muri Amerika College of Surgeons (baranditse bati: "N'ubwo hari umubare munini w'amakuru ashyigikira kashe ya kabiri, imbogamizi nyamukuru y'iki gikorwa ni ukutemerwa n'abaganga babaga." tinyurl.com/cd85fvl).Abashakashatsi bavuga ko inkuru nziza, ari uko bidatwara igihe kinini kugira ngo abaganga batangire kumva ko bamenyereye kugabanuka k'ubukangurambaga bw'amaboko bujyanye no gufunga kabiri.
Dogiteri Berguer, wumva ko abaganga bashobora kumenyera byimazeyo no gufatana mu nda, agira ati: Ibyumweru 2 byo kubigerageza bwa mbere.
- Daniel Cook
Abashakashatsi bavuga ko igipimo cyo gutandukanya uturindantoki kiratandukanye, nubwo ingaruka ziyongera kugera kuri 70% mu gihe kirekire ndetse no mu gihe cyo kubagwa bisaba imbaraga nyinshi mu mwobo wimbitse no hirya no hino.
amagufwa.Bakomeza bavuga ko ubushakashatsi bwerekana ko ibyago byo kwandura amaraso byagabanutse kuva kuri 70% hamwe na gants imwe bikagera kuri 2% hamwe na gants ebyiri, bishoboka ko gants y'imbere yerekanwe ko idakomeza kuba ingana na 82%.
Kugira ngo bamenye umubare w'amaraso yimurwa binyuze mu gipande kimwe cya kabiri cya gants aho bakomeretse, abashakashatsi bafashe uruhu rw'ingurube hamwe na lancets zikoresha, bigana inshinge za suture.Nk’uko ubushakashatsi bwabigaragaje, ingano ya 0.064 L y’amaraso yimurirwa mu mwobo ku bujyakuzimu bwa 2,4mm binyuze mu gipande 1, ugereranije na 0.011 L y’amaraso gusa
kabiri-glove ibice, bivuze ko ingano yagabanutse ku kintu cya 5.8.
Ikigaragara ni uko uturindantoki tubiri twakoreshejwe mu bushakashatsi harimo sisitemu yerekana: gants y'imbere y'icyatsi yambarwa hamwe na gants yo hanze y'ibyatsi.Abashakashatsi bavuga ko uduce twose tw’imbere ya gants yo hanze twagaragajwe neza n’amabara yatsi y’icyatsi cyo munsi yerekana munsi y’ahantu hacukuwe.Itandukaniro ryamabara rigabanya ibyago byo guhura namaraso mubimenyesha kubaga nabakozi kubi kurenga bishobora kuba bitaragaragaye.
Abashakashatsi bavuga bati:Bagaragaza kandi ko nubwo ingaruka zo gukingira inshuro ebyiri zigaragara, bitarasanzwe kubera ko bivugwa ko byagabanutse ku bwenge no gukorakora (kubimenyetso bihabanye, reba kuruhande hepfo).
Kubaga ibyago byihariye
Raporo yo muri Acta Orthopædica mu Bubiligi (tinyurl.com/qammhpz), ikinyamakuru cyemewe cy’umuryango w’Ababiligi bashinzwe amagufwa n’ihungabana, ivuga ko igipimo cyo gutobora gants kiri hagati ya 10% mu buvuzi bw’amaso kugeza kuri 50% mu kubaga rusange.Abashakashatsi bavuga ko ariko guhangayika no guhangayikishwa no gukoresha ibiti byinyeganyega, ibikoresho by'ibyuma ndetse no gushyirwaho mu gihe cyo kuvura amagufwa, uturindantoki ku mbaraga zogosha cyane, bigatuma orthopode ishobora guteza akaga gakomeye mu buhanga bwo kubaga.
Muri ubu bushakashatsi, abashakashatsi basuzumye igipimo cyo gutobora uturindantoki mu gihe kinini cyo gusimbuza ikibuno n'amavi hamwe na arthroscopie ntoya.Basuzumye kandi uburyo gukubitwa kabiri byagize ingaruka ku gipimo cyo gutobora no kumenya niba ibiciro bitandukanye hagati y'abaganga, abafasha babo cyangwa abaforomo ba OR.
Igipimo rusange cyo gutobora gants cyari 15.8%, hamwe na 3,6% mugihe cya arthroscopie na 21.6% mugihe cyo gusimbuza jojoint.Kurenga 72% byacitse ntibyamenyekanye kugeza nyuma yuburyo bukorwa
yashoje.Ibice 3% byonyine byimbere byangiritse - ntanumwe mugihe cya arthroscopie - ugereranije na 22.7% bya gants yo hanze.
Ikigaragara ni uko 4% gusa yo gutobora byanditswe mugihe cyingenzi cyarimo uturindantoki twombi.Kimwe cya kane cy’abaganga 668 bagize uruhare muri ubwo bushakashatsi bahuye n’uturindantoki twavunitse, ibyo bikaba byari hejuru cyane ya 8% y’abafasha 348 n’abaforomo 512 bahuye n’ikibazo kimwe.
Abashakashatsi bavuga ko gufunga inshuro ebyiri mu buryo bw'amagufwa bigabanya cyane ikibazo cyo gutobora uturindantoki two mu nda.
Bongeraho ko nubwo abaganga babaga bagenzura neza ibyago byabo byo kwandura indwara zandurira mu maraso igihe uturindantoki twavunitse, ubushakashatsi bwabanje bwerekanye ko imico ya bagiteri yafatiwe ahantu hateganijwe ari nziza ku gihe cya 10%.
Igihe cyo kohereza: Mutarama-19-2024