6 Nthano za Knee Replacement Surgery

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Bodza: ​​Muyenera Kupereka Magazi Asanachitike Opaleshoni

Kuchita opaleshoni yachitsulo ndi imodzi mwa njira zamakono zochitira opaleshoni zomwe zimachitika ndi opaleshoni ya mafupa, ndi chithandizo choyenera cha nyamakazi yapamwamba ya bondo . Mukapanga chisankho chotsatira mawondo, mosakayikira mudzamva kuchokera kwa abwenzi ndi abambo za zomwe achita ndi opaleshoniyi. Pamene tiphunzira zambiri za kusintha zotsatira ndi kuonjezera chitetezo ndi opaleshoni iyi, pali zinthu zomwe zingasinthe potsata mawondo.

Mnzanga yemwe adagwada mawondo zaka makumi awiri zapitazo akhoza kukhala ndi zosiyana kwambiri ndi zomwe mungakhale nazo lero. Pano ife tikuwongolera zina zamatsenga zamatsenga, ndi zomwe taphunzira pa nthawi. Ndikukutsimikizirani, kuti mfundo zonse zidzapitiriza kusintha, ndipo kusintha kwa mawondo kudzawoneka mosiyana zaka 20 kuchokera pano. Komabe, izi ndi zina mwamasintha omwe apangidwa ndi chifukwa chake sitimapanga mawondo mofanana ndi kale.

Izi sizikutanthauza kuti madokotala ochita opaleshoni zaka makumi angapo zapitazo anali olakwika. Ndipotu, n'zosadabwitsa kuti mawotchi oyambirira ankagwiritsidwa ntchito bwino, ndipo ndizodabwitsa momwe amawonekera ngati mawonekedwe a mawondo amakono. Ngakhale njira zopangira opaleshoni ndi ndondomeko zowonetsera kukonzanso zowonongeka, ntchito yambiri yopanga mawondo amawoneka ofanana kwambiri ndi zaka ndi zaka zapitazo. Pakhala kusintha, ndipo apa ndi pamene ena mwa nthanozi amabwera kudzasewera. Phunzirani za kusintha kwazinthu zomwe zakhala zikuchitika pazaka makumi angapo zapitazi.

Choyamba kusintha kwa mawondo ndikuti odwala sagwiritsa ntchito magazi awo asanachite opaleshoni . Zidali zachizoloŵezi kuti anthu apereke mayunitsi amodzi kapena awiri a magazi mosakayika kuti magazi athe kupezeka ngati pakufunikira opaleshoni itatha. Chifukwa chomwe ichi chinali chokongola chinali chakuti pali kachilombo kochepa ka matenda opatsirana (monga HIV kapena chiwindi) pogwiritsa ntchito magazi anu.

Zoona, chiopsezo chotenga matenda ndi chochepa kwambiri, ndipo chiopsezo cha kuwonongeka kwa mankhwala opangidwa ndi magazi chikhoza kukhala chapamwamba pamene mupereke magazi anu omwe. Kuwonjezera pamenepo, njira yopereka magazi imayambitsa kuchepa kwa magazi, zomwe zimachititsa anthu kukhala ndi magazi ambiri. Chifukwa cha ichi, anthu omwe amapereka mwazi wawo omwe ali ndi mwayi waukulu kwambiri wofuna magazi awo omwe aperekedwa mmbuyo, amakhala ndi chiopsezo chachikulu chofunikanso kuikidwa magazi. Kawirikawiri, sikuvomerezeka kuti mupereke magazi anu omwe musanachite opaleshoni.

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Nthano: Opaleshoni Yoperewera Kwambiri Ngati N'zotheka

Nthano yachiwiri ndi lingaliro lakuti opaleshoni iyenera kuchedwa malinga ngati n'kotheka. Ngakhale kuti pali mavuto omwe angakhale nawo pakuchita opaleshoni kwa wina wamng'ono kapena wopanda matenda a nyamakazi, palinso kusowa kochedwa kuchitidwa opaleshoni mpaka nthawi yomwe ntchito za tsiku ndi tsiku zimavuta kapena zosatheka.

Kudziwa nthawi yoti opaleshoni ya mawondo ikhalepo ndi funso lovuta kwa odwala onse ndi madokotala akuyesera kufika pa zotsatira zabwino. Munthu aliyense ali ndi malingaliro osiyana a ululu ndi kulemala, ndipo kusintha kwa mawondo kungakhale chithandizo chomwe chingathandize ena mochuluka, pamene icho sichingakhale chopindulitsa kwa ena. Deta yambiri ikusonkhanitsidwa kuti mudziwe momwe mungaphunzitsire odwala momwe angapitirire ndi kuchipatala nyamakazi.

Izi zinati, pali kuchepa kwa kuchepetsa kusintha kwa bondo motalika kwambiri. Chimodzi mwazofunikira kwambiri zogwirira ntchito ndi kuyenda kwa mawondo ndi ntchito ndi kuyenda kwa bondo asanachitike opaleshoni. Anthu omwe ali ndi mawondo ofooka kwambiri, asanayambe opaleshoni sangathe kubwezeretsa ntchito zambiri kapena kuyenda monga anthu omwe ali ndi mawondo amphamvu komanso osinthasintha.

Palinso nkhaŵa kuti pamene anthu ayamba kuwonjezereka zizindikiro za nyamakazi m'magulu awo, iwo akhoza kukhala ochepa kwambiri. Izi zingachititse kuti phindu likhale lolemera ndi zina zachipatala kuphatikizapo kulephera kupirira, matenda a shuga, ndi zina. Kusalola kuti thupi likhale lokonzekera lingathandize kusintha zotsatira kuchokera ku opaleshoni ya mawondo.

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Nthano: Kuchita Opaleshoni Yochepa Kwambiri Kumakhala Bwino (kapena Zoipitsitsa)

Izi ndizovuta, chifukwa palibe amene angakuuzeni zomwe zikutanthawuza, koma ndiloleni ndifotokoze: Sipanakhalepo mgwirizano pa zomwe zimatanthawuza " mawondo ochepa omwe amawonongedwa ." Ndawawona madokotala ena opaleshoni omwe amalengeza izi omwe amawoneka ngati akuchita mawondo abwino kwambiri. Komanso, ndaona madokotala ochita opaleshoni omwe sanena kuti zowonjezereka, koma zimakhala ndi zotsatira zabwino kwambiri kuchokera ku opaleshoni ndi njira zochepetsera zochepa kwambiri zochitidwa opaleshoni.

Mfundo ndi yakuti, aliyense anganene kuti zomwe akuchitazo ndizochepa. Komabe, izi sizikutanthawuza zambiri mwa izo zokha. Ochita opaleshoni onse opaleshoni amayesetsa kukhazikitsa bwino ntchito ndi kuwonongeka kosafunika kwenikweni kwa thupi komanso kusokonezeka. Pali njira zina zomwe zimapangidwira kuchepetsa kuchuluka kwa minofu yofewa, koma sitingagwirizanitse kuti ndi nkhani zingati.

Chowonadi ndicho, chinthu chofunika kwambiri pa mawondo a mawondo si kukula kwa chilonda koma khalidwe la opaleshoni. Ndimaona kuti chinthu chofunikira kwambiri ndi kupeza dokotala wodziŵa bwino ntchito , amene ali ndi mbiri yabwino kwambiri. Ngati muli ndi mafunso okhudza njira zawo zochitira opaleshoni, ndibwino kufunsa, koma ndikuchenjezani kuti aliyense anganene kuti njira zawo zimakhala zochepa. Izi sizikutanthauza zambiri.

Palibe chigwirizano chodziwikiratu kuti kuchita opaleshoni ya mawondo pogwiritsa ntchito njira iliyonse yosawonongeka kumabweretsa zotsatira zabwino, komabe pali kafukufuku wochuluka kutsimikizira kuti kukhala ndi malo abwino komanso ophatikizira mawonekedwe a knee ndikofunikira kuti zotsatira zake zikhale bwino. Mfundo yaikulu-musati mupereke nsembe yapamwamba ya opaleshoniyi chifukwa cha chilonda chochepa!

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Nthano: Kupita ku Inpatient Rehab Kumatanthauza Thandizo Labwino

Pa zaka zoyambirira za mawondo, anthu amabwera kuchipatala tsiku lisanachitike opaleshoni yawo. Pambuyo pa opaleshoni, amatha kukhala sabata kapena kupitilira kuchipatala, asanayambe kusamalidwa kuchipatala kapena malo okalamba. Mai, momwe nthawi zasinthira!

Masiku ano, madokotala ena opaleshoni akuyesa kugwiritsira ntchito mankhwala opatsirana, komwe anthu amabwerera kwawo tsiku lomwelo monga opaleshoni yawo. Izi sizowoneka bwino, koma odwala ambiri akubwerera kwawo masiku angapo opaleshoni, ndipo kugwiritsa ntchito kusamalidwa kwachilendo kwachilendo kukupweteka. Chiwerengero cha anthu omwe abwera kwawo atatha opaleshoni achoka pafupifupi 15 peresenti kumapeto kwa zaka za m'ma 1990 ndikuposa makumi asanu peresenti tsopano.

Pali zifukwa zambiri zobwera kunyumba zingakhale bwino, pakati pawo pokhala kuti anthu obwerera kwawo akuwoneka kuti alibe zovuta zochepa. Phunziro la 2016, limene linayesa zinthu zina zomwe zingagwiritsidwe ntchito kuti adziwe momwe odwala angatumizedwe kuchipatala atagonjetsa bondo, adapeza kuti kutuluka kwa malo osungirako anthu odwala matenda osapatsirana kunapangitsa kuti izi zichitike.

Ochita opaleshoni ambiri amakonda nyumba ndi odwala matenda odwala matenda opatsirana, ndipo sakhala okhudzidwa kwambiri ndi chithandizo cha mankhwala omwe angapezeke m'zipatala, nyumba zaukhondo, ndi malo okhala. Kuonjezera apo, mtengo wa chisamaliro cha wodwala wobwerera kunyumba ndi wocheperapo, kotero pali vuto lalikulu la zachuma kuyesa kulandira odwala kunyumba osati kwa odwala.

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Nthano: Kusuta Mitambo Yowonongeka Kwambiri

Kwa zaka zopitirira khumi, makamaka m'ma 1990, kugwiritsa ntchito makina otchedwa CPM, kapena kuyenda mofulumira, kunali kutchuka. Makina amenewa anaikidwa pa bedi la wodwala yemwe anali ndi mawondo atsopano, ndipo ali pogona, pang'onopang'ono anagwada pansi.

Izi zimapanga nzeru zambiri; Chinthu chimodzi chovuta kwambiri cha kubwezeretsa mawondo ndi kubwezeretsa kugwedezeka kwa mawondo. Kusuntha koyambirira ndi njira yofunikira kwambiri yowonetsetsa kuti ayendetsedwe. Mwa kuika odwala mu CPM, chiyembekezo chinali choti adzalumphira kuyamba pa imodzi mwa zovuta kwambiri za rehab.

Ndipotu, pali zotsatira zoyambirira zinali zolimbikitsa. Detayi inanena kuti m'masiku ndi masabata oyambirira atatha opaleshoni ya mawondo, anthu omwe amagwiritsa ntchito chipangizo cha CPM anali ndi kayendetsedwe kabwino kake. Komabe, mkati mwa masabata anayi opaleshoni, panalibe kusiyana kwa chiwerengero pakati pa anthu omwe amagwiritsa ntchito makina a CPM ndi omwe sanatero. Kuwonjezera pamenepo, njira zina zowonongeka mopitirira malire zikuoneka kuti anthu omwe amagwiritsa ntchito CPM adatsalira m'mbuyo.

Chowonadi ndi chakuti deta ikuwonetseratu kuti kuti mawondo amodzi asinthidwe, izi ziribe kanthu. Ndipotu, amatha kuchepetsa zinthu pochepetsa chiwerengero cha nthawi yomwe anthu amadzuka ndi kutuluka pabedi, mbali yofunikira kwambiri pamayambiriro oyambirira a rehab kuchokera kumalo omwe amachokera.

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Bodza: ​​Palibe Kuthamanga kwa Miyezi itatu

Chimodzi mwa zinthu zofunika kwambiri kuti zithetse zotsatira za opaleshoni ya mawondo ndikuteteza mavuto omwe amapezeka ndi njirayi. Chimodzi mwa mavuto omwe anthu ambiri amakhudzidwa ndi magazi . Pali mankhwala ambiri komanso njira zothandizira kupewa magazi.

Kuonjezera apo, madokotala ochita opaleshoni amayesa kuchepetsa zinthu zina zomwe zingapangitse mwayi wa magazi. Chinthu chimodzi mwazifukwazi ndi ulendo waulendo. Zidziwika bwino kuti kuyenda kwaulendo kwa nthawi yaitali kungapangitse mwayi wa magazi. Pa chifukwa ichi, madokotala ambiri opaleshoni amalangiza motsutsana ndi ulendo uliwonse wa mpweya kwa miyezi itatu (kapena nthawi zina) pambuyo pa opaleshoni.

Chowonadi ndi chakuti maphunziro sanapeze mpweya waulendo, makamaka mu maulendo afupi (pansi pa maola anayi), kuti awonjezere mwayi wa magazi m'magazi mwa anthu amene adangokhala ndi mawondo atsopano. Ndipotu, kafukufuku wina akufufuza odwala omwe adatuluka panyumba kuchokera ku opaleshoni (masiku angapo asanatuluke), panalibe kusiyana kwa mwazi wamagazi.

Olemba phunziroli amalimbikitsanso zonse zoyenera ( mankhwala osakaniza magazi , kuyambitsanso nthawi ndi nthawi, masikiti opatsirana), komanso kuchepetsa nthawi ya ndege, koma sanapeze kuti akuyenera kuthawa. Kuwonjezera apo, pangakhale zinthu zina zomwe zimapangitsa ngozi yowonjezereka ya magazi, choncho musanayambe kuganizira za ulendo wa bondo pambuyo pochita opaleshoni, muyenera kukambirana ndi dokotala wanu. Komabe, madokotala ambiri akukhala okhudzidwa kwambiri ndi malingaliro awo omwe amalepheretsa kuyenda kwa ndege pakutsata opaleshoni.

> Zotsatira:

> Bierbaum BE, Callaghan JJ, Galante JO, Rubash HE, Tooms RE, Welch RB: Kufufuza kwa kayendetsedwe ka magazi kwa odwala omwe ali ndi chiuno kapena mawondo a arthroplasty. J Bone Opaleshoni Yophatikiza Am 1999; 81 (1): 2-10.

> Fortin PR, "Kutenga nthawi yowonjezerapo kumakhudza zotsatira za kuchipatala pakati pa odwala osteoarthritis m'chiuno kapena bondo." Arthritis Rheum. 2002 Dec; 46 (12): 3327-30.

> Varacallo MA, Herzog L, Toossi N, Johanson NA. "Zochitika Zaka khumi Zakale ndi Zowopsa Zowonongeka Kwa Kuwerengera Osakonzedweratu Pambuyo pa Kusankhidwa Kwambiri kwa Joint Arthroplasty ku Chipatala Chachikulu Chakumudzi" J Arthroplasty. 2017 Jun; 32 (6): 1739-1746. Epub 2016 Dec 27.

> Watson HG, Baglin TP. Malangizo othandizira maulendo othamanga. Br J Haematol 2011; 152 (1): 31-34. Epub 2010 Nov 18.