Chidziwitso Chotsatira Ndondomeko Zomwe Zidzakhala Zogwirizanitsa Nkhokwe Yowonjezera
Zilonda za ankle ndizovulaza masewera omwe amachititsa ululu ndi kutupa kwa mgwirizano. Odwala ambiri, mankhwala osapereka opaleshoni amachepetsa kupweteka ndi kubwezeretsanso ntchito. Komabe, pali zochitika zina zomwe opaleshoni zingakhale zofunikira kuti zikhazikike pamagulu kuti zilolere kubwerera ku ntchito zonse kwa wodwalayo.
Zizindikiro za Kuchita Opaleshoni Pambuyo pa Ankle
Kawirikawiri, pali zinthu ziwiri kumene opaleshoni ingaganizidwe.
- Kuvulala Kwambiri
Choyamba ndi kuvulala koopsa, zomwe zangobwera posachedwapa. Muzochitika izi, opaleshoni nthawi zambiri sichikuchiritsidwa. Kuvulala kwakukulu kokha, kumathamanga othamanga kwambiri, akuchitidwa opaleshoni. Odwalawa kawirikawiri amapitiriza maphunziro a Gulu lachitatu lachikopa ndipo amakhala ndi zovuta zapadera ndi x-ray za mitsempha yosakhazikika. Kukonzekera koyambirira m'mabungwe amenewa kungathandizire kuti ayambe kuyendetsa masewera olimbitsa thupi. - Kusakhazikika Kwambiri
Kawirikawiri, opaleshoni imachitidwa pamene wothamanga ali ndi zizindikiro zowonongeka pamatumbo - tsitsi limatulutsa ndipo limabwereranso. Odwalawa kawirikawiri amayesa mankhwala ophweka kuphatikizapo mankhwala, kulimbitsa, kuphulika, komanso kukhala ndi zodandaula za bongo.
Ndondomeko Zopangira Opaleshoni - Kusinthidwa Kusintha ndi Zowonjezera
Pali njira zambiri zopaleshoni zomwe zafotokozedwa kuti zikhazikike pamakola pamtunda wazengereza.
Njira yofala kwambiri yopaleshoni yomwe amagwiritsidwa ntchito lerolino imatchedwa "njira yosinthidwa ya Brostrom." Dr. Brostrom poyamba adalongosola njira yopaleshoni, yomwe yasinthidwa, ndipo yakhala yogwiritsidwa ntchito kwambiri pochita opaleshoni ya ubongo wosakhazikika.
A modified Brostrom ndondomeko kwenikweni kumalimbana ndi ofananira nawo mitsempha miyendo.
Kawirikawiri dokotala wanu amachotsa chidutswa cha fupa cha mitsemphayi pamoto, ndipo amaika kachilomboko pamalo ovuta kwambiri.
Njira ya Brostrom imatchedwa kuti anatomic kumanganso chifukwa amayesa kubwezeretsa mawotchi amtundu wabwino mwa kubwezeretsa kutuluka kwa thupi. Njira zina zopangira opaleshoni zimaonedwa kuti sizinatomicheni, chifukwa zimaphatikizapo kugwiritsa ntchito njira zomangidwira kuti zisamayende bwino. Zosintha izi sizinatomic ndizochepa zomwe zimachitika kawirikawiri. Maina a ma reconstation omwe si a anatomic akuphatikizapo njira za Chrisman-Snook, Watson-Jones, ndi Evans; kachiwiri, onse otchedwa opaleshoni omwe anafotokoza njirayi.
Nthawi zina, mitsempha yowonongeka kwambiri, ndipo kukonzanso mitsempha kungapangitse kusasinthasintha kosalekeza ngati minofu sikumverera kuti imakhala yokwanira. Kwa odwalawa, madokotala ena amasankha kukonzanso osomatomic. Njira ina ndi yowonjezera mzere wa mitsempha kumagetsi kuti uwonjezere mphamvu. Muzochitika izi, madokotala ena opaleshoni amalimbikitsa kugwiritsa ntchito graft kuchokera ku gawo lina la thupi lanu, kapena mzere wothandizira .
Nthenda yamakono ya nyamakazi imayamba kugwiritsidwa ntchito mofanana ngati chigawo cha opaleshoni yamagetsi .
Kawirikawiri arthroscope imagwiritsidwa ntchito kutsimikizira kuti matendawa ndi otsimikizirika komanso kutsimikizira kuti khungu ndi mgwirizano zili bwino. Ngakhale kuti nyamakazi yamakono siigwiritsidwe ntchito ngati njira yothetsera mitsempha yowonongeka, izi zikugwiritsidwa ntchito mogwirizanitsa ndi opaleshoni ya mitsempha ya minofu.
Kubwezeretsa Opaleshoni
Kubwezeretsa pambuyo pochita opaleshoni yazitsulo kumadalira momwe mukuchitira. Zotsatira za opaleshoni zakhala zabwino, ndi kafukufuku wa ndondomeko ya Brostrom yosinthidwa yosonyeza kuti oposa 90% mwa odwala ayambiranso ntchito zachizolowezi pambuyo pa opaleshoni yawo.
Mavuto omwe amapezeka kuchokera ku opaleshoni amapezeka nthawi zambiri panthawi ya kukonzanso.
Kupsinjika kwa mgwirizano wamagolo kapena kusasinthasintha kobwerezabwereza zonse zikhoza kuthetsa mavuto kuchokera ku opaleshoni yolimba. Zowopsa zina ndizo matenda, matenda ochiritsidwa, komanso kuvulala kwa mitsempha.
> Zotsatira:
> Maffulli N ndi Ferran NA. "Kuwongolera Kusowa kwa Ankle Anthaka" J Am Acad Orthop Surgery October 2008; 16: 608-615.