Kusintha Mgwirizano Wosakaniza Wosakaniza
Kuchita opaleshoni ya ankle ndiyo njira yothandizira anthu omwe akudwala matenda a nyamakazi . Kuika nsalu kumapangidwe kumachotsa chophimba chamatumbo, ndikuikapo chitsulo ndi mapulasitiki pamapeto a fupa (tibia), ndi pamwamba pa fupa la fupa (talus). Mphindizi amaloledwa kuti aziyenda bwino pamagulu a mavoti kuti phazi likhombe mosavuta.
Kupeza Oleza Mtima Oyenera
Gawo lovuta la opaleshoni yotsitsimutsa minofu ndikutsimikizira kuti ndondomeko yovutayi imangoperekedwa pa odwala oyenera. Kupanga malo amsana kwa wodwala wolakwika kumayambitsa zotsatira zoipa, ndipo nthawi zambiri kumafuna opaleshoni yowonjezera pamsewu. Odwala owerengeka okha omwe ali ndi nyamakazi ali ndibwino kuti apite opaleshoni imeneyi, choncho choyamba, chofunika kwambiri ndikuwona ngati izi ndizo chithandizo choyenera kwa inu.
Ndalama zosinthanitsa ndizokhala ndi odwala omwe sali okalamba omwe sayenera kuchita zinthu zomwe zingapangitse kuti zikhale zofunikira kwambiri, monga masewera kapena ntchito yaikulu. Ndalama zowonongeka sizomwe zimakhala zolimba monga chiuno ndi mawondo amalowetsa, motero ngakhale odwala kwambiri, odwala kwambiri amapeza opaleshoni, zomwe sizikutanthauza kuti kubwezeretsa mimba kumakhala koyenera.
Odwala Olakwika Kuti Asinthidwe
Odwala okalamba amatha kukhala otanganidwa kwambiri ndi ma implants atsopano, monga momwe amafunira zowonjezera.
Odwala ambiri osakwanitsa zaka 50 adzakhala opaleshoni ya fusion . Kwa odwala opitirira 50, ubweya wazingwe udzaperekedwa kwa iwo omwe akugwira ntchito mwakhama ndikuyika zofunikira zambiri pamodzi.
Odwala omwe ali olemera kwambiri ayenera kupewa malo amsinthiti. Kunenepa kwambiri kumapangitsa kuti pakhale mtolo wolemetsa, womwe ungabweretse mavuto.
Odwala ena omwe ayenera kupewa malo amsinkhu akuphatikizapo: odwala matenda opatsirana, odwala omwe ali ndi vuto lochepa la magazi, amapita kumapazi, komanso odwala omwe ali ndi vuto lachilendo.
Kupanga Maina Ankle
Pamene malo amsinthiti amalowetsedwera, zidutswa zowonongeka za mapeto a shin fupa (tibia), ndi pamwamba pa fupa la fupa (talus), zimachotsedwa. Izi zimachitidwa ndi zida zenizeni kuti apange msinkhu pamwamba pa mavitamini. Dokotala wa opaleshoni ndiye amaika chitsulo ndi pulasitiki m'kati mwa mafupa kuti agwire ntchito yatsopano.
Odwala omwe amapezeka m'malo amsinthiti amatha kukhala usiku umodzi kuchipatala atatha opaleshoni. Kupanikizika pa malo amsinkhu kumayenera kuchepetsedwa ndi kugwiritsidwa ntchito kwa walker kapena zibonga kwa milungu ingapo. Kupuma kwathunthu kuchokera kumalo atsitsi kumatenga pafupifupi miyezi itatu.
Zovuta za kubwezeretsa minofu zimaphatikizapo matenda, zilonda za machiritso, ndi kupweteka kosalekeza pamtumbo . Kupeza mgwirizano wokhutiritsa wa implants kuti mulole kuyenda koyenera ndi kovuta, ndipo sizingatheke nthawi zonse. Ngati kubwezeretsa kwa bondo sikugwira ntchito, kungafunikire kuchotsedwa pamgwirizano - pambuyo pake opaleshoni ya fusion yaying'ono idzachitidwa.
Zotsatira Za Kuchokera Opaleshoni
Kuchita opaleshoni ya ankle ndi njira yatsopano, choncho zotsatira za nthawi yaitali sizimveka bwino. Chimene tikudziwa ndi chakuti odwala omwe asankhidwa bwino omwe ali opaleshoniyo mogwirizana ndi ndondomeko zotchulidwa pamwamba amakhala ndi zotsatira zabwino kwambiri. Kafukufuku waposachedwapa wawonetsa kuti zotsatira za opaleshoni zikufanana ndi zotsatira za opaleshoni ya fusion, zomwe zimatanthauza kukhutitsa mitengo pafupifupi 85%.
Mwamwayi, palibe amene amadziwa kuti mapulaneti amatha nthawi yaitali bwanji. Ma implants atsopano apangidwa kuti athe kukhalapo nthawi yaitali kusiyana ndi mawonekedwe akale, koma ngati izi zikutanthauza kuti kusintha kwa kutalika kwa implants ndi funso nthawi yokha iyankha.
Kafukufuku wasonyeza kuti, chifukwa cha zotsatira zabwino, odwala ayenera kukwaniritsa ndondomeko yomwe tatchulayi. Odwala omwe ali aang'ono, olemera kwambiri, kapena amakhala ndi moyo wokhutira kwambiri sakhala ndi mwayi wopambana, wotsitsimula kwanthawi yaitali.
Mawu Ochokera
Ngakhale nyamakazi yamatumbo sizolowereka kusiyana ndi nyamakazi kapena nyongolotsi yamagazi, zotsatira za kukhala ndi matenda a nyamakazi m'munsi mwako zingakhale zovuta ngakhale zili zotani. Pali njira zingapo za anthu omwe ali ndi matenda amphamvu a mitsempha, ndipo imodzi mwa izi zikhoza kukhala mmalo mwa bondo. Kuchita opaleshoni ya ankle kumapitabe patsogolo, ndipo ziwonetsero zamakono zikuoneka kuti zimatha motalika kwambiri ndipo zimakhala zogwira mtima kwambiri kwa anthu okhala pansi.
Zotsatira:
Easley, ME, et al. "Total Ankle Arthroplasty" J. Am. Acad. Ortho. Opaleshoni., May / June 2002; 10: 157 - 167.