Zosankha Zopangira Opaleshoni Zopangira Opaleshoni ya Arthritic Wrist
Wowonjezera manja ndi mbali ya mafupa awiri (radius ndi ulna), ndi gulu la mafupa asanu ndi atatu pansi pa dzanja (mafupa a carpal). Monga ziwalo zina m'thupi, dzanja limatha kukhala ndi nyamakazi, kuchititsa kupweteka kumodzi ndi kutupa. Mitundu yosiyanasiyana ya nyamakazi ingasokoneze chophatikizapo dzanja, kuphatikizapo osteoarthritis ndi nyamakazi ya nyamakazi.
Chithandizo cha nyamakazi ya nyamakazi kawirikawiri chimayambira ndi mankhwala osavuta, ndipo pamene izi sizilephera kupereka chithandizo, pakhoza kukhala opaleshoni. Mwamwayi, mosiyana ndi mchiuno ndi mawondo, sitimayenda mmanja mwathu, anthu ambiri amaphunzira kuti azisamalira bwino matenda awo a nyamakazi popanda kupaleshoni yaikulu. Komabe, odwala ena, matenda a nyamakazi amalephera, ndipo pamapeto pake opaleshoni ikhoza kukhala yofunika.
Mankhwala Opanda Opaleshoni
Chithandizo cha nyamakazi nthawi zonse chimayamba ndi zosavuta. Kwa anthu omwe ali ndi nyamakazi, mankhwala ochiritsira amagwiritsa ntchito mazira kapena kutentha kwa mankhwala , mankhwala am'lomo , ndi jekeseni ya cortisone . Maonekedwe a kansalu ndi braces nthawi zambiri zimathandiza kwambiri kuchiza nyamakazi; Thandizo la thupi lingaperekenso mpumulo wa zizindikiro zowawa.
Kawirikawiri, zizindikiro za nyamakazi zimatha kusamalidwa ndi njira zothandizira odwala. Mosiyana ndi nyamakazi ya msuzi ndi bondo, kumene timayendayenda m'munsi mwake kumapweteka ndi kulemala, kumtunda kwa nyamakazi kumatha kusamalidwa ndi mankhwala osamalidwa bwino.
Mwa kusintha njira yomwe timachitira ntchito, ndikuyesera njira zina zosavuta, zosavomerezeka, anthu ambiri amatha kusamalira nyamakazi popanda kuchitidwa opaleshoni. Komabe, pamene mankhwala osamalidwawa amalephera kuthetsa bwino zizindikiro, pali njira zina zothandizira.
Opaleshoni Yowonongeka Kwambiri
Kusakaniza kwa dzanja ndi njira yodziwika yothandizira matenda amphamvu a nyamakazi. Nthaŵi zina, pamene nyamakazi imakhala yokwanira kumalo ochepa a mgwirizano, pakhoza kukhala kuthekera kokwanitsa kusanganikirana pakati pa mafupa ang'onoang'ono a dzanja, wotchedwa "kuchepetsedwa kochepa." Mwachitsanzo, "kuphatikizidwa kwa ngodya zinayi" ndiko kupaleshoni komwe kumachitika pamene nyamakazi imangokwanira mafupa ang'onoang'ono a mkono, makamaka chifukwa cha kupweteka kwakale kapena kukhumudwa kwachiwiri.
Kwa anthu omwe ali ndi nyamakazi yowonjezera kwambiri - makamaka pamene nyamakazi imakhala ndi mapeto a mafupa a m'mphuno - njirayo imakhala yowonjezereka. Pachifukwa ichi, mbale yaikulu ndi zitsulo zopangidwa ndi zitsulo zimayikidwa mbali yowonjezerana. Dzanja silidzagwedezekanso, koma kwa anthu omwe ali ndi nyamakazi yaikulu, cholinga chachikulu ndicho kupumula kwachisoni. Kachilombo kowonjezera kawiri kaŵirikaŵiri kamapereka mgwirizano wamphamvu ndi wopweteka kuti alole ntchito zambiri.
Kusintha kwa Wrist
Wowonjezerapo wansalu ukhoza kusinthidwa, mofanana ndi momwe mawondo amawombola m'malo kapena mawonekedwe a mchiuno : chophatikiziracho chimalowetsedwa ndi zitsulo ndi mapulasitiki omwe amalola kuloledwa kwa mgwirizano pakati pa dzanja ndi mfuti.
Kupindula kwa nsalu m'malo mwake ndiko kuti, mosiyana ndi kusakanikirana, odwala omwe ali ndi mgwirizano m'malo mwake adzakhala ndi kayendedwe ka dzanja.
Zopweteka ndikuti izi sizinjira zabwino kwa odwala ndi ocheperapo, monga implants sizinapangidwe kuti zipirire zovuta zazikulu. Kuwonjezera apo, opaleshoni yowonjezereka yowonjezera si yachilendo, kotero mosiyana ndi mawonekedwe a mchiuno ndi mawondo, pali madokotala ochita opaleshoni ochepa omwe amachita izi.
Carpectomy
Carpectomy ndi njira yopaleshoni yochotsera mafupa ang'onoang'ono a chokopa. Mtundu wambiri wa carpectomy ndi kuchotsa fupa kakang'ono pamunsi pa thupi, lotchedwa trapezium, kwa anthu omwe ali ndi nyamakazi pamunsi pa thupi .
Pamene nyamakazi ikufala kwambiri m'kono, opaleshoni yotchedwa carpectomy (kapena PRC) yomwe imakhala yovuta kwambiri imachotsa mafupa atatu amtundu wochepa kuti achotsepo ziwalo zapakhosi.
Mzere wodalirika wa carpectomy ukhoza kukhala mwayi mwa anthu omwe akufunikira kuyenda kwa dzanja ndipo choncho safuna kusanganikirana, komabe ali otanganidwa kuti asamalowe m'malo. Kuphatikiza apo, carpectomy ingakhale njira yabwino kwa anthu omwe sali okonzeka kusakanikirana, monga osuta omwe ali ndi mwayi waukulu wa mavuto , monga osagwirizana nawo , ndi opaleshoni ya fusion.
Zotsatira Patatha Opaleshoni
Zotsatira za chithandizo cha nyamakazi ya nyamakazi ndi opaleshoni makamaka zimadalira kutsata njira yabwino yopiritsira odwala aliyense. Osati njira iliyonse yopangira opaleshoni imeneyi ndi yoyenera kwa aliyense amene ali ndi nyamakazi yanyonga, choncho nkofunika kuti ayesedwe ndi dokotala yemwe ali ndi njira izi.
Kwa odwala amene amachitidwa opaleshoni ya nyamakazi, ambili adzapeza mpumulo wa ena kapena ululu wawo wonse. Ngakhale kuti ntchito si yachibadwa pambuyo pochita opaleshoni ya nyamakazi, nthawi zambiri imakhala yabwino kuposa wodwalayo asanayambe opaleshoni. Kusuntha kwa mkono kumasinthasintha, malingana ndi njira yopangira opaleshoni yomwe inasankhidwa.
Zotsatira:
Weiss AC, et al. "Chiwerengero cha Arthroplasty" Y Am Acad Surgp Surgery March 2013 vol. 21 no. 3 140-148
Wyrick JD. "Kupitirira Kachilombo ka Carpectomy ndi Intercarpal Arthrodesis kwa Ulamuliro wa Nyamakazi ya Amuna" J Am Acad Surgp Surgery July / August 2003; 11: 277-281.