Kusintha Gawo la Mgwirizano wa mpira-ndi-Socket
Mphindi ndi mbali yokhala ndi mpira. Bulu ndilo pamwamba pa mkono wa fupa (humper), ndipo chingwe (glenoid fossa) ndi mbali ya mapewa (scapula). Mphepete mwadongosolo ndi chodabwitsa chophatikizana mwakuti zimalola kuyenda mochuluka kuposa chiwalo china chirichonse mu thupi. Pamene mapepala a mapewa ali ndi mavuto, kuphatikizapo nyamakazi ndi zophulika, zowawa zonse ndi kulemala zikhoza kuchitika.
Pali zinthu zingapo zomwe zingafune kuti zonse kapena mbali zina za m'mapewa zisinthe. Ambiri ali ndi nyamakazi ya m'magazi . Matenda a nyamakazi angayambitse khungu la mapepala osakanikirana kuti athake, kuwonetsa fupa. Matenda a nyamakazi nthawi zambiri amawawa komanso amalephera kugwira ntchito. Chifukwa china chodziwika kuti mutengere phewa ndi kupweteka kwa mapewa . Kawirikawiri pamene fupa laphatikizana likuphwanyidwa, njira yabwino ndikutengera, osati kuyesera kukonza fupa. Izi ndizowona makamaka pamene chotupacho chili m'zigawo zingapo komanso odwala okalamba.
Hemiarthroplasty ya Mtima
A hemiarthroplasty yamapepala ndi imodzi mwa njira zomwe muyenera kuziganizira mukamachita izi. Kusankha njira yabwino kwambiri yopangira opaleshoni kumadalira zifukwa zingapo, kuphatikizapo matenda, matenda a wodwalayo, ndi zomwe wodwalayo akuyembekezera kuchita.
A hemiarthroplasty ndikutengera gawo la mgwirizano.
Mawu akuti arthroplasty amatanthauza kubwezeretsa mgwirizanowo, ndipo powonjezera hemi, izi zimatanthauza kupanga theka la malo olowetsamo. Anthu ena amafotokozanso kuti opaleshoniyi ndi yothandizira padera.
Njira Zothandizira
Pali njira zingapo zomwe mungaganizire mukamasintha mapewa.
- Chikwama Chokwanira Chokha
Nthawi zambiri amagwiritsidwa ntchito kuti athe kudwala matenda a nyamakazi. Madokotala ena opaleshoni amalephera kuchita nawo mbali zonse, monga kupeza kachipangizo kuti azigwira ntchito bwino komanso kukhala nthawi yaitali kungakhale kovuta. Ochita opaleshoniwa angasankhe kuchita hemiarthroplasty, akuyembekeza kupereka zotsatira zowonjezereka. Komabe, madokotala ochita opaleshoni omwe amavomereza kuti mumangokhala ndi vuto lokha pokhapokha mwaika mpirawo, ndipo zotsatira zake sizikhala bwino.
- Chotsani Mbande M'malo
Njira yatsopano yotsatiridwa ndiyo njira yatsopano yogwiritsira ntchito kuthana ndi vuto lovuta lotchedwa " rotator cuff" . Vutoli limakhalapo pamene pali nyamakazi ya m'magazi komanso chifuwa cha rotator . Zomwe zimalowetsa m'malo mwake zimakonzedwa kuti zizigwira ntchito ndi chikhomodzinso chachilendo ndipo zingayambitse mavuto popanda chophimba chabwino cha rotator. Chotsatira chotsatira chapafupi chinapangidwira pa nkhaniyi. - Hemiarthroplasty ya Mtima
Nthawi zambiri mapepala a hemiarthroplasty amapangidwa chifukwa chimodzi mwa zifukwa zitatu. Yoyamba ndi mitsempha ya nyamakazi imene mzere ulibe woipa, koma mpira umayenera kusinthidwa. Yachiŵiri ili ndi chikhomodzinso chogwedeza nyamakazi, komwe chiwerengerocho chiyenera kukhala chotheka pakapita nthawi. Pomalizira pake, chimakhala chophwanyidwa kwambiri ndi humer, pomwe pali kuwonongeka kwakukulu kokonzanso mpira, koma chingwe sichiwonongeke.
Opaleshoni ya Hemiarthroplasty
Mbali za phawa hemiarthroplasty zimafanana mofanana ndi theka la mmalo mwake. Pali mitundu yosiyana ndi maonekedwe osiyanasiyana, koma onse amagwira ntchito mofananamo. Tsinde layilo limayikidwa mkatikatikati mwa mkono wa fupa. Ikhoza kuchitidwa m'malo mwa kukwatirana mwamphamvu kapena kumangirizidwa pamalo.
Mpirawo waphatikizidwa pamwamba pa tsinde.
Ubwino wa hemiarthroplasty poyerekeza ndi kumapeto kwake kumaphatikizapo opaleshoni yochepa kwambiri ndipo palibe chiopsezo cha mavuto ndi chingwe chopangira. Chosavuta ndi chakuti ngati chingwe chatsopano chimachititsa kupweteka pamapewa, opaleshoni yachiwiri ikhoza kukhala yofunikira kuti mutembenuzire mmalo mwake. Mavuto a shoulder shoulder hemiarthroplasty ndi matenda, mitsempha ya mitsempha, kuvulaza pamapewa, ndi kupweteka kosalekeza.
Zotsatira:
Wiater JM ndi Fabing MH. "Mphafu Arthroplasty: Njira Zotsitsimula ndi Zisonyezo" J Am Acad Orthop Surgery July 2009; 17: 415-425.