Njira Yabwino Kwambiri Yopangira Njira Yopangira Opaleshoni
Kuchita opaleshoni yowonjezereka kwapadera ndi mbali ya njira yamakono yogwiritsira ntchito njira zochepetsera zocheperako. Lingaliro la njira iyi ya opaleshoni ndizochita chimodzimodzi ndi kusokonezeka kochepa ku minofu yozungulira ndi mapepala ofewa. Pochita opaleshoni kudzera m'magulu ang'onoang'ono, opatsirana pang'ono , amayembekezeredwa kuti odwala sadzamva kupweteka kwambiri komanso amachira mofulumira.
Kumvetsa Hip Anterior Hip Replacement
Kupatsanso nsalu kwapansi si ntchito yatsopano. Madokotala ambiri opanga opaleshoni achita mapulogalamu opangira mawonekedwe kudzera mwa incision yapansi kwa zaka zambiri. Ndipotu, lipoti lofotokozedwa bwino kwambiri la njirayi linafalitsidwa mu 1980. Chomwe chatsopano chokhudza kubwezeretsa kumbuyo ndikuti opaleshoni ikuchitidwa kudzera m'magulu ang'onoang'ono omwe ali ndi zipangizo zamakono kuti athandize opaleshoniyi kukhala yovuta kwambiri kwa wodwalayo.
Kuphatikizana kwa chiuno kumakhala mkatikati mwa thupi pamphambano ya mapewa ndi pamwamba pa fupa la ntchafu. Zosintha zonse za m'chuuno, mosasamala kanthu ka mtundu wamagetsi, zimafuna dokotala wanu kuti alowe pamwamba pa fupa la thivu ndi chingwe cha pelvis. Pali njira zingapo kuti dokotala wanu apange izi, monga dokotala wanu angayandikire mchiuno chanu kumbuyo kwa mgwirizano (njira yochepetsera), mbali ya mgwirizano (kutsogolo kapena kutsogolo kwa anterolateral), kutsogolo kwa mgwirizano (anterior kuyandikira), kapena kudzera mu njira zowonjezereka (njira ziwiri ).
Ndikofunika kumvetsetsa kuti njira zonsezi zimapanga cholinga chomwecho chokhazikitsa mpira ndi chingwe cha mgwirizano .
Zochitika Zapadera za Njira Yoyamba Hip Replacement
Njira yowonongeka ndi njira yogawanika, yomwe imatanthauza kuti dokotalayo amapita pakati pa minofu iŵiri, m'malo mochotsa ndi kubwezeretsanso minofu.
Ubwino umaganiziridwa kuti kubwezeretsa kumatha kupitilira mwamsanga mwa kusalola kuti minofu yothandizira ikhale yochiritsidwa.
Mofanana ndi njira zina zosawonongeke, kukula kwake kumasungidwa ngati kochepa monga momwe mungathere pofuna kuthandiza kuchepetsa vutoli. Kupanga malo opangidwa ndi nsapato kumaganiziridwa ndi madokotala ena opaleshoni kuti akhale ndi chiwerengero chochepa chotsitsa , ngakhale ali ndi mapiritsi atsopano a madokotala ochita opaleshoni amaona kuti izi sizinapindule kwambiri ndi njira yatsopano yobweretsera nsalu.
Zowonjezereka zambiri zomwe zimayambitsidwa ndi njira yowonongeka kwapadera zimakhala zofanana ndi zovuta zowonongeka m'malo mwake . Chinthu chimodzi chokhacho chimakhala chovulaza ku mitsempha yayikulu ya khungu yomwe ili moyang'anizana ndi chombo cha njira yoyamba yotsalira. Kuvulala ndi mitsempha imeneyi, mitsempha yowonjezera yachisanu, pamene opaleshoni ikhoza kuwonetsa kupweteka kosalekeza ndi kumverera kosalekeza kutsogolo ndi mbali ya ntchafu.
Kodi Kupititsa Bwino Kwambiri Kwambiri Kumakhala Bwino?
Mofanana ndi kusintha kwina kwakukulu pa opaleshoni yowonjezeramo, sizodziwika ngati kusintha kwina kumbuyo ndiko kusintha kwa njira zina zothandizira opaleshoni. Pali ubwino ndi kuipa kwa njira zosiyanasiyana zopangira opaleshoni yam'chiuno.
Ngakhale ena amanena kuti rehab ikhoza kukhala mofulumira kapena kupweteka kungakhale kocheperapo, pali deta yosagwirizana kuti zithandizire mfundoyi. Kafukufuku wina sanapeze kusiyana kulikonse pamene njira yowonongeka yatsopano ikufaniziridwa ndi njira zina.
Chilakolako chochepetsera kupweteka ndi kupuma msanga n'zomveka. Komabe, mbali yofunikira kwambiri ya opaleshoni yotsalira m'malo mwake ndiyo kukupatsani mgwirizano womwe ulibe zopweteka ndipo umakhala nthawi yaitali . Zolinga izi sizingasokonezedwe pamene kusintha kumapangidwira njira zakusinthira.
Ngakhale njira yowonjezera yokhoza kubwezeretsa nsalu ingapindulitse phindu poyerekeza ndi mitundu ina yamalowa a mchiuno , sichidziwika ngati izi zikuyimira kusintha kwa opaleshoni yotsalira.
Mukhoza kukambirana ndi dokotalawa mukakonzekera kubwereza.
Zotsatira:
Klausmeier V, et al. "Kodi mukuchiritsidwa mofulumira ndi THA yam'mbuyo kapena yapamwamba? Phunziro la oyendetsa ndege." Clin Orthop Relat Res. 2010 Feb; 468 (2): 533-41.
Light TR, Keggi KJ: Njira yoyamba yopangira arthroplasty. Clin Orthop Relat Res 1980; 152: 255-260.
Vail TP, Callaghan JJ. "Incross Incision Total Hip Arthroplasty" J. Am. Acad. Ortho. Kukula, December 2007; 15: 707 - 715.