Kuchitidwa opaleshoni kwa mawondo pang'ono
Kusintha kwa bondo lapadera, komwe kumatchedwanso kugwiritsira ntchito mawondo osadziwika, ndi opaleshoni yomwe ingaganizidwe kuti ikhale ndi matenda aakulu a bondo . Mwachizolowezi, odwala omwe ali ndi nyamakazi yapamwamba yowonjezereka amagwiritsa ntchito mawondo awo . M'malo mwake, mawotchi onse achotsedwa pambali, ndipo chitsulo ndi pulasitiki zimayikidwa.
Kugwiritsira ntchito mawondo osankhidwa m'malo opangira opaleshoni kwachititsa chidwi kwambiri chifukwa chimagwiritsira ntchito kamangidwe kakang'ono ndipo kamasintha mofulumira kuposa opaleshoni yotsatila mawondo. Kusintha kwa bondo lapadera ndi mtundu wa opaleshoni yochepa komanso yochepa. Lingaliro ndi kuchotsa kokha malo oonongeka a kadoti kuchokera ku mgwirizano, ndi kusiya mbali iliyonse yathanzi ya mgwirizano kuti apitirize kugwiritsidwa ntchito.
Kawirikawiri, mawondo osankhidwa mwadongosolo amagwiritsa ntchito mapulaneti omwe amaikidwa pakati pa mapeto a fupa la ntchafu ndi pamwamba pa fupa la fupa. Kusintha kwa bondo lapadera kungathenso kutenga gawo la mgwirizano pansi pa kneecap, malo a patellofemoral .
Kodi N'kwabwino Kwambiri kwa Inu?
Kusintha kwa mawondo osagwiritsidwa ntchito pang'ono kumapangidwira odwala omwe ali ndi matenda aakulu a bondo amene sanapeze chithandizo ndi mankhwala omwe sali opaleshoni. Mankhwalawa angaphatikizepo kumwa mankhwala , mankhwala a cortisone , machitidwe olimbitsa thupi, ndi kuchepa kwa thupi .
Ngati mankhwalawa sali okwanira, ndipo simukukhutira, ndiye kuti opaleshoni ingaganizidwe.
Kuchita opaleshoni ya mawondo kungakhale kotheka ngati nyamakazi pamtondo ikukhala kumalo ochepa. Ngati nyamakazi yayamba kufalikira, ndiye kuti mawondo osankhidwa mwadongosolo sali woyenera, ndipo sayenera kuganiziridwa.
Kuwonjezera apo, opaleshoni ya mawondo apadera imalimbikitsidwa kwa odwala omwe ali:
- Okalamba kuposa zaka 55
- Osati kunenepa kwambiri
- Osati antchito olemetsa kapena othamanga
- Khalani ndi malamulo ogwirizana (makamaka ACL)
Ngati izi sizikugwirizana, ndiye kuti opaleshoni ya mawondo azing'ono osagonjetsa sangakhale yopambana. Tsoka ilo, odwala ambiri sangavomereze njirayi.
Kusiyana Kwambiri kwa Kusintha Kwina
Odwala ambiri omwe akufuna kukhala ndi mawondo apadera amakhala ndi nyamakazi yomwe ili patsogolo kwambiri. Chifukwa chakuti opaleshoni imagwira ntchito yotsiriza ndi odwala ambiri, pochita opaleshoni nthawi yofunikira, nyamakazi yawo imakhala yotsika kwambiri kuti iganizire opaleshoni ya mawondo a mbali. Ngati mawondo apadera amalowa m'malo mwa wodwalayo yemwe ndi wosauka, phindu lakelo lingakhale lokwanira, ndipo kutembenuka kumalo amodzi kungakhale kofunikira.
Ubwino Wagawo Wosintha Mbali
- Kuchokera Kwambiri Kwambiri: Kuchita opaleshoni yowononga mawondo kumaphatikizapo kutengeka pafupi masentimita 8 patsogolo pa bondo. Pali njira yowonjezera yowonjezereka yofunikira kuti athe kukwaniritsa njirayi poyerekeza ndi opaleshoni ya mawondo a mbali . M'malo osokoneza bondo osasintha, mawonekedwe ake ali pafupifupi masentimita 4, ndipo kuchuluka kwa dissection ndi kuchotsa mafupa ndizochepa kwambiri.
- Kuchepa Kwambiri kwa Magazi: Chifukwa cha kuchuluka kwa kusokonezeka ndi kuchotsa mafupa kofunikira kuti mawondo atsopano asinthidwe, kufunikira kwa kuikidwa magazi n'kofala. Pogwiritsa ntchito mawondo ochepa , magazi amafunikira kwambiri, ndipo odwala sayenera kuganizira kupereka magazi asanayambe opaleshoni.
- Kubwezeretsa Kwafupipafupi: Nthaŵi zonse m'chipatala komanso nthawi yowonzanso ntchito ndizochepa potsata mawondo. Odwala amadziwika kuti anamasulidwa patsikuli, ngakhale kuti nthawi zambiri odwala amamasulidwa tsiku loyamba kapena lachiwiri. Pamalo ogwiritsa ntchito mabondo awo, odwala sakhala akuchoka masiku atatu asanapite kuchipatala, ndipo amafunikanso kukhala mu chipatala chokonza matenda.
- Zachibadwa Zanyama Zachimake: Kuthamanga kwa mawondo kumakhala kovuta ndipo kumadalira kuyanjana kwa mgwirizano wanu, mitsempha, minofu ndi misoni yomwe imayandikana palimodzi. Mukamagwiritsa ntchito mawondo athunthu, zambiri mwazinthuzi zimachotsedwa kuti zitha kulowetsamo mawondo. Pogwiritsa ntchito mawondo osankhidwapo, zambiri mwazinthuzi zimakhalabe, choncho makina ndi kayendetsedwe ka gululi amakhalabe zachilendo. Ndipotu, kafukufuku wasonyeza bwino mwa anthu omwe agwiritsa ntchito mawondo awo pambali imodzi ndi mbali ina pambali ina, mawonekedwe awo a mawondo osankhidwa amamva zambiri "zachibadwa."
Zotsatira za nthawi yayitali ndi zabwino kwambiri pamene mawondo apadera amalowa m'malo odwala abwino. Maphunziro achikulire adawonetsa zotsatira zochepa, koma zotsatirazi zimaganiziridwa chifukwa cha kusasankha kwa odwala. Ngati ndondomekoyi ikuchitidwa kwa wodwalayo ali ndi nyamakazi yowonjezereka, zotsatira zake zimakhala zosakwanira. Ngati dokotala wanu sakulangizani bondo lapadera, mukhoza kukhala mumkhalidwe umenewu. Ngati ndi choncho, mankhwala opatsirana (monga jekeseni , mankhwala opatsirana, mankhwala, etc.), kapena opaleshoni yonse ya mawondo ndiyo njira zabwino kwambiri.
Kutembenukira ku Total Knee Replacement
Pamene odwala ali ndi mawondo osankhidwa mwadongosolo amasankhidwa bwino, njira yowonongeka yochepa imakhala yopambana. Izi zikuti, odwala ena akupitiliza kukula nyamakazi m'madera ena a bondo. Komanso, odwala ena amavala mawotchi osakanikirana, kapena amatha kumasuka mkati mwa bondo. Zonsezi zikhoza kuchitidwa opaleshoni yowonjezera, ndipo mwina kutembenuzidwa ku opaleshoni yonse ya mawondo . Kutembenuka kuchoka ku mawondo osankhidwa kumalo odzaza mawondo kumakhala kovuta kwambiri chifukwa cha opaleshoni yapitayi, koma si zachilendo ndipo zotsatira za kutembenuka ndi zabwino.
Mavuto ena omwe angakhale nawo pogwiritsa ntchito mawondo amagawo ndi ofanana ndi mavuto omwe amalowa m'malo mwake, kuphatikizapo matenda, ziphuphu zamagazi , ndi mavuto ndi anesthesia. Ndikofunika kukambirana ndi adokotala za kuopsa kwa njira imeneyi.
> Zotsatira:
> Borus T, Thornhill T. "Magalimoto osagwiritsidwa ntchito ndi mawotchi osamalidwa" J Am Acad Orthop Surgery. 2008 Jan; 16 (1): 9-18.