Pamene kuchotsa zipangizo zakale zomwe zimayikidwa mu thupi zingamawoneke mosavuta, zikhoza kukhala chimodzi mwa njira zovuta kwambiri zamaganizo. Ndipotu, opaleshoni ambiri a opaleshoni amatha kufotokoza zipangizo zochotsera zipangizo zamakono ndi anthu okhalamo kuti akhale "Njira Yovuta Kwambiri."
Zoonadi, kuchotsedwa kwa hardware mwina sikumayambitsa opaleshoni yovuta kwambiri - opaleshoni ya msana, kukonzedwa kwa congenital deformities, kumanganso ziwalo zowonongeka - zonsezo ndi zovuta, ndizochita zopaleshoni nthawi yambiri.
Komabe, opaleshoni yochotsa hardware nthawi zambiri imayambitsa opaleshoni osakayika, ndi opirira, kuganiza kuti opaleshoniyo idzafulumira komanso yosavuta. Ngakhale kuti zingakhale zosavuta, opaleshoni yochotsa zipangizo zamakina ali ndi mphamvu yovuta kwambiri yomwe ikuyembekezeredwa.
Bwanji Chotsani Zida?
Ili ndi funso lofunika kwambiri, chifukwa, odwala ambiri ali ndi zitsulo m'thupi, palibe chifukwa chochotsera zitsulo. Zipangidwe zazitsulo zimapangidwa kuti zikhalebe kwamuyaya. Pali zina zomwe chitsulo chiyenera kuchotsedwa. Izi zimaphatikizapo zipangizo zachitsulo zazing'ono zokha zomwe zimangokhala m'thupi kwa kanthaŵi kochepa, zitsulo zosayirira , kapena zitsulo zomwe zingafunike kuchotsedwa kuti zilolere opaleshoni yowonjezera.
Chofunika ndikuti, nthawi zonse ziyenera kukhala ndi chifukwa chabwino chochotsera zitsulo m'thupi, chifukwa kuchotsa zipangizo zosafunikira kungatsegule chitseko cha zovuta za opaleshoni.
Zovuta za Kusokoneza Zida
- Kutenga: Chifukwa chodziwikiratu chopeŵa njira yopaleshoni yopanda ntchito ndi mwayi wokhala ndi matenda . Ngakhale kuti matendawa ndi osowa pochotsa hardware (ndipo matenda angakhale chifukwa chochotsera zitsulo), ndithudi n'zotheka, ndipo nthawi iliyonse pamene opaleshoni siili woyenera, muyenera kulingalira ngati mukuyenera kuchitidwa opaleshoni konse.
- Kufooka pa Thupi: Zipangizo zambiri zitsulo zimatetezedwa mu fupa. Pofuna kuchotsa chokhachokha m'mafupa, nthawi zambiri zimakhala zofooketsa mafupa. Maso amachotsedwa kuti achoke mu dzenje, mbale zimatha kutaya m'mphuno. Kuchotsa implantszi kungachepetse mafupa pomwe ntchitoyo imagwiritsidwa ntchito.
- Kuwonongeka kwa Thupi: Pofuna kuchotsa chokhachokha, ziphuphu, ndi fupa lozungulira palimodzi liyenera kusunthidwa. Izi zingawononge khungu, minofu, ndi ziwalo zina m'thupi. Kawirikawiri mafupa ndi zofewa zimakula ndikukhala zovuta kuzichotsa.
- Kulephera Kuchotsa Kukhazikitsa: Izi ndizo zokhudzana ndi vutoli, komanso nkhawa iliyonse ya opaleshoni yamagetsi yomwe yakhala ikugwira ntchito kwa kanthawi kochepa. Kuvuta kuchotsa chokhacho chikhoza kuchitika ngati kuyika kumakhala kovuta kupeza, ngati kupuma kwake kumakhala kovuta, kapena nthawi zina ngati kumangokhalako. Ngakhale mutatha kuchita zambiri kuti muchotse implants, nthawi zina kuwonongeka kwa thupi ndi mafupa ofewa sikungakhale kofunika kuchotsa zitsulo zakale. Pazifukwa zosawerengeka, khama lochotsa chotsitsacho likhoza kutayika ndipo kuikidwa kumatsalira.
Pamene Zipangizo Zamakono Ziyenera Kuchotsedwa
Pali nthawi pamene kuchotsa hardware kungabweretse ku phindu lalikulu. Pamene zitsulo zowonjezera zimayambitsa kusokoneza kayendedwe kabwino ka ntchito ndi ntchito, kapena ngati zitsulo zikupweteka kapena kukwiya ndi matenda ofewa, kuchotsedwa kwawo kungakhale kopindulitsa.
Nthawi zina, hardware imachotsedwa kawirikawiri kuti iteteze mavuto, ndipo nthawi zina, chitsulocho chimachotsedwa ngati chimayambitsa vuto.
Palinso nthawi imene kuchotsa hardware kumakhala kosatheka. Izi nthawi zambiri zimakhalapo ngati pali chingwe chophwanyika mkati mwa thupi.
Pansi
Zoona zake n'zakuti, zida zambiri zitsulo zingachotsedwe. Komabe, nthawizonse zitha kutheka kuti zomwe zikuwoneka kuti zidzakhala njira yosavuta, yopita patsogolo yopaleshoni ingakhale yovuta kwambiri. Pa chifukwa chimenechi, madokotala ochita opaleshoni nthawi zonse ayenera kusamala ndi opaleshoni yotulutsidwa, monga momwe njirazi zingakhalire zovuta kwambiri kuposa momwe zinalili.
> Zotsatira:
> Busam ML, et al. "Kuchotsa zipangizo: zizindikiro ndi ziyembekezo" J Am Acad Orthop Surg. 2006 Feb; 14 (2): 113-20.
> Brown OL, ndi al. "Kuwonjezereka kwa ululu wokhudzana ndi hardware ndi zotsatira zake pa zotsatira zogwirira ntchito pambuyo pochepetsedwa kutseguka ndi kukonzanso mkati mwa ziphuphu za mitsempha." J Orthop Trauma. 2001 May; 15 (4): 271-4.