Opaleshoni ya opaleshoni amagwiritsira ntchito implants pochita opaleshoni zosiyanasiyana. Kaya dokotala wanu wa opaleshoni amamanganso chophwanyika chowonongeka, kukonza fupa lophwanyika, kapena kusinthasintha kwa mafupa, mapulaneti angagwiritsidwe ntchito zosiyanasiyana.
Chitsulo chosungidwa chingathandize kuthyola mafupa kuchiza moyenera. Ngakhale kuti izi zimathandiza kuti mafupa asachiritse mofulumira, akhoza kuthandizira mafupa pamalo abwino pamene machiritso amachitika.
Pomwe machiritso atha, zitsulo zazitsulozi sizingafunikirenso. Ngakhale kuti ma implants amakhala okonzeka kuti akhalebe m'thupi nthawi zonse, sangathe kutero, ndipo akhoza kuchititsa mavuto. Zipangidwe zingaphatikizepo:
- Metal plates ndi screws
- Miyendo
- Intramedullary Rods
Nthaŵi zambiri sikofunikira kuti implants achotsedwe. Pali zina zomwe dokotala angakulimbikitseni kuti mutulutse. Mwachitsanzo, madokotala ena amalimbikitsa kutulutsidwa kwa syndesmotic screws ( kwapamwamba pamapiko ) asanayambe kulemera. Komabe, nthawi zambiri, implants akhoza kukhala m'thupi popanda kuchititsa mavuto, ndipo kuchotsedwa kwa mankhwalawo sikuyenera kuonedwa kuti ndi gawo "lachizoloŵezi" la mankhwala.
Kuchotsa Zopangira Zitsulo
Kwa odwala ena, zitsulo zitsulo zingayambitse zisa zamkati. Izi zingachititse bursitis, tendonitis, kapena kukwiya kwanuko. Zikatero, kuchotsa chitsulo kungathetsere mkwiyowu.
Zizindikiro zina zazitsulo zovuta ndizo:
- Kumva chisoni pamalo pomwe chitsulocho chikukhazikika
- Kusamba kwa chitsulo chokhazikika pansi pa khungu
- Kusungunuka kumverera pafupi ndi chitsulo chokhazikika
Zingakhale zovuta kufotokoza ngati kuchotsedwa kwa zitsulo zitsulo kudzakuthandizani kusintha zizindikiro zosokoneza. Kwa odwala omwe ali ndi ululu umene umabwera kuchokera ku mkwiyo umene umapezeka chifukwa cha chitsulo, mwayi wa kuchepetsa kupweteka ndizovuta kwambiri.
Ngati ululu uli wambiri, osati momveka bwino, mwayi wothetsa ululu ndi kuchotsa zitsulo ndi kovuta kulosera.
Pali zovuta zowonjezera za opaleshoni kuchotsa zitsulo zamitengo. Vuto lalikulu kwambiri ndi kuchotsa zitsulo kungakhale kovuta kwambiri, makamaka ndi implants kwambiri omwe akhalapo nthawi yaitali . Kuwonjezera pamenepo, kuchotsa choyikacho kungachititse kuti fupa lawo lisokonezeke. Mwachitsanzo, fractures kudzera m'mabowo kumene mipangidwe imaikidwa sizodziwika. Kambiranani ndi dokotala mavuto omwe angakhale nawo okhudzana ndi kuchotsedwa.
Chinthu china chomwe zida zitsulo zingayambitse mavuto aakulu ndi pamene matenda akukhala ovuta. Mapiritsi a zitsulo angakhale magwero a matenda opitirira mu thupi. Chifukwa chake ndi chakuti thupi lanu silingathe kulimbana ndi matenda pa chitsulo chosanjikizidwa chifukwa palibe chitetezo chanu cha mthupi kapena mankhwala ophera antibiotic omwe angaperekedwe ku chitsulo cholimba. Pa chifukwa chimenechi, zida zitsulo zingakhale ndi matenda opatsirana, kupewa mabala opaleshoni kuchokera ku machiritso, ndikupangitsa mavuto ena omwe angakhale nawo. Muzochitika izi, chitsulo chazitsulo chiyenera kuchotsedwa, kuti chichiritse matenda.
Kodi Mitengo Imachotsedwa?
Ngati muli ndi zizindikiro zowonongeka kwazitsulo, ndiye kuti kuchotsedwa kwa mankhwalawo kungakhale kothandiza. Kukhumudwa kumaphatikizapo kupweteka kumeneku pa tsamba la hardware, ndi zizindikiro zowonjezereka monga kuwonjezereka kwagwiritsidwa ntchito kuderalo. Dokotala wanu akhoza kukuthandizani kupeza mwayi woti kuchotsa zitsulo kudzathetsa zizindikiro zanu, chifukwa izi ziyenera kuyesedwa pa mulandu ndi mlandu.
Kumvetsetsa kuti kuchotsa implants kungakhale ndi zovuta ndipo sikungapangitse kuti zizindikiro zonse zovuta zisinthe. Nthawi iliyonse opaleshoni ikuchitika, pali ngozi zomwe zimagwirizanitsidwa ndi anesthesia, kuthekera kwa kachilombo ka HIV, ndi zina zomwe zingakhale zodetsa nkhaŵa monga machiritso ndi nthenda ya mitsempha.
Izi zinati, nthawi zina kuchotsa zitsulo mkati mwa thupi kungakhale chithandizo chothetsera mavuto omwe akutsata motsatira ndondomeko ya mafupa. Zizindikiro zofanana
Zotsatira:
Busam ML, et al. "Kuchotsa zipangizo: zizindikiro ndi ziyembekezo" J Am Acad Orthop Surg. 2006 Feb; 14 (2): 113-20.
> Hak DJ, McElvany M. "Kuchotsa zipangizo zosweka" J Am Acad Orthop Surg. 2008 Feb; 16 (2): 113-20.