Kutuluka Kwambiri Kwambiri Kwambiri Chifukwa Chakuda
Mazira ozizira ndi zowawa, zomwe zimatchedwanso kumatira capsulitis. Odwala omwe ali ndi mapewa osungunuka amakhala ovuta ndi ngakhale zosavuta zowonjezera. Zizindikiro zofanana ndi zachisanu zimaphatikizapo kupweteka pamene akusuntha mkono, ngakhale ndi zinthu zosavuta monga kutsuka tsitsi, kumenyetsa chofukizira, kapena kumangiriza bra. Matendawa amayamba chifukwa cha kudulidwa kwa kapule wamapewa , chophimba chachikulu cha mapewa.
Chithandizo cha paphewa lachisanu ndi chitetezo nthawi zambiri chimakhala chopambana ndi mankhwala osavuta, osati opaleshoni. Ngakhale mankhwalawa angakhale ophweka, kuchira kwa matendawa kungatenge miyezi, ngakhale zaka ndi odwala ena alephera kusintha bwino. Odwala omwe ayesa njira zimenezi kuti azikhala osasunthika, ndipo akadakalipidwa ndi ululu ndi kuuma, opaleshoni ikhoza kuganiziridwa pa phewa lachisanu.
Opaleshoni Yamakono Yosalala
Chithandizo chochizira cha opaleshoni cha mapewa oyipa chimatchedwa kumasulidwa kwapachirombo kakang'ono. Monga momwe zikuonekera kuchokera ku dzina, ichi ndi opaleshoni ya mapepala omwe amagwiritsa ntchito kanyumba komwe kamera kakang'ono kamalowetsedwa mu mapewa. Kupyolera mu zochitika zina zing'onozing'ono, zida zing'onozing'ono zingathe kukhazikitsidwa kuti zithetse vutoli.
Pankhani ya mapewa osungunuka, vutoli ndi msuti wothandizira, choncho chithandizo chothetsera vutoli ndicho kudula mutu wothandizira kuti mutenge ufulu wochuluka.
Zida zimayikidwa kuti zithetse kapsule yomwe ili pafupi ndi phasu.
Chinthu chofunika kwambiri pa kumasulidwa kwakukulu ndikutsimikizira kuti kusintha kulikonse kumapangidwe kumapangidwe pambuyo pa opaleshoni. Nthawi zina odwala adzakhala ndi mkono wawo wokhazikika kuti asunge kapule pamapewa.
Chithandizo chamankhwala chambiri chidzayamba mwamsanga pambuyo pa opaleshoniyo kuti minofu yowopsya isayambe kupangidwanso palimodzi.
Njira Zina Zowonjezera Kutulutsidwa Kwambiri
- Chithandizo cha Opaleshoni: Odwala ambiri ayesa chithandizo chamankhwala kuti asamangoganizira za mankhwala omwe ali nawo. Komabe, odwala ambiri sazindikira nthawi yomwe mazira akuda akhoza kupitirira, komanso kuti chithandizo chamankhwala chisanachitike chingatenge miyezi 12-18 zisanachitike. Choncho, madokotala ambiri sapanga chithandizo chamankhwala kuti asalephere kupatula ngati akhala akuyesedwa kwa miyezi yambiri.
- Kuthamangitsidwa M'madera a Anesthesia: Zochita zochepa kwambiri chifukwa chakuti njira zamakono zowonongeka zimakhala zofala, kugwiritsidwa ntchito pansi pa mankhwala a anesthesia (MUA) kwenikweni ndikutambasula paphewa panthawi imene mukugona. Ubwino ndikutambasula bwino kabuku kogwirizana, koma pali zotheka. Ululu ukhoza kuchitika pambuyo pa njirayi, ndipo ngati akukankhidwa mwamphamvu kwambiri, n'zotheka kuti mafupa aswe pansi pa mphamvu yochuluka. Kawirikawiri MUA imachitika pambuyo pa kutulutsidwa kwa capsular.
- Tsegulani Kutulutsidwa kwa Capsular: Kutsegulidwa kotseguka kwapadera ndi njira yochepetsera yopaleshoni yomwe anthu ambiri amachitiramo opaleshoni. Mofanana ndi ndondomeko ya nyenyezi, mapepala a mapewa amagawanika, koma dokotala wanu akuyang'anitsitsa mkati mwa phewa. Kawirikawiri opaleshoni yamakono imamveka kuti ndi yabwino chifukwa imayambitsa kupweteka kwambiri, imakhala yochepa kwambiri ndipo imapereka mwayi wochulukirapo.
Kubwezeretsedwa Kuchokera Kumasulidwe Othandizira Ambiri
Ngakhale kutulutsidwa kwa kapsularicic capsular kumathandiza kwambiri kuti munthu asamayende bwino, kunyenga kumapitirizabe kuyenda bwino. Chifukwa cha ululu wopangidwa ndi opaleshoni, zimayesayesa kuchepetsa kupwetekedwa pambuyo poti munthu atulutsidwa, koma kuchita zimenezi kungabweretse vuto lalikulu. Monga momwe madokotala ena opaleshoni amavutitsira paphewa, ndipo onse ayamba kuyenda mwamsanga ndi chithandizo atatha opaleshoni pofuna kuyesetsa kusintha.
Mawu Ochokera
Kuchita opaleshoni kumagwiritsidwa ntchito nthawi zambiri pochizira mapewa osungunuka, koma nthawi zina mankhwala opanda chithandizo sagwira bwino ntchito yoyang'anira matendawa.
Ngati chithandizo cha mankhwala osapitirira nthawi yaitali sichikuthandizani kupeza chithandizo cha zizindikiro, opaleshoni ikhoza kuganiziridwa ngati njira. Mbali yovuta kwambiri ya mtundu uliwonse wa opaleshoni yomwe imagwiritsidwa ntchito pochizira mapewa ozizira ndikutsimikizira kuti mutenga mapewa mwamsanga mwamsanga mutatha opaleshoni kuti muteteze zopindulitsa zirizonse ndikupewera minofu yatsopano kuti musapangidwe pamapewa.
Zotsatira:
Warner, JJ. "Mphepete Mwachangu: Kuzindikira ndi Utsogoleri" J. Am. Acad. Ortho. Kukula, May 1997; 5: 130 - 140.