Pamene simungathe kugwada kapena kuweramitsa bondo pambuyo pa bondo
Kuchita opaleshoni ya mawondo kumachitidwa kuti atengere kanyumba kakang'ono ka bondo. Njira yonyamulira ndiyo njira yabwino kwambiri yothetsera nyamakazi yambiri yamondo . Mwamwayi, mavuto akhoza kuchitika pambuyo pa mawondo a bondo, ngakhale pamene zonse zikuyenda bwino pa nthawi ya opaleshoni. Chinthu chimodzi chomwe chingatheke kugonjetsa mawondo ndizovuta pambuyo poti opaleshoni yachitidwa.
Odwala amene ali ndi bondo lolimba pambuyo pa bondo amatha kusokoneza mwendo, kugwada, kapena onse awiri.
Poyesera kufotokozera kuthekera kwa kuuma pambuyo pa bondo m'malo mwake, kusintha kwakukulu kwambiri ndiko kuyenda patsogolo pa opaleshoni. Anthu omwe ali ndi mawondo olimbika akulowera opaleshoni ya mawondo, amakonda kukhala ndi mawondo owopsa pambuyo pochita opaleshoni ya mawondo. Kumbali inayi, iwo omwe ali ndi ubwino wabwino asanayambe opaleshoni, sakhala ovuta kupirira pambuyo pa opaleshoni. Pali njira zomwe zingatengedwe panthaŵi ya opaleshoni kuti zithandize kumasula miyendo yolimba ndi minofu kuzungulira mgwirizano, ndi kuchotsa zovuta zomwe zimayambitsa kuyenda, koma nthawi zina kusinthasintha kwa minofu kumangopita kumalo omwe sangathe kuwongolera bwino.
Kusuntha Kwachizolowezi Komwe Kudzasintha Kanyumba
Kuthamanga kawirikawiri pambuyo pa mawondo a bondo kawirikawiri kumatanthawuza kukhala luso lolowera pafupifupi madigiri 5 a bondo lolunjika, ndi kukhoza kugwada mmbuyo ku madigiri 90.
Ntchito zambiri zikhoza kuchitidwa ndi ndondomekoyi, koma opaleshoni amayesetsa kukhala ndi mawondo m'malo mwa madigiri 0 (molunjika) mpaka madigiri 110 kapena kuposa. Kawirikawiri chidziwitso chonse sichipezeka mpaka miyezi 3 kapena 6 kuchokera nthawi ya opaleshoni.
Pambuyo pa opaleshoni ya mawondo , nkofunika kugwira ntchito ndi wodwalayo kuti akwaniritse zovuta zambiri .
Ochita opaleshoni ena amalimbikitsa kugwiritsa ntchito makina oguguda mawondo, otchedwa CPM , ngakhale kuti alibe umboni wothandizira kugwiritsa ntchito makina awa. Kuyenda bwino kwa mawondo omwe amaloledwa kumatha kupindula ndi kuphatikizapo, kuchita masewera olimbitsa thupi, ndi kupitanso patsogolo pang'onopang'ono.
Pamene Knee Replacements Ndi Zovuta
Kwa anthu ena, kuvomereza mawondo kungakhale kovuta kuti abwererenso atatha opaleshoni. Kupanda kapena kuyenda koyenera pambuyo pa bondo kungakhale chifukwa cha chimodzi mwa zifukwa zingapo, kapena kuphatikiza zifukwa:
- Kutaya kwapweteka kochepa
Kulimbana ndi ululu pambuyo polowana nawo kawirikawiri ndi vuto lotheka, koma kwa anthu ena, izi zingakhale zovuta kwambiri. Odwala ena amapeza zotsatira zoyipa za mankhwala opweteka osamvetsetseka, koma kusowa kwa kupweteka kokwanira kungayambitse kuvutikira kugwira ntchito yomangika kumene. Ndikofunika kuti mugwire ntchito ndi dokotala kuti mukhale ndi ndondomeko yothandizira. - Kusalongosoka Kosavuta Pisanachitike Opaleshoni
Mayendedwe anu asanachite opaleshoni angagwiritsidwe ntchito kuti muwonetsere njira yanu pambuyo pa opaleshoni. Odwala omwe ali ndi vutoli asanayambe kuchita opaleshoni amakhala ovuta kwambiri pambuyo pa opaleshoni. - Mapangidwe Azinthu Zambiri
Anthu ena amaoneka kuti amapanga minofu yochuluka kwambiri kuposa ena, ndipo pali zochitika zina zomwe zimapangidwira zofiira. Odwala omwe anachitidwa opaleshoni yoyamba, kapena akutsitsimutsa mawondo , amatha kukhala ndi kuuma pambuyo pa opaleshoni.
- Kuyika Maonekedwe a Mitundu Yowonjezera
Ochita opaleshoni amachita khama kuti "azilimbitsa" bondo pa nthawi ya opaleshoni. Izi zikutanthauza kupeza kukula kofanana ndi kugwirizana kwa mawondo a mawondo kuti mawondo aondo asakhale olimba kwambiri, ndipo osasunthika, kotero kuti kusinthanitsa kuli kofanana ndi bondo molunjika ndi lopindika. Izi ndizo chifukwa chake mawonekedwe a mawondo ndi ovuta, ndipo luso lokhazikitsa izi zimatenga zaka zambiri. Zolakwitsa pakuika ma implants pa nthawi ya opaleshoni sizingakhale zoonekera pa tebulo loyendetsera ntchito ndipo zingayambitse kupindika kapena kugwedeza bondo. - Zovuta Zowonjezera Zina
Zovuta za opaleshoni nthawi zambiri zimabweretsa mavuto ena. Odwala omwe ali ndi matenda opatsirana , malo ovuta a m'madera ammimba , kapena mavuto ena , amakhala ndi mwayi wapamwamba wokhala ouma.
Kuchiza kwa Khunyu Kukhumudwa Pambuyo Kusintha
Chithandizo cha kuuma pambuyo potsatira mawondo chimadalira pa nthawi kuchokera pamene opaleshoni, ndi chifukwa cha kuuma. Njira zamakono zochiritsira zovuta ndi:
- Mankhwala Ovutitsa Thupi
Thandizo la thupi ndi mankhwala othandiza kwa bondo lolimba, makamaka mkati mwa miyezi itatu yoyamba pambuyo pa mawondo. Mankhwala amathanso kuganiziridwa pambuyo panthawiyi, koma zotsatira sizili bwino ngati mankhwala oyambirira. Mtundu watsopano wa splint wotchedwa dynamic splint wasonyezeranso zotsatira zolimbikitsa pamene agwiritsidwa ntchito mogwirizana ndi mankhwala. - Kuvutitsidwa Muli Anesthesia
Kugwiritsidwa ntchito ndi njira yomwe palibe zochitika. Wodwala amapatsidwa mankhwala a anesthesia, kawirikawiri kupyolera mu IV, ndipo pamene akugona, dokotala wanu amamukakamiza bondo kuti aswe minofu yowopsya. Njirayi ndi yopindulitsa kwambiri pamasabata 6 mpaka 12 mutatha opaleshoni. Chodetsa nkhaŵa chachikulu ndi kugwiritsidwa ntchito ndikuti pali kuthekera kuti mafupa amatha kuzungulira kuzungulira ngati akakamizidwa kwambiri. Izi zimakhudza anthu omwe ali ndi matenda otupa mthupi kapena pamene kugwiritsidwa ntchito kumachitidwa zoposa chaka chimodzi chitatha. - Kuchotsa Opaleshoni ya Zosakaniza
Kuchitidwa opaleshoni kuchotsa minofu pambuyo poti mawondo amawomboledwa kawirikawiri amatha kuchita koma zingakhale zothandiza nthawi zina. Zotsatira za kuchotsa minofu yowopsya sizinapindule makamaka popititsa patsogolo kayendetsedwe ka maulendo, choncho, mankhwala ena amawoneka oyamba. - Kukonzanso Knee Replacement
Mankhwalawa atatha, kapena ngati mawotchi amawongolera, zingakhale zofunikira kuchotsa bwalo lokhazikika ndikubwezeretsa izi ndi mawondo atsopano. Mfupa ukudula ndi kukula kwa malo atsopano akhoza kusinthidwa kuti athandizire kuyenda bwino kwa mawondo.
Kuzindikira zoyenera kuthandizira bondo lolimba pambuyo pokhala m'malo kumadalira chifukwa cha kulimbika kwake ndi kutalika kwa nthawi kuchokera pamene mwalowa m'malo. Dokotala wanu angapange malingaliro a bondo lanu pogwiritsa ntchito mkhalidwe wanu.
Mawu Ochokera
Kuvutika pambuyo pochita opaleshoni ya bondo kumatha kupewa kupeŵa kupweteka kwabwino, mankhwala, komanso njira zochepetsera mavuto. Komabe, panthawi yomwe kulimbika kumachitika, pali njira zomwe zingayesedwe pofuna kuyesa kusintha. Kulimbana ndi kuuma mtima kumayambiriro oyambirira pambuyo poti mawondo amalowetsa bwino, amatha kuchepetsa kupweteka (pambuyo pa miyezi 6) sichidzapindula kwambiri. Mu nthawi yomwe kuli kuuma kwa nthawi yayitali, kawirikawiri kubwereza opaleshoni ndi njira yokhayo yothandizira.
Chitsime:
Ghani H, Maffulli N, Khanduja V. "Kuwongolera kulimbika pambuyo pamthambo wamtundu wa arthroplasty: ndondomeko yoyendetsera" Knee. 2012 Dec; 19 (6): 751-9.
> Scott RD. "Kukhumudwa kumagwirizana ndi bondo lathunthu la arthroplasty" Orthopedics. 2009 Sep; 32 (9).