Kupititsa patsogolo Kuchita Opaleshoni ya Hip & Knee Replacement

Kuchita opaleshoni ya Hip ndi mawondo ndi ena mwa opaleshoni ambiri amagazi amaperekedwa. Chaka chilichonse, odwala masauzande ambiri amapatsidwa udindo wotsalira m'malo mwa mankhwala odwala matenda a nyamakazi. Kuchiza opaleshoni ya nyamakazi yokhala ndi gawo limodzi ndi imodzi mwa opaleshoni yopambana kwambiri, koma pali mavuto omwe angathe kuchitika, ndipo pakakhala zovuta zimakhala zovuta kwambiri. Mavuto angaphatikizepo ululu wopitirira, mavuto ochiritsidwa, machiritso, matenda, ndi mavuto ena.

Mukakumana ndi ululu wosagwirizana , mavuto amatha kuwoneka ngati osawoneka komanso osavuta kuganizira. Anthu akufuna kupita opaleshoni kuti apambane bwino m'malo movuta. Izi zikuti, kuganizira za mavuto omwe angakhale nawo okhudza opaleshoni akhoza kukhala phindu lanu. Pozindikira mavuto omwe angakhalepo a opaleshoni yowonjezereka, komanso momwe mungatetezere mwayi wa zoopsazi, mukhoza kulamulira zotsatira zanu. Njira zina zosavuta zingakhale kusiyana pakati pa mgwirizano wopanda chisoni ndi vuto lalikulu la opaleshoni.

Kupewa zovuta za opaleshoni yowonjezera nthawi zina sizowonjezereka, koma pali njira zomwe zingatengedwe. Ena mwa masitepe amatengedwa ndi dokotala wanu, koma zina mwazimenezi ziyenera kutengedwa ndi inu! M'munsimu muli zina mwa zinthu zomwe mungathe kuzilamulira zomwe zingathandize kuti mutha kupuma bwino kuchokera ku opaleshoni yowonjezera.

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Kuchepetsa Kulemera

Kunenepa kwambiri kukufala kwambiri m'mayiko ambiri otukuka, ndipo chiŵerengero cha anthu omwe akufuna kuika nawo limodzi chikuwonjezeka kwambiri. Pamene chiwerengero cha anthu chimawonjezeka kwambiri, kufalikira kwa kupweteka pamodzi kumakhala kofala kwambiri. Pamene anthu amamva kupweteka, anthu ambiri amafuna opaleshoni yowonjezerapo kuti athetse vutoli.

Vuto la kunenepa kwambiri ndiloti pamene limagwirizanitsa pamodzi, limapangitsa kuti likhale loopsa. Anthu omwe ali ndi chiwerengero cha mthupi (BMI) ofposa 40 anali ndi chiopsezo chokwanira chochita opaleshoni. Zowopsazi zikuphatikizapo mwayi wopambana, mwayi wapamwamba wa kachilombo ka HIV, komanso mwayi wochuluka woyenera kuwongolera opaleshoni.

Anthu omwe amaganizira opaleshoni yowonjezereka akhoza kuganizira kuchepetsa kulemera kwake musanachite opaleshoni. Kuchepetsa kulemera kwa thupi kungakhale kovuta poyambitsa kupweteka kwa mgwirizano wopitirira, koma pali njira zochita masewera olimbitsa thupi ndi kulemera kwa thupi zomwe sizikhoza kuika maganizo kwambiri pamagulu. Anthu omwe akufuna zotsatira zabwino kuchokera ku opaleshoni yowonjezera ayenera kuganizira zoyesayesa kuchepetsa kulemera kwa BMI yachibadwa.

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Siyani Kusuta

Kusuta fodya kumadziwika kukhala ndi zotsatira zambiri pazinthu zambiri za thanzi ndi machiritso. Mwachindunji, fodya imakhudza makina osokoneza bongo, omwe amathandizira machiritso atatha opaleshoni, kuphatikizapo opaleshoni yowonjezera.

Zomwe zimapangitsa kuti kusuta fodya kugwiritsidwe ntchito pambuyo poti opaleshoni yowonjezera sikumvetsetsa bwino, komabe zimadziwika bwino kuti anthu omwe amasuta fodya ali ndi mwayi waukulu wopanga matenda opweteka, matenda ochiritsidwa ndi machiritso, komanso kufunika kovomerezeka kuchipatala atatha. opaleshoni yawo yowonjezera.

Madokotala ena opaleshoni ayamba kuyesa odwala ndi chikonga kuti athandize odwala awo kukhala ndi zotsatira zabwino kwambiri za opaleshoni. Zimadziwika bwino kuti kuchotsa kusuta fodya asanayambe opaleshoni kungapangitse zotsatira za munthu pazolowera. Nthawi yeniyeni yothetsera mankhwala a nikotini sidziwika bwino, koma madokotala ambiri amavomereza ngati wina atha kusuta fodya kwa milungu yosachepera sikisi, ngati sizinapite nthawi yaitali, asanachite opaleshoni akhoza kuchepetsa kwambiri vuto lawo la mavuto khalani pafupi ndi wa wosayankhula.

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Pewani Mowa

Kumwa mowa kumadziwika kukhala koopsa kwa anthu opaleshoni. Mwachindunji, anthu omwe amamwa mowa nthaŵi zonse amatha kukhala ndi vuto lopanda opaleshoni ngati sakudziwika ndi gulu lawo la thanzi. Ngakhale kuti kafukufuku wina wasonyeza anthu omwe amamwa mowa mopitirira malire kapena mopitirira malire sangathe kukhala ndi chiopsezo chachikulu chotengera opaleshoni yowonjezerapo, pali ngozi zomwe zingachitike pamene anthu omwe amamwa mowa nthawi zambiri kapena akuchitidwa opaleshoni yaikulu.

Kupewa kumwa moŵa musanayambe opaleshoni n'kofunika, komabe chofunikira ndikumudziwitsa gulu lanu la zaumoyo za kuchuluka kwa mowa omwe mumamwa mowa nthawi zonse. Ndibwino kuti mudziwe dokotala wanu ndi anamwino musanachite opaleshoni za kuchuluka kwa mowa wanu. Ngati n'kotheka, kuchepetsa kumwa mowa musanachite opaleshoni yosankha kungathandize kupewa mavuto. Kusokonezeka kwa anthu omwe amamwa mowa wochuluka kwambiri ndi malo ogulitsira nthawi yaitali.

Zimadziwika kuti nthawi zambiri anthu amalephera kumwa mowa womwe amamwa. Ngati simukudziwa kuti mumamwa mochuluka bwanji, khalani ndi zolembera tsiku ndi tsiku. Izi ndi zopindulitsa! Lembani kuti mumamwa mowa zingati tsiku lililonse kwa sabata. Kupereka chidziwitso kwa wothandizira zaumoyo wanu kungathandize kuwongolera ndi kupeŵa mavuto pamene mukuchitidwa opaleshoni.

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Anemia wa malo

Wina yemwe ali ndi nthendayi ali ndi chiwerengero chochepa cha maselo ofiira a magazi. Izi zikutanthauza kuti alibe chiwerengero cha maselo othandiza oksijeni m'magazi awo, omwe angayambitse mavuto okhudzana ndi machiritso, ndipo amachititsa kuti wina afunike kuikidwa magazi atakhala ndi gawo limodzi.

Pali zifukwa zingapo zomwe zimapangitsa munthu kukhala ndi nthenda. Zina mwa zifukwa zotheka ndizo:

• Kulephera kwa iron
• Kulephera kwa impso
• Zinthu zotupa

Mankhwala a mitundu yosiyana ya kuchepa kwa magazi amasiyana. Kuperewera kwachitsulo kufooka kwa magazi kumayambitsidwa ndi zakudya zowonjezera zakudya, pamene mitundu ina ya kuchepa kwa magazi ingafune mankhwala kapena zina zowonjezera.

Kawirikawiri, kuchepa kwa magazi m'thupi kumatha kutetezedwa mwa kuchepetsa kuchuluka kwa magazi patsogolo pa opaleshoni. Mwatsoka, izi nthawi zambiri zimanyalanyazidwa, ndipo panthawi yomwe wina amayamba opaleshoni, akuyamba ndi chiwerengero chochepa cha magazi. Lankhulani ndi dokotala wanu wamkulu yemwe mukuwerengera za maselo ofiira a magazi, ndipo ngati pali zofunikira zomwe mungachite kuti muthetse vuto la kuchepa kwa magazi.

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Sungani Thanzi Labwino

Kaŵirikaŵiri kunyalanyazidwa, thanzi laumphawi limathandiza kwambiri kuti pakhale zotsatira zowonjezera pambuyo pa opaleshoni yowonjezera. Anthu omwe ali ndi matenda ovutika maganizo amakhala ovuta kukhala ndi mavuto, osakhutitsidwa kwambiri ndi zotsatira za opaleshoniyo, ndipo amakhala ndi mwayi wapamwamba wofuna kubwezeretsanso.

Ndikofunika kuzindikira anthu omwe ali ndi matenda ovutika maganizo asanayambe kuchitidwa opaleshoni yowonjezera. Anthuwa amakonda kumenyana, makamaka nthawi yoyambirira yoperekera ntchito. Kuvutika maganizo kumangowonjezera mliri wa ululu umene umapezeka, koma ukhoza kuwonjezera mwayi wa mavuto komanso mwayi wofuna njira zina zothandizira. Pomalizira, anthu omwe ali ndi matenda osokonekera maganizo omwe amatsatira zofanana, amayamba kukhala ndi zotsatira zochepa zokhudzana ndi opaleshoni.

Kuyesera kusokoneza kusiyana pakati pa kupweteka kwa mgwirizano ndi matenda aumphawi ndi kovuta, koma pogwiritsira ntchito deta yolongosola odwala, opaleshoni akuchita bwino kuti adziwe momwe anthu angayesetsere kuchipatala pambuyo pakuchita opaleshoni yowonjezera. Anthuwa akhoza kuchitidwa mwachindunji ndi akatswiri a zaumoyo asanachitike opaleshoni kuti athetsere thanzi lawo pofuna kuyesetsa kukwaniritsa zotsatira zawo kuchokera ku opaleshoni yowonjezera.

Mawu Ochokera

Kupanga chisankho chochita opaleshoni yowonjezereka ndi chimodzi mwaziganizo zofunika kwambiri zomwe mungakumane nazo m'moyo wanu. Nkhani yabwino ndi yakuti zotsatira zake zimakhala zabwino nthaŵi zonse. Komabe, pali mavuto omwe angathe kuchitika, ndipo kupeŵa mavutowa ayenera kukhala chimodzi mwa zinthu zofunika kwambiri. Kuwatsatira izi kukuthandizani kuti mukhalebe osamala pa chiopsezo chanu chovuta.

> Zotsatira:

> Alexander DP, Frew N. Preoperative optimization ya kuchepa kwa magazi m'thupi lathunthu la hip arthroplasty: ndondomeko yowonongeka. Hip Int . 2017 Jun 7: 0.

> Browne JA, Sandberg BF, D'Apuzzo MR, WM Novicoff. Kusokonezeka maganizo kumayenderana ndi zotsatira zoyambirira zomwe zimachitika pambuyo pochita masewera olimbitsa thupi potsatira chiwerengero cha arthroplasty J Arthroplasty . 2014 Mar; 29 (3): 481-3.

> OrthoCarolina Hip ndi Knee Center, Charlotte, North Carolina 28207, USA. Kunenepa kwambiri komanso mgwirizano wonse wa arthroplasty: ndemanga yofotokozera mabuku. J Arthroplasty . 2013 May; 28 (5): 714-21.

> Rotevatn TA, Bøggild H, Olesen CR, Torp-Pedersen C, Mortensen RN, Jensen PF, Overgaard C. Kumwa mowa komanso chiopsezo cha kufa kwa munthu pambuyo pake kapena kudwala pambuyo poyambira mchiuno kapena bondo arthroplasty. PLoS One . 2017 Mar 17; 12 (3): e0173083.

> Sahota S, Chikondi Cchio F, Harold RE, Chili MD, Manning DW. Zotsatira za Kusuta pa Mavuto Otsatira Pambuyo Patsiku Pambuyo pa Total Joint Arthroplasty. J Arthroplasty . 2017 Aug 1. pii: S0883-5403 (17) 30674-5.