Odwala ambiri omwe amapita opaleshoni ya mawondo amawafotokozera mfuu yomwe imachokera ku malo awo olowa m'malo. Anthu amatha kutchula za kuwongolera kapena kugwedeza kuchokera kumalo awo akamayenda, ndipo nthawi zambiri amakayikira kuti chinachake chalakwika ndi mawondo awo. Kodi ndizovuta kumva mutangomva opaleshoni ya bondo?
Nthawi zambiri, ayi, si vuto.
Si zachilendo kuti anthu akhoze kumva kapena kugonjetsa mawondo awo atatha opaleshoni. Kawirikawiri, kutsimikiziridwa pang'ono kuti palibe chovulaza chikuchitika ndizo zonse zomwe zimafunikira pazinthu izi. Dokotala wanu akhoza kuyang'ana bondo lanu, ndipo mwinamwake kupeza mayesero monga x-ray, kutsimikizira kuti palibe cholakwika ndi kuyika.
Misewu ikhoza kuchokera ku malo angapo omwe angatheke, kuphatikizapo zitsulo ndi mapulaneti apulasitiki, matope, ndi madzimadzi pambali. Kudziwa gwero la phokoso ndilo dokotala wanu angakuthandizeni. Komabe, mutonthozedwe ndi mfundo imeneyi kuti odwala ambiri amafotokoza kuwongolera ndi mfuu zina zomwe zimachokera m'malo mwa mawondo awo.
Izi zinati, nthawi zina phokoso lochokera kumalo olowera liyenera kuyankhidwa ndi dokotala wanu opaleshoni:
- Mabulosi atsopano amachokera kumadzulo omwe amachotsedwa: Nthawi zambiri, phokoso ndi kuwongolera kumachokera kumadzulo kumakhala kuchepa pakapita nthawi. Phokoso latsopano liyenera kuyesedwa ndi dokotala wanu opaleshoni.
- Misewu yokhudzana ndi zopweteka: Mphuno zopanda phokoso nthawi zambiri zimakhala zachilendo, koma ngati ululu, kupweteka, kapena kutupa zimakhudzana ndi phokoso, ndicho chizindikiro chabwino bondo likusowa kuunika.
Nsalu Zosintha Zina
Mabondo ambiri amalowa m'malo mwake amapangidwa ndi zigawo zinayi. Ngakhale pali zosiyana zowoneka, mawonekedwe omwe amabwera m'malo amakhala ndi magawo awiri a zitsulo ndi mbali ziwiri za pulasitiki.
Zina zinayi m'malo mwa mawondo ndi:
- Chigawo chachikazi: chigawo cha chikazi ndicho chitsulo chomwe chimagwiritsidwa ntchito kumapeto kwa fupa lafupa, la femur. Chigawo cha chikazi ndicho chipewa chofanana ndi U chomwe chikuphimba mapeto a fupa, kukulunga kuzungulira kutsogolo ndi kumbuyo. Pali maonekedwe osiyana ku chigawo cha chikazi chomwe chingakhale chokhazikika pa kukula kwa wodwalayo, komanso kuti kulimbika kotani kumanganso ntchito yowondoka.
- Chinthu chofunika kwambiri: chigawo cha tibial chimapangidwa ndi chitsulo, ndipo chimakhala pamwamba pa fupa la fupa, tibia. Mbali ya tibial ili ndi gawo lomwe limalowa mkatikatikati mwa fupa kuti likhale ndi phula lapamwamba pamwamba pa chigawo cha tibial.
- Chigawo cha patellar: pamene wodwalayo sangathe kukhala ndi gawo lina m'malo mwake, omwe amachita adzakhala ndi pulasitiki (polyethylene) chigawo chimodzi. Chigawochi chimalowetsa pakatikatikati mwa mawotchi - pamwamba pa mawondo omwe mumamva pakhungu lanu simunalowe m'malo.
- Chipangizo cha polyethylene: pakati pa chitsulo chachikazi ndi tibial zigawo za pulasitiki zopangidwa ndi polyethylene yotchedwa spacer. Izi zimapangitsa kuyenda bwino kwa bondo kumbuyo ndi kutsogolo. Pali kusiyana pakati pa mawonekedwe ndi makulidwe a zigawo zikuluzikulu za polyethylene kuti zifanane ndi wodwalayo ndi mkhalidwe wake.
Mbali iliyonse yazigawozi zimagwiritsidwa ntchito m'kati mwa fupa kapena simenti kapena kukwatiridwa mwamphamvu kuti mafupa amere kukula. Mitundu yosiyanasiyana imapangidwa kuti ichitike m'malo osiyanasiyana, ndipo dokotala wanu angakhale ndi zofuna za mtundu wina kapena mtundu wake.
Phokoso limene anthu ambiri amadziwa pambuyo poti mawondo amawombola ndi zotsatira za zitsulo ndi mapulasitiki omwe amakumana ndi wina ndi mzake ndi kumveka momveka bwino. Mbali izi za mawondo a mawonekedwe omwe sizimagwirizanirana wina ndi mzake, koma mawondo amawongolera pamodzi ndi thupi lanu, minofu, ndi matope.
Zomwe zimasunthira, pangakhale kayendetsedwe kamodzi kogwirizana kuti zitsulo ndi mapulasitiki zisumikizane.
Chitsime:
> Husain A, Lee GC. "Kukhazikitsa Zoyembekezera Zoleza Mtima Pambuyo Ponseponse Mphepete mwa Arthroplasty" J Am Acad Orthop Surgery. 2015 Dec; 23 (12): 707-13.
Chiwerengero Chasintha Chakomwe. American Academy of Orthopedic Surgeons, April 2009.