Njira Yopangira Opaleshoni Njira
Ngati mankhwala ochiritsira osteoarthritis , kapena matenda ena a nyamakazi , amalephera kukwanitsa kuchepetsa kupweteka ndi kubwezeretsa ntchito kwa ophatikizidwawo, kungakhale nthawi yoganizira opaleshoni yovomerezeka . Koma, ndi njira iti yopaleshoni yomwe muyenera kuganizira? Kodi ndi njira ziti zochizira zomwe zingathandize kuchepetsa ululu wanu ndikupangitsanso kusintha?
Ndi bwino kuphunzira za mitundu yosiyanasiyana ya opaleshoni yovomerezeka komanso kumvetsa zomwe mungachite.
Pamene odwala ambiri amaganiza za opaleshoni yotereyi, amaganiza za mgwirizano wonse. Koma, pali njira zina zomwe muyenera kudziwa. Pali opaleshoni yamakono, chiuno chakumuka, arthrodesis (kusakanikirana), malo osakanikirana ndi chiuno ndi bondo, opaleshoni ya mawondo osadziwika, komanso, osteotomy wa bondo kapena chiuno. Pano, tidzakambirana za osteotomy.
Mafinya Osteotomy
Osteotomy ndi njira yopaleshoni yomwe ikuphatikizapo kudula mafupa. Dokotalayu amachotsa fupa la fupa lomwe lili pafupi ndi chophwanyika chowonongeka. Ndondomekoyi ikuyenera kuchititsa kuti thupi likhale lolemera kwambiri kuchokera kumalo kumene kuli kowonongeka kwa dera kumalo komwe kuli kanyama kakang'ono kapena kathanzi.
Mu matenda a osteoarthritis , kuwonongeka kuli kofunikira kwambiri pa gawo la mkati mwa bondo. Ndi matenda otupa m'magazi a osteoarthritis a bondo lamkati, dokotalayu amachotsa fupa kuchokera kunja kwa fupa la m'munsi mwapafupi pafupi ndi bondo.
Chotsatira chake, wodwalayo amawombera thupi lawo kumbali yina ndi kutali ndi kanyumba kamene kakonongeka. Ngati osteotomy imachitidwa kwa osteoarthritis ya bondo lapansi, njirayi imasinthidwa ndipo fupa limadulidwa kuchokera kumbali ya mkati mwa mwendo pafupi ndi bondo.
Pa njira ya osteotomy, dokotalayo amatsitsimutsanso tibia (shinbone) kapena femur (thighbone) kuti apangitse kusintha kwa bondo.
Potsirizira pake, njirayi imalola kuti kulemera kugawidwe mofananako kudutsa kagawo kake. Osteotomy opaleshoni repositions wothandizira, kuwonetsera mawotchi ozungulira kutalika kwa karotila yowonongeka. Kamodzi ka fupa likachotsedwa, dokotalayo amabweretsa mafupa omwe amakhala pamodzi ndikugwiritsa ntchito pini kapena chakudya kuti awasunge. Nthawi zina amagwiritsidwa ntchito pofuna kukhazikika.
Kodi Wosankha Osteotomy Ndi Ndani?
Kawirikawiri, anthu omwe ali ndi zaka zosachepera 60, otanganidwa, ndi olemera kwambiri amaonedwa kuti ndi oyenerera osteotomy. Wodwala ayenera kukhala ndi:
- kuwonongeka kopanda mgwirizano
- kufooka komwe kuli koyenera
- palibe zizindikiro za kutupa
Ubwino wa Osteotomy
Kusankha njira yothandizira kuti ichitike sikukhala kosavuta kapena kosavuta. Kudziwa zomwe mungayembekezere monga zotsatira za mapeto kungathandize.
Zotsatira:
- kumachepetsa ululu
- akhoza kuchepetsa kupitirira kwa matenda a osteoarthritis
Wotsatsa:
- zingayambitse mgwirizano kuti usawoneke bwino
- musiye mgwirizano wachenthu kuti ukhale wotsiriza
N'kofunikanso kuti azindikire kuti chiwerengero chonse chogwiritsidwa ntchito m'malo mwa osteotomy ndi chovuta kwambiri kwa dokotalayo. Zovuta za opaleshoni zochiritsira ndizotheka ndi osteotomy.
Kuchokera ku Osteotomy
Malingana ndi zovuta za ndondomeko ndi mphamvu ya wodwalayo, ndodo zimayenera kwa miyezi isanu ndi itatu.
Odwala akhoza kuponyedwa kapena kupasulidwa masabata 4 mpaka 8. Kuchiza thupi, machitidwe olimbikitsa mwendo, ndi kuyenda ndi mbali ya pulogalamu yowonetsera. Ngakhale madokotala ena opanga opaleshoni akulosera kuti kubwereranso ku ntchito zonse ndizotheka pambuyo pa miyezi 3 mpaka 6, ena amati izo zingatenge chaka kuti zigwirizane ndi malo okonzedweratu a bondo pambuyo pa osteotomy.
Zotsatira:
Osteotomy ndi Unicompartmental Knee Arthroplasty. American Academy of Orthopedic Surgeons. February 2001.
http://orthoinfo.aaos.org/topic.cfm?topic=A00354
Osteotomy kwa Osteoarthritis. PeaceHealth. April 20, 2007.
https://www.peacehealth.org/medical-topics/content/surgicaldetail/hw125548.html#hw125550