opaleshoni yowonongeka ip ndi opaleshoni ya mawondo amachitidwa pofuna kuchiza matenda a nyamakazi . Pakati pa njirazi, nyamakazi ya nyamakazi imachotsedweramo ndipo imalowetsedwa ndi kumangiriza. Musanachite opaleshoni yowonjezera, muyenera kukambirana ndi dokotala mwanzeru kwambiri ndikuyankha mafunso anu . Muyenera kumvetsetsa mavuto omwe angakhalepo opaleshoni yowonjezera .
Kuchita opaleshoni yowonjezereka ndiyo njira yotetezeka. Komabe, pali zovuta zomwe zingagwirizane ndi opaleshoniyi. Odwala onse omwe amagwirizanitsidwa nawo amafunika kumvetsa mavuto omwe angakhalepo opaleshoni yowonjezera .
Magazi Amagazi
Magazi amagawanika m'mitsempha yambiri ya mwendo ndi pelvis ( deep veous thrombosis , kapena DVT) amapezeka pambuyo pochita opaleshoni yowonjezera. Kuchepetsa chiopsezo chokhala ndi magazi, dokotala wanu adzakuyambitsani mankhwala opopera magazi omwe adzapitirire kwa milungu ingapo mutagwirizanitsa. Kuphatikizanso apo, mudzapatsidwa mankhwala osokoneza bongo kuti musunge magazi m'milingo. Kupititsa patsogolo ndi mankhwala pambuyo poti opaleshoniyo idzathandizanso kuteteza mawonekedwe a magazi.
Chodetsa nkhaŵa ndichoti ngati magazi amayamba, m'zotheka kuti chovalachi chimatha kupita ku mapapo (omwe amatchedwa pulmonary embolism ), omwe angathe kupha. Ngati dokotala wanu atapeza umboni wa maonekedwe a magazi, mudzapatsidwa mankhwala opatsirana kwambiri a magazi kwa nthawi yaitali.
Matenda
Kugonjetsedwa kwa mgwirizano wotsatizana ndi vuto lalikulu kwambiri ndipo kungafunikire kuchotseratu kuikidwa mmalo. Matenda nthawi zina amachitika masiku ndi masabata atatha opaleshoni ( matenda oyambirira ) kapena zaka pansi pa msewu (matenda ochedwa). Nthawi zina amayesa kupanga opaleshoni kuti athetse matendawa ndipo nthawi zina amapanga ma implants, makamaka panthawi ya matenda oyambirira.
Komabe, matenda ena amafunika kuchotsa implants, otsatiridwa ndi masabata a IV antibiotics. Pofuna kuchepetsa chiopsezo chotenga kachilombo kamodzi mukakhala ndi gawo limodzi , mukhoza kuuzidwa kuti mutenge antibayotiki pamene njira zowonongeka (monga ntchito zamano kapena colonoscopies) zikuchitidwa.
Kuuma
Pamene opaleshoni ikuchitidwa, kuchitapo kanthu kwa thupi lanu ndiko kupanga minofu yofiira . Izi ndizoona phungu komanso pansi mkati mwa olowa. Chifukwa chakuti mapepala amatha, kumangirika kwa zida zofewa pamalumiki anu zingathe kuchitika. Ngati izi zimachitika pambuyo potsatira mawondo kapena nsapato , mungakhale ndi zovuta kugwada, mutakhala pampando, kapena kukwera masitepe. Chifukwa chaichi, nkofunika kuyamba ntchito mwamsanga mwatha opaleshoni. Mankhwala opweteka ayenera kupitilizidwa kwa miyezi yotsatira ma opaleshoni . Ngati kulimbika kumapitirirabe ngakhale kuchipatala, kugwiritsidwa ntchito pansi pa anesthesia kungakhale kochitidwa. Izi zimaphwanya minofu yowopsya, koma izi zidzakufunikiranso kuti mukhale ovuta ndi mankhwala .
Kukhazikitsa Kutsegula / Kusalephera
Pakapita nthawi, implants imatha ndipo amamasula. Teknoloji yatsopano yathandizira vuto ili, koma kutuluka kunja kwa implants ndi kumasula kumakabebe. Ambiri omwe amachoka ku hip ndi mawondo amatha zaka pafupifupi 20.
Ena amatha kupitirira 10, ena amaposa 30, koma mapeto onse amatha. Izi ndizovuta kwa odwala achichepere, omwe amakhala ndi nthawi yayitali ndipo amaika zofuna zambiri pa olowa.
Ngati mgwirizano wachoka, pangakhale kusinthidwa kubwezeretsa (kubwezeretsa m'malo). Uwu ndi opaleshoni yovuta kwambiri, ndipo nthawi ya moyo yowonjezera imachepa ndi opaleshoni iliyonse yowonanso. Ichi ndi chifukwa chimodzi chomwe madokotala nthawi zambiri amachedwetsa opaleshoni yowonjezereka m'malo mwake , makamaka kwa odwala ochepa.
Hip Dislocation
Kuthamangitsidwa kwa mchiuno kumapezeka pamene mpira watuluka kuchokera pa chingwe.
Izi zikhoza kuchitika pa zifukwa zambiri koma nthawi zambiri zimapezeka pakagwa kapena odwala omwe ali ndi matenda monga Parkinson . Kusokonezeka kwa Hip kungatheke ndi zinthu zosavuta monga monga kukhala pansi pa mpando wapansi. Pa chifukwa ichi, mungaphunzitsidwe kutsatira " njira zothandizira ". Zitetezo izi zikuphatikizapo:
- Osadutsa miyendo yanu
- Kugwiritsa ntchito mipando yokwezeka
- Osati kugwedeza chiuno chanu mopitirira 90 madigiri (kutsogolo kwanu)
- Kugona ndi pillow pakati pa miyendo yanu
- Pewani kutembenuza phazi lanu mkati
Kodi Kuphatikizana Kwawo Kumakhala Koopsa Kwambiri?
Izi ndi zina mwa zovuta zomwe zimachitika pambuyo pa opaleshoni, ngakhale izi sizikutanthauza. Musanachite opaleshoniyi muyenera kukhala ndi kukambirana kwa nthawi yaitali ndi dokotala ndikufunsa mafunso anu onse . Mutha kutumizidwanso kwa internist kuti mupeze kafukufuku wodalirika musanachite opaleshoni ndikukambilana nkhani zina zamankhwala zomwe zingakhale zosiyana ndi inu.
Opaleshoni yowonjezera yowonjezera ili yabwino - zotsatira zakhala zabwino, ndipo zotsatira za odwala ambiri ndi zodabwitsa. Komabe, pali ngozi kwa opaleshoni iyi, ndipo ndikofunikira kumvetsetsa izi musanayambe.
> Zotsatira:
> Naudie DD, et al. "Kuvala ndi Osteolysis Pafupifupi Total Knee Arthroplasty J. Am Acad Acad. Ortho. Surg., January 2007; 15: 53 - 64.
> CJ Della Valle, DJ Steiger, ndi Di Di Cesare "Thromboembolism Pambuyo pa Hip ndi Knee Arthroplasty: Kuzindikira ndi Chithandizo" J. Am. Acad. Ortho. Opaleshoni., Nov 1998; 6: 327 - 336.
> "Management of Infection pa malo a Total Knee Arthroplasty" J. Bone Joint Surg. Am., Sep 2005; 87: 2335 - 2348.