Njira Yopangira Opaleshoni kwa Odwala Amagazi
Pamene mankhwala osamalidwa bwino a nyamakazi amalephera kuthandizira kuthetsa ululu pa khungu lomwe lakhudzidwa, zingakhale nthawi yoganizira opaleshoni yokhazikika . Koma choyamba: Ndikofunika kuphunzira za mitundu yosiyanasiyana ya opaleshoni yovomerezeka ndi kumvetsa zomwe mungachite. Ankle fusion , yomwe imadziwikanso kuti ngongole ya arthrodesis , ndiyo njira imodzi yopangira opaleshoni.
Kusakanizidwa kwa Ankle
Mafupa atatu amapanga mgwirizano wa mchiuno - kumapeto kwa tibia (shinbone), fibula (fupa laling'ono la m'munsi mwendo), ndi talus (fupa lomwe limalowa muzitsulo zopangidwa ndi tibia ndi fibula).
Talus imakhala pa chidendene fupa. Katsamba kakang'ono kamene kakalowa mkati mwa khungu lambala. Kawirikawiri, kanyumba kakang'ono kameneka kali pafupifupi kotala la inchi wandiweyani. Ngati kuvulala kumachitika, kapena kadoti yowonongeka ndi nyamakazi, ululu ukhoza kukhala wovuta kwambiri.
Fusion yamagulu ndi njira yopaleshoni yomwe imachotsa mbali ya pamphuno kuti ikhale yofiira pakati pa tibia ndi talus. "Kusakaniza" kumatanthauza mafupa akukula palimodzi. Kusakanikirana sikungopangidwe kokha pamatumbo, komanso pamagulu ena m'thupi omwe ali opweteka kwambiri.
Pali njira zingapo zomwe zimapangidwira minofu, koma cholinga chake ndi chimodzimodzi.
Open Method
- chophimbidwa chimapangidwa kuti chitsegule khungu ndi kulumikiza mgwirizano.
- gawoli latsegulidwa.
- owona opaleshoni amagwiritsidwa ntchito pochotsa malo osungunuka.
- kamodzi kanyama kakang'ono kamene kamachotsedwa, thupi lichiritsa pogwiritsa ntchito palimodzi.
- mabalawo ayenera kumveka bwino kuti mafupa ali pamlingo woyenera pamene amasonkhanitsidwa pamodzi kuti apange fuse.
- zojambula ndipo nthawi zina mbale zimagwiritsidwa ntchito kuti zigwiritse mafupa pokhapokha zimagwiritsidwa ntchito.
- Kawirikawiri zikopa kapena zikhomo zili pansi pa khungu ndipo sizimachotsedwa.
- Nthawi zina, chokonzekera kunja (zikhomo kunja kwa khungu) zingagwiritsidwe ntchito.
Njira ya Arthroscopic
Njira imeneyi imagwiritsa ntchito arthroscope . Kupyolera pang'onopang'ono, arthroscope (yomwe ili ndi kakang'ono kanema kanema) imalowetsedwa pamphindi. Pogwiritsira ntchito zipangizo zina, kadoti imachotsedwa pang'onong'ono kakang'ono pamene agthroscope imagwiritsidwa ntchito poona momwe ntchito ikuyendera. Pambuyo pokonzekera, majekiti amaikidwa kuti agwire mafupa palimodzi mpaka atachiritse. Njira iyi si yosiyana kwambiri ndi njira yotseguka kupatulapo njira zochepa zomwe amagwiritsa ntchito.
Kodi Wosankhidwa ndi Ankle Fusion?
Odwala omwe amavutika kwambiri ndi nyamakazi kapena nyamakazi yowonongeka angakhale ofunikila ku fusion. Odwala amakhala ndi ululu wosakanizidwa ngakhale atalandira chithandizo chamankhwala kapena mankhwala ena. Pamene ululu umakhala wowawa kwambiri moti umalepheretsa kuyenda ndi zochita za tsiku ndi tsiku, ndi nthawi yokambirana momwe mungapangidwire minofu ndi dokotala wa opaleshoni.
Ubwino ndi Ngozi za Ankle Fusion
Cholinga cha minofu ya fusion ndichotseretsa ululu ndi kubwezeretsa ntchito kumbuyo kwa mimba. Ngakhale ena angakhale ndi nkhawa kuti pali kuyenda komwe kwatayika, odwala ambiri amakayiwala kuti atha kale kuyenda mozungulira mavola owonongeka kwambiri.
Kusakanikirana kumayenera kukhala moyo nthawi zonse poyerekeza ndi kubwezeretsa minofu, yomwe ingathe kuwonongeka nthawi ina.
Ganizirani zolinga zanu pamene mukuganiza kuti ang'on fusion ndi njira yabwino kwambiri kwa inu.
Zotsatira:
- kupumula kupweteka
- mgwirizano wotsutsana ukukhazikika kachiwiri
- odwala adzatha kulemera kwa mgwirizano wodula popanda ululu
- Kukhoza kuyenda ndi kuchita ntchito zowonongeka kumabwezeretsedwa
Wotsatsa:
- Kupatsanso mitsempha kungakhalebe njira yabwino kwa odwala ena (anthu okhudzidwa kwambiri)
- pali kutaya kusinthasintha ndi kuyenda ndi mgwirizano wotsutsana
- kuthekera kochepa kwa zovuta zochiritsa machiritso
Pali mavuto ambiri, monga opaleshoni iliyonse.
Pakhoza kukhala zoopsa zogonana ndi anesthesia, komanso kuopsa koopsa kwa mitsempha kapena mitsempha ya magazi, matenda opatsirana, osagwirizana (mafupa sakuwombera), ndi malunion (mafupa amachiza molakwika). Ngati osagonana kapena malunion amapezeka, opaleshoni ina ikhoza kufunika.
Kuchokera ku Ankle Fusion
Mwendo wothandizira uli wokutidwa ndi pulasitala yamtengo wapatali atapatsidwa opaleshoni. Pambuyo pa masabata awiri, kamphindi kakang'ono kamaloka m'malo opangidwa ndi pulasitiki. Wodwala sangathe kulemera kwa khungu kwa masabata 8 mpaka 12, panthawi yomwe padzakhala umboni wa x-ray wosakaniza.
Kusunga mwendo wanu ndikofunika kuteteza kapena kuchepetsa kutupa kwa mwendo. Nsonga zimakhala zofunikira pamene wodwalayo amapewa kulemera pamimba. X-ray, yotengedwa nthawi zambiri, iwonetsa ngati kusakanikiranaku kulikulirakulira ndi kolimba. Panthawiyi, wodwalayo amaloledwa kuika pamimba pazibowo pamene akuyenda. Odwala ena angafunike kuika nsapato zapadera kuti awathandize kuyenda moyenera, pamene ambiri amangobvala nsapato zokwanira ndikuchita bwino.
Chitsime:
Cholinga cha Mliri Wosakaniza Ankle. eOrthopod. Multimedia Group, LLC. July 22, 2002.