Njira Yopereka Chithandizo kwa Malo Okhudzidwa Katundu Wothandizira
Kugwiritsa ntchito microfracture ndi njira yopangira opaleshoni yomwe imagwiritsidwa ntchito pochiza malo a karoti yowonongeka. Pamene wodwala ali ndi malo ochepa a karotila owonongeka (osati odwala nyamakazi ), angayambe kupanga microfracture pofuna kuyambitsa katemera watsopano. Kawirikawiri amagwiritsidwa ntchito m'kati mwa mawondo, ngakhale kuti amagwiritsidwa ntchito pochizira m'magulu ena kuphatikizapo chiuno, chikopa, ndi mapewa.
Ndondomeko ya microfracture imapanga mabowo ang'onoting'ono mumphongo. Thupi la mafupa, lomwe limatchedwa subchondral bone, ndi lovuta ndipo limasowa magazi abwino. Powolowerera chingwe cholimbachi, kachilombo kameneka kamalola kuti fupa lakuya, ndipang'ono kwambiri lifike kumtunda. Thupa lozama kwambiri lili ndi magazi ochulukirapo, ndipo maselo amatha kufika kumtunda kuti asakanire kukula kwa kadoti .
Kodi ndani amene ali woyenerera bwino kuti apange microfracture?
- Odwala omwe ali ndi zochepa zochepa zowonongeka
- Odwala omwe ali achangu ndipo sangathe kuchita nawo masewera kapena ntchito chifukwa cha zizindikiro
- Odwala opweteka kapena kutupa chifukwa cha dera losakaza
Ndani sali woyenerera wabwino wa microfracture?
- Odwala omwe ali ndi nyamakazi yowonjezera
- Odwala ndi osalimba kapena osamalidwa
- Odwala omwe sakugwira ntchito
- Odwala ndi nyamakazi yotupa (monga nyamakazi ya nyamakazi)
- Odwala sakufuna kutenga nawo mbali pakutsitsimutsa pambuyo podutsa ma microfracture
Kodi Zimagwira Ntchito?
Kusakaniza pang'ono kungakhale njira yabwino kwambiri, kumapereka chithandizo chachikulu chakumva kupweteka pamene wodwala akuyenera. Chimodzi mwa zodetsa nkhaŵayi ndikuti sizimapangitsa kukula kwa kalotila. Pali mitundu yambiri ya cartilage, ndipo imodzi mwa mitundu imeneyi (hyaline cartilage) imapezeka pamtanda.
Kuchokera kwa tizilombo toyambitsa matenda kumayambitsa kukula kwa mtundu wa karotila yomwe imapezeka m'matumbo (fibrocartilage). Mosiyana ndi hyaline cartilage, fibrocartilage alibe mphamvu yofanana ndi yodalirika ya karotila yomwe imapezeka mu mgwirizano. Choncho, pali mwayi kuti katsulo kamene kamakopeka ndi njira ya microfracture sichidzaimirira pakapita nthawi.
Kuchita Opaleshoni Yamakono Bwanji?
Kachipangizo kakang'ono kamapangidwa ngati mbali ya opaleshoni ya mawondo. Mankhwala ena amatha kuchiritsidwa mofanana, komanso opaleshoni yamakono. Mankhwalawa amachitidwa pamimba, paphewa, chiuno, golidi ndi ziwalo zina. Ngakhale kuti nthawi zambiri zimagwiritsidwa ntchito pothandizira maondo, zingathenso kugwiritsidwa ntchito moyenera pa mavuto omwe ali ndi ziwalo zina m'thupi.
Choyamba, dera lomwe likukhala ndi microfracture limakonzedwa potulutsa chotupa chilichonse chovulaza kapena chowonongeka. Momwemo, malo omwe akukhala ndi microfracture adzakhala osachepera 2 masentimita awiri ndipo amakhala abwino, wathanzi ozungulira kalisiti. Kenaka, chotupitsa chaching'ono (awl) chimagwiritsidwa ntchito popanga timabowo ting'onoting'onoting'ono tomwe timapanga tizilombo toyambitsa matenda. Chiwerengero cha mabowo opangidwa ndi tizilombo ting'onoting'ono timene timadalira chimadalira kukula kwa omwe akuchiritsidwa. Odwala ambiri omwe ali ndi masentimita 1 mpaka 2 akuwonongeka amafunikira mabowo asanu ndi awiri mpaka 15 pang'onopang'ono.
Kulowera kwakunja kwa mafupa kumachititsa kuti magazi ndi maselo amadzipangidwe azipanga chophimba m'malo amtundu wa khungu. Maselo amenewa ali ndi mphamvu yokonza kagawo kakang'ono mkati mwa chilema. Momwemonso thupi limatha kukonzanso malo owonongeka a kadoti ndi kuyambitsa magazi kupita ku chilema.
Chimodzi mwa mafungulo othandizira odwala ndizoyenera kukonzanso pakutsata opaleshoni ya microfracture . Kukonzekera kuyenera kuteteza dera lomwe limatetezedwa ndi tizilombo toyambitsa matenda komanso kusunga mphamvu ndi kuyenda kwa bondo . Chotsatira chake, odwala ambiri ayenera kugwiritsa ntchito zikhoto pambuyo pochita opaleshoni, nthawi zambiri mawondo amawongolera, ndipo nthawi zina makina oyendetsa mawondo angagwiritsidwe ntchito.
Kuchita opaleshoni ya microfracture ya mawondo a mawondo ndi njira yotetezeka ndi ngozi zochepa. Ndipotu, chiopsezo chachikulu ndicho kukhala ndi ululu wopitirirabe ngakhale kuti mukuyesera kuthetsa vutoli. Zoopsa zina za opaleshoni yamakono zimaphatikizapo matenda, mitsempha ya magazi, kuuma, ndi kutupa kwa bondo. Zowopsa kwambiri izi si zachilendo pambuyo pa opaleshoni ya microfracture.
Zotsatira za Kusokonekera Kwaching'ono
Kuchita opaleshoni ya microfracture ndi yotchuka chifukwa ndi yotetezeka, yosavuta kuchita, ndipo imakhala yotchipa kwambiri ku zochitika zina zotsegula m'mimba. Koma kodi amagwira ntchito? Zotsatira za opaleshoni ya microfracture zafufuzidwa nthawi zambiri. Kawirikawiri, anthu omwe amachitidwa opaleshoni ya microbracture amawoneka bwino mufupikitsa mpaka pamapeto. Komabe, pali mafunso ambiri onena za kukonzanso kwa tizilombo toyambitsa matenda, ndipo madokotala ambiri opaleshoni amavomereza kuti katsulo kamene kamachiritsa m'thupi lachilomboka sikuti chimakhala chokhalitsa ngati kamba kakang'ono. Pachifukwachi, zotsatira zautali sizikhala zosangalatsa, ndipo anthu omwe amatha kuchita opaleshoniyi akhoza kuthetsa vuto la nyamakazi pakapita nthawi.
Njira Zina Zopangira Microfracture
Odwala omwe ali oyenerera kuchipatala angakhalenso oyenerera kuzipatala zina zofooka za bondo. Njira zina zimaphatikizapo kutsekemera kwa khungu komanso kagawo kakang'ono . Komabe, zotsatira za njira zonse zopangira opaleshoni zowonongeka kwa khungu zimasonyezedwa kukhala zofanana, pamene ngozi ndi ndalama za microfracture ndizochepa kwambiri. Choncho, opaleshoni ya microfracture kaŵirikaŵiri imatengedwa kuti ndi mankhwala oyamba a karoti yowonongeka pamadzulo. Zina mwa njira zina zopaleshonizi zimachitidwa kwa othamanga omwe alephera kusintha pambuyo pa opaleshoni ya microfracture.
Zotsatira:
> Tuan RS, Chen AF, Klatt BA. "Kudzala kwa kanyumba" J Am Acad Orthop Surg. 2013 May; 21 (5): 303-11.
> Safran MR, Seiber K. "Umboni wa kukonzanso opaleshoni yamagetsi pamwondo" J Am Acad Orthop Surg. 2010 May; 18 (5): 259-66.