CPM imatchedwanso kupitiliza kuyenda , ndi chipangizo chimene chimagwiritsidwa ntchito kuti chimasinthasintha ndi kuwonjezera mawondo. Makina a CPM angagwiritsidwe ntchito pambuyo pochita opaleshoni kuti bondo likhale lopindika pang'onopang'ono. Lingaliro loyambirira linali kuti CPM ikhoza kusintha kayendetsedwe kake pambuyo pa opaleshoni ya mawondo, kuphatikizapo njira zina za mawondo, ndi kuthetsa vuto la kuuma .
Mwa kuyika bondo mu chipangizochi posachedwa opaleshoni, minofu yofiira siidzatha, ndipo vuto la kuuma sizingakhale vuto.
Kwa zaka zambiri, makina a CPM anawoneka ngati chitukuko chachikulu cha zamankhwala chomwe chingawathandize kupewa mavuto opatsirana pambuyo pa opaleshoni ya mawondo. Pogwiritsa ntchito mawondo poyembekezera opaleshoni, cholinga chake chinali kubwezeretsa kubwezeretsa, ndipo potsirizira pake kubwerera msanga. Makina a CPM ankagwiritsidwa ntchito nthawi zonse pambuyo pochita opaleshoni zosiyanasiyana, makamaka opaleshoni ya mawondo.
Kukhumudwa pambuyo pa mawondo kungakhale vuto lalikulu, ndipo ndi chimodzi mwa zifukwa zomwe zimachititsa kuti anthu asakhutidwe ndi opaleshoni ya mawondo. Ngakhale kuti anthu pafupifupi 90% amakhutitsidwa ndi zotsatira za mawondo, pali mavuto omwe angathe kuchitika, ndi zifukwa zomwe anthu sasangalala ndi zotsatira za opaleshoni yawo.
Imodzi mwa mavuto omwe angayambe kuuma kwake kwa bondo.
Zochitika Zatsopano
Kafukufuku waposachedwapa afufuza momwe ntchito ya CPM ikutsatirira opaleshoni yotsalira mawondo ndi opaleshoni yokonzanso ACL . Pafupifupi phunziro lililonse zotsatira zimakhala chimodzimodzi: Palipindula m'masiku oyambirira ndi masabata pambuyo pa opaleshoni, koma palibe kusiyana pakati pa maondo pambuyo pa milungu isanu ndi umodzi.
Zilibe kanthu ngati CPM imagwiritsidwa ntchito, potsirizira pake, zotsatira ndi zofanana.
Kuchita opaleshoni yakufa kwafika kutali kwambiri zaka makumi asanu zapitazo. Komabe, opaleshoni zamatenda nthawi zonse amayang'ana njira zowonjezera zotsatira zawo. Vuto lina lolimbikira pakutsata opaleshoni yothandizidwa ndi kuuma kwa mgwirizano. Zobaya zimakhala zovuta kwambiri chifukwa, kuti tipitirizebe ntchito zathu zachizolowezi, timadalira kwambiri kuyendayenda kwa mawondo . Kupita patsogolo, kapena CPM, kunayambika kuti ayambe kuyenda mwamsanga pakutsata opaleshoni, ndipo, ndikuyembekeza, kuthetsa vuto la kuuma kwapambuyo.
Zotsatira
Mtsutso wa CPM ndi wakuti odwala ali ndi chiwongolero choyamba chotsatira pakutsata opaleshoni mofulumira kuposa odwala omwe sagwiritsa ntchito CPM. Kuwonjezera apo, odwala omwe amagwiritsa ntchito CPM kutsatila opaleshoni ya mawondo amafunika kuti asamafunike kugwiritsira ntchito mabedi (kumene wodwalayo wapatsidwa mankhwala a anesthesia , ndipo bondo limaumiriridwa) kusiyana ndi odwala omwe sagwiritsa ntchito CPM. Komanso, odwala nthawi zambiri amafunitsitsa kukhala "akuchita chinachake" kuti awathandize. Ngakhale kuti CPM singasinthe kwenikweni zotsatira za opaleshoniyi, ikhoza kuwapangitsa odwala kuzindikira kuti akuchita chinachake kuti athe kuwathandiza, ngakhale atagona pabedi.
Wotsutsa
Palibe amene wasonyeza kuti CPM imapanga kusiyana kulikonse. Nthawi ndi nthawi, maphunziro amasonyeza kuti mkati mwa masabata 4-6 opaleshoni ya mawondo, odwala omwe amagwiritsa ntchito CPM ndi omwe alibe mawonekedwe ofanana a mawondo. Ngakhale kuti pangakhale zotsatira zokhudzana ndi maganizo omwe tatchula pamwambapa, palibe umboni wosonyeza kuti kugwiritsa ntchito CPM kudzakwaniritsa zotsatira za mawondo a bondo kapena opaleshoni yapamwamba yopangidwanso. Izi zinati, pali njira zina zowonjezera, monga kutulutsidwa kwa mgwirizano kapena kulumikizana, kumene CPM ikhoza kukhala mbali yofunikira ya kuchira kuchokera ku opaleshoni ya mawondo.
Madokotala ambiri opaleshoni amadandaula kuti CPM ikhoza kuchepetsa kupweteka mwakumusunga wodwala, komanso osalandira mankhwala othandiza kwambiri.
Mawu Ochokera
Monga tafotokozera kale, palibe amene adatha kuwonetsa bwino phindu la ntchito ya CPM potsatira maondo kapena opaleshoni ya ACL . Monga momwe maphunzirowa akusonyezera momveka bwino, odwala akhoza kukhala ofanana mkati mwa masabata asanu ndi limodzi a opaleshoni mosagwiritsa ntchito CPM. Madokotala ena opaleshoni amalimbikitsa kuti asagwiritsidwe ntchito ndi CPM ndikulimbikitsa odwala kuti agwire ntchito yothandizira kuti ayambe kukwera.
> Zotsatira:
> Chaudhry H, Bhandari M. "Cochrane ku CORR: Kupitirizabe Kuthamangitsidwa Kwambiri Kuchuluka kwa Kanyameni Arthroplasty kwa Anthu Odwala Arthritis (Kukambirana)" Clin Orthop Relat Res. 2015 Nov; 473 (11): 3348-54.
> Mistry JB, Elmallah RD, Bhave A, Chughtai M, Cherian JJ, McGinn T, Harwin SF, Mont MA. "Malangizo Othandizira Pambuyo pa Mtundu Wonse wa Arthroplasty: Kubwereza" J Knee Surg. 2016 Apr; 29 (3): 201-17.