Zimene Muyenera Kuyembekezera Sabata Lamlungu
Ngati muli ndi nyamakazi yambiri pamabondo anu kapena mawondo anu, mungapindule ndi chithandizo chamankhwala kuti muwathandize kupititsa patsogolo bondo lanu (ROM) ndi mphamvu. Nthawi zina kupweteka, kuyenda kochepa, ndi kuwonongeka kwa mgwirizano ndi koopsa kwambiri, ndipo opaleshoni ndi yofunikira kuti mubweretse ntchito yabwino ya bondo lanu.
Kuchita opaleshoni ya mawondo (TKR) kumachitika makamaka pamene nyamakazi yambiri imayambitsa kupweteka kwa bondo, kuyenda kochepa, ndi vuto lalikulu poyenda.
Ngati mwakhala ndi TKR kapena mukuyembekeza kukhala nawo, mungapindule ndi chithandizo chamankhwala mutatha opaleshoni kuti muthe kuyambiranso kuyenda kwanu.
Pulogalamu yoyendetsa bondo ndi njira yowonjezera imene dokotala wanu ndi wodwalayo angatsatire kuti muwone kuti mukupita patsogolo pakuchita opaleshoni yanu. TKR protocol imakupatsani inu ndi wodwala wanu chikhazikitso chomwe mungamange pulogalamu yanu yobwezeretsa.
Ngati mukuyembekezera kukhala ndi opaleshoni ya TKR, funsani dokotala wanu ngati ali ndi ndondomeko yapadera yomwe muyenera kutsatira. Ngati sichoncho, wodwalayo angakhale ndi zomwe zingakuthandizeni kumvetsetsa zomwe muyenera kuyembekezera mukamaliza opaleshoni yanu ya TKR.
Tsiku lakutsegula 1-2
Mukadzuka pambuyo pa opaleshoni yanu ya TKR, bondo lanu likhoza kukhala pa chipangizo chotchedwa makina opitiliza kuyenda (CPM) . Makinawa amathandiza kuti mwapang'onopang'ono ndi kupindika pang'onopang'ono ndikuweramitsa bondo pamene mukugona pabedi.
Pali makonzedwe pamakina awa kuti musinthe kuchuluka kwa kayendetsedwe kamene kamapezeka pamagolo anu. Dokotala wanu ndi wodwalayo angagwire ntchito ndi inu kuti atsimikizire kuti makina a CPM akhazikitsidwa bwino.
Pa tsiku lanu loyamba mutatha opaleshoni yanu ya TKR, mukhoza kupita kukawona chipatala kuchipatala . Iye adzakuthandizani kukhala pa kama, kudzuka pabedi, ndi kuyamba kuyenda.
Kawirikawiri, woyenda wamba kapena woyendetsa galimoto akugwiritsidwa ntchito atatha opaleshoni kuti athandize kupereka thandizo lina pamene mukuyenda.
Kuthandizira kwanu mwakachetechete wodwala akukuphunzitsani kuti muzichita masewero a bondo mukakhala kuchipatala. Zochita izi zapangidwa kuti zithandize kusintha ROM yanu ndi bondo lanu ndipo zingakuthandizeni kusunga makutu anu ndi mchiuno kuti musamapite kuyenda mosavuta. Zochita zosavuta monga kupopera mitsempha yanu ndi kufinya matako anu kumatha kuteteza magazi kuti asamangidwe m'thupi lanu. Izi ndi zofunika kuti tipewe matenda aakulu otchedwa deep vein thrombosis (DVT).
Cholinga chanu chachikulu kuchipatala mutatha TKR ndikukhala odziimira paokha ndikuyenda bwino kuti mutuluke kuchipatala ndikupita kwanu. Izi zimaphatikizapo kusuntha pabedi, kutuluka pabedi, ndi kuyenda. Ngati muli ndi masitepe m'nyumba mwanu, nkofunika kuti mukwanitse kuyenda masitepe awo, ndipo PT yanu kuchipatala ingakuthandizeni kuti muyambe ntchitoyi.
Mlungu Womaliza Op. 1-2
Pambuyo masiku awiri kapena atatu kuchipatala, muyenera kukhala ndi machitidwe abwino komanso mukhoza kumasulidwa kunyumba kwanu. Inde, ngati mukufunabe namwino wosamalira namwino kapena kukonzanso mwamphamvu, mukhoza kusamukira ku malo osungirako ntchito.
Kumeneko mudzatha kuganizira kwambiri za kuyendayenda ndi mphamvu kuti mupititse patsogolo ntchito yanu kuti mupite kwanu.
Kukonzekera kwapadera kumakhala pafupifupi masabata 1 mpaka 2, ndipo tsiku lofanana limaphatikizapo magawo awiri a mankhwala. P PT yanu idzapitirizabe kugwira ntchito yowonjezera mphamvu yanu ya bondo ndi ROM, ndipo mukhoza kupitiriza ndi makina a CPM ngati adokotala akuwona kuti ndi kofunikira.
Ngati mutatumizidwa kunyumba kuchokera ku chipatala, mungasankhe kukhala ndi chithandizo chapakhomo pakhomo panu kuti mubwererenso. Izi kawirikawiri zimasungidwa kwa anthu omwe angakhale ndi nthawi yovuta kupita kuchipatala chapachipatala.
Cholinga chachikulu cha mankhwala opatsirana ndipakhomo ndi kupititsa patsogolo kutetezeka kwanu koyenda kwanu. Mudzapitirizabe kugwira ntchito pa ROM ndi mphamvu. Kuyenda mogwira ntchito monga kuyenda ndi kukwerera masitepe kungakhale mbali ya mankhwala apakhomo pambuyo pa TKR.
Pamene mankhwala anu amachiritsidwa, wodwalayo angayambe kupanga minofu yofewa ndi kuwalimbikitsa kuti apititse patsogolo kutsika kwanu. Izi zingathandize khungu ndi zida zina kuzungulira bondo kuyenda bwino komanso mochuluka.
Ngati mutha kupita kuchipatala, mukhoza kuyamba mankhwala opatsirana. Pano, wodwala wanu wodwalayo adzapitiriza kugwira ntchito kuti apindule bondo lanu ROM, ndipo mukuyembekeza kuti mutha kugwada mpaka 90˚ angakhale kutha kwa sabata 2.
Mlungu Womaliza OP 3-6
Pakadutsa sabata lachitatu mutatha opaleshoni yanu ya TKR, muyenera kugwira ntchito kuchipatala chapakati. Zochita zambiri zachiwawa za ROM zingayambe, ndipo kuyendayenda kwa bondo kukuyenera kupita patsogolo pang'onopang'ono kufika pafupifupi 100-105˚ kumapeto kwa sabata 6.
Anthu ambiri amapindula chifukwa chokwera njinga pambuyo pa opaleshoni ya TKR . Wodwala wanu wamthupi adzakuthandizani kupeza kutalika kwa mpando kwa mpando wanu. Musadabwe ngati simungathe kuyenda ponseponse pamene mukuyamba pa njinga. Pang'onopang'ono gwiritsani ntchito kutsogolo ndi kumbuyo, ndipo monga momwe ROM yanu ikulimbitsira muyenera kuyendetsa njinga.
Pamafunika kupitiriza kuyang'anitsitsa zolimbitsa thupi pambuyo pa opaleshoni yanu ya TKR, ndipo PT yanu idzaphunzitsani inu kuchita zolimbitsa thupi kuti musinthe mphamvu za quadriceps, hamstrings, ndi minofu ya m'chiuno. Kuwonjezeka kwa zovuta zozizwitsa zowongoka mwendo zingakhoze kuwonjezeka mwa kuwonjezera zolemera zolemera ku mwendo wanu wa pansi kapena mchira.
Wothandizira wanu wanyama angakonde kugwiritsa ntchito mphamvu zamagetsi (NMES) kuti athandizidwe kuti musinthe ma quadriceps anu. Mankhwalawa amathandizira kugwirizanitsa minofu yanu ya quadriceps kwa inu ndikuwongolera luso lanu logwirizanitsa minofu imeneyi nokha.
Pa nthawi ya masabata atatu mpaka asanu ndi limodzi (6) pakapita nthawi, wolemba thupi wanu adzakuthandizani kukonza luso lanu lakuyenda. Iye akhoza kukuthandizani kuti mupite patsogolo pogwiritsa ntchito woyendayenda pogwiritsa ntchito zikhomo za Lofstrand, ndipo potsiriza, pogwiritsa ntchito ndodo. Kumapeto kwa sabata 6, mukhoza ngakhale kuyenda popanda chipangizo chothandizira.
Panthawiyi, wodwala wanu wodwalayo angapitirize kugwiritsa ntchito ayezi kuti athetse ululu ndi kutupa komwe kuli pakhoma lanu. Nthawi zina kutupa kumapitirira masabata ambiri pambuyo pa opaleshoni ya TKR.
Mlungu Womaliza OP 7-8
M'masabata awiri omalizira a kukhazikitsidwa kwanu kwapadera kwa TKR, muyenera kumagwira ntchito ndi wothandizira wanu kuti mupititse patsogolo kuyenda kwanu. Zochita ziyenera kupitiriza kuganizira za kupeza mphamvu mu minofu kuzungulira bondo ndi mwendo.
Zochita zolimbitsa mtsogolo zambiri zingapite patsogolo, ndipo kugwiritsa ntchito BAPS bolodi kungaphatikizidwe mu mankhwala anu kuti muwonjezere kuchuluka kwanu ndi kulandira ulemu .
Panthawiyi, muyenera kuyesetsa kuyenda bwino mwachidwi popanda chipangizo chothandizira, ndipo ululu wanu uyenera kuyang'aniridwa.
Pamene mukuyandikira mapeto a kukonzanso kwanu kwa TKR, muyenera kukambirana ndi zotsatira za PT kuti mupitirize kuchita masewera olimbitsa thupi. Kukhala ndi malo ogwiritsira ntchito zolimbitsa thupi ndi njinga zamakono ndi zipangizo zophunzitsira zolemera ndi njira yabwino kukuthandizani kuti mukhalebe ndi kuyenda ndi mphamvu pambuyo pa opaleshoni ya TKR.
Kumbukirani kuti munthu aliyense ndi wosiyana, ndipo zinthu zambiri zimathandiza kudziwa zotsatira zake pambuyo pa opaleshoni ya TKR. Ngakhale mlungu ndi mlungu protocol imapereka ndondomeko yambiri ya zomwe mungayembekezere mutatha opaleshoni, njira yanu yapadera kudzera mu protocol ikhoza kukhala mofulumira kapena pang'onopang'ono. Onetsetsani kuti muzigwira ntchito limodzi ndi dokotala wanu komanso wodwalayo kuti muwonetsetse kuti kukonzanso kwanu kwa TKR kuli bwino.
> Chitsime:
> Stevens- > Lapslet >, JE, Balter, JE, et al. "Kumayambiriro koyambirira kwa magetsi omwe amachititsa kuti thupi likhale lolimba Pambuyo pa Total Knee Arthroplasty: Kuyesedwa Kwambiri" PHYS THER. 2012; 92: 210-226.