Mankhwala a ankle fusion ndi opaleshoni yomwe amachitidwa pofuna kuchiza matenda a nyamakazi . Pamene ululu wamatumbo umapezeka chifukwa cha nyamakazi, ndipo mankhwala osapereka sapereka chithandizo chokwanira, opaleshoni ingaganizidwe. Zosankha kwa odwala omwe ali ndi matenda a nyamakazi amachitiranso opaleshoni yam'nsalu komanso opaleshoni ya fusion.
Matenda a nyamakazi ndi achilendo, osachepera poyerekezera ndi nyamakazi yamphongo ndi bondo.
Odwala ambiri omwe ali ndi matenda a nyamakazi amakhala ndi vuto linalake pamtumbo, monga kupweteka kwa mitsempha . Nkhani yabwino ndi yakuti odwala ambiri omwe ali ndi nyamakazi yochepa kapena yapamwamba ya mitsempha akhoza kupeza mpumulo ndi mankhwala osavuta. Komabe, kwa odwala omwe ali ndi matenda aakulu a nyamakazi omwe sanapeze chithandizo ndi njira zosavuta, opaleshoni ya mitsempha ikhoza kusankha.
Otsatira a Ankle Fusion
Kuchita opaleshoni ya ankle ndi njira yabwino kwa odwala omwe ali ndi matenda aakulu a nyamakazi ndipo akhoza kuchitidwa kwa odwala a mibadwo yonse. Poyerekeza ndi opaleshoni ya mitsempha , mawonekedwe a mitsempha amawakonda kwambiri omwe amatha kusinthanitsa ndi bondo .
Kuchita opaleshoni ya ankle si njira yabwino yothandizira odwala omwe angathe kusamalira matenda awo mosavuta, osati opaleshoni: Odwala omwe ali ndi ubweya wazingwe adzakhala ophatikizika , ndipo sangathe kuchita zinthu zina monga kuthamanga.
Kuwonjezera apo, mazira a foseni ayenera kuchitidwa mosamala kwa odwala omwe ali ndi matenda mu mgwirizano, kapena odwala omwe akusuta, pamene odwalawa ali ndi chiopsezo chachikulu chokhala ndi mavuto kuchokera ku opaleshoni.
Momwe Ankle Fusion Akuchitira
Pali njira zamakono zopangira opaleshoni ya minofu, koma njira zonsezi zimakwaniritsa cholinga chomwecho chokhalitsa pakhosi pamagulu kotero kuti sichikhoza kugwedezeka.
Chinthu choyamba ndicho kuchotsa chotsala chilichonse chotsala ndikupanga nsana pamwamba pamtunda ndi pansi pampando; sitepe yotsatira ndikugwirizanitsa mafupa pa malo oyenerera a fusion. Potsirizira pake, zida zachitsulo - kawirikawiri zikuluzikulu zazikulu - zimagwiritsidwa ntchito kuti zigwiritse mafupa pamalo amenewa.
Ndondomekoyi ikhoza kuchitidwa m'njira zosiyanasiyana, malingana ndi zinthu monga kuchuluka kwake kwa mgwirizano, kukula kwa nyamakazi, ndi opaleshoni. Ochita opaleshoni ena amagwiritsira ntchito kachipangizo kameneka kuti asachotse kansalu, pamene ena amachititsa kuti zikhale zazikulu kwambiri ndipo zimayang'ana molumikizana.
N'zochititsa chidwi kuti zipangizo zamatabwa zomwe zimagwiritsidwa ntchito kuti zigwiritse mafupa sizikufunika pokhapokha pokhapokha mafupawa atagwiritsidwa ntchito: chitsulo chimagwiritsidwa ntchito kuti chigwirizanitse panthawi yomwe chisamaliro chimachiritsa, koma pokhapokha fupa likukula kudutsa pamodzi, chitsulo palibe chofunika. Nthaŵi zina, odwala amatha kumva zitsulo zazitsulo, kotero iwo akhoza kuchotsedwa. Koma palibe chifukwa chochotsera zozizwitsa ngati sizikuyambitsa vuto.
Kubwezeretsedwa kwa Ankle Fusion
Kuchita opaleshoni ya ankle nthawi zambiri kumatsatiridwa ndi usiku umodzi wokha m'chipatala kuti zisawonongeke, ndipo wodwalayo ali bwino. Odwala amaikidwa pampando ndipo amachoka pamatumbo atagwiritsidwa ntchito pogwiritsa ntchito ziboda kapena kuyenda .
Izi zimathandiza kuti mafupa atsopano adziritse pansi, ndipo pang'onopang'ono fupa likayamba kuphulika, odwala akhoza kuyamba kuikapo thupi. Kawirikawiri anthu amafunika kuchoka pamatumbo kwa masabata 8-12, motsogozedwa ndi kutetezedwa mu boot kapena kuponyedwa. Kuchiritsidwa kwathunthu kwa fusion fungo kumatenga miyezi 4-6.
Zovuta za Ankle Fusion
Chodetsa nkhaŵa kwambiri pambuyo pa opaleshoni ya minofu ya fusion amatchedwa nonunion , yomwe imapezeka pamene mafupa omwe akugwiritsidwa ntchito samachiritsa pamodzi. Pali zifukwa zomwe zimatsogolere ku nonunion, komabe ngakhale wodwala wabwino, nonunion akhoza kuchitika. Odwala omwe amasuta fodya ali ndi chiwopsezo chachikulu cha osagwirizanako , ndipo ayenera kulingalira mosamala za chiopsezo cha vutoli.
Kusiyiratu kusuta kungakhale kothandiza kuchepetsa mwayi wosagwirizana.
Matenda ena opangidwa ndi opaleshoni ya minofu ndi mawere, matenda ochiritsidwa ndi machiritso, ndi kusintha kwa nyamakazi m'magulu ang'onoang'ono a phazi. Chifukwa chakuti fusion imachepetsa kuyenda , odwala nthawi zambiri amatenga nyamakazi m'magulu a phazi pansi pa msewu. Kuwonjezera pamenepo, odwala amene amapita opaleshoni ya fusion amafunika kuti nsapato zawo zisinthidwe kuti zithandize kuyenda miyoyo yawo yonse.
Kuchokera
Abidi, NA, et al. "Ankle Arthrodesis: Zizindikiro ndi Njira" J. Am. Acad. Ortho. Opaleshoni., May / June 2000; 8: 200 - 209.