Phunzirani Mmene Mungapangire Knee Replacement
Kuchita opaleshoni ya mawondo kumachitika ngati mankhwala a nyamakazi ya bondo. Kuchita opaleshoni kuli ndi zolinga zingapo, komabe cholinga chake ndi kupereka mawondo ogwira ntchito, opanda ululu. Kuti bondo liziyenda bwino, dokotala wanu adzaonetsetsa kuti zolinga izi zidzakwaniritsidwa:
- Bweretsani kulumikizana kwabwino kwa mgwirizano
- Onetsetsani bondo lokhazikika lomwe limayenda bwino
Ngati bondo silinagwirizane, ngati mgwirizano uli wolimba kapena wosakhazikika, ntchitoyo ikhoza kukhala vuto. Choncho ndikofunikira kumamatira ku njira yotsimikiziridwa yomwe ingathe kutsogolera m'malo abwino, ogwiritsira ntchito mawondo.
Mukapeza kuti matenda a nyamakazi amawopsa , muyenera kusankha ndi dokotala wanu njira yabwino yothandizira. Pali zizindikiro zowonjezera kuti muwone ngati nthawi ikuyenera kuti bondo ligwirirenso . Ngati mankhwala ophweka amalephera kuthandiza, ndiye kuti mawondo onse amatha kukhala oyenera.
Kukonzekera Opaleshoni
Ngakhale kuti anthu ambiri amadera nkhawa za tsiku la opaleshoni , nkofunika kutenga njira zowonetsera opaleshoni ya mawondo . Njira izi zikuphatikizapo kuonetsetsa kuti thupi lanu liri ndi thanzi labwino, komanso kuonetsetsa kuti nyumba yanu yakonzeka kuti mupeze. Anthu omwe amachira mofulumira komanso abwino kwambiri amakhala ngati anthu omwe akukonzekera bwino opaleshoni komanso opaleshoni yopita kuchipatala.
Kusankha Anesthetic
Mudzafotokozera zosankha zabwino ndi anesthesiologist. Mtundu wa anesthesia umene mumasankha sudzapangitsa mphamvu ya dokotala kuti athetse bondo. Kuchita opaleshoni ikhoza kuchitidwa ndi anesthesia ambiri , epidural kapena anesthesia wamtsempha , kapena chigawo cha mitsempha .
Ubwino wa zovuta ndi zochitika za m'deralo ndizokuti mankhwala opweteka amatha kuperekedwa ndi njira izi panthawi yomwe amagwira ntchito.
Kuchotsa Powonongeka Kwambiri
Pamene mawondo amawomboledwa, mafupa ndi khunyu kumapeto kwa fupa lafupa (femur) ndi pamwamba pa fupa la fupa (tibia) achotsedwa. Izi zimagwiritsidwa ntchito pogwiritsa ntchito zida zenizeni kuti apange malo enieni kuti agwire ntchitoyi.
Kugwiritsidwa ntchito opaleshoni yokha kumatenga pafupifupi mphindi 60 mpaka 90, koma nthawi yomwe amagwiritsira ntchito ingakhale yaitali. Mukutsalira ndi incision 6 mpaka 8-inch kutsogolo kwa bondo.
Kusankha Kukhazikitsa Kwabwino
Kuyika kwachindunji komwe kumagwiritsidwa ntchito m'malo mwa mawondo kumadalira zinthu zomwe zikuphatikizapo msinkhu wanu, chiwerengero chanu cha ntchito, chisamaliro cha opaleshoni yanu, ndi kusiyana kwa anatomic komwe mungakhale nako. Kusankha bwino bondo m'malo mmalo kuli kovuta. Makampani ambiri tsopano akugulitsa ma implants a mawondo mwachindunji kwa odwala; mungamve malonda a mawondo osinthasintha, mawondo azimayi akusintha , kapena mawonekedwe a mawondo apamwamba .
Kukhazikitsa Knee Prosthesis
Pali njira ziwiri zogwiritsira ntchito mawondo mmalo mwa fupa :
- Cemented Knee Replacements
Mabwinja omwe amagwiritsidwa ntchito kwambiri amagwiritsidwa ntchito m'mafupa. Zimangidwe zowonjezereka zimagwira mwamphamvu mwamphamvu ndipo zimangokhala mosasunthika mumphongo.
- Dinani-Fit Knee Replacements
Makina opangidwira amapangidwa ndi malo ovuta kwambiri omwe mafupa amatha kukula. Patapita nthawi, fupa loyandikana limakula mpaka kumangoyamba kuigwira mwamphamvu.
Kupezanso Opaleshoni
Mutangotenga opaleshoni ya mawondo, mwadzipereka nokha ntchito pang'ono! Kugwiritsidwa ntchito opaleshoni kumapindula, koma kupambana kwa ndondomekoyi kumachitika, mbali ina, ku chikonzedwe chomwe chikutsata opaleshoni ya mawondo. Kwa odwala kuyembekezera zotsatira zabwino kuchokera ku opaleshoni ya mawondo , iwo ayenera kukhala ochita nawo ntchito mobwerezabwereza!
Down the Road
Mitambo yowonjezera yokhoza imatha kutaya nthawi.
Kupangidwa kwake kumapangidwa ndi zitsulo ndi pulasitiki, ndipo pamene izi zimapangidwa kuti zikhale zaka zambiri, zonsezi zidzatha. Kafukufuku akhala akuwonetseratu mapiritsi atsopano a mawondo akugwira bwino 90% mpaka 95% odwala zaka 10 mpaka 15 pambuyo pa opaleshoni.
Zotsatira:
"Msonkhano wa NIH Consensus Development pa Total Knee Replacement" National Institute of Health, Consensus Development Statement, December 8-10, 2003.
Bungwe la Health Research Research ndi Quality; Umboni Wopereka / Kuunika kwa Zipangizo Zamakono No. 86, "Total Knee Replacement" (AHRQ Publication No. 04-E006-2).