N'chifukwa Chiyani Kanyumba Kanu Kamapwetekabe?
Kugwiritsa ntchito malo opatsirana ndi ena mwa njira zambiri zomwe zimachitidwa opaleshoni. Kugwiritsira ntchito mawondo kumachitika pamene mawondo a bondo atha, nthawi zambiri chifukwa cha nyamakazi yovala ndi yowona . Pamene opaleshoni ya mawondo amachitidwa, katemera wotayidwa amachotsedwa ndipo mapeto a fupa amawonekedwe. Pamphepete mwa fupa, chitsulo chimakhala choyenera, ndipo pulasitiki 'spacer' imayikidwa pakati pa zipangizo zachitsulo.
Njira yokonzansoyi ikuchitidwa pofuna kulola kuyenda kosalala, zopanda ululu.
Pamene mawondo amawomboledwa ndipo kubwezeretsedwa kwatsirizika, odwala oposa 90% adzayesa zotsatira zake zabwino kapena zabwino. Komabe, sikuti aliyense ali ndi bondo lopweteka pambuyo pake. Ngakhale chisangalalo chitatha opaleshoniyi ndibwino, sikuti aliyense amawona zotsatira zake kuti zikhale bwino.
Pafupifupi odwala 10 pa 100 alionse sangaganize kuti opaleshoni yawo ikupambana. Zina mwa mavuto a mawondo a mawondo ndi owonekera. Odwala omwe ali ndi matenda m'malo mwawo kapena omwe amathyola mafupa m'malo mwawo amayembekezeredwa kukhala ndi zotsatira zochepa. Komabe, chifukwa chofala kwambiri anthu amadandaula ndi zotsatira zosavuta si matenda aakulu kapena kupasuka, koma kupweteka kosalekeza kuzungulira mgwirizano wawo watsopano.
Zimayambitsa Zisoni Pambuyo Pamalo Otsika
Chinthu chofunikira kwambiri kupeza njira yothetsera vuto losatha ndikuyamba kudziwa chomwe chimayambitsa ululu.
Popanda kudziwa izi, ndi kovuta kupeza chithandizo choyenera. Zomwe zimayambitsa kupweteka pambuyo pa mawondo ndi awa:
- Kutsegula kapena kuvala kwa kuyika: Izi nthawi zambiri zimayambitsa zaka zopweteka kapena zaka makumi atatu chitatha; Komabe, kawirikawiri sizimayambitsa kupweteka kosalekeza pokhapokha opaleshoni.
- Kutenga: Kutenga ndi nkhawa yaikulu. Kuwonjezeka kulikonse pakapwetekedwa pambuyo pa mawondo kumayenera kukweza nkhawa za matenda. Nthawi zambiri, zizindikiro za matenda ndi zoonekeratu, koma matenda opatsirana angayambitse vuto losatha.
- Mavuto a Patellofemoral (Kneecap): Mavuto a Kneecap ndi omwe amachititsa kuti munthu azivutika kwambiri ndi mawondo. Mphamvu zofunikira zimagwiritsidwa ntchito ku kneecap, ngakhale ndi ntchito zachizolowezi, monga kudzuka pa mpando kapena kuyenda pansi pa masitepe. Kupanga mawondo kuti agwire bwino ntchito m'malo mwake kungakhale kovuta ngakhale kwa dokotala wa opaleshoni.
- Mavuto Ogwirizanitsa: Odwala ambiri amaganizira za mawonekedwe a mawondo omwe amalowetsa m'malo. Koma madokotala ambiri opaleshoni amakuuza iwe kuti mtengowo ndi wochepa kwambiri kusiyana ndi momwe umayikiramo bwino. Kuyika kwabwinoko sikungagwire ntchito bwino, ziribe kanthu mtunduwo. Ochita opaleshoni akufufuzira ngati makina oyendetsa kompyuta angathandize kusintha kayendedwe kake.
Nkhani zina zomwe zingayambitse kupweteka kosaleka kumaphatikizapo bursitis , zovuta zowawa za m'madera am'madera , komanso zowonjezera mitsempha .
Kuwunika Kupweteka Pambuyo Panyumba Kusintha
Dokotala wanu adzachita masitepe angapo kuti aunike momwe mukuvutikira. Gawo loyamba ndikuyankhula ndi inu. Ululu ukhoza kukhala ndi makhalidwe osiyanasiyana, ndipo mtundu wa ululu ukhoza kukuthandizani inu ndi dokotala wanu kumvetsa chifukwa chomwe chimayambitsa.
Mwachitsanzo, kupweteka pamene choyamba kuwuka (kuyamba kutuluka) kumakhala kofala pambuyo pa bondo m'malo mwake koma nthawi zambiri kumatsimikiza pambuyo pa miyezi ingapo. Kupweteka koyambitsa kosalekeza kungakhale chizindikiro cha kumasulidwa kwa mankhwala. Ululu wokwera mmwamba ndikukwera masitepe umapangitsa kuti vuto la kneepap liwonongeke.
Dokotala wanu adzayang'ana bondo. Kuyezetsa thupi kumathandiza kuthandizira matenda , kuuma ndi zofanana. Kuonetsetsa kuti mawonekedwe a mawondo amawoneka bwino. Monga kukhala ndi kayendedwe koyenera m'galimoto yanu, nkofunika kuti mawondo a mawondo akhale oyenera komanso oyenera.
X-rays ndi maphunziro ena amatha kuwunika ndikumasula.
Kutseketsa mwatsatanetsatane sikungasonyeze pa X-ray yowonongeka, ndipo kuthandizira fupa kapena MRI ingachitidwe. Kafukufuku wamaphunziro angasonyeze zizindikiro za matenda obisika.
Kuchiza kwa Kupweteka Kwambiri Kobwereza
Monga tanenera kale, sitepe yofunikira kwambiri ndikumvetsetsa zomwe zimayambitsa kupweteka, popeza kuyesera mwakachetechete kuchiritsa popanda kudziwa chifukwa chake sikungathe kuwatsogolera ku zotsatira zabwino. Nthawi zina, kupweteka kumatha kupatsidwa mankhwala ndi mankhwala. Nthaŵi zina, makamaka ngati kumasulidwa, matenda kapena matenda akugwiritsidwa ntchito, palipanso opaleshoni yotchedwa kubwezeretsa mawondo angakhale yofunikira. Opaleshoni yowonjezeredwa ikhoza kukhala yowonongeka pang'ono kapena ingayesedwe kuchotsa bondo lokhazikika ndikuyamba. Nthawi zina chisankho chotsata pambuyo pa bondo ndi chofunika, pomwe nthawi zina, kupereka mawondo atsopano nthawi yowonongeka kungakhale koyenera. Dokotala wanu angakuthandizeni kukutsogolerani pa chithandizo choyenera kwambiri chifukwa cha ululu wanu. Pali zochepa zochitika, kumene chitsimikizo cha ululu sichitha kudziwika. Muzochitika izi, chithandizo nthawi zonse sichikuyenda bwino, monga kuchita kubwezeretsa bondo popanda kudziwa chifukwa chake bondo silikugwira bwino ntchito, silingathe kuwongolera.
Mawu Ochokera
Kupweteka chifukwa cha mawondo kumakhala kovuta kwambiri kwa odwala ambiri. Ngakhale kuti opaleshoni yambiri ya mawondo amachititsa kuti munthu asamve ululu, pali anthu ena omwe sapeza mpumulo, ndipo nthawi zina ululu ukhoza kukhala woipitsitsa kuposa momwe unkachitira opaleshoni. Ngakhale kuti zochitikazi si zachilendo, zimakhala zokhumudwitsa kwambiri kuti wodwalayo apeze vutoli. Kuyendetsa bwino, kachiwiri, ndi kupititsa patsogolo kwa mankhwala kungathandize anthu omwe ali ndi ululu pambuyo pa mawondo akudalira kuti amapeza mpumulo ku mavuto ake. Ndikofunika kuti anthu awa ayambe kulandira chithandizo mwamsanga, kuthetsa ululu umenewu kumatenga nthawi.
Zotsatira:
Gonzalez MH ndi Mekhail AO. "Yopanda Ntchito Yonse Yophuka Arthroplasty: Kufufuza ndi Etiology" J Am Acad Orthop Surgery November / December 2004; 12: 436-446.