6 Nhema dzeKnee Replacement Surgery

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Nhema: Unofanira Kupa Ropa Musati Uvhiyiwa

Knee replacement chirurgical chirwere ndechimwe chezvokuvhiya zvakajairika zvakaitwa nemajoka emapfupa, uye chirwere chinowanikwa chechirwere chinopfurikidza chemabvi akabatanidzwa . Kana waita chisarudzo chekuenderera mberi nemabvi panzvimbo yako, hapana mubvunzo uchanzwa kubva kune shamwari neshamwari nezvehupenyu hwavo nekuvhiya uku. Apo patinodzidza zvakawanda pamusoro pekuvandudza mhinduro uye kuwedzera kuchengetedzwa nekuvhiya uku, kune zvimwe zvingashandurwa pamusoro pekugadzirisa kwebvi panzvimbo.

Shamwari yakave nemabvi panzvimbo yemakore makumi maviri akapfuura ingave yakave nehupenyu hwakasiyana naizvozvo iwe ungadai uine nhasi. Pano tinodzokorora dzimwe dzenhema dzekuchinja panzvimbo, uye izvo zvatadzidza kwenguva. Ndinogona kukuvimbisai, kuti zvinyorwa zvicharamba zvichichinja, uye kushandiswa kwemabvi kunotsiviwa kuchaonekwa zvakasiyana makore makumi maviri kubva ikozvino. Zvisinei, izvi ndezvimwe zvezvishandiso zvakaitwa uye nei tisisisiri kuita shanduro yemabvi zvakafanana neyekare.

Izvi hazvirevi kuti vanachiremba makumi mashoma apfuura apfuura zvose zvakashata. Muzvokwadi, zvinoshamisika kuti mishanduro yekare yemabvi yakashandurwa sei, uye inoshamisa kuti yakaita sei semasvikiro emazuva ano. Kunyange zvazvo maitiro ekuvhiya uye zvirongwa zvekugadzirisa zvinhu zvakanatswa, zvizhinji zvebasa rekuita shanduro yemabvi rinoratidzika zvakafanana nemakore nemakumi emakore akapfuura. Pakave nekugadziridzwa, uye apa ndipo pane dzimwe dzenhema idzi dzinouya kuzoita. Dzidza pamusoro pezvimwe zvekuchinja kune mazano akamboitika mumakumi mashoma emakore apfuura.

Chokutanga kuchinja mumabvi kunzvimbo ndechokuti varwere vanowanzopa ropa ravo pachavo vasati vavhiyiwa . Yakave iyo iyo iyo yaive yakajairika kuti vanhu vape imwe yero kana maviri mauropa eropa kuitira kuti ropa risvike riwanike kana zvichidiwa mushure mekuvhiyiwa. Chikonzero icho ichi chakanga chakanakidza ndechekuti kune ngozi yakawanda yehutachiona hwekutapurika (zvakadai seHIV kana hepatitis) nekushandisa ropa rako pachako.

Muzvokwadi, njodzi yekutapurika kwezvirwere yakanyanya kuduku, uye mungozi wekusvibiswa kwezvigadzirwa zveropa zvinogona kunge zvakanyanya pakupa ropa rako pachako. Uyezve, chirongwa chekupa ropa chinokonzera kuderera kukuru muropa, zvichiita kuti vanhu vawedzere kushaya ropa. Nokuda kweizvi, havasi ivo bedzi avo vanopa ropa ravo pachavo mukana mukuru kwazvo wekuda ropa ravo ravakadzorerwa zvakare, ivo chaizvoizvo vane ngozi yakanyanya yekuda kuwedzererwa ropa. Muzvizhinji, hazvikurudzirwi kugovera ropa rako pachako kusati kwaitwa kuvhembera.

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Nhema: Kuderera Kuperevedza Sezvakareba Sezvazviri

Nhema yechipiri ndiyo pfungwa yokuti kuvhiyiwa kunofanira kunonoka kwenguva yakareba sezvinobvira. Kunyange zvazvo kune zvinetso zvingangodaro nekuvhiya kune mumwe munhu muduku kana kuti asina kunyanya kukwira arthritis, hapanawo chikonzero chekurumidza kunonoka kusvika panguva iyo mabasa ezuva nezuva anowanzooma kana kuti asingakwanisi.

Kuziva nguva yekugadziriswa kwegumbo kunobvunza mubvunzo wakaoma kune vose varwere uye vanachiremba vachiedza kusvika kune zvakanakisisa mhinduro. Munhu wose ane maonero akasiyana ekurwadziwa nekuremara, uye kugadziridzwa kwemabvi kungave kurapwa kunogona kubatsira vamwe zvinoshamisa, asi zvingasava zvinobatsira kune vamwe. Mamwe mashoko ari kuunganidzwa kuti asarudze kuti inganakire sei kurayira varwere pavanenge vachienderera mberi nekurapwa kwechirwere chemafu arthritis.

Izvo zvakati, pane kuora kwekucheteredza kubvira kwegabhu kwenguva refu. Chimwe chezvinhu zvinonyanya kukosha zvekushanda nekufamba kwebvi rinotsiviwa ndiyo basa nekufamba kwemabvi asati avhiyiwa. Vanhu vane mitsipa yakaoma kwazvo, vasina simba vasati vavhiyiwa hazviitike kuti vadzore zvakanyanya sekushanda kana kumira sevanhu vane magetsi akasimba uye akachinja.

Panewo kunetseka kuti sezvo vanhu vari kuwedzera zviratidzo zveArthritis muzvibatanidzo zvavo, vangave vanyanyisa. Izvi zvinogona kutungamirira kuhomwe yehutano uye dzimwe nhau dzezvehutano dzinosanganisira kushaya masimba kushivirira, chirwere cheshuga, nezvimwe zvinonetsa. Kusabvumira muviri kuve wakagadziriswa kunogona kubatsira kuvandudza migumisiro kubva pakuberekwa kwebvi kunoshandiswa.

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Nhema: Kuvhiya Kwishoma Kunobatsira Kunobatsira (kana Kuipisisa)

Ichi ndechekukakavadzana, nokuti hapana munhu anogona kukuudza zvarinoreva, asi rega ndive tsanangudzo: Hapasati yambove nechibvumirano pane chinotsanangura " minimally invasive knee replacement ." Ndakaona vamwe vanachiremba vanoparidza izvi avo vanoita sevanoita zvakasununguka mabvi panzvimbo yavo. Kusiyana naizvozvo, ndakaona vanachiremba vanovhiya vasingatauri zvirevo zvakadaro zvisingatauri, asi vane zvibereko zvakakosha kubva pakuberekwa nevana vashoma, vasina-invasive chirongwa.

Pfungwa ndeyekuti, ani zvake anogona kutaura kuti izvo zvavanoita zvinowanzosvibisa. Zvisinei, izvozvo hazvirevi kuti zvakawanda zviri mukati uye pachazvo. Vose vanobatanidza vashandi vanovhiya vanoedza kuisa tsime rinoshanda nekugadzirisa nechinguva chiduku chisingadikanwi chekunyangadza kwechigunwe uye kuputika sezvinobvira. Kune dzimwe nzira dzakarongerwa kuti dzinogona kugadzirisa chikamu chekuvaraidza kwemavara, asi pane zvishoma kubvumirana pamusoro pehuwandu hwezvinhu izvi.

Ichokwadi ndeyekuti, chinonyanya kukosha chekugadzirisa mabvi hakusi ukuru hwechivara asi hutano hwekuvhiyiwa. Ini zvechokwadi ndinonzwa chinhu chinonyanya kukosha ndekutsvaga chiremba wechiremba ane ruzivo , ane nhoroondo yemigumisiro yakaisvonaka. Kana uine mibvunzo pamusoro pehutano hwavo hwekuvhiya, zvinonzwisisika kubvunza, asi ndinokuraira kuti ani zvake angati maitiro avo haasviki. Izvozvo zvingasareva zvakanyanya.

Hapana chibvumirano chakajeka chokuti kuita basa rekugadzirisa mabvi kuburikidza nenzira ipi zvayo isingakonzerwi inokonzera mitsva yakareba kwenguva yakareba, asi kune zvakawanda zvitsvakurudzo zvinotsigira pfungwa yokuti kuva nemafambiro akakodzera uye akaenzaniswa kushandiswa kwegondo kunokosha kumugumisiro wakabudirira. Chinhu chakakosha-hachisi chibayiro chekuvhiya kwechikafu chiduku!

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Nhema: Kuenda kuInpatient Rehab Kunoreva Kurapa Kurapa

Mumakore ekutanga okugadzirisa mabvi, vanhu vaiuya muchipatara musi iwoyo vasati vambovhiyiwa. Mushure mekuvhiyiwa, vangave vapedza vhiki kana kwenguva yakareba muchipatara, vasati vaendeswa kunzvimbo yekuchengetedza kwepamusoro (centre rehabhi kana imba yekuchengetedza vakwegura) nzvimbo yekuwedzera kupora. Ini, nguva dzakashanduka sei!

Mazuva ano, vamwe vanachiremba vanoedza kurapwa kwemajeri, apo vanhu vanodzokera kumusha musi iwoyo zuva rimwechete nekuvhiya kwavo. Izvi hazvisi izvo zvinowanzoitika, asi varwere vazhinji vari kudzokera kumusha mukati memazuva mashomanana ekuvhiyiwa, uye kushandiswa kwekugadziriswa kwekuchengetedza kwakanyanya kuri kupera. Izvo zvikamu zvevanhu vanodzokera kumusha mushure mekuvhiyiwa zvakabva kune 15 kubva muzana kusvika kuma1900 kusvika kune makumi mashanu kubva muzana zvino.

Kune zvikonzero zvakasiyana siyana nei kuenda kumusha kungava nani, pakati pavo sezvo vanhu vanodzokera kumba vanoita sevasina matambudziko. Chidzidzo che 2016, icho chakaongorora zvimwe zvinhu zvinogona kushandiswa kufanotaura kuti varwere vangangodaro vazodzorerwa kuchipatara mushure mokunge vakadzokera kugabhu, vakawana kuti kusununguka kune imwe nzvimbo yevasana repatient rehabiti yakaita izvi zvakanyanya.

Vanachiremba vazhinji vanovhima vanosarudza musha uye varwere vemahara, uye havanyanyi kunetseka nezvehutano hwehutano hwehutano hwakanaka hunogona kuitika muzvipatara, misha yevanamukoti, uye zvivako zvekugara. Mukuwedzera, mari yekutarisira murwere achidzoka kumba haisi zvishoma, saka kune huwandu hwehupfumi hwekuedza kuendesa varwere pamba panzvimbo pane kune varwere vasiripo.

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Nhema: Bending Machines Speed ​​Recovery

Kwemakore anopfuura gumi, kunyanya muma 1990, kushandiswa kwemichina inonzi CPM, kana kuti kufamba kwakasimba kusingaperi, kwakakurumbira. Iyi mishonga yakaiswa mumubhedha wemurwere akanga ane gumbo rinotevera, uye paakanga akarara pamubhedha, zvishoma nezvishoma zvakakotamisa bvi kumusoro uye pasi.

Izvi zvinoita kuti tinyatsonzwisisa; chimwe chezvinetso zvakakosha zvemabvi pakugadzirisa kugadziriswa ndiko kugadziriswa kwekufambisa kwemavi. Kutungamira kwekutanga ndiyo inonyanya kukosha nzira yekuita kuti hupenyu huvepo. Nokuisa varwere muCMM, tariro yaiva yekuita kuti kusvetuka kunotanga pane chimwe chezvinhu zvakaoma zvikuru zvekugara.

Ichokwadi, pane zviitiko zvekutanga zvakakurudzira. Nhoroondo yacho yakaratidza kuti mumazuva uye mavhiki ekutanga mushure mekuvhiyiwa kwebvi, vanhu vakashandisa iyo purogiramu yeCMM vakagadzirisa zvishoma zvishoma. Zvisinei, mukati memavhiki mana ekuvhiya, pakanga pasina kuenzana kwepakati pakati pevanhu vakashandisa mushonga weCPM nevaya vasina. Uyezve, zvimwe zviyero zvekudzikinura kunze kwekufamba kwemafambiro zvaiita sezviri kuratidza kuti avo vakashandisa CPM vakasiya shure.

Ichokwadi ndechokuti deta inoratidza zvakajeka kuti kune rimwe gumbo rinotsiviwa, izvi hazvina basa. Kutaura zvazviri, vangaita zvishoma nezvishoma kuburikidza nekuderedza nhamba yevanhu nguva chaiyo vanosimuka uye vachibva pamubhedha, chimwe chinhu chinonyanya kukosha chepakati pekutanga rehab kubva pamabvi panzvimbo.

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Nhema: Kwete Fly 3 Mwedzi

Chimwe chezvinhu zvinonyanya kukosha pakuvandudza migumisiro yebvi rinoshandiswa pakuvhiyiwa ndiko kudzivisa zvinetso zvinosanganiswa neyiyi nzira. Imwe yezvinetso izvo vanhu vakawanda vane hanya nazvo ndeyekuvhara ropa . Kune mishonga yakawanda uye matanho anotorwa kunodzivirira ropa clot.

Uyezve, vanachiremba vanoedza kuedza zvimwe zvinhu zvinogona kuwedzera mukana weropa. Chimwe chezvinhu izvi zvinokonzerwa nekufamba kwemhepo. Zvinonyatsozivikanwa kuti kufamba kwenguva refu kwemhepo kunogona kuwedzera mukana wekuvhara ropa. Nokuda kwechikonzero ichi, vanachiremba vazhinji vanorayira kurwisa chero kufamba kwemhepo kwemwedzi mitatu (kana dzimwe nguva kwenguva refu) mushure mekuvhiyiwa.

Ichokwadi ndechokuti zvidzidzo hazvina kuwana mhepo yekufamba, kunyanya mumakwikwi maduku (pasi pemaminitsi mana), kuwedzera mukana wekuvhara ropa mune vanhu vachangobva kugadzirisa mabvi. Ichokwadi, chimwe chidzidzo chichiongorora varwere vakanga vatiza kumba kubva pakuvhiyiwa (mukati memazuva maitiro avo), pakanga pasina misiyano mukana weropa clot.

Vanyori vekuongorora uku vanoramba vachirumbidza zvose zvinowanzochengeteka ( mishonga kunopa ropa shoma , kutanga uye kuwedzerwa kuwedzera, kusungirirwa masokisi), pamwe nekudzivirira nguva yezvikepe, asi havana kuwana kuti kubhururuka kunofanira kudziviswa zvachose. Mukuwedzera, pangave nezvimwe zvikonzero zvinoita kuti pave nehuwandu hwekuvhara ropa, naizvozvo musati mafunga nezvekufamba kwemafirimu mushure mekugadziriswa kwegabhu, munofanira kufungisisa izvi nechiremba wenyu. Zvisinei, vanachiremba vazhinji vari kuwedzera kuve nehanya nemazano avo vachidzivirira kufamba kwemafirimu mushure mokuvhiyiwa.

> Sources:

> Bierbaum BE, Callaghan JJ, Galante JO, Rubash HE, Tooms RE, Welch RB: Kuongororwa kwekutonga ropa mune varwere vane hip kana knee arthroplasty. J Bone Joint Surg I Am 1999; 81 (1): 2-10.

> Fortin PR, "Nguva yekubatanidza kushandiswa kunobata zvipatara zvechipatara pakati pevarwere vane osteoarthritis yehudyu kana mabvi." Arthritis Rheum. 2002 Dec; 46 (12): 3327-30.

> Varacallo MA, Herzog L, Toossi N, Johanson NA. "Zvigumi zveMakore-Matongerwo uye Zviitiko Zvokuzvipira Zvokuda Kuzvimiririra Pakusarudza Kusarudza Total Joint Arthroplasty paGreat Urban Academic Hospital" J Arthroplasty. 2017 Jun; 32 (6): 1739-1746. Epub 2016 Dec 27.

> Watson HG, Baglin TP. Nhungamiro pamusoro pekufamba-famba kunokonzera kutapukisa. Br J Haematol 2011; 152 (1): 31-34. Epub 2010 Nov 18.