A Yokuvhiya Option yeArthritis Patients
Kana kurapa kwakachengeteka kweArthritis kunokundikana kugutsikana kunogadzirisa marwadzo muchechi yakagadziriswa, inogona kuva nguva yekufunga kuvhiyiwa pamwe chete . Asi kutanga: Zvakakosha kudzidza pamusoro pemhando dzakasiyana-siyana dzokuvhiya pamwe chete uye kunzwisisa zvaunogona kuita. Ankle fusion , inozivikanwawo seyeyinle arthrodesis , ndiyo imwe nzira yekuvhiya.
Ankle Fusion Yakatsanangurwa
Mafupa mapfumbamwe anoita chibatanho chechikwata - kumucheto kwezasi kwetibia (shinone), iyo fibula (duku duku regumbo rezasi), uye tarafusi (bone rinopinda mucheki rinoumbwa ne tibia uye fibula).
Itaresi inogara pachitsinho pfupa. Gorotira inopinza inopinza mukati memakumbo emakumbo. Kazhinji, chikafu chinenge chikamu chechina chema inch yakareba. Kana kukakuvara kuchiitika, kana kuti chikafu chinokonzerwa neArthritis, kurwadziwa kunogona kunge kwakanyanya.
Chirwere chepakumbo inzira yekuvhiya iyo inobvisa zvigaro zvekubatana kwechikwama kuitira chinangwa chokusimudzira kufanana pakati petibia ne taresi. "Kukanganiswa" kunoreva mapfupa ari kukura pamwechete. Kukanganiswa hakusi kungoitwa chete pamakumbo, asiwo pane dzimwe nhengo mumuviri zvinorwadza zvikuru.
Kune nzira mbiri dzemaketani emakumbo echikwata, asi chinangwa cheumwe neumwe chakangofanana - kufambidzana nemakumbo emakumbo.
The Open Method
- iyo yakagadziriswa inoitwa kuti izarure ganda uye inopinda mubatanidzwa.
- mubatanidzwa unovhurwa.
- imwe yekuvhiya inoshandiswa kubvisa articular cartilage.
- kana katekete yakasunungurwa ichibviswa, muviri unoporesa nekukanganisa kubatana.
- iyo yakagurwa inofanira kunge yakajeka kuitira kuti mapfupa ave pamakona akakodzera apo paanounganidzwa pamwe chete kuti asvike.
- zvigadzirwa uye dzimwe nguva mahwendefa anoshandiswa kubata mapfupa pamwe chete kusvikira aputira.
- kazhinji zvipfeko kana pinipa zviri pasi peganda uye hazvina kubviswa.
- mune zvimwe zviitiko, chinogadzirisa kunze (pini dziri kunze kweganda) chinogona kushandiswa.
The Arthroscopic Method
Iyi nzira inoshandisa arthroscope . Kuburikidza nekodhi kadiki, arthroscope (iyo ine kanyanyera TV kamera) inopindirwa mumakumbo emakumbo. Kushandisa zvimwe zvishandiso, katetilasi inobviswa kuburikidza nekugadziriswa kwechidiki apo arthroscope inoshandiswa kuongorora kufambira mberi kwegadziriro yacho. Mushure mokunge nzvimbo yacho yakagadzirirwa, zvigadziri zvinowanikwa kuti zvibatane mapfupa pamwe chete kusvikira vapora. Iyi nzira haisi yakasiyana zvikuru nedzimwe nzira yakasununguka kunze kwekuti zviduku zviduku zvinoshandiswa.
Ndiani Anonzi Ankle Fusion?
Varwere vane utachiona hwakaremara hwechikwama kubva kuArthritis kana kuti kukuvara kwakapfuura vanogona kunge vakagadzirirwa kwekwenyusi fusion. Vadzidzi vanowanzova nekurwadziwa kwepachipfuko kusingagumi kunyange mushure mokunge marapwa nemishonga kana mamwe maitiro ekurapa. Kana kurwadziwa kwakaoma zvikuru zvokuti kunopindira nekufamba nekuita mabasa ezuva nezuva, inguva yekukurukurirana kusarudzwa kwechikwama chemafisi nechiremba wemapfupa.
Kubatsirwa uye Njodzi dzeAnkle Fusion
Icho chinangwa chemainzira fusion ndechekugadzirisa marwadzo nekudzorera basa kumakumbo akabatwa. Kunyangwe vamwe vangave vaine hanya kuti pane kumira kunorasikirwa nefusion, varwere vazhinji vanowanzokanganwa kuti vakatoti varasikirwa nekufamba kwemakumbo muchechi yakakanganisika.
Kusanganiswa kunofanirwa kurarama hupenyu hwose huchienzaniswa nekugadziriswa kwemakumbo, iyo inogona kupera pane imwe nguva.
Funga nezvezvinangwa zvako paunosarudza kana ankle fusion ndiyo nzira yakanakisisa yako.
Pros:
- kurwadziwa kunorwadza
- iyo nhengo yakanyonganiswa yakasimba zvakare
- varwere vachakwanisa kutakura uremu huri pamwe chete pasina kurwadziwa
- Unyanzvi hwokufamba uye kuita mabasa anowanzogadziriswa
Cons:
- kushandiswa kwechidzitiro kunogona kunge kuchiri nzira yakanakisisa kune vamwe varwere (vanhu vanoita zvakanyanya)
- kune kurasikirwa kwekugadzikana uye kufambidzana nesungano yakakanganiswa
- zvishoma zvingangodaro yekupora kurapa zvinetso
Pane zvinetso zvingangodaro, sekuvhiya chero kupi zvako.
Panogona kunge kune njodzi dzinobatanidza neanesthesia, uyewo pangozi yehutachiona kana kushaya ropa, kusangana kwepas-op, kusabatanidzwa (mapfupa haawanzi), uye malunion (mapfupa anoporesa munzvimbo isina kunaka). Kana kusashamwaridzana kana kusangana kwechibvumirano kunoitika, chimwe chirwere chinogona kudiwa.
Kubva kuAnkle Fusion
Rutsoka runosungirirwa rakaputirwa mupurasitiki rakasungirwa mushure mekuvhiyiwa. Mushure memavhiki maviri, shorter cast yakatsiva nzvimbo yakasungirirwa yakaiswa. Murwere haakwanisi kutakura nharo pamakumbo kwemavhiki masere kusvika ku12, panguva iyo panofanira kuva ne-x-ray uchapupu hwekusanganisa.
Kuchengeta gumbo rako rakakosha kunokosha kudzivirira kana kuderedza kuchema kwemakumbo. Masumbu anowanzodiwa apo murwere anorega kuisa mutoro pamakumbo. X-rays, inotorwa kazhinji, icharatidza kana fusion iri kusimba uye yakasimba. Panguva iyoyo, murwere anobvumirwa kuisa kuwedzera kwepamakumbo paanenge achifamba. Vamwe varwere vangada kuiswa shangu dzakapetwa kuti vadzibatsire kufamba zvakanyanya, asi vazhinji vanongopfeka shangu dzakapfeka uye vanoita zvakanaka.
Kunobva:
Mutevedzeri wevarwere weAnkle Fusion. eOrthopod. Medical Multimedia Group, LLC. July 22, 2002.