Kubatana Kuwirirana Nzira
Kana kurapa kwakachengeteka kweasteoarthritis , kana mamwe marudzi eArthritis , kukundikana kugutsikana kunogadzirisa kurwadziwa uye kudzorera basa kune hutano hwakagadziriswa, inogona kuva nguva yekufunga kuvhiyiwa pamwe chete . Asi, ndeipi nzira yekuvhima inofanira kufungidzirwa? Ndeipi nzira yekuvhiya yaizobudirira kubudirira marwadzo ako nekuvandudza kufamba?
Zvakanakisisa kudzidza pamusoro pemhando dzakasiyana-siyana dzekuvhiya pamwe uye kunzwisisa zvaunogona kuita.
Apo varwere vakawanda vanofunga nezvekuvhiyiwa pamwe chete, vanofunga nezvekubatana kwekubatanidzwa. Asi, kune dzimwe nzira dzaunofanira kuziva pamusoro. Kune chirwere chemajoka, hip resurfacing, arthrodesis (fusion), kushandiswa kwemuviri-kusvibiswa kwechiuno nemabvi, unicompartmental knee chirurgical, uye, zvechokwadi, osteotomy yemabvi kana hip. Pano, tichaisa pfungwa pane osteotomy.
Osteotomy Inotsanangurwa
Osteotomy inzira yekuvhiya inosanganisira bone-cutting. Chiremba anovhiya anobvisa rufupa rwefupa riri pedyo nejoka rakakanganiswa. Nzira yacho inofanirwa kuita kuti kuchinja kweuviri kunobva kune imwe nzvimbo iyo ine martilage inokuvadza kune imwe nzvimbo iyo inowanzove yakakwana kana kuti ine utano hwakanaka.
Mu osteoarthritis , kukanganisa kunowanzokosha pane chikamu chemukati chemabvi. Nemapfupa osteotomy yewasteoarthritis yemabvi omukati, chiremba anovhiya bone kubva kunze kwegumbo remakumbo ezasi pedyo nemabvi.
Somugumisiro, murwere anokonzera uremu hwemuviri wake kune kunze uye kure nemukati womukati wakaora. Kana chirwere che osteotomy chiri kuitwa osteoarthritis yemabvi ekunze, nzira yacho inoderedzwa uye pfupa rinochekwa kubva mukati memukati wegumbo rezasi pedyo nemabvi.
Munguva ye osteotomy nzira, chiremba anovhimawo anorambazve tibia (shinbone) kana kuti femur (thighbone) kugadzirisa kuenzaniswa kwemabvi.
Pakupedzisira, iyo nzira inobvumira kuyerwa kugoverwa zvimwe zvakanyanyisa kudarika mubatanidzwa wejoka. Osteotomy chirwere chekudzivirira chibatanidzo, kubatanidza mhizha ye mechanical kure negoroti yakaora. Kana kamwe chete gumbo refu rinobviswa, chiremba anovhiya anoisa mapfupa anoramba ari pamwe chete uye anoshandisa pini kana zvigadzirwa kuti azvidzivirire. Kushandiswa kusina kukwana kana mahwendefa emukati dzimwe nguva kunoshandiswa kugadzikana.
Ndiani Akasarudza Osteotomy?
Kazhinji, vanhu vari pasi pemakore makumi matanhatu, vanoshanda, uye vanodarika zvakanyanya vanoonekwa sevakakodzera zvakakodzera osteotomy. Murwere anofanirawo kuva:
- kusina kukanganisa kusanganisa
- kuora kunokodzera
- hapana zviratidzo zvekuputika
Zvakanakira Osteotomy
Kusarudza kuti ndeipi nzira yokuvhiya inofanira kuitika haisi nyore nguva dzose kana yakajeka. Kuziva chatinofanira kutarisira semugumisiro wekuguma kunogona kubatsira.
Pros:
- kunodzora kurwadziwa
- inogona kunonoka kufambira mberi kweasteoarthritis
Cons:
- zvinogona kukonzera kubatana kuti kusaone kuenzaniswa
- inogona kusiya kubatana kushandiswa sechiitiko
Zvakakoshawo kuziva kuti kubatana kwekushandura mushure mehutachiona kwakanyanya kuoma kumuchiremba. Maitiro ekuvhiya matambudziko anokwanisika ne osteotomy zvakare.
Kuwana kubva kuOsteotomy
Zvichienderana nezvakaomeswa zvehutano uye simba romurwere mumwe nomumwe, zvimedu zvinodiwa kwemwedzi inenge 1 kusvika ku3.
Varwere vanogonawo kunge vakagumburwa kana kuparadzaniswa kwevhiki 4 kusvika ku8. Kurapa kwepanyama, maitiro anosimbisa mitsipa, uye kufamba kunofambisa chirongwa chakakwana chekugadzirisa. Nepo vamwe vanachiremba vanofanotaura kuti kudzokera kumabasa akazara zvinogoneka mushure memwedzi 3 kusvika ku6, vamwe vanoti zvinogona kutora kusvika pagore kuti zvienzane nechinangwa chakagadziridzwa chemabvi mushure mokunge osteotomy yegumbo.
Sources:
Osteotomy uye Unicompartmental Knee Arthroplasty. American Academy of Orthopedic Surgeons. February 2001.
http://orthoinfo.aaos.org/topic.cfm?topic=A00354
Osteotomy yeOsteoarthritis. PeaceHealth. April 20, 2007.
https://www.peacehealth.org/medical-topics/content/surgicaldetail/hw125548.html#hw125550