CPM inonziwo kuramba ichifamba , iyo inoshandiswa kugadzirisa zvinyoro uye kutambanudza mabvi. Mushonga weCPM unogona kushandiswa mushure mekuvhiyiwa kubvumira mabvi akabatanidza kupfugama zvishoma. Pfungwa yekutanga yaiva iyo CPM yaizovandudza kufamba mberi kwekuvhiyiwa kwebvi, uye mamwe magwaro matsva, uye kubvisa dambudziko rekuoma .
Nokuisa mabvi muchigadzirwa ichi munguva pfupi mushure mekuvhiyiwa, ruvara rwehuni harungagadziri, uye dambudziko rekuoma haringave riri hanya.
Kwenguva yakawanda, makombiki eCMM akaonekwa sekukosha kwekurapa kwezvokurapa kunogona kubatsira kudzivirira zvinetso zvekugadzirisa kubva pabheji. Nokuita mabvi pamwe chete achimirira pakarepo mushure mekuvhiyiwa, chinangwa chaiva chokuvandudza kudzorerwa kwekufamba, uye pakupedzisira nekukurumidza kugadzirisa. Mashini eCPM akashandiswa nguva dzose mushure mokuvhiya kwakasiyana-siyana kwakasiyana-siyana, kunyanya kuvhiyiwa kwemabvi.
Kushushikana mushure mokunge ibvi rinotsiviwa kunogona kuva dambudziko rakakomba, uye ndeimwe yezvikonzero zvinowanzoita kuti vanhu vasagutsikane nemapfupa ekugadziridzwa kwemabvi. Kunyange zvazvo vanenge 90% yevanhu vanogutsikana nemigumisiro yemabvi kunotsiviwa, pane zvinetso zvinogona kuitika, uye zvikonzero nei vanhu vasingafari nemigumisiro yekuvhiya kwavo.
Imwe yezvinetso izvi zvinogona kuitika kuoma kwake kwebvi pamwe chete.
Zvekare Kuvandudzwa
Tsvakurudzo dzinoverengeka dzichangobva kuongorora dzakaongorora kushandiswa kweCMM inotevera kuvhiyiwa kwemabvi uye kugadzirwa kweAACL . Munenge pane imwe neimwe yekudzidza zvinoguma zvakafanana zvakafanana: kune rimwe ruzivo mumazuva ekutanga uye mavhiki mashure mushure mekuvhiyiwa, asi hapana musiyano mumakumbo ekufugama mushure memavhiki masere.
Izvo hazviratidzika zvisina basa kana CPM inoshandiswa, pakupedzisira, mhinduro yacho yakafanana.
Kuvhiyiwa kwemawere kwakauya nenzira yakareba mumakore makumi mashanu akapfuura. Zvisinei, vanachiremba vezvechirwere vanogara vachitsvaga nzira dzekuvandudza mhinduro dzavo. Chimwe chinetso chinopfurikidza mushure mekuvhiyiwa pamwe chete kusuruvara kwekubatana. Knees inonetsa zvikuru nokuti, kuitira kuti tirambe tichiita mabasa edu akadai, tinovimba nemabviro akakwirira . Kuenderera mberi kwekusimudzira, kana CPM, kwakagadzirwa mukuedza kutanga kutenderera nokukurumidza sezvinobvira mushure mekuvhiyiwa, uye, tarisiro, kuderedza dambudziko rekusimudza kwemashure-operative.
Pros
Nharo yeCPM ndeyekuti varwere vane kukura kwekutanga kwekufamba mushure mekuvhiya kunokurumidza kupfuura varwere vasingashandisi CPM. Uyezve, varwere vanoshandisa CPM mushure mekuvhiyiwa kwemabvi zvishoma hazvidi kutoda kugadzirisa mabvi (apo murwere anopiwa kazhinji anesthesia , uye mabvi anomanikidzwa kukotama) kupfuura varwere vasingashandisi CPM. Uyezve, varwere vanowanzonzwa shungu yakasimba ye "kuita chimwe chinhu" kuti vabatsire kuregera. Kunyange zvazvo CPM inogona kunge isingashanduri chigumisiro chekuvhiyiwa, inogona kupa varwere pfungwa yokuti vari kuita chimwe chinhu kuti vabatsire kupora, kunyange pavanorara pamubhedha.
Cons
Hapana munhu akaratidza kuti CPM inoita chero mutsauko munguva refu. Nguva uye nguva zvakare, zvidzidzo zvinoratidza kuti mukati mavhiki makumi mana nemasere emasere ekuvhiya okushandurwa kwemabvi, varwere vanoshandisa CPM neavo vasina mhando yakafanana yebvi. Nepo pangangodaro kuve nemafungiro epfungwa anotaurwa pamusoro apa, hapachina humwe uchapupu hunoratidza kuti kushandiswa kweCPM kunozopedzisira kuchivandudza mugumisiro webvi rinotsiviwa kana kuti chirongwa chekare chinonzi chirurgical reconstruction surgery. Izvozvo zvakati, kune mamwe maitiro akajeka, akadai sekusunungurwa kwechibvumirano kana kubatisisa, apo CPM inogona kuva chikamu chinokosha chekudzoka kubva pakuberekwa kwamabvi.
Vanachiremba vazhinji vanovhiya vanotya kuti CPM inogona kupedzisa kupora kuburikidza nokuchengeta murwere ari pamubhedha, uye kwete kuwedzera kurapwa kwakasimba.
Shoko Rinobva
Sezvakambotaurwa kare, hakuna munhu akakwanisa kuratidza zvakajeka chero ipi zvayo yenguva refu kubatsirwe kushandiswa kwemuitiro weCMM mushure mekushandurwa kwebvi kana kuti chirongwa cheAAC . Sezvo zvidzidzo zvinoratidza pachena, varwere vangangodaro vari panzvimbo imwe chete mukati memavhiki masere ekuvhiya pasinei nekushandiswa kweCMM. Vanachiremba vakawanda vari kukurudzira pamusoro pekushandiswa kweCMM nekugara vachikurudzira varwere kuti vaise pfungwa pavanoedza kurapa maitiro ekukwira uye kubva pamubhedha.
> Sources:
> Chaudhry H, Bhandari M. "Cochrane muCORR: Kuenderera mberi Passive Motion Dzinotevera Total Knee Arthroplasty Muvanhu vane Arthritis (Ongororo)" Clin Orthop Relat Res. 2015 Nov; 473 (11): 3348-54.
> Mistry JB, Elmallah RD, Bhave A, Chughtai M, Cherian JJ, McGinn T, Harwin SF, Mont MA. "Mirayiridzo Yokuvandudza Pashure Pose Knee Arthroplasty: Kudzokorora" J Knee Surg. 2016 Apr; 29 (3): 201-17.