Zvaunoda Kuziva
Kuvhiya pamwe chete kunoshandiswa kunoonekwa sekupedzisira kushandiswa kurapa nzira yekudzivirira kurwadziwa kweArthritis uye kudzorera basa kune vakabatanidzwa. Zvimwe zvinogadziriswa zvinoshandiswa pakushandisa zvinowanzoedzwa mushure mekuvhiyiwa kunorudzirwa. Kuvhiyiwa pamwe chete kunorudzirwa kana marwadzo asisiri kunyatsogadziriswa uye kubatana kwekubatana kunobata zvikuru hupenyu hwehupenyu.
Chii Chinonzi Kugadziriswa Kuchinjwa Kwokuvhiya?
Kushandurwa pamwe chete kunosanganisira matanho aya:
- Cartilage inobviswa kubva kumativi maviri ejoka.
- Nhengo dzakagadziriswa dzinomutswazve neprosthesis, iyo inowanzobatanidzwa nesimbi nemapurasitiki.
Mune mamwe mazwi, chiremba wemapfupa anobudisa hutachiona hwakakanganisika uye anoisa mune imwe itsva, yezvipfeko. Nenzira yekuti, chibatanidzwa chero chipi zvacho mumuviri chinogona kushandiswa, asi majoka akawanda ekubatanidza kushandiswa anosanganisira mabvi uye chiuno .
Chii Chinoshandiswa Kubatana Chigadziriswa?
Zvinhu zvitsva zvinogadziriswa uye nzira dzakagadziriswa dzokuvhiya dzekugadziriswa pamwe chete dzakagadzirwa mumakore matatu apfuura. Kunyange zvazvo hutachiona hunogona kugadzirwa nesimbi, kana simbi uye plastiki, iyo inogonawo kusimbiswa nehut-semhando, isina-cemented, kana kusanganiswa kwezvose kuti kugadziriswe . Kazhinji, cemented prosthesis inoshandiswa kuvanhu vakwegura. Nyaya isina-cemented ndiyo yakakodzera kune vaduku, vanhu vanoshingaira.
Izvi ndezvokuti zvakanaka pfupa hunodiwa kuitira kuti pfupa inogona kukura kuva hutachiona kuti ihuchengetedze.
Joint prostheses kazhinji inoumbwa nealloys ye titanium uye cobalt chrome. Chimwe chinhu chitsva chinoshandiswa chinonzi tantalum - tsvina yakaoma, yakawanda kwazvo. Utsi hwakasimba hwetalialum hunofananidzwa nefupa.
Makore mashomanana apfuura, ceramic prostheses yaive yakakurumbira. Kuumbwa kwekubatanidza replacement prosthesis kunogara kuchivandudza uye semugumisiro, iyo inogara kwenguva refu. Majovo matsva anogara makore anenge 10 kusvika ku15 saka, zvichienderana nezera remurwere, rinoshandurwa uye zvichida kugadziriswa kwakawanda kunowanzoita kuti vaduku vaduku.
Inowanzobatana sei Joint Replacement Surgery?
Vanhu vakuru vanenge 435 000 muUnited States vane hip kana mabvi vakatsiviwa gore negore. Nhamba yacho inokura gore roga roga nekuda kwekukwegura kwevanhu uye kubudirira kwakasimba kwekubatanidza kushandiswa kwekushandura.
Iwe unoziva sei kana iwe uchida kubatanidzwazve? Zvibvunze mibvunzo iyi:
- Ndakamboedza mishonga pamwe nemamwe maitiro ekugadzirisa-kurasira kurapa here?
- Ndine marwadzo asingagumi mukati memubatanidzwa akabatanidzwa here?
- Ndine dambudziko rakakura nemabasa ezuva nezuva , zvakadai sokufamba, kukwira matanho, kubika, kuchenesa, nezvimwe?
- Une hutano hwangu hunotambura nekuda kwehutano hweArthritis pamwe nekukuvadza pamwe?
Kana uri kupindura "hongu" kune vakawanda kana mibvunzo yose, bvunza chiremba wako. Iwe unogona kunge uri mukana wokuvhiya pamwe chete.
Ndezvipi Zvakanakira Joint Replacement Surgery?
Kazhinji, varwere vakashanda pamwe chete vachivhiya kudzokera kumabasa ezuva nezuva uye vanoita zvakanaka.
Varwere vakabatanidzwa mumitambo vasati voda kuvhiyiwa vanogona kutora nhengo mumitambo ine simba shoma mushure mekuvhiyiwa.
Purogiramu yepanyama uye chirongwa chekugadzirisa zvekare chinokosha pakubudirira kwekuvhiyiwa. Chigumisiro nekukurumidza kwekudzoka mushure mekugoverwa kwekubatanidzwa kwekubatana kunobva pa:
- chiitiko chekutanga kushanda
- huwandu hutano hutano
- kushungurudza uye nguva yekushaya muviri kwepanyama musati mavhiyiwa
- chirongwa chekuvhiya (kureva, cemented, kwete-cemented, zvishoma nezvisingaoneki )
- mafungiro ekudzosa nekukurudzira
Ndezvipingamupinyi Zvinokwanisika Nokugadziriswa Kwokushandura Kwemajoini?
Zvinopfuura 90% zvekubatana nevatori venyika vanobudirira.
Iko kune mikana yezvinetso nekuvhiyiwa kupi zvako, zvisinei. Zvakakosha kuziva zvavari uye kuti vanorapa. Zvinetso zvinogona kuitika zvinosanganisira:
- utachiona
- ropa clots
- kusunungura kweprosthesis
- dislocation
- nerve kana ropa zvinokonzera kukuvara pedyo neprosthesis
- zvinetso ne anesthesia
Kurapa Kunobatsira Here?
Vakawanda vanorwara vachazotanga kurapwa mumuviri musi wekuvhiyiwa. Vamwe vanoenda kumusha mumazuva matatu kusvika mashanu, asi vamwe vanogona kupedza nguva muchirongwa chekudzorera kunotarisa kuchirwere chemuviri nekuzvimirira. Pane zvipingamupinyi zvemuviri panguva yemazuva ekupedzisira, iyo inotarisirwa kuti isabvisa hutsva hutsva. Murwere anofanira kunge akazvipira kurongwa hwekushandisa uye kutevera zvinorambidzwa. Basa rechiremba anoitwa apo paanosiya muimba yekushandisa. Panguva iyoyo, basa rinotanga kumurwere.
Vanhu vanowanzobvunza pamusoro pehurefu hwenguva inoda kuti pave nekugadzirisa zvakakwana kubva kubasa rekugadzirisa kushandiswa. Mhinduro yacho yakasiyana-siyana, ichibvumira rudzi rwekuvhiya runoitwa, pasinei nezvinetso zvakasimbiswa uye kushandiswa kwemuviri uye kwepfungwa kunoitwa nemurwere. Murwere anofanirwa kutarisira kuva nesimba uye kupfuura mafoni pamwedzi miviri kusvika mitatu. Urombo huchadererawo kudarika nguva.
> Sources:
> Joint Surgery. American College of Rheumatology. March 2007.
> Joint Replacement Surgery: Health Information Basics For You uye Mhuri Yenyu. National Institute of Arthritis uye Musculoskeletal uye Skin Diseases. > July > 2014.
> Joint Replacement: An Inside Look. FDA. March-April 2004.