Chimwe chinhu kusvika pakugadzirisa gumbo kushandiswa kwevamwe varwere vane arthritis
Knee osteotomy chirwere chinogona kuitwa panzvimbo yebvi rose rinotsiviwa kugadzirisa masimba ekuremedza-mutezo mune rimwe risina kuenzana rinoita mabvi. Asi ihwo chete chisarudzo chakanaka kune vamwe varwere.
Mune varwere vane chirwere chinoshayisa arthritis , kana osteoarthritis, yemabvi akabatanidzwa, kuora kwemabvi kwakajairika. Izvo zvinosvibisa zvinosanganisira huta hunopinza-huta kana kugogodza.
Zvimwe zvakanyatsojeka, idzi dzakashata dzinonzi genu varum (bow-legged) kana genu valgum (knock-kneed).
Chii Chinokonzera Mhembwe-Mhembwe kana Knock-yakakotama Deformity muArthritis?
Sezvo arthritis ichifambira mberi, ruvara rwemubatanidzwa rinorema. Izvozvo zvinonzi meniscus, kana kuti masangano ekubatanidza, zvinokanganisa uye zvinopera kure. Kana kukanganisa kuri kune rumwe rutivi rwekubatanidza kune rumwe, sezvinowanzoitika, ipapo mabvi achatora kuoneka kusina kunaka. Apo mukati, kana kuti mukati-kati, rutivi rwekubatana runopera zvishoma, varus deformity (bow-legged) ichaguma. Apo kunze, kana kuti lateral side, yemubatanidzwa inoremesa zvishoma, zvinokonzerwa nevaggus zvinokonzera (kugogodza-mabvi).
Chinetso Chipi Nechirudzi Chekutsauka?
Apo mabvi apfeka zvakanyanya kune rumwe rutivi, simba rinoparidzwa mukati mokubatana rinoshandurwa. Kana mukati (mukati- kati ) wakavhara, simba remuviri wako rinowedzera kugovera pane zvakasakara zvekubatana.
Nokudaro, chikamu chetano chemabvi hachiregi mutoro wekukura kwemuviri wako, uye chikamu chakakanganiswa chinowedzera kuwanda kwehuremu hwako. Izvi zvinowanzova chinetso chinotyisa chinotungamirira pakufambira mberi kweArthritis.
Ko Osteotomy yeKnee Inobatsira Sei?
Pfungwa ye osteotomy inofanira kuchinja simba rinorema-chema kuti "isunungurire" rutivi rwakasakara rwekubatana, uye iise simba rehupenyu hwakanaka hwekubatana.
Ndiani Anofanirwa Kushandira Knee Osteotomy Chirwere?
Dambudziko nemabvi ekutenda ndechokuwana murwere akakodzera zvakaoma zvikuru . Knee replacement surgery iri kubudirira kwazvo, uye kunze kwekuti paine chikonzero chakanaka chekusashandura gwaro rose rinotsiviwa rinowanzofarirwa. Vamwe varwere, zvisinei, havakwanisi kugadziriswa nemabvi , kunyanya varwere vari vaduku. Nemhaka yokuti mabvi anotsiviwa anosakara kupfuura nguva, varwere vaduku vanofanira kuongororwa nenzira dzakasiyana.
Mutevedzeri akakodzera kumabvi osteotomy ari munhu wechidiki, munhu anoshingaira, ane chirwere chemapfupa kune rumwe rutivi rwemabvi akabatanidzwa . Murwere anofanira kuva nekurwadziwa kukuru nekuremara kwakadai sokuvhiyiwa kunofanirwa. Murwere anofanira kunzwisisa kuti kugadziriswa kubva pakuberekwa uku kwakareba uye kwakaoma. Pakupedzisira, maosteotomi anopoteredza mabvi anotora nguva isingapfuuri gumi. Zvino chimwe chinhu chinowanzo, kazhinji kacho kugadziridzwa kwemabvi , kunoda kuitwa. Vamwe varwere vanogona kuwana rusununguko rusingagumi ne osteotomy, asi vazhinji vevarwere vanoshandisa chirwere chemafuro chepabonde senzira yekurega kunonoka kugona kushandiswa kushandiswa .
Vakanaka vanokwanisa kuvhiyiwa iyi vanofanira kukodzera zvinotevera:
- Kunetseka kurwadziwa nekuremara
- X-rays inoratidza kushanda kwechikamu chimwechete chemabvi akabatanidzwa
- Kukwanisa kubatana pamwe nekurapa muviri uye kugadzirisa
Ndiani Haasi Mufambi Akanaka WeKnee Osteotomy?
Zvinosuruvarisa, kuita chirwere ichi kune murwere asina kururama kunogona kuva nemigumisiro yakaipa. Nokudaro, iwe unofanirwa kukurukura nachiremba wako zvingangova njodzi dzekuvhiyiwa uku. Kunyange zvazvo vanhu vazhinji vachida kudzivirira kugona kushandiswa kushandiswa , mabvi esteotomy haafaniri kumunhu wose.
Varwere kazhinji havafaniri kufunga nezvekuvhiyiwa uku kana vane:
- Yakapararira arthritis yemabvi (kwete kumativi kune rumwe rutivi)
- Kutsika kwemabvi kana tibial subluxation
- Kukakosha kunokosha kwemabvi ekufamba
- Kuora kwakadaro kwakanyanya kungava kwakaoma kugadzirisa
- Inflammatory arthritis (yakadai sedheumatoid arthritis )
Osteotomy yakaitwa sei?
An osteotomy inoshandisa nzira iyo chiremba anovhiya pfupa ndokubva agadzirisa pfupa. Iko kune maitiro maviri ezvinyorwa zve osteotomies: kuvhara wedge, uko gumbo refu rinobviswa kuti richinje kuenzaniswa kwefupa; uye, kuzarura chikwata, apo pfupa rinoputirwa rakavhurika kune rumwe rutivi kuti kuenzanisa pfupa. Zvichienderana nerudzi rwekuora uye nzvimbo ye osteotomy yako, chiremba wako anokwanisa kusarudza chimwe chezvinhu izvi.
Kana kamwe pfupa rave rachekwa uye rakagadziriswa zvakare, chiremba wako anokwanisa kusarudza kushandisa chipani chesimbi uye zviputi kuti abate mapfupa munzvimbo itsva.
Inguva Yakadini Kudzoka Kubva Knee Osteotomy?
Kubudirira kubva pamabvi esteotomy kunogona kuva kwakaoma. Nokuti pfupa rakatemwa, inoda nguva yekurapa. Nguva yose yekuporesa nguva inenge mavhiki masere uye inogona kutora nguva yakareba. Vakawanda vanorwara vanoda kurapwa mumuviri kuti vadzokezve nemabvi avo.
Ndezvipi Zvinetso zveKnee Osteotomy Surgery?
Dambudziko rinowanzoitika nekuvhiya iyi nderokuti inenge nguva dzose inokundikana kupfuura nguva. Iye zvino, kana iwe unogona kunzwa zviri nani kwemakore anoda kusvika gumi, uye unonoka kugadzirisa kushandiswa kwebvi, zvinogona kunge zvakakosha. Zvisinei, hazvisi zvisinganzwisisiki kuti varwere vatsvake kutendeuka kumabvi panzvimbo yavo mumakore mashoma ekuvhiya.
Vanachiremba veOrthopedic vanotarisanawo nechinetso chekuita chirwere nenzira isingazoiti kuti kuvhiyiwa kwemafu kunotevera kuve kwakaoma. Kuwana chiremba anoziva mune iyi nzira ndeye pfungwa yakanaka.
Zvimwe zvinogona kuoma zvinetso zvinosanganisira matambudziko nekurapa kwe osteotomy (ausina kugoverana), kupfuurira kupfutika kubva kuArthritis, kuvhara ropa , uye utachiona.
Izvozvo Zvinobudirira Sei Ichi Kuvhiya?
Kana ikaitwa nevarwere vakarurama, mabheti anowanzobudirira pakupedza kurwadziwa kunokonzerwa neArthritis. Kuvhiyiwa kunowanzopedza makore anenge 8 kusvika ku10, uye mushure memakore iwayo, varwere vazhinji vanoda hutende hwemabvi . Muboka guru revarwere, mabheti osteotomy anopa zvakanaka kune zvakanakisisa mhinduro mune:
- 80% varwere kwemakore mashanu
- 50% varwere kwemakore gumi
- 30% yevarwere kwemakore makumi maviri
Nemhaka yeizvi, mafupa ehutema inowanzochengeterwa vaduku, varwere vanoshingaira, vanoda kutsvaga nguva kusvikira mabvi vatsiviwa .
> Sources:
> Naudie, D et al. "Kuponesa kweHigh Tibial Valgus Osteotomy" Clinical Orthopedic and Research Related ; 1999; 367: 18-27.