Varwere vakawanda vanopfurikirwa kuvhiyiwa panzvimbo yegumbo vachatsanangura mhere dzinobva pachinzvimbo chavo chakatsiviwa. Vanhu vanowanzotaura nezvekunyanya kana kusanganisa kubva kubva pamabvi avo panzvimbo yavo pavanenge vachifamba, uye vanowanzoshushikana kuti chimwe chinhu chakashata nemabvi avo akatsiviwa. Icho chinetso chekunzwa nekucheka mushure mokuvhiyiwa kwebvi kushandiswa?
Kazhinji kazhinji, kwete, haisi dambudziko.
Hazvisi zvisizvo kuti vanhu vave nekunzwa kana kunzwa kunzwa kwavo kugadzirisa mabvi mushure mekuvhiyiwa. Kazhinji, kugutsikana zvishoma kuti hapana chakaipa chiri kuitika ndizvo zvose zvinodiwa mumamiriro ezvinhu aya. Chiremba wako anogona kuongorora mabvi ako, uye zvichida kuwana zviyero zvakadai se x-ray, kuve nechokwadi kuti hapana chakakanganisika nekuiswa.
Mheremhere inogona kubva kune dzakawanda dzinogona kuwanikwa, kusanganisira midziyo yeplastiki uye mapurasitiki, tete, uye mvura inotenderera pamabvi. Kusarudza mhepo yemutinhiro chinhu icho chiremba wako anogona kukubatsira. Zvisinei, nyaradzwa munyaya iyoyo yokuti varwere vakawanda vanotsanangura kuvhara uye dzimwe mhere dzinobva pamabvi avo zvinotsiviwa.
Izvozvo zvakati, dzimwe nguva mhere inobva kumabvi anotsiviwa inofanira kuongororwa nachiremba wako:
- Mitsva mitsva inobva kumabvi akatsiviwa: Kazhinji, mhere uye kutinha kubva kubva pamabvi zvinotsiviwa zvinowanzopera kudarika nguva. Mitsva mitsva inofanira kuongororwa nechiremba wako.
- Mheremhere inobatanidza marwadzo: Inzwi risina ruzha runowanzoitika, asi kana kurwadziwa, kuora, kana kupfugama kunosanganiswa nemheremhere, ndicho chiratidzo chakanaka mabvi anoda kuongorora.
Knee Replacement Materials
Mabheji mazhinji anoshandiswa anotsiviwa akaita zvikamu zvina zvakasiyana. Nepo kune mamwe akasiyana-siyana akajeka, inowanzoshandiswa kugadzirisa mabvi ine maviri nhengo dzesimbi uye maviri mapurasitiki.
Zvikamu zvina zvemabvi zvinotsiviwa ndezvi:
- Chikamu chechikadzi: chikamu chechikadzi ndicho chigadziko chesimbi chinokodzera kumagumo efupa rehudyu, iyo femur. Chikamu chechikadzi chikamu chakafanana neU chakakonzera kuguma kwefupa, kuputira mberi nekunze. Kune maitiro akasiyana kune chikamu chechikadzi chinogona kunge chakavakirwa paukuru hwevarwere, uye kuti zvakasimba zvakadini zvinodiwa kuti agadzirise basa romuviri rakakosha.
- Tibial chikamu: iyo tibial chikamu inogadzirwawo nematare, uye inogara pamusoro peiyo bone, tibia. Muchikamu chechibial ine chikamu chinopinda mukati megomba rekati refupa kuti ritsigire gorofu rakakwirira pamusoro petibial chikamu.
- Patellar chikamu: asi kwete varwere vose vanopedzisira vaine chikamu chinoshandiswa pamabviketi, avo vanoita vachava ne plastic (polyethylene) patellar chikamu. Iyi chikamu chinotsiva chikamu chemukati chemabvikip - kumusoro kwebhedecap yaunonzwa pasi peganda rako haisi yatsiviwa.
- Polyethylene spacer: pakati pesimbi yesimbi uye tibial zvikamu chikamu chepurasitiki yakaitwa ye polyethylene inonzi spacer. Izvi zvinobvumira kufamba kwakasimba kwemabvi akabatana mberi uye mberi. Kune misiyano muhumiro uye kuwanda kwezvinhu zve polyethylene kuti zvifanane nemumwe murwere nemamiriro ezvinhu.
Chimwe nechimwe chezvikamu izvi zvakasimwa zvinogadzirirwa mukati mefupa pamwe nesamende kana zvakabatanidzwa zvakasimba munzvimbo kuitira kuti pfupa rinogona kukura richiita. Kusiyana kwakasiyana kwakagadzirirwa kuitirwa munzvimbo dzakasiyana-siyana, uye chiremba wako anogona kuva nechinzvimbo chemarudzi akasiyana kana mararamiro ekuisa.
Ruzha runowanikwa nevanhu vakawanda mushure mokunge mabhesi achinjwa ndiwo mugumisiro wesimbi uye mapurisa epurasitiki anotaurirana uye achiita 'kunzwika' kunonzwika. Izvi zvikamu zvekugadziriswa kwemabvi akafanana hazvibvumirane kune mumwe nemumwe, pane kudaro mabvi akabatanidza akabatanidzwa pamwechete nemirairo yemuviri wako, misumbu, uye tendon.
Sezvo zvivakwa izvi zvichifamba, zvinogona kuva nekufambidzana mumubatanidzwa zvichibvumira kuti metal nesimbi dzeplastiki zvidimburane.
Kunobva:
> Husain A, Lee GC. "Kugadzirisa Zvechokwadi Mwoyo Murefu Unotarisira Kuzoitika Kwose Knee Arthroplasty" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 707-13.
Total Knee Replacement. American Academy of Orthopedic Surgeons, April 2009.