Kurapa Option kune Nzvimbo dzeKakanganiswa Joint Cartilage
Kushanda michina inoshandiswa pakushandisa nzvimbo dzeharatika yakaora. Apo murwere ane nzvimbo shoma yekartilage yakakanganiswa (kwete yakawanda arthritis ), microfracture inogona kuitwa mukuedza kukurudzira hutsva hutsva kukura. Kudyidzana kunowanzoitwa mukati memabvi akabatanidzwa, kunyange zvazvo yakashandiswawo pakurapwa kune mamwe majoini kusanganisira chiuno, chiuno, uye fudzi.
Nzira duku inogadzira nzira inogadzira mashubu maduku mumapfupa. Pasi pefupa, iro rinonzi subchondral bone, rakaoma uye rinoshaya ropa rakanaka. Nokupinda ichi chakaoma, chinyorwa chinobvumira kuti yakadzika, yakawedzerwa mafupa kuti asvike pamusoro pekubatana. Ichi chakadzika pfupa rine ropa rakapfuma, uye masero anogona kukwanisa kusvika kumusara wepamusoro kuti awedzere martilage kukura .
Ndiani anonyatsopindira kuti aite microfracture?
- Varwere vane nzvimbo shomanana dzomusango weti cartilage
- Varwere vari kushingaira uye havagoni kupinda mumutambo wavo kana basa nekuda kwezviratidzo
- Varwere vane marwadzo kana kuvhiringidzika kunokonzerwa nenzvimbo yakakanganiswa yekatekete
Ndiani haasi mukana akanaka we microfracture?
- Varwere vane arthritis yakawanda yejojo
- Varwere vane kusagadzikana kana kusarudzwa kwekubatana kwavo
- Varwere vasina basa
- Varwere vane inflammatory arthritis (yakadai se rheumatoid arthritis)
- Varwere vasingadi kubatanidzwa mukugadziriswa kutevera kushandiswa kwemakumbo
Inoshanda here?
Kudyidzana kunogona kuva nzira yakanakisisa, kupa hurombo huzhinji hunoitwa kana uchitarirwa mumurwere akanaka. Chimwe chezvinetso ne microfracture ndechokuti hachikurudzire kukura kwemazuva ose akabatanidzwa. Kune mhando dzakawanda dzekateti, uye imwe yemhando idzi (hyaline cartilage) inowanzowanikwa pane zvakabatana.
Kudyidzana kunokonzera kukura kwechirwere chekateti kazhinji chinowanikwa mucheka mutsvuku (fibrocartilage). Kusiyana ne hyaline cartilage, fibrocartilage haina simba rakafanana uye kugadzikana kwekatekete kazhinji kunowanikwa mubatanidzwa. Nokudaro, pane mukana wekuti cartilage inokurudzirwa nehutachiona hutsika haingasimiri kwenguva.
Kushandiswa Kwakagadziriswa Kwakaita Sei?
I microfracture inoshandiswa sechikamu chekuvhiyiwa kwemafu arthroscopic . Mamwe majoka anogona kurapwa saizvozvowo, uyewo nekuvhiyiwa kwechirwere. Kushandisa michina kwakagadzirwa mumakumbo, mapepa, chiuno, huta uye mamwe majoini. Kunyange zvazvo iri iyo yakawanda inowanzoitwa nematambudziko ekubatanidza mabvi, inogona kushandiswa zvinobudirira kune zvinetso mune mamwe masangano mumuviri.
Chokutanga, nzvimbo inosvibiswa michina yakagadzirirwa nekubvisa chero musana unovhiringidza kana kuora. Zvakanaka, nzvimbo inenge ichishandiswa microfracture inenge isingasviki masentimita maviri muhupamhi uye ine yakanaka, ine utano yakakomberedza maruti. Zvadaro, chikwata chiduku, chinopinza (awl) chinoshandiswa kugadzira zviduku zviduku zvishoma mumapfupa. Nhamba yezvibhakera zviduku zvakasikwa zvinoenderana nehukuru hwehu huri kurapwa. Vakawanda vanorwara vane 1 kusvika 2-centimeter nzvimbo yekukuvadza vanoda 5 kusvika ku 15 mashoma mashoma mufupa.
Kupindira kwekunze kwepfupa kunoita kuti ropa uye masero ematsipa agadzire chivharo munzvimbo yefasi yakakosha. Iwa masero ane mano ekugadzira katetilage yepamusoro mukati mechirema. Chaizvoizvo muviri unokwanisa kugadzirisa nzvimbo yakakonzerwa nekatekete nekuita kuti ropa riyerere kusvika pachirema.
Chimwe chezviyo zvekubudirira kurapwa ndiko kwakakodzera kugadziriswa kutevera chirwere chekuchirapa . Kuvandudzwa kunofanira kuchengetedza nzvimbo inobatwa nehutachiona uye kuchengetedza simba uye kufamba kwebvi . Somugumisiro, varwere vakawanda vanoda kushandisa michina mushure mekuvhiyiwa, kazhinji bheji rinokurudzirwa richakurudzirwa, uye mune dzimwe nguva mhepo yekufambisa yekufugama mabvi ingashandiswa.
Kuvhiyiwa kwebhishopu kwemabvi akabatanidzwa inzira yakachengeteka ine ngozi shoma. Kutaura zvazviri, dambudziko guru nderokurwadziwa kunoramba kuripo pasinei nekuedza kwekuporesa nzvimbo yekatekete. Dzimwe ngozi dzekuvhiya kweArthroscopic dzinosanganisira utachiona, ropa clot, kushivirira, uye kupfugama kwemabvi akabatanidzwa. Izvi zvinowedzera njodzi dzakawanda zvisati zvamboitika mushure mekuvhiyiwa kwema microfracture.
Migumisiro yeMikiramuki
Kuvhiyiwa kwebhishopu kunowanzozivikanwa nokuti yakachengeteka, iri nyore kuita, uye inenge isingabhadharwi kune imwe kemukati inokurudzira kushandiswa. Asi inoshanda here? Zvigumisiro zvekuvhiya kwechidiki zvinyorwa zvakaongororwa kazhinji. Nenzira yakawanda, vanhu vanoita chirwere chinonzi microgracture chirwere chinonzwisisika zvakanaka muchidimbu kusvika pakati pemakore. Pane mibvunzo, zvisinei, pamusoro pekugara kwenguva refu kwekugadzira michina, uye vanachiremba vazhinji vanobvumirana kuti goroti inoporesa mukati mechiremera chechidiki haisi yakasimba seyakagadzikana sezvinongoita goroti. Nokuda kwechikonzero ichocho, migumisiro yakareba kwenguva refu haigutsikani, uye vanhu vanofamba nenzira iyi yekuvhiya vanogona kuguma vane zvinetso nekupfuurira kweArthritis munguva.
Zvimwe Zvimwe Zvokushandisa Microfracture
Varwere vanonyatsokodzera michina yakawanda vanogonawo kuva vakanyatsonaka kune mamwe maitiro ekurasikirwa kwekatekete yebvi . Izvi zvinosanganisira kushandiswa kwechikafu uye kuvekwa kwekateti . Zvisinei, mhinduro yezvose zvingasarudzwa zvokugadzirisa kukanganisa karoti yakave yakaratidzwa yakafanana, nepo njodzi uye mari yehutachiona husinganzwisisiki. Nokudaro, kuvhiyiwa kwema microfracture inowanzoonekwa semushonga wekutanga-mutsara wekushaya maronda mumabvi akabatanidzwa. Zvimwe zveimwe nzira idzi dzokuvhiya dzinowanzoitirwa vatambi vakakundikana kuvandudza mushure mekuvhiyiwa kwechidimbu.
Sources:
> Tuan RS, Chen AF, Klatt BA. "Cartilage kuberekwa" J Am Acad Orthop Surg. 2013 May; 21 (5): 303-11.
> Safran MR, Seiber K. "Uchapupu hwekugadzirwa kwechikafu chetipiyo mumabvi" J Am Acad Orthop Surg. 2010 May; 18 (5): 259-66.