Kuvhiyiwa kwegumbo kushandiswa kunoshandiswa kuburikidza nekukanganiswa mberi kwemabvi inoyera anenge 6 kusvika ku10 masendimita yakareba. Chidiki-chinoputika (chinonziwo zvishoma-incision) kugadzirisa kugadzika kuedza kuita chirwere chimwechete kuburikidza nekukwanisa kuduku. Mukudaidzwa kunzi chirwere chekuvhima chisina kumira, kuvharwa kunowanzosvika pasi pe 5 masendimita yakareba, uye kuputika kunoramba kuchibuda mumusana we quadriceps pamusoro pemabvi.
Nzira dzekuvhiya dzemazuva ano dzinowanzogadziriswa kuvaka nzira itsva dzekuzadzisa zvinangwa zvekuvhiyiwa nekuderedza madhara. Bhabhu rinotsiviwa rinoshandiswa kuti rishandise maronda akaora kubva pamabvi akabatanidzwa nesimbi uye mapurasitiki. Minimally-invasive mabheji anoshandiswa anoshandiswa kushandiswa kwakafanana nechetenderedzwa kugadzirisa mabvi, asi izvi zvinogadziriswa zvinowanikwa kuburikidza nekukanganiswa kuduku.
Makomborero Anowanikwa Mudiki
Vatsigiri vemabvi madzimai anoshandiswa pakuchinja mabvi vachareva kuti vari kuita chirongwa chakafanana chekuvhiya nemitambo yakawandisa. Chero nguva apo mushonga unogona kuva nemigumisiro yakawandisa, inoita seinovandudzwa. Tariro ine kugadzirisa-kutengesa mabvi kunotsiviwa ndeyekuti varwere vachawana:
- Kuchirwadziwa zvishoma
- Kurumidza kugona
- Pasina chido chekuwedzerwa ropa
- Pashoma mutsvuku maitiro
Kune Mamiriro Akatsika Here?
Isu hatizi 100% yechokwadi yakadaro, uye iyo ndiyo inofanirwa nevarapi vezvechirwere vane chirwere chekuvhiya.
Zvinofanirwa kuyeukwa kuti kunyange zvazvo zvataurwa pamusoro apa zvekuvhiya kwekucheka-kuvhara kwakanyanya, chinangwa chinonyanya kukosha chekuvhiyiwa kwegumbo kunobatsira murwere ane chisungo chisina marwadzo chichagara kwenguva yakareba. Kuzvidya mwoyo nekuita bhudzi panzvimbo yekudzikisa zviduku ndiko kuti kusvibiswa hakugoni kuiswa sezvakarurama uye sechinhu chisina kumira, uye naizvozvo, kunogona kupera nokukurumidza.
Ongororo ichangobva kuwanikwa yakawana kuti varwere vaida chirwere chechipiri ( kuongorora kugadziridzwa kwegumbo ) vaitora nzira iyi nekukurumidza pavakange vaine chirwere chekuvhima-kusanganisa. Varwere vaida kuti chirongwa chekuvhiyiwa chidzoke mushure mekugadziriswa-kugadziriswa kwegumbo kushandiswa kwakave nekudzokorora kwavo pamwedzi gumi nemashanu mushure mekutanga kwavo. Izvi zvinofananidzwa nevhareji yemwedzi 80 mushure mekutsika kwemabvi mabhesi. Ndicho kusiyana kwakanyanya.
The Bottom Line
Kungofanana nokuti ini ndiri kuratidza kuongorora kumwe kunoratidza dambudziko, hazvirevi kuti kushandiswa kwemafuro-kusungirirwa kwegumbo kunoshandiswa kwakaipa. Zvinongomutsa kunetseka. Pakave nedzidzo dzichiratidza zvipo zvinotaurwa pamusoro apa. Chimwe chekufungisisa nezvidzidzo izvi zvinoratidzira migumisiro yakanaka kubva pakudinikidzwa kwekutsvaira-kukanganisa ndeyekuti vamwe vakange vakanyorwa nevarapi vezvechiremba vane mikana yezvemari inofarira, pamwe chete nevanovhiya vanoita mazana emitambo iyi, panzvimbo pezvishoma.
Zvidzidzo zvenguva pfupi zvinopupurira zvinetso zvinowanzoitwa nevachiremba vaiva nezvakaitwa nemabvi ekugadzirisa kuburikidza ne "mini" incision. Kana iwe uri nechechi-incision replacement replacement, iva nechokwadi chokuti chiremba wako akaita chirongwa ichi kakawanda, uye anonzwisisa kuti panogona kuva nemukana wakareba wekuda kuvhiyiwa kwepamusoro panguva yapfuura pasi mumugwagwa.
Vanachiremba vane ruzivo vachave vakagadzirira kuita kuvhara kukuru kana zvinoreva kuita chirwere chiri nani-kusakanganisa mhedzisiro yechinangwa chekuchengeta izvo zvisingatariswi zvishoma.
Sources:
Miller DW "Kuvhiya kwakanyanya kwekushandiswa sekukuvadza kunokonzera kukanganisa kwokutanga kwebvi rinotsiviwa" Peji # 272. Yakapiwa kuAmerican Academy of Orthopedic Surgeons 76th Annual Meeting. Feb. 25-28, 2009. Las Vegas.