Chikamu Chine Chikamu Chinoshandiswa Kneecap
Bhizinesi rinoshandiswa kuvhiyiwa ndiyo nzira inowanikwa kune vanhu vakave vakapfeka bhata rakashata rinoputika pamabvi avo, uye vanosara nekaratidzika pfupa-on-bone panzvimbo mubatanidzwa. Izvi zvinotungamirira mukurwadziwa uye kuoma nemabasa anowanikwa mumagetsi anonzi arthritis .
Nenzira inofadza, kugadzirisa kushandiswa kwebvi, kushandiswa kunotsiva chisungo chakasakara nesimbi uye sangano replastiki , rinobudirira chaizvo pakugadzirisa marwadzo nekuvandudza basa.
Zvisinei, vanhu vazhinji vane hutano hushoma hwemabvi vane hanya nekutora nzvimbo yose. Pane imwe sarudzo yevanhu vane arthritis chete kune chikamu chemabvi akabatanidzwa , uye icho chinonzi kushandiswa kwegumbo kusarudzo .
Partial Knee Replacement
Kushandurwa kwemabvi asina kukodzera, anonziwo unicompartmental knee substitution, zvinoreva kuti ndiyo chete yakasakara pane imwe yemabvi inotsiviwa. Kazhinji, mabvi akaparadzaniswa muzvikamu zvitatu , uye naizvozvo kushandiswa kwemabvi asina kukwana kunonzi unicompartmental knee kushandiswa nokuti vanotsiva imwe imba. Makamuri matatu ndiwo rutivi rwomukati rwemabvi, rutivi rwekunze rwemabvi, uye chikamu pasi pemabviketi. Mabheji akawanda akasarudzwa anoshandura nzvimbo yepakati (yemukati) kana yekunze (lateral) nechepamusoro pamabvi. Zvisinei, panewo zvishoma zvishoma zvakasara mabvi zvinoshandiswa kushandura hutakiti pasi pemabhedha.
Imba iri pasi pemabhedheti inowanzozivikanwa seimba inonzi patellofemoral. Icho chinyorwa chebhapececap chiri kune rumwe rutivi, uye groove pamucheto wehudyu gumbo (femur) kune rumwe rutivi. Izvo zvinoshandiswa kutora chikamu chepa patellofemoral chinoumbwa nesimbi yesimbi inogadzikana pamagumo emadzimai, uye diski yepurasitiki iyo inonamatira kumucheto wegabheta.
Patellofemoral Replacement Surgery & Recovery
Munguva yekuvhiyiwa kuita shanduro yepa patellofemoral, chiremba anovhiya anofanira kuvaka nzvimbo pasi pegadhepap uye groove pamagumo efupa rehudyu kuti agone kubatanidzwa kwemaoko. Mubatanidzwa wakagadzirwa unowanzotarisirwa pamwe nefupa simenti , yakafanana nehuwandu hwehutende hwemabvi . Chikamu chinonyanya kukosha chekuvhiya ndechekuvimbisa kuti bhanecap ichazerera uye ichidzika mu groove pakuguma kwegumbo rehudyu kazhinji. Kana izvi zvisiri kunyatsoongororwa, iyo inenge ichangobva kuiswa panzvimbo yegumbo inogona kushanda nokukurumidza.
Kudzorera mushure mekupi kwerudzi rupi zvarwo rwemabvi akasiyana, kusanganisira patellofemoral replacement , inowanzokurumidza kudarika rimwe gwaro rinotsiviwa . Murwere anotanga kudzidzira kupfugama namabvi pakarepo mushure mekuvhiyiwa . Kunyange zvazvo uremu hwakazara hunogona kuiswa pamabvi, mapfundo kana kuti anofamba anowanzoshandiswa kutsigirwa kwemavhiki mashomanana okutanga.
Migumisiro yePatellofemoral Replacement
Zvakaoma kuziva zvakajeka kushandiswa kwepa patellofemoral kwenguva refu. Imiti yakagadziriswa yakachinja zvikuru mumakore gumi apfuura, tichivimba kuti zvipfumbuzi zviri nani zvinotungamirira kumigumisiro yakanaka. Zvinosuruvarisa, hapana nguva yakawanda yekuwedzerwa kwemashoko, uye isu tiri chaizvoizvo takasara nekfupi kutevera.
Isu tinoziva kuti mune zvizhinji zvezviongorori zvakaitwa, kuti 80-90% yevarwere vachave nemigumisiro yakanaka mumakore gumi ekutanga pashure pe patellofemoral replacement, asi kana kana kwete ivo vachabata kwenguva yakareba kupfuura iyo isinganzwisisiki.
Isu tinozivawo kuti chikonzero chinowanzoshandiswa nekuti patellofemoral replacement haichazoshanda zvakanaka, haisi nekuda kwechinetso chekuisa, asi pane dambudziko mumamwe ose amabvi akabatanidzwa - chikamu chakasachinjwa. Vanenge 25 muzana vevarwere vanozopedzisira vachida kutendeuka kwekusarudzwa kwavo kwepachefemoral kushandiswa kune rimwe gumbo rinotsiviwa semugumisiro wekuwedzeredza arthritis mune mamwe makamuri emabvi.
Ichi ndicho chikonzero varwere vane zvigaro zvakanakisisa kubva patellofemoral mishonga inotsiviwa ndevaya vane varwere vane matambudziko chaiwo nemapfupa avo, zvakadai sepakutanga kuparara kwepatella kana matambudziko nekutengesa patellar . Iyi mamiriro ezvinhu anogona kutungamirira pakupfeka kuputika kwekatekete pasi pemabhedha. Kune rumwe rutivi, varwere vakagadzira mabvi arthritis , kwete sechikonzero chetambudziko rakananga remabviki, vanozopedzisira vachida kuti mabvi akazogadziriswa .
Sources:
Lonner JH "Patellofemoral Arthroplasty" J Am Acad Orthop Surg August 2007; 15: 495-506.