Chinhu Chinobudirira Kubudirira Kwokuputika Kwemakumbo Is Rehab
Kugadziriswa mushure mekuvhiyiwa kwechibvumirano chemabvi akabatanidzwa ndicho chinhu chinokosha pakurapa. Apo nzira yekuvhiya inogona kuitwa zvakajeka, isina kunyatsotarisa rehab mushure mekuvhiyiwa, zvigumisiro hazviitike kuti zvibudirire Kunyatsogadziriswa kubva pakushandiswa kwechigadzirwa chema microfracture kunobva paukuru uye nzvimbo yenharaunda yegoroti.
Zvinonyanya kukosha zvekuvandudza kubva kumakumbo mashoma ndezvi:
Weight-Bearing
Chiyero chekurema chinowanikwa panzvimbo ye microfracture inofanira kunge isina kukwana. Izvi zvinobvumira masero kuti akure mukukura munharaunda iyo yakawana kurapwa kwemakumbo.
Nzira yekuderedza uremu panzvimbo ye microfracture inobva pane nzvimbo yekukuvara. Kana chipfeko ichi chiri pamusoro pebhinha (tibia) kana kuguma kwechidya chehudyu (femur), uremu hahukwanisiki nokuve nemurwere achishandisa michina . Apo microfracture iri pamabvikete (patella) kana mukati me groove ye patella (trochlea), mabvi anofamba anofanira kunge asina kukwana nokuti kupfugama pamabvi kuchaita kukonzera munzvimbo ino.
Kurema kwekutakura kunowanzova kwemavhiki matanhatu kusvika ku8, uye zvishoma nezvishoma zvakapfuurira mberi kwenguva. Zvinogona kutora mwedzi 4 kusvika kumatanhatu mushure mekunge munhu adzokera kumitambo, uye kunyange kwenguva yakareba kuti adzokere kumakwikwi. Nyanzvi dzezvemutambo dzinogona kunge dzakasarudzwa kusvika pagore mushure mekuvhiyiwa kwechidiki.
Range-of-Motion
Range-of--motion inowanzotangwa mushure mekuvhiyiwa. Zvisinei, kana nzvimbo yehutachiona hwehutachiona huri pamabvikete kana mukati megungwa rayo, ipapo kufamba kunenge kusinganisirwa kwevhiki dzinoverengeka.
Vamwe vanachiremba vanozosarudza kushandisa CPM, kana mhepo yekufambisa , kubatsira varwere kuti vaende pamabvi avo achangotanga mushure mekuvhiyiwa kwechibvumirano.
Kushandiswa kweCMM hakuratidziki kuti kune imwe yenjere kupfuura mararamiro ekufambisa , asi vamwe vanachiremba vachakasarudza kushandisa mishonga.
Chikonzero chekutangira kufamba nekukurumidza ndechokuti kufamba kunobatsira kukurudzira hutano hwakakosha hukura.
Zvibereko zveUkuvhiya
Kushandisa michina kwakaratidzwa kuva mushonga unobatsira zvikuru kuvarwere vakakodzera vane bhuti cartilage kukuvadza kunobatsira pamhando idzi dzekuvhiya. Mishumo mumabhuku inosiyana, asi inenge 80 muzana yevarwere vanowana kuvandudzwa mune zviratidzo zvavo. Migumisiro kubva pakuvhiyiwa inowanzova yakanakisisa mumakore ekutanga mushure mekuita, uye kune uchapupu hwekuti migumisiro inogona kuderera pane nguva.
Chikonzero chacho chinofungidzirwa kuti ndicho chigumisiro chechirwere chetirotilage inokura apo chirwere chinonzi microfracture chinoitwa. Kusiyana nekartilage yakagadzikana yemabvi akabatanidzwa, inonzi hyaline cartilage, microfracture inokurudzira kukura kwe fibrocartilage. Zvakawanda sechivara chine ruvara paganda, maitiro uye nekugara kwechivara chechivara hachisi chakafanana nekartilage yakarasika. Nokudaro, makore mashomanana mushure mekuvhiyiwa kwema microfracture kwave kuchiitwa, zvimwe zvidzidzo zvinoratidza kuora kwemigumisiro nevarwere vashomanana vanotaura kubudirira kwezvibereko.
Zvidzidzo zvakasiyana-siyana zvakaitwawo kuti zvienzanise kuvhiyiwa kwechibhakitiriro kune mamwe maitiro ekurapa kwekuvhiringidza karoti. Izvi zvimwe zvinosanganisira autologous chondrocyte implantation (ACI) uye osteochondral autograft transplantation (OATS). Muzhinji, hapana nzira yakaratidzwa kuva nemigumisiro yakaisvonaka kune imwe, uye sezvo njodzi uye mari yehutachiona husinganyanyi kudarika, uye rehabhi nyore nyore, kushandiswa kwemakumbo kunowanzoonekwa semutambo wekutanga. Zvimwe zvingasarudzwa zvakadai seAACI neOATS zvakachengeterwa varwere vanokundikana kuvandudza mushure mekuvhiyiwa kwechibhakitiriro.
Sources:
Safran MR, Seiber K. "Uchapupu hwekugadziriswa kwechigunwe chemaziso mumabvi" J Am Acad Orthop Surg. 2010 May; 18 (5): 259-66.
Steadman-Hawkins Clinic Gwaro Rekugadzirisa Zvishoma