Knee replacement chirwere chinowanzoitwa zvinowanikwa kune vanopfuura 500 000 varwere pagore muUnited States. Kunyange zvazvo vazhinji vevarwere vasina matambudziko mushure mekuvhiyiwa, kune ngozi dzekuchinja nzvimbo dzemabvi dzinokonzera kushungurudzwa kune ani zvake anofunga nezvekuita izvi. Imwe yezvinonyanya kukonzerwa nezvinetso zvinoshandiswa nemabvi ekutsvaga chirwere.
Kuvhara mushure mokunge mavhima akashandurwa kushandiswa hazviwanzoitiki. Mumakore maviri okutanga mushure mekuvhiyiwa, mukana wekuvandudza utachiona hunofanirwa ku 1.5%. Mushure memakore maviri, mukana wehutachiona unoderera kusvika pa 0.5%. Kunyange zvazvo nhamba idzi dziri shoma zvikuru, hadzisi zero, uye vanhu vane bvi rinotsiviwa vanofanira kuziva zvose zvavanogona kuita kuti vadzivise dambudziko iri rakaoma.
Sei Kutapukirwa Kwechirwere Chichiitika?
Knee kushandiswa kunogona kutapukirwa pamusana pekuvhiya kwokutanga, zvimwe zvirwere mumuviri, kana kazhinji zvikonzero zvisingazivikanwi. Isu tinoziva kuti vamwe varwere vanowanzogadzikana kukura zvirwere zvemabvi avo panzvimbo yavo. Ngozi dzekudzivirira utachiona dzinosanganisira:
- Chirwere cheshuga
- Kusadya zvakakwana
- Kusvuta
- Kuwedzera muviri
- Steroid kushandisa
- Kunwa doro
- Rheumatoid Arthritis
Kudzivirira Knee Replacement Infections
Chinokosha chekutanga chemabvi chinotsiviwa ndechekudzivirira utachiona husingaiti zvachose.
Zvimwe zvezvipingamupinyi zvekugadzirisa utachiona zvinogona kutarisirwa nenzira yekubatsira kuderedza kushanda kwezvinhu izvi. Somuenzaniso, kuedza kuvandudza kudya kunovaka muviri, kuderedza kushandiswa kwefodya, nekurega kushandiswa kwemishonga inogona kuita kuti varwere vakawanda vatapukirwe zvirwere zvese zvingaitwa vasati vashandura mabvi.
Muimba yekushandisa, miitiro inoshandiswa kupisa ganda uye nzvimbo yekuvhiya uye kuderedza vanhu vanopinda uye vari kunze kwemukati. Intravenous antibiotics inofanira kupiwa mukati meawa imwe kubva pakutanga kwekuvhiya kuve nehutachiona hwehutachiona hwakanyanya.
Kurapa kweKnee Replacement Infections
Knee replacement zvirwere zvinowanzoparadzana muzvikamu zvepakutanga zvichienderana nekupera kwezvirwere. Kutapukira kwepakutanga kunoitika mukati memavhiki kana mwedzi yekuvhiyiwa uye inowanzorapwa nekuvhiyiwa kuchenesa utachiona, kuteverwa nemishonga inorwisa mabhakitiriya inotarirwa kune mabhakitiriya chaiwo ari kukonzera utachiona . Nzira dzakawanda dzokuvhiya dzinogona kudiwa, uye mishonga inorwisa mabhakitiriya inowanzoenderera mberi kwemavhiki matanhatu.
Zvirwere zvekare zvinowedzera kuoma uye zvinowanzove zviripo kwemavhiki, mwedzi, kana kunyange makore vasati vaona kuti chirwere chinowanikwa. Mabvi anopfurikidza kushandiswa kwemafuro angasununguka kana utachiona hwave huripo kwenguva yakareba . Mune zviitiko izvi, zvirwere zvinowanzodikanwa kubviswa uye chirwere chinotapurirwa. Kazhinji kacho, kutapurirwa kwemabvi akabatwa kunobviswa, chirwere chacho chinotapirwa kwemavhiki masere matanhatu nemishonga inorwisa mabhakitiriya, uye kana chirwere chacho chikaporeswa, kugadziridzwa kwebvi idzva kunoitwa.
Iyi inonzi inonzi maviri-gadziriro yekudzokorora kugadziridzwa kwegumbo nokuti mavhivhi maviri akasiyana anoitwa, imwe kubvisa bvi rinopinda, uye imwe kuisa mumabvi matsva panzvimbo. Mune zvimwe zviitiko, imwe nhanho inodzokorora, iyo inogadziriswa nemabvi akabatwa uye iyo itsva inowanikwa panguva yekuvhiyiwa imwechete inogona kuitwa. Zvisinei, kurangarirwa kunofanira kushandiswa, sekunge kuti hutachiona hahukwanisi kurapwa, ipapo kuwedzerwa kwepamusoro kuchave kwakakosha.
Success of Treatment
Kubudirira kwehutano hwemabvi kunotsiviwa zvirwere kunobva pane zvimwe zvinhu. Zvirwere zvinoshandiswa kare kare zvinowanzofambira mberi zvakanaka kupfuura zvirwere zvakapera.
Zvirwere zvebhakitiriya zvinonzwika kune mamwe maantibayoti zvinongororwa nyore nyore pane kusagadzirisa zvirwere. Kakawanda, kubudirira kwemishonga kune munharaunda ye70 kusvika ku90%. Vamwe varwere vangada kurapwa kazhinji, uye mune zvisingawanzoitiki, vamwe varwere vanoenderera mberi nekusingaperi pamishonga inorwisa mabhakitiriya inozivikanwa sechiremba suppressive therapy. Mumamiriro ezvinhu aya, zvinonzwika kuti kana hutachiona hahukwanisi kurapwa kana kurapwa kungave kuchikumbirawo murwere, uye chinangwa chinova kutarisa utachiona pasina kuchirapa.
Kamwe kamwe utachiona hurapa, uye varwere vanogara vachigadzirisa mabvi panzvimbo yavo, vanogona kudzokazve mabasa avo ose ezvisikwa. Kunyange zvazvo kurapwa kwemabvi kuchinjwa kwoutachiona kwenguva yakareba uye kuchida, vanachiremba vemazino vanobvumirana kuti kana zvakakodzera, kurapwa kunorwadza varwere vakawanda vanogonazve kudzoka mararamiro avo evanoita. Zvinosuruvarisa, kunyange pasi pemamiriro akanaka kwazvo, hutachiona hunogara huchitungamirira kune rimwe kurasikirwa kwebasa rebvi rinotsiviwa, kunyange kana chirwere ichi chiri kubviswa kubva pakatsiviwa.
Sources:
Garvin KL naKonigsberg BS. "Kutapirwa Kutevera Kinee Arthroplasty: Kudzivirira uye Kutungamirira" J Bone Joint Surg Am. 2011; 93 (12): 1167-1175