Arthroplasty inzira yekuvhiya inotsiva chimwe kana kuti chese chejoini. Vanopa hutano vanochidanawo kuti kuvhiya kwekutsiva joini kana kuti kutsiva joini. Chiremba anovhiya anobvisa zvikamu zvakasakara kana zvakakuvara zvejoini rako rechisikigo ozvitsiva nejoini rekugadzira (prosthesis) rakagadzirwa nesimbi, purasitiki kana ceramic.
Kutsiva majoini angu kuvhiyiwa kukuru here?
Arthroplasty, inozivikanwawo sekutsiva majoini, kuvhiyiwa kukuru uko kunoiswa joini rekugadzira kuti ritsive joini rakakuvara riripo. Ropa racho rinogadzirwa nemusanganiswa wesimbi, ceramic, uye purasitiki. Kazhinji, chiremba wemapfupa anotsiva joini rese, rinonzi total joint replacement.
Kana ibvi rako rakakuvara zvakanyanya nekuda kwearthritis kana kukuvara, zvingakuomera kuita zvinhu zviri nyore, zvakaita sekufamba kana kukwira masitepisi. Ungatotanga kunzwa kurwadziwa paunenge wakagara kana kurara pasi.
Kana kurapwa kusiri kwekuvhiya kwakadai semishonga uye kushandisa zvinotsigira kufamba zvisisabatsire, ungangoda kufunga nezvekuvhiyiwa kwebvi rese. Kuvhiyiwa kwejoini inzira yakachengeteka uye inoshanda yekuderedza marwadzo, kugadzirisa kuremara kwegumbo, uye kukubatsira kutangazve mabasa ako enguva dzose.
Kuvhiyiwa kwebvi rese kwakatanga kuitwa muna 1968. Kubva ipapo, kuvandudzwa kwezvinhu zvekuvhiya uye matekiniki kwakawedzera kushanda kwayo zvakanyanya. Kutsiviwa kwebvi rese ndeimwe yenzira dzinobudirira zvikuru mukurapa kwese. Sekureva kweAmerican Academy of Orthopaedic Surgeons, kutsiva mabvi ese anopfuura 700,000 kunoitwa gore rega rega muUS.
Ungave uchangotanga kutsvaga nzira dzekurapa kana kuti watosarudza kuvhiyiwa ibvi rese, chinyorwa chino chichakubatsira kunzwisisa zvakawanda nezvenzira iyi inokosha.
II. Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa kwemajoini?
Zvinowanzo tora gore kuti unyatsopora mushure mekuvhiyiwa ibvi. Asi unofanira kukwanisa kutangazve mabasa ako mazhinji mavhiki matanhatu mushure mekuvhiyiwa. Nguva yako yekupora inoenderana nezvinhu zvakati wandei, zvinosanganisira: Kuwanda kwebasa rako usati wavhiyiwa
Kupora Kwenguva Pfupi
Kupora kwenguva pfupi kunosanganisira matanho ekutanga ekupora, akadai sekukwanisa kubuda pamubhedha wechipatara wobuda muchipatara. Pazuva rekutanga kana rechipiri, varwere vazhinji vanotsiva mabvi vanopihwa chifambiso chekufamba kuti chivatsigire. Panosvika zuva rechitatu mushure mekuvhiyiwa, varwere vazhinji vanogona kudzokera kumba. Kupora kwenguva pfupi kunosanganisirawo kusiya mishonga inorwadza uye kurara husiku hwese usina mapiritsi. Kana murwere asisade zvekushandisa pakufamba uye achikwanisa kufamba-famba mumba asina kurwadziwa–pamwe nekukwanisa kufamba mabhuroko maviri mumba asina kurwadziwa kana kuzorora–zvese izvi zvinoonekwa sezviratidzo zvekupora kwenguva pfupi. Avhareji yenguva pfupi yekupora kwenguva pfupi yekutsiva mabvi ese imavhiki angangoita gumi nemaviri.
Kupora Kwenguva Refu
Kupora kwenguva refu kunosanganisira kupora kwakakwana kwemaronda ekuvhiyiwa uye nyama dzakapfava dzemukati. Kana murwere achigona kudzokera kubasa uye mabasa ezuva nezuva, anenge ava munzira yekuwana nguva yakazara yekupora. Chimwe chiratidzo ndechekuti murwere anonzwa seizve zvakanaka. Avhareji yekupora kwenguva refu kwevarwere vese vanotsiva mabvi inenge iri pakati pemwedzi mitatu netanhatu. Dr. Ian C. Clarke, muongorori wezvekurapa uye muvambi wePeterson Tribology Laboratory yekutsiva majoini paLoma Linda University, anonyora kuti, "Vanachiremba vedu vanofunga kuti varwere 'vakapora' apo mamiriro avo epari zvino achinja zvakanyanya kupfuura marwadzo avo emuviri vasati vavhiyiwa uye kusashanda zvakanaka."
Pane zvinhu zvakawanda zvinokanganisa nguva yekupora. Josephine Fox, Mutungamiriri weForamu yekutsiva mabvi yeBoneSmart.org uye mukoti wemakore anopfuura makumi mashanu, anoti mafungiro akanaka ndiwo akakosha. Varwere vanofanira kugadzirira kushanda nesimba, kurwadziwa uye kutarisira kuti ramangwana richava rakajeka. Kuva neruzivo nezvekuvhiyiwa kwekutsiva mabvi uye network yakasimba yekutsigirana kwakakoshawo pakupora. Josephine anonyora kuti, "Matambudziko mazhinji madiki kana makuru anomuka panguva yekupora, kubva paganda riri pedyo neronda kusvika pakurwadziwa kusingatarisirwi uye kusingawanzoitiki. Munguva dzino zvakanaka kuva nenetwork yekutsigirana kuti uwane mhinduro nenguva. Mumwe munhu angangodaro akasangana nedambudziko rakafanana kana rakafanana uye 'nyanzvi' ichave neshoko futi."
III. Ndeipi nzira inonyanya kushandiswa pakuvhiya majoini?
Kana uine kurwadziwa kwakanyanya kwemajoini kana kuomarara - Kuvhiyiwa kweTotal Joint Replacement Surgery kungave kwako. Mabvi, chiuno, zvitsitsinho, mapfudzi, maoko, uye magokora zvinogona kutsiviwa. Zvisinei, kutsiva chiuno nemabvi kunoonekwa sekwakanyanya kuitika.
Kutsiva Dhisiki Yekugadzira
Vanhu vakuru vanosvika masere muzana vanotambura nechirwere ichi kana kuti chisingaperi.kurwadziwa kwemusana kusingaperiizvo zvinoderedza kugona kwavo kuita mabasa ezuva nezuva. Kutsiva madhisiki ekugadzira kazhinji inzira yekurapa varwere vane chirwere che lumbar degenerative disc (DDD) kana dhisiki rakakuvara zvakanyanya rinokonzera kurwadziwa ikoko. Mukuvhiyiwa kwedhisiki, madhisiki akakuvara anotsiviwa neakagadzirwa kuti aderedze marwadzo uye asimbise musana. Kazhinji, anogadzirwa neganda rekunze resimbi rine mukati mepurasitiki remhando yepamusoro.
Iyi ndeimwe yenzira dzakawanda dzekuvhiya dzinoshandiswa nevanhu vane matambudziko makuru emusana. Nzira itsva yekuvhiya, kutsiva lumbar disc inogona kunge iri imwe nzira yekuvhiya fusion uye inowanzo fungwa kana mishonga ne physiotherapy zvisina kushanda.
Kuvhiyiwa Kwehudyu Kutsiva Hudyu
Kana uchirwadziwa zvakanyanya nehudyu uye nzira dzisina kuvhiyiwa dzisina kubudirira mukugadzirisa zviratidzo zvako, unogona kunge uri munhu anoda kuvhiyiwa panzvimbo pehudyu. Hudyu yacho yakafanana nebhora-ne-socket, pakuti mugumo wepfupa rimwe unogara mugomba rerimwe, zvichibvumira kufamba-famba. Osteoarthritis, rheumatoid arthritis, uye kukuvara kamwe kamwe kana kunodzokororwa zvese zvikonzero zvinowanzo kukonzera kurwadziwa kusingaperi izvo zvinogona kubviswa chete nekuvhiyiwa.
Akutsiva hudyu("hip arthroplasty") inosanganisira kutsiva femur (musoro wepfupa rechidya) uye acetabulum (soketi yechiuno). Kazhinji, bhora rekugadzira nedanda zvinogadzirwa nesimbi yakasimba uye soketi yekugadzirwa yepolyethylene - purasitiki yakasimba, inodzivirira kupera. Kuvhiya uku kunoda kuti chiremba abvise chiuno uye abvise musoro wefemu wakakuvara, achitsiva nesimbi.
Kuvhiyiwa Kwemabvi
Mabvi akafanana nehinji inoita kuti gumbo rikwanise kukotama uye kutwasuka. Dzimwe nguva varwere vanosarudza kutsiviwa ibvi ravo mushure mekunge rakuvara zvakanyanya nearthritis kana kukuvara zvekuti havagone kuita mafambiro ekutanga akadai sekufamba nekugara.rudzi urwu rwekuvhiyiwa, chisungo chekugadzira chakagadzirwa nesimbi nepolyethylene chinoshandiswa kutsiva chine chirwere. Chinogadzirwa chinogona kusungirirwa panzvimbo yacho nesimende yemapfupa kana kuvharwa nezvinhu zvepamusoro zvinoita kuti mapfupa akure mairi.
IyoKiriniki yeJoint YeseKuMidAmerica Orthopaedics nyanzvi mumhando idzi dzekuvhiya. Chikwata chekunze chinoona kuti matanho akati wandei anoitika usati waita oparesheni yakakomba kudaro. Nyanzvi yemabvi inotanga yaita ongororo yakakwana inosanganisira kuongorora maronda emabvi ako kuburikidza nekuongorora kwakasiyana-siyana. Sekumwe kuvhiya kunotsiva majoini, murwere nachiremba vanofanirwa kubvumirana kuti nzira iyi ndiyo yakanakisa yekudzorera kushanda kwebvi zvakanyanya sezvinobvira.
Kuvhiyiwa Kwemafudzi
Kufanana nejoini rehudyu,kutsiva fudzichinosanganisira bhora-ne-socket joint. Chipfundo chepafudzi chekugadzira chinogona kuva nezvikamu zviviri kana zvitatu. Izvi zvinodaro nekuti kune nzira dzakasiyana dzekugadzirisa majoini epafudzi, zvichienderana nekuti ndeipi chikamu chepfudzi chinoda kuchengetedzwa:
1. Chikamu chesimbi chehumeral chinoiswa muhumera (pfupa riri pakati pefudzi rako negokora).
2. Chikamu chesimbi chemusoro wehumeral chinotsiva musoro wehumeral uri pamusoro pehumeral.
3. Chikamu chepurasitiki cheglenoid chinotsiva pamusoro pesoketi yeglenoid.
Maitiro ekutsiva majoini anowanzo dzorera mashandiro ejoini zvakanyanya uye anoderedza marwadzo muvarwere vazhinji. Kunyange hazvo hupenyu hunotarisirwa hwekutsiva majoini echinyakare hwakaoma kufungidzira, hazvina muganho, zvakadaro. Vamwe varwere vanogona kubatsirwa nekuvandudzwa kuri kuitwa kunowedzera hupenyu hwemajoini ekugadzira majoini.
Hapana munhu anofanira kunzwa achimanikidzwa kuita sarudzo yakakomba yekurapa yakadai sekuvhiyiwa kwekutsiva majoini. Vanachiremba vakahwina mibairo nenyanzvi dzekutsiva majoini kuMidAmerica'sKiriniki yeJoint Yesevanogona kukuzivisai nezvenzira dzakasiyana dzekurapa dziripo kwamuri.Tishanyirei onlinekana kufonera (708) 237-7200 kuti mugadzirise musangano nemumwe wenyanzvi dzedu kuti mutange rwendo rwenyu rwekuenda kuhupenyu hune simba uye husina marwadzo.
VI. Zvinotora nguva yakareba sei kufamba zvakanaka mushure mekutsiviwa kwebvi?
Varwere vazhinji vanogona kutanga kufamba vachiri muchipatara. Kufamba kunobatsira kuendesa zvinovaka muviri zvakakosha kumabvi ako kuti zvikubatsire kupora uye kupora. Unogona kutarisira kushandisa chinofamba-famba kwemavhiki maviri ekutanga. Varwere vazhinji vanogona kufamba vega mavhiki mana kusvika masere mushure mekutsiviwa kwebvi.
Nguva yekutumira: Mbudzi-08-2024
