Arthroplasty inzira yekuvhiya yekutsiva imwe kana yese yejoint. Vanopa hutano vanoidaidzawo kuti joint replacement surgery kana majoint replacement. Chiremba anovhiya achabvisa zvidimbu zvakasakara kana kukuvara zvejoint yako yechisikigo ozvitsiva nemubatanidzwa wekugadzira (prosthesis) yakagadzirwa nesimbi, plastiki kana ceramic.
I.ls majoini kutsiva kuvhiyiwa kukuru?
Arthroplasty, inozivikanwawo sejoint replacement, kuvhiyiwa kukuru uko kunoiswa mubatanidzwa wekugadzira kutsiva mubatanidzwa wakuvadzwa uripo. Iyo prosthesis inogadzirwa nemusanganiswa wesimbi, ceramic, uye plastiki. Kazhinji, chiremba wemapfupa achatsiva mubatanidzwa wose, unonzi total joint replacement.
Kana ibvi rako rakakuvadzwa zvakanyanya nearthritis kana kukuvara, zvingave zvakaoma kuti uite zvinhu zviri nyore, zvakadai sekufamba kana kukwira masitepisi. Unogona kutotanga kunzwa kurwadziwa ugere kana kuti wakarara.
Kana marapirwo asina kuvhiyiwa senge mishonga uye kushandisa zvitsigiso zvekufamba zvisisabatsire, ungangoda kufunga nezvesero yemabvi ekuvhiya. Joint replacement surgery inzira yakachengetedzeka uye inoshanda yekubvisa marwadzo, kugadzirisa kuremara kwegumbo, uye kukubatsira kuti utangezve mabasa akajairwa.
Kuvhiyiwa kwese kuchinjwa kwemabvi kwakatanga kuitwa muna 1968. Kubva ipapo, kuvandudzwa kwezvinhu zvekuvhiya uye maitiro zvakawedzera zvakanyanya kushanda kwayo. Kutsiviwa kwebvi rose ndeimwe yenzira dzakabudirira mumishonga yese. Maererano neAmerican Academy of Orthopedic Surgeons, zvinopfuura 700,000 mabvi akazara ekutsiva anoitwa gore negore muUnited States.
Kunyangwe uchangotanga kuongorora nzira dzekurapa kana kuti watofunga kuvhiyiwa kutsiva ibvi, chinyorwa ichi chichakubatsira kuti unzwisise zvakawanda nezve chirongwa ichi chakakosha.
II.Zvinotora nguva yakareba sei kuti apore kubva pakuvhiyiwa kwekutsiva?
Zvinowanzotora gore kuti apore zvizere mushure mekutsiva ibvi. Asi iwe unofanirwa kukwanisa kutangazve mazhinji ezviitiko zvako zvenguva dzose mavhiki matanhatu mushure mekuvhiyiwa. Nguva yako yekupora inotsamira pazvinhu zvakati wandei, zvinosanganisira yako: Chiitwa chikamu usati wavhiyiwa
Kupora Kwenguva pfupi
Kupora kwenguva pfupi kunosanganisira matanho ekutanga ekupora, sekukwanisa kubuda pamubhedha wechipatara uye kuburitswa muchipatara. Pamazuva 1 kana 2, vazhinji vevarwere vanotsiva mabvi vanopihwa mufambi kuti vadzikame. Pakazosvika zuva rechitatu mushure mekuvhiyiwa, varwere vazhinji vanogona kuenda kumba. Kupora kwenguva pfupi kunosanganisirawo kubva pane zvinouraya marwadzo makuru uye kurara usiku hwose usina mapiritsi. Pane imwe nguva murwere anenge asisadi zvekushandisa uye anogona kufamba-famba mumba asingarwadzi- mukuwedzera pakukwanisa kufamba zvidhinha zviviri pamba pasina kurwadziwa kana kuzorora-zvose izvi zvinoonekwa sezviratidzo zvekupora kwenguva pfupi. Ivhareji yenguva pfupi yekudzorera nguva yekudzorera ibvi rose inenge mavhiki e12.
Kupora Kwenguva Yakareba
Kupora kwenguva refu kunosanganisira kuporeswa kwakakwana kwemaronda ekuvhiya uye matishu akapfava emukati. Apo murwere anogona kudzokera kubasa uye mabasa ehupenyu hwezuva nezuva, ivo vari munzira yekuwana nguva yakazara yekupora. Chimwe chiratidzo ndechekuti murwere anozonzwa akajairika zvakare. Ivhareji yenguva refu yekupora kwevarwere vese vanotsiva ibvi iri pakati pemwedzi mitatu ne6. Dr. Ian C. Clarke, munzveri wezvokurapa uye muvambi wePeterson Tribology Laboratory nokuda kwokutsiviwa kwemajoini paLoma Linda University, anonyora, kuti, “Vanachiremba vedu vanovhiya vanofunga kuti varwere ‘vakanaya’ apo chimiro chavo chazvino chakavandudzika zvikuru kupfuura mwero wavo wokurwadziwa kweArthritic pre-operative uye kusashanda zvakanaka.”
Pane huwandu hwezvinhu zvinopa zvinokonzeresa nguva yekupora. Josephine Fox, BoneSmart.org ibvi rinotsiva Forum Lead Administrator uye mukoti weanopfuura makore makumi mashanu, anoti mafungiro akanaka ndizvo zvese. Varwere vanofanira kugadzirira kushanda nesimba, mamwe marwadzo uye tarisiro yokuti ramangwana richave rakajeka. Kuve neruzivo rwekuvhiyiwa kwekutsiva ibvi uye network yakasimba yekutsigira kunokosha zvakare kupora. Josephine anonyora kuti, “Zvinhu zviduku kana zvikuru zvakawanda zvinomuka pakupora, kubva pabundu riri pedyo neronda kusvika pakurwadziwa kusingatarisirwi uye kusina kujairika. Munguva dzino zvakanaka kuva nesangano rinotsigira rokutendeukira uye kuwana mhinduro panguva.
III.Ndeipi iyo inowanzozivikanwa yejoint replacement surgery?
Kana uine kurwadziwa kwakanyanya kwemajoini kana kuoma - Yese Joint Replacement Surgery inogona kunge iri yako. Mabvi, zviuno, zviziso zvemakumbo, mapfudzi, mawoko, uye magokora zvose zvinogona kutsiviwa. Zvisinei, kutsiva hudyu nemabvi kunoonekwa sekwakanyanya kuwanda.
Artificial Disc Replacement
Zvisere kubva muzana zvevanhu vakuru vanosangana nekushingirira kanakurwadziwa kusingaperi kwemusanaizvo zvinodzikisira kugona kwavo kuita mabasa ezuva nezuva. Artificial disc replacement inowanzosarudzwa kune varwere vane lumbar degenerative disc chirwere (DDD) kana kuti dhisiki yakakuvadzwa zvakanyanya inokonzera kurwadziwa ikoko. Mukuvhiyiwa kwekutsiva dhisiki, madhisiki akakuvadzwa anotsiviwa neakagadzirwa kuti aderedze marwadzo uye kusimbisa musana. Kazhinji, iwo akagadzirwa nesimbi yekunze shell ine yekurapa-giredhi epurasitiki mukati.
Iyi ndeimwe yeakawanda sarudzo dzekuvhiya kune vanhu vanotambura neakakomba musana. Imwe nzira itsva, lumbar disc replacement inogona kunge iri imwe nzira yekuvhiya fusion uye inowanzoonekwa kana mishonga uye kurapwa kwepanyama zvisina kushanda.
Hip Replacement Surgery
Kana iwe uchitambura nekurwadziwa kwakanyanya kwehudyu uye nzira dzisiri dzekuvhiya hadzina kubudirira mukugadzirisa zviratidzo zvako, unogona kunge uri mumiriri wekuvhiya hudyu. Kubatana kwehudyu kunofanana nebhora-ne-socket, pakuti mugumo wakakomberedzwa wepfupa rimwe unogara mugomba reimwe, zvichibvumira kufamba kutenderera. Osteoarthritis, rheumatoid arthritis, uye kukuvara kamwe kamwe kana kudzokorora zvese zvinowanzoitika zvikonzero zvinoramba zvichirwadza zvinogona kubviswa chete nekuvhiyiwa.
Ahudyu kutsiva("hip arthroplasty") inosanganisira kutsiva femur (musoro wehudyu) uye acetabulum (hip socket). Kazhinji, bhora rekugadzira uye tsinde rinogadzirwa nesimbi yakasimba uye chigadziko chekugadzira che polyethylene - inogara yakasimba, ipurasitiki inoputika. Kuvhiya uku kunoda kuti chiremba anovhiya abvise hudyu uye abvise musoro wemukadzi wakakuvadzwa, achiutsiva nesimbi.
Knee Replacement Surgery
Mabvi akabatanidzwa akaita sehinji inoita kuti gumbo rikwanise kukotama uye kutwasuka. Varwere dzimwe nguva vanosarudza kuti ibvi ravo ritsive mushure mekunge rakuvadzwa zvakanyanya neArthritis kana kukuvara zvekuti havakwanise kuita mafambiro ekutanga sekufamba uye kugara. Inrudzi urwu rwekuvhiya, chibatanidzwa chekugadzira chinoumbwa nesimbi uye polyethylene chinoshandiswa kutsiva chinorwara. Iyo prosthesis inogona kusungirirwa panzvimbo nesamende yebhonzo kana kuvharwa nechinhu chepamusoro chinobvumira kuti mapfupa emapfupa akure mairi.
TheTotal Joint ClinicpaMidAmerica Orthopedics inonyanya kuvhiyiwa mhando idzi. Chikwata chekunze chinova nechokwadi chekuti matanho akati wandei aitika maitiro akakomba akadai asati aitika. Nyanzvi yemabvi inotanga kuitisa kuongororwa kwakadzama kunosanganisira kuongorora mabvi ako kuburikidza nemhando dzakasiyana dzekuongorora. Sezvimwe nemamwe mavhivhiti ekutsiva, vese murwere uye chiremba vanofanirwa kunge vachibvumirana kuti iyi nzira ndiyo yakanakisa sarudzo yekudzorera zvakanyanya kushanda kwemabvi sezvinobvira.
Kuvhiyiwa Kwepafudzi
Kufanana nejojo rehudyu, apfudzi kutsivainosanganisira bhora-ne-socket joint. Mubatanidzwa wepafudzi rekugadzira unogona kuva nezvikamu zviviri kana zvitatu. Izvi zvinodaro nekuti kune nzira dzakasiyana dzekutsiva majoi emafudzi, zvichienderana nekuti ndeipi chikamu chepfudzi chinoda kuponeswa:
1.A metal humeral component inosimwa muhumerus (pfupa pakati pefudzi negokora).
2.A metal humeral head component inotsiva musoro wehumeral uri pamusoro pehumerus.
3.A plastiki glenoid component inotsiva pamusoro peiyo glenoid socket.
Maitiro ekutsiva anowanzo kudzorera basa rekubatana zvakanyanya uye kuderedza marwadzo muhuwandu hwevarwere. Kunyange zvazvo hupenyu hunotarisirwa hwekugadziriswa kwemajoini kwakaoma kufungidzira, hauna magumo, zvisinei. Vamwe varwere vanogona kubatsirwa nekuenderera mberi kunowedzera kuwedzera hupenyu hwema prostheses.
Hapana munhu anofanirwa kunzwa achimhanyirwa kuita sarudzo yakakomba yekurapa senge majoint replacement surgery. Vanachiremba vakahwina mubairo uye nyanzvi dzekutsiva majoini kuMidAmerica'sTotal Joint Clinicinogona kukuzivisa nezve nzira dzakasiyana dzekurapa dzauinadzo.Tishanyire onlinekana kufonera (708) 237-7200 kuita nguva nemumwe wenyanzvi dzedu kuti utange mugwagwa wako unoenda kuhupenyu hunoshanda, husina kurwadziwa.
VI. Zvinotora nguva yakareba sei kufamba zvakajairika mushure mekutsiva ibvi?
Varwere vazhinji vanogona kutanga kufamba vachiri muchipatara. Kufamba kunobatsira kuendesa zvakakosha zvinovaka muviri kumabvi ako kuti zvikubatsire kupora uye kupora. Iwe unogona kutarisira kushandisa mufambi kwemavhiki mashoma ekutanga. Varwere vazhinji vanogona kufamba vega mavhiki mana kusvika masere mushure mekutsiviwa kwemabvi.
Nguva yekutumira: Nov-08-2024
