Total Knee Arthroplasty (TKA) inzira yekuvhiya inobvisa mabvi akabatana nemurwere ane chirwere chakanyanya kuderera chejoini kana chirwere chejojo chinopisa uye chotsiva chimiro chakakuvadzwa chejoint prosthesis. Chinangwa chekuvhiyiwa uku ndechekubvisa marwadzo, kuvandudza kushanda kwemajoini, uye kudzorera hupenyu hwezuva nezuva hwemurwere. Panguva yekuvhiyiwa, chiremba anobvisa bhonzo rakakuvadzwa uye matishu akapfava, uye ipapo anoisa artificial prosthesis yakagadzirwa nesimbi nepurasitiki mujoinhi yemabvi kuti atevedze kufamba kwejoint yakajairika. Kuvhiyiwa uku kunowanzotariswa mumamiriro ekurwadziwa kwakanyanya, kufamba kushoma, uye kusashanda kwekuchengetedza kurapwa, uye kunoitirwa kubatsira varwere kudzorera zvakajairika majoini kushanda uye hupenyu hwehupenyu.
1.Chii chinonzi Knee replacement surgery?
Knee replacement surgery, inozivikanwawo seknee resurfacing, inzira yekuvhiya inoshandiswa kurapa zvirwere zvakakomba zvemabvi. Kuvhiyiwa kunoitwa nekubvisa mabvi akakuvadzwa majoini, senge articular surfaces ye distal femur uye proximal tibia, uye dzimwe nguva patellar surface, uyezve kuisa ma prostheses ekugadzira majoini kuti atsive zvikamu izvi zvakakuvadzwa, nokudaro kudzorera kugadzikana uye mararamiro ekufamba kwejoini.
Zvikonzero zvekukuvara kwemabvi zvinogona kusanganisira osteoarthritis, rheumatoid arthritis, traumatic arthritis, etc. Kana zvirwere izvi zvichikonzera kurwadziwa kwakanyanya kwemabvi, kufamba zvishoma, kuparara kwemajoini, uye kurapwa kwekuchengetedza kusingabatsiri, kuvhiyiwa kwekutsiva ibvi kunova mushonga unoshanda.
Kuvhiya kunowanzobatanidza matanho anotevera: Kutanga, ita midline longitudinal incision pamabvi akabatanidzwa kuti abudise mabvi akabatanidzwa; zvino, shandisa zviridzwa kuita positioning drilling uye osteotomy pamucheto wezasi wefemur uye kumucheto wepamusoro wetibia; wobva wayera uye uise yakafanira mubatanidzwa wemajoini prosthesis, kusanganisira femoral pad, tibial pad, meniscus uye patellar prosthesis; pakupedzisira, suture subcutaneous tishu uye ganda kupedza oparesheni.
Mhedzisiro yekuvhiyiwa kwekutsiva ibvi inowanzokosha, iyo inogona kunyatsogadzirisa marwadzo, kuvandudza kushanda kwemajoini, nekuvandudza hupenyu hwemurwere. Nekudaro, kuvhiyiwa kunewo dzimwe njodzi, dzakadai sehutachiona, thrombosis, njodzi yeanesthesia, matambudziko ekuvhiya, prosthesis kusunungura kana kutadza, nezvimwe.
Nokudaro, vasati vavhiyiwa, varwere vanofanira kuongororwa zvakakwana, kutaurirana zvizere nachiremba, kunzwisisa njodzi nemigumisiro yekuvhiyiwa, uye kutevera mazano echiremba ekugadzirira kusati kwaitwa uye kugadziriswa kwemashure.
Kazhinji, kuvhiyiwa kwekutsiva ibvi inzira yakakura uye inoshanda yekurapa zvirwere zvakanyanya zvemabvi, izvo zvinogona kuunza tariro itsva nemikana yekuvandudza hupenyu hwevarwere.
2.Ndeipi midziyo inoshandiswa muKnee replacement surgery?
Zvishandiso zvekuvhiya zvinosanganisira hexagon screwdriver, tibial test mold, mukobvu bvunzo mold, tibial yekuyeresa mudziyo, patellar chute osteotome, inotsvedza, tibial extramedullary locator, mutongi, femoral osteotomy test mold extractor, anesthetic, intramedullary yekuvhura simba, extramedullary kuvhura simba retibica. tsvimbo yemutsara, nyundo inotsvedza, bhonzo rasp, cancellous bone depressor, tightener, tibial test mold depressor, gwara, extractor uye tool box.
3.Ndeipi nguva yekudzorera yeKnee replacement surgery?
Chiremba wako achakupa mirayiridzo chaiyo yekugeza. Iwo ma stitches kana masipi ekuvhiya anobviswa panguva yekutevera kushanya kwehofisi.
Kuti ubatsire kuderedza kuzvimba, unogona kukumbirwa kusimudza gumbo rako kana kushandisa ice kumabvi.
Tora mushonga wekubvisa marwadzo ekurwadzisa sezvakakurudzirwa nachiremba wako. Aspirin kana mamwe mishonga inorwadza inogona kuwedzera mukana wekubuda ropa. Iva nechokwadi chekutora mishonga inokurudzirwa chete.
Zivisa chiremba wako kuti ataure chimwe chezvinotevera:
1.Fivha
2.Kutsvuka, kuzvimba, kubuda ropa, kana kumwe kuyerera kubva panzvimbo yekucheka
3.Kuwedzera kurwadziwa kwakapoteredza nzvimbo yekucheka
Iwe unogona kutangazve kudya kwako kwemazuva ose kunze kwekunge chiremba wako achikupa mazano zvakasiyana.
Iwe haufaniri kutyaira kusvikira chiremba wako akuudza kuti udaro. Zvimwe zvinorambidzwa kuita zvinogona kushanda. Kupora zvakakwana kubva pakuvhiyiwa kunogona kutora mwedzi yakawanda.
Zvakakosha kuti iwe udzivise kudonha mushure mekuvhiyiwa kwebvi rako, nokuti kudonha kunogona kukonzera kukanganisa kujoini itsva. Murapi wako anogona kukurudzira mudziyo wekubatsira (nzimbe kana kufamba) kuti ikubatsire kufamba kusvika simba rako uye chiyero chawedzera.
Nguva yekutumira: Jan-06-2025
