Arthroplasty (Ophatikizana M'malo Opaleshoni): Kuchira Ndi Zotsatira Zake

Kodi Arthroplasty ndi chiyani?

Arthroplasty ndi njira yomwe imachitidwa kuti abwezeretse ntchito ya olowa. Mgwirizanowu ukhoza kubwezeretsedwanso mwa kubwezeretsanso mafupa, kapena cholumikizira chochita kupanga (prosthesis) chingagwiritsidwenso ntchito. 

Ngakhale kuti arthroplasty a m'chiuno ndi m'mawondo ali ofala kwambiri, arthroplasty amathanso kukonza kapena kusintha ziwalo zina m'thupi, kuphatikizapo mapewa, akakolo, zigongono ndi zala. Kulowa m'malo olumikizira mafupa onse kumaphatikizapo kuchitidwa opaleshoni m'malo olowa m'malo ogwidwa ndi matenda n'kulowa m'malo opangira mafupa opangira mafupa. Mwachitsanzo, a mawondo okhudzidwa ndi nyamakazi angasinthidwe m'malo mwake - izi zimatchedwa arthroplasty yonse ya bondo. 

Ngakhale arthroplasty imachitidwa kuti abwezeretse ntchito zolumikizana zomwe zimakhudzidwa ndi nyamakazi ya nyamakazi, osteonecrosis ndi kuvulala kwamagulu, nyamakazi (matenda olowa m'malo olumikizirana mafupa) ndiye chifukwa chofala kwambiri chochitira njirayi. Osteoarthritis ndi kuwonongeka kwa cartilage kapena khushoni mu mgwirizano. 

Chifukwa chiyani mukufunikira arthroplasty?

Arthroplasty imagwiritsidwa ntchito ngati mankhwala ndi chithandizo chamankhwala sichimachotsa ululu ndi kulumala bwino. Njira zingapo zamankhwala zochizira (kapena osteoarthritis) zomwe zingagwiritsidwe ntchito musanayambe arthroplasty ndi monga:

• Kuchiza thupi 
• Kuchepetsa ntchito zowawa 
• Mankhwala oletsa kutupa
• Mankhwala opweteka
• Jekeseni wa Cortisone mu mgwirizano wa bondo
• Ma jakisoni a viscosupplementation: izi zimawonjezera mafuta olumikizana kuti apangitse kuyenda kwawo kusakhale kowawa
• Wothandizira AIDS kuyenda (monga ndodo)
• Zolimbitsa thupi ndi kuwongolera
• Kuchepetsa thupi (kwa anthu onenepa)

Anthu omwe adachitapo arthroplasty nthawi zambiri amakhala ndikupita patsogolo komanso kusintha kwakukulu kuti achite ntchito zawo zatsiku ndi tsiku komanso moyo wabwino.

Pakhoza kukhala zifukwa zina zomwe dokotala wanu akukuchitirani kuti akupatseni arthroplasty. Chonde yang'anani opaleshoni yosintha m'chiuno ndi mawondo mmalo opaleshoni kuti mudziwe zambiri.

Ndi zoopsa ziti za arthroplasty?

Monga momwe opaleshoni iliyonse ili ndi zovuta, arthroscopy imakhalanso ndi zovuta zochepa. Zovuta zina zingaphatikizepo:

1. Kutenga 
2. Kusuta
3. Magazi amatha m'mapapo kapena miyendo 
4. Kumasuka kwa ziwalo zopangira ma prosthetic

Pakhoza kukhala zovuta zina malinga ndi thanzi lanu. Onetsetsani kuti mwakambirana ndi dokotala wanu nkhawa zilizonse musanachite.

Kodi ndimakonzekera bwanji arthroplasty?

Wothandizira zaumoyo wanu kapena dokotala akuwunikirani ndikukulangizani za njirayi ndipo mutha kufunsa mafunso aliwonse okhudza njirayi. Kukonzekera ndondomeko yanu kungaphatikizepo izi: 

• Choyamba, wothandizira zaumoyo wanu adzakufunsani kuti musayine fomu yololeza yomwe imakupatsani chilolezo chochita njirayi. Werengani fomu mosamala komanso kwathunthu. Uzani dokotala wanu kapena wothandizira zaumoyo ngati chinachake sichikumveka bwino.
• Wothandizira zaumoyo wanu adzakuyesani thupi lonse, kuwonjezera pa mbiri yakale yachipatala, kuti muwonetsetse kuti muli ndi thanzi musanayambe arthroplasty. Mukhoza kuyezetsa matenda kapena kuyezetsa magazi. Lankhulani ndi dokotala wanu / wothandizira zaumoyo ngati simukukhudzana ndi tepi iliyonse, latex, mankhwala ndi mankhwala opha ululu (zambiri ndi zapafupi).
• Dziwitsani dokotala wanu kapena wothandizira zaumoyo za mankhwala onse (olembedwa ndi ogulitsidwa) kuphatikizapo mankhwala owonjezera a zitsamba omwe mukumwa.
• Ndikofunika kuti mudziwitse dokotala wanu ngati muli ndi mbiri ya matenda otaya magazi. Ndikofunikiranso kudziwitsa ngati mukumwa mankhwala aliwonse ochepetsa magazi (anti-coagulant), aspirin kapena mankhwala ena omwe amakhudza kutsekeka kwa magazi. Dokotala wanu akhoza kukuuzani kuti musiye mankhwalawa musanagwiritse ntchito.
• Muyenera kudziwitsa dokotala wanu ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati pakati.
• Muyenera kusala kwa maola 8 musanayambe arthroplasty.
• Mutha kupatsidwa mankhwala oziziritsa kukhosi kuti akuthandizeni kumasuka musanayambe ndondomekoyi.
• Mutha kukumana ndi physiotherapist musanachite opaleshoni yanu kuti mukambirane za dongosolo lanu lakukonzanso
• Malingana ndi thanzi lanu, dokotala wanu angakufunseni kukonzekera kwina

Kodi chimachitika ndi chiyani pa arthroplasty?

Kawirikawiri, njira ya arthroplasty imafuna kukhala m'chipatala. zingasiyane kutengera zochita za dokotala wanu komanso matenda anu.

Arthroplasty ikhoza kuchitidwa pamene muli maso pansi pa anesthesia ya msana kapena mukugona pansi pa anesthesia. Katswiri wanu wogonetsa munthu akhoza kukambirana nanu izi musanachite opaleshoni.

Nthawi zambiri, arthroplasty amatsatira njira zotsatirazi:

1. Muzapatsidwa chovala chachipatala kuti muvale
2. Mzere wa IV (mtsempha) uyikidwa m'manja kapena mkono wanu
3. Angathenso kuyika catheter ya mkodzo
4. Tsitsi pamalo opangira opaleshoni likhoza kumetedwa ngati kuli kofunikira 
5. Mudzayikidwa pa tebulo la opareshoni pamalo omwe amapereka mwayi wabwino kwambiri wolumikizana ndi gulu lanu lomwe likugwiritsidwa ntchito
6. Wogonetsayo amawunika mosalekeza kugunda kwa mtima, kupuma, kuthamanga kwa magazi, ndi Mlingo wa okosijeni wamagazi panthawiyi.
7. Njira yothetsera antiseptic imagwiritsidwa ntchito kuyeretsa khungu pamalo opangira opaleshoni 
8. Dokotala wa opaleshoni adzadula / kudula m'dera lanu
9. Dokotala wa opaleshoni adzakonza / kuchotsa mbali zowonongeka za mgwirizano wanu
10. Kudulidwa / kudulidwa kudzatsekedwa ndi stitches kapena zofunikira za opaleshoni
11. Chovala chosabala kapena bandeji chidzaikidwa

kuchira

Kubwezeretsa ndi kukonzanso zidzakhala zosiyana kwa munthu aliyense. Nthawi zambiri, dokotala wanu angafune kuti mugwiritse ntchito cholumikizira chanu 'chatsopano' mutangomaliza njirayi. Ngakhale zingakhale zovuta nthawi zina, physiotherapy ndi kutsatira malangizo a dokotala wanu zidzafulumizitsa kuchira kwanu.

Kuchira mu Chipatala

Mukangomaliza ndondomeko yanu, mudzatengedwera kuchipinda chothandizira kuti mukawonedwe. Mukangopuma, kugunda ndi kuthamanga kwa magazi okhazikika, ndipo mukhala tcheru, mudzasamutsidwa kuchipinda chachipatala. 

Kuchita masewera olimbitsa thupi ndiye gawo lofunikira kwambiri panjira yanu yobwerera kuchira. Mwamsanga mutatha opaleshoni yanu komanso mukakhala kuchipatala, wodwala wanu wakuthupi adzakonzekera pulogalamu yokonzanso masewero olimbitsa thupi kuti muthandize kubwezeretsa kuyenda ndi kulimbikitsa mgwirizano. 

Mutha kumva kupweteka m'malo olumikizirana m'malo chifukwa thupi lanu likusintha ku mgwirizano watsopano, minofu yozungulira imakhala yofooka chifukwa chosagwira ntchito, ndipo minofu imatha kuchira. Ululu wanu umayendetsedwa ndi mankhwala, kotero mutha kutenga nawo mbali muzochita zanu zolimbitsa thupi - m'chipatala komanso mutatha kutulutsa.

Kuchira Kunyumba

Mukabwerera kunyumba, muyenera kusunga malo opangira opaleshoni kukhala aukhondo komanso owuma. Dokotala wanu adzakupatsani malangizo enieni osamba. Zovala zanu kapena zopangira opaleshoni zidzachotsedwa mukadzayendera ofesi ya dokotala.

Ndikofunika kumwa mankhwala ochepetsa ululu monga momwe dokotala wanu akufunira.  

Itanani dokotala wanu kapena wothandizira zaumoyo kuti afotokoze chilichonse mwa izi:

1. Kutuluka magazi kapena madzi ena, kufiira, kapena kutupa kuchokera pamalo ocheka
2. malungo kapena kuzizira
3. Kupweteka ndi/kapena dzanzi m'malekezero okhudzidwa
4. Kuwonjezeka kwa ululu kuzungulira malo odulidwa
5. Mukhoza kuyamba zakudya zanu nthawi zonse pokhapokha ngati dokotala akulangizani
6. Musayendetse galimoto mpaka dokotala atakuuzani. 
7. Zoletsa zina zitha kugwiranso ntchito

Ngati muli ndi mafunso okhudzana ndi kuchepa kwa ntchito mutalowa m'malo molumikizana, funsani dokotala wanu.

Zotsatira Zakale za Arthroplasty

Odwala ambiri amatha kuchita zinthu zatsiku ndi tsiku mosavuta pambuyo pa arthroplasty kapena njira zolowa m'malo. Kuonjezera apo, arthroplasty (kapena cholowa cholowa) chikhoza kukhala kwa zaka zambiri kwa anthu ambiri kuwapatsa moyo wabwino womwe umaphatikizapo ululu wochepa komanso kuyenda bwino ndi mphamvu zomwe sizikanatheka.