Nei Varwere Vachisarudza Zvipatara zveApollo kuLucknow Kuti Vatsive Hudyu Hwavo
- Nhaka yeboka reApollo kubvira muna 1983: Zvipatara zveApollo zvakatanga chirongwa chekutarisira varwere muIndia uye zvakura kuva rimwe remapoka makuru ehutano muAsia, nezvirongwa zvekutsiva varwere zvakashanda pamwe chete kweanopfuura makore makumi matatu.
- Chigadzirwa chakatsaurirwa chekurapa majoini nemapfupa muLucknow: Chipatara cheApollomedics Super Specialty, Lucknow chine dhipatimendi reOrthopaedics, Joint Replacement neSpine rinopa rubatsiro rwekutanga rwekutsiva chiuno, kuvhiyiwa kwechiuno chekugadzirisa chiuno uye kugadziriswa kwechiuno chine chekuita nekukuvara. Huwandu chaihwo hwevanopa mazano vari muboka chero nguva, uye makore avo eruzivo, zvakanyorwa mubhuku revanachiremba vechipatara uye zvinogona kusimbiswa neOPD desk.
- Vanachiremba vakuru vane makore akawanda vachishanda pamwe chete mukurapa arthroplasty: Chikwata chekutsiva chiuno chinotungamirwa nevapi vemazano vane kudzidziswa kwekudyidzana mukurapa arthroplasty, vachitsigirwa nevanorapa vane ruzivo mukurapa anesthesia munharaunda (musana/mudumbu) yevarwere vakwegura.
- Kubvumirwa kwekurapa kwevana vasati vavhiyiwa kwakasiyana-siyana pasi pedenga rimwe chete: cardiology, pulmonology, diabetology, nephrology uye internal medicine zviripo mukati, izvo zvinokosha nekuti chikamu chikuru chevanhu vekuIndia vanotsiva hudyu vane chirwere cheshuga, BP kana chirwere cheitsvo chisingaperi.
- Tekinoroji nezvivakwa: nzvimbo dzekuvhiya dzinoshandiswa ne laminar-flow modular, gwara rekuwedzera mifananidzo (C-arm), digital radiography, CT neMRI yekutarisa mafambiro ebvudzi, backup yevanorwara zvakanyanya uye nzvimbo yekuchengetera ropa mukati meimba uye gym yekurovedza muviri.
- Sarudzo yekuisa muchina wekudyara, kwete chinhu chimwe chete chakajairika: Kugadzika simende, kusina simende uye kwakasanganiswa, uye mabheyaringi eceramic-on-polyethylene kana esimbi-on-polyethylene, anosarudzwa zvichienderana nemhando yemapfupa uye zera pane kushandisa nzira yakatarwa.
- Kugadziriswa kwakarongeka, kwakanangana neIndia: Zvirongwa zvekurovedza muviri zvakanyorwa pamusoro pehupenyu hwemumba hwemuIndia - zvimbuzi zviri pasi, kurara pasi, kugara wakachinjika makumbo, masitepisi asina machira ekubata uye kutarisira mhuri pamwe chete.
- Nzira dzakasiyana dzekutarisira: Vakuru vechidiki vane avascular necrosis uye post-traumatic arthritis, varwere vari kushanda vari kuda kudzoka kumitambo, varwere vakwegura vane fragility fragility, uye chirwere chehudyu chevana kana chevechidiki (chinowanzo gadziriswa nekuvhiyiwa kwekuchengetedza hudyu pane kutsiva) mumwe nemumwe anotevera chirongwa chakasiyana.
- 24x7 emergency uye kukuvara, inoshanda pakukuvara kwehudyu uko kuvhiyiwa kunoenderana nenguva.
- Tafura yeinishuwarenzi iri panzvimbo iyi kugadzirisa mvumo dzisina mari, mapepa eTPA, mibvunzo yeCGHS/ECHS/Ayushman-type empanelment uye mvumo yekutanga yekubvumidzwa kwakarongwa.
tsananguro
Kutsiva Hudyu Kwese (THR) inzira yekuvhiya inoshandura marwadzo uye inodzoreredza kufamba-famba kwevanhu vanotambura nekukuvara kwakanyanya kwehudyu. KuApollo Hospitals Lucknow, tinodada nemukurumbira wedu wekubudirira mukurapa mapfupa, tichishandisa tekinoroji yepamusoro uye nzira dzekuvhiya dzagara dziripo kuti tishande kuti tiwane mhedzisiro yakanaka kune varwere vedu. Nechikwata chakazvipira chevanachiremba vane ruzivo uye zvivakwa zvemazuva ano, Apollo Hospitals Lucknow ndeimwe yenzvimbo dzinotungamira dzeTotal Hip Replacement munharaunda iyi. Kuzvipira kwedu kuvimba nevarwere uye kutarisirwa kwemunhu oga kunoita kuti tive sarudzo inofarirwa kune avo vari kutsvaga zororo kubva pakurwadziwa kwehudyu.
Nei Yese Hip Replacement ichidikanwa
Kutsiva Hudyu Kwese kunowanzo dikanwa kune varwere vane zvirwere zvakaita se osteoarthritis, rheumatoid arthritis, avascular necrosis (osteonecrosis yemusoro wefemoral), kana kutyoka kwehudyu. Izvi zvinogona kukonzera kurwadziwa kunorwadza, kuomarara uye kutadza kufamba zvakanaka, zvichikanganisa zvakanyanya hupenyu hwemunhu. Maitiro aya anosanganisira kubvisa nzvimbo dzehudyu dzakakuvara uye kudzitsiva neprosthetic implant, iyo inogona kudzorera mashandiro uye kuderedza marwadzo.
Kukosha kweTSR mukurapa hakufanirwe kurerutswa. Nekugadzirisa kukuvara kuri muhudyu, varwere vazhinji vanowana kuvandudzika kwakakosha mukugona kwavo kuita mabasa ezuva nezuva, kutora chikamu mukurovedza muviri uye kurarama hupenyu hune simba. Mabhenefiti anowanzo pfuura hutano hwemuviri; varwere vazhinji vanotaura kuti hutano hwepfungwa hwakavandudzika uye kutora chikamu kwakanaka munharaunda mushure mekuvhiyiwa, kunyangwe mhedzisiro yemunhu mumwe nemumwe ichisiyana.
Ngozi dzekunonoka
Kunonoka Kutsiva Hudyu Yese kunogona kuita kuti matambudziko arambe achiwanda nekufamba kwenguva. Sezvo chiuno chichiderera, varwere vanogona kunzwa kurwadziwa kunowedzera, kufamba kushoma, uye njodzi yakakura yekudonha nekutyoka. Marwadzo asingaperi anogonawo kukonzera matambudziko ehutano akadai sekusagadzikana kwepfungwa, kusagadzikana kwehope, kudzika kwemuviri uye kuzvidya mwoyo, izvo zvinogona kuita kuti kupora kuve kwakaoma.
Kurwara kwenguva refu kwearthritis kunogonawo kukonzera kuremara kwenguva refu, kupfupika kwemakumbo, kupera simba kwetsandanyama dzechidya nemagaro, uye kuomarara kwebvi nemusana - zvese izvi zvinogona kuita kuti kuvhiyiwa kuve kwakaoma uye kugadzirisa muviri kunonoke. Zvakakosha kubvunza nyanzvi kuApollo Hospitals Lucknow kuti vaongorore mamiriro ako uye vasarudze nguva yakakodzera. Nekudaro, nguva chisarudzo chinoitwa nevanhu vose: kune arthritis yechiuno yakarongwa (yekusarudza), kunonoka chisarudzo chakanaka nepo kurapwa kusiri kwekuvhiya kuchiri kushanda. Kune kukuvara kwechiuno kwakabviswa mumunhu mukuru, chinzvimbo chakasiyana uye kuvhiyiwa kunowanzo kurudzirwa pasina kunonoka kunodzivisika.
Benefits of Total Hip Replacement
- Pain Relief: Mabhenefiti anonyanya kuoneka ndeyekudzikira kukuru, uye muvarwere vazhinji kurwadziwa kwehudyu kuri pedyo nekukwana, zvichiita kuti vadzokere kumabasa avo ezuva nezuva vasina kugadzikana zvakanyanya.
- Kufambiswa Kwakavandudzwa: varwere vazhinji vanowana mukana wekufamba nekufamba, zvichiita kuti vakwanise kuita zvinhu zvavakanga vachidzivisa.
- Hupenyu Hwakavandudzwa: Nekurwadziwa kushoma uye kufamba kuri nani, varwere vazhinji vanotaura kuti hupenyu hwavo huri nani uye kuti vanotora chikamu chikuru mumitambo yekushamwaridzana uye yekuvaraidza.
- Inogara kwenguva refu: Zvigadzirwa zvemazuva ano zvakagadzirwa kuti zvigare kwenguva refu. Ruzivo rweRegistry pasi rose runoratidza kuti ruzhinji rwezvipfeko zvinotsiva chiuno zvichiri kushanda zvakanaka pamakore gumi nemashanu kusvika makumi maviri, kunyange hazvo hurefu hwemuviri huchienderana nezera, huremu, mashandiro azvo, mhando yemapfupa uye rudzi rwezvipfeko zvinotsiva chiuno.
- Personalized Care: Zvirongwa zvekurapa zvemunhu mumwe nemumwe zvinovakirwa zvichienderana nezera remurwere wega wega, basa rake, mamiriro epamba uye mamwe mamiriro ehutano.
Kugadzirira uye Kudzorera
Kugadzirira Matipi
- Kubvunzurudza: Ronga kubvunzana kwakadzama nenyanzvi dzedu dzemapfupa kuti mukurukure nezvemamiriro enyu ezvinhu, sarudzo dzekurapa uye zvinokunetsai.
- Preoperative Assessment: kuongororwa kunodiwa usati wavhiyiwa, kusanganisira kuongororwa ropa nemifananidzo, kuti vaone hutano hwese uye kusimba kwekuvhiyiwa.
- Ongororo yeMishonga: kurukurai mishonga yese iripo, sezvo mimwe - kunyanya mishonga inobvisa ropa, mimwe mishonga yechirwere cheshuga uye mimwe mishonga ye arthritis - ingada kugadziriswa kana kuti kumisa kwenguva pfupi.
- Lifestyle Modifications: teverai mazano ekurovedza muviri anopiwa ekusimbisa tsandanyama dzakatenderedza hudyu uye kuvandudza hutano hwemuviri usati wavhiyiwa.
- Chirongwa cheKudzoreredza: ronga rubatsiro kumba mushure mekuvhiyiwa, kusanganisira rutsigiro rwemabasa ezuva nezuva uye kutakurwa kwekushanya kwekutevera.
Mazano Ekudzoreredza
- Tevera Mirayiridzo Yekuvhiya: tevera gwara remitemo yekushanda, kurapwa kwemaronda nemishonga.
- Therapy Therapy: kutora chikamu muchirongwa chekugadzirisa marwadzo chakarongeka kuti uwanezve simba nekufamba.
- Kudzokera Zvishoma Nezvishoma Kumabasa: Tangazve mabasa ako enguva dzose zvishoma nezvishoma sezvawakarayirwa, uchiteerera muviri wako uye uchidzivisa kushanda nesimba zvakanyanya.
- Nguva Dzose Kutevera: pindai ongororo dzese dzakarongwa kuitira kuti kufambira mberi kutariswe uye matambudziko aonekwe nekukurumidza.
- Stay Positive: Kupora kunotora nguva, uye zvinangwa zvinogoneka pamwe nemaitiro akatsiga zvinobatsira maitiro acho.
Nhungamiro yeKliniki yeParizvino Iri Kutevera Kurudziro
Kusarudza vanhu paApollo Hospitals kuLucknow kunotevera gwara remazuva ano remabvi pane kutevedzera zvinodiwa nachiremba chete. Nzira dzekushandisa nguva dzose dzinosanganisira:
- Indian Orthopedic Association (IOA) dzidzo inoenderera mberi uye zvinyorwa zvinobvumirana pamusoro pemaitiro ekurapa arthroplasty, uye Indian Society of Hip and Knee Surgeons (ISHKS), iyo inotungamira ISHKS Joint Registry? Kunyoresa kweIndia kwenyika ye arthroplasty, kwakatangwa muna 2006 uye kunonyora nezvemaitiro eIndian implant uye mhedzisiro yemurwere. Ruzivo rwekunyoresa rweIndia rwakakosha zvakananga nekuti varwere vekuIndia paavhareji vadiki panguva yekutsiva chiuno pane mapoka ekuMadokero, uye vanowanzova neavascular necrosis, ankylosing spondylitis, tuberculous arthritis sequelae kana post-traumatic arthritis sechiratidzo chiripo pane primary osteoarthritis.
- Gwaro reKushanda Kwekurapa reAmerican Academy of Orthopaedic Surgeons (AAOS), "Kutarisira Osteoarthritis yeHudyu" (2023 update), iyo inotsigira kurapa maekisesaizi, kudzora huremu, uye majekiseni akasarudzwa vasati vavhiyiwa, uye inokurudzira kuvhiyiwa kwechiuno chose kune varwere vane osteoarthritis yechiuno ine zviratidzo zvisingadzoreki zvakakwana nekurapwa kusingavhiyiwi.
- NICE gwara NG157, "Kutsiva majoini (chikuru): chiuno, ibvi nefudzi" (2020, pamwe nekuongororwa kunotevera) ? Shanduko ichangobva kuitika ndeyekuti NG157 inoti kutumirwa kwenzvimbo yejoini kunofanirwa kupihwa zvichienderana nekuti zviratidzo zvinokanganisa sei hupenyu hwemunhu uye mashandiro ezuva nezuva, uye zvinofanira kwete kuganhurirwa nematanho ekuyera zviratidzo, zera, murume kana mukadzi, mamiriro ekuputa, kana body mass index chete. Varwere vanofanira kuramba vachitsigirwa kuti vaderedze huremu uye varege kuputa, asi izvi hazvishandiswe senzira dzekudzivirira chirwere.
- NICE NG89 (2018, yakagadziridzwa 2019) pakudzivirira thromboembolism yeropa, iyo inotsigira kushandiswa kwekudzivirira kuvharika kwemajini uye kwemishonga mushure mekuputika kwechiuno - chinhu chakakosha muIndia, uko nguva yakareba yekudzivirira inosarudzwa yega yega.
- Kudzivirira maantibayotiki uye kudzivirira hutachiona panzvimbo yekuvhiyiwa zvichibva paWHO netsika yenyika yekudzivirira hutachiona, nemakamuri ekuongorora hutachiona anoshandiswa pakurapa (laminar-flow theaters) uye mushonga mumwe chete wemishonga inorwisa mabhakitiriya usati wachekwa ndiwo wakajairika.
Maitiro maviri ekudzidzira akakosha kuziva: chekutanga, nzira dzakavandudzwa dzekupora dzava kuda kuti munhu atange kushanda nekukurumidza, kazhinji pazuva rimwe chete kana zuva rakatevera kuvhiyiwa, pachinzvimbo chekuzorora kwenguva refu pamubhedha. Chechipiri, kugara uchidzivirira mishonga inorwisa mabhakitiriya inovharirwa nemazino kune varwere vanotsiva majoini hakuchisiri zano rinoshanda; zvinosarudzwa zvichienderana nemamiriro ezvinhu. Chiremba wako achakupa zano rekuti chii chinoshanda kwauri.
Nguva Yokuvhiya uye Chikamu Chekutanga Kuvhiya
Kutsiva chiuno zvachose kwearthritis kuvhiyiwa kwekusarudza, zvinoreva kuti zuva racho rinosarudzwa kuti rienderane nekugadzirira kwako kurapwa uye hurongwa hwemhuri yako - kwete nekukurumidza. Kurongeka kwakajairika kunotaridzika seizvi:
| Stage | Nguva yakajairika | Chii chinoitika |
|---|---|---|
| Kubvunzana nezvemapfupa | Day 0 | Nhoroondo, kuongororwa kwehudyu, kuongororwa kwekufamba, X-ray yechiuno nechiuno; kukurukura nezvesarudzo dzisiri dzekuvhiya. |
| Kuedzwa kwekuchengetedzwa kwekuchengetedza | Mavhiki matanhatu kusvika kumwedzi yakati wandei, kana zvichikodzera | Kurapa muviri, kuderedza huremu, marwadzo, rubatsiro rwekufamba, kugadzirisa maekisesaizi. |
| Sarudzo yekuvhiyiwa | Kana kurwadziwa uye mashandiro emuviri zvisingachagamuchirwi | Sarudzo yekuisa chisimbiso, rudzi rwekuisa, hurukuro yeanesthesia, mvumo, fungidziro yemutengo. |
| Kuongororwa kwemunhu asati anzwa kurwadziwa (PAC) | Vhiki imwe kusvika nhatu vasati vavhiyiwa | Kuverengwa kweropa, shuga neHbA1c, kuongororwa kweitsvo nechiropa, ECG, X-ray yechipfuva, echocardiography kana zvichiratidzwa, kuongororwa kwemazino neweti kuti uone kana paine hutachiona. |
| Kugadzirisa kurapa | 1 kusvika kumavhiki matanhatu zvisati zvaitika | Kugadzirisa kushomeka kweropa mumuviri (anemia) uye Vitamin D, kudzora chirwere cheshuga neBP, kurapa chero hutachiona hweganda, mazino kana weti, kurega kusvuta nefodya. |
| Inishuwarenzi isati yapihwa mvumo | Mazuva matatu kusvika gumi ekushanda asati asvika | Kubvumidzwa kweinishuwarenzi pasina mari kunogadziriswa nedhipatimendi reinishuwarenzi neTPA kana kambani yeinishuwarenzi. |
| Kurapa muviri usati watanga kugara zvakanaka | 2 kusvika kumavhiki matanhatu zvisati zvaitika | Makumbo emakumbo mana, kusimbisa gluteal nemoyo; kurovedza muviri wekufamba netsoka; kurovedza muviri wekufema. |
| Kupinda uye kuvhiyiwa | Kazhinji zuva risati rasvika kana mangwanani ekuvhiyiwa | Kutsanya, kuisa chiratidzo panzvimbo, mushonga wemishonga inorwisa mabhakitiriya, mushonga wekumusana kana wekutindivadza, kuvhiyiwa kweinenge awa imwe kusvika maviri. |
Kana munhu mukuru akatyoka chiuno, nguva iyi haishande: kuvhiyiwa kunowanzo kurudzirwa murwere achiri mutano, nekuti kuzorora pamubhedha kwenguva refu kune njodzi dzayo dzehutachiona hwepachipfuva, maronda ekumanikidzwa uye kuvharika kwemapfupa.
Zvimwe Zvingasarudzwa uye Sarudzo dzeMatekiniki
Kutsiva chiuno chose hakusi iko kwega sarudzo, uye haisiyo sarudzo yakakodzera munhu wese. Tafura iri pazasi inoenzanisa zvingakurukurwa newe.
| Pfungwa | Yakanyanya kukodzera | Advantages | Nokuremara |
|---|---|---|---|
| Kutarisirwa kusingavhiyiwi (physiotherapy, kuderedza huremu, mishonga inonyaradza marwadzo, rubatsiro rwekufamba) | Arthritis iri pakati nepakati kusvika pakutanga; varwere vasati vagadzirira kuvhiyiwa | Hapana njodzi yekuvhiyiwa; kazhinji inobatsira kwemwedzi kana makore | Hazvidzore kukuvara kwemajoini; zvinogona kusakwana |
| Jekiseni remukati memuzongoza (steroid, rinotungamirwa nemufananidzo) | Kubuda kwezviratidzo; kujekesa kuongororwa kwechirwere | Kurerutsira marwadzo kwenguva pfupi; nzira yekuchengeta vana masikati | Kubaiwa majekiseni kwenguva pfupi; hazvikurudzirwi kuabaya kakawanda; anofanira kuverengerwa kwenguva refu asati aiswa panzvimbo imwe yakarongwa. |
| Kuvhiyiwa kwekuchengetedza chiuno (kubvisa kumanikidzwa kwemuviri, osteotomy, arthroscopy yekukuvara kwechiuno kana kubvaruka kwedumbu) | Varwere vechidiki, kutanga kwe avascular necrosis, structural hudyu deformity | Inochengetedza joini rechisikigo; inononoka kutsiva | Hazvifungidzike; zvinogona kuramba zvichienderera mberi nekutsiva gare gare |
| Kutsiva hudyu yese yakagadzirwa nesimbi | Varwere vakwegura, mapfupa akapfava kana kuti osteoporotic bone | Kugadzika kwakasimba nekukurumidza; kunobvumira kutakura huremu hwakazara nekukurumidza | Kufunga nezve simende; kugadzirisa kunogona kunyanya kubatanidzwa |
| Kutsiva hudyu zvachose kusina simbi (kugadziriswa kwemuviri) | Varwere vadiki vane mapfupa akanaka | Pfupa rinokura richipinda muchibereko; zvakanaka kuti rigadziriswe mune ramangwana | Zvinoenderana nekunaka kwemapfupa; njodzi diki yekurwadziwa kwechidya kana kutsemuka |
| Kutsiva hudyu hwese hwehybrid | Mhando yemapfupa akasanganiswa | Inosanganisa tsinde rakaiswa simende nesokisi risina simende kana zvinopesana | Nyaya yacho yakasiyana; dzimwe nguva zvinosarudzwa panguva yekuvhiyiwa |
| Mabheyaringi eCeramic-on-polyethylene / simbi-on-polyethylene | Varwere vazhinji; ceramic inowanzo shandiswa muvarwere vadiki, vanoshanda | Kusashanda zvakanaka ne polyethylene yemazuva ano yakabatana zvakanyanya | Kutsemuka kana kurira kweceramic kusingawanzoitiki; mutengo unosiyana zvichienderana nekutakura |
| Nzira isinganyanyi kukuvadza kana kuchengetedza nyama | Mhando dzemuviri dzakasarudzwa uye kuongororwa | Kuchekwa kudiki, kukanganiswa kwenyama kushoma | Hazvina kukodzera munhu wese; kuisa zvakanaka paimplant kunokosha kupfuura saizi yekucheka |
| Hip resurfacing | Boka diki, rakasarudzwa nokungwarira revarume vechidiki vanoshanda nesimba | Kuchengetedza mapfupa | Kushandiswa kwadzikira pasi rose nekuda kwekunetseka nezvekupfekwa kwesimbi; hazviwanzo kuwanikwa pari zvino. |
| Hemiarthroplasty (kutsiva hafu) | Varwere vakwegura, vasingade zvakanyanya vane kutyoka kwemutsipa wefemoral | Kuvhiyiwa kwenguva pfupi, kurasikirwa neropa kushoma, njodzi yekubuda kweropa mudumbu yakaderera | Hazvina kukodzera varwere vari kushanda; zvinogoneka kurwadziwa muhudyu |
| Kusanganiswa kwechiuno (arthrodesis) | Hazviwanzoitiki - hutachiona kana kuti kugadziriswa kwakundikana | Hudyu yakasimba, isingarwadzi asi yakaoma | Kurasikirwa nekufamba kwechiuno zvachose; kuvhiyiwa kwenhoroondo |
| Kutsiva chiuno chekudzokorora | Yakasunungurwa, yakasakara, ine utachiona kana kuti yakabviswa chidyarwa chekare | Inodzoreredza mashandiro emuviri mushure mekukundikana kweimplant | Kuvhiyiwa kwenguva refu, kuoma kwakanyanya, kupora kwenguva refu |
Maitiro Anoitwa Dzimwe Nguva
- Bone kubatanidza kana paine zvikanganiso zvemasokisi, zvinowanzoitika mumasokisi asina kudzika uye mushure mekutyoka kwekare - kazhinji uchishandisa musoro wefemoral wemurwere wakabviswa.
- Kugadziriswa kwehurefu hwemakumbo, apo chiuno chearthritis chapfupisa gumbo; kuenzana kwakarongwa asi musiyano mudiki ungasara.
- Kuburitswa kwenyama yakapfava ye adductor yakasimba kana iliopsoas muhudyu dzakaoma kwenguva refu kana dzakasanganiswa, zvinowanzoitika mu ankylosing spondylitis.
- Kubviswa kwesimbi dzekare (maplate, masikuruu, sikuruu inoshanduka yechiuno) kubva pakuvhiyiwa kwekutanga kwekutyoka.
- Kutsiva chiuno nemativi maviri (mahudyu ese), kungava panguva imwe chete kana kuti mavhiki akati wandei akasiyana - sarudzo chaiyo yekurapa ankylosing spondylitis uye bilateral avascular necrosis, yakasarudzwa pahutano hwemwoyo uye hemoglobin.
- Kutora mifananidzo yenyama uye tsika kana paine hutachiona kana kuti TB inofungidzirwa kuti iri mumajoini, izvo zvisingawanzoitiki muIndia.
- Kugara pamwe chete hudyu nemabvi kutsiva dzimwe nguva inoongororwa, asi chete kune varwere vakasarudzwa vane hutano hwakanaka mushure mekuongororwa kwakanyatsoitwa kweanesthesia.
Phase-by-Phase Recovery Timeline
Aya ndiwo marudzi akajairika ekurapa. Chirongwa chako chinogona kukurumidza kana kunonoka zvichienderana nezera rako, simba remhasuru, zvimwe zvirwere uye kuoma kwekuvhiyiwa.
| Phase | Timeframe | Zvaunotarisira | zvinangwa |
|---|---|---|---|
| Pakarepo post-op | Zuva 0 kusvika Zuva 1 | Kudzora marwadzo, mvura inobuda mutsinga dzeropa nemishonga inorwisa mabhakitiriya, kudzivirira kugwinha kweropa, mapombi emakumbo, maekisesaizi ekufema | Gara wakamira, mira nerutsigiro, tora matanho ekutanga kazhinji |
| Kugara muchipatara | Zuva 1 kusvika Zuva rechitatu (dzimwe nguva kusvika 5) | Kufamba-famba nerubatsiro rweWalker, kuongororwa kwekupfeka, physiotherapy kaviri pazuva, kudzidzira masitepisi | Kutamisirwa kwemunhu oga, kushandisa chimbuzi nechigaro chakasimudzwa, kuburitsa mvura yakachengeteka |
| Danho rekutanga repamba | Vhiki 1 kusvika Vhiki 2 | Kufamba mumba uchishandisa walker, kuongorora maronda, stitch kana staple removal mukati mezuva rechi10 kusvika rechi14 | Kuporeswa kwemaronda, kudzora kuzvimba, kufamba kwemaminitsi gumi kusvika gumi nemashanu kakawanda pazuva |
| Chikamu chekusimbisa | Vhiki 3 kusvika Vhiki 6 | Kufambira mberi kubva pakushandisa chinofamba kuenda pakushandisa tsvimbo; physiotherapy inotariswa; mabasa epamba akareruka | Kufamba daro rakareba, matanho ekudzivirira chiuno achiri kucherechedzwa, kutyaira kunogona kukurukurwa |
| Chikamu chekushanda | Vhiki 6 kusvika Vhiki 12 | Kufamba pasina rubatsiro muvarwere vazhinji, basa repadhesiki rinotangazve, kutasva bhasikoro vasingamiri, kufamba mudziva | Kufamba-famba kwakajairika, kukwira masitepisi usina rutsigiro, kudzokera kubasa remuhofisi |
| Kubatanidzwa | Mwedzi 3 kusvika Mwedzi 6 | Kushanda kwezuva nezuva kunenge kwakajairika; kusimbiswa kwegym kana kwabviswa | Kufamba kwenguva refu, kufamba, mitambo yekushamwaridzana isina kusimba kana zvichibvumirwa |
| Kukura | Mwedzi 6 kusvika Mwedzi 12 | Kuramba uchiwedzera simba uye chivimbo; nhanho yekupedzisira yekushanda yasvika | Dzokera kumabasa ekuzvivaraidza akasarudzwa mukati memiganhu inobvumirwa |
| Kutarisirwa kwenguva refu | Gore negore kana sezvakarayirwa | Ongororo yekiriniki uye X-rays nguva nenguva | Kuonekwa kwekutanga kwekupfekwa, kusunungura kana hutachiona |
Kudzokera kuMabasa Akajairika, Basa uye Mitambo
Kudzoka kunobva pakuzadzisa matanho akakosha, kwete pakarenda chete. Zvinodiwa zvinosanganisira ronda rakapora, kufamba zvakanaka pasina kuremara, simba rakakwana rekubata chiuno, kugona kukwira masitepisi zvakaenzana, uye kusununguka kubva pakuvhiyiwa.
| Activity | Nguva yenguva yekutanga yenguva dzose | Notes |
|---|---|---|
| Kufamba mumba newalker | Day 1 | Vakatanga muchipatara |
| Kugeza (kugeza, kugara pasi) | Kana ronda ravharwa, kazhinji mavhiki maviri | Dzivisa kunyorova; shandisa chituru chepurasitiki, kwete pasi |
| Basa repadhesiki kana remuhofisi | 4 kune vhiki dze6 | Chigaro chepamusoro, dzivisa kugara kwenguva refu usingakanganiswi |
| Kutyaira motokari | Mavhiki matanhatu, chiuno chekurudyi kazhinji kacho chinononoka pane chekuruboshwe | Unofanira kunge wakasiya mishonga inonyaradza marwadzo uye uchikwanisa kumisa emergency |
| Kutasva bhasikoro rine mavhiri maviri | Kazhinji hazvidiwi; kana zvichibvumirwa, mwedzi mitatu kana kupfuura | Njodzi huru yekudonha nekutsemuka kwetsoka mumamiriro emigwagwa yeIndia |
| Basa remaoko kana remumunda | 3 kune mwedzi 6 | Kusimudza zvinhu zvinorema uye kugara pasi kakawanda kungada kugadziriswa zvachose |
| Swimming | Mavhiki matanhatu kusvika masere mushure mekupora kweronda | Dzivisa kukava ne breaststroke pakutanga |
| Kutasva bhasikoro (kwakamira, wozobva waenda mumugwagwa) | 6 kune vhiki dze12 | Simudza chigaro chechigaro kudzivirira kukwenya chiuno zvakanyanya |
| Gorofu, bhora revatambi vaviri, tenesi yakareruka | Mwedzi mitatu kusvika mitanhatu, kana yakabvumidzwa | Mutambo wekuzvivaraidza usinganyanyi kukanganisa unogamuchirwa |
| Kumhanya, kusvetuka, mutambo wekubatana, kabaddi, cricket yemakwikwi | Kazhinji hazvikurudzirwi | Kutakura zvinhu zvinokanganisa muviri kunokurumidza kupera uye kunowedzera njodzi yekutyoka kwemuviri |
| Kufamba kwemhepo | Kazhinji mushure memavhiki mana kusvika matanhatu ekufamba nendege pfupi | Chigaro chemumugwagwa, famba nguva nenguva, masokisi ekudzvanya; kurukura nezvengozi yekugwamba kweropa |
| Zvepabonde | 4 kune vhiki dze6 | Dzivisa nzvimbo dzakadzika dzekukotama, kuyambuka kana kutenderedza chiuno nemukati |
Maitiro ehupenyu hweIndia? Mhinduro chaiyo
- Zvimbuzi zvekusvirana uye zverudzi rwechiIndia: Kukotama zvakadzama kunokotamisa chiuno zvakanyanya kupfuura miganhu yakachengeteka uye kazhinji zvinokurudzirwa kusaita zvachose mushure mekutsiva chiuno nenzira yechinyakare. Mhuri zhinji dzinochinja kuita commode yekuMadokero kana kuisa furemu yechigaro checommode pamusoro pepani yeIndia.
- Kugara pasi wakapfugama makumbo (sukhasana): kazhinji inongogumira kwemwedzi mitatu yekutanga, uye mushure mezvo chete kana chiremba wako akaibvisa. Vamwe varwere vanowanazve kugara kwenguva pfupi vakayambuka makumbo; vazhinji havadaro, uye kuimanikidza kunogona kukonzera kubuda kwenzvimbo.
- Kurara pasi: Kumuka kubva pamubhedha wepasi kunoda kupeta chiuno chakadzika uye kutenderedza. Kurara pahudyu kwakakwirira ibvi kunokurudzirwa zvikuru kwemwedzi mitatu, uye zviri nani kugara kwenguva refu.
- Basa rekicheni nepuja rakaita seriri pasi, kuwacha mbatya uchigara pasi, kukwesha nemaoko: chinja kuenda kuchituru, pachikuva chakakwirira, mopu ine mubato murefu uye muchina wekuwachisa.
- Kubata tsoka mukukwazisa, kupfugama mumunamato, matanho etemberi: kurukurai dzimwe nzira dzakagadziriswa nachiremba wemuviri wenyu; munamato wakagara pasi inzira inonzwisisika yekugadzirisa.
- Kugadzirira kumba usati wapinda: chigaro chepamusoro chemidziyo yemumba, bhawa rekugezera, meti isingatsvedzerere, chigaro chakasimba chechigaro chakareba chine nzvimbo dzekutsamira maoko, nyanga yeshangu ine mubato murefu uye chinorembera, uye kubviswa kwemakapeti asina kusimba uye mikova yemusuwo.
Kudzivirira Hudyu Itsva uye Kudzivirira Matambudziko
- Chengeta matanho ekudzivirira chiuno sezvakarairwa - kazhinji usatendeudza chiuno chako kupfuura madhigirii 90, uchiyambuka makumbo, uye uchitendeudza gumbo rako mukati - kwenguva yakatarwa nachiremba wako.
- Chengetedza huremu hwemuviri huri munzvimbo ine hutano; huremu hwakawandisa hunowedzera mutoro wezvishandiso zvemuviri uye kupera.
- Chengetedza tsandanyama dzechiuno nedzegumbo dzakasimba kweupenyu hwese, nechirongwa chiri nyore chezuva nezuva chekugara kumba.
- Rapai zvirwere zvemazino, zveweti, zveganda nezvechipfuva nekukasika, sezvo mabhakitiriya ari muropa anogona kugara pachinhu chinoiswa paganda. Udza chero chiremba ari kurapa kuti mune chinotsiva majoini enyu.
- Rapa chirwere cheshuga zvakanaka; kutadza kudzora chirwere kunowedzera njodzi yekutapukirwa uye kupora.
- Kudzivirira kudonha: chiedza chakakwana, pasi pasina mvura, shangu dzine tambo yekumashure pane shangu dzakarembera, uye kungwarira panguva yemvura inonaya.
- Rapai osteoporosis necalcium, vhitamini D uye mishonga yakanyorwa nachiremba kana zvataurwa, kuderedza njodzi yekutyoka kwakatenderedza chisimbiso.
- Enda kunoongororwa kwenguva refu kunyangwe chiuno chako chichiita sechakajairika - kusashanda zvakanaka uye kusunungura kunowanikwa paX-ray, kwete nezviratidzo.
- Dzivisa fodya yemhando dzese, kusanganisira gutkha nekhaini; kusvuta kunokanganisa maronda nemapfupa.
Zvinofanira Kufungwa Nevechidiki, Varwere Vakwegura Nevana
Vechidiki (makore angangoita 25 kusvika 45)
MuIndia, avascular necrosis, ankylosing spondylitis, post-traumatic arthritis uye rheumatoid arthritis zvinoita kuti varwere vazhinji vatange kutsiva chiuno nekukurumidza. Nyaya huru ndeyehupenyu hwemuviri weimplant muhupenyu hwavo hwese, zvichireva kuti kuvhiyiwa kwekugadzirisa chiuno gare gare inguva chaiyo. Sarudzo dzekuchengetedza chiuno dzinotanga kutariswa, kugadzirisa chiuno chisina kusimbiswa nebear yakasimba kunowanzo kufarirwa, uye kupa mazano ekurovedza muviri kunokosha zvikuru, kwete zvishoma.
Varwere vakwegura (vane makore makumi manomwe zvichikwira)
Zvinhu zvinonyanya kukosheswa zvinochinja kuenda pakupora kwakachengeteka, nekukurumidza, uye kwakavimbika: kuongororwa kwemwoyo nemapapu, anesthesia yemusana kana zvakakodzera, kusimbiswa kwemapfupa emapfupa, kugadziriswa kweanemia, kudzivirira kuvhiringidzika kwepfungwa, kufamba nekukurumidza uye kudzivirira kuwa kumba. Kusasimba kunoongororwa pamwe chete nezera - munhu ane makore 78 ekuberekwa akasimba anogona kuita zviri nani pane munhu ane makore 62 ekuberekwa asina simba.
Vana nevechiri kuyaruka
Kutsiva chiuno chose hakunyanyi kukodzera vasati vakura. Matambudziko ehudyu evana akadai sekukura kwechirwere chepfungwa, chirwere chePerthes, slipped capital femoral epiphysis, septic arthritis sequelae uye juvenile idiopathic arthritis anorapwa nekuvhiyiwa kwechiuno, osteotomy kana kurapwa. Kutsiva chiuno kwakachengeterwa zviitiko zvisingawanzoitiki zvekuparara kwakanyanya, kunorwadza, uye magumo ekupedzisira, uye mhuri inokurudzirwa kuti kudzokororwa kakawanda muhupenyu hwese kunogona kuitika.
Varwere vane chirwere cheshuga, chirwere cheitsvo kana vari panjodzi yekushomeka kwesimba remuviri
Mapoka aya anoda nguva yakareba yekuvandudza hutano, kuongororwa kwehutachiona, uye kuongororwa kwakasimba mushure mekuvhiyiwa. Mishonga ye rheumatoid arthritis inorapa rheumatoid arthritis inowanzo miswa panguva yekuvhiyiwa pachishandiswa mazano ekurapa rheumatology.
Kana Ukasarudza Kusavhiyiwa
Kuramba kana kunonotsa kuvhiyiwa chisarudzo chiri pamutemo, uye chinoremekedzwa. Zvazvinowanzoreva mukuita:
- Marwadzo anoramba achienderera mberi anowanzo wedzera zvishoma nezvishoma kwemwedzi kusvika kumakore, nekurwadziwa kwakanyanya kwehusiku uye daro diki rekufamba pasina kurwadziwa.
- Kuwedzera kwekushandisa mishonga inoderedza marwadzo, zvichikonzera njodzi huru mudumbu neitsvo, uye pamudonzvo kana kuti pamuchina wekufambisa.
- Kuomarara kunoenderera mberi, kuremara, kupfupika kwegumbo uye kupera simba kwetsandanyama; nekufamba kwenguva kuremara uku kunogona kugadziriswa.
- Kurwadziwa kwechipiri kumusana wezasi, chiuno chakapesana uye mabvi ese ari maviri.
- Kurasikirwa neutano hwakanaka, kuwedzera huremu, chirwere cheshuga chisina kunaka uye kudzora BP, kusagadzikana kwehope uye kusagadzikana kwepfungwa.
- Kuzvimirira kwakaderera uye mutoro wekutarisira mhuri wakawanda.
- Kana kuvhiyiwa kukazosarudzwa gare gare, kunogona kuoma, kunoda kuiswa mapfupa kana kuti hunde refu, uye kunononoka kupora.
Kana ukanonoka, chirongwa chakarongeka chisina kuvhiyiwa chichiri kupihwa: physiotherapy, kudzora uremu, kudzidziswa kwekubatsira kufamba, kuongorora marwadzo, vhitamini D necalcium, kudzivirira kuwa, uye kuongororwazve nguva nenguva kuitira kuti ugone kuongororazve sarudzo chero nguva.
Chii Chinochinja Mutengo weTotal Hip Replacement
Kutsiva chiuno chose mutengo wepakeji uye nhamba yekupedzisira inosiyana zvakanyanya kubva kumurwere mumwe nemumwe. Apollo Hospitals Lucknow inopa fungidziro yakanyorwa usati wapinda. Ndapota tora nhamba dziripo kubva kuhofisi yeinishuwarenzi kana yechipatara - hapana mitengo yakanyorwa pano, uye fungidziro dzevamwe vanhu hadzifanirwe kuvimbwa nadzo.
| Factor | Kuti zvinokanganisa sei mutengo |
|---|---|
| Rudzi rwechikafu uye pamusoro pebheyaringi | Mutengo mukuru - wakasimbiswa kana usina simende, uye polyethylene kana ceramic bearings, unosiyana. Mitengo yehurumende inoshanda kune mamwe marudzi emapfupa ekugadzira mabheya. |
| Chiuno chimwe chete kana zvese zviri zviviri | Kuvhiyiwa kwemakumbo maviri, panguva imwe chete kana kuti panguva imwe chete, kunodhura kupfuura chiuno chimwe chete. |
| Kuvhiyiwa kwekutanga kana kuvhiyiwa patsva | Kugadziriswazve kunoda maimplants akagadzirwa neunyanzvi, nguva yakareba yekurovedza muviri uye zvigadzirwa zveropa zvakawanda, saka zvinodhura zvakanyanya. |
| Chikamu chemakamuri | Mari yekuwadhi, yekugovana mapatya, imba imwe chete uye suite inobhadhariswa zvakasiyana, uye izvi zvinowanzo chinjawo mutengo wepakeji yevamwe vatungamiriri. |
| Kureba kwekugara | Mazuva ekuwedzera mushure mepakeji, kana kugara muICU, anowedzera mari. |
| Rudzi rweanesthesia uye nguva yekushandiswa kwayo | Kuvhiyiwa kwakaoma kana kwenguva refu kunowedzera dambudziko rekutindivadza uye kuvhiyiwa kwemuchina wekurapa. |
| Pre-operative kuongorora | Kukanganiswa kwemwoyo, kufema kana itsvo muvarwere vane zvimwe zvirwere kunowedzera huwandu hwezvirwere. |
| Mamiriro ezvinhu aripo panguva imwe chete | Chirwere cheshuga, chirwere cheitsvo, chirwere chemwoyo kana kufuta zvinogona kuda kuongororwa zvakanyanya uye kuongororwa nachiremba. |
| Zvinodiwa pakuwedzerwa ropa | Zvinoenderana nehuwandu hwehemoglobin usati wavhiyiwa uye kurasikirwa neropa panguva yekuvhiyiwa. |
| Kuisa mapfupa kana mamwe maitiro ekuwedzera | Kuvakazve masokisi, kubvisa simbi kana kuburitsa nyama yakapfava kunowedzera mutengo. |
| Physiotherapy uye kugadzirisa | Miedzo yekurapwa muchipatara inowanzo batanidzwa; physiotherapy yemurwere achangoberekwa kana yekumba inowanzo kubhadhariswa zvakasiyana. |
| Zvinhu mushure mekubuda muchipatara | Walker, chigaro chakasimudzwa, masokisi ekudzvanya, mishonga uye maX-ray ekutevera. |
| Matambudziko | Hazviwanzoitika, asi hutachiona, kubuda kweganda kana kuvharika kweganda zvinogona kuwedzera mari yekugara uye yekurapwa. |
| Nzira yekubhadhara | Mari yemutero, inishuwarenzi isina mari, muripo wemari, CGHS/ECHS kana imwe mitengo yechirongwa che empaneled inosiyana; mamiriro e empaneled anofanira kusimbiswa nedhipatimendi reinishuwarenzi. |
Inishuwarenzi, Kurapwa Pasina Mari uye Maitiro eTPA muIndia
Kutsiva hudyu zvachose nekuda kwearthritis kana avascular necrosis inzira yakarongwa yekupinda uye inofukidzwa nemapolisi mazhinji einishuwarenzi yehutano ekuIndia, zvichienderana nemitemo yepolisi yako. Pfungwa dzinowanzo shamisa varwere:
- Nguva dzekumirira: Mapolisi mazhinji ekudzivirira anoshandisa nguva yakatarwa yekumirira - kazhinji makore maviri kusvika mana zvichienderana nechigadzirwa - chekutsiva majoini uye mamiriro ezvinhu anoora. Verenga mashoko epolisi yako kana bvunza kambani yako yeinishuwarenzi nekunyora usati wasarudza zuva.
- Kudzivirirwa kwetsaona kana kurongwa: Kutsiva hudyu mushure metsaona yemumugwagwa kana kutyoka kwakakonzerwa nekudonha kunowanzoonekwa semhosva yetsaona uye nguva dzekumirira chirwere chinopera simba hadziwanzo shandiswa. Kutsiva arthritis kwenguva refu kunoongororwa zvichienderana nenguva yekumirira chirwere. Chengeta rekodhi yetsaona, kopi yeFIR kana MLC uye manotsi ekukurumidzira zvakachengeteka, sezvinokumbirwa neinishuwarenzi.
- Kupa mvumo yekutanga kune vasina mari: Dhipatimendi reinishuwarenzi rechipatara rinotumira fomu rekusimbisa chirwere pamwe chete netsamba yekiriniki yachiremba, kuongororwa kwechirwere, X-rays, kuiswa kwechinhu chakaiswa mumuviri uye fungidziro yemari yacho. Kubvumidzwa kunowanzotora mazuva mashoma ekushanda pakuvhiyiwa kwakarongwa uye kunokurumidza kana paine njodzi. Usafunge kuti mvumo yacho yapihwa netsamba.
Nyanzvi Dzedu.
Chikwata Chenyu Chekutarisira.
Disclaimer:
Ruzivo rwuri papeji rino rwakagadzirirwa ruzivo rwese uye zvinangwa zvedzidzo chete. Kunyange zvazvo tichiita zvese zvatinogona kuti tive nechokwadi chekuti ruzivo rwacho rwakarurama, rwakavimbika, uye rwunoongororwa nguva nenguva, harufanirwe kuonekwa serunotsiva mazano echiremba, kuongororwa, kana kurapwa kwenyanzvi.
Kukodzera kwekurapwa, pamwe chete nemabhenefiti akwo, njodzi, kugadzirira, kupora, matambudziko angangoitika, uye mhedzisiro inotarisirwa, zvinogona kusiyana kubva pamunhu kusvika pamunhu. Nyanzvi yako yehutano ichaona kana kurongeka kwacho kwakakodzera zvichienderana nemamiriro ako ezvinhu uye nhoroondo yekurapa.
Ndapota bvunza nyanzvi yehutano ine hunyanzvi kuti uwane mazano akakodzera usati waita sarudzo maererano nechero nzira yekurapa.
Kuti uwane rumwe ruzivo nezvekuti zvinyorwa zvedu zvehutano zvinogadzirwa sei, zvinoongororwa, zvinovandudzwa, uye zvinochengetwa sei, ndapota verenga [Mutemo wedu weKunyora].
Chipatara Chakanakisisa Chiri Pedyo neni Chennai