Arthroplasty (Joint Replacement Surgery): Kudzoreredza Uye Maside-Effects

Chii chinonzi Arthroplasty?

Arthroplasty inzira inoitwa kudzorera kushanda kwejoint. Iko kubatanidzwa kunogona kudzorerwa kuburikidza nekusimudzazve mapfupa, kana mubatanidzwa wekugadzira (prosthesis) inogonawo kushandiswa. 

Nepo hudyu nemabvi arthroplasty akanyanya kuwanda, arthroplasty inogona zvakare kugadzirisa kana kutsiva mamwe majoini mumuviri, kusanganisira mapendekete, zviziso zvemakumbo, magokora uye zvigunwe. Kutsiviwa kwemajoini kunosanganisira kuvhiyiwa kuchinjwa kwejoini rine chirwere nejoini rekugadzira rinonzi prosthesis. Somuenzaniso, a bhandi pamwe chete inobatwa nearthritis inogona kutsiviwa zvachose-iyi inonzi total knee arthroplasty. 

Nepo arthroplasty ichiitwa kudzoreredza majoini mabasa akabatwa nerheumatoid arthritis, osteonecrosis uye kukuvara kwemajoini, chemajoini (chirwere chejoint degenerative) ndicho chikonzero chinonyanya kukosha chekuita iyi nzira. Osteoarthritis kurasikirwa kwecartilage kana cushion mujoini. 

Sei uchida arthroplasty?

Arthroplasty inoshandiswa apo mishonga uye marapirwo ekurapa haabvise marwadzo emajoini nekuremara zvinobudirira. Mishonga mishoma yekurapa yemamiriro ekubatana (kana osteoarthritis) inogona kushandiswa pamberi pe arthroplasty inosanganisira:

• Physical therapy 
• Kuganhurira mabasa anorwadza 
• Anti-inflammatory drugs
• Mishonga yemarwadzo
• Majekiseni eCortisone mumabvi akabatanidzwa
• Majekiseni eViscosupplementation: izvi zvinowedzera lubrication mujoini kuita kuti kufamba kwavo kusarwadze
• Assistive AIDS yekufamba (semudonzvo)
• Kudzidzira muviri uye kugadzirisa
• Kurasikirwa uremu (kune vanhu vakafuta)

Vanhu vakaita arthroplasty kazhinji vane kufambira mberi kwakakura uye kuvandudza kuita mabasa avo ezuva nezuva uye hupenyu hwehupenyu.

Panogona kuve nezvimwe zvikonzero zvekuti chiremba wako anorapa ataure arthroplasty. Ndapota tarisa hip replacement operation uye kugadzirisa mabvi kuvhiyiwa kuti uwane mamwe mashoko chaiwo.

Ndedzipi dzimwe njodzi dzeArthroplasty?

Sezvo chero nzira yekuvhiya ine matambudziko, arthroscopy inewo mashoma anogona kunetsa. Zvimwe zvinokonzeresa zvinogona kusanganisira:

1. Kurwara 
2. Bleeding
3. Ropa rinovhara mumapapu kana makumbo 
4. Kusunungurwa kwenhengo dzeprosthetic

Panogona kunge paine mamwe matambudziko zvichienderana nehutano hwako. Ita shuwa kuti unokurukura chero zvinokunetsa nachiremba wako usati waitwa.

Ndinogadzirira sei arthroplasty?

Mutariri wako wehutano kana chiremba anorapa achaongorora nekukuraira nezve maitiro uye unogona kubvunza chero mibvunzo nezve maitiro. Kugadzirira kwemaitiro ako kunogona kusanganisira matanho anotevera: 

• Chekutanga, rubatsiro rwako rwehutano rwunokukumbira kusaina fomu remvumo rinokupa mvumo yekuita maitiro. Verenga fomu zvakanyatsonaka uye zvakakwana. Udza chiremba wako kana mutapi wehutano kana chimwe chinhu chisina kujeka.
• Mutariri wako wehutano achaita ongororo yakakwana yemuviri, kuwedzera kune yakazara nhoroondo yekurapa, kuve nechokwadi chekuti une hutano pamberi pe arthroplasty. Unogona kuongororwa ongororo kana kumwe kuongororwa ropa. Taura nachiremba wako / mutapi wehutano kana iwe uchirwara kana kuti haunzwisisi kune chero tepi, latex, mishonga uye anesthetic agents (zvizhinji uye zvemunharaunda).
• Zivisa chiremba wako kana mupi wehutano wemishonga yese (yakatemwa uye pamusoro-the-counter) kusanganisira chero mishonga yekuwedzera yauri kutora.
• Zvakakosha kuti iwe uzivise chiremba wako kana uine chero nhoroondo yekusagadzikana kwekubuda ropa. Izvo zvakakoshawo kuzivisa kana iwe uchitora chero ropa-kuonda (anti-coagulant) zvinodhaka, aspirin kana mamwe mishonga inokanganisa kuvhara ropa. Mutariri wako wehutano anogona kukukurudzira kuti umise mishonga iyi isati yaitwa.
• Iwe unofanirwa kuzivisa mutarisiri wako wehutano kana uine pamuviri kana kufungidzira kuti uri ane pamuviri.
• Iwe unofanirwa kutsanya kwemaawa masere isati yasvika arthroplasty.
• Iwe unogona kupihwa sedative kuti ikubatsire kuzorora usati waitwa.
• Iwe unogona kusangana ne physiotherapist usati wavhiyiwa kuti ukurukure chirongwa chako chekudzorera
• Zvichienderana nehutano hwako, chiremba wako anogona kukumbira imwe gadziriro chaiyo

Chii chichaitika panguva yeArthroplasty?

Kazhinji, chirongwa che arthroplasty chinoda kugara muchipatara. zvinogona kusiyana zvichienderana nemaitiro emutarisiri wako wehutano uye mamiriro ako ekurapa.

Arthroplasty inogona kuitwa paunenge wakamuka pasi pepinal anesthesia kana wakarara pasi peanesthesia. Anesthesiologist wako anogona kukurukura izvi newe usati waitwa.

Kazhinji, arthroplasty inotevera maitiro anotevera:

1. Uchapihwa gown rekuchipatara kuti upfeke
2. Mutsetse weIV (intravenous) uchaiswa muruoko kana ruoko rwako
3. Catheter yeweti inogonawo kuiswa
4. Bvudzi panzvimbo yekuvhiyiwa rinogona kuveurwa kana zvichidikanwa 
5. Iwe unozoiswa patafura yekuvhiya pachinzvimbo chinopa mukana wakanyanya kujoinhi yako iri kushandiswa
6. Iyo anesthesiologist icharamba ichitarisa kurova kwemoyo, kufema, BP, uye mazinga eokisijeni eropa panguva yekuita.
7. An antiseptic solution inoshandiswa kuchenesa ganda panzvimbo yekuvhiya 
8. Chiremba anovhiya achaita kucheka / kuchekwa munzvimbo yejoint yako
9. Chiremba anovhiya achagadzirisa / kubvisa zvikamu zvakakanganisika zvejoint yako
10. Kuchekwa/kuchekwa kuchavharwa nemasoneti kana mastaples ekuvhiya
11. Pachaiswa jira risingabereki kana bhandeji

kupora

Kudzorera uye kugadzirisa kuchave kwakasiyana kune mumwe nemumwe. Kazhinji, chiremba wako anorapa angada kuti iwe ushandise yako 'itsva' yekubatanidza nguva pfupi mushure mekuita. Kunyange zvingave zvakaoma pane dzimwe nguva, physiotherapy uye kuomerera kune kurapa kwako mirairo yachiremba kuchakurumidza kupora kwako.

Recovery muChipatara

Pakarepo mushure mekuita kwako, iwe uchaendeswa kune imwe nzvimbo yekudzikinura kuti uonekwe. Paunenge uchingofema, kupomba uye blood pressure wakadzikama, uye unova wakangwarira, uchaendeswa kukamuri yechipatara. 

Kuita maekisesaizi ndicho chikamu chakakosha chemugwagwa wako wekugadzirisa chirongwa. Nenguva isipi mushure mekuvhiyiwa kwako uye panguva yekugara kwako muchipatara, chiremba wako wepanyama acharonga chirongwa chekugadzirisa maitiro kuti iwe ubatsire kudzorera kufamba uye kusimbisa kubatana. 

Iwe unogona kunzwa kurwadziwa mujoint yakatsiviwa nokuti muviri wako uri kugadzirisa kune mutsva mutsva, mhasuru dzakapoteredza dzinopera simba kubva pakusashanda, uye matishu anozopedzisira apora. Kurwadziwa kwako kunodzorwa nemishonga, saka iwe unogona kutora chikamu muchirongwa chako chekurovedza muviri - zvese muchipatara uye mushure mekubuda zvakare.

Recovery Kumba

Paunenge wadzokera kumba, unofanirwa kuchengetedza nzvimbo yekuvhiya yakachena uye yakaoma. Chiremba wako achapa mirairo chaiyo yekugeza. Zvishongo zvako kana zvimedu zvekuvhiya zvichabviswa panguva yako yekutevera kushanya kuhofisi yechiremba.

Zvakakosha kutora zvinoderedza marwadzo sezvakakurudzirwa nachiremba wako chete.  

Fonera chiremba wako kana mutapi wehutano kuti ataure chero chezvinotevera:

1. Kubuda ropa kana kumwe kuyerera, kutsvuka, kana kuzvimba kubva panzvimbo yekucheka
2. chimhepo kana kutonhora
3. Kudzvova uye/kana chiveve kumucheto wakakanganiswa
4. Kuwedzera kurwadziwa kwakapoteredza nzvimbo yekucheka
5. Iwe unogona kutanga kudya kwako kwemazuva ose kunze kwekunge chiremba wako achikurudzira zvakasiyana
6. Usatyaira kusvikira chiremba wako akuudza kuti udaro. 
7. Zvimwe zvirambidzo zvezviitwa zvinogona kushandawo

Kana iwe uine chero mibvunzo pamusoro pekugumira kwekuita mushure mekuchinja kwemajoini, bvunza chiremba wako anorapa.

Nguva Yakareba Migumisiro yeArthroplasty

Ruzhinji rwevarwere vanogona kuita zviitiko zvemazuva ese zviri nyore kutumira arthroplasty kana majoini ekutsiva maitiro. Pamusoro pezvo, arthroplasty (kana kutsiva majoini) inogona kugara kwemakore mazhinji kune vanhu vazhinji ichivapa hupenyu hwakavandudzwa hunosanganisira kurwadziwa kushoma uye kufamba kwakavandudzwa uye simba ringadai risingagoneke neimwe nzira.