Kumangirira mafupa

Kulumikiza mafupa ndikuchita opaleshoni kuti ayike m'malo atsopano a mafupa kapena mafupa m'malo ozungulira fupa kapena zofooka za mafupa.

Kukhomerera mafupa kumatha kutengedwa kuchokera ku fupa la munthuyo labwino (ili limatchedwa autograft). Kapenanso, imatha kutengedwa kuchokera ku mafupa oundana, operekedwa (allograft). Nthawi zina, chothandizira cholumikizira mafupa chopangidwa ndi anthu.

Mudzakhala mukugona ndipo simumva kuwawa (general anesthesia).

Pochita opaleshoni, dokotalayo amadula vutoli. Ankalumikiza mafupa kuchokera kumadera oyandikira kufooka kwa mafupa kapena makamaka m'chiuno. Cholumikizira mafupa chimapangidwa ndikulowetsedwa m'malo ozungulira. Ankalumikiza mafupa kuti agwirizane ndi zikhomo, mbale, kapena zomangira.

Ankalumikiza mafupa kuti:

• Lama fuyusi mfundo kuteteza kuyenda
• Konzani mafupa osweka (mafupa) omwe adataya mafupa
• Konzani fupa lovulala lomwe silinachiritsidwe

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoniyi ndi izi:

• Zowawa pathupi pomwe fupa lidachotsedwa
• Kuvulala kwamitsempha pafupi ndi malo olumikizira mafupa
• Kuuma kwa malowa

Uzani dokotala wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.

Tsatirani malangizo oletsa kuletsa magazi, monga warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), kapena NSAID monga aspirin. Izi zingayambitse magazi ochulukirapo panthawi yochita opareshoni.

Patsiku la opaleshoniyi:

• Tsatirani malangizo osadya kapena kumwa chilichonse musanachite opaleshoni.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Ngati mukupita kuchipatala kuchokera kunyumba, onetsetsani kuti mwafika nthawi yomwe mukufuna.

Nthawi yobwezeretsa imadalira kuvulala kapena chilema chomwe chikuchitidwa komanso kukula kwa mafupa. Kuchira kwanu kumatha kutenga milungu iwiri mpaka miyezi itatu. Kuboola mafupa kumatenga miyezi itatu kapena kupitilira apo kuti kuchiritse.

Mutha kuuzidwa kuti mupewe kuchita masewera olimbitsa thupi kwa miyezi isanu ndi umodzi. Funsani omwe akukuthandizani kapena namwino zomwe mungachite komanso zomwe simungachite bwino.

Muyenera kusunga malo omata mafupa kukhala oyera komanso owuma. Tsatirani malangizo okhudza kusamba.

Osasuta. Kusuta kumachedwetsa kapena kulepheretsa machiritso a mafupa. Ngati mumasuta, zometerazo zimatha kulephera. Dziwani kuti zigamba za chikonga zimachiritsa pang'onopang'ono monga momwe amasuta.

Mungafunike kugwiritsa ntchito cholimbikitsira mafupa. Awa ndi makina omwe amatha kuvala pamalo opangira opaleshoni kuti apangitse kukula kwa mafupa. Si maopaleshoni onse olumikizidwa ndi mafupa omwe amafunikira kugwiritsa ntchito othandizira mafupa. Wopereka wanu adzakudziwitsani ngati mungafunikire kugwiritsa ntchito cholimbikitsira mafupa.

Ambiri am'mafupa amathandizira kupunduka kwa mafupa kuti kuchiritse popanda chiopsezo chokana kumezedwa.

Autograft - fupa; Allograft - fupa; Kuphulika - kumezanitsa mafupa; Opaleshoni - kumezanitsa mafupa; Kulumikizana kwa mafupa a Autologous

• Msana wamfupa wolumikizira - mndandanda
• Kukolola kwa mafupa

Brinker MR, O'Connor DP. Zosagwirizana: kuwunika ndi chithandizo. Mu: Browner BD, Jupiter JB, Krettek C, Anderson PA, olemba. Chifuwa cha Skeletal: Basic Science, Management, ndikumanganso. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 26.

Seitz IA, Teven CM, Reid RR. Kukonza ndi kulumikiza mafupa. Mu: Gurtner GC, Neligan PC, eds. Opaleshoni ya Pulasitiki, Voliyumu 1: Mfundo. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 18.