Kubwezeretsanso manambala

Kubwezeretsanso manambala ndikuchita opaleshoni yolumikizanso zala kapena zala zazing'ono zomwe zidadulidwa (kudulidwa).

Opaleshoni yachitika motere:

• Anesthesia wamba adzapatsidwa. Izi zikutanthauza kuti munthuyo adzagona ndipo samatha kumva kupweteka. Kapena anesthesia yachigawo (msana ndi epidural) ipatsidwa kuti dzanzi mkono kapena mwendo.
• Dokotalayo amachotsa minofu yowonongeka.
• Mapeto a mafupa adulidwa.
• Dokotalayo amaika chala kapena chala (chotchedwa manambala) m'malo mwake. Mafupawa amaphatikizidwanso ndi mawaya kapena mbale ndi zomangira.
• Ma tendon amakonzedwa, amatsatiridwa ndi mitsempha ndi mitsempha yamagazi. Kukonzekera kwa mitsempha ndi magazi ndi gawo lofunikira kwambiri pakupambana kwa njirayi. Ngati kuli kotheka, minofu yokhala ndi mitsempha ndi mitsempha yamagazi yochokera mbali ina ya thupi imagwiritsidwa ntchito.
• Chilondacho chatsekedwa ndi ulusi komanso kumangidwapo.

Kuchita opareshoni kumachitika pomwe zala kapena zala zakumanja zadulidwa ndipo akadali mumkhalidwe womwe ungalolere kubzala.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

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

Zowopsa za opaleshoniyi ndi izi:

• Imfa ya minofu yobwezerezedwanso
• Kuchepetsa kugwira ntchito kwa mitsempha kapena kusunthika kwa manambala obwezerezedwanso
• Kutaya kwa chidwi mu minofu yobwezerezedwanso
• Kuuma kwa manambala
• Ululu womwe umapitilira atachitidwa opaleshoni
• Kuchita maopaleshoni enanso amafunikira manambala obwezerezedwanso

Chisamaliro chapadera chidzatengedwa mukakhala mchipatala kuti muwonetsetse kuti magazi akuyenda moyenera kupita kumalo omwe munalumikizidwako. Dzanja kapena mwendo udzakwezedwa. Chipindacho chimatha kutenthetsedwa kuti magazi aziyenda bwino. Gawo lomwe limalumikizidwenso liziwunikidwa pafupipafupi kuti liwonetsetse kuti magazi akuyenda bwino.

Mukatulutsidwa mchipatala, mungafunike kuvala chitsulo kuti muteteze chala kapena chala. Dokotalayo amatha kupereka mankhwala ochepetsa magazi kuti ateteze magazi.

Kusamalira bwino gawo lomwe lidadulidwa ndikofunikira kwambiri kuti mubzale bwino. Pazifukwa zoyenera, pali mwayi woti opareshoniyo ikhoza kubwezeretsanso kugwiritsa ntchito chala kapena chala. Mufunika maulendo obwereza ndi omwe amakuthandizani azaumoyo, omwe apitiliza kuwunika magazi pamalo opareshoni.

Ana ndioyenera kuchitidwa opaleshoni yobzalanso chifukwa chokhoza kuchiritsa ndikubwezeretsanso minofu.

Kubwezeretsanso gawo lodulidwa kumachitika bwino patadutsa maola 6 pambuyo povulala. Koma kubzala kumatha kukhala kopambana ngati gawo lodulidwa lakhazikika kwa maola 24 pambuyo povulala.

Simudzasinthanso chimodzimodzi chala kapena chala chakumbuyo mutachitidwa opaleshoni. Kusintha kwa ululu ndi kumva kumatha kupitilirabe.

Kubwezeretsanso manambala odulidwa; Kulumikizanso zala zodulidwa

• Chodulidwa chala
• Kubwezeretsanso manambala - mndandanda

Zambiri za Jgins. Kubzala. Mu: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, olemba. Opaleshoni ya Dzanja la Green. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 42.

Klausmeyer MA, Jupiter JB. Kubzala. Mu: Browner BD, Jupiter JB, Krettek C, Anderson PA, olemba. Chifuwa cha Skeletal: Basic Science, Management, ndikumanganso. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 51.

Rose E. Kuwongolera kudula ziwalo. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 47.