Kuchita opaleshoni yaying'ono yamaondo

Kuchita ma opareshoni yamaondo ndi njira yodziwika yomwe imagwiritsidwa ntchito pokonza mafupa owonongeka a bondo. Cartilage imathandizira kukhazikika ndikuphimba malo omwe mafupa amakumana m'malumikizidwe.

Simudzamva kuwawa panthawi yochita opaleshoniyi. Mitundu itatu ya anesthesia itha kugwiritsidwa ntchito pochita ma bondo arthroscopy:

• Anesthesia yakomweko - Mudzapatsidwa zipolopolo zodzitetezera kuti mugwetse bondo. Muthanso kupatsidwa mankhwala omwe amakupumulitsani.
• Spinal (Regional) anesthesia - Mankhwala opweteka amalowetsedwa m malo msana wanu. Mudzakhala ogalamuka, koma simudzatha kumva chilichonse pansi pake.
• Anesthesia yanthawi zonse - Mudzakhala mutagona komanso osamva ululu.

Dokotalayo azichita izi:

• Pangani kudula kotala masentimita 6 pa bondo lanu.
• Ikani chubu lalitali, locheperako lokhala ndi kamera kumapeto kwake. Izi zimatchedwa arthroscope. Kamera imalumikizidwa ndi chowonera kanema m'chipinda chogwirira ntchito. Chida ichi chimalola dokotalayo kuyang'ana mkati mwa bondo lanu ndikugwira ntchito yolumikizira.
• Pangani wina kudula ndi kudutsa zida kudzera potsegulira izi. Chida chaching'ono chotsogola chotchedwa awl chimagwiritsidwa ntchito kupangira tibowo tating'onoting'ono mufupa pafupi ndi khungwa lowonongeka. Izi zimatchedwa microfractures.

Mabowo amenewa amalumikizana ndi mafupa kuti atulutse maselo omwe amatha kupanga chichereŵechere chatsopano m'malo mwa minofu yowonongeka.

Mungafunike njirayi ngati mwawononga karoti:

• Mu bondo limodzi
• Pansi pa kneecap

Cholinga cha opaleshoniyi ndikuteteza kapena kuchepetsa kuwonongeka kwa khungu. Izi zidzathandiza kupewa nyamakazi ya bondo. Ikhoza kukuthandizani kuchedwetsa kufunikira kwakusintha pang'ono kapena kwathunthu kwamaondo.

Njirayi imagwiritsidwanso ntchito kuthana ndi maondo chifukwa chovulala pamatenda.

Opaleshoni yotchedwa matrix autologous chondrocyte implantation (MACI) kapena mosaicplasty itha kuchitidwanso pamavuto omwewo.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Magazi
• Kuundana kwamagazi
• Matenda

Kuopsa kochita opaleshoni yaying'ono ndi:

• Matenda a cartilage pakapita nthawi - Katemera watsopano wopangidwa ndi opaleshoni ya microfracture sali olimba ngati kanyumba koyambirira ka thupi. Ikhoza kuwonongeka mosavuta.
• Dera lokhala ndi karoti wosakhazikika limatha kukulirakulira ndi nthawi pamene kuchepa kukupita. Izi zitha kukupatsirani zisonyezo komanso ululu.
• Kuchuluka kwa kuuma kwa bondo.

Nthawi zonse uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, kuphatikizapo mankhwala, zitsamba, kapena zowonjezera zomwe mudagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Konzani nyumba yanu.
• Mungafunike kusiya kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), ndi ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotala wanu akukufunsani kuti muwone omwe akukuthandizani chifukwa cha izi.
• Uzani wothandizira wanu ngati mumamwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa bala ndi mafupa.
• Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Patsiku la opareshoni yanu:

• Mutha kupemphedwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.
• Dokotala wanu kapena namwino adzakuuzani nthawi yoti mufike kuchipatala.

Chithandizo chamthupi chimatha kuyamba mchipinda chobwezeretsa mutangochitidwa opaleshoni. Muyeneranso kugwiritsa ntchito makina, otchedwa CPM makina. Makinawa azilimbitsa mwendo wanu modekha kwa maola 6 mpaka 8 patsiku kwa milungu ingapo. Makinawa amagwiritsidwa ntchito kwa masabata 6 atachitidwa opaleshoni. Funsani omwe akukuthandizani kuti mugwiritse ntchito nthawi yayitali bwanji.

Dokotala wanu adzawonjezera machitidwe omwe mumachita pakapita nthawi mpaka mutha kuyendetsanso bondo lanu. Zochitazo zitha kupangitsa kuti chicherechi chatsopano chikhale bwino.

Muyenera kuchotsa kulemera kwanu pa bondo lanu kwa milungu 6 mpaka 8 pokhapokha mutanenedwa mwanjira ina. Mufunika ndodo kuti muziyenda. Kusunga kulemera kwa bondo kumathandiza kuti chichereŵechere chatsopano chikule. Onetsetsani kuti mwafunsira kwa dokotala wanu kuti mudziwe kuchuluka kwake komwe mungaike pa mwendo wanu komanso kwa nthawi yayitali bwanji.

Muyenera kupita kuchipatala ndikukachita masewera olimbitsa thupi kunyumba kwa miyezi 3 mpaka 6 mutachitidwa opaleshoni.

Anthu ambiri amachita bwino pambuyo pa opaleshoniyi. Nthawi yobwezeretsa imachedwa. Anthu ambiri amatha kubwerera kumasewera kapena zochitika zina zazikulu pafupifupi miyezi 9 mpaka 12. Ochita masewera othamanga kwambiri sangathe kubwerera kumalo awo akale.

Anthu ochepera zaka 40 ovulala posachedwa nthawi zambiri amakhala ndi zotsatira zabwino. Anthu omwe sali onenepa amakhalanso ndi zotsatira zabwino.

Kubadwa kwa cartilage - bondo

• Kukonzekera nyumba yanu - opaleshoni ya mawondo kapena mchiuno
• Knee arthroscopy - kumaliseche
• Chisamaliro cha bala la opaleshoni - chotseguka

• Kapangidwe ka cholumikizira

Frank RM, Lehrman B, Yanke AB, Cole BJ. Chondroplasty ndi microfracture. Mu: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, olemba. Njira Zothandizira: Opaleshoni ya Knee. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 10.

Frank RM, Vidal AF, McCarty EC. Malire a mankhwala opatsirana pogonana. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 97.

Harris JD, Cole BJ. Ndondomeko zamatsenga zobwezeretsa karoti. Mu: Noyes FR, Barber-Westin SD, eds. Matenda a Noyes 'Knee: Opaleshoni, Kukonzanso, Zotsatira Zachipatala. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 31.

Miller RH, Azar FM. Kuvulala kwamaondo. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 45.