M'malo mwake

Kulowetsa m'zigongono ndiko kuchitidwa opaleshoni kuti mulowe m'malo olumikizana ndi chigongono ndi ziwalo zolumikizira (ma prosthetics).

Mgwirizano wagongono umalumikiza mafupa atatu:

• The humerus mu dzanja chapamwamba
• Dzira ndi utali wozungulira kumanja (mkono wakutsogolo)

Cholumikizira chophatikizira chili ndi zimayambira ziwiri kapena zitatu zopangidwa ndi chitsulo chapamwamba kwambiri. Chingwe chachitsulo ndi pulasitiki chimalumikiza zimayambira ndikulola cholumikizira kuti chizipindika. Malumikizidwe opangira amabwera mosiyanasiyana kuti akwane anthu amitundu yosiyana.

Kuchita opaleshoni kumachitika motere:

• Mulandila mankhwala ochititsa dzanzi ambiri. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka. Kapena mulandila mankhwala ochititsa dzanzi a m'dera lanu (msana ndi khungu) kuti dzanzi likhale mkono wanu.
• Mdulidwe umapangidwa kumbuyo kwa chigongono chako kuti dotoloyo athe kuwona cholumikizira chako.
• Minofu yowonongeka ndi ziwalo za mafupa amikono zomwe zimapanga cholumikizira chigongono zimachotsedwa.
• Kubowola kumagwiritsidwa ntchito kupangira dzenje pakati pamafupa amikono.
• Mapeto a cholumikizira nthawi zambiri amalumikizidwa m'malo mwake. Zitha kulumikizidwa ndi kachingwe.
• Minofu yozungulira cholumikizira chatsopano ikonzedwa.

Chilondacho chatsekedwa ndi ulusi, ndikumanga bandeji. Dzanja lanu litha kuyikidwa pachingwe kuti likhale lolimba.

Opaleshoni ya elbow nthawi zambiri imachitika ngati cholumikizira cha chigongono chawonongeka kwambiri ndipo mukumva kuwawa kapena simugwiritsa ntchito mkono wanu. Zina mwazowonongera ndi izi:

• Nyamakazi
• Zotsatira zoyipa za opaleshoni yam'mbuyo yam'mbuyo
• Matenda a nyamakazi
• Fupa losweka m'mwamba kapena kumunsi pafupi ndi chigongono
• Matenda owonongeka kapena ong'ambika m'zigongono
• Chotupa mkati kapena mozungulira chigongono
• Chigoba cholimba

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

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

Zowopsa za njirayi ndi monga:

• Kuwonongeka kwa chotengera chamagazi panthawi yochita opaleshoni
• Bone yopuma pa opaleshoni
• Kuthamangitsidwa kwa cholumikizira
• Kutsegula kwa cholumikizira chopangira nthawi
• Kuwonongeka kwa mitsempha panthawi ya opaleshoni

Uzani dokotala wanu mankhwala omwe mumamwa, kuphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kufunsidwa kuti musiye kumwa magazi ochepa. Izi zikuphatikizapo warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), kapena NSAID monga aspirin. Izi zingayambitse magazi ochulukirapo panthawi yochita opaleshoni.
• Funsani dokotala wanu wa mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotalayo angakufunseni kuti muonane ndi dokotala yemwe amakuchitirani izi.
• Uzani dokotala wanu ngati mumamwa mowa wambiri (kuposa 1 kapena 2 zakumwa patsiku).
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa chilonda.
• Uzani dokotala wanu wa opaleshoni ngati mukudwala chimfine, malungo, malungo, kapena matenda ena musanachite opaleshoni. Kuchita opaleshoniyi kumafunikira kuimitsidwa kaye.

Patsiku la opareshoni yanu:

• Tsatirani malangizo osamwa kapena kudya chilichonse musanadye.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Mungafunike kukhala mchipatala kwa masiku 1 kapena 2. Mukapita kunyumba, tsatirani malangizo amomwe mungasamalire bala lanu ndi chigongono.

Thandizo lakuthupi lidzafunika kukuthandizani kuti mukhale olimba ndikugwiritsa ntchito mkono wanu. Idzayamba ndikulimbitsa thupi modekha. Anthu omwe ali ndi chopindika nthawi zambiri amayamba kulandira chithandizo patangotha ​​milungu ingapo kuposa omwe alibe kabowo.

Anthu ena amatha kugwiritsa ntchito chigongono chawo chatsopano pakangotha ​​masabata 12 atachitidwa opaleshoni. Kuchira kwathunthu kumatha kutenga chaka. Padzakhala malire polemera kwambiri komwe mungakweze. Kukweza katundu wolemera kwambiri kumatha kuthyola chigongono kapena kumasula ziwalozo. Lankhulani ndi dokotala wanu wa opaleshoni zakulephera kwanu.

Ndikofunika kuti muzitsatira ndi dokotala wanu pafupipafupi kuti muwone momwe akumasinthira. Onetsetsani kuti mupite kumisonkhano yanu yonse.

Kuchita opaleshoni m'malo mwa chigongono kumachepetsa ululu kwa anthu ambiri. Itha kukulitsanso mayendedwe olumikizana ndi chigongono chanu. Kuchita opaleshoni yachigoba yachiwiri nthawi zambiri sikumachita bwino ngati yoyamba.

Chigoba chonse cham'mimba; Endoprosthetic chigongono m'malo; Nyamakazi - chigongono chigoba; Nyamakazi - chigongono chigoba; Osachiritsika nyamakazi - chigongono arthroplasty; DJD - chigongono chigongono

• Chigoba chakumaso - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Chigoba chakumbuyo

Cohen MS, Chen NC. Chigoba chonse cha arthroplasty. 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 27.

Throckmorton TW. Pamapewa ndi chigongono. Mu: Azar FM, Beaty JH, olemba. Opaleshoni ya Campbell. Wolemba 14th. Philadelphia, PA: Elsevier; 2021: chaputala 12.