M'mapewa m'malo

Kusintha kwamapewa ndi opaleshoni m'malo mwa mafupa amapewa ndi ziwalo zophatikizika.

Mukalandira opaleshoni musanachite opaleshoniyi. Mitundu iwiri ya anesthesia itha kugwiritsidwa ntchito:

• Anesthesia wamba, zomwe zikutanthauza kuti simudzadziwa kanthu ndipo simungamve kupweteka.
• Anesthesia yachigawo kuti idumphitse mkono ndi phewa lanu kuti musamve kuwawa kulikonse m'derali. Ngati mungalandire mankhwala ochititsa dzanzi a m'deralo, mupatsanso mankhwala oti akuthandizeni kupumula panthawiyi.

Phewa ndi mpira ndi socket yolumikizana. Mapeto ozungulira a fupa la mkono amalowa pachitseko kumapeto kwa tsamba la phewa, lotchedwa socket. Mgwirizano wamtunduwu umakupatsani mwayi wosunthira mkono wanu mbali zambiri.

Pobweza kwathunthu phewa, kumapeto kwa fupa lanu lamanja kumasinthidwa ndi tsinde lopangira lomwe lili ndi mutu wachitsulo wozungulira. Gawo lachitsulo (glenoid) la tsamba lanu lamapewa lidzasinthidwa ndi pulasitiki yosalala (socket) yomwe idzachitike ndi simenti yapadera.Ngati m'modzi mwa mafupa awiriwa akufunika kusintha, opaleshoniyi amatchedwa phewa m'malo mwake, kapena hemiarthroplasty.

Mtundu wina wamachitidwe umatchedwa kusintha kwathunthu phewa m'malo. Pochita opaleshoniyi, malo a mpira wachitsulo ndi socket amasinthidwa. Mpira wachitsulo umalumikizidwa ndi tsamba lamapewa. Chophimbacho chili ndi fupa la mkono. Kuchita opaleshoniyi kumatha kuchitidwa ngati matumba a rotator awonongeka kwambiri kapena paphewa paliphulika.

Kuti mugwirizane nawo paphewa, dokotalayo amakudulirani pakhosi kuti mutsegule malowo. Kenako dokotalayo:

• Chotsani mutu (pamwamba) wa fupa lanu lakumanja (humerus)
• Limbikitsani mutu wachitsulo watsopano ndikukhazikika
• Sungani pamwamba pazitsulo lakale ndikumanga chatsopano m'malo mwake
• Tsekani incision yanu ndi zakudya zamtengo wapatali
• Ikani chovala (bandage) pachilonda chanu

Dokotala wanu akhoza kuyika chubu m'derali kuti athetse madzi omwe angapangire limodzi. Makinawo adzachotsedwa pomwe simudzafunikiranso.

Kuchita opaleshoniyi nthawi zambiri kumatenga maola 1 kapena 3.

Kuchita opaleshoni yamapazi kumachitika nthawi zambiri mukakhala ndi ululu wopweteka m'mapewa, zomwe zimakulepheretsani kusuntha mkono wanu. Zomwe zimayambitsa kupweteka m'mapewa ndi monga:

• Nyamakazi
• Zotsatira zoyipa za opaleshoni yam'mbuyo yam'mbuyo
• Matenda a nyamakazi
• Fupa lowonongeka m'manja pafupi ndi phewa
• Matenda owonongeka kapena ong'ambika paphewa
• Chotupa mkati kapena mozungulira phewa

Dokotala wanu sangakulimbikitseni opaleshoni iyi ngati muli:

• Mbiri ya matenda, omwe amatha kufalikira mpaka olowa m'malo
• Kulephera kwamaganizidwe akulu
• Khungu lopanda thanzi mozungulira phewa
• Minofu yofooka kwambiri (yoyendetsera makina) kuzungulira phewa yomwe singathe kukhazikika panthawi yochita opareshoni

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
• Kutuluka magazi, magazi, kapena matenda

Kuopsa kochita opaleshoni yamapewa ndi awa:

• Thupi lawo siligwirizana olowa yokumba
• Kuwonongeka kwa chotengera chamagazi panthawi yochita opaleshoni
• Bone yopuma pa opaleshoni
• Kuwonongeka kwa mitsempha panthawi ya opaleshoni
• Kuthamangitsidwa kwa cholumikizira
• Kuchepetsa kukhazikika pakapita nthawi

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

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kufunsidwa kuti musiye kumwa magazi ochepa. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), ndi clopidogrel (Plavix).
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotala wanu akukufunsani kuti mukaonane 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 bala komanso kupoletsa mafupa.
• Lolani dokotala wanu adziwe nthawi yomweyo ngati mukudwala chimfine, chimfine, malungo, matenda a herpes, kapena matenda ena musanachite opaleshoni.

Patsiku la opareshoni yanu:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe dokotala wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Onetsetsani kuti mwafika kuchipatala nthawi yake.

Pambuyo pake:

• Mutha kukhala mchipatala kwa masiku 1 kapena 3 mutachitidwa opaleshoni.
• Mukakhala komweko, mutha kulandira chithandizo chamankhwala kuti minyewa yanu izikhala yolimba.
• Musanapite kunyumba, wodwalayo akuphunzitsani momwe mungasinthire mkono wanu pogwiritsa ntchito dzanja lanu (labwino) kuti muthandize.
• Dzanja lanu liyenera kukhala loponyedwa kwa milungu iwiri kapena isanu ndi umodzi osasunthika komanso miyezi itatu musanalimbikitse. Zikhala pafupi miyezi 4 mpaka 6 kuchira.
• Tsatirani malangizo aliwonse omwe mwapatsidwa okhudza kusamalira phewa lanu kunyumba. Izi zikuphatikizapo zinthu zomwe simuyenera kuchita.
• Mudzapatsidwa malangizo pazochita zamapewa zoti muzichita kunyumba. Tsatirani malangizo awa ndendende. Kuchita masewera olimbitsa thupi molakwika kumatha kuvulaza phewa lanu latsopano.

Kuchita opaleshoni yamapazi kumathandizira kupweteka komanso kuuma kwa anthu ambiri. Muyenera kuyambiranso ntchito zanu zatsiku ndi tsiku popanda vuto. Anthu ambiri amatha kubwerera kumasewera monga gofu, kusambira, kulima dimba, bowling, ndi ena.

Mgwirizano wanu watsopano umakhala motalikirapo ngati atapanikizika pang'ono. Pogwiritsa ntchito bwino, cholumikizira chatsopano chimatha zaka 10.

Okwana phewa arthroplasty; Endoprosthetic m'malo phewa; Tsankho phewa m'malo; Tsankho phewa; M'malo - phewa; Artroplasty - phewa

• Phewa m'malo - kumaliseche
• Kugwiritsa ntchito phewa lanu mutachitidwa opaleshoni ina

American Academy of Orthopedic Surgeons tsamba lawebusayiti. Bwezerani kwathunthu m'malo amapewa. orthoinfo.aaos.org/en/treatment/reverse-total-shoulder-replacement Idasinthidwa pa Marichi 2017. Idapezeka pa Disembala 10, 2018.

Matsen FA, Lippitt SB, Rockwood CA, Wirth MA. Matenda a nyamakazi a Glenohumeral ndi oyang'anira ake. Mu: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, olemba. Rockwood ndi Matsen a Paphewa. 5th ed. Philadelphia, PA: Elsevier; 2017: mutu 16.

Throckmorton TW. Pamapewa ndi chigongono. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 12.