Osteotomy ya bondo

Osteotomy ya bondo ndi opaleshoni yomwe imafuna kudula m'modzi mwa mafupa mwendo wanu wakumunsi. Izi zitha kuchitika kuti muchepetse zizindikilo za nyamakazi posinthanso mwendo wanu.

Pali mitundu iwiri ya opaleshoni:

• Matenda a osteotomy ndi opareshoni yomwe imachitika pamfupa pamunsi pa bondo.
• Chachikazi osteotomy ndi opareshoni yochitidwa pa ntchafu fupa pamwamba pa chipewa cha bondo.

Pa opaleshoni:

• Simudzakhala wopweteka panthawi yochita opareshoni. Mutha kupeza mankhwala osokoneza bongo a msana kapena epidural, limodzi ndi mankhwala okuthandizani kupumula. Muthanso kulandira anesthesia wamba, momwe mudzagona.
• Dokotala wanu adzadula masentimita 10 mpaka 13 pamalo omwe osteotomy ikuchitikira.
• Dokotalayo amatha kuchotsa mphuno ya msana wanu pansi pa bondo lanu labwino. Izi zimatchedwa kutseka mphuno ya osteotomy.
• Dokotalayo amathanso kutsegula mphete pambali yopweteka ya bondo. Izi zimatchedwa kutsegula mphero osteotomy.
• Zingwe, zomangira, kapena mbale zitha kugwiritsidwa ntchito, kutengera mtundu wa osteotomy.
• Mungafunike kulumikizidwa kwa mafupa kuti mudzaze mpheroyo.

Nthawi zambiri, njirayi imatenga maola 1 mpaka 1 1/2.

Osteotomy wa bondo amachitidwa kuti athetse matenda a nyamakazi. Zimachitika ngati mankhwala ena saperekanso mpumulo.

Matenda a nyamakazi nthawi zambiri amakhudza mkati mwa bondo. Nthawi zambiri, gawo lakunja la bondo silimakhudzidwa pokhapokha mutavulala m'mbuyomu.

Opaleshoni ya osteotomy imagwira ntchito posuntha kulemera kutali ndi gawo lowonongeka la bondo lanu. Kuti opaleshoniyi ichitike bwino, mbali ya bondo pomwe kusinthako kuyenera kukhala ndi nyamakazi yaying'ono kapena yopanda matenda.

Zowopsa za anesthesia kapena opaleshoni iliyonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira
• Magazi
• Matenda

Zowopsa zina za opaleshonizi ndi izi:

• Kuundana kwamagazi mwendo.
• Kuvulala pamitsempha yamagazi kapena mitsempha.
• Matenda mu bondo limodzi.
• Kuuma kwa mawondo kapena mawondo olumikizana bwino.
• Kuuma kwa bondo.
• Kulephera kukonzekera komwe kumafuna kuchitidwa opaleshoni yambiri.
• Kulephera kwa osteotomy kuchira. Izi zitha kufuna kuchitidwa opaleshoni kapena chithandizo china.

Nthawi zonse uzani wothandizira zaumoyo mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), opopera magazi monga warfarin (Coumadin), ndi mankhwala ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• 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.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Mudzauzidwa nthawi yobwera kuchipatala.

Pokhala ndi osteotomy, mutha kuchedwetsa kufunikira kwakubwezeretsa bondo kwa zaka 10, komabe khalani olimbikira ndi bondo lanu.

Matenda a tibial osteotomy amatha kukupangitsani kuti muwoneke ngati "ogogoda." Matenda achikazi amatha kukupangitsani kuti muwoneke ngati "opindika mwendo."

Mudzakonzedwa ndi brace kuti muchepetse kuchuluka kwa momwe mungathere kugwedeza bondo lanu panthawi yopuma. Zolumikizira zingathandizenso kugwiritsira bondo lako pamalo oyenera.

Muyenera kugwiritsa ntchito ndodo kwa milungu 6 kapena kupitilira apo. Poyamba, mungafunsidwe kuti musayese pa bondo lanu. Funsani omwe akukuthandizani kuti zidzakhale bwino kuyenda ndi kulemera mwendo wanu womwe udachitidwa opaleshoni. Mudzawona wothandizira zakuthupi kuti akuthandizeni pulogalamu yochita masewera olimbitsa thupi.

Kuchira kwathunthu kumatha kutenga miyezi ingapo pachaka.

Kuwonjezeka kwa tibial osteotomy; Ofananira kutseka mphero osteotomy; Kutupa kwamatenda apamwamba kwambiri; Matenda akutali azimayi; Matenda a nyamakazi - osteotomy

• Matenda a Tibial - mndandanda

Crenshaw AH. Njira zofewa ndi kukonza ma osteotomies okhudza bondo. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 9.

Feldman A, Gonzalez-Lomas G, Swensen SJ, Kaplan DJ. Osteotomies okhudza bondo. Mu: Scott WN, mkonzi. Kuchita Opaleshoni & Scott ya Knee. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: chap 121.