Mayankho a Mafunso Omwe Amakhudzana Ndi Kusintha Knee Kwathunthu

Zamkati

• 1. Kodi ndi nthawi yoyenera kuchita bondo m'malo?
• Zifukwa 5 Zoganizira Kuchita Opaleshoni ya Knee
• 2. Kodi ndingapewe opaleshoni?
• 3. Kodi chimachitika ndi chiani nthawi ya opaleshoni, ndipo zimatenga nthawi yayitali bwanji?
• 4. Kodi bondo lenileni ndi lotani, ndipo limakhala bwanji malo ake?
• 5. Kodi ndiyenera kuda nkhawa za mankhwala ochititsa dzanzi?
• 6. Kodi ndimva ululu wochuluka motani pambuyo pa opaleshoni?
• 7. Ndiyenera kuyembekezera chiyani ndikadzachitidwa opaleshoni?
• 8. Ndikuyembekezera chiyani ndikachira?
• 9. Kodi ndingakonzekere bwanji nyumba yanga kuti ichiritse?
• 10. Kodi ndifunikira zida zapadera zilizonse?
• 11. Ndi zinthu ziti zomwe ndingachite?
• 12. Kodi mfundo yolumikizira bondo loti izikhala motalika bwanji?

Dokotala wochita opaleshoni akakuuzani kuti musinthe bondo lanu lonse mutha kukhala ndi mafunso ambiri. Apa tikambirana mavuto 12 ofala kwambiri.

1. Kodi ndi nthawi yoyenera kuchita bondo m'malo?

Palibe njira yeniyeni yosankhira nthawi yomwe muyenera kusintha bondo. Chifukwa chachikulu chochitira izi ndikumva kuwawa, koma ngati mwayesapo mitundu ina yonse ya mankhwala osagwiritsa ntchito mankhwala kuphatikiza njira zamoyo, mankhwala oletsa kutupa, mankhwala, ndi jakisoni ikhoza kukhala nthawi yoganizira za opaleshoni.

Dokotala wa mafupa amamuyesa bwinobwino ndikupangira uphungu. Kungakhalenso kopindulitsa kupeza lingaliro lachiwiri.

Zifukwa 5 Zoganizira Kuchita Opaleshoni ya Knee

2. Kodi ndingapewe opaleshoni?

Musanaganize za opaleshoni, dokotala wanu amakulimbikitsani kuti muyesere mankhwala osiyanasiyana osachita opaleshoni. Izi zingaphatikizepo:

• chithandizo chamankhwala
• kuonda (ngati kuli koyenera)
• anti-yotupa mankhwala
• jakisoni wa steroid
• hyaluronic (gel) jakisoni
• mankhwala ena monga kutema mphini

Nthawi zina, njirazi zitha kuthana ndi mavuto amondo. Komabe, ngati zizindikilo zikuwonjezeka ndikuyamba kukhudza moyo wanu, kuchitidwa opaleshoni ndi njira yabwino kwambiri.

Ngati bondo lathunthu (TKR) ndilofunika, kuchedwetsa kapena kuchepetsa opaleshoni kwa nthawi yayitali kungapangitse kuti pakufunika kuchitidwa ntchito yovuta kwambiri komanso zotsatira zoyipa pang'ono.

Mafunso omwe mungadzifunse ndi awa:

• Kodi ndayesetsa zonse?
• Kodi bondo langa likundilepheretsa kuchita zinthu zomwe ndimakonda?

Pezani zambiri zokuthandizani kudziwa ngati mungaganizire zochitidwa maondo.

3. Kodi chimachitika ndi chiani nthawi ya opaleshoni, ndipo zimatenga nthawi yayitali bwanji?

Dokotalayo adzapanga cheke patsogolo pa bondo lanu kuti awulule malo owonongeka olowa anu.

Kukula kwake kwa incision kumasiyanasiyana kuyambira mainchesi pafupifupi 6-10 kutalika.

Pochita opaleshoniyi, dokotalayo amasunthira bondo lanu pambali ndikudula khungwa lowonongeka ndi fupa pang'ono.

Kenako amalowetsa minofu yowonayo ndi zitsulo ndi pulasitiki zatsopano.

Zigawozo zimaphatikizana ndikupanga cholumikizira chophatikizika chomwe chimagwirizana mwachilengedwe ndipo chimatsanzira kayendedwe ka bondo lanu lachilengedwe.

Njira zambiri zosinthira bondo zimatenga mphindi 60 mpaka 90 kuti amalize.

Dziwani zambiri za zomwe zimachitika pakuchita opaleshoni.

4. Kodi bondo lenileni ndi lotani, ndipo limakhala bwanji malo ake?

Zomera zopangira maondo zimakhala ndi pulasitiki wachitsulo komanso wazamankhwala wotchedwa polyethylene.

Pali njira ziwiri zophatikizira zigawozi ku fupa. Imodzi ndikugwiritsa ntchito simenti ya mafupa, yomwe nthawi zambiri imatenga pafupifupi mphindi 10 kuti ikhazikike. Yina ndi njira yopanda simenti, momwe zinthuzo zimakhala ndi zokutira zomwe zimalola fupa kukula.

Nthawi zina, dokotalayo amatha kugwiritsa ntchito njira zonsezi nthawi yomweyo.

5. Kodi ndiyenera kuda nkhawa za mankhwala ochititsa dzanzi?

Ntchito iliyonse yochitidwa ndi anesthesia imakhala ndi zoopsa, ngakhale ndizosowa kuti zovuta zazikulu zimadza chifukwa cha mtundu uliwonse wa mankhwala ochititsa dzanzi.

Zosankha za TKR ndi monga:

• mankhwala ochititsa dzanzi ambiri
• msana kapena epidural
• malo ochititsa dzanzi ochititsa dzanzi

Gulu la ochititsa dzanzi lisankha zomwe zingakuthandizeni kwambiri koma maopareshoni am'maondo amachitika pogwiritsa ntchito kuphatikiza pamwambapa.

6. Kodi ndimva ululu wochuluka motani pambuyo pa opaleshoni?

Padzakhala zopweteka pambuyo pochitidwa opareshoni koma gulu lanu la opareshoni lichita zonse zotheka kuti lizitha kuyendetsedwa komanso kuchepa.

Mutha kulandira mitsempha musanachite opareshoni ndipo dotolo wanu amathanso kugwiritsa ntchito mankhwala oletsa kupweteka kwa nthawi yayitali panthawiyi kuti athandizire kupumula kwakumva mutatha.

Dokotala wanu adzakupatsani mankhwala kuti akuthandizeni kuthana ndi ululu. Mutha kulandira izi kudzera m'mitsempha (IV) atangochitidwa opaleshoni.

Mukachoka kuchipatala, adokotala amakupatsani mankhwala othandizira kupweteka monga mapiritsi kapena mapiritsi.

Mukachira kuchitidwa opaleshoni, bondo lanu liyenera kukhala lopweteka kwambiri kuposa kale. Komabe, palibe njira yodziwiratu zotsatira zake ndipo anthu ena amapitilizabe kumva kupweteka kwamondo kwa miyezi yambiri atachitidwa opaleshoni.

Kutsatira malangizo a dokotala atachitidwa opaleshoni ndiyo njira yabwino kwambiri yothetsera ululu, kutsatira chithandizo chakuthupi ndikukwaniritsa zotsatira zabwino kwambiri.

Dziwani zambiri zamankhwala omwe mungafunike mutachitidwa opaleshoni.

7. Ndiyenera kuyembekezera chiyani ndikadzachitidwa opaleshoni?

Ngati mwakhala mukuchepetsedwa, mutha kudzuka mukusokonezeka komanso kugona.

Mwinanso mudzadzuka bondo lanu litakwezedwa (lokwera) kuti muthandize pakatupa.

Bondo lanu limathanso kuyenda mu makina osunthika (CPM) omwe amatambasula mwendo wanu pang'onopang'ono mutagona.

Padzakhala bandeji pa bondo lanu, ndipo mutha kukhala ndi kukhetsa madzi kuti mutulutse madzimadzi palimodzi.

Ngati kateti ya mkodzo inayikidwa, katswiri wazachipatala nthawi zambiri amachotsa pambuyo pake patsiku la opareshoni kapena tsiku lotsatira.

Muyenera kuvala bandeji wopanikizika kapena sock mozungulira mwendo wanu kuti muziyenda bwino.

Kuti muchepetse vuto la magazi, mungafunike mankhwala oletsa antagagant (opopera magazi), mapampu a phazi / ng'ombe, kapena zonse ziwiri.

Anthu ambiri amakhala ndi vuto m'mimba atachitidwa opaleshoni. Izi nthawi zambiri zimakhala zabwinobwino, ndipo gulu lanu la zamankhwala limatha kukupatsani mankhwala kuti muchepetse mavuto.

Dokotala wanu adzakupatsaninso mankhwala opha tizilombo kuti athetse matenda.

Maantibayotiki amatha kuthandiza kupewa matenda, koma ndikofunikira kuti muzindikire zizindikilo za matenda, ngati wina amapezeka pambuyo pochita maondo.

8. Ndikuyembekezera chiyani ndikachira?

Anthu ambiri amayimirira ndikuyenda mkati mwa maola 24 mothandizidwa ndi woyenda kapena ndodo.

Pambuyo pa opareshoni yanu, wochiritsa adzakuthandizani kugwada ndikuwongolera bondo lanu, kudzuka pabedi, ndipo pamapeto pake muphunzire kuyenda ndi bondo lanu latsopano. Izi nthawi zambiri zimachitika tsiku lomwelo la ntchito yanu.

Anthu ambiri amatulutsidwa mchipatala masiku 2-3 atachitidwa opaleshoni.

Mukabwerera kunyumba, mankhwalawa adzapitilira pafupipafupi kwa milungu ingapo. Zochita zapadera zithandizira kukonza magwiridwe antchito a bondo.

Ngati vuto lanu likufunika, kapena ngati mulibe chithandizo chomwe mukusowa kunyumba, dokotala wanu angakulimbikitseni kuti muzikhala kanthawi kochepa kapena malo osamalira okalamba.

Anthu ambiri amachira pakatha miyezi itatu, ngakhale zingatenge miyezi 6 kapena kupitilira apo kuti anthu ena achire.

Pezani momwe thupi lanu lingasinthire bondo latsopano.

9. Kodi ndingakonzekere bwanji nyumba yanga kuti ichiritse?

Ngati mumakhala m'nyumba yosanjikiza, konzekerani bedi ndi malo pansi kuti mutha kupewa masitepe mukamabwerera koyamba.

Onetsetsani kuti nyumbayo ilibe zotchinga komanso zoopsa, kuphatikiza zingwe zamagetsi, zopukutira m'deralo, kuunjikana, ndi mipando. Ganizirani panjira, panjira, ndi malo ena omwe mungadutsemo.

Onetsetsani kuti:

• handrails ndi otetezeka
• kapamwamba kamapezeka mu kabati kapena shawa

Mungafunenso mpando wosamba kapena wosamba.

Pezani zambiri zamomwe mungakonzekerere nyumba yanu.

10. Kodi ndifunikira zida zapadera zilizonse?

Madokotala ena amalimbikitsa kugwiritsa ntchito makina a CPM (kupitirira kungoyenda) muchipatala komanso kunyumba atagona.

Makina a CPM amathandizira kukulitsa mawondo m'masabata angapo oyamba atachitidwa opaleshoni.

Chitha:

• chepetsani chitukuko cha chilonda minofu
• ikuthandizani kukulitsa mayendedwe anu oyamba mukamagwira ntchito

Ngati mwatumizidwa kunyumba ndi makina a CPM muyenera kuigwiritsa ntchito monga momwe mwalamulira.

Dokotala wanu adzakupatsani zida zilizonse zoyendera monga mtchire, ndodo, kapena ndodo.

Phunzirani momwe opaleshoni yamaondo ingakhudzire moyo wanu watsiku ndi tsiku mukamachira.

11. Ndi zinthu ziti zomwe ndingachite?

Odwala ambiri amafunika chida chothandizira (zoyenda, ndodo, kapena ndodo) pafupifupi masabata atatu atachitidwa opaleshoni yamondo ngakhale izi zimasiyanasiyana kwambiri kuchokera kwa wodwala mpaka wodwala.

Muthanso kuchita masewera olimbitsa thupi ochepa monga kukwera njinga yoyenda, kuyenda, ndikusambira pambuyo pa masabata 6-8. Katswiri wanu wakuthupi angakulimbikitseni pakuyambitsa zochitika zatsopano panthawiyi.

Muyenera kupewa kuthamanga, kudumpha, komanso zochitika zina zazikulu.

Kambiranani ndi dokotala wanu wa mafupa mafunso aliwonse okhudzana ndi zomwe mumachita.

Phunzirani zambiri zakukhazikitsa zoyembekezereka pambuyo pakuchitidwa opaleshoni.

12. Kodi mfundo yolumikizira bondo loti izikhala motalika bwanji?

Malinga ndi kafukufuku, mawondo opitilira maondo onse akugwirabe ntchito zaka 25 pambuyo pake. Komabe, kuvala ndi misozi kungasokoneze magwiridwe ake ndi moyo wake.

Achinyamata amafunika kuti awunikiridwenso nthawi ina pamoyo wawo, makamaka chifukwa chokhala achangu pantchito. Funsani dokotala wanu za vuto lanu.