An ochita kupangandi chiwalo chopanga chopangidwa ndi anthu kuti apulumutse olowa omwe ataya ntchito yake, motero amakwaniritsa cholinga chochotsa zizindikiro ndikuwongolera ntchito.Anthu apanga malo olumikizirana osiyanasiyana olumikizira mafupa ambiri molingana ndi mawonekedwe a mfundo iliyonse m'thupi.Malumikizidwe opangira ndi othandiza kwambiri pakati pa ziwalo zopangira.
Zamakonom'malo mwa chiunoopaleshoni inayamba m’ma 1960.Pambuyo pa theka la zaka za chitukuko chosalekeza, chakhala njira yothandiza yochizira matenda olowa m'mafupa apamwamba.Imadziwika kuti ndi yofunika kwambiri m'mbiri ya mafupa m'zaka za zana la makumi awiri.
Opaleshoni yochita kupanga m'malo mwa chiunotsopano ndi luso lamakono kwambiri.Kwa omwe ali ndi matenda a nyamakazi apamwamba osagwira ntchito kapena osagwira ntchito, makamaka osteoarthritis a m'chiuno mwa okalamba, opaleshoni imatha kuthetsa ululu ndi kupititsa patsogolo chiuno Ntchito ya ziwalo ndizofunikira kwambiri pa moyo wa tsiku ndi tsiku.Malinga ndi ziwerengero zosakwanira, pakadali pano pali odwala opitilira 20,000 omwe akulandilam'malo mwa chiunoku China chaka chilichonse, ndipo chiwerengerocho chikuwonjezeka pang'onopang'ono, ndipo chakhala chimodzi mwa maopaleshoni ambiri a mafupa.
1. Zizindikiro
M'chiuno nyamakazi, necrosis wa chikazi mutu, chikazi khosi fracture, nyamakazi nyamakazi, zoopsa nyamakazi, chitukuko dysplasia m'chiuno, chosaopsa ndi zilonda fupa zotupa, ankylosing spondylitis, etc., bola ngati pali chiwonongeko cha articular pamwamba X-ray. zizindikiro zotsatizana ndi kupweteka kwapakati mpaka koopsa kosalekeza m'malo olumikizirana mafupa komanso kusagwira bwino ntchito komwe sikungathetsedwe ndi njira zosiyanasiyana zosapanga opaleshoni.
2. Mtundu
(1).Hemiarthroplasty(m'malo mwachikazi m'malo): kusintha kosavuta kwa kumapeto kwa chikazi cha m'chiuno, makamaka koyenera kuphulika kwa khosi lachikazi, avascular necrosis ya mutu wa chikazi, palibe kuwonongeka kwa acetabular articular pamwamba, ndipo ukalamba sungathe kulekerera m'malo mwa odwala onse. .
(2).Total m'malo m'chiuno: kulowetsa m'malo mwa acetabulum ndi mutu wachikazi nthawi imodzi, makamaka oyenera odwala matenda a nyamakazi a m'chiuno ndi ankylosing spondylitis.
3. Kubwezeretsa pambuyo pa opaleshoni
(1).Tsiku loyamba pambuyo pa opaleshoni: mphamvu ya minofu yolimbitsa thupi ya mwendo womwe wakhudzidwa
(2).Patsiku lachiwiri pambuyo pa opareshoni: chotsani bala ndikukhetsa chilondacho, gwiritsani ntchito mphamvu ya minofu ya gawo lomwe lakhudzidwa ndikugwira ntchito yolumikizana nthawi yomweyo, ndikuletsa mwamphamvu kulowetsa m'chiuno ndi kuzungulira kwamkati, kupindika kwambiri m'chiuno ndi zina. kuteteza kusuntha kwa prosthesis yolowa m'malo.
(3).Patsiku lachitatu mutatha opaleshoni: limbitsani mphamvu ya minofu ndi ntchito yolumikizana ya mutu wa bedi nthawi yomweyo, ndikuchita masewera olimbitsa thupi ndikuyenda pansi.Odwala ambiri amafika pamlingo wotulutsa.
(4).Chotsani sutures patatha milungu iwiri mutatha opaleshoni ndikupitiriza kuchita masewera olimbitsa thupi.Nthawi zambiri, moyo watsiku ndi tsiku umafika mkati mwa mwezi umodzi.
Nthawi yotumiza: Sep-17-2022
