Total Knee Arthroplasty (TKA) ndi njira yopangira opaleshoni yomwe imachotsa bondo la wodwala yemwe ali ndi matenda opweteka kwambiri olowa m'mafupa kapena matenda olowa m'mafupa kenako n'kulowetsa m'malo owonongeka ndi prosthesis. Cholinga cha opaleshoniyi ndikuchepetsa ululu, kukonza ntchito zolumikizana, komanso kubwezeretsa moyo watsiku ndi tsiku wa wodwalayo. Pa opaleshoni, dokotala amachotsa fupa lowonongeka ndi minofu yofewa, ndiyeno amaika pulojekiti yopangira zitsulo ndi pulasitiki mu bondo kuti ayese kuyenda kwa mgwirizano wabwinobwino. Opaleshoniyi nthawi zambiri imaganiziridwa ngati ululu wopweteka kwambiri, kuyenda kochepa, ndi chithandizo chosagwira ntchito chokhazikika, ndipo cholinga chake ndi kuthandiza odwala kubwezeretsa ntchito yolumikizana bwino komanso moyo wabwino.
1.Kodi opareshoni ya Knee ndi chiyani?
Opaleshoni yobwezeretsa mawondo, yomwe imadziwikanso kuti resurfacing mawondo, ndi njira yopangira opaleshoni yomwe imagwiritsidwa ntchito pochiza matenda oopsa a mawondo. Opaleshoniyo imachitidwa pochotsa mawondo owonongeka a mawondo, monga mawonekedwe a articular a distal femur ndi proximal tibia, ndipo nthawi zina patellar pamwamba, ndiyeno amaika ma prostheses ophatikizira olowa kuti alowe m'malo owonongekawa, potero kubwezeretsa kukhazikika ndi kusinthasintha kwa kayendetsedwe ka mgwirizano.
Zomwe zimayambitsa kuvulala kwa mawondo zingaphatikizepo osteoarthritis, nyamakazi ya nyamakazi, nyamakazi yowopsya, ndi zina zotero. Pamene matendawa amayambitsa kupweteka kwakukulu kwa mawondo, kuyenda kochepa, kupunduka kwamagulu, ndi chithandizo chodziletsa sichigwira ntchito, opaleshoni yobwezeretsa mawondo imakhala yothandiza kwambiri.
Njira yopangira opaleshoni nthawi zambiri imaphatikizapo njira zotsatirazi: Choyamba, pangani mzere wapakati wautali wautali pamabondo kuti muwonetse mawondo; ndiye, ntchito zida kuchita udindo pobowola ndi osteotomy pa m'munsi mapeto a femur ndi kumtunda kwa tibia; ndiye, kuyeza ndi kukhazikitsa njira yoyenera yopangira mgwirizano, kuphatikizapo femoral pad, tibial pad, meniscus ndi patellar prosthesis; potsiriza, suture subcutaneous minofu ndi khungu kumaliza ntchito.
Zotsatira za opaleshoni yobwezeretsa mawondo nthawi zambiri zimakhala zazikulu, zomwe zimatha kuthetsa ululu, kupititsa patsogolo kugwira ntchito kwa mafupa, komanso kusintha moyo wa wodwalayo. Komabe, opaleshoni imakhalanso ndi zoopsa zina, monga matenda, thrombosis, zoopsa za anesthesia, zovuta za opaleshoni, prosthesis kumasula kapena kulephera, ndi zina zotero.
Choncho, asanachite opaleshoni, odwala ayenera kuyesedwa mwatsatanetsatane, kukambirana mokwanira ndi dokotala, kumvetsetsa kuopsa ndi zotsatira za opaleshoniyo, ndikutsatira malangizo a dokotala kuti akonzekere kukonzekera ndi kukonzanso pambuyo pa opaleshoni.
Kawirikawiri, opaleshoni yowonjezera mawondo ndi njira yokhwima komanso yothandiza yochizira matenda aakulu a mawondo, omwe angabweretse chiyembekezo chatsopano ndi mwayi wopititsa patsogolo moyo kwa odwala.
2.Ndi zida ziti zomwe zimagwiritsidwa ntchito pochita opaleshoni ya Knee?
Zida zopangira opaleshoni zimaphatikizapo hexagon screwdriver, tibial test mold, nkhungu yoyesera makulidwe, chipangizo choyezera tibial, patellar chute osteotome, slider, tibial extramedullary locator, wolamulira, femoral osteotomy test mold extractor, anesthetic, intramedullary extramedullary, kutsegula kwa extramedullary locator chingwe ndodo, nyundo yotsetsereka, fupa la rasp, cancellous bone depressor, tightener, tibial test mold depressor, kalozera, extractor ndi tool box.
3.Kodi nthawi yobwezeretsa mawondo ndi iti?
Dokotala wanu adzakupatsani malangizo enieni osamba. Zosokera kapena zopangira opaleshoni zidzachotsedwa paulendo wotsatira wa ofesi.
Kuti muchepetse kutupa, mungapemphedwe kukweza mwendo wanu kapena kugwiritsa ntchito ayezi pabondo.
Tengani mankhwala ochepetsa ululu chifukwa cha zowawa monga momwe dokotala wanu adanenera. Aspirin kapena mankhwala ena opweteka angapangitse mwayi wotaya magazi. Onetsetsani kuti mutenge mankhwala ovomerezeka okha.
Uzani dokotala wanu kuti anene chilichonse mwa izi:
1.Chimfine
2.Kufiira, kutupa, kutuluka magazi, kapena madzi ena kuchokera pamalo ocheka
3.Kupweteka kwakukulu kuzungulira malo odulidwa
Mukhoza kuyambiranso zakudya zanu zachizolowezi pokhapokha ngati dokotala akukulangizani mosiyana.
Simuyenera kuyendetsa galimoto mpaka dokotala atakuuzani. Zoletsa zina zitha kugwira ntchito. Kuchira kwathunthu kuchokera ku opaleshoni kungatenge miyezi ingapo.
Ndikofunika kuti mupewe kugwa pambuyo pa opaleshoni ya bondo lanu, chifukwa kugwa kungayambitse kuwonongeka kwa mgwirizano watsopano. Wothandizira wanu angakulimbikitseni chipangizo chothandizira (ndodo kapena woyenda) kuti akuthandizeni kuyenda mpaka mphamvu zanu ndi bwino.
Nthawi yotumiza: Jan-06-2025
