Nthawi zina ululu wa m'mapazi athu sungathe kupirira, sichoncho? N'zovuta kwambiri kukhala ndi ululu uwu womwe umachitika osati poyenda, kukwera masitepe, komanso poyimirira. Ngati mwamwa mankhwala ndi kulandira chithandizo chosiyanasiyana ndipo ululuwo sunathe, dokotala wanu angakulangizeni opaleshoni yotchedwa 'Ankle Fusion'. Poyamba, kumva dzinali kungamveke koopsa pang'ono. Koma ngati titaphunzira zambiri za izi, mudzamvetsa momwe yankho ili lilili lothandiza. Tiyeni tiwone zomwe zili, momwe zimachitikira, komanso ubwino ndi kuipa kwake.
Kodi Kusakaniza kwa Akakolo n'chiyani?
Mwachidule, Ankle Fusion ndi opaleshoni yolumikiza mafupa angapo mu bowo la bowo lanu kukhala limodzi. Madokotala amatchanso kuti arthrodesis ya bowo la bowo.
Cholumikizira ndi malo aliwonse m'thupi mwathu komwe mafupa awiri amakumana. Cholumikizira chathu cha akakolo ndi komwe phazi lathu limalumikizana ndi mwendo wathu wapansi. Makamaka, ndi komwe fupa lathu la shin (tibia) ndi fupa lopyapyala pafupi nalo (fibula) zimalumikizana pamodzi ndi fupa la akakolo athu (talus).
Madokotala nthawi zambiri amachita opaleshoniyi ngati chithandizo cha nyamakazi yoopsa ya akakolo . Pamene kagayidwe ka mafupa mkati mwa cholumikizira chanu katha chifukwa cha nyamakazi, mafupa amayamba kukandana. Pakapita nthawi, izi zitha kuwononga cholumikizira ndikupangitsa ululu wosapiririka. Opaleshoni yophatikiza akakolo imaphatikizapo kuphatikiza mafupa pamodzi. Kukangana pakati pa mafupa kumachotsedwa, ndipo ululuwo umatha pafupifupi.
Dokotala nthawi zambiri amalangiza opaleshoniyi pamene njira zina zosagwiritsa ntchito opaleshoni (monga mankhwala ndi physiotherapy) sizinaphule kanthu.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Mukasankha kuchitidwa opaleshoni, muyenera kukumana ndi dokotala wanu ndi dokotala wanu. Adzakufunsani za zizindikiro zomwe muli nazo panopa, momwe ululu ukukhudzira moyo wanu watsiku ndi tsiku, komanso mankhwala omwe mwayesapo kale komanso kuchuluka kwa mpumulo womwe apereka.
Ndikofunikira kukhala woona mtima ndi dokotala wanu pa chilichonse panthawiyi. Inde, mungaope kuchitidwa opaleshoni yomwe ingasinthe kwamuyaya cholumikizira cha bondo lanu. Koma musachepetse ululu kapena kusasangalala komwe mukukumana nako. Ngati kupweteka kwa bondo lanu kukupangitsani kukhala kovuta kuchita zinthu za tsiku ndi tsiku kapena ngati mukupewa zinthu zina, fotokozani momveka bwino za zimenezo.
Muyenera kuchita zinthu izi musanafike tsiku la opaleshoni:
- Kuyezedwa thupi lonse kuti muwone ngati muli ndi thanzi labwino lokwanira kupirira opaleshoni.
- Kuyezetsa magazi kangapo.
- Mayeso ojambulira zithunzi, monga X-ray . Mungapemphedwenso kuti mujambule MRI (Magnetic Resonance Imaging) kapena CT (Computed Tomography) .
Uzani dokotala wanu za mankhwala onse omwe mumamwa, komanso zowonjezera zilizonse zomwe mumagwiritsa ntchito. Mungalangizidwe kuti musiye kumwa mankhwala ena musanachite opaleshoni. Mudzauzidwanso kuti musala kudya kwa maola pafupifupi 12 musanachite opaleshoni.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Pa tsiku la opaleshoni, mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Dokotala woletsa ululu adzakupatsani mankhwala oletsa ululu, omwe amakupangitsani kugona tulo tofa nato, kapena mankhwala oletsa ululu a m'deralo, omwe amangochepetsa ululu m'dera lozungulira bondo lanu.
Pa opaleshoni, dokotala adzagwirizanitsa mafupa a bondo lanu. Izi zitha kuchitika m'njira ziwiri.
| Njira yopangira opaleshoni | Chikuchitika ndi chiyani? |
|---|---|
| Opaleshoni Yotseguka | Iyi ndi njira yodziwika kwambiri. Apa, mabala angapo amapangidwa pakhungu lozungulira bondo, chipolopolo ndi fupa lowonongeka zimachotsedwa, mafupa amalumikizidwa pamodzi pogwiritsa ntchito zomangira ndi mbale zachitsulo, ndipo mabalawo amasokedwa pamodzi. |
| Kujambula Akakolo | Iyi ndi njira yosavulaza kwambiri. Apa, opaleshoniyi imachitika pogwiritsa ntchito mabala ang'onoang'ono kwambiri, ndipo chipangizo chaching'ono chopangidwa ndi kamera chotchedwa arthroscope chimayikidwa kuti chiyang'ane mkati mwa cholumikiziracho. |
Opaleshoni iyi nthawi zambiri imatenga maola angapo. Nthawi yomwe imatenga imatha kusiyana malinga ndi kuchuluka kwa kuwonongeka kwa chiwalo chanu komanso njira yochitira opaleshoni yomwe mwasankha.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo zimatenga nthawi yayitali bwanji kuti munthu achire?
Opaleshoni zambiri zophatikiza akakolo ndi njira zochizira matenda akunja, zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Mukachita opaleshoni, mudzapatsidwa chithandizo chapadera kapena nsapato zapadera pa akakolo anu.Imachita izi mwa kusunga cholumikiziracho kuti chisayende bwino komanso kuti chisagwere kulemera.
Mudzafunika kugwiritsa ntchito ndodo kapena chithandizo china kwa milungu ingapo.
Pa nthawi yochira, mafupa ogwirizana amalumikizana pang'onopang'ono kukhala fupa limodzi lolimba. Izi nthawi zambiri zimatenga pafupifupi milungu 12, kapena pafupifupi miyezi itatu . Aliyense amachira pamlingo wosiyana. Panthawiyi, bondo lanu lidzakhala lolimba, lokhazikika, ndipo ululu udzatha kwathunthu.
Kodi mungayendenso bwino?
Inde, ndithudi. Mukachira, mutha kuyenda ndikugwira ntchito bwino. Koma zimatenga nthawi kuti muzolowere cholumikizira chatsopanocho. Ndikofunikira kwambiri kupeza chithandizo cha physiotherapy panthawi yochira. Katswiri wa physiotherapy angakuthandizeni kugwiritsa ntchito bondo lanu mosamala ndikubwezeretsa mphamvu. Nthawi zambiri zimatenga mwezi umodzi kapena iwiri musanayambe kulemera bondo lanu ndikuyendanso mutachita opaleshoni.
Kodi ubwino ndi kuipa kwa opaleshoniyi ndi kotani?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, opaleshoniyi ili ndi ubwino komanso zoopsa zina.
| Ubwino | Zoyipa / Zoopsa |
|---|---|
| Mpumulo waukulu ku ululu: Phindu lalikulu ndilakuti ululu waukulu watha. Kwa ena, ululuwo watha kotheratu. | Kusagwirizana: Ngakhale kuti n’kosowa, vuto limeneli ndi lofala kwambiri. Ngati mafupa sakugwirizana monga momwe amayembekezera, opaleshoni ina ingafunike. |
| Moyo wabwino: Ululu ukatha, moyo wanu udzasintha kwambiri. | Zoopsa zokhudzana ndi opaleshoni: Zoopsa zambiri za opaleshoni monga matenda opatsirana, kutuluka magazi, kupweteka, ndi zomwe zimachitika munthu akalandira mankhwala oletsa ululu. |
| Moyo wokangalika: Mutha kuyambiranso zochita zambiri, monga kuchita masewera olimbitsa thupi ndi kusewera masewera. | Kuletsa kuyenda:Popeza cholumikiziracho chimalumikizidwa pamodzi, kuthekera kopinda bondo mmwamba ndi pansi kumachepa kwamuyaya. Komabe, chidendene chingasunthidwe kuchokera mbali imodzi kupita mbali ina ndipo phazi la kutsogolo lingakwezedwe ndikutsitsidwa. |
| Zotsatira pa mafupa ena: Popeza kuyenda kwa bondo kumakhala kochepa, kupanikizika kwambiri kumayikidwa pa mafupa ena a phazi, zomwe zimawonjezera chiopsezo cha matenda a nyamakazi m'mafupa amenewo mtsogolo. |
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala wanu kapena dokotala wina nthawi yomweyo.
- Malungo opitirira madigiri 39 Celsius (31 Fahrenheit).
- Chotupacho chikupitirira kutuluka magazi.
- Zizindikiro za matenda mu chotupacho (monga kutuluka magazi ngati mafinya, kutupa kwambiri, kusintha mtundu, fungo loipa, kutentha kosazolowereka).
- Ululu watsopano kapena woipa kwambiri.
Pomaliza, kwa munthu amene wakhala akuvutika ndi ululu wosatha wa akakolo ndipo wayesa njira zina zonse zochiritsira koma sanapeze mpumulo, opaleshoni yolumikiza akakolo ingakhale njira yabwino kwambiri. Mpumulo wa ululu womwe umapereka ndi wofunika kwambiri kuposa kutaya kuyenda.
Uthenga Wopita Nawo Kunyumba
- Kusakaniza mafupa a akakolo ndi opaleshoni yopambana ya ululu waukulu wa akakolo, makamaka ululu woyambitsidwa ndi nyamakazi. Nthawi zambiri amalimbikitsidwa ngati njira zina zothandizira zalephera.
- Ngakhale opaleshoniyi imachotsa ululu pophatikiza mafupa a akakolo pamodzi, kuthekera kopinda akakolo mmwamba ndi pansi kumakhala kochepa kwamuyaya.
- Zimatenga pafupifupi miyezi itatu kuti munthu achire bwino, ndipo ndikofunikira kwambiri kukhala woleza mtima ndikutsatira malangizo a physiotherapy panthawiyi.
- Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zake. Kambiranani ndi dokotala wanu za ubwino ndi kuipa kwake musanachite opaleshoniyo.
- Ngati mukukumana ndi zizindikiro zachilendo mutachita opaleshoni, monga zizindikiro za matenda, kupweteka kwambiri, kapena kutentha thupi, funsani upangiri wa dokotala nthawi yomweyo.
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