Mukathyoka mkono kapena mwendo, madokotala amaikapo pulasitala, sichoncho? Nthawi zambiri, pakapita kanthawi, mafupa amachira ndi kubwererana bwino. Koma nthawi zina, ngakhale patadutsa nthawi yayitali bwanji, mafupawo sagwirizana bwino. Kapena ngati fupa laphwanyidwa pangozi yaikulu, thupi lokha silingathe kudzaza mpatawo. Pamenepo madokotala amalankhula za 'kulumikiza mafupa '. Ngakhale zingamveke zoopsa, iyi ndi opaleshoni yofunika kwambiri yomwe imathandiza thupi lathu. Tiyeni tikambirane mwachidule.
Mwachidule, kodi kulumikiza mafupa ndi chiyani?
Tangoganizani kuti pali dzenje lalikulu pakhoma la nyumba yanu. Timagwiritsa ntchito zinthu monga simenti ndi njerwa kudzaza dzenjelo, sichoncho? Ndicho chinthu chomwecho ndi ichi. Kulumikiza mafupa ndi opaleshoni yomwe imaphatikizapo kusintha fupa losweka, lofooka, kapena losowa ndi fupa lina kapena chinthu chopangidwa chomwe chimagwira ntchito mofanana ndi fupa limenelo kuti lichiritse.
Izi zili ndi zolinga ziwiri zazikulu:
1. Kupereka mphamvu ndi chithandizo chowonjezera: Pamene chogwirira ichi chilowetsedwa m'malo ofooka a fupa, chimapatsa mphamvu yatsopano. Zili ngati kuyika chogwirira mu fupa losweka.
2. Zimathandizira kukula kwa maselo atsopano a mafupa: Chomera ichi chimagwira ntchito ngati chopangira mafupa. Maselo omanga mafupa m'thupi amatha kukula m'mbali mwa chogwirira, kudzaza mpata, ndikuyamba kupanga fupa latsopano. Pakapita nthawi, chomeracho ndi fupa lanu lomwe lilipo zimalumikizana, ndikupanga fupa limodzi lolimba.
Ndi nthawi ziti pamene opaleshoni yamtunduwu imafunika?
Pali zifukwa zingapo zomwe zingafunikire kuikidwa mafupa. Chifukwa chachikulu ndichakuti mafupa osweka sachira bwino.
Mavuto ochiritsa kusweka kwa mafupa
Nthawi zina fupa likasweka, silichira monga momwe limayembekezeredwa. Izi zitha kuchitika m'njira zitatu zazikulu:
- Kuchedwa kugwirizana: Pamene fupa limatenga nthawi yayitali kuposa masiku onse kuti lichiritse.
- Malunion: Zidutswa ziwiri za fupa zimasonkhanitsidwa pamodzi pamalo olakwika kapena olakwika.
- Kusagwirizana: Pamene zidutswa ziwiri za fupa sizichira pamodzi, ngakhale zitatenga nthawi yayitali bwanji, kusiya mpata pakati pawo.
Pazochitika ngati izi, chogwirira chimafunika kuti chizitse mpata ndikulimbikitsa kukula kwa mafupa.
Zifukwa zina
Kuwonjezera pa kusweka kwa mafupa, opaleshoni iyi ingafunike nthawi zina zingapo:
- Matenda ena a mafupa: Mu matenda monga osteonecrosis, komwe magazi amalowa m'mafupa amatayika ndipo mafupa amafa, komanso m'matenda monga khansa ya mafupa.
- Matenda a Mafupa (Osteomyelitis): Pamene gawo la fupa lawonongeka chifukwa cha matenda oopsa, gawo limenelo limachotsedwa ndipo malowo amadzazidwa.
- Mavuto obadwa nawo: Anthu ena amabadwa ndi kusiyana kwa kutalika kwa miyendo. Njirayi imagwiritsidwanso ntchito pokonza zinthu monga fupa laling'ono kwambiri la chibwano.
- Kulimbitsa nsagwada musanayikemo mano: Munthu asanayikemo mano, ngati nsagwada yake siili yolimba mokwanira kuti igwire, amaikamo fupa laling'ono kuti alimbitse.
- Opaleshoni yosinthira mafupa: Pamene mafupa opangidwa, monga cholumikizira cha m'chiuno kapena bondo, aikidwa m'thupi, mafupa ena amafunika kukula kuti agwirizane bwino ndi mafupa a thupi.
- Kusakaniza msana: Mu opaleshoni yophatikiza msana, ma implants awa amagwiritsidwa ntchito nthawi zambiri pophatikiza ndi kulimbitsa mafupa.
- Ngozi zoopsa: Pamene fupa lasweka m'zidutswa pa ngozi yaikulu, izi ndizofunikira kuti tikonzenso ziwalo zomwe zatayika.
Kodi njira zazikulu zopachikira mafupa ndi ziti?
Dokotala adzasankha njira yoyenera kwa inu kutengera zinthu zambiri, monga momwe mulili komanso kukula kwa malo omwe akufunikira kuyikapo. Pali njira zingapo zazikulu.
| Mtundu wa Graft | Kodi chikuchitika ndi chiyani apa? (Mwachidule) |
|---|---|
| Autograft (graft yomwe mwapeza kuchokera kwa inu nokha) | Iyi ndi njira yopambana kwambiri. Imafuna kutenga chidutswa chaching'ono cha fupa kuchokera ku gawo lina la thupi lanu, nthawi zambiri gawo la iliac, ndikuchiyika pamalo omwe mukufuna. Thupi limavomereza izi mosavuta chifukwa ndi gawo lake. Komabe, limafuna kudula kwina, ndipo pakhoza kukhala kupweteka kwakanthawi pamene fupalo linatengedwa. |
| Allograft (kutengera kwa munthu wina) | Izi zimaphatikizapo kugwiritsa ntchito fupa lochokera kwa wopereka wakufa. Izi zimatsukidwa, kutsukidwa, ndikusungidwa bwino m'mabanki a mafupa motsatira malamulo okhwima azaumoyo. Ubwino wa njira iyi ndikuti simuyenera kudula kwina kulikonse m'thupi lanu. Njirayi imagwiritsidwa ntchito kwambiri pa opaleshoni ya msana. |
| Bone Marrow Aspirate | Mafupa mkati mwa mafupa athu ali ndi maselo apadera omwe amathandiza kukula kwa mafupa. Mu njirayi, mafuta ochepa a mafupa amatengedwa kuchokera ku fupa lanu la m'chiuno pogwiritsa ntchito singano ndikugwiritsidwa ntchito yokha kapena kusakaniza ndi graft ina kuti mafupa apole msanga. |
| Kupachikidwa kwa Mafupa Opangidwa | Izi ndi zinthu zopangidwa mwapadera zomwe zakonzedwa m'ma laboratories. Zimapangidwa kuchokera ku zinthu zosiyanasiyana, ndipo zina zili ndi mapuloteni owonjezera omwe amathandiza kukula kwa mafupa. Popeza zimapezeka zambiri, zimathandiza kwambiri kudzaza mipata yayikulu ya mafupa. Ndipo palibe chiopsezo cha matenda. |
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Iyi ndi opaleshoni yomwe nthawi zambiri imachitidwa pansi pa mankhwala oletsa ululu. Choncho simudzamva ululu uliwonse. Izi ndi zomwe zimachitika panthawi ya opaleshoni:
1. Mankhwala oletsa ululu: Dokotala woletsa ululu adzakugonetsani tulo tofa nato.
2. Kuduladula: Dokotala amadula khungu komwe kuli fupa lomwe likufunika kudulidwa, kufika pafupa.
3. Kukonzekera: Fupa limatsukidwa bwino, minofu iliyonse yowonongeka kapena yodwala imachotsedwa, ndipo imakonzedwa kuti ilandire chopaliracho.
4. Kuika choikamo: Kenako, mtundu wa choikamo chomwe chasankhidwa chimayikidwa pamalo oyenera ndikuchimangirira ndi mbale zachitsulo kapena zomangira kuti chisasunthe.
5. Kusoka: Pomaliza, kudulako kumatsekedwa ndi kusoka.
Kodi zoopsa za opaleshoni iyi ndi ziti?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zimachitika. Komabe, izi sizichitika kawirikawiri. Gulu lanu lachipatala lidzachita zonse zomwe lingathe kuti lichepetse zoopsazi.
- Kutuluka magazi
- Matenda
- Chilonda cha appendix sichikuchira bwino.
- Ululu wokhalitsa
- Kusweka kwa fupa mozungulira choyikamo
- Kulephera kwa zida zachitsulo kapena zomangira zomwe zayikidwa
- Zilonda
Chofunika kwambiri: Ngati ndinu wosuta fodya, ndi chopinga chachikulu pakuchira kwa mafupa. Nikotini imachepetsa magazi kupita ku mafupa. Chifukwa chake, kuti opaleshoni ipambane, ndikofunikira kupewa kusuta. Onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzakhala m'chipatala kwa masiku angapo. Mudzapatsidwa mankhwala oletsa ululu. Pakapita nthawi, thupi lanu lidzayamba kukula mafupa atsopano mozungulira ndi kudzera mu gawo lomwe laikidwa. Izi zitha kutenga milungu ingapo mpaka miyezi ingapo, kapena chaka chimodzi.
Nthawi yochira imasiyana malinga ndi msinkhu wanu, thanzi lanu lonse, kukula ndi malo a choyikamocho. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola, makamaka pankhani yopuma komanso nthawi yoyambira kuchita masewera olimbitsa thupi.
Nthawi zambiri, opaleshoni imeneyi imayenda bwino. Komabe, nthawi zina, mavuto monga kukana kuyika chiwalo, matenda, kapena kuwonongeka kwa mitsempha kumachitika.
Kodi ndi zizindikiro ziti zomwe zimafuna kuti mukaonane ndi dokotala nthawi yomweyo?
Mukafika kunyumba mutachita opaleshoni, samalani ndi zizindikiro izi. Ngati muli ndi chimodzi mwa izi, imbani dokotala wanu nthawi yomweyo.
- Kutuluka magazi ambiri, kutupa kwambiri, kapena kutuluka magazi kosadziwika bwino kuchokera pamalo ochitira opaleshoni.
- Malungo .
- Ngati mukumva dzanzi kapena kunjenjemera mozungulira mbolo (Neuropathy).
- Ngati muli ndi ululu waukulu womwe simungathe kuuletsa ngakhale mutamwa mankhwala ochepetsa ululu omwe dokotala wakupatsani.
Kuika mafupa m'mafupa ndi njira yofunika kwambiri yachipatala yomwe imathandiza kubwezeretsa mafupa owonongeka ndikubwezeretsani bwino. Palibe chifukwa choopa. Pali gulu la madokotala aluso omwe angasankhe njira yoyenera inu ndikusamalira bwino. Chofunika kwambiri ndikutsatira malangizo a dokotala molondola komanso kukhala oleza mtima pamene mukuchira.
Uthenga Wopita Nawo Kunyumba
- Kulumikiza mafupa ndi njira yochitira opaleshoni yomwe imathandiza thupi kupanga fupa latsopano mwa kudzaza mipata ya mafupa yomwe singathe kuchira yokha.
- Izi zitha kuchitika pogwiritsa ntchito fupa lochokera m'thupi lanu (autograft), fupa lochokera kwa wopereka wina (allograft), kapena chopalira chopangidwa. Dokotala wanu adzasankha njira yoyenera kwa inu.
- Kuleza mtima n'kofunika chifukwa kuchira kumatenga nthawi. Tsatirani malangizo a dokotala wanu molondola.
- Kuti opaleshoniyi ipambane, ndikofunikira kusiya kusuta konse .
- Ngati mukupeza zizindikiro zochenjeza monga kutentha thupi, kupweteka kwambiri, kutupa, kapena mafinya mutachita opaleshoni, dziwitsani dokotala wanu nthawi yomweyo.
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