Kodi njira yothetsera ululu waukulu wa phewa? Tiyeni tikambirane za opaleshoni yobwezeretsa mapewa!

Kodi muli ndi ululu wosapiririka wa phewa? Mwina mukuvutika kuchita zinthu zosavuta monga kukweza mkono wanu, kupesa tsitsi lanu, kapena kunyamula china chake pamwamba. Ngati ululuwo sutha ndi chithandizo chanthawi zonse, dokotala wanu mwina adakulangizani opaleshoni yosinthira phewa. Lero, tikulankhula za opaleshoni yofanana, koma yosiyana pang'ono. Imatchedwa 'Reverse Shoulder Replacement'.

Kodi chosinthira ichi cha 'Reverse' Shoulder ndi chiyani?

Mwachidule, iyi ndi opaleshoni yosinthira mafupa. Madokotala nthawi zina amaitcha kuti ``Reverse Total Shoulder Arthroplasty``. Mu opaleshoni iyi, dokotalayo amachotsa mafupa anu achilengedwe, owonongeka ndipo amawasintha ndi ``prosthesis`` yopangidwa ndi chitsulo ndi pulasitiki.

Tsopano tiyeni tiwone chifukwa chake izi zimatchedwa 'Reverse'.

Taganizirani za cholumikizira cha phewa lathu ngati chikho chokhala ndi mpira. Cholumikizira cha phewa nthawi zambiri chimapangidwa ndi gawo longa chikho la fupa la phewa lanu (scapula) (glenoid) ndi gawo longa mpira la fupa lanu lapamwamba la mkono (humerus) (mutu).

Mu opaleshoni ya 'reverse', zosiyana ndi zimenezo. Dokotala wa opaleshoni amasintha malo a mpira ndi chikho. Pambuyo pa opaleshoni, mpirawo umapangidwa kuti utuluke m'fupa la phewa (scapula) ndipo chikhocho chimapangidwa kuti chigwirizane ndi fupa lapamwamba la mkono (humerus). Mwa kuyankhula kwina, kalembedwe kabwinobwino kamasinthidwa kwathunthu.

N’chifukwa chiyani opaleshoni ya 'kubwezeretsa' imachitika motere? Kodi ndi yoyenera kwa ndani?

Opaleshoni iyi ya 'Reverse' ikulimbikitsidwa kwa anthu omwe ali ndi matenda apadera omwe sangathe kuchitidwa opaleshoni yokhazikika ya phewa. Ngati muli ndi ululu waukulu paphewa lanu kapena mukuvutika kusuntha mkono wanu, dokotala wanu adzayesa kaye zinthu monga mankhwala ndi chithandizo cha thupi. Opaleshoniyi ikangochitika, idzaganiziridwa pokhapokha ngati izi sizikugwira ntchito.

Makamaka, ngati muli ndi nyamakazi ya phewa limodzi ndi chimodzi kapena zingapo mwa izi, dokotala wanu angakulangizeni opaleshoni iyi ya 'kubwerera'.

Muzochitika ngati izi, minofu ndi minofu yozungulira phewa imakhala yofooka, kotero kusintha phewa mwachizolowezi sikungapereke kukhazikika kofunikira. Komabe, posinthana mpira ndi soketi mu njira ya 'Reverse', gulu lina la minofu (monga minofu ya deltoid) lingagwiritsidwe ntchito kukweza mkono. Izi zimapangitsa kukhazikika bwino kwa cholumikizira ndikuchepetsa chiopsezo cha zovuta.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu adzakukonzekeretsani bwino musanachite opaleshoni. Izi zingaphatikizepo:

• Kuyezetsa mano: Izi ndizofunikira kuti muchepetse chiopsezo cha matenda pambuyo pa opaleshoni.
• Kuyezedwa thupi lonse: Onani ngati muli ndi thanzi labwino lokwanira kuchitidwa opaleshoni.
• Kuyesa kwa ECG: Kuyesa thanzi la mtima wanu.
• Kuyezetsa magazi: Dziwani momwe magazi anu alili ndi zinthu zina.
• Mayeso ojambulira: Kujambula pa phewa X-ray, MRI, kapena CT scan kungathandize kuwunika bwino momwe malo olumikizirana mafupa alili.

Dokotala wanu adzakulangizaninso nthawi yoti musiye kudya ndi kumwa tsiku lisanafike opaleshoni. Nthawi zambiri, muyenera kusiya kudya ndi kumwa maola 8 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 oti akugonetseni mokwanira (mankhwala oletsa ululu) kapena oti angopangitsa dzanzi malo ozungulira phewa lanu (mankhwala oletsa ululu a m'deralo).

Pa opaleshoni, dokotalayo amatsatira njira izi:

1. Padzadulidwa pang'ono pakhungu pafupi ndi phewa lanu.

2. Zidutswa za cartilage ndi mafupa zomwe zawonongeka zimachotsedwa pa malo olumikizirana mafupa.

3. Chogwiriracho chaikidwa.

4. Mpira wachitsulo umakulungidwa mu fupa la phewa (scapula). Soketi imayikidwa mu fupa lapamwamba la mkono (humerus).

5. Cholumikizira chatsopano chakonzedwa bwino, ndipo chochekacho chimatsekedwa ndi zosokera.

Opaleshoni imeneyi nthawi zambiri imatenga ola limodzi kapena awiri, koma nthawi ino imatha kusiyana malinga ndi kuchuluka kwa kuwonongeka kwa malo olumikizirana mafupa anu.

Kodi ubwino ndi zoopsa zomwe zingabwere chifukwa cha opaleshoniyi ndi ziti?

Phindu lalikulu la opaleshoniyi ndilakuti ululu waukulu ndi kuuma kwa phewa kumachepa kwambiri. Mutha kugwiritsa ntchito ndikukweza mkono wanu bwino kuposa opaleshoni isanachitike. Komanso, iyi ndi njira yabwino kwa iwo omwe sangathe kuchitidwa opaleshoni ya phewa nthawi zonse.

Monga opaleshoni iliyonse, pali zoopsa zina zomwe zimachitika, koma izi ndizosowa kwambiri.

• Magazi amaundana
• Kuwonongeka kwa mitsempha yamagazi
• Kusweka kwa fupa mozungulira choyikamo
• Matenda opatsirana pamalo ochitira opaleshoni kapena mkati mwa cholumikizira
• Kuwonongeka kwa mitsempha
• Kumasuka msanga kapena kuwonongeka kwa cholumikizira chopangidwa choyikidwacho

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?

Pambuyo pa opaleshoni, mudzatengedwera ku chipinda chochiritsira, komwe ogwira ntchito zachipatala adzakusamalirani bwino mpaka zotsatira za mankhwala oletsa ululu zitatha. Mutha kupita kunyumba tsiku lomwelo. Kapena mungafunike kukhala m'chipatala kwa tsiku limodzi kapena awiri.

Zingatenge miyezi pafupifupi 6 kuti munthu achire bwino.

• Masabata angapo oyamba: Muyenera kuvala sling.
• Kuchepetsa ululu: Muyenera kugwiritsa ntchito mankhwala ochepetsa ululu ndi mankhwala ena (NSAIDs) monga momwe dokotala wanu wanenera, ngati pakufunika kutero.
• Kuchiza ndi Thupi: Pambuyo pa milungu ingapo, mudzaonana ndi katswiri wa physiotherapy. Iye adzakuphunzitsani maseŵera olimbitsa thupi kuti mulimbikitse minofu ya mapewa anu ndikuwonjezera mphamvu zanu zoyendera. Kuchita maseŵera olimbitsa thupi awa moyenera n'kofunika kwambiri kuti muchiritse msanga.
• Zoletsa:Muyenera kupewa kunyamula zolemera ndikuchita masewera olimbitsa thupi kwa miyezi ingapo. Dokotala wanu akakupatsani chilolezo, pang'onopang'ono mungapitirize kuchita zinthu zanu zachizolowezi.

Kodi opaleshoniyi imatenga nthawi yayitali bwanji?

Malumikizidwe opangidwa awa amakhala nthawi yayitali, nthawi zambiri kwa zaka 15 kapena kuposerapo popanda vuto lililonse. Anthu ambiri amatha kugwiritsa ntchito chilumikizidwe ichi kwa moyo wawo wonse.

Nthawi yoti mukaonane ndi dokotala mutatha opaleshoni

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo. Ngati mukumva kupweteka kwambiri pachifuwa kapena kupuma movutikira, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi nthawi yomweyo.