Kodi mukuvutikanso ndi ululu wa phewa nthawi zonse? Mwina mukuvutika kukweza mkono wanu. Mwina simungathe ngakhale kutembenukira kumbali mukagona usiku. Mwina mwamwa mankhwala a izi, munapaka mafuta osiyanasiyana, komanso munalandira chithandizo cha physiotherapy. Koma ngati ululuwo ukadali womwewo, dokotala wanu mwina anakuuzani za opaleshoni yotchedwa "Shoulder Arthroscopy". Musachite mantha mukamva dzinali. Mwachidule, iyi ndi "keyhole surgery". Lero tikambirana za izi mosavuta, m'njira yomwe mungamvetse.
Kodi Shoulder Arthroscopy ndi chiyani?
Mwachidule, Shoulder Arthroscopy ndi opaleshoni yaying'ono yomwe imagwiritsidwa ntchito pozindikira ndikuchiza mavuto mkati mwa phewa. Sizili ngati opaleshoni yotseguka nthawi zonse. Palibe kudula kwakukulu. M'malo mwake, mabala angapo ang'onoang'ono ooneka ngati mabatani amapangidwa pakhungu la phewa lanu.
Kenako, dokotala wa opaleshoni amaika kamera kakang'ono kudzera m'bowo laling'ono ili. Timatcha kamera iyi kuti arthroscope. Kamera iyi imawonetsa bwino chilichonse mkati mwa phewa pa kanema. Zili ngati kuyang'ana mkati. Poyang'ana motere, dokotalayo amatha kupeza chomwe chimayambitsa kupweteka kwa phewa lanu. Kenako, amaika zida zazing'ono zopangira opaleshoni kudzera m'bowo lina laling'ono ndikupanga kukonza kofunikira.
Ubwino waukulu wa izi ndikuti sizimaduladula kwambiri, zomwe zimapangitsa kuti munthu achire mwachangu komanso kuti asamamve kupweteka kwambiri.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Opaleshoni nthawi zambiri siimachitika nthawi yomweyo ululu wa phewa ukayamba. Dokotala wanu adzayesa kaye kuona ngati vutoli lingachiritsidwe popanda opaleshoni. Angakulangizeni izi:
- Kupuma
- Mankhwala opha ululu
- Kuchiza thupi
- Jakisoni wa phewa
Komabe, ngati ululu wanu suchepa mutalandira chithandizochi, zikutanthauza kuti vutoli ndi lalikulu kwambiri. Pamenepo dokotala adzakulangizani opaleshoni ya `Shoulder Arthroscopy` kuti aone zomwe zikuchitika mkati mwa phewa ndikuchiza.
Ndi mavuto ati a m'mapewa omwe angachiritsidwe ndi opaleshoni iyi?
Kujambula kwa Shoulder Arthroscopy kumatha kuchiza matenda osiyanasiyana a mapewa. Onani tebulo ili m'munsimu kuti mudziwe mndandanda wa matendawo.
| Matenda/matenda | Kufotokozera kosavuta |
|---|---|
| Kung'ambika kwa rotator cuff | Kung'ambika kwa minofu ndi minyewa yozungulira phewa. Kumachitika kawirikawiri kwa othamanga komanso tikamakalamba. |
| Matenda a kugwedezeka kwa mapewa | Ululu womwe umabwera chifukwa cha fupa kapena mtsempha wa phewa womwe umakakamira pokweza mkono. |
| Misozi ya Labrum | Kung'ambika kwa mphete ya cartilage (labrum) kuzungulira phewa. |
| Phewa lozizira | Cholumikizira cha phewa chimakhala cholimba, cholimba, chovuta kusuntha, ndipo chimayambitsa ululu waukulu. |
| Kusakhazikika kwa phewa | Kusakhazikika kapena kusokonekera kwa phewa pafupipafupi. |
| Kuvulala kwa tendon ya biceps | Kuwonongeka kwa tendon ya biceps. |
| Mafupa otupa | Kukula kosafunikira kwa zidutswa za mafupa owonjezera m'mafupa a cholumikizira. |
| Matenda a nyamakazi | Matenda a nyamakazi amayamba chifukwa cha kuwonongeka ndi kung'ambika kwa minyewa m'malo olumikizirana mafupa ndi ukalamba. |
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Mukamaliza kukonza nthawi yoti muchitidwe opaleshoni, dokotala wanu ndi chipatala chanu adzakupatsani malangizo. Izi ndi zomwe zimachitika nthawi zambiri:
- Kukaonana ndi dokotala: Dokotala adzakufunsani za mbiri yanu yonse ya thanzi. Mndandanda wathunthu wa mankhwala onse omwe mukumwa (ngakhale mavitamini).Mungapemphedwe kuti musiye kumwa mankhwala ena (monga mankhwala ochepetsa magazi) masiku angapo opaleshoni isanachitike.
- Siyani kudya ndi kumwa: Chipatala chidzakuuzani maola angati musanachite opaleshoni kuti musiye kudya ndi kumwa. Ndikofunikira kwambiri kutsatira malangizo awa molondola.
- Mayeso angapo: Mayeso angapo angachitike kuti aone ngati thanzi lanu lili bwino.
- Kuyezetsa magazi
- X-ray pachifuwa
- Mayeso a ECG (Electrocardiogram)
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Kujambula mafupa a mafupa a phewa nthawi zambiri kumatenga nthawi yosakwana ola limodzi kuti achite izi. Ndi njira yodziwika bwino.
1. Malo Ochitira Opaleshoni ndi Kuletsa Kupweteka: Mudzaikidwa patebulo la opaleshoni mutakhala pampando wa pagombe kapena chammbali. Dokotala woletsa kuvulala adzakugonetsani. Nthawi zina mudzagonekedwa tulo tofa nato (anesthesia wamba). Kapena, mitsempha idzaperekedwa pakhosi kapena paphewa lanu kuti phewa lanu ndi mkono wanu zisamachite dzanzi. Njirayi ingathandizenso kuchepetsa ululu mukatha opaleshoni.
2. Kukonzekera: Ngati pali tsitsi pamalo omwe opaleshoni idzachitikire, limachotsedwa ndikutsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda. Muthanso kugwira dzanja lanu mu chipangizo chapadera kuti likhale losasunthika.
3. Kuthamanga kwa mafupa: Dokotala amaika madzi ofanana ndi amchere m'malo olumikizirana mafupa. Izi zimawonjezera malo mkati mwa malo olumikizirana mafupa, zomwe zimapangitsa kuti chilichonse chiwonekere pa kamera.
4. Kuyika kamera: Kenako, kudula kumapangidwa, kukula kwa bowo la batani, ndipo kamera ya `Arthroscope` imayikidwa kudzera mmenemo.
5. Kuwunika ndi kukonza: Dokotala amagwiritsa ntchito zithunzi za kamera pa kanema kuti atsimikizire vuto lenileni la phewa. Kenako amapanga mabala ena ang'onoang'ono amodzi kapena awiri ndikuyika zida zofewa zopangira opaleshoni kuti akonze zofunikira (monga kusoka mtsempha wosweka).
6. Kumaliza opaleshoni: Pambuyo pokonza, zidazo zimachotsedwa, mabala ang'onoang'ono amatsekedwa ndi ma stitches kapena ma plaster bandeji, ndipo bandeji yayikulu imayikidwa pamwamba pake.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Kawirikawiri iyi ndi njira yochizira odwala osapita kuchipatala . Izi zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Muyenera kukhala m'chipatala kwa ola limodzi kapena awiri mutachita opaleshoni. Ngati muli ndi ululu uliwonse, mudzapatsidwa mankhwala. Zonse zikatsimikizika kuti zili bwino, mudzaloledwa kupita kunyumba.
Chofunika kwambiri ndichakuti, winawake ayenera kubwera kudzakutengerani kunyumba.Sikoyenera kuyendetsa galimoto nokha kapena kugwiritsa ntchito mayendedwe a anthu onse. Ngati n'kotheka, ndi bwino kukhala ndi wachibale kapena mnzanu usiku womwewo.
Kodi zitenga nthawi yayitali bwanji kuti ndichire? Ndiyenera kuchita chiyani kunyumba?
Zingatenge milungu ingapo mpaka miyezi ingapo kuti phewa lanu lichiritsidwe mokwanira, kutengera kuopsa kwa vuto lanu la phewa komanso zovuta za opaleshoniyo.
Ndi zachilendo kukhala ndi ululu ndi kutupa m'masabata angapo oyamba. Zinthu zotsatirazi zingathandize:
- Mankhwala Ochepetsa Ululu: Imwani mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani pa nthawi yake.
- Aisi: Kupaka paketi ya ayezi pa bandeji kungathandize kuchepetsa ululu ndi kutupa.
- Malo Ogona: Kugona pampando kapena pabedi wokhala ndi mapilo ambiri komanso okwera pang'ono kungathandize kuchepetsa ululu masiku oyamba.
- Chigoba: Kuti muteteze phewa lanu, dokotala wanu angakulangizeni kuti mugwiritse ntchito chigoba. Chivaleni nthawi yonse yomwe dokotala wanu wakuuzani.
- Physiotherapy: Iyi ndi gawo lofunika kwambiri pakuchira. Muyenera kuyamba kuchita masewera olimbitsa thupi motsogozedwa ndi dokotala wanu komanso katswiri wodziwa bwino ntchito ya physiotherapy. Masewera olimbitsa thupi awa adzakuthandizani kubwezeretsa mphamvu ndi kuyenda kwa phewa lanu.
Kodi ndi nthawi ziti zapadera zomwe muyenera kupita kwa dokotala?
Mukapita kunyumba mutachita opaleshoni, ndikofunikira kwambiri kudziwa zizindikiro zilizonse zachilendo. Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo.
| Zizindikiro zoti muzisamala nazo | Kufotokozera |
|---|---|
| Malungo | Kukwera kwa kutentha kwa thupi kungakhale chizindikiro cha matenda. |
| Ululu waukulu | Ululuwu ndi woopsa kwambiri moti sungathetsedwe ngakhale ndi mankhwala ochepetsa ululu. |
| Kutuluka m'bala | Madzi onunkhira bwino komanso osinthika amatuluka kuchokera mozungulira mabalawo. |
| Kugunda m'dzanja | Kumva kuwawa kapena dzanzi kosalekeza m'manja kapena zala. |
| Kutupa kwambiri | Ngati kutupa kwa phewa, mkono, kapena zala kukukulirakulira. |
Uthenga Wopita Nawo Kunyumba
- Kujambula mafupa a mafupa a paphewa ndi opaleshoni yochepa kwambiri, "yotsegula makiyi" yomwe imachiritsa mavuto a mapewa.
- Izi nthawi zambiri zimachitika pamene zinthu monga mankhwala ndi physiotherapy sizikuthandiza.
- Opaleshoniyi ndi yotetezeka kwambiri, nthawi zambiri imatenga nthawi yosakwana ola limodzi, ndipo mutha kupita kunyumba tsiku lomwelo.
- Kuti munthu achire bwino, ndikofunikira kupatsidwa chithandizo cha physiotherapy.
- Ngati mutakhala ndi zizindikiro mutachita opaleshoni, monga kutentha thupi, kupweteka kosapiririka, kapena madzi onunkhira bwino ochokera pabala, dziwitsani dokotala wanu nthawi yomweyo.
- Ngati muli ndi kukayikira kulikonse pa chilichonse, musaope kulankhula momasuka ndi dokotala wanu za icho.
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