Kodi mumamvanso ululu wosapiririka mukakweza phewa lanu kapena kugwiritsa ntchito mkono wanu? Mwina mukasintha zovala, kutenga china chake kuchokera pashelefu, kapena mukangokweza mkono wanu, kodi mumamva ngati mukubayidwa kuchokera mkati mwa phewa lanu? Ngakhale mutamwa mankhwala ndikuchita chithandizo chamankhwala, ululuwu sunathe? Ndiye mwina dokotala wanu wakuuzani za 'Shoulder Arthroscopy'. Anthu ambiri amatchanso kuti 'opereshoni ya pabowo la kiyi'. Choncho tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.
Kodi Shoulder Arthroscopy ndi chiyani?
Mwachidule, Shoulder Arthroscopy ndi opaleshoni yochepa kwambiri yomwe imagwiritsidwa ntchito pozindikira ndikuchiza mavuto a paphewa. M'malo mochita kucheka kwakukulu monga momwe zimakhalira ndi opaleshoni yotseguka, ndi macheka ang'onoang'ono ochepa okha omwe amapangidwa.
Tangoganizani kuti dokotala wanu akufuna kuona zomwe zikuchitika mkati mwa phewa lanu. Akuyika chida chopyapyala chooneka ngati pensulo chotchedwa arthroscope kudzera mu kachidutswa kakang'ono aka. Kali ndi kamera kakang'ono komanso kuwala kumapeto. Zithunzi za kamera iyi zikukulitsidwa pazenera la kanema kunja. Zili ngati kuonera TV.
Atayang'ana mkati mwa cholumikizira ndikupeza vuto lenileni, amaika zida zofewa kwambiri zochitira opaleshoni kudzera mu cholumikizira china chaching'ono ndikukonza mkati mwa cholumikiziracho. Izi zithandiza kuchepetsa ululu wa phewa lanu ndikubwezeretsa kuyenda bwino.
Chifukwa chiyani opaleshoni iyi imachitika ndipo pamakhala matenda otani?
Kawirikawiri, timayesa kaye mankhwala osagwiritsa ntchito opaleshoni pa ululu wa m'mapewa. Izi zikutanthauza:
- Kuchiza thupi
- Mankhwala Ochepetsa Ululu (Mankhwala)
- Kubayidwa m'malo olumikizirana mafupa
- Mpumulo
Komabe, ngati palibe chilichonse mwa izi chomwe chingathandize kupweteka, dokotala wanu angakulangizeni kuti mugwiritse ntchito njira ya arthroscopy ya paphewa ngati gawo lotsatira. Opaleshoni iyi ikhoza kuchotsa minofu yotupa paphewa lanu ndikuthana ndi mavuto ena ambiri.
| Matenda omwe akuchiritsidwa | Kufotokozera kosavuta |
|---|---|
| Misozi ya Rotator Cuff | Kung'ambika kwa minofu yozungulira phewa komwe kumathandiza kukweza mkono. |
| Matenda a Kupindika kwa Mapewa | Ululu womwe umabwera chifukwa cha kuphwanya minofu pakati pa fupa ndi minofu ya phewa pokweza mkono. |
| Mapewa Ozizira | Cholumikizira cha phewa chagwira ndipo chimamva kupweteka komanso kuuma kwambiri kotero kuti sizingatheke kuchisuntha. |
| Misozi ya Labrum | Kung'amba mphete ya cartilage (labrum) kuzungulira phewa. |
| Kusakhazikika kwa Mapewa | Kusakhazikika kapena kusokonekera kwa phewa pafupipafupi. |
| Mafupa a Bone Spurs | Kukula kosafunikira kwa zidutswa za mafupa owonjezera m'mafupa a cholumikizira. |
| Matenda a nyamakazi | Kuwonongeka ndi kung'ambika kwa khosi la chigoba m'malo olumikizirana mafupa chifukwa cha ukalamba kapena ngozi. |
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Dokotala wanu akangosankha kuchita opaleshoniyi, adzakufunsani za mbiri yanu yachipatala. Muyenera kupereka mndandanda wathunthu wa mankhwala onse omwe mukumwa (ngakhale mavitamini). Mungapemphedwe kuti musiye kumwa mankhwala ena, monga mankhwala ochepetsa magazi, masiku angapo opaleshoni isanachitike.
Chipatala chidzakupatsani malangizo enieni, monga maola angati omwe muyenera kusiya kudya ndi kumwa musanachite opaleshoni. Kuphatikiza apo, angachitenso mayeso angapo kuti aone thanzi lanu, monga:
- Kuyezetsa magazi
- X-ray pachifuwa
- Mayeso a ECG (Electrocardiogram)
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Opaleshoni ya arthroscopy ya phewa nthawi zambiri imatenga nthawi yosakwana ola limodzi . Panthawiyi, zinthu zotsatirazi zimachitika:
1. Opaleshoniyo imachitika mutagona pansi motsamira pang'ono (m'malo mwa mpando wa pagombe) kapena mutatembenukira m'mbali.
2. Gulu la opaleshoni lidzayeretsa bwino malo anu a phewa ndi mankhwala opha tizilombo toyambitsa matenda.
3. Dokotala adzaikamo madzi m'malo olumikizirana mafupa anu. Madzi awa adzapangitsa kuti malo olumikizirana mafupawo akhale akulu pang'ono ndikupanga malo, zomwe zimapangitsa kuti zikhale zosavuta kuwona mkati ndi kamera.
4. Tsopano, kudula pang'ono kofanana ndi kabowo ka batani kumapangidwa ndipo kamera (arthroscope) imayikidwa kudzera mmenemo.
5. Poyang'ana kanema, dokotala akutsimikizira komwe vuto la phewa lili.
6. Kenako, kudula pang'ono kamodzi kapena kawiri kumapangidwa, komwe zida zofewa zimayikidwa kuti zikonze zofunikira.
7. Ntchito ikatha, mabala ang'onoang'ono amatsekedwa ndi ma stitches kapena ma bandeji ang'onoang'ono, ndipo bandeji yayikulu imayikidwa pamwamba.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo ululu wake uli bwanji?
Iyi ndi njira yochitira opaleshoni yakunja . Izi zikutanthauza kuti mutha kupita kunyumba madzulo omwewo. Muyenera kukhala m'chipatala kwa ola limodzi kapena awiri mutachita opaleshoni. Panthawiyi, akatswiri oletsa ululu adzakupatsani mankhwala ochepetsa ululu kuti muchepetse ululu wanu. Pambuyo pake, mutha kupita kunyumba, koma simungathe kuyendetsa galimoto. Ndi bwino kukhala ndi wachibale kapena mnzanu. Ndibwinonso kukhala ndi wina usiku womwewo ngati n'kotheka.
Ndi zachilendo kumva ululu panthawi ya opaleshoni iliyonse, koma musadandaule. Gulu lothandizira odwala opaleshoni lidzaonetsetsa kuti muli bwino momwe mungathere.
Kawirikawiri, pa opaleshoni iyi, mudzapatsidwa jakisoni wotseka mitsempha m'khosi kapena paphewa. Izi zimapangitsa kuti dzanja lanu lonse ndi phewa lanu zisagwire bwino ntchito kwa maola angapo. Izi zikutanthauza kuti simudzamva kupweteka mukatha opaleshoni. Nthawi zina, mungapatsidwe mankhwala oletsa ululu, omwe amakupangitsani kugona tulo tofa nato.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Poyerekeza ndi opaleshoni yotseguka, Shoulder Arthroscopy ili ndi zabwino zingapo:
- Ululu ndi wochepa.
- Kuuma kwa mafupa kumachepa.
- Chiwopsezo cha matenda ndi chochepa kwambiri.
- Nthawi yochira ndi yochepa.
- Zipsera ndi zazing'ono kwambiri.
Ngakhale opaleshoni iyi ndi yotetezeka kwambiri, pali zoopsa zina zomwe zingachitike kawirikawiri.
- Magazi amaundana
- Kuwonongeka kwa mitsempha kapena mitsempha yamagazi
- Kutuluka magazi kwambiri kapena kutupa
- Matenda
Kodi zimatenga nthawi yayitali bwanji kuti ndichiritse ndipo ndiyenera kupita kwa dokotala liti?
Zingatenge milungu ingapo mpaka miyezi ingapo kuti phewa lanu lichiritsidwe mokwanira.Zingatenge mpaka sabata imodzi kuti munthu achire. Izi zimatengera kuopsa kwa vuto la phewa lanu komanso zovuta za opaleshoniyo. Ndizachibadwa kukhala ndi ululu ndi kutupa kwa milungu ingapo yoyambirira.
Imwani mankhwala opweteka omwe dokotala wanu wakupatsani. Mapaketi a ayezi angathandize kuchepetsa kutupa. Kwa masiku ochepa oyamba, kugona pansi kapena ndi mapilo ambiri kungathandize kuchepetsa ululu. Dokotala wanu nthawi zambiri amakuuzani kuti mugwiritse ntchito sling kuti muthandizire mkono wanu.
Chofunika kwambiri ndi dongosolo lokonzanso thanzi lanu. Kuchita masewera olimbitsa thupi omwe dokotala wanu ndi katswiri wa zamaganizo amakupatsani, popanda kutopa, ndikofunikira kuti muchiritse mwachangu.
Ngati mukukumana ndi zizindikiro izi mutachita opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo .
- Malungo .
- Ululu waukulu womwe sumatha ngakhale mutamwa mankhwala ochepetsa ululu.
- Ngati pali madzi onunkhira oipa komanso osintha mtundu akutuluka mozungulira bala.
- Kusamva bwino kapena kutaya kumva m'dzanja kapena zala.
- Ngati kutupa kukuwonjezeka tsiku ndi tsiku.
Uthenga Wopita Nawo Kunyumba
- Kujambula mafupa a mafupa a paphewa ndi opaleshoni ya 'keyhole' yomwe imachiritsa mavuto osiyanasiyana a mapewa popanda kuduladula kwakukulu.
- Izi ndi zotetezeka kuposa opaleshoni yotseguka, sizipweteka kwambiri, ndipo zimatha kuchira mwachangu.
- Kuti opaleshoniyi ipambane, ndikofunikira kwambiri kutsatira malangizo omwe dokotala ndi katswiri wa masewera olimbitsa thupi amapereka pambuyo pake, makamaka masewera olimbitsa thupi.
- Ngati muwona zizindikiro zachilendo monga malungo, ululu wosapiririka, kapena madzi akutuluka pabala, musachedwe ndipo dziwitsani dokotala wanu nthawi yomweyo.
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