Yankho la ululu wa m'mapewa? Zonse zokhudza opaleshoni yobwezeretsa mapewa

Kodi mukuvutika kuchita ntchito zanu za tsiku ndi tsiku chifukwa cha ululu ndi kuuma kwa phewa lanu? Kodi mumamva ululu wosapiririka ngakhale mutayesa kukweza mkono wanu, kusintha zovala, kapena kunyamula katundu wolemera pang'ono? Mwina dokotala wanu wakuuzani za opaleshoni yosinthira phewa. Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva dzina ili. Koma kodi opaleshoni iyi ndi chiyani kwenikweni? Kodi ndi chinthu choopa? Tiyeni tikambirane mwachidule, mwanjira yomwe mungamvetse.

Mwachidule, kodi opaleshoni yobwezeretsa mapewa ndi chiyani?

Kunena zoona, izi zikuphatikizapo kuchotsa cholumikizira cha phewa lanu chomwe chawonongeka komanso chosweka ndikuchiyikanso cholumikizira chochita kupanga. Mu zamankhwala, izi timazitcha kuti cholumikizira cholowa m'malo (arthroplasty) .

Cholumikizira cha phewa lathu chimapangidwa ndi zigawo ziwiri, mpira ndi soketi. Gawo longa mpira pamwamba pa fupa la mkono wanu wapamwamba (humerus) limalowa mu gawo longa chikho pa fupa la phewa lanu (scapula) lotchedwa glenoid. Opaleshoni iyi imaphatikizapo kuchotsa mpira ndi soketi zomwe zawonongeka ndikuziyika m'malo mwake ndi cholumikizira chopangidwa ndi chitsulo ndi pulasitiki.

Kodi mumalowa m'malo mwa cholumikizira chonse cha aliyense?

Kawirikawiri, anthu ambiri omwe amachitidwa opaleshoni yosintha phewa amasinthidwa malo onse olumikizirana mafupa. Izi zikutanthauza mpira ndi soketi.

Koma tangoganizani kuti gawo limodzi lokha la chiwalo chanu lawonongeka kwambiri. Mwachitsanzo, chikhocho sichinawonongeke, koma mpira wokha ndi womwe watha. Pazochitika zotere, dokotala wanu angasankhe kusintha gawo lokhalo lowonongeka. Izi zimatchedwa hemiarthroplasty . Komabe, izi sizimachitika kawirikawiri, chifukwa nthawi zambiri, chiwalo chikawonongeka chifukwa cha matenda monga nyamakazi, ziwalo zonse ziwiri zimawonongeka.

Kodi opaleshoni iyi ikulangizidwa kwa ndani?

Madokotala nthawi zambiri amalimbikitsa opaleshoni iyi kwa anthu omwe ali ndi mavuto a m'mapewa omwe sangathe kuthetsedwa ndi mankhwala ena monga mankhwala, masewera olimbitsa thupi, ndi jakisoni. Onani ngati muli ndi zizindikiro izi.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu ndi gulu lanu lachipatala adzakuthandizani kukonzekera bwino musanachite opaleshoni. Muyenera kuyesedwa kangapo.

• Kuyezetsa mano: Mwina mukudabwa chifukwa chake muyenera kuyezetsa mano musanachite opaleshoni ya phewa. Chifukwa chake ndi chakuti matenda mkamwa amatha kuyenda m'magazi ndikuyambitsa matenda m'malo olumikizirana omwe angosinthidwa kumene. Izi zimachitika kuti muchepetse chiopsezo chimenecho.
• Kuyezetsa thupi lonse: Yang'anani ngati thanzi lanu lili bwino.
• Kujambula X-ray, CT scan, kapena MRI scan: Onani momwe malo olumikizirana mafupa a phewa awonongekera.
• Kuyesa kwa ECG (Electrocardiogram): Onetsetsani kuti mtima wanu ukugwira ntchito bwino.
• Kuyezetsa magazi: Kuyang'ana zinthu monga shuga m'magazi ndi momwe impso zimagwirira ntchito.

Nthawi zambiri mudzapemphedwa kuti musiye kudya kapena kumwa (mosadya) pafupifupi maola 8 opaleshoni isanachitike. Dokotala wanu adzakupatsani malangizo enieni okhudza izi.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Musanachite opaleshoni, mudzapatsidwa mankhwala oletsa ululu ndi dokotala woletsa ululu. Izi zikutanthauza kuti simudzamva kupweteka kulikonse. Mungagone mokwanira (General Anesthesia), kapena mungapatsidwe mankhwala oletsa ululu am'deralo kuti agwire phewa lanu ndi malo ozungulira okha (Regional Anesthesia).

Dokotala wa opaleshoniyo amatsatira njira izi:

1. Pakhungu lozungulira phewa pamakhala kudula pang'ono.

2. Zidutswa za mafupa ndi cartilage zomwe zawonongeka komanso zotha ntchito zimachotsedwa mosamala.

3. M'malo mwake, chiwalo chatsopanocho chaikidwa bwino.

4. Dzanja ndi phewa zimayikidwanso bwino, ndipo chochekacho chimatsekedwa ndi ma stitches.

Opaleshoni iyi nthawi zambiri imatenga pafupifupi maola awiri , koma nthawi ino ingasiyane pang'ono kutengera kuchuluka kwa kuwonongeka kwa cholumikizira chanu.

Kodi ubwino ndi zoopsa zomwe zingachitike chifukwa cha opaleshoni ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali ubwino ndi zoopsa zomwe sizichitika kawirikawiri.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Mukamaliza opaleshoni, mudzatengedwera ku chipinda chochiritsira odwala. Gulu lachipatala lidzakuyang'anirani mosamala mpaka mutadzuka kuchokera ku opaleshoni yoletsa kupweteka. Maopaleshoni ena amakulolani kupita kunyumba tsiku lomwelo, koma ambiri amafuna tsiku limodzi kapena awiri kuchipatala .

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Zingatenge miyezi ingapo kuti muchire bwino. Mukachita opaleshoni, mkono wanu udzaikidwa mu sling ya mkono. Muyenera kuvala izi kwa milungu ingapo .

Pambuyo pa milungu ingapo, mudzapemphedwa kuti muyambe kuchita masewera olimbitsa thupi. Katswiri wa masewera olimbitsa thupi adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula minofu ya mapewa anu ndikuwonjezera mphamvu zanu zoyenda.

Kodi mumatani ndi ululu?

Ndizachilendo kumva ululu pang'ono mutachita opaleshoni. Ululu ukhoza kukhala wokulirapo m'masabata oyamba. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu kuti achepetse ululu. Ndikofunikira kutsatira malangizo amenewo molondola.

Kodi mumazolowera bwanji ntchito za tsiku ndi tsiku?

Muyenera kukhala okonzeka kuchita zinthu zosavuta monga kuvala ndi kudya nokha pakatha milungu iwiri kapena itatu . Komabe, muyenera kupewa kunyamula zolemera, kuchita masewera olimbitsa thupi, kapena kuchita masewera olimbitsa thupi kwa miyezi ingapo . Musanayambe kuchita chilichonse, funsani dokotala wanu kuti atsimikizire kuti ndi otetezeka kwa inu.

Kodi cholumikizira chopangidwachi chimatenga nthawi yayitali bwanji?

Ngati chilumikizo chopangidwachi chisamalidwa bwino, chilumikizochi chingakhalepo kwa zaka zambiri. Anthu ambiri amatha kugwiritsa ntchito chilumikizochi kwa zaka zoposa 15 popanda vuto lililonse. Anthu ena amakhala nacho bwino pa moyo wawo wonse.

Dokotala wanu angakuuzeni izi, ndipo mungakhale ndi malire pa kulemera komwe mungathe kunyamula ndi mkono wanu kwa moyo wanu wonse.

Ndiyenera kuyimbira dokotala nthawi yanji?

Ngati mukukumana ndi zizindikiro izi mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi.

Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva za opaleshoni yamtunduwu. Koma kumbukirani, ichi ndi chinthu chomwe chidzakubweretserani mpumulo waukulu pamoyo wanu. Ngakhale kuti nthawi yochira idzakhala yovuta pang'ono, mutha kunyadira khama lomwe mukuchita kuti phewa lanu libwererenso bwino. Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo. Mukatero mudzatha kukumana ndi ulendowu bwino.