Zimene Muyenera Kudziwa Zokhudza Opaleshoni Yosintha Mapewa

Mwina inunso simunagone usiku chifukwa cha kupweteka kwambiri paphewa lanu. Mungamve ululu wosapiririka ngakhale mutakweza mkono wanu, kusintha zovala zanu, kapena ngakhale kutenga chinthu chaching'ono kuchokera ku shelufu ya kukhitchini. Mu mkhalidwe ngati uwu, ngati mankhwala ena sakuthandiza, dokotala wanu mwina adakulankhulani za opaleshoni ya 'Kusintha Mapewa'. Kumva dzinali kungakhale koopsa. Koma tiyeni tikambirane chilichonse mosavuta komanso momveka bwino.

Kodi opaleshoni yobwezeretsa mapewa ndi chiyani?

Mwachidule, izi zimaphatikizapo kuchotsa cholumikizira cha phewa lanu chomwe chawonongeka mwachibadwa ndikuchiyikanso cholumikizira chopangira (prosthesis). Madokotala amatchanso izi kuti "total shoulder arthroplasty." Zolumikizira izi zimapangidwa pogwiritsa ntchito chitsulo ndi mtundu wapadera wa pulasitiki.

Cholumikizira cha phewa lanu ndi "cholumikizira cha mpira ndi soketi." Gawo longa mpira la fupa lanu lakumtunda (humerus) limalowa mu gawo longa chikho (glenoid) la fupa lanu la phewa (scapula). Mu opaleshoni iyi, magawo owonongekawa amalowetsedwa ndi atsopano.

Opaleshoni yonse komanso yochepa

Anthu ambiri amafunika kusintha mapewa onse , zomwe zikutanthauza kuti mpira ndi soketi zonse ziwiri zasinthidwa.

Koma nthawi zina, ngati gawo limodzi lokha la cholumikizira chawonongeka, dokotala angachite opaleshoni yosintha pang'ono phewa (kapena hemiarthroplasty). Mwachitsanzo, ngati mpira wokha wawonongeka ndipo soketi yake ili bwino, mpira wokha ndi womwe umasinthidwa. Koma izi sizichitika kawirikawiri. Cholumikizira chikawonongeka chifukwa cha matenda monga nyamakazi, ziwalo zonse ziwiri nthawi zambiri zimawonongeka.

Ndi nthawi ziti pamene opaleshoni iyi imalimbikitsidwa?

Ngati zizindikiro za phewa lanu sizikusintha ngakhale mutalandira mankhwala ena, monga mankhwala ndi physiotherapy, dokotala wanu angaganizire za opaleshoni:

• Kupweteka kwa mapewa kosapiririka , makamaka usiku.
• Kulephera kukweza kapena kuzungulira mkono bwino kumatanthauza kuti kuyenda kwa cholumikizira kumakhala kochepa .
• Kuuma ndi kuuma kwa mafupa .
• Kutupa kwa mafupa .

Chifukwa chachikulu cha vutoli ndi kutupa kwa phewa, komwe kumatchedwa nyamakazi. Mitundu yodziwika kwambiri ndi osteoarthritis (yomwe imayamba chifukwa cha kutopa kwa mafupa) kapena rheumatoid arthritis (yomwe imayamba chifukwa cha vuto la chitetezo cha mthupi). Kuphatikiza apo, opaleshoniyi imalimbikitsidwanso ngati minofu ndi minyewa ya phewa yawonongeka kwambiri yotchedwa rotator cuff kapena avascular necrosis (kusowa kwa magazi m'mafupa).

Kodi mumakonzekera bwanji musanachite opaleshoni?

Musachite mantha ndi izi, dokotala wanu ndi gulu lake adzakukonzekeretsani bwino izi. Muyenera kuyesedwa kangapo musanachite opaleshoni.

• Kupita kwa dokotala wa mano: Mano anu adzawunikidwa ndi kutsukidwa kuti achepetse chiopsezo cha matenda pambuyo pa opaleshoni.
• Kuyezetsa thupi: Dziwani za thanzi lanu lonse.
• Mayeso a X-ray, CT kapena MRI: Onani momwe kuwonongeka kwa phewa kumaonekera.
• Kuyesa kwa ECG (`Electrocardiogram`): Kuyang'ana momwe mtima umagwirira ntchito.
• Kuyezetsa magazi kangapo.

Muyenera kuuza dokotala wanu za mankhwala aliwonse (kuphatikizapo a matenda ena) ndi mavitamini omwe mukumwa panopa. Mankhwala ena angafunike kuti musiye kumwa masiku angapo opaleshoni isanachitike. Ena angafunikenso kuti musala kudya kwa maola pafupifupi 8 opaleshoni isanachitike. Gulu lanu lachipatala lidzakupatsani malangizo omveka bwino okhudza zonsezi.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni isanayambe, dokotala wogonetsa adzakupatsani mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Mungapatsidwe mankhwala oletsa ululu, omwe amakupangitsani kugona mokwanira, kapena mankhwala oletsa ululu m'dera linalake, omwe amapha phewa ndi malo ozungulira okha.

Pa nthawi ya opaleshoni, dokotala wa opaleshoni:

1. Pakhungu pa phewa pamakhala kudula pang'ono.

2. Fupa ndi fupa lowonongeka zimachotsedwa mosamala kwambiri.

3. M'malo mwake, cholumikizira chopangidwa kale (prosthesis) chimayikidwa.

4. Dzanja ndi phewa zimayikidwanso bwino ndipo chodulidwacho chimasokedwa.

Opaleshoni iyi nthawi zambiri imatenga pafupifupi maola awiri , koma nthawi ino imatha kusiyana malinga ndi kuchuluka kwa kuwonongeka kwa cholumikizira chanu.

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

Mukamaliza opaleshoni, mudzatengedwera ku chipinda chochiritsira komwe mudzayang'aniridwa. Anthu ena akhoza kupita kunyumba tsiku lomwelo (`outpatient`), pomwe ena adzafunika kukhala m'chipatala kwa tsiku limodzi kapena awiri (`inpatient`).

Mukachita opaleshoni, mudzaikidwa mu sling. Muyenera kuvala izi kwa milungu ingapo. Dokotala wanu adzakupatsaninso masewera olimbitsa thupi osavuta kuti akuthandizeni kuyambiranso kuyenda bwino ndikulimbitsa phewa lanu. Ndikofunikira kwambiri kuchita bwino.

Mudzafunika kuyamba kuchita masewera olimbitsa thupi pakatha milungu ingapo. Katswiri wa masewera olimbitsa thupi adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula kuti mapewa anu aziyenda bwino komanso kulimbitsa minofu yanu.

Ndizachibadwa kumva ululu m'masabata oyamba. Dokotala adzakulemberani mankhwala ochepetsa ululu pa izi. Ndikofunikanso kumwa mankhwalawo mu mlingo woyenera komanso panthawi yoyenera. Muyenera kupewa kunyamula zolemera ndikuchita masewera olimbitsa thupi kwa miyezi ingapo. Komabe, patatha milungu iwiri kapena itatu, mudzatha kuyamba kuchita zinthu zazing'ono monga kuvala zovala ndi kukonza chakudya.

Ndizachibadwa kumva mantha pang'ono komanso mantha ndi opaleshoni yamtunduwu. Koma kumbukirani, mpumulo womwe mudzalandira mukatha izi komanso moyo wopanda ululu ndizofunikira. Ngakhale kuti nthawi yochira idzakhala yovuta, pamene pang'onopang'ono mukukula, mudzadzitamandira. Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.