Zinthu zomwe muyenera kudziwa zokhudza Tommy John Surgery

Kodi ndinu wosewera cricket, woponya mivi, kapena wosewera tenisi? Ndiye mwina simuyenera kuda nkhawa ndi kupweteka kwa chigongono, eti? Nthawi zina chifukwa chachikulu cha ululuwu ndi kung'ambika kwa ligament yolimba mkati mwa chigongono. Pamenepo ndi pomwe 'opereshoni ya Tommy John' yomwe imasintha tsogolo la othamanga ambiri imawonekera. Tiyeni tikambirane izi mwachidule, kuyambira A mpaka Z.

Mwachidule, kodi opaleshoni ya Tommy John ndi chiyani?

Opaleshoni ya Tommy John ndi opaleshoni yomwe imakonza ligament mkati mwa chigongono chanu yotchedwa Ulnar Collateral Ligament (UCL) . Imatchedwanso opaleshoni ya `UCL`.

Ganizirani za UCL ngati lamba wolimba womwe umagwirizira chigongono pamodzi. Tikagwiritsa ntchito chigongono chathu mobwerezabwereza, makamaka tikamaponya bowling fast kapena kuponya nthungo, ligament iyi imatha kuwonongeka. Vutoli limapezeka kwambiri mu:

• Mpira wa baseball
• Softball
• Njanji
• Mpira (makamaka osewera omwe amaponya mpira)
• Kwa iwo omwe amasewera tenisi ndi masewera ena ofanana ndi a racket.

Ngati ndinu wothamanga wosangalatsa, nthawi zambiri, kuvulala kumeneku kumatha kuchiritsidwa ndi kupuma komanso chithandizo chosavuta. Komabe, ngati ndinu wothamanga waluso, zomwe zikutanthauza kuti ntchito yanu yonse ndi yamasewerawa, kuvulala kumeneku kungakhale mapeto a ntchito yanu yosewerera. Pamenepo ndi pomwe muyenera kuchitidwa opaleshoni ya `UCL` kuti mupulumutse ntchito yanu yosewerera.

Mu opaleshoni iyi, dokotala wanu amatenga mtsempha wathanzi kuchokera ku mbali ina ya thupi lanu (nthawi zambiri kuchokera padzanja lanu kapena kumbuyo kwa bondo lanu) ndikuugwiritsa ntchito kumanganso mtsempha wowonongeka m'chigongono chanu. Mtsempha womwe umatengedwa motere umatchedwa 'graft' . Nthawi zina, ngati sizingatheke kutenga mtsempha kuchokera m'thupi lanu, mtsempha wochokera kwa wopereka ungagwiritsidwe ntchito. Mtsempha watsopanowu umalumikizidwa ku fupa lapamwamba la mkono (humerus) ndi fupa lapansi la mkono (ulna) la chigongono chanu, zomwe zimapangitsa kuti ugwire ntchito ngati mtsempha watsopano wa 'UCL'.

Pambuyo pa opaleshoni iyi:

• Chigongono chanu chikukhazikika.
• Ululu ukuchepa.
• Kusuntha kwa dzanja kumabwezeretsedwa.

Nthawi zina, m'malo mopanga chitoliro chonse, chipangizo chapadera chotchedwa 'internal brace' chimayikidwa m'chigongono kuti chilimbikitse chitolirocho.

N’chifukwa chiyani imatchedwa ‘Tommy John’? Kodi nkhani yake ndi yotani?

Nkhani iyi ndi yosangalatsa kwambiri. Opaleshoni iyi idatchedwa dzina la Tommy John, wosewera mpira wotchuka waku America. Anali katswiri woponya bowler. Mu 1974, ligament yake ya UCL m'chigongono chake idang'ambika kwathunthu. Panthawiyo, kuvulala koteroko kunatanthauza kutha kwa ntchito yake yamasewera.

Komabe, madokotala anayesa opaleshoni yatsopano kuti akonze chigongono chake. Pambuyo pa opaleshoniyo, sanachite bwino nyengo yonse ya 1975. Koma zodabwitsa kwa aliyense, anabwerera kumunda mu 1976 ndipo anasewera bwino kuposa kale lonse. Chifukwa cha kubwerera kwake bwino, opaleshoni ya `UCL` yatchedwa opaleshoni ya `Tommy John.'

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu wa mafupa adzakufotokozerani momwe mungakonzekerere opaleshoni. Nthawi zambiri, muyenera kuchita izi:

• Kuyezedwa thupi lonse: Onetsetsani kuti muli ndi thanzi labwino lokwanira kuchitidwa opaleshoni.
• Kuyezetsa magazi: Dziwani za ntchito zoyambira za thupi komanso momwe matenda alili.
• Mayeso ojambulira: Kujambula X-ray , CT scan , kapena MRI scan kungapangidwe kuti muwone bwino kuwonongeka kwa chigongono chanu.
• E.C.G. (Electrocardiogram): Onani ngati mtima wanu ukugwira ntchito bwino.
• Kuyezetsa mano: Kuteteza matenda a mkamwa kuti asafalikire m'magazi ndikukhudza malo ochitira opaleshoni pambuyo pa opaleshoni.

Dokotala wanu adzakuuzani nthawi yomwe muyenera kusiya kudya ndi kumwa tsiku lisanafike opaleshoni. Nthawi zambiri, muyenera kusiya kudya ndi kumwa maola 12 musanachite opaleshoni.

Kodi n’chiyani kwenikweni chimachitika panthawi ya opaleshoni?

Opaleshoni isanayambe, dokotala wogonetsa adzakupatsani mankhwala oletsa ululu . Izi zikutanthauza kuti mudzakhala mutulo tofa nato. Choncho simudzamva ululu uliwonse panthawi ya opaleshoni.

Opaleshoni nthawi zambiri imatsatira izi:

1. Arthroscopy: Nthawi zina dokotala amagwiritsa ntchito kamera kakang'ono kuti ayang'ane mkati mwa cholumikizira cha chigongono. Izi zimatchedwa arthroscopy . Izi zingathandize kuzindikira ndi kuchiza mabala ena amkati pamene akukonza ligament.

2. Kukolola Chingwe: Ngati pakufunika chingwe, dokotala adzatenga chidutswa cha mtsempha cha mainchesi 1.5 kuchokera ku mbali ina ya thupi lanu (nthawi zambiri kuchokera padzanja kapena kumbuyo kwa bondo).

3. Kuchotsa minofu yowonongeka: Mitsempha yosweka ndi minofu ina yosafunikira mkati mwa chigongono imatsukidwa ndikuchotsedwa.

4.Kuboola mafupa: Kenako, mabowo awiri amabooledwa mu fupa la ulna ndipo mabowo atatu amabooledwa mu fupa la humerus mu mawonekedwe a "Y".

5. Kuyika mtsempha watsopano: Mtsempha womwe wachotsedwa kale (graft) umadutsa m'mabowo awa ndikukhazikika ngati mtsempha watsopano. Nthawi zina umalumikizidwa ku mafupa ndi zomangira zazing'ono kuti ukhale wolimba.

6. Kukonza zina zomwe zawonongeka: Ngati mitsempha ya m'chigongono (mtsempha wa ulnar) yawonongeka kapena pali mavuto ena, imakonzedwanso panthawi ya opaleshoniyi.

7. Kusoka mabala: Pomaliza, mabala opangidwa pakhungu amatsekedwa ndi mabala. Kenako amaphimbidwa ndi nsalu yoyera ndipo chogwirira cholimba chimayikidwa kuti mkono usamayende.

Opaleshoni imeneyi nthawi zambiri imatenga pafupifupi ola limodzi ndi theka, koma nthawi ino imatha kusiyana malinga ndi kukula kwa kuwonongeka kwa ligament komanso ngati pali mavuto ena.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse, opaleshoni ya Tommy John ili ndi ubwino komanso zoopsa zake.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Iyi ndi gawo lovuta komanso lofunika kwambiri paulendowu. Zingatenge chaka chimodzi kuti munthu achire bwino ku opaleshoni ya Tommy John ndikubwerera ku masewera ampikisano. Ulendowu umafuna kuleza mtima. Muyenera kutsatira malangizo omwe dokotala wanu komanso katswiri wa physiotherapy wakupatsani.

Ndondomeko yanu yochira ikhoza kuwoneka motere:

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba kuchokera ku opaleshoni, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.

• Kupweteka pachifuwa
• Kuvuta kupuma
• Malungo (oposa 102 Fahrenheit/39 Celsius)
• Kutuluka magazi ambiri kuchokera pamalo ochitira opaleshoni
• Zizindikiro za matenda pamalo opareshoni (monga mafinya, kutupa kwambiri, fungo, kufiira, kapena kumva kutentha)
• Ululu watsopano kapena woipiraipira m'chigongono, dzanja, kapena zala
• Muli ndi ululu waukulu womwe simungathe kuuletsa ngakhale mutapatsidwa mankhwala ochepetsa ululu.

Opaleshoni ya Tommy John ndi opaleshoni yodabwitsa yomwe imapatsa othamanga akatswiri mwayi wina. Koma kupambana kwake kumadalira 90% pa momwe mulili oleza mtima komanso odzipereka pantchito yokonzanso thupi pambuyo pa opaleshoni.