Wakambonzwa here nezvekuvhiyiwa uko chikamu chegumbo remunhu chinobviswa uye chikamu chezasi chasara chinotenderedzwa nemadhigirii zana nemakumi masere (180 degrees) chobva chabatanidzwazve? Zvinganzwika sezvisinganzwisisike. Asi iyi inzira inokosha yekurapa inorwisa zvirwere zvakakomba, kunyanya kenza yemapfupa mugumbo, uye inounza tariro itsva kuhupenyu hwevana vadiki, kunyanya. Nhasi, tichataura nezve kuvhiyiwa uku kunonzi Rotationplasty.
Zvichitaurwa zviri nyore, chii chinonzi Rotationplasty?
Rotationplasty inzira yakakosha yekuvhiya inoitirwa kuchengetedza gumbo remunhu (nzira yekuponesa nhengo). Fungidzira kuti munhu ane chirwere chakadai sekenza mubvi nenzvimbo dzakapoteredza. Kazhinji, gumbo rese rinochekwa pamusoro pebvi. Asi muRotationplasty, chimwe chinhu chakasiyana chinoitwa.
Chiremba anovhiya anotanga abvisa chikamu chegumbo chine chirwere ichi (kazhinji chidya chepazasi, ibvi, negumbo repamusoro). Zvadaro, gumbo repazasi rasara, iro riri gumbo rako, tsoka, negumbo , rinotorwa rotenderedzwa nemadhigirii 180. Rinobva rabatanidzwazve nechanza chepamusoro chasara.
Zvino ungave uchishamisika kuti, "Sei uri kuramba izvi?"
Funga nezvazvo. Ibvi rako rinokotama mberi. Asi gumbo rako rinokotama kumashure. Mushure mekuvhiyiwa uku, gumbo rako rinoshanda sebvi rako idzva. Kureva kuti, paunoridzosera kumashure, gumbo rako rinogona kukotama mberi sebvi. Kana gumbo rako ragadziriswa nenzira iyi, unogona kubatanidza gumbo rekugadzira. Zvadaro, "ibvi idzva" rakagadzirwa negumbo rako negumbo rekugadzira richashanda pamwe chete, zvichikubvumidza kufamba, kumhanya, uye kutosvetuka zvakajairika.
Zvinoshamisa kuti kana ukapfeka bhurugwa, ungasatomboona musiyano uripo pakati pemakumbo ako. Paunogara pasi kana kumira, "mabvi" ese ari maviri anenge akakotama akatarisana.
Ndiani ari kuita kuvhiyiwa uku?
Uku kuvhiyiwa hakusi kwemunhu wese. Uku kuvhiyiwa kusingawanzoitiki. Kuvhiyiwa uku kunonyanya kufungwa nezvako mumamiriro ezvinhu anotevera:
- Kenza yeMapfupa: Ichi ndicho chikonzero chikuru. Kana kenza yemapfupa yakaita se'Osteosarcoma' ne'Ewing sarcoma', iyo inonyanya kuwanikwa muvana nevechidiki, ikaitika pabvi, nzira iyi inoshandiswa kubvisa zvachose masero ekenza. Sezvo mapfupa evana achiri kukura , makumbo avo anokura pamwe chete nemiviri yavo mushure mekuvhiyiwa. Saka, zviri nyore kwazvo kuti vajaire izvi.
- Zvirwere Zvekuzvarwa Nazvo: Vamwe vana vanogona kuzvarwa vaine chirwere chekuti femur (pfupa rechidya) haisi kukura zvakanaka (Congenital Femoral Deficiency - CFD). Muzviitiko zvakadaro, Rotationplasty inoonekwawo.
- Zvimwe zvikonzero:Kashoma, kuvhiyiwa uku kunogonawo kuitwa pakukuvara kwakakomba kana hutachiona husingarapiki.
Unogadzirira sei usati wavhiyiwa?
Sezvo ichi chiri chisarudzo chikuru, pane zvinhu zvakawanda zvekufunga nezvazvo usati wavhiyiwa.
1. Ziva zvakanaka: Iwe nemhuri yako munofanira kunzwisisa zvakajeka kuti gumbo renyu richataridzika sei mushure mekuvhiyiwa, nguva yekupora, uye kurapwa kwemuviri. Chiremba wenyu achakutsanangurirai izvi zvakakwana, uye kana zvichidikanwa, achatokuratidzai mapikicha kana mavhidhiyo evanhu vakavhiyiwa uku. Zvakakosha zvikuru kugadzirira mupfungwa dzenyu izvi.
2. Kuongororwa kwemuviri: Chiremba achaongorora kana mafambiro ako akanaka muhudyu negumbo. Achaongororawo kana tsinga huru inoenda kugumbo rako, tsinga yesciatic, iri kushanda nemazvo. Tsinga iyi inokosha kuti kuvhiyiwa uku kubudirire.
3. Kuongororwa kwemifananidzo: Chikwata chekuvhiya chisati chavhiyiwa, chinoita bvunzo dzakadai seX-rays, MRIs, kana CT scans kuti chinyatsoongorora mamiriro emukati megumbo uye kuti kenza yapararira sei.
4. Kugadzirira chigadziko chekugadzira: Dzimwe nguva, tsoka yako inoyerwa usati wavhiyiwa uye chigadzirwa chenguva pfupi (prosthesis) chinogona kushandiswa pakarepo mushure mekuvhiyiwa.
Musiyano uripo pakati pekuvhiyiwa kweRotationplasty nedzimwe sarudzo
Pane nzira mbiri huru dzaungasarudza pachinzvimbo cheRotationplasty:
- Kuchekwa kwegumbo riri pamusoro pebvi uye kushandiswa kwegumbo rekugadzira rakakodzera.
- Kubvisa chikamu chegomarara wochitsiva nezvikamu zvesimbi kana pfupa remumwe munhu.
Ngatitarisei zvakanakira nekuipira kwekuvhiyiwa kweRotationplasty kana tichienzanisa nenzira mbiri idzi dziri patafura ino.
| Chinhu | Mabhenefiti eRotationplasty | Zvakashata uye njodzi |
|---|---|---|
| Mashandiro | Nekuti makumbo avo anoshanda semabvi, kufamba uye kudzora muviri zvakanyanya. Vanogona kumhanya, kusvetuka, uye kutotamba mitambo. | Kudzidziswa kunodiwa kuti uropi netsinga zvijairire "ibvi idzva." |
| Kugara kwenguva refu | Nekuti inoshandisa nyama yako, tsinga, uye mitsipa yeropa, inogara kwenguva refu uye kashoma kuti iongororwe zvakare. | Pane njodzi yekunonoka kubatana kwemurume nemukadzi panguva yekupora. |
| Chitarisiko | Kunyangwe zvisingaite mutsauko pakupfeka bhurugwa, ichi chinhu chakaitwa kuti chiwedzere kushanda zvakanaka. | Iri ndiro dambudziko guru. Gumbo rakadzokera shure, saka chitarisiko charo chakasiyana. Zvinotora nguva kuti uzvigamuchire mupfungwa. |
| Matambudziko | Matambudziko akadai sekuti "kurwadziwa kwegumbo" (kunzwa sekunge gumbo risiripo rinorwadza) anoitika kana gumbo rachekwa haadzivirirwi. | Kuvhiyiwa kwacho kwakaoma zvikuru. Kune njodzi dzekuora kwetsinga, kukuvara kwetsinga, uye hutachiona. |
Nguva yekupora inomira sei?
Uku kuvhiyiwa kukuru, saka zvinotora nguva kuti upore.
- Zvinogona kutora mwedzi mitatu kusvika mitanhatu kuti mapfupa maviri apore zvakakwana. Kana uri kurapwa kenza se 'Chemotherapy', zvinotora nguva yakati rebei kuti upore.
- Munguva iyi, uchafanira kushandisa wheelchair kana madondoro.
- Kana vanga rapora uye kuzvimba kwapera, jira rekugadzira rinogona kupfekwa.
- Kurapa muviri chikamu chakakosha cherwendo urwu. Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi ekusimbisa nekukwenya chiuno chako ne "bvi idzva" (gumbo). Apa ndipo panotanga kujaira uropi hwako kufamba uku kutsva.
Vana vanojaira izvi nekukurumidza kupfuura vakuru. Asi mukati memwedzi 6-12, vazhinji vanotanga kufamba vasina rutsigiro. Vanosvika padanho rekuti vagone kuita chero chii zvacho, kunyangwe mitambo, zvavanoda.
Kusarudza seRotationplasty kunogona kuva kwakaoma uye kwakasurukirwa. Nekuti mumwe munhu waunoziva angadai akambosangana nedambudziko rakadai ndokurasikirwa naro. Asi nhasi, nesocial media, une mukana wekuwana vanhu vakambovhiyiwa, kunzwa nyaya dzavo, kuona kuti vanotamba sei mitambo, uye kurarama hupenyu hwakajairika. Kuona zvinhu zvakadaro kunogona kuva simba guru pakusarudza uku.
Mharidzo Yekuenda Nayo Kumba
- Rotationplasty kuvhiyiwa kusingawanzoitiki asi kunobudirira kuponesa gumbo. Isarudzo yakanaka, kunyanya kune kenza yemapfupa muvana.
- Izvi zvinoita kuti gumbo remurwere rive ibvi rinoshanda, zvichiita kuti kufamba-famba uye kushanda zvakanaka.
- Chinhu chikuru chekufunga nezvacho kuchinja kwechitarisiko chegumbo mushure mekuvhiyiwa, asi mabhenefiti ekushanda kwawo akakwira zvikuru.
- Ichi chisarudzo chakaoma uye chinoda munhu, saka zvakakosha kuti ukurukure nachiremba wako nezvezvakanakira, zvakaipa, uye njodzi usati wasarudza kuvhiyiwa.
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