I-Pros and Consence ye-Fusion Joint
Xa unyango olulondolozo lwe-osteoarthritis okanye ezinye iintlobo ze-arthritis alunakuphumelela ngokukhawuleza intlungu edibeneyo, kungathi kubekho ixesha lokuqwalasela ukuhlinzwa ngokubambisana. Kubalulekile ukuba ufunde malunga neentlobo ezahlukeneyo zokuhlinzwa kunye kunye nokuqonda okukhethwa kukho. Xa ezininzi izigulane zicinga ngokuhlinzwa ngokubambisana, bacinga malunga nokutshintshwa okuhlangeneyo .
Kodwa kukho ezinye iinkqubo omele wazi ngazo, kuquka i- arthrodesis .
Arthrodesis ichazwe
I-Arthrodesis yinkqubo yokuqhaqhafaza ifaka amathambo enokubambisana, ngokugqithiseleyo ukuphelisa umdibaniselwano. Inkqubo ibizwa ngokuqhelekileyo njenge- fusion ehlangeneyo .
Abagqirha bafaka izikhonkwane, iiplati, i-screws, iingcingo, okanye iintonga ukubeka amathambo ndawonye baze baxhamle. Ngamanye amaxesha ama-graft amathambo ayadingeka ukuba kukho ukulahleka kwethambo. Ukuba ithambo lokufakela ifuba liyimfuneko, ithambo linokuthi lithathwe kwenye inxalenye yomzimba okanye ifunyenwe kwibhanki lesithambo.
I-Arthrodesis idla ngokuqhutyelwa kuma-ankle kunye nezibonda , kodwa inokwenziwa kwamanye amajoyina, kuquka izithupha , iinzwane, iminwe kunye nomgudu .
Abaviwa beArthrodesis
Abaviwa abaqhelekileyo be-arthrodesis baquka abantu abane- arthritis abanamalungu amaninzi awonakalise ukuba iindlela zokulawula ubuhlungu eziqhelekileyo ziyahluleka. Ngokuxhomekeke kwinqanaba elichaphazelekayo, unakho ukhetho lokufakelwa okutshintshanisiweyo okanye i-arthrodesis.
Iinjongo zokubuyiselwa zingafakwa kwisigqibo.
Izinzuzo zeArthrodesis
Inzuzo eyinqobo ye-arthrodesis yintlungu yokuphucula intlungu. Ngokuqhaqhaqhaqha ukukhupha intsebenziswano, intsikelelo yentlungu yinjongo efikelelekayo, ikhuphe nayiphi na ingxaki yokuhlinzwa.
Cinga iinjongo zakho xa usenza isigqibo sokuba i-arthrodesis iyona nto ingcono kakhulu kuwe.
Iinkonzo:
- Uncedo lweentlungu
- Uzinzo kwidibaniselwano edibeneyo
- Ukunciphisa okubalulekileyo intlungu xa ubunzima bubekwe kwidibene edibeneyo
- Ukulungelelaniswa kokulungelelaniswa kwesifo se-arthritis
Umgcini:
- Ukutshintshwa okuhlangeneyo kusenokuba yindlela engcono kwizigulane ezithile
- Ukulahleka kokuguquguquka kunye nokunyakaza ngokubambisana
- Ubungakanani obubonakalayo beengxaki zokuphulukisa isilonda
Ukubuyisela kwi-Arthrodesis
Emva kokuhlinzwa, i-cast will be placed over the joint that arthrodesis. Kuze kubekho ubungqina be- x-ray bokuxuba , ukusetyenziswa kweqela elichaphazelekayo kuya kuncitshiswa. Inkqubo yokuphilisa inokuthatha ixesha elide. Ngokomzekelo, izigulane ze-ankle arthrodesis azivumelekanga ukuba zithwale ubunzima phakathi kweeveki ezi-8 ukuya kwezi-12. Ufanele ugcine umlenze wakho ukhuphuke ukunyusa ukukhukhumeza nokukhuthaza ukuphilisa de kubekho ubungqina bokufumba. Uzakufuna ukubeka ubunzima kude udibanise uze udibanise, ngoko ke iikrutches okanye izihlalo zamasondo ziza kuba kwikamva lakho.
I-Arthrodesis ayinakho iingxaki. Ubuhlungu kwisiza se-bone fusion, ukulimala kwentsholongwane, ukusuleleka, okanye i-hardware ephukileyo (umz., Izikhonkwane, i-screws) ziyaziwa ingozi ehambelana ne-arthrodesis. Inkxalabo enzima kunokuba yinkxalabo ehlulekayo, oku kuthetha ukuba umdibaniso ngokwasemzimbeni awunamathethi. Kodwa i-Arthrodesis, ngokuqhelekileyo yinkqubo ephumelela kakhulu kwaye iingxaki ezinzima ziyinto engavamile.
Imithombo:
Iintlobo zoBucholo. Arthritis Foundation.
IArthritis yeLinya kunye neAnkle. I-American Academy ye-Orthopedic Surgeons. Julayi 2007.
https://orthoinfo.aaos.org/en/diseases-conditions/arthritis-of-the-foot-and-ankle#Surgical%20Ukunyangwa