Inketho yokuThengiswa kwezilwanyana zeArthritis
Xa unyango lwe-arthritis olungapheliyo luthintela ngokukhawuleza ukukhulula intlungu kwi-ankle echaphazelekayo, kusenokuba ixesha lokuqwalasela ukuhlinzwa ngokubambisana . Kodwa kuqala: Kubalulekile ukufunda malunga neentlobo ezahlukeneyo zokuhlinzwa kunye kunye nokuqonda okukhethwa kukho. I-Ankle fusion , eyaziwa ngokuba yi-ankle arthrodesis , yindlela enye yokukhetha.
I-Ankle Fusion ichazwe
Amathambo amathathu enza i-joint-ankle-ekupheleni kwe-tibia (i-shinbone), i-fibula (ithambo elincinci lomlenze ophantsi), kunye netalus (ithambo elungene kwisiseko esenziwe yi-tibia kunye ne-fibula).
I talus ihlala kwisithambo sesithende. I-cartilage ye-Articular igxininisa ngaphakathi kwesikalo se-ankle. Ngokuqhelekileyo, i-cartilage i malunga nekota yesentimitha. Ukuba kwenzeka ukulimala, okanye ukuba i-cartilage yonakaliswe yi-arthritis, intlungu ingaba nzima kakhulu.
I-fusion ye-ankle yinkqubo yokuqhawula isisusa i-joint ye-ankle ngenjongo yokukhuthaza ukudibanisa phakathi kwe-tibia kunye neetalus. "Ukuxuba" kubhekisela kumathambo akhula ndawonye. I-Fusion ayenzwanga kuphela kwi-ankle, kodwa nakwamanye amajoyina emzimbeni onzima kakhulu.
Kukho iindlela ezimbalwa zokulandelelana kwe-ankle, kodwa injongo nganye iyafana - ukuxubusha umxhasi we-ankle.
Indlela evulekileyo
- isicatshulwa senziwa ukuvula isikhumba kunye nokufikelela kwidibeneyo.
- idibeneyo ivuliwe.
- I-saw yokupakisha isetyenziselwa ukususa i-articalular cartilage.
- emva kokuba i-cartilage isicatshulwa, umzimba uya kuphulukisa ngokufakela ukudibanisa.
- ukusika kufuneka kube ngokuchanekileyo ukwenzela ukuba amathambo afike kwiimeko ezifanelekileyo xa zihlanganiswa ukuze zifakwe.
- izibilini kwaye ngamanye amaxesha isitya sisetyenziselwa ukumbamba amathambo kunye size sisebenzise.
- Ngokuqhelekileyo izikhonkwane okanye izikhonkwane ziphantsi kwesikhumba kwaye zisuswanga.
- Kwezinye iimeko, i- fixator yangaphandle (izikhonkwane ezingaphandle kwesikhumba) zingasetyenziswa.
Indlela yeArthroscopic
Le ndlela isebenzisa i- arthroscope . Ngomlinganiselo omncinci, i-arthroscope (equlethe ikhamera encinane yeTV) ifakwe kwi-joint joint. Ukusebenzisa ezinye izixhobo, i-cartilage isuswa kwisicatshulwa esincinci ngelixa i-arthroscope isetyenziselwa ukugcina inkqubela yenkqubo. Emva kokuba izakhiwo zilungiselelwe, iifreythi zigcinwe ukumbamba amathambo ndawonye baze baphilise. Le ndlela ayifani kakhulu kunendlela evulekileyo ngaphandle kweendlela ezincinci ezisetyenziswayo.
Ngubani Umviwa We-Ankle Fusion?
Izigulane ezinobungozi obukhulu be-ankle kwi-arthritis okanye ukulimala kwangaphambili zingaba ngabaviwa be-fusion fusion. Abaviwa bavame ukuba neentlungu zentloko ezingapheliyo nangona emva kokuphathwa ngamachiza okanye ezinye iindlela zokonyango. Xa ubuhlungu bunzima kangangokuba buphazamisa ukuhamba nemisebenzi yemihla ngemihla, lixesha lokuxubusha ukhetho lwe-ankle fusion kunye nodokotela ogqirha wamazinyo.
Iinzuzo kunye Neengozi ze-Ankle Fusion
Injongo ye- fusion ye- ankle kukunciphisa ubuhlungu nokubuyisela umsebenzi kwi-ankle echaphazelekayo. Nangona abanye banokukhathazeka ukuba kukho isindululo esilahlekile kunye nokuxuba, izigulane ezininzi zivame ukulibala ukuba sele zilahlekelwe yintlobo yeendwendwe kwisangqa esinokulimala kakhulu.
I-fusion kufuneka iphele ixesha lobomi ngokuthelekiswa nokutshintshwa kwesikhumba, nto leyo inokuthi igugile ngexesha elithile.
Cinga ngeenjongo zakho xa ugqiba ukuba i-fusion fusion iyona ndlela enokukhetha.
Iinkonzo:
- intlungu
- Umdibaniso odibeneyo uzinzile kwakhona
- Izigulane ziyakwazi ukuthwala ubunzima kwintlangano edibeneyo ngaphandle kwentlungu
- ukukwazi ukuhamba kunye nokwenza imisebenzi eqhelekileyo ibuyiselwa
Umgcini:
- ukutshintshwa kwesikhumba kusenokuba yindlela engcono kwizigulane ezithile (abantu abakhuthele kakhulu)
- kukho ukulahleka kokuguquguquka kunye nokunyakaza ngokubambisana
- ubuncinci bokuphilisa izilonda
Kukho iingxaki ezinokubakho, njengawo nawuphi na utyando.
Kukho ubuncipheko obunxulumene ne-anesthesia, kunye nomngcipheko wesifo okanye inkunkuma yegazi, ukusuleleka kwe-post-op, ukungabandakanyeki (amathambo ayifuni), kunye ne-malunion (amathambo aphilisa kwindawo engafanelekanga). Ukuba kungabikho nxaxheba okanye i-malunion ivela, omnye uvavanyo lungafuneka.
Ukubuyisela kwi-Ankle Fusion
Umlenze osebenzayo uhlanganiswe ngepeliti ephothiweyo emva kokuhlinzwa. Emva kweveki ezi-2, i-short cast cast ishiywe endaweni ye-plaster. Isigulana asikwazi ukuthwala ubunzima emagqabini kwiiveki eziyi-8 ukuya kwii-12, ngexesha apho kufuneka kubekho ubungqina be-x-ray bokuxuba.
Ukugcina umlenze wakho ophakamileyo kubalulekile ukukhusela okanye ukunciphisa ukuvuvukala komlenze. Iinqwelo zisoloko ziyimfuneko ngelixa isigulane singavumi ukubeka isisindo ekhanda. I-ray-ray, ethatyathwa rhoqo, iya kubonisa ukuba ukuxuba kuyaqina kwaye kuyomelele. Ngelo xesha, isigulane siyavunyelwa ukubeka ubungakanani obukhulu emagqeni njengoko ehamba. Ezinye izigulane zifuna ukufakwa kwezihlangu ezikhethekileyo ukubanceda bahambe ngokuqhelekileyo, ngelixa abaninzi banxiba izicathulo eziphathekayo kwaye benza okulungileyo.
Umthombo:
Isikhokelo soMonde kwi-Ankle Fusion. eOrthopod. I-Medical Multimedia Group, LLC. Julayi 22, 2002.