Option Surgery Option
Xa unyango olulondolozo lwe-osteoarthritis , okanye ezinye iintlobo ze-arthritis , aluphumelelanga ngokukhawuleza ubuhlungu kunye nokubuyisela umsebenzi kumanyano ochaphazelekayo, kusenokuba ixesha lokuqwalasela ukuhlinzwa ngokubambisana . Kodwa, yiyiphi inketho ekhethiweyo omele uyiqwalasele? Yiyiphi inkqubo yokugqirha eya kunceda ngokukhawuleza intlungu yakho nokuphucula ukuhamba?
Kungcono ukufunda ngeentlobo ezahlukeneyo zokuhlinzwa kunye kunye nokuqonda zakho iindlela.
Xa ezininzi izigulane zicinga ngokuhlinzwa ngokubambisana, bacinga malunga nokutshintshwa okuhlangeneyo. Kodwa, kukho ezinye iinkqubo omele wazi ngazo. Kukho utyando lwe-arthroscopic, i-hip resurfacing, i-arthrodesis (i-fusion), ukutshintshwa kwe-minimalally-invasive for the hip and knee, ukuguqulwa kwamadolo okungaqhelekanga, kwaye, ngokuqinisekileyo, i-osteotomy yamadolo okanye i-hip. Apha, siya kugxila kwi-osteotomy.
I-Osteotomy ichazwe
I-Osteotomy yinkqubo yokuhlinzwa eyenza ukutyumba amathambo. Ugqirha uyasusa intambo yethambo elisondele kwendibano eyonakalisiweyo. Inkqubo ifanele ukuba ibangele ukuguquguquka kwesisindo kwindawo apho kukho umonakalo we-cartilage kwindawo apho kunesidumbu esivamile okanye esempilweni.
Kwi- osteoarthritis , umonakalo obaluleke kakhulu kwingxenye yangaphakathi yamadolo. Nge-knee osteotomy ye-osteoarthritis yegama elingaphakathi, ugqirha uyasusa ithambo esuka ngaphandle kwethambo lesigxina esingaphantsi kwidolo.
Ngenxa yoko, isigulane sisenza isisindo somzimba wabo ngaphandle kwaye sikhuphe i-cartilage esonakele ngaphakathi. Ukuba i-osteotomy yenzelwa i-osteoarthritis yecala elingaphandle, inqubo iguqulwa kwaye ithambo linqunywe ukusuka kwicala elingaphakathi lomlenze ophantsi ngaphantsi kweedolo.
Ngexesha le-osteotomy inkqubo, ugqirha ugqirha kwakhona i-tibia (i-shinbone) okanye i-femur (ithambo) ukuphucula ukulungelelaniswa kwamadolo.
Ekugqibeleni, inqubo ivumela ukuba isisindo sithunyelwe ngokuthe tye kwi-cartilage ehlangeneyo. I-Osteotomy yokugulisa i-ostotomy idibeneyo, ukulungiswa kwe-axis mechanic kude ne-cartilage eyonakalisiweyo. Emva kokuba isuswe sisuswe, ugqirha uzisa amathambo ahlala kunye kunye nokusebenzisa izikhonkwane okanye iziqulatho zokuzikhusela. Ixesha elithile lisebenzise ukuzinza.
Ngubani Okhethiweyo Osteotomy?
Ngokuqhelekileyo, abantu abangaphantsi kweminyaka engama-60 ubudala, abakhutheleyo, kunye nokugqithisa kakhulu babonwa njengabaviwa abafanelekileyo kwi-osteotomy. Isigulane kufuneka kwakhona:
- umonakalo ohlangeneyo
- ukukhubazeka okuchanekileyo
- akukho zibonakaliso zokuvuvukala
Izinzuzo ze-Osteotomy
Ukugqiba ukuba yiyiphi inkqubo yokugqirha ayifumanekanga ayisoloko ilula okanye icacile. Ukwazi okumele ulindele njengesiphumo sokugqibela kunokunceda.
Iinkonzo:
- kukhulula intlungu
- unokulibazisa ukuqhubela phambili kwe-osteoarthritis
Umgcini:
- inokubangela ukuba idibeneyo ingabonakali imimandla
- unokushiya ukutshintshwa ngokubambisana ngokuqhelekileyo
Kwakhona kubalulekile ukuqaphela ukuba ukutshintshwa ngokubambisana ngokulandelelana emva kwe-osteotomy kuyinselele kumgqirha. Ukuxhatshazwa kweengxaki zokuhlinzwa kuyenzeka nge-osteotomy ngokunjalo.
Ukubuya kwi-Osteotomy
Ngokuxhomekeke kwiinkathazo zenkqubo kunye namandla omntu ngamnye, izikhonto ziyafuneka kwiinyanga ezi-1 ukuya kwe-3.
Izigulane zinokuphinda zitshitshise okanye zidibanise iiveki ezi-4 ukuya kwei-8. Ukwelapha okwenyama, ukuqiniswa komlenze, kunye nokuhamba ziyinxalenye yenkqubo yokuvuselela ngokupheleleyo. Nangona abanye oogqirha baxela ukuba ukubuyela kwimisebenzi epheleleyo kunokwenzeka emva kweenyanga ezi-3 ukuya kwezi-6, abanye bathi bangathatha unyaka ukulungelelanisa indawo echanekileyo yodolo emva kwe-knee osteotomy.
Imithombo:
I-Osteotomy kunye ne-Unicompartmental Knee Arthroplasty. I-American Academy ye-Orthopedic Surgeons. Fe bruwari 2001.
http://orthoinfo.aaos.org/topic.cfm?topic=A00354
I-Osteotomy ye-Osteoarthritis. PeaceHealth. Epreli 20, 2007.
https://www.peacehealth.org/medical-topics/content/surgicaldetail/hw125548.html#hw125550