Olunye uhlobo ukuya kugqirha lokuguqula amadolo kwezinye izigulane ze-arthritis
I-oneotomy ye-knee yindlela yokuhlinzwa eyenzekayo endaweni yokuguqulwa kwamadolo ngokupheleleyo ukulungisa imithwalo ephethe ubunzima kwi-knee engalinganiyo. Kodwa yinto ekhethekileyo kuphela kwizigulane ezithile.
Kwizigulane ezine- arthritis ezonakalisayo , okanye i-osteoarthritis, ehlangene neendolo, ukukhubazeka kwamadolo kuqhelekile. Ezi ziphoso zibandakanya ukubonakala komlenze okanye ukugqogqa.
Ngaphezulu kwezobugcisa, ezi ziphoso zibizwa ngokuba yi-genu varum (i-bow-legged) okanye i-genu valgum (idonsa).
Yintoni Edala Ubunzima Bamagqabi okanye Ubunzima Bokuguqa kwiArthritis?
Njengoko i-arthritis iqhubela phambili, i-cartilage yomxube inxibe. I-meniscus, okanye i-cushions edibeneyo, yonakaliswe kwaye igugu. Ukuba umonakalo ungaphezulu kwelinye icala lomxube kunomnye, njengokuba kudla njalo, ngoko idolo liza kuthatha ukubonakala okuphosakeleyo. Xa ngaphakathi, okanye emxhatleni, ohlanganyelweyo unxibekile, i- varus deformity (i-bow-legged) iya kubangela. Xa uhlangothi lwangaphandle, okanye olusenyakatho, luhlangene lube lugqobile, iziphumo zokuguqulwa kwe-valgus (ama-kneck-knees).
Yiyiphi Ingxaki ngelolu hlobo loLungiso?
Xa idolo ligugile ngaphezulu kwelinye icala, imikhosi echithwa kuyo yonke idibeneyo iguqulwa. Xa ngaphakathi (umgca ophakathi ) ugqoba umzimba omncinci, amandla omzimba wakho oba ngumlinganiselo ogqithiseleyo kwicandelo elidityanisiweyo.
Ngoko ke, inxalenye enempilo yamadolo ayikhuseli umthwalo wesisindo somzimba wakho, kwaye isabelo esonakalisiweyo siba sisisindo somzimba wakho. Oku kuba ngumjikelo onobukhokelela obangela ukuqhubela phambili kwe-arthritis.
I-Osteotomy ye-Knee Inceda njani?
Ingcamango ye-osteotomy kukutshintsha imithwalo ephethe ubunzima "ukukhulula" ecaleni elidityanisiweyo, kunye nokubeka amandla kummandla ophilileyo wokudibanisa.
Ngubani Okhethiweyo Olungelayo Ophethwe Ngama-Knee Osteotomy?
Ingxaki nge-knee-osteotomies kukuba ukufumana isigulane esifanelekileyo kunzima kakhulu . Ukuqhutyelwa kwe-Knee esikhundleni sokuphumelela kuyaphumelela kakhulu, kwaye ngaphandle kokuba kukho isizathu esingafanelekanga sokwenza indawo yokuguqula idolo ngokuqhelekileyo iyakuthandwa. Ezinye izigulane, nangona kunjalo, ababaviwa abalungileyo ngokuguqula amadolo , ingakumbi izigulane eziselula. Ngenxa yokuba ukuguqulwa kwamadolo kuphelelwa ixesha, izigulane ezincinci kufuneka zihlolwe ngeenkqubo ezithile.
Isigulane esihle kwi-knee osteotomy ngumntu omncinci, osebenzayo, onomdla we-arthritis ohlangothini olulodwa lwamadolo . Isigulane kufuneka sibe neentlungu kunye nokukhubazeka okunjengoko utyando luyafaneleka. Isigulane kufuneka siqonde ukuba ukulungiswa okuvela kulo msebenzi uphezulu kwaye kunzima. Ekugqibeleni, i-osteotomi ejikeleze idolo ihlala idlula ngaphantsi kweyhumi. Emva koko into engakumbi, ngokuqhelekileyo ukutshintshwa kwamadolo , kufuneka kwenziwe. Ezinye izigulane zinokufumana uncedo oluhlala ngonaphakade nge-osteotomy, kodwa uninzi lwezigulane zisebenzisa utyando lwe-osteotomy njengendlela yokulibaziseka ekugqibeleni ukuguqulwa kwamadolo .
Abaviwa abafanelekileyo kulo msebenzi wovavanyo kufuneka bahambisane nale migqaliselo elandelayo:
- Intlungu kunye nokukhubazeka
- I-ray-ray ibonisa ukubandakanyeka kwelinye icala kwicala elihlangeneyo
- Ukukwazi ukusebenzisana nophatho lwezonyango kunye nokuvuselelwa
Ngubani Ongengumviwa Olungileyo kwi-Knee Osteotomy?
Ngelishwa, ukwenza oku kutyunjwa kumguli ongalunganga kunokufumana iziphumo ezimbi. Ngoko ke, kufuneka uxoxe noogqirha yakho ingozi ekhoyo yolu vavanyo. Ngelixa abantu abaninzi bafuna ukuphepha ukuguqulwa kwamadolo , i-knee osteotomy ayilungele wonke umntu.
Izigulane ngokuqhelekileyo akufanele ziqwalasele lo msebenzi xa zikhona:
- I-arthritis ephakamileyo yamadolo (engagcinanga kwelinye icala)
- Ukukhubazeka kwamadolo okanye i-subluxation ye-tibial
- Ukukhawuleka okuphawulekayo kokuhamba kwamadolo
- Ubunzima obunzima obuya kuba nzima ukulungisa
- I-arthritis evuthayo (njenge- rheumatoid arthritis )
I-Osteotomy yenza njani?
Ukusetyenziswa kwe-osteotomy yinkqubo apho ugqirha ugqirha ithambo aze avuselele ithambo. Kukho iintlobo ezimbini ezisisiseko ze-osteotomi: ukuvala umgqomo, apho ikhefu lesithambo lisuswe ukutshintsha ukulungelelanisa kwethambo; kwaye, ukuvula i-wedge, apho ithambo linyanzelwanga livulekile kwelinye icala ukuze lilungise ithambo. Ngokuxhomekeke kuhlobo lokukhubazeka kunye nendawo ye-osteotomy yakho, ugqirha wakho uya kukhetha enye yezi zikhetho.
Emva kokuba ithambo lichithwe kwaye emva koko ligqitywe, ugqirha wakho angakhetha ukhetha isitya sensimbi kunye nezikrini ukubeka amathambo kwisithuba esitsha.
Kubude Kangakanani Ukubuyiswa Kwe-Knee Osteotomy?
Ukubuyiselwa kwi-knee osteotomy kunzima. Ngenxa yokuba ithambo lisikiwe, lifuna ixesha lokuphilisa. Ixesha lokuphilisa lilonke ubuncinane iiveki ezi-8 kwaye linga kuthatha ixesha elide. Uninzi lwezigulana zidinga unyango lomzimba ukuze uphinde uphinde uxolo .
Ziziphi iingxaki zeCnee Osteotomy Surgery?
Ingxaki eqhelekileyo yolu vavanyo kukuba phantse iphela ixesha. Ngoku, ukuba unokuziva ulunge malunga neshumi leminyaka, kwaye uyangxilisa utyando lokuguqulwa kwamadolo, kusenokuba lufanelekile. Nangona kunjalo, akuqhelekanga ukuba izigulana zifune ukuguqulwa endaweni yokuguqula idolo emva kweminyaka embalwa yokuhlinzwa.
Oogqirha bama-orthopedic bajongana nengxaki yokwenza utyando ngendlela engayi kwenza ukuba kube nzima ukuhlinzwa ngokuguqulwa kwamadolo . Ukufumana ugqirha owaziyo kule nkqubo kuyisiphumo esihle.
Ezinye iingxaki ezinokuthi zibandakanye iingxaki zokuphilisa i-osteotomy (ukungaboni nxaxheba), intlungu eqhubekayo evela kwi-arthritis, i- blood clots kunye nosulelo.
Iphumelele Ngayo Le Uphando?
Xa zenziwe kwizigulane ezifanelekileyo, ama- knee osteotomi aqhele ukuphumelela ekunciphiseni ubuhlungu obubangelwa yi-arthritis. Ukuhlinzwa kusetyenziswa ukuhlala malunga ne-8 ukuya kweyimi-10 ubudala, kwaye emva koko, izigulane ezininzi ziza kufuna ukuguqulwa kwamadolo . Kwiqela elikhulu lezigulane, i-knee osteotomy inika iziphumo ezilungileyo kakhulu malunga:
- 80% yezigulane iminyaka emi-5
- 50% yezigulane iminyaka eyi-10
- 30% yezigulane iminyaka engama-20
Ngenxa yoko, i-knee osteotomy ngokuqhelekileyo igcinelwe izigulane ezincinci, ezikhutheleyo, ezifuna ukulibazisa ixesha de ukuguqula idolo .
> Imithombo:
> Naudie, D et al. "Ukunyamekela kwe-High Tibial Valgus Osteotomy" I- Orthopedic Clinic kunye noPhando oluHlangeneyo ; 1999; 367: 18-27.