Iimpendulo Zemibuzo Eqhelekileyo malunga nokuba neFusion Fusion
Ugqirha uthathwa njengento "yokugqibela yonyango yokukhetha" ngamalungu awonakaliswe yi-arthritis . Nangona utyando lokutshintshwa ngokutsha luye lwaba yinkqubo eqhelekileyo, ngokukodwa ngamalungu athile, akuzona zonke izihlanganisi ezichaphazelekayo abaviwa ukuba bathathe indawo. I-Arthrodesis, eyaziwa nangokuthi i-fusion ehlangeneyo, ingaba ifanelekile ngakumbi kuma-ankle, izibonda, izithupha, iinzwane, iminwe, kunye ne-vertebrae ephezulu entanyeni.
Iziphelo zamathambo amabini zidibaniswa ndawonye kwi-arthrodesis kunye nokulungiswa kwesibheno kunye nokuxhunyelwa kwethambo, ngokuxhomekeka kwimeko yesithambo.
Iinkcazo
Kukho izizathu ezininzi ezahlukahlukeneyo. Ezi ziquka:
- Ukungazinzi ngokuhlangeneyo
- Umonakalo odibeneyo obangelwa ngumonakalo okanye izifo
- Ubuhlungu kunye nokuhamba komdibaniselwano
Injongo ye-arthrodesis yintlungu yokubuhlungu kwaye yaphinda izinzile kunye namandla. Amathambo ahambelaniswe kwisithuba esisebenzayo kakhulu kodwa alahlekelwe yindululo. Makhe sibone ezinye zezinto eziqhelekileyo abantu abanalo malunga nokuhlinzwa okuhlangeneyo.
Isikhathi
I-fusion idla ngokwenziwa njengesigqibo sokugqibela emva kokuba unyango kunye nezinye iintlobo zonyango zonyango zivelisa iziphumo ezinganelisiyo. Ngamanye amazwi, i-arthrodesis idlalwa ingqalelo kuphela emva kokuba unyango olulondolozo lwe-arthritis luhlulekile. Ubuhlungu obugqithiseleyo obubonisa ukuba utyando lwe-fusion lubonakala xa kuthengwa kwethambo kwithambo emva kwe-cartilage.
Kule ngxaki kwisifo, kukho ubungqina obucacileyo bokutshatyalaliswa okuhlangeneyo kubonakala kwi x-ray.
Impumelelo
Ngokona nxalenye enkulu, ukuxuba kuya kunciphisa ubuninzi beentlungu umntu oye wahlangabezana nazo ngenxa ye-arthritis enesibindi. Kukho, nangona kunjalo, izicathulo ezimbalwa kule mpendulo. Isiphumo esona siphumelele xa kungenakho iingxaki kwaye ukuba ugqirha unobungakanani bempumelelo ephezulu, ngokuqinisekileyo ukuba wenze inkqubo ngokuphindaphindiweyo.
Ukungaphumeleli ukubeka i-ankle "kwindawo efanelekileyo" kunokukhokelela kwimiphumo embi yeklinikhi.
Okubaluleke kakhulu ukuba zonke iziphakamiso zokubambisana zidlalwa ngamadini xa kuhlanganiswa ukudibanisa okuhlangeneyo, njengoko udibaniso lubekwa kwindawo echanekileyo. Nge-fusion ye-ankle, ukuba i-ankle ifakwe kwisithuba esiphezulu, ukwanda kwenyathelo lokunyuswa kwindleko kunokulindelwa kumaziko omphakathi. Izicathulo ezisezantsi zisoloko zicetyiswa ukuba zihlawulele ukulahlekelwa kwesikhalazo ukuba kunzima.
Ukubuyisela
Ukulandela ukuxhamla kwe - ankle , kuya kufuneka ube ngumthwalo ongeyomzimba kwithuba leeveki ezi-6 ukuya kwezi-12, kwaye oku kuyahluka kuye kuxhomekeke kwizinto ezininzi. Ukulandela ukudibanisa kwakho kwe-ankle ugqirha wakho uya kulandelelana nge-x-ray, kwaye ukuveliswa kwesisindo esingakhuselekanga kunokuqala kuphela emva kokuba kuthatyathwe ukutshatyalaliswa kwethambo kwi-x-ray kwisiza sokuxuba.
Ixesha elide lokuchithwa kwelokuba iimeko zonke zisuswe ziphakathi kweenyanga ezi-4 ne-7. Izikhonkwane azisuswanga ukuba kusetyenziswe indlela yokusebenza yangaphakathi. Kukho neendlela zokulungisa zangaphandle, kunye ne-arthrodesis ye-arthroscopic.
Kubantu abanomfusion we-ankle ohambelana kakuhle, ukuhamba ukuhamba esikhwameni esifanelekileyo (kusobala ukuba iindlovu eziphezulu ziphuma!) Ziphantse ziqheleke. Umdla wakho ungabonakala unzima, kodwa oku kudla ngokufihlakeleyo, kwaye uvakalelwa ngokuqhelekileyo.
Ukugijima okanye ukuhamba kwindawo engalingani kwenziwa nzima.
Iintlobo zamaFusi
I-Ankle: Mhlawumbi ubonayo okanye uvile ngakumbi malunga neengxube zesikhumba, kodwa ukuxhamla kwamanye amalunga kunokuba nako ukuphumeza kakhulu intlungu ngenxa ye-arthritis okanye ukulimala. Ukuhlanganiswa kweminwe okanye iinzwane akuthathwa njengento engumsebenzi onzima, kodwa ixesha lokuhlaziya lide kwaye lincinci. Njengoko kwinqanawa okanye nayiphi na into edibaniswayo, ukunyuswa kunikezelwa ngenxa yokuphucula intlungu nokuzinza. Olunye umsebenzi unokubuyiswa ngokuzinyuka okuzinzile.
Isiqalo: Ukuba ucinga nge-fusion yekhanda, kwaye uvile ngeengxube zesikhumba, unokuzibuza ukuba kunokwenzeka kangakanani ukunyakaza.
Ngaba uya kukwazi ukubhala nokubhala? Impendulo iya kuxhomekeka ngokukodwa kumntu othile kunye nemeko yeminwe ngaphambi kokuhlinzwa, njengoko isisombululo esidinga ukubhalwa kunye nokuthayipha kuvela ikakhulu kwiminwe, kungekhona isandla.
Iingxaki
Njengoko naluphina utyando, ukusuleleka kungumngcipheko okunokwenzeka, kunye nokugqithiswa kwesilonda (ukuhlukanisa evulekileyo kumgca wokungena). Ukudibanisa okuhlulekayo kunokwenzeka kwakhona, apho ithethi iphelile ayifaki ngokupheleleyo nxamnye nokulungiswa. Imeko eyaziwa ngokuba yi- osteopenia inokunciphisa ukulungiswa.
Ezinye iingxaki ezinokuthi ziquka intlungu eqhubekayo kwindawo yokuxuba, ukulimala kwimizi ngexesha lotyando, kunye ne-hardware ephukileyo ekufuneka ithathe indawo. Iingxaki ze-ankle fusion operesheni ziphakamileyo kubantu ababhema, kunye nokuyeka ukutshaya kufuneka kuthathelwe ingqwalasela ngamandla phambi kokuhlinzwa.
I-Ankle Fusion ne-Ankle Replacement
Ngenxa yokuba i-fusion ye-ankle kunye nokutshintshwa kwe-ankle kunokubuyisela ukukhululeka kwiintlungu kwaye kubuya kuzinzile, kwaye ukunyuka okunye kugcinwa ngokutshintshelwa kweenyawo, kutheni ukuba i-fusion ye-ankle ibe yinkqubo engcono? Inkxalabo enkulu yokuhlinzwa okwenziwa ngamaqanda yintsingiselo yokungaphumeleli kwama-prostheses asetshenziselwa ukutshintsha. Ngokwahlukileyo, kubonakala sengathi kukho i-85% yezinga lokuphumelela kwi-fusion ye-ankle kubantu abane- arthritis ye-rheumatoid . Iirhafu zokuhlaziya kwakhona ziphantsi kwe-fusion ye-ankle xa kuthelekiswa nokuhlinzwa okwenziwa ngama-ankle.
Ngaphantsi
I-fusion ehlangeneyo inokukhupha intlungu eqhubekayo ye-arthritis kunye nokuqinisa intsebenziswano, kodwa le nkululeko yokuphulukana iyancatshiswa ngenxa yokulahleka kokuhamba. Oko kwathiwa, i-arthrodesis ayidlalwa ingqalelo kuze kube yilapho umonakalo omkhulu kumdibaniselwano uye wenziwa kwaye unyango kunye nezinye iintlungu zokuncedisa iintlungu azisebenzi. Olunye uhlangothi lwe-fusion ye-ankle lusetshenziselwa ukutshintshwa kwe-ankle, kodwa nge-arthritis enamandla, ithuba lokuba uphumelelo luvame ukuphakama nge-fusion ehlangeneyo.
Kubalulekile ukuxubusha ngokucophelela zonke iinketho zakho kunye neengozi kunye neenzuzo ngamnye kunye nodokotela wakho wamazinyo kunye ne-rheumatologist. Wonke umntu uhlukile, kwaye oko kusebenze okulungileyo kunomnye umntu ongeke abe yinto ekhethekileyo kuwe. Buza imibuzo eninzi. Unokufisa ukubuza ugqirha wakho wamazinyo ukuba unokuthetha nomntu oye wangena kwinkqubo. Ngenxa yemithetho yemfihlo, ugqirha wakho uya kufuneka afumane imvume evela kwesinye isigulane ukulungiselela le nto, kodwa abantu abaninzi abaye balwa nemingeni efanayo na namhlanje banomdla wokugqithisa into eye yabancedisa ekuhambeni kwabo nge-arthritis.
> Imithombo:
> Kim, J., noS S. Patel. Ngaba Kubalulekile Ukuchasana Namagulane Abashushu? Ukuhlaziywa kweeNkcukacha zoLwazi kwiZiphumo zoTywala ekuSebenziseni naseNtshonalanga. Journal of Foot kunye ne-Ankle Surgery . 2017. 56 (3): 594-599.
> Morash, J., Walton, D., kunye noMnu Glazebrook. I-Ankle Arthrodesis I-Total Ankle Arthroplasty. Iikliniki zeenyawo kunye ne-Ankle . 2017. 22 (2): 251-266.
> I-Wheeless 'Incwadi Yobungqina Bama-Orthopediki. Ankle Arthrodesis.