Ntchito bondo m'malo: ndemanga. bondo arthroplasty: konzanso

Mu zamafupa kawirikawiri amagwiritsidwa ntchito Ndondomeko m'malo a olowa kuonongeka. Komabe, mosiyana ndi ntchafu olowa , omwe umapita bwino analekerera popanda mavuto, bondo M'malo akudutsa kovuta ndipo zikhoza mavuto monga:

- njira opatsirana pa malo analili unsembe;

- kusamuka kwa prosthesis ya;

- mu mitsempha patellar angachigwetse kapena detachment;

- magazi kuundana mwendo;

- kuphwanya umphumphu wa fupa femoral (fupa lothyoka).

Chifukwa kukhalapo kwa mtundu umenewu wa zosokonezeka anthu kusiya anthu a yosiyana. Bondo m'malo Pankhaniyi zikhoza kupangidwa popanda vuto lililonse anali.

Dziwani kuti zaka 10 zapitazo kunali odwala ambiri ndi mavuto osiyanasiyana m'malo anzake a njira. Pa nthawi yonse kukweza - kuti mwachindunji kuwongolera prosthesis, komanso ngati ndondomeko ya ntchito. Mbali yofunika kubwezeretsedwa amachita nthawi konzanso, komanso zokambirana wofunikila ayambe othamanga. mfundozi chepetse Mwina mavuto ambiri mu nthawi postoperative.

Kodi ndifunika okwana olowa m'malo?

Bondo olowa - ichi Integrated condylar olowa mtundu, mbali mafupa a omwe TACHIMATA ndi chichereŵechereŵe ongokhala ulusi kolajeni ndi chondrocytes kumera wosanjikiza ndi nkhani maziko. Chifukwa chichereŵechereŵe articular ndipo apatseni chinthu kayendedwe zofunika zimachitika. Kakhungu Synovial chimakwirira lonse lolumikizana padziko, chifukwa Kukwezeleza ake opangidwa madzimadzi zofunika, kuteteza mikangano mu olowa.

Chifukwa matenda osiyanasiyana kuyamba ndondomeko osachiritsika a chichereŵechereŵe articular, choncho kusintha mawonekedwe ndi lathu kwa bondo. Pamaso pa matenda mu siteji koyamba m'pofunika kuchita mankhwala umene kusintha chichereŵechereŵe ndi kuchotsa ndondomeko yotupa.

Mu masiteji kenako, pamene zikupereka chiwonongeko cha chichereŵechereŵe ndi mikangano, mu nkhani iyi Ndi bwino opaleshoni apulasitiki bondo ndi koyenera chitsulo kapena analili pulasitiki mu malo olowa anawonongedwa.

Zikuonetsa kuti implantation

1. mapindikidwe limodzi ndi m'badwo.
2. olowa mapindikidwe, limodzi ndi kutupa.
3. Ngozi.
4. Nyamakazi dysplastic.
5. Pamaso pa malo necrotic mu olowa.

Angathe odwala - anthu amene:

1. Kuletsa osatekeseka kayendedwe ndi ululu.
2. A kusintha mawonekedwe a olowa.

zimayambitsa Common

- rasprostanenie milandu imfa ya bondo anzake a chamoyo wabwinobwino ndi khalidwe la matenda. Ndi nyamakazi pambuyo zoopsa, wovulala, chotupa kapena sprain ndi ena.

- Pamene nyamakazi rheumatoid kutupa amapezeka ndi chisindikizo sinovilnoy Kakhungu, motero amayamba kukula yogwira madzimadzi limodzi imbaenda ku chiwonongeko olowa.

- The maonekedwe a nyamakazi okalamba, omwe amakhala ndi kuwonongeka kwa sayenda olowa ndi amortization.

Kodi ubwino kuphunzitsa olowa yokumba chiyani?

Ntchito bondo m'malo imagwiridwa kuthetsa kapena kuchotsa ululu kwa nthawi ya zaka khumi ndi zisanu kwathunthu. Kodi anaikapo m'malo anawononga amadzala yokumba limodzi ndi oyenera anatomically ofanana.

Pambuyo pa opaleshoni bondo olowa ndi bwino, odwala taonera kuwonjezeka osiyanasiyana apaulendo. Quality moyo kusintha kwambiri. Anthu ambiri ndi kusiya ndemanga yothandiza. Bondo arthroplasty nthawi zambiri amatenga malo wopanda mavuto, zikubweretsa kuchira mwamsanga ndi kubwerera ku moyo munthu bwino.

Zovuta kugwirizana ndi endoprosthesis ndi

opaleshoni bondo unakambidwanso mogwirizana ndi zikamera angapo a mavuto, komanso pa opaleshoni ina. kuopsa zikuphatikizapo kutaika kwa magazi anthu achikulire zotheka exacerbation la matenda aakulu magazi kuundana ku malekezero m'munsi, njira opatsirana mu malo oyamba a m'mimba ndi njira mochevyvedeniya. Posachedwapa, kuyenera osowa.

Imodzi mwa nkhani zikachitika-mlandu ndi mapangidwe matenda kuchitiridwa akudutsa kovuta ndi okwera mtengo kwambiri. Nthawi zambiri ndi mavuto a mtundu umenewu zitha kuthandiza kuchotsa kuchokera mu thupi la thupi achilendo, mu nkhani iyi, endoprosthesis. Pali kuchuluka kwa anthu sitichedwa maonekedwe a matenda kuposa ena, kuphatikizapo ndi nyamakazi, onenepa odwala amene ayenera kutenga mankhwala mahomoni.

masiku a opareshoni

Kukhazikika prosthesis ukhoza mpaka zaka khumi ndi zisanu, zina yaitali, koma ndi amortization ndi pamene m'mimba ndi anamasuka, n'zotheka reoperation pa bondo olowa, ndiye m'malo kapena reendoprotezirovanie. Pankhani ya ululu isanafike atapita zaka khumi kapena tithe kumvetsa kumasulira izo ndi zofunika kuti agwire ntchito.

Njira m'malo olowa

Nthawi ntchito akhoza anapatsa maola 2-3. Asanachite opareshoni imagwiridwa kuvomerezedwa kupewa matenda. Pamaso opaleshoni wodwalayo msana ochititsa dzanzi.

Kukhazikitsa ndi endoprosthesis m'pofunika kuchotsa mbali kuwonongedwa kwa olowa ndi patella, komanso dokotala aligns yokhota kumapeto miyendo olamulira amachititsa kuchira Mitsemphayi, ngati n'koyenera.

ziwalo Modern zopangwidwa kuchokera ku zipangizo apamwamba ndipo sanali zikuwononga kuti kulola phazi kukhotetsa mpaka madigiri 150. Zingapo postoperative ndemanga zabwino. bondo arthroplasty amalola yaitali pamaso zimatulutsa kukhotetsa bondo digiri 75. Komabe, munthu musaiwale nthawi konzanso, popanda zomwe chithandizo chokwanira.

Mfundo yofunika kuti ntchito ndi nthawi zambiri kumachitika pansi mankhwala oletsa ululu pamalopo, mwachitsanzo, mu boma akudzuka. Komabe, mungathe kuonetsera Zokhumba zanu kwa dzanzi kapena dokotala zimene munapanga kuti mankhwala oletsa ululu ambiri, ngati nkotheka. Inu muyenera kukhala olimba mtima kwambiri ndiponso kuleza mtima kwa mwakachetechete kumvera phokoso limene ayende njira enadoprotezirovaniya.

postoperative nthawi

Pambuyo ntchito ndi chamoyo chosowa tilinazo miyendo m'munsi ankaona ponseponse. Pa nthaŵi ya wodwala wotaya ambiri magazi a mmalo magazi, kumayambiriro mankhwala zofunika ululu ndi mankhwala.

Pa masiku angapo pansi ananena boma zizindikiro wodwala n'kofunika (kugunda kwa mtima, kuthamanga, ECG, kusintha udindo magazi).

Popeza normalization ndi boma kuwonongeka, ndi wodwala anasamutsa tsiku lonse kwa akayakaya kuchipatala yosavuta.

Konzanso pambuyo bondo m'malo

Pambuyo khazikitsa nthawi prosthesis konzanso kumatenga pafupifupi za 3 miyezi, koma nthawi zina yaitali, malingana ndi mmene alili.

Kuvomerezedwa kuimilidwa ndi nkhawa tsiku ndi masewera olimbitsa thupi pambuyo bondo arthroplasty kubwezeretsa lidzigwira ntchito zake.

Nthawi zambiri, ndi konzanso nthawi wodwalayo amathera mu chipatala apadera (mwezi).

Masiteji nthawi konzanso

Pambuyo opaleshoni wodwala sayenera kukhala pafupi miyezi iwiri mu chipatala ndipo adokotala kuchita mwachindunji ya Zochita. Ndi kuwonjezeka mlingo wa kusintha ntchito olowa galimoto zimawonedwa, zikubweretsa kubwerera mofulumira moyo wabwinobwino. Ndi zotheka kuti wachotsa ku chipatala.

Titakhala ku malo konzanso (2-3 miyezi), wodwala ayenera amakhulupirira mu mawonekedwe a kusambira, magawo kuyenda anati yoga. M'pofunikanso kukumbukira kuti ntchito kwambiri thupi contraindicated.

Zochita apeze

Konzanso pambuyo bondo arthroplasty zikuphatikizapo akonzedwa zokambirana kuti kuthandiza kuthetsa stiffness, kumanga minofu mphamvu olowa, kuchepetsa ululu.

Yambani ndi mitengo otsika ndi akatundu, pang'onopang'ono kusamukira kovuta kusintha thupi. Ndi bwino kupewa masewera kwambiri, chotero izo sizinali yopweteka kwambiri kwa olowa latsopano.

Zovuta zokambirana zofunika kuphedwa tsiku (nthawi 4-5 pa tsiku):

1. Kumwendo - flexion-kutambasuka kuchokera pang'onopang'ono kuwonjezeka mlingo kuyambira 5 mpaka 12 ndi kufika.
2. Kuchepetsa kutsogolo minofu ntchafu masekondi 5.
3. Kuchepetsa kumbuyo ntchafu minofu masekondi 5.
4. Kulera miyendo anaweramuka chikhalidwe.
5. Kuchepetsa matako minofu masekondi 5.
6. Extension-flexion wa miyendo m'munsi mwa bondo olowa.
7. Ntchafu anatengedwa pambali.
8. Ataweramuka Nyamulani mwendo kwa mlingo wa madigiri 45 ndi kugwira mu malo stale kwa masekondi 5.
9. Kukupiza phazi boma limagwirizana ndi mlingo wa madigiri 45 ndipo posungira mu chikhalidwe ichi mpaka masekondi 5.
10. Ntchito "Dikul" zida.

Contraindications kwa yopanga ndondomeko

contraindications mtheradi:

• kayendedwe Independent sizingatheke.
• matenda a mtima ndi CCC.
• Thrombosis ndi kutupa.
• matenda Pathological wa ntchito kupuma, aakulu kupuma kulephera mtundu.
• Opatsirana njira.
• Sepsis.
• Ziwengo.
• Neuromuscular kudwala.
• Matenda a maganizo.

mitundu ya amadzala

ziwalo Current kunyamula ntchito ndi zoteteza ndipo akhoza lophatikizana ndi ubwamunalo linagawanika motere:

• kwathunthu;
• mwachindunji prosthesis olowa pamwamba;
• ochititsa kuti;
• single mtengo.

prosthesis The chili mu njira zingapo:

• simenti;
• wosakaniza;
• cementless.

Kuti likhazikike pa prosthesis anatumikira kwa nthawi yaitali, ntchito yopanga apamwamba odana ndi dzimbiri ndi kuvala, ndipo ambiri Chofunika, zipangizo biocompatible:

• ziwiya zadothi;
• polyethylene;
• zitsulo kasakaniza wazitsulo;
• fupa simenti.

Ambiri kusankha opaleshoni, m'pofunika kudziwa ndemanga zosiyanasiyana. bondo arthroplasty imene dokotala kutenga nkhani makhalidwe munthu wa Maphunziro Akakhalidwe Kazolengedwa wodwalayo.

mfundo mitengo

Bondo arthroplasty mu Moscow, Israel, Turkey, Lithuania, Germany, kuyendetsedwa ndi akatswiri oyenerera amene amadziwa malonda awo.

Pali angapo zipatala okhazikika mwachindunji pa ntchito m'malo olowa kapena mbali yake, kuphatikizapo zochita bondo arthroplasty olowa. Mtengo wa amadzala limafanana ndi khalidwe la zipangizo ku zimene iwo wapangidwa, ndi gulu limene limatulutsa izo. Ndemanga za zipatala yachilendo pamene nthawi zambiri dongosolo la udzakwaniritsidwa bwino (makamaka yokhudza nthawi konzanso). Komabe, mu Russia alowererepo pa ikuchitika pa mlingo mkulu.

Kupyolera zaka zambiri ndi dokotala kwambiri oyenerera kusankha abwino kwambiri biocompatible prosthesis ndi chifuniro popanda mavuto bondo arthroplasty. Mtengo wa ndondomeko zimadalira zovuta ntchito ndi mtengo wa prosthesis lapansi.