I-Pros and Cons of Joint Fusion
Uma ukwelashwa okulondoloziwe kwe-osteoarthritis noma ezinye izinhlobo ze-arthritis kwehluleka ukukhulula ngokuzwakalayo ubuhlungu ekuhlanganyeleni okuhlangene, kungase kube yisikhathi sokucubungula ukuhlinzwa okuhlanganyela. Kubalulekile ukuthi ufunde ngezinhlobo ezahlukene zokuhlinzwa okuhlangene futhi uqonde izinketho zakho. Lapho iziguli eziningi zicabanga ngokuhlinzwa okuhlangene, bacabanga ngokushintshwa okuhlanganyelwe okuphelele .
Kodwa kunezinye izinqubo okufanele wazi ngazo, kuhlanganise i- arthrodesis .
I-Arthrodesis ichazwe
I-Arthrodesis yindlela yokuhlinza eyenza amathambo akha ifomu, ngokuyisisekelo ekuqedeni ukuhlanganyela. Inqubo ivame ukubizwa ngokuthi i- fusion ehlanganisiwe .
Odokotela abahlinzayo bafaka izikhonkwane, amapuleti, izikuluvu, izintambo, noma izinduku ukuze zibeke amathambo ndawonye kuze kube yilapho zifisa. Ngezinye izikhathi ama-graft amathuluzi ayadingeka uma kukhona ukulahleka okukhulu kwethambo. Uma amathambo ehlanganiswa kudingekile, amathambo angathathwa kwenye ingxenye yomzimba noma atholakale ebhange lamathambo.
I-arthrodesis ivame ukuqhutshwa emaqenjini nasezinsikeni , kepha ingenziwa kwamanye amalunga, kufaka phakathi izithupha , izinzwane, iminwe , nomgogodla .
Izicelo ze-Arthrodesis
Ukuvota okuvamile kwe-arthrodesis kubandakanya abantu abane- arthritis abanamalungu awonakele kakhulu ukuthi amasu okuphatha ubuhlungu avamile ahluleka. Kuye ngokuthi yikuphi ukuhlanganyela okuthintekile, ungase ube nenketho yokuhlinzwa ngokuhlanganyela noma i-arthrodesis.
Izinhloso zokulondoloza zingase zibekwe esinqumweni.
Izinzuzo ze-Arthrodesis
Inzuzo eyinhloko ye-arthrodesis ukuphumula kobuhlungu ekuhlanganyeleni okuthintekile. Ngokuhlinzekela ngokukhululeka ukuxhuma, ukuphumula ubuhlungu kuyinjongo efinyelelekayo, ukuvimbela noma yiziphi izinkinga zokuhlinzwa.
Cabanga ngezinhloso zakho lapho unquma ukuthi i-arthrodesis iyindlela engcono kakhulu kuwe.
Izinzuzo:
- Ukuphumula ubuhlungu
- Ukuzinza ekuhlanganyeleni okuhlangene
- Ukunciphisa okuphawulekayo ebuhlungu lapho isisindo sithathwa ngokuhlanganyela okuhlangene
- Ukulungiswa ngcono kwe-arthritis enkulu
Umthengi:
- Ukushintshaniswa okuhlangene kungase kube yindlela engcono kuneziguli ezithile
- Ukulahlekelwa kokuguquguquka nokunyakaza ngokuhlanganyela okuhlangene
- Ukukhanya okuncane kwezinkinga zokulimaza
Ukubuyisela Ku-Arthrodesis
Ngemuva kokuhlinzwa, i-cast izobekwa phezu kwesihlanganisi esiphethwe i-arthrodesis. Kuze kube khona ubufakazi be-x-ray bokuhlanganiswa , ukusetshenziswa kohlangothini oluthintekile kuzokhawulelwa. Inqubo yokuphulukisa ingathatha isikhathi eside. Isibonelo, iziguli ze-ankle arthrodesis azivunyelwe ukuthwala isisindo samasonto angama-8 kuya kwangu-12. Kufanele ugcine umlenze wakho uphakanyiswe ukunciphisa ukuvuvukala nokukhuthaza ukuphulukiswa kuze kube khona ubufakazi bokufusion. Kuzodingeka ubeke isisindo ekuhlanganyeleni kuze kuhlanganiswe, ngakho ama-crutches noma izihlalo zabakhubazekile kuzoba esikhathini esizayo.
I-Arthrodesis ayikho izinkinga ezingenzeka. Ubuhlungu esakhiweni se-bone fusion, ukulimala kwamagundane, ukutheleleka, noma i-hardware ephukile (isib. Izikhonkwane, izilonda) ziyaziwa izingozi ezihlobene ne-arthrodesis. Ukucindezeleka okungenzeka kunzima kunakho konke ukuhlanganisa i-fusion ehlulekile, okusho ukuthi okuhlangene ngokomzimba akufaki. Kodwa-ke, i-Arthrodesis ngokuvamile iyinkambinkimbi ephumelela kakhulu futhi izinkinga ezinkulu zingavamile.
Imithombo:
Izinhlobo Zokuhlinzwa. I-Arthritis Foundation.
I-arthritis ye-Foot ne-Ankle. I-American Academy Yabahlinzeki Bama-Orthopedic. Julayi 2007.
https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-foot-and-ankle#Surgical%20Treatment