I-Option Surgery Option
Uma ukwelashwa okulondolozayo kwe-osteoarthritis , noma ezinye izinhlobo ze-arthritis , uhluleka ukukhulula ngokukhululekile ubuhlungu futhi ubuyisele umsebenzi ohlangene ohlangene, kungase kube yisikhathi sokucubungula ukuhlinzwa okuhlanganyela . Kodwa, yikuphi okukhethwa kukho okufanele ukhethe? Iyiphi inqubo yokuhlinza eyokuphucula kakhulu ubuhlungu bakho futhi ithuthukise ukuhamba?
Kuhle 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. Kukhona ukuhlinzwa kwe-arthroscopic, ukuvuthwa kwe-hip resurfacing, i-arthrodesis (i-fusion), ukufaka endaweni encane-invasive ye-hip namadolo, ukuhlinzwa kwama-unicompartmental knee, futhi-ke, i-osteotomy yamadolo noma i-hip. Lapha, sizogxila kwi-osteotomy.
I-Osteotomy ichazwe
I-osteotomy yindlela yokuhlinza ehilela ukusika-bone. Udokotela ohlinzayo ususa umgudu wethambo eliseduze kokuhlangene okonakalisiwe. Inqubo kufanele ibangele ukushintsha kwesisindo endaweni lapho kunokulimala khona kwe-cartilage endaweni lapho kune-cartilage evamile noma enempilo.
E- osteoarthritis , umonakalo ngokuvamile ubaluleke kakhulu engxenyeni yangaphakathi yamadolo. Nge-knee-osteotomy ye-osteoarthritis yamadolo angaphakathi, udokotela ohlinzayo ususa ithambo elivela ngaphandle kwethambo elisezansi elingaphansi kwedolo.
Ngenxa yalokho, isiguli sigxilisa isisindo somzimba wabo ohlangothini lwangaphandle futhi kude ne-cartilage esonakele ngaphakathi. Uma i-osteotomy eyenziwa nge-osteoarthritis yegceke langaphandle, inqubo iguqulwa futhi ithambo lisikiwe kusukela ohlangothini lwangaphakathi lomlenze ophansi eduze kwedolo.
Phakathi nenqubo ye-osteotomy, udokotela ohlinzayo uphinde abuyele i-tibia (isibini) noma i-femur (ithanga) ukuthuthukisa ukulungiswa kwamadolo.
Ekugcineni, inqubo ivumela isisindo ukuthi sisakazwe ngokulinganayo ngaphesheya kwe-cartilage ehlangene. I-osteotomy i-repositive repositions ihlangene, iqondisa kabusha i-axis mechanical kude ne-cartilage ewonakele. Uma umgodla wethambo ususiwe, udokotela ohlinzayo uletha amathambo ahlala ndawonye futhi asebenzisa izikhonkwane noma iziqu zokuzivikela ukuze zivikeleke. Ukukhishwa kwezimpahla noma amapuleti angaphakathi ngezinye izikhathi kusetshenziselwa ukuzinza.
Ubani Okhethwe I-Osteotomy?
Ngokuvamile, abantu abangaphansi kweminyaka engama-60 ubudala, abakhuthele, nabakhuluphele ngokweqile babhekwa njengabafanelekile be-osteotomy. Isiguli kumele futhi sibe nalokhu:
- umonakalo ohlangene wokuhlanganyela
- ukukhubazeka okulungile
- akukho izibonakaliso zokuvuvukala
Izinzuzo ze-Osteotomy
Ukunquma ukuthi iyiphi inqubo yokuhlinzwa okumele ihambe akuyona elula noma ecacile njalo. Ukwazi ukuthi yini ongayilindela njengomphumela wokuphela kungasiza.
Izinzuzo:
- kunciphisa ubuhlungu
- kungase kuphuze ukuqhubekela phambili kwe-osteoarthritis
Umthengi:
- kungabangela ukubambisana ukuthi kungabonakali ukulinganisa
- angashiya ukushintshaniswa okuhlanganyelwe okuphelele njengomcimbi
Kubuye kubalulekile ukuqaphela ukuthi ukushintshwa okuhlanganyelwe okuphelele emva kwe-osteotomy kuyinselele kakhulu kumhlinzeki ohlinzayo. Izinkinga zokuhlinzwa ezivamile kungenzeka nge-osteotomy.
Ukubuyisela kusuka ku-Osteotomy
Kuncike ekubunjeni kwenqubo kanye namandla omuntu ngamunye, izikhwama ziyadingeka phakathi kwezinyanga ezi-1 no-3.
Iziguli zingase zithole noma zihlukaniswe amaviki angu-4 kuya kwangu-8. Ukwelapha ngokomzimba, umzimba wokuqinisa imilenze, nokuhamba ziyingxenye yocwaningo lokuvuselela ngokugcwele. Ngesikhathi abanye odokotela abahlinzayo bebikezela ukuthi ukubuyela emisebenzini egcwele kungenzeka ngemuva kwezinyanga ezingu-3 kuya kwezingu-6, abanye bathi kungathatha isikhathi esingangonyaka ukulungisa isimo esilungisiwe semadolo ngemuva kwe-knee osteotomy.
Imithombo:
I-Osteotomy ne-Unicompartmental Knee Arthroplasty. I-American Academy Yabahlinzeki Bama-Orthopedic. February 2001.
http://orthoinfo.aaos.org/topic.cfm?topic=A00354
I-osteotomy ye-Osteoarthritis. PeaceHealth. Ngo-Ephreli 20, 2007.
https://www.peacehealth.org/medical-topics/content/surgicaldetail/hw125548.html#hw125550