Inketho Yokuhlinza Iziguli E-Arthritis
Uma ukwelashwa okuqaphayo kwe-arthritis kwehluleka ukukhulula ngokuzwakalayo ubuhlungu e-ankle ethintekile, kungase kube yisikhathi sokucubungula ukuhlinzwa ngokuhlanganyela . Kodwa okokuqala: Kubalulekile ukuthi ufunde ngezinhlobo ezahlukene zokuhlinzwa okuhlangene futhi uqonde izinketho zakho. I-Ankle fusion , eyaziwa nangokuthi i-ankle arthrodesis , iyindlela eyodwa yokukhetha.
I-Ankle Fusion ichazwe
Amathambo amathathu enza i-ankle joint - ekupheleni kwe-tibia (isibini), i-fibula (ithambo elincane lomlenze ophansi), kanye nethalus (ithambo elihambisana nesokhethi esakhiwa yi-tibia ne-fibula).
I-talus ihlala ethandeni lesithende. I-cartilage yama-articular igxila ngaphakathi kwengxenyana ye-ankle. Ngokuvamile, uqwanga luba yingxenye yesigamu se-inch ubukhulu. Uma ukulimala kwenzeka, noma uma isifo somzimba silimazwa yi-arthritis, ubuhlungu bungaba nzima kakhulu.
I-fusion ye-ankle yindlela yokuhlinzwa esusa ama-joint of the ankle ukuze ngenhloso yokugqugquzela ukuhlanganiswa phakathi kwe-tibia ne-talus. "I-Fusion" ibhekisela emathanjeni akhula ndawonye. Ukuhlanganiswa akukwenziwa kuphela emagqumeni, kodwa nakwamanye amalunga emzimbeni onzima kakhulu.
Kunezinhlobo ezimbalwa zezindlela zenqubo ye-fusion ye-ankle, kodwa umgomo ngamunye ufana - ukuze uhlangane ngokuhlanganyela kwe-ankle.
Indlela Yokuvula
- i-incision yenziwa ukuvula isikhumba bese ufinyelela ukujoyina.
- ihlangene ivuliwe.
- i-saw yokuhlinzwa isetshenziselwa ukususa izindawo zomzimba ze-articular.
- uma isidumbu sikhishwa sisuswa, umzimba uzophulukisa ngokufomatha ukujoyina.
- ukusikeka kufanele kube okucacile ukuze amathambo asezingeni elifanele lapho ehlanganiswa ukuze ahlangane.
- izikrini futhi ngezinye izikhathi amapulangwe asetshenziselwa ukubamba amathambo ndawonye kuze kube yilapho esebenza.
- ngokuvamile izikhonkwane noma izikhonkwane zingaphansi kwesikhumba futhi asuswanga.
- kwezinye izimo, i- fixator yangaphandle (izikhonkwane ezingaphandle kwesikhumba) ingasetshenziswa.
Indlela ye-Arthroscopic
Le ndlela isebenzisa i- arthroscope . Nge-incision encane, i-arthroscope (equkethe ikhamera encane ye-TV) ifakwa emhlanganyeni we-ankle. Ukusebenzisa ezinye izitsha, i-cartilage isuswe ngesikhumba esincane uma i-arthroscope isetshenziselwa ukuqhubeka nenqubo. Ngemuva kokuthi izakhiwo zilungiselelwe, izikhonkwane zifakwa ukuze zibambe amathambo ndawonye baze baphulukise. Le ndlela ayihluke kakhulu kunendlela evulekile ngaphandle kokusetshenziswa okuncane.
Ubani Okhethiweyo We-Ankle Fusion?
Iziguli ezinobungozi obukhulu be-ankle kusuka ku-arthritis noma ukulimala okudlule zingase zikhethwe yi-ankle fusion. Abafakizicelo bavame ukuzwa ubuhlungu be-ankle obungapheli ngisho nangemva kokuphathwa ngemithi noma ezinye izindlela zokwelashwa. Uma ubuhlungu bukhulu kangangokuba buphazamisa imisebenzi yokuhamba yansuku zonke, sekuyisikhathi sokuxoxa ngokukhethwa kwe-ankle fusion nomhlinzeki wezinyo zomzimba.
Izinzuzo nezingozi ze-Ankle Fusion
Umgomo we- ankle fusion ukukhulula ubuhlungu nokubuyisela umsebenzi ku-ankle ethintekile. Nakuba abanye bengase bakhathazeke ngokuthi kukhona ukulahleka okulahlekile nge-fusion, iziguli eziningi zivame ukukhohlwa ukuthi sezivele zilahlekelwe ukuhamba kwezinyosi ezinyaweni ezilimazayo kakhulu.
I-fusion kufanele ihlale isikhathi sokuphila uma kuqhathaniswa nokushintshwa kwe-ankle, okungase kuphele isikhathi esithile.
Cabanga ngemigomo yakho uma unquma ukuthi i-ankle fusion iyindlela engcono kakhulu kuwe.
Izinzuzo:
- ukuphumula ubuhlungu
- ihlanganiso elihlangene lizinzile futhi
- iziguli zizokwazi ukuthwala isisindo kumjoqo ohlangene ngaphandle kobuhlungu
- ikhono lokuhamba futhi ukwenza imisebenzi evamile libuyiselwe
Umthengi:
- ukuguqulwa kwe-ankle kungase kube yindlela engcono kuneziguli ezithile (abantu abakhuthele kakhulu)
- kukhona ukulahleka kokuguquguquka nokunyakaza nge-joint fused
- ubuncane obuncane bokucindezeleka okulimazayo
Kunezinkinga ezingase zibe khona, njenganoma yikuphi ukuhlinzwa.
Kungaba khona izingozi ezihlobene ne-anesthesia, kanye nobungozi bokulimala komzimba noma ukulimala kwegazi, ukutheleleka kwe-post-op, ukungahlangani (amathambo awafaki), kanye ne-malunion (amathambo aphilisa endaweni engafanele). Uma kungabikho isidlo esingenakuthola noma isidlo esinomsoco, kungase kudingeke futhi ukuhlinzwa.
Ukubuyisela kusuka ku-Ankle Fusion
Umlenze osebenzayo ugoqwe nge-plaster ephathekayo ngemuva kokuhlinzwa. Ngemuva kwamasonto amabili, i-shorter cast ifaka esikhundleni se-plastered cast cast. Isiguli asikwazi ukuthwala isisindo emasontweni amasonto angu-8 kuya kwangu-12, ngaleso sikhathi kufanele kube nobufakazi be-x-ray bokufomatha.
Ukugcina umlenze wakho ophakanyisiwe kubalulekile ukuvimbela noma ukunciphisa ukuvuvukala komlenze. Amagundane ngokuvamile adingekayo ngenkathi isiguli sigwema ukubeka isisindo esikhwameni. I-X-ray, ethathwe kaningi, izobonisa ukuthi ukuhlanganiswa kuyaqina futhi kuqine. Ngaleso sikhathi, isiguli sivunyelwe ukubeka isisindo esiningi esikhaleni njengoba sihamba. Ezinye iziguli zingase zifune ukufakwa kwezicathulo ezikhethekile ukuze zibasize zihambe ngokujwayelekile, kuyilapho abaningi bevele begqoke izicathulo eziphambili bese benza kahle.
Umthombo:
Umhlahlandlela wokugula we-Ankle Fusion. eOrthopod. I-Medical Multimedia Group, LLC. NgoJulayi 22, 2002.