Okunye okunye ukuhlinzwa kokuguqula amadolo kwezinye iziguli ze-arthritis
I-oneotomy ye-knee iyindlela yokuhlinzwa engenziwa endaweni yokuguqula ingqikithi yamadolo ukulungisa amandla okuthwala isisindo ekuhlanganyeleni kwamadolo angalingani. Kodwa kungcono kuphela ukukhetha iziguli ezithile.
Ezigulini ezine- arthritis ezonakele , noma i-osteoarthritis, ehlangene namadolo, ukukhubazeka kwamadolo kuvamile. Lezi zimo ezimbi zihlanganisa ukubonakala komnsalo noma ukugwedwa.
Ngokuvamile, lezi zimo ezimbi zibizwa ngokuthi i-genu varum (umnsalo onogwaja) noma i-genu valgum (iguqulwa).
Yini Ebangela Ukuguqulwa Kwamathambo Emilenze Emilenze Emgqonyeni?
Njengoba i-arthritis iqhubeka, i-cartilage yehlangene iyathwala. I-meniscus, noma ama-cushions ehlangene, nawo awonakele futhi aguguke. Uma umonakalo ukhona kakhudlwana kolunye uhlangothini kunolunye, njengoba ngokuvamile kunjalo, khona-ke idolo lizothatha ukubonakala okukhubazekile. Uma ngaphakathi, noma ohlangothini lwangaphakathi, oluhlangene lugqoke kancane, ukukhubazeka kwe-varus (umnsalo-umlenze) kuzophumela. Lapho ohlangothini lwangaphandle, noma olusenyakatho, olubophayo lugqoke umthamo omncane, imiphumela ye-valgus yokukhubazeka (ama-kneck-knees).
Iyini Inkinga Ngaloluhlobo Lokukhubazeka?
Lapho idolo ligqamile kakhudlwana ohlangothini olulodwa, amabutho adluliselwa kuwo wonke ama-joint aguqulwa. Lapho ngaphakathi ( uhlangothi lwangaphakathi ) lugqoke umzimba omncane, amandla esisindo somzimba wakho agxila kakhulu engxenyeni ehlanganisiwe yokujoyina.
Ngakho-ke, ingxenye enempilo yamadolo ingasindiswa umthwalo wesisindo somzimba wakho, futhi isabelo esonakele sithatha isisindo sakho. Lokhu kuba umjikelezo ononya oholela ekuthuthukeni kwe-arthritis.
I-Osteotomy Ye-Knee Yisiza Kanjani?
Umqondo we-osteotomy ukuguqula amandla anesisindo ukuze "ukhulule" ohlangothini oludabukile wehlanganiso, futhi ubeke amandla emaceleni okuphila okuhlangene.
Ubani OngumKhethi Ofanelekayo Wokuhlinzwa Knee Osteotomy?
Inkinga ngama-knee osteotomies ukuthi ukuthola isiguli esifanele kunzima kakhulu . Ukuhlinzwa okuqhutshwa phambili kuphumelela kakhulu, futhi ngaphandle uma kunesizathu esihle sokungena esikhundleni sokuguqulwa kwamadolo ajwayelekile kuvame ukuthandwa. Nokho, ezinye iziguli azizona ezifanelekile zokuguqula amadolo , ikakhulukazi iziguli ezisencane. Ngenxa yokuthi ukuguqulwa kwamadolo kuphelile ngokuhamba kwesikhathi, iziguli ezincane kufanele zihlolwe ngezinqubo ezihlukile.
Isiguli esifanelekayo se-knee osteotomy ngumuntu osemusha, osebenzayo, onesifo samathambo esinqunyiwe ohlangothini olulodwa lwamadolo . Isiguli kufanele sibe nobuhlungu obukhulu nokukhubazeka okunjalo ukuthi ukuhlinzekwa kuqinisekisiwe. Isiguli kumele siqonde ukuthi ukuvuselelwa okuvela kulokhu kuvulwa kuyinde futhi kunzima. Okokugcina, ama-osteotomi azungeze amadolo athambekele ekugcineni isikhathi esingaphansi kweyishumi. Khona-ke into engaphezulu, evame ukuguqulwa ngamadolo , idinga ukwenziwa. Ezinye iziguli zingathola ukukhululeka okuhlala njalo nge-osteotomy, kodwa iningi leziguli zisebenzisa ukuhlinzwa kwe-knee njengendlela yokulibazisa ukuhlinzwa okuqhubekayo kwamadolo .
Abakhethiweyo abalungile kulokhu kuhlinzekwa kufanele bahambisane nalezi zindlela ezilandelayo:
- Ubuhlungu obukhulu nokukhubazeka
- I-X-ray ibonisa ukubandakanyeka komunye owodwa ohlangothini lwamadolo
- Ikhono lokubambisana nokwelashwa ngokomzimba nokuvuselelwa
Ubani Ongewona Okhethile Okufanele Osteotomy?
Ngeshwa, ukwenza lokhu kuhlinzeka ngesiguli esingalungile kungaba nemiphumela empofu. Ngakho-ke, kufanele uxoxe nodokotela wakho izingozi ezingase zibe khona zalokhu kuhlinzwa. Ngenkathi abantu abaningi befuna ukugwema ukuhlinzwa kwamadolo esikhundleni , i-knee osteotomy ayilungele wonke umuntu.
Ngokuvamile iziguli akufanele zibheke lokhu kuhlinzwa uma zinezi:
- Isifo se-arthritis samasondo (esingekho eceleni)
- Ukukhubazeka kwamadolo noma i-tibial subluxation
- Ukunciphisa okuphawulekayo kokunyakaza kwamadolo
- Kuyoba nzima ukulungisa okunjalo ukukhubazeka okukhulu
- I-arthritis evuthayo (njenge- arthritis ye-rheumatoid )
I-Osteotomy yenza kanjani?
I-osteotomy isebenzisa inqubo lapho udokotela ohlinzayo ewela khona ithambo bese evuselela ithambo. Kunezinhlobo ezimbili eziyisisekelo zama-osteotomie: ukuvala umcengezi, lapho kudutshulwe khona ithambo lokuguqula ukulungiswa kwethambo; futhi, ukuvula umcengezi, lapho amathambo evulekile evulekile ohlangothini olulodwa ukuze alungise kabusha ithambo. Ngokuya ngohlobo lokukhubazeka kanye nendawo ye-osteotomy yakho, udokotela wakho ohlinzayo uzokhetha enye yalezi zinketho.
Uma nje ithambo lisikiwe bese liphinde lenziwe kabusha, udokotela wakho ohlinzayo angase akhethe ukusebenzisa ipuleti yensimbi nezikulubo ukuze abambe amathambo endaweni entsha.
Ukubuyiswa Kude Kude Kanjani Osteotomy?
Ukululama kusuka e-knee osteotomy kungaba nzima. Ngenxa yokuthi ithambo lisikiwe, kudinga isikhathi sokuphulukisa. Isikhathi sokuphulukiswa esiphelele okungenani amasonto angu-8 futhi singathatha isikhathi eside. Iziguli eziningi zidinga ukwelashwa ngokomzimba ukuze ziphinde zibuyele emadolweni .
Yiziphi Izinkinga Ze-Knee Osteotomy Surgery?
Inkinga evame kakhulu ngalokhu kuhlinzeka ukuthi cishe njalo ihluleka isikhathi. Manje, uma ungase uzizwe ungcono cishe eminyakeni eyishumi, futhi ubambezele ukuhlinzwa kokuguqula ibhokisi, kungase kube kuhle. Kodwa-ke, kuvamile ukuba iziguli zidinga ukuguqulwa ekuguqeni kwamadolo phakathi neminyaka embalwa yokuhlinzwa.
Abahlinzayo bama-Orthopediki nabo babhekana nenkinga yokwenza ukuhlinzeka ngendlela engeke yenze kube nzima ukuhlinzwa ukuguqulwa kwamadolo okulandelayo . Ukuthola udokotela obhekene nale nqubo umqondo omuhle.
Ezinye izinkinga ezingase zibe khona zihlanganisa izinkinga zokuphulukiswa kwe-osteotomy (ukungabambisani), ubuhlungu obuqhubekayo obuvela e-arthritis, ama-clots egazi kanye nokutheleleka.
Ukuhlinzwa Kuphumelele Kangakanani?
Lapho kwenziwa iziguli ezifanele, ama- knee osteotomies avame ukuphumelela ekunciphiseni ubuhlungu obubangelwa i-arthritis. Ukuhlinzeka kuvame ukuhlala iminyaka engaba ngu-8 ukuya kwengu-10, futhi emva kwalesi sikhathi, iziguli eziningi zizodinga ukuguqulwa kwamadolo . Esiqenjini esikhulu seziguli, i-knee osteotomy yenza imiphumela emihle kakhulu mayelana nalokhu:
- Iziguli ezingu-80% iminyaka emihlanu
- Iziguli ezingu-50% iminyaka engu-10
- Iziguli ezingama-30% iminyaka engu-20
Ngenxa yalokhu, i-knee osteotomy ngokuvamile igcinelwe iziguli ezincane, ezikhuthele, ezifuna ukulibala isikhathi kuze kube yilapho kugodliwe khona .
> Imithombo:
> Naudie, D et al. "Ukuphulukiswa kwe-High Tibial Valgus Osteotomy" I-Orthopedics Clinical kanye Nezocwaningo Ezihlobene ; 1999; 367: 18-27.