Mankhwala opweteka, omwe amasunthira moyipa, nthawi zambiri amakhala cholepheretsa moyo wathunthu. Njira yabwino kwambiri, ndipo nthawi zina njira yokhayo yobwezeretsa ntchito za miyendo ndi endoprosthetics - kuphatikizidwa m'malo. Imodzi mwa machitidwe ofala kwambiri m'matumbo ndi knee arthroplasty. Mankhwala amasiku ano amalola kuti bondo lonse la arthroplasty likhale lopangidwa, lomwe limaphatikizapo kubwezeretsa zinthu zonse zomwe zimapangidwa ndi biocompatible structures (endoprosthesis) pofuna kuthandizira wodwalayo kupweteka ndikubwezeretsa bondo ntchito yachibadwa.
Zizindikiro ndi zotsutsana ndi knee arthroplasty
Endoprosthetics wa mawondo a mawondo amapangidwa ndi zizindikiro zingapo, kuphatikizapo:
- arthrosis wa bondo ;
- nyamakazi;
- mawonekedwe osalimba a bondo (dysplastic arthrosis);
- posttraumatic arthrosis;
- osteonecrosis (necrosis ya minofu ya fupa).
Nthawi zina, endoprosthetics imatsutsana. Zaletsedwa kuchita opaleshoni ndi:
- njira yothandizira mu mgwirizano;
- kusokoneza magazi ;
- matenda a mtima a miyendo;
- Kukhalapo kwa kutsutsana kwakukulu kwa opaleshoni (sinusitis, caries, etc.).
Ndizosayenera kuti tipitirize kugwiritsira ntchito endoprosthetics chifukwa cha kunenepa kwambiri kwa m'kalasi yachitatu ndi matenda opatsirana.
Kukonzekera pambuyo pa bondo arthroplasty
Endoprosthetics ndi opaleshoni yophatikiza ndi kutaya mwazi. Nthawi zina, panthawi ya opaleshoni komanso nthawi yopuma, magazi amafunika.
Kuonjezerapo, zotsatirazi zikutsatidwa pambuyo pa bondo arthroplasty:
- Matenda a ziphuphu m'madera ogwiritsidwa ntchito;
- thromboembolism (mitsempha ya mitsempha ya magazi).
Pachifukwa ichi, m'nthawi ya postoperative, wodwala amapatsidwa mankhwala opha tizilombo ndi mankhwala opweteka. Thandizo lachidziwitso limachitanso pamene ali m'chipatala. Pambuyo masiku 10 mpaka 12, wodwalayo amamasulidwa. Kunyumba, malangizo a opaleshoni ayenera kutsatiridwa.
Kubwezeretsa pambuyo pa bondo kumatenga pafupifupi miyezi itatu. Ntchito zonse zowonongetsa ndizoyang'aniridwa ndi dokotala. Ngati n'kotheka, ndibwino kuti mupite kuchipatala chapadera mu masabata angapo. LFK pambuyo potsitsimutsa za mawondo a mawondo pansi pa kutsogoleredwa ndi katswiri wapadera amathandiza:
- kuwonjezeka kwa kayendetsedwe ka kayendedwe;
- kuwonjezeka kwa mphamvu yammimba;
- chizoloƔezi cha prosthesis ndipo, pomalizira pake, kosalala kubwereranso kuntchito yapitayi.
Kuchita masewera olimbitsa thupi pambuyo pa mapeto a bondo ayenera kuchitidwa moyera kunyumba. Zovuta zaumoyo zimaphatikizapo zochita zoterezi:
- Kuwombera kwa bondo mu supine ndi kuima.
- Lembani bondo ndi mamitala 300 mpaka 600 g;
- Kuyenda, kuyambira 5 - 10 mphindi katatu patsiku, pang'onopang'ono mpaka theka la ora 2 - 3 pa tsiku;
- Maphunziro pa bicycle yodutsa kapena maulendo aifupi pa njinga.
Komanso, akatswiri amalangiza kuti musakane kugwira ntchito zapakhomo, ngakhale kuti muyenera kuchepetsa katundu wamba. Dokotala, powona kusintha kwa mkhalidwe wa wodwalayo, adzasonyeza nthawi yomwe zingatheke kukana zikhoto. Kenaka kudzatha kuwonjezera katunduyo popanda kusiya masitepe, kukwera galimoto, etc. Nthawi zambiri kusambira, kuvina ndi masewera sikuletsedwa. Koma masewera, okhudzana ndi katundu wolemera pamagulu (kulumpha, kukweza zolemera, tennis ndi masewera ena masewera), ndi bwino kupeƔa.