Kudimurwa amakumbo: rokuchinjwa pezvingazoitika

Pane mamiriro ezvinhu kana kukurira dambudziko pasina kuvhiyiwa hazviiti. Munyaya ino ndinoda kutaura pamusoro vapore matanho mushure kugura murwere gumbo.

mazwi Key

Pakutanga, unofanira kubata mazwi dzichashandiswa nokushingaira munyaya.

1. Saka rutsoka kudimurwa - ndiyo kubviswa hosha maoko kana makumbo surgically. Chinangwa chiito ichi - rinoponesa hwevanhu. Kuchitaura kuti mutongo pamusoro pakuvhiya vanachiremba tora chete sezvo chokupedzisira.
2. kudimurwa pamwero anonzi nzvimbo umo gumbo rwagurwa.
3. Rehabilitation - kuva zviyero naro vanachiremba siyana (vanachiremba, vanachiremba, podiatrists, prosthetic) akadzidzisa murume kuchinja zvakamupoteredza pasina yakarasika richiripo.

chirwere cheshuga

Zvairatidza kuti kugura ezasi Mbabvu anogona kuiswa. Chimwe zvikonzero - chirwere cheshuga. Pacharo, chirwere arege kukonzera dambudziko iri. Zvisinei, mune zvimwe zviitiko (kuregeredza kwechirwere chacho, ayo yezwi decompensated chimiro) zvingava dzokurapwa zvairatidza kuti kudimurwa (ichi kunoitika muna anenge 8-10% wevarwere). Mune zvimwe zviitiko, kugura tsoka mune chirwere cheshuga zvaangatarirwa?

1. Neuropathy Rinobatanidzwa kuchikuvadza tsinga.
2. Micro- uye macroangiopathy (kutyorwa maumbirwo ichi uye chakaipa nokushanda kwenhengo zvose midziyo makuru uye diki).
3. Necrotic kuchinja rezasi migumo.

Sezvo wava pachena, wokutanga chaizvo uye huru chiratidzo kuti kudimurwa kutyora gumbo midziyo kushanda. Izvi imhaka Kukundikana muviri uye kukura ane muitiro akadai autoimunizatsiya. Midziyo kuonekwa kuzara kunoitika anoxia, izvo zvinoita rutsoka nyore kune zvirwere zvakasiyana-siyana. Uye kunyange zvishoma mbundishire kungakonzera kukura kupfuura runotyisa purulent kwendangariro. Kuti tidzivise rufu, mumamiriro ezvinhu akadaro, vanachiremba tora yakakura mhinduro. E. Varwere vanoda kudimurwa netsoka (zveshuga nyaya dzakadaro havasi kushoma). Kazhinji chete nzira kuponesa upenyu murwere.

Chii chakakosha

Sezvo wava pachena, kudimurwa of gumbo - chakakura kuvhiringidzwa muupenyu uye utano murwere. Ndokusaka pashure pokuvhiyiwa munhu anotarisira panzvimbo yakareba vapore. Kuchitaura kuti kubudirira rokudzorera kurapwa kunoenderana zvinoverengeka on:

1. Chigutsa Good (ndiko kunaka oparesheni).
2. Runoenzanirana prosthesis (chinokosha unhu basa prosthetist).
3. Rehabilitation chirongwa.

Kana pane imwe zvinhu izvi chichaitwa kukwana, rokuchinjwa muitiro unogona yekudyidzana kunonoka.

The postoperative kumwedzi

Pasinei rakaitwa kana kugura pechigunwe akawanda muzvidimbu chinonyanya kukosha vokutanga postoperative chokutambudzika vapore. Saka, zvinokosha:

1. Kudiwa kudzivirira nekuve yematambudziko, akadai chirwere chaJese.
2. Zvinokosha kuti kuongorora ropa uye nhengo dzinobudisa kuparadzirwa pakati maoko nemakumbo.
3. Kudikanwa kudzivisa kuomarara muna mapfundo tsandanyama kuparadza. Muchiitiko chino, unofanira masaja uye physiotherapy.
4. Zvinokoshawo waidzora marwadzo, sei kunatsiridza unhu achivavanda.
5. Uye, chokwadi, tichada rutsigiro psycho-mupfungwa kuti murwere. Pashure pezvose, dzinenge vanhu vose kurasikirwa negumbo kana ruoko - akarova hombe.

Step 1. Preparation pakati rokuchinjwa chaJese

Kana murwere aiva kuvhiyiwa "kugura tsoka", rokutanga gore pashure pokuvhiyiwa vanofanira kuenda kuburikidza dzakasiyana siyana Zvokusunungurwa. Saka, sezvo kare ambotaurwa, mukuru kukosha ndirwo runonyanya chaJese. It zvinoenderana zvinhu zvakawanda:

1. Kureba chigutsa.
2. kudimurwa pamwero.
3. Postoperative vanga (zvinofanira iri kubva dzakakwirira kunonyanyisa axial mutoro).
4. Forms Chigutsa (napo kubva rimwe unyanzvi iyo kuvhiya kupindira Kwaiitirwa).
5. Contracture, t. E. kukutadzisa kufamba vhoriyamu. Zvinokosha zvikuru, sezvo chiri chinhu ichi kunobva unhu kwohumwe kufamba kwevanhu.

Chiizve chinokosha kuti kuziva pamusoro pakutarisira chigutsa

Mushure gumbo kudimurwa akanga akatakurwa achiburitswa kunze, zvakakosha zvakanaka kutarisira postoperative suture. Mumazuva okutanga kutarisa vachava nokupinda chiremba uye mugute naye. Pano zvakafanira kujekesa kuti vainyatsotarisirwa anofanira kupiwa varwere zvemwoyo chirwere uye chirwere cheshuga, sezvo zvirwere izvi zvinowedzera mukana wokutapukirwa chaJese. Chii chinokosha:

1. Kugeza kunokosha chaizvo chigutsa. Vaifarira douches daily. sipo Wash chevana, unogona kuramba, pashure yakaoma achipukuta nejira.
2. Chigutsa havafaniri daily aongororwe kuti nokuchinja rweganda. Izvi zvinokosha zvikuru, uye kuchangotanga kuchinja vanofanira chiremba.
3. Pashure pokuvhiyiwa, ganda chaJese anova tisanzwe chaizvo. Kutsungirira iyi zvinokwanisika pachishandiswa muviri. Ita zvinoita zvose maoko uye duku rabha bhora, vachiita tenderera inofamba. Nguva nenguva, chigutsa anofanira kutongokwizwa wekumeso. Ita maitiro aya vanofanira kazhinji zvichiita, nguva chinonyanya kudiwa wandei pazuva.
4. Zvinofanira kurangarirwa kuti postoperative vanga zvaanofanira humidify. Izvi zvinokosha kunyanya pakutanga mavhiki mashoma pashure gumbo kudimurwa akanga akatakurwa kunze.

postoperative nguva kwadzakabva pavarwere vane cheshuga mellitus, kazhinji nguva yakareba.

bundu

Golf sezvo gumbo kudimurwa kwakaitwa mune chirwere cheshuga kana zvimwe zvirwere zvikasadaro, murwere kazhinji panomuka edema. Hazvina kutyisa, nekuti ichi ndicho chakaipa womunhu muviri paakanzwa kuvhiyiwa. Zvisinei, mamiriro acho ezvinhu achiri asina kufira chokufambisa. The zvakafanira matanho:

1. Nokuti nguva yokutanga avhiyiwa ronda havagoni angatidzvinyirira. Naizvozvo bhandeji chigutsa rikashandiswa zvakasiyana-siyana.
2. Kuti titsungirire mumatenhere, unogona kushandisa zvinotevera zvishandiso: compression masokisi, kwakavharwa nenyama bhandiji silicone nyaya.
3. Kana mukuru kudimurwa amakumbo akanga akatakurwa achiburitswa kunze, murwere inokurudzirwa kaviri pazuva kuti nhema pamusoro dumbu rake (hafu yeawa), akatendeuka musoro wake hwomutambarakede. Izvi zvakakodzera kuitira kuti tsandanyama iri chigutsa rwakatambanudzwa uye pakudaro vakadzidziswa uye akarega.

joini contracture

Chimwe chinetso kuti kuitika mushure kugura gumbo rake - a vagari contractures. . Kureva akavarambidza kuti pusa inofamba iri muhudyu, izvo zvinogona kukonzerwa kwakakanganisa mumwe tsandanyama, nemarunda, ganda, etc. Okudzivirira matanho ..:

1. Chikurukuru - kuitira zvakarurama nzvimbo murwere richiripo. Chigutsa anofanira anombotwasanudza, kwenguva yakareba vari hwakakungwa nzvimbo hazvibviri kusiya.
2. Chinokosha vachinyatsoziva kubviswa kuzvimba uye kurwadziwa. Kudzivirira deformation pamusoro nomuzongoza, zvakakodzera mumazuva okutanga pashure pokuvhiyiwa uchishandisa chaiyo cheya pamwe footrest chigutsa.
3. Murwere achaita kuda vose pusa uye kushingaira physiotherapy. Zvisinei, tinofanira kuyeuka kuti zvinokosha kuti tidzivise avo Muchiitwa marwadzo.

Pfungwa inokosha: nekukurumidza pashure pokuvhiyiwa, murwere unofanira kuonekwa prosthetist. Pashure pezvose, nokukurumidza vanhu achawira prosthesis, kashoma acharasikirwa anokosha simba unyanzvi, uye nyore uye zvizere vapore rikurumidze.

phantom marwadzo

Pasinei kudimurwa amakumbo pamusoro ibvi kana pasi akanga akatakurwa achibudiswa kunze, murwere anogona anotambudza phantom marwadzo. Ndiwo marwadzo Runonzwika murwere muzvidimbu akagura surgically. Kuti izvi zvisaitike, zvinotevera pfungwa dzinokosha:

1. Murwere anofanira nekukurumidza kusimbisa, kuti ndiye. E. anotendeuka kuva nokugara chinzvimbo.
2. Inoda masaja uye nhengo dzinobudisa abudise chaJese.
3. The nevamwe dzeboka kuti rekuchikoro. Saka zvinokosha zvikuru zvakakodzera bandaging maoko nemakumbo.
4. Dzivisa phantom kurwadziwa zvichigoneka chiitiko kuti munhu napo asati atanga kushandisa. Physiotherapy kunokoshawo.
5. Uye, chokwadi, zvakakosha sezvo mangwanani sezvinobvira prosthetics.

Kana phantom marwadzo yakaonekwa mukupera nguva (pakarepo pashure pokuvhiyiwa), zvinoreva kuti chigutsa kutarisirwa rakanga raitwa zvakanaka kana kwete zvakakwana. Zvisinei, mune zviitiko zvakadaro zvinoita kukurira dambudziko. Pano anogona kubatsira dzepanguva kurapa.

Step 2. Prosthetic Rehabilitation

Mushure gumbo kudimurwa kwakaitwa, kunaya rinotanga nekugadzirira chaJese kusvikira prosthesis uye prosthesis pacharo. Ko chiitiko ichi? Nokudaro, prosthesis - iri kushandiswa chimiro hanya varwere vakarasikirwa chikamu achida nenyere. E. Achibatsirwa imwe prosthesis angadzorera romuzvarirwo kana pedyo-zvinoitika functionality vakarasika nenyere.

Pamusoro prosthetics

Modern nyanzvi dzokurapa vanoti mushure kugura gumbo rake kunokosha sezvo mangwanani sezvinobvira prosthetic nemakumbo. Saka, chikuru prosthesis yaifanira kare panguva mazuva 14-21 pashure kuvhiyiwa. Kudzokorora prosthesis kare basa sezvo uye kana kusakara kunoitika chezvinhu chigadzirwa.

zvokukura prosthetics

prosthetics muitiro ine mumatanho akawanda:

1. The kusarudza chigadzirwa design, t. E. The prosthetic.
2. Achibvisa kuyerwa kubva chigutsa.
3. Kugadzirira nesuko akanaka uye kunaka.
4. Vanoungana zvigadzirwa kuti zvakakodzera.
5. Kupedza kufungisisa zvose zvinhu uye zvinodiwa.
6. Issuance of prosthesis.
7. Training mukushandisa.

Kazhinji, kubudirira yekosi kunaya murwere ranyura zvachose novimba unhu prostheses. Zvakakosha kurema, kukura, kudzora nzira, magadzirirwo, aesthetics uye kosmetichnost. Unofanirawo zvakanaka ndikwane chigadzirwa pasi wacho murwere. Uye, chokwadi, wokupedzisira dariro Zvokusunungurwa anova murefu chaizvo mafungiro uye chido chake nekukurumidza kudzokera hwandaiva upenyu. Kana munhu akabata munwe kudimburwa gumbo prosthesis mune iyi haisi kuzvireva. Rehabilitation of chinhu zvinogona kudziviswa.

About prostheses

Zvinokosha achiti dentures pachavo vari pakubhadhara zviviri: nesekondari.

1. Primary prosthesis inonzi kudzidzisa uye kurovedza. Ndivo zvakakodzera kuti zvakarurama nechinzvimbo chigutsa, uyewo kudzidzisa unyanzvi murwere chikuru kwavo kushandiswa. Kuchitaura kuti tanga zvichibvira chepuraimari prosthesis runoita kudzivisa panowanikwa zvairambidzwa kufamba ari makuru mapfundo. Zvinokoshawo kuti kujekesa kuti prosthesis akasungwa muchipatara, nekuti pano zvakakodzera chikamu yakatarwa nenyanzvi.
2. Mushure Paunotanga prosthetic murwere wakabudiswa zvachose prosthesis (avhareji yemakore maviri).

marudzi dentures

Dentures dzinoitwa zvakasiyana-siyana ruzivo. Vane modular uye asiri modular (modular prosthesis asi anowanzodanwa kushandiswa). Zvinosanganisira zvinotevera:

1. The ruoko iro kugadzirwa maererano pfungwa chaJese murwere.
2. Kuchinja uye unobva namano.
3. Mutakuri module. It dzinosiyana zvichienderana aida kureba prosthesis.
4. Module rutsoka.
5. prosthetic kuda.

Uyewo zviripo ataura kuti zvachose prosthesis, kusiyana kudzidziswa akapawo ane ukanyatsotarisisa zvizorwa, pamusoro izvo kupfeka chaiwo masokisi. Izvi kuitira kuti prosthesis chainyanya akafanana chaiyo gumbo.

urema

Zvinokosha vachiti kuti munhu akaisa urema panguva kugura gumbo rake. Saka, vakawanda zvichida, pakutanga achada kusimbisa kamwe pagore. Zvisinei, pashure imwe nguva (mukati makore mana), unogona kushandisa munhu anonzi urema zvachose. Kana paine basa kwemashoko prosthesis, kubudikidza chisarudzo chomurayiro anogona kuderedza urema.