Nokushanda ibvi yokutsiva: wongororo. ibvi arthroplasty: vapore

In orthopedics aiwanzoshandisa nzira nokuda yaitsiva ukama rwakashodoka. Zvisinei, kusiyana kuti hudyu vadyi , rinobuda zvakanaka akashivirira pasina matambudziko, Knee Replacement rinopfuura zvakaoma uye zvingakonzera matambudziko akadai:

- kutapuriranwa pezvakaitwa pa nzvimbo kudyara chokugadza;

- misha of prosthesis;

- in patellar shwashwa anogona kubvarura kana yokuzviparadzanisa;

- ropa clots ari gumbo;

- kutyora kuvimbika femoral mapfupa (kutsemuka).

Nokuda kuvapo yematambudziko mhando iyi vanhu kusiya dissimilar mhinduro yakadaro. Ibvi Kutsiviwa muchiitiko ichi chinogona kuitwa pasina chero matambudziko vaiva.

Zvinokosha kucherechedza kuti makore 10 akapfuura maiva zvakawanda varwere yematambudziko siyana pashure kwemajoini yaitsiva nzira. Nokufamba kwenguva, upgrades zvose - kuti zvakananga Unganatsiridza ari prosthesis, uyewo muitiro hwokushanda. Chimwe chinhu chinokosha muupenyu pokudzorerwa anoita vapore nguva uye kutaridza zvaida kurovedza nokuda kunokurumidza kupora. Zvinhu izvi kwakaderedza ndingangokuvara yakawanda nematambudziko ari postoperative munguva.

Kana kuita zvandinoda zvachose kwemajoini yokutsiva?

The ibvi vagari - ichi Integrated condylar kwemajoini mhando, mhou zvikamu zviri zvinenge zvakazara shwashwa zvinosanganisira fibers ose collagen uye chondrocytes pavanomera rukoko nechigadziko zvinhu. Nokuda articular shwashwa uye dzinovapa ine fuma kufamba zvakakodzera kuitika. Synovial Kamudzira anofukidza yose pamwe pamusoro, nokuda kwayo kusimudzirwa yakabereka Urume zvakakodzera, kudzivisa kukweshera ari pejoinhi.

Nokuda zvirwere zvakasiyana-siyana kutanga chinopedza dzinotsanagura articular shwashwa, saka Kuchinja chimiro uye dzidziso yacho ibvi. In pamberi nezvirwere zvakadai muna kutanga kwekupwanyiwa zvakafanira kuti kuitisa marapirwo iro kuvandudza mamiriro shwashwa uye kubvisa kushoma.

In akazotevera matanho, kana akabata kuparadzwa shwashwa uye kukweshera, muchiitiko ichi Zvinokurudzirwa Kuvhiya prosthetic ibvi kuburikidza richishanda simbi kana mupurasitiki kudyara panzvimbo dzakaparadzwa rwakashodoka.

Zvairatidza kuti muchibereko

1. vagari deformation nezera.
2. vadyi deformation, achiperekedzwa kuzvimba.
3. Injury.
4. Osteoarthritis dysplastic.
5. Kuvapo necrotic nharaunda iri pejoinhi.

Varwere zvinogona - vanhu vane:

1. Inorambidza sangano racho shingirira anorwadziwa zvikuru.
2. A kuchinja mu chimiro pejoinhi.

Common zvikonzero

- rasprostanenie zviitiko nokurasikirwa ibvi muhudyu pakati dzose kushanda vari yo chirwere. It Arthritis pashure kunotevera, nokutyora, atsamwira kana kuminyuka uye nevamwe.

- Kana hosha yemajoini RA kuzvimba kunoitika uye chisimbiso sinovilnoy Kamudzira, saka anotanga zvinoshingaira pave kwemajoini fluid inotungamira kuparadzwa rwakashodoka.

- The pakuonekwa osteoarthritis vakwegura, izvo dzinoratidzwa Kuipa kwemajoini famba uye amortization.

Ndezvipi zvakanakira kudyara hazvizivi vadyi?

Nokushanda ibvi yokutsiva rinoitwa kuderedza kana zvachose kubvisa marwadzo kwenguva anosvika nemashanu. Akaiswa panzvimbo dzakaparadzwa chakagadzirwa pamwe anodyara, uye dzakakodzera anatomically zvakafanana.

Pashure pokuvhiyiwa ibvi vadyi riri kubudirira, varwere yakati kuwedzera zvakawanda zvitange. Quality upenyu kuchinja zvinoshamisa. Saka vanhu vazhinji uye kusiya nyaya dzinovaka. Ibvi arthroplasty kakawanda anotora nzvimbo pasina matambudziko, zvoita kuti kunokurumidza kupora uye paakadzokera munhu yaizivikanwa upenyu.

Matambudziko chokuita endoprosthesis

Kuvhiya ibvi kunewo chokuita chete chidzoke vanoverengeka njodzi, uyewo panguva mamwe pakuvhiya. njodzi izvi zvinosanganisira kurasikirwa neropa vanhu vakwegura inobvira exacerbation echirwere chirwere, ropa clots panzvimbo dzapasi migumo, zvirwere pezvakaitwa panzvimbo yebhuku iri kudyara uye nenzira mochevyvedeniya. Munguva ichangopfuura, zviri kuva zvisingawanzoitiki.

Rimwe zvakaipisisa zvingaguma zvaitika ndiyo paumbwe chirwere kubatwa inopfuura zvakaoma zvikuru uye zvinodhura chaizvo. Kazhinji matambudziko izvi harigoni chete kubatsira kubviswa kubva pamuviri muviri yokumwe, muchiitiko ichi, kuti endoprosthesis. Pane vanhu vakawanda tichikurumidza chimiro chirwere pane vamwe, izvi zvinosanganisira kuva dzinonzi rheumatoid arthritis, varwere kufuta vanoda kutora zvinodhaka mahormone.

misi oparesheni

Yakasimbiswa prosthesis anogona kugara makore gumi namashanu, pane dzimwe nguva refu, asi pamwe amortization uye kana kudyara iri anoputsa, zvinokwanisika reoperation pamusoro pebvi vadyi, kureva, dzokutsiva kana reendoprotezirovanie. Kana marwadzo asati yapfuura makore gumi kana kusunungura zvakakodzerawo kuita oparesheni.

Muitiro kwemajoini yokutsiva

Duration remapazi zvinogona akasima maawa 2-3. Vasati vavhiyiwa rinoitwa fanira kudzivirira chirwere. murwere pamberi oparesheni ndiyo musana yokutindivadza.

Kuisa endoprosthesis zvakafanira kubvisa vakaparadza chikamu muhudyu uye patella, uyewo chiremba aligns curved makumbo akabatana anoitisa kupora nemarunda, kana zvichidikanwa.

Modern prostheses yaigadzirwa yepamusoro uye non-kungatikanganisa zvinhu kuti kubvumira rutsoka kufonyora kusvika madhigirii 150. Several postoperative akanaka mashoko. ibvi arthroplasty ambotirega refu asati tiite zvakabaya ibvi 75 inegumi. Zvisinei, mumwe anogona kutombokanganwa vapore nguva, pasina iyo kurapwa zvakakwana.

Chimwe chiyeuchidzo chinokosha ndechokuti oparesheni iri kakawanda inoitika pasi omunzvimbo yokutindivadza, kureva, muna wakasvinura mamiriro. Zvisinei, unogona kutaura chido chako anesthesiologist kana chiremba kuti makaita kuti vakawanda yokutindivadza, kana zvichibvira. Unofanira kuva vakashinga chaizvo uye murwere, kuti chinyararire kuteerera ruzha pematanho enadoprotezirovaniya maitirwe ezvinhu.

postoperative kumwedzi

Pashure pokuvhiyiwa uye kushanda kushaya nehanya repasi Mbabvu anonzi vasingambooni chakaipa nazvo. Munguva Kupindira murwere anorasikirwa vakawanda kuisirwa Sevamiririri ropa, pakatanga mishonga zvakafanira kuti marwadzo uye inorwisa mabhakitiriya ropa.

Mumakore akawanda mazuva akatevera pasi pakuongorora mamiriro zviratidzo murwere zvinokosha (kwemwoyo, kumanikidzwa, ECG, shanduko ropa Counts).

Pasina normalization uye kuderera wehurumende, murwere zvaitambidzwa kuburikidza masikati yevanorwara zvikuru wadhi nyore.

Rehabilitation pashure ibvi yokutsiva

Mushure kugadzwa zviri prosthesis vapore nguva chinogara avhareji inenge 3 months, asi dzimwe nguva refu, zvichienderana murwere ezvinhu.

Fanira rutsigiro ndiye zuva mupfungwa uye muviri mushure ibvi arthroplasty rokudzorera kushanda kwayo.

Kakawanda, rokuchinjwa nguva murwere anopedza ari kushandiswa kiriniki (anenge mumwe mwedzi).

Mumatanho vapore nguva

Pashure pokuvhiyiwa murwere vanofanira kugara inenge miviri muchipatara uye chiremba kuita yakati yakatarwa kurovedza. With nokuwedzera mwero nani kwemajoini gwenya basa iri kuchengetwa, zvoita kuti akurumidze kudzoka kune dzose upenyu. Zvinogonekawo dzokubvisa kubva kuchipatara.

Pashure pokugara pane Rehabilitation Centre (2-3 months), murwere vanofanira kuramba kushandisa zviri muchimiro nokushambira, kufamba uye weyoga purogiramu. Zvinokosha kuyeuka kuti kunyanyisa kurovedza muviri zviri contraindicated.

Exercises hwokuponesa

Rehabilitation pashure ibvi arthroplasty rinosanganisira boka kurovedza kuti kubatsira kukurira kuomarara, kuvaka tsandanyama simba vari vadyi, kuderedza marwadzo.

Tanga yakaderera prices uye mitoro, zvishoma nezvishoma uchifamba zvakaoma kugadzirisa physiotherapist. Zvinokurudzirwa kudzivisa zvakare vanoshingaira mitambo, saka zvakanga zvisiri zvinorwadza kuti vagari itsva.

The kunzwisisa kurovedza zvinodiwa kuurayiwa zuva (4-5 kanomwe pazuva):

1. Neketani - flexion-kuwedzera kubva zvishoma nezvishoma kuwedzera yevanhu kubvira 5 kusvika 12 uye kusvika.
2. The rutapudzo nechemberi rorudyi tsandanyama nokuda 5 seconds.
3. Kuderedza rwemberi rorudyi tsandanyama nokuda 5 seconds.
4. Kurera makumbo anombotwasanudza ezvinhu.
5. Rutapudzo magaro tsandanyama nokuda 5 seconds.
6. Extension-flexion maoko nemakumbo maduku ari ibvi rwakashodoka.
7. Chidya akatorwa parutivi.
8. Kuswatura gumbo vachasimudza kusvikira pamwero rworwendo 45 uye mubatirire panzvimbo stale kusvika 5 seconds.
9. Flapping rutsoka ari dzichienderana hurumende kusvika pamwero rworwendo 45 uye chengetedzo mu ehurumende ichi kusvika 5 seconds.
10. Kushandiswa "Dikul" midziyo.

Contraindications kune nzira prosthetics

Dzinofanira contraindications:

• Independent kufamba hazvibviri.
• Mwoyo chirwere uye CCC.
• Thrombosis aizozvimba.
• Pathological kusagadzikana kufema basa, chisingaperi kufema kukundikana mhando.
• Rwarisa kwendangariro.
• Sepsis.
• Chisimbwa.
• Neuromuscular zvokurwara.
• Chepfungwa.

marudzi anodyara

Current prostheses kutakura unodzivirira nerevane rinogona dziya sezvinotevera:

• muunganidzwa;
• zvakananga prosthesis joini penyika;
• dambudziko;
• kuroora danda.

The prosthesis ndee nenzira dzakawanda:

• simende;
• spachiana;
• cementless.

Kuti kudyara kuti prosthesis akashanda kwenguva refu, anoshandiswa pagadzirwe yepamusoro Anti-ngura uye vanopfeka, uye Chikurukuru, biocompatible zvinhu:

• Ceramics;
• polyethylene;
• simbi alloys;
• mapfupa simende.

Vazhinji kuzvifungira kuvhiyiwa, zvinokosha kuongorora wongororo siyana. ibvi arthroplasty inoitwa nachiremba kufungisisa nomumwe zvechadenga murwere physiology.

Pricing urongwa

Ibvi arthroplasty muMoscow, Israel, Turkey, Lithuania, Germany, kuitwa unyanzvi vanokwanisa vanoziva basa ravo.

Kune vashoma makiriniki zvikuru kushandisa zvakananga pamusoro nokushanda pamwe yokutsiva kana zvikamu zvayo, kusanganisira kwokugara ibvi arthroplasty joini. Mari anodyara rinoenderana chatingatevedzera zvokuvakisa icho rinoumbwa, uye boka inobereka pazviri. Reviews vokune dzimwe nyika makiriniki apo kazhinji ndarayira unokosha nani (kunyanya panyaya rokuchinjwa nguva). Zvisinei, muna muRussia kupindira rinoitwa panguva yakakwirira yakati sandara.

Mumakore ruzivo uye chiremba zvikuru anokwanisa achasarudza zvikuru yakakodzera biocompatible prosthesis uye kuda pasina matambudziko ibvi arthroplasty. Mutengo nzira kunoenderana kunzwisisa kwakaita kushanda uye mari prosthesis.