Knee microfracture kuvhiya

Knee microfracture kuvhiya inzira yakajairika inoshandiswa kugadzirisa yakakuvadzwa mabvi shwashwa. Cartilage inobatsira kukisa uye kuvhara nzvimbo panosangana mapfupa mumajoini.

Iwe hauzonzwa chero kurwadziwa panguva yekuvhiyiwa. Mhando nhatu dzeanesthesia dzinogona kushandiswa pakuvhiya kwemabvi arthroscopy:

• Local anesthesia - Unozopihwa mapfuti epainikisi kuti ubate mabvi. Unogona zvakare kupihwa mishonga inokuzorodza.
• Spinal (dunhu) anesthesia - Mushonga wekurwadziwa unopinda munzvimbo mune yako musana. Iwe unenge wamuka, asi haugone kunzwa chero chinhu chiri pasi pechiuno chako.
• General anesthesia - Iwe unenge wakarara uye usina kurwadziwa.

Chiremba anovhiya achaita anotevera matanho:

• Gadzira kota-inch (6 mm) yekuvhiya yakatemwa pamabvi ako.
• Isa chubhu refu, yakatetepa ine kamera pamagumo kuburikidza neiyi yakatemwa. Iyi inonzi arthroscope. Iyo kamera inosungirirwa kune yekutarisa yevhidhiyo mukamuri yekushandisa. Ichi chishandiso chinoita kuti chiremba anovhiya atarise mukati memabvi nzvimbo yako uye shanda pajoini.
• Gadzira imwe yekucheka uye kupfuudza maturusi kuburikidza nekuvhura uku. Chishandiso chidiki chakanongedzwa chinonzi awl chinoshandiswa kugadzira maburi madiki kwazvo mufupa padhuze nekartilage yakakuvara. Izvi zvinonzi microfractures.

Makomba aya anobatana nemongo wemapfupa kuti aburitse maseru anogona kuvaka shwashwa itsva kutsiva nyama yakakuvadzwa.

Iwe ungangoda iyi maitiro kana iwe uine kukuvara kune shwashwa:

• Mumabvi akabatanidzwa
• Pasi pemabvi

Chinangwa chekuvhiyiwa uku ndechekudzivirira kana kunonoka kumwe kukuvara kwetikoroti. Izvi zvinobatsira kudzivirira mabvi arthritis. Iyo inogona kukubatsira iwe kunonoka kudiwa kweinosarudzika kana yakazara mabvi kutsiva.

Maitiro aya anoshandiswa zvakare kurapa marwadzo emabvi nekuda kwekukuvara kwekatekete.

Kuvhiya kunonzi matrix autologous chondrocyte implantation (MACI) kana mosaicplasty inogona zvakare kuitirwa matambudziko akafanana.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa
• Ropa rinovhara
• Utachiona

Ngozi dzekuvhiya microfracture ndedze:

• Cartilage kuputsika nekufamba kwenguva - Iyo nyowani nyowani inogadzirwa nemicrofracture kuvhiya haina kusimba senge muviri wekutanga shwashwa. Inogona kuputsa zviri nyore.
• Iyo nharaunda ine isina kugadzikana shwashwa inogona kukura nekufamba kwenguva sezvo kuora kuri kuenderera. Izvi zvinogona kukupa iwe zvimwe zviratidzo uye kurwadziwa.
• Kuwedzera kuomarara kwemabvi.

Nguva dzose udza mupi wako wezvehutano kuti ndeapi madhiragi auri kutora, anosanganisira mishonga, mahebhu, kana zvinowedzeredza zvawakatenga pasina tsamba yemishonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Gadzirira imba yako.
• Iwe ungangoda kurega kutora zvinodhaka zvinoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nevamwe.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe marapirwo, chiremba wako anovhiya anokukumbira kuti uone mupi anokubata iwe nekuda kwemamiriro aya.
• Udza mupiki wako kana wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kudzora maronda uye kupora kwemapfupa.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Pazuva rekuvhiyiwa kwako:

• Iwe unogona kukumbirwa kuti usanwa kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri maitiro acho asati aitwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Chiremba wako kana mukoti achakuudza nguva yekuuya kuchipatara.

Kurapa kwepanyama kunogona kutanga mukamuri yekudzoserwa mushure mekuvhiyiwa kwako. Iwe zvakare unozoda kushandisa muchina, unonzi CPM muchina. Muchina uyu unonyorovedza gumbo rako kwemaawa matanhatu kusvika masere pazuva kwevhiki dzinoverengeka. Muchina uyu unowanzo shandiswa kwemavhiki matanhatu mushure mekuvhiyiwa. Kumbira mupiki wako kuti uchaishandisa kwenguva yakareba sei.

Chiremba wako anowedzera maekisesaizi aunoita nekufamba kwenguva kusvikira iwe wagona kunyatsofambisa ibvi rako zvakare. Iwo maekisesaizi anogona kuita kuti shwashwa itsva ipore zvirinani.

Iwe unozofanirwa kuchengetedza huremu hwako kubva pamabvi ako kwemavhiki matanhatu kusvika masere kunze kwekunge waudzwa neimwe nzira. Iwe unozoda madondoro kuti utenderere. Kuchengeta huremu kubva pamabvi kunobatsira shwashwa itsva kukura. Ive neshuwa yekutarisa nachiremba wako kuti uone huremu hwakawanda hwaungaisa pagumbo rako uye kwenguva yakareba sei.

Iwe unozofanirwa kuenda kunorapwa kwemuviri uye unoita maekisesaizi kumba kwemwedzi mitatu kusvika kumitanhatu mushure mekuvhiyiwa.

Vanhu vazhinji vanoita zvakanaka mushure mekuvhiyiwa uku. Nguva yekudzosa inogona kunonoka. Vanhu vazhinji vanogona kudzokera kumitambo kana zvimwe zviitiko zvakanyanya mukati memwedzi mipfumbamwe kusvika gumi nemiviri. Vatambi vari mumitambo yakasimba kwazvo vanogona kusakwanisa kudzokera kune yavo yekutanga nhanho.

Vanhu vari pasi pemakore makumi mana nekukuvara kwechangobva kuitika vanowanzove nemhedzisiro yakanaka. Vanhu vasina kunyanya kufuta vane zvibereko zvirinani.

Cartilage patsva - ibvi

• Kugadzirira imba yako - kuvhiya mabvi kana chiuno
• Ibvi arthroscopy - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Chimiro chemubatanidzwa

Frank RM, Lehrman B, Yanke AB, Cole BJ. Chondroplasty uye microfracture. Mune: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, eds. Maitiro Ekushandisa: Knee Kuvhiya. 2nd ed. Philadelphia, PA: Elsevier; 2018: chits.

Frank RM, Vidal AF, McCarty EC. Mhedzisiro mu articular cartilage kurapwa. Mune: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopedic Sports Mushonga. 5 ed. Philadelphia, PA: Elsevier; 2020: chits. 97.

Harris JD, Cole BJ. Knee articular karoti kudzosera maitiro. Mune: Noyes FR, Barber-Westin SD, eds. Noyes 'Knee Dambudziko: Kuvhiya, Kuvandudza, Zvipatara Zvabuda. 2nd ed. Philadelphia, PA: Elsevier; 2017: chits. 31.

Miller RH, Azar FM. Knee kukuvara. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsamba 45.