Elbow kutsiva

Elbow kutsiva ndiko kuvhiya kutsiva iyo yegokini yakabatana pamwe neyakagadzirwa majoini zvikamu (prosthetics).

Iyo yegokora mubatanidzwa inobatanidza matatu mapfupa:

• Iyo humerus mune yepamusoro ruoko
• Iyo ulna uye nharaunda iri muzasi ruoko (ruoko rwemberi)

Mubatanidzwa wegokora wakagadzirwa une simbi mbiri kana nhatu dzakagadzirwa nesimbi yemhando yepamusoro. Simbi uye hinji yepurasitiki inobatana nematemu pamwe chete uye inobvumira iyo yekudyara yekubatanidza kukotama. Majoini ekugadzira anouya nemhando dzakasiyana kuti akwane vanhu vehukuru hwakasiyana.

Kuvhiya kunoitwa nenzira inotevera:

• Iwe uchagamuchira general anesthesia. Izvi zvinoreva kuti unenge wakarara uye usingakwanise kunzwa kurwadziwa. Kana iwe uchagamuchira dunhu anesthesia (musana uye epidural) kuti ubate ruoko rwako.
• Acheka (incision) inoitwa kumusana kwegokora rako kuitira kuti chiremba avheneke gokora rako.
• Turu dzakakuvadzwa uye zvikamu zvemapfupa emaoko zvinoumba gokora regokora zvinobviswa.
• Chibhorani chinoshandiswa kugadzira buri pakati pemabhonzo emaoko.
• Mhedzisiro yejoinhi yekugadzira inowanzo kunamirwa munzvimbo mupfupa rimwe nerimwe. Dzinogona kuve dzakabatana ne hinge.
• Minyama yakatenderedza mubatanidzwa mutsva inogadzirwa.

Ronda rakavharwa nezvisungo, uye bhandeji rinoiswa. Ruoko rwako runogona kuiswa mumupendero kuti urambe wakatsiga.

Elbow kutsiva kuvhiya kunowanzoitwa kana iyo yegokora mubatanidzwa yakakuvadzwa zvakanyanya uye iwe uchirwadziwa kana usingakwanise kushandisa ruoko rwako. Zvimwe zvezvikonzero zvekukuvara ndezvi:

• Osteoarthritis
• Mhedzisiro yakaipa kubva pakuvhiya kwegokora rapfuura
• Rheumatoid arthritis
• Rakatyoka pfupa mudenga repamusoro kana rezasi padhuze negokora
• Zvakaipa zvakakanganisika kana kubvaruka nyama munyama
• Tumota mukati kana kutenderedza gokora
• Gokora rakaomarara

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzeiyi nzira dzinosanganisira:

• Ropa remidziyo kukuvara panguva yekuvhiyiwa
• Bone kutyora panguva yekuvhiyiwa
• Kubviswa kwemajoini ekugadzira
• Kuregedza kwekubatana kwekuvaka nekufamba kwenguva
• Tsinga kukuvara panguva yekuvhiyiwa

Udza chiremba wako anovhiya kuti ndeipi mishonga yauri kutora, kusanganisira zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kuti urege kutora vatete veropa. Izvi zvinosanganisira warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), kana NSAID dzakadai seaspirin. Izvi zvinogona kukonzera kuwedzera kubuda ropa panguva yekuvhiyiwa.
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana zvimwe zvehutano, chiremba wako anogona kukukumbira kuti uone chiremba uyo anokubata iwe kune aya mamiriro.
• Udza chiremba wako anovhiya kana wanga uchinwa doro rakawanda (zvinopfuura 1 kana zviviri zvinwiwa pazuva).
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kunonoka kupora kwemaronda.
• Udza chiremba wako anovhiya kana iwe ukava nechirwere, dzihwa, fivha, herpes breakout, kana chimwe chirwere usati wavhiyiwa. Kuvhiya kwacho kungangoda kumbomiswa.

Pazuva rekuvhiyiwa kwako:

• Tevedzera rairo nezvekusanwa kana kudya chero chinhu usati waitwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Ungangoda kugara muchipatara kweanosvika mazuva maviri kana maviri. Mushure mekuenda kumba, tevedzera rairo yekuti ungachengeta sei ronda rako uye kugokora.

Kurapa kwemuviri kuchadikanwa kuti ubatsire iwe kuwana simba uye kushandisa ruoko rwako. Ichatanga neine hunyoro hunochinja maitiro. Vanhu vane mutswe vanowanzotanga kurapwa masvondo mashoma apfuura pane avo vasina mutswe.

Vamwe vanhu vanogona kutanga kushandisa gokora ravo nyowani masvondo gumi nemaviri mushure mekuvhiyiwa. Kupora zvakakwana kunogona kutora kusvika pagore. Pachave nemipimo yekurema kwakawanda kwaunogona kusimudza. Kusimudza zvakanyanya kurema kwemutoro kunogona kutyora chigaro chinotsiviwa kana kusunungura zvikamu. Taura nachiremba wako nezve zvausingakwanise kuita.

Izvo zvakakosha kuti uteedzere nachiremba wako nguva nenguva kuti uone kuti kutsiviwa kwako kuri kuita sei. Ive neshuwa yekuenda kune ako ese akasarudzwa.

Kuvhiya kwegokora kunorerutsa marwadzo kune vanhu vazhinji. Iyo inogona zvakare kuwedzera huwandu hwesimba rekufamba kwejoka rako rakabatana. Yechipiri kugokora kutsiva kuvhiya kazhinji hakusi kubudirira senge yekutanga.

Yese kugokora arthroplasty; Endoprosthetic gokora kutsiva; Arthritis - kugokora arthroplasty; Osteoarthritis - kugokora arthroplasty; Degenerative arthritis - kugokora arthroplasty; DJD - kugokora arthroplasty

• Elbow kutsiva - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Elbow prosthesis

Cohen MS, Chen NC. Yese kugokora arthroplasty. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 27.

Throckmorton TW. Pfudzi uye kugokora arthroplasty. Mune: Azar FM, Beaty JH, eds. Kushanda kwaCampbell Orthopedics. 14th ed. Philadelphia, PA: Elsevier; 2021: chits.