Kutsiviwa kwepafudzi

Bhegi kutsiva ndiko kuvhiya kutsiva mapfudzi epafudzi akabatana nezvakagadzirwa zvikamu zvekubatana.

Iwe uchagamuchira anesthesia pamberi pekuvhiya uku. Mhando mbiri dzeanesthesia dzinogona kushandiswa:

• General anesthesia, zvinoreva kuti unenge usingazive uye usingakwanise kunzwa kurwadziwa.
• Yedunhu anesthesia kuti ubate ruoko rwako nepafudzi nzvimbo kuti usanzwe chero kurwadziwa munzvimbo ino. Kana iwe uchingogashira chete yedunhu anesthesia, iwe zvakare uchapihwa mushonga wekukubatsira iwe kuzorora panguva yekuvhiya.

Bendekete bhora nesocket joint. Kutenderera kwekutenderedza kweruoko bhonzo kunokwenenzverana mumusuwo uri kumagumo kwejasi repafudzi, unonzi chiuno. Rudzi urwu rwekubatana runokutendera iwe kufambisa ruoko rwako munzira zhinji.

Zvekutsiva papfudzi zvizere, kumucheto kweruwoko pfupa rako kunozotsiviwa nehunde rekugadzira rine musoro wedenderedzwa wesimbi (bhora). Chikamu checheke (glenoid) chepafudzi rako chinotsiviwa neyakagadzika epurasitiki (socket) inozoitirwa munzvimbo nesamende yakakosha.Kana chete 1 aya mapfupa maviri achida kutsiviwa, kuvhiyiwa kunodaidzwa kunzi kusarura kwepafudzi, kana hemiarthroplasty.

Imwe mhando yemaitiro inonzi inodzosera yakazara mafudzi kutsiva. Mukuvhiya uku, zvinzvimbo zvebhora resimbi nesoketi zvinoshandurwa. Bhora resimbi rakasungirirwa pabendekete. Iyo socket yakasungirirwa paruoko pfupa. Kuvhiya uku kunogona kuitwa kana iyo rotator cuff tendons ikakuvara zvakanyanya kana pane zvakaputsika papfudzi.

Nezve kubatanidzwa kwepafudzi, chiremba wako anozoita incision (cheka) pamusoro pefudzi rako kuti uvhure nzvimbo yacho. Ipapo chiremba wako anovhiya acha:

• Bvisa musoro (pamusoro) wepamusoro ruoko ruoko pfupa (humerus)
• Cementi iyo nyowani yesimbi musoro uye dzinde munzvimbo
• Smooth pamusoro peiyo yekare soketi uye simende iyo nyowani munzvimbo
• Vhara yako incision nema staples kana sutures
• Isa chipfeko (bandage) pamusoro pechironda chako

Chiremba wako anovhiya anogona kuisa chubhu munzvimbo ino kuti abudise mvura inovaka mumubatanidzwa. Iyo yekudonha inobviswa kana iwe usisiri kuida iyo.

Uku kuvhiya kunowanzo kutora maawa matatu kusvika matatu.

Kuvhiya kwepafudzi kunowanzoitwa kana iwe uine kurwadziwa kwakanyanya munzvimbo yepafudzi, izvo zvinokanganisa kugona kwako kufambisa ruoko. Zvinokonzera kurwadziwa kwepafudzi zvinosanganisira:

• Osteoarthritis
• Mhedzisiro yakaipa kubva mukuvhiya kwepafudzi kwakapfuura
• Rheumatoid arthritis
• Zvakashata kutyoka bhonzo muruoko padyo nebendekete
• Zvakashata zvakakanganisika kana kubvaruka nyama munyama
• Dumbu mukati kana kutenderedza bendekete

Chiremba wako anogona kusakurudzira kuvhiyiwa uku kana uine:

• Nhoroondo yehutachiona, iyo inogona kutapukira kune yakatsiviwa mubatanidzwa
• Yakanyanya kusagadzikana kwepfungwa
• Ganda risina hutano rakakomberedza nzvimbo yepafudzi
• Yakanyanya kusimba (rotator cuff) mhasuru dzakakomberedza bendekete risingakwanise kugadziriswa panguva yekuvhiyiwa

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kuvhara ropa, kana hutachiona

Njodzi dzekuvhiyiwa kwepafudzi ndidzo:

• Allergic reaction kune yakasanganiswa majoini
• Ropa remidziyo kukuvara panguva yekuvhiyiwa
• Bone kutyora panguva yekuvhiyiwa
• Tsinga kukuvara panguva yekuvhiyiwa
• Kubviswa kwemajoini ekugadzira
• Kusunungura kwekuisirwa nekufamba kwenguva

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kuti urege kutora vatete veropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), uye clopidogrel (Plavix).
• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe marapirwo, chiremba wako anovhiya anokukumbira kuti uone chiremba wako anokubata iwe kune aya mamiriro.
• Udza chiremba wako kana wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kunonoka maronda uye kupora kwemapfupa.
• Rega chiremba wako azive ipapo ipapo kana iwe ukawana dzihwa, dzihwa, fivha, herpes breakout, kana chimwe chirwere usati wavhiyiwa.

Pazuva rekuvhiyiwa kwako:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri maitiro acho asati aitwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Iva nechokwadi chekusvika kuchipatara nenguva.

Mushure mekuita:

• Iwe unogona kugara muchipatara kwemazuva 1 kusvika matatu mushure mekuvhiyiwa kwako.
• Paunenge uripo, unogona kugamuchira kurapwa kwemuviri kuti ubatsire kuchengetedza tsandanyama dzakakomberedza bendekete rako kubva pakuomarara.
• Usati waenda kumba, murapi wepanyama achakudzidzisa maitiro ekufambisa ruoko rwako uchitenderedza neimwe (yakanaka) ruoko kuti ubatsire.
• Ruoko rwako ruchada kuve muchipfuramabwe kwemavhiki maviri kusvika matanhatu pasina kufamba kunoshanda uye mwedzi mitatu usati wasimbisa. Ichave ingangoita mwedzi mina kusvika kumatanhatu yekudzoka.
• Tevedzera chero mirairo iwe yaunopihwa nezve maitiro ekuchengeta fudzi rako kumba. Izvi zvinosanganisira zviitiko zvausingafanire kuita.
• Iwe unozopihwa rairo pamafudzi maitiro ekuti uite kumba. Tevera mirairo iyi chaizvo. Kuita maekisesaizi nenzira isiri iyo kunogona kukuvadza fudzi rako idzva.

Kuvhiya kwakabatana kunodzora marwadzo uye kuomarara kwevanhu vazhinji. Iwe unofanirwa kukwanisa kutangazve zviito zvako zvezuva nezuva zviitiko pasina dambudziko rakawanda. Vanhu vazhinji vanokwanisa kudzokera kumitambo yakadai segorofu, kushambira, kurima gadheni, bowling, uye vamwe.

Yako pfudzi mubatanidzwa wepafudzi unogara kwenguva refu kana kushoma kunetseka kwaiswa pairi. Nekushandisa chaiko, mubatanidzwa mutsva wepafudzi unogona kugara kweanenge makore gumi.

Yese mafudzi arthroplasty; Endoprosthetic bhendi kutsiva; Chikamu chepfudzi chinotsiva; Rusarura fudzi arthroplasty; Kutsiva - bendekete; Arthroplasty - pfudzi

• Pfudzi kutsiva - kubuda
• Uchishandisa bendekete rako mushure mekuvhiyiwa

American Academy yeOrthopedic Surgeons webhusaiti. Dzorera zvachose mafudzi ekutsiva. orthoinfo.aaos.org/en/treatment/reverse-total-shoulder-replacement. Yakagadziridzwa Kurume 2017. Yakasvika muna Zvita 10, 2018.

Matsen FA, Lippitt SB, Rockwood CA, Wirth MA. Glenohumeral arthritis uye manejimendi ayo. Mune: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, eds. Rockwood naMatsen's Mafudzi. 5 ed. Philadelphia, PA: Elsevier; 2017: chits.

Throckmorton TW. Pfudzi uye kugokora arthroplasty. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 12.