Chipinda chamkati cha chiberekero ndi chida chopangira opaleshoni chomwe chimagwiritsidwa ntchito pochiza matenda a msana wa khomo lachiberekero. Ntchito yake yayikulu ndikukonza zophulika za khomo lachiberekero, kusokonezeka kapena kuvulala kwina kwa zigoba za msana wa khomo lachiberekero kuti chiberekero chikhale chokhazikika komanso kulimbikitsa machiritso a fracture.
![khomo lachiberekero mbale]()
Mbali yapakhomo ya khomo lachiberekero imapangidwira opaleshoni kumbali yapambuyo ya msana wa khomo lachiberekero kuti mbaleyo igwirizane ndi pamwamba pa khosi lachiberekero, ndipo mbaleyo imamangiriridwa ku fupa ndi zomangira. Izi zimapereka chithandizo chokhazikika komanso chitetezo cha msana wa khomo lachiberekero kwa nthawi yaitali pambuyo pa opaleshoni ndikuletsa kuvulala kwina chifukwa cha kayendetsedwe ka mutu ndi khosi. Kugwiritsiridwa ntchito kwa mbale zam'mimba zam'mimba zakhala chithandizo chodziwika bwino cha kuvulala kwa zigoba za msana wa chiberekero, kuphatikizapo kuphulika kwa chiberekero ndi kusokonezeka.
Kuonjezera apo, mbale zam'mimba zam'mimba zingagwiritsidwe ntchito pochita opaleshoni pofuna kuchiza matenda a msana wa chiberekero, monga cervical disc herniation ndi khomo lachiberekero osteophytes. Pa opaleshoni, dokotala wa opaleshoni akhoza kusankha anterior khomo pachibelekeropo mbale malinga ndi mmene wodwalayo alili kuti akwaniritse kufunika mankhwala zotsatira.
Zinthu za mbale yam'mbuyo ya khomo lachiberekero
Zipinda zam'mimba zam'mimba nthawi zambiri zimapangidwa ndi zitsulo zamphamvu kwambiri kuti zitsimikizire kuti mbalezo zimakhala zolimba komanso zolimba kuti zithandizire bwino komanso kuti zisamayendetse chigoba cha khomo lachiberekero panthawi ya chithandizo cha msana.
Zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo titaniyamu alloy ndi chitsulo chosapanga dzimbiri. Titanium alloy imagwiritsidwa ntchito kwambiri pazida zamankhwala chifukwa cha kulemera kwake komanso kuyanjana ndi biocompatibility. Chitsulo chosapanga dzimbiri, kumbali ina, ndi chinthu chomwe chimagwiritsidwa ntchito kwambiri pama mbale apakhomo achiberekero chifukwa cha mphamvu zake zambiri komanso kulimba kwake.
Posankha zinthu zopangira mbale yapakhomo lachiberekero, madokotala amaganizira momwe wodwalayo alili komanso zosowa za opaleshoni kuti asankhe zinthu zoyenera. Panthawi imodzimodziyo, zipangizo zosiyana zimakhala ndi ubwino ndi zovuta zosiyana, zomwe ziyenera kuganiziridwa mozama. Kawirikawiri, ziribe kanthu kuti ndi zinthu ziti zomwe zimagwiritsidwa ntchito popanga mbale ya khomo lachiberekero, ziyenera kukwaniritsa zofunikira za chipangizo chachipatala kuti zitsimikizire chitetezo ndi kudalirika kwake.
Kugwiritsa ntchito mbale ya khomo lachiberekero
Chipinda chamkati cha khomo lachiberekero ndi chida chodziwika bwino cha opaleshoni chomwe chimagwiritsidwa ntchito pochiza kuphulika kwa chiberekero, kusokonezeka kapena kuvulala kwina kwa chigoba.
1. Kukonzekera kusanachitike opaleshoni: Wodwala adzafunika kulandira anesthesia wamba, malo opangira opaleshoni adzatsekedwa, ndipo gulu la opaleshoni lidzafunika kukonzekera zida zopangira opaleshoni.
2. Kukonzekera kwa njira ya khomo lachiberekero: Kuwombera kumapangidwira pamalo opangira opaleshoni kuti awonetse khungu ndi minofu ndikutsegula njira yapakhomo.
3. Kuyika kwa mbale yapambuyo ya chiberekero: Malingana ndi momwe wodwalayo alili, dokotalayo adzasankha mbale yoyenera ya chiberekero cha chiberekero ndikuyikonza kumbali ya msana wa chiberekero, pokhudzana ndi pamwamba pa chiberekero cha chiberekero. Mbaleyi imamangiriridwa ku fupa ndi zomangira kuti zisungidwe kukhazikika kwa msana wa khomo lachiberekero.
4. Kusamalira pambuyo pa opaleshoni: Pambuyo pa opaleshoniyo, dokotalayo adzayang'ana kukonza kwa mbale yapakhomo ya chiberekero ndikuchita kasamalidwe koyenera. Odwala adzafunika chithandizo pambuyo pa opaleshoni moyang'aniridwa ndi dokotala komanso maulendo obwerezabwereza kuti atsimikizire kuti khomo lachiberekero lichira.
Ndikofunika kuzindikira kuti mbale yam'mbuyo ya chiberekero ndi chida chopangira opaleshoni ndipo imayenera kuchitidwa ndi dokotala wa opaleshoni yapadera kuti atsimikizire chitetezo ndi mphamvu ya njirayi. Odwala ayenera kuonana ndi dokotala posankha chithandizo cha opaleshoni ndi kupanga zisankho malinga ndi momwe alili.
Kuchira nthawi ya anterior khomo lachiberekero mbale opaleshoni
Nthawi yochira pambuyo pa opaleshoni yam'mbuyo ya khomo lachiberekero imasiyanasiyana kuchokera kwa munthu ndi munthu komanso kuyambira masabata angapo mpaka miyezi ingapo. Zotsatirazi ndizofotokozera zambiri za nthawi yochira.
1. 1-2 masabata pambuyo pa opaleshoni: Panthawiyi, odwala amafunika kupuma, kupewa kuchita zinthu mopitirira muyeso komanso kusunga khosi losasunthika. Panthawi imeneyi, wodwalayo angafunikire kuvala khosi la khosi kuti athandize kusokoneza khosi komanso kuchepetsa ululu ndi kusamva bwino.
2. Masabata a 2-4 pambuyo pogwira ntchito: Panthawiyi, odwala amatha kubwerera pang'onopang'ono kuntchito zawo za tsiku ndi tsiku, koma adzafunika kupewa ntchito zolemetsa komanso kuchotsa kulemera kwakukulu. Odwala adzafunika kukonzanso nthawi zonse kuti athandize kubwezeretsa ntchito ya minofu ya khosi ndi ziwalo.
3. Miyezi 1-3 pambuyo pa opaleshoni: Panthawiyi, odwala ayenera kumvetsera chitetezo cha khosi ndikupewa zotsatira zachiwawa pakhosi. Dokotala adzakonza zoyenera zolimbitsa thupi ndi maphunziro okonzanso malinga ndi momwe wodwalayo alili.
4. Pakadutsa miyezi 3 pambuyo pa opaleshoni: Panthawiyi, wodwalayo amatha kubwerera pang'onopang'ono ku mlingo wa ntchito za tsiku ndi tsiku, koma ayenera kutsatira malangizo a dokotala ndikupewa kukhala nthawi yaitali pa malo omwewo kapena kuchita masewera olimbitsa thupi.
Ndikofunika kuzindikira kuti njira yochira pambuyo pa opaleshoni ya khomo lachiberekero iyenera kuyang'aniridwa payekha malinga ndi momwe wodwalayo alili. Kutalika kwa nthawi yobwezeretsa pambuyo pa opaleshoni komanso zotsatira zake zingakhudzidwenso ndi msinkhu wa wodwalayo, chikhalidwe cha thupi, njira yopangira opaleshoni, kukonzanso pambuyo pa opaleshoni ndi zinthu zina, choncho, odwala ayenera kutsatira malangizo a dokotala kuti azichita masewera olimbitsa thupi moyenera komanso tcheru ku chitetezo cha khosi.
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