Hafi ya Medial Tibial Osteotomy Ifunga Isahani: Ubuyobozi Bwuzuye
Nuburyo bwo kubaga bugamije kugabanya ububabare bwo mu ivi, hafi ya tibial osteotomy yo hagati ya medial (PMTO) nuburyo bukunzwe kubafite osteoarthritis. Ubu buryo bukubiyemo gukata bikozwe mu gice cyo hejuru cyamagufwa ya tibia hanyuma ugahindura igufwa kugirango ugabanye umuvuduko kumavi. Gukoresha isahani yo gufunga muri ubu buryo byabaye byinshi, bitewe nibyiza byinshi kurenza ubundi buryo bwo kubaga.
Muri iki kiganiro, tuzaganira ku ikoreshwa rya tibial osteotomy yo hagati ya tibial osteotomy ifunga isahani, inyungu zayo, nuburyo bukoreshwa mubikorwa byayo.
Niki Gufunga Isahani ya Tibial Osteotomy?
Icyuma gifunga hafi ya tibial osteotomy ifunga isahani nigikoresho cyo kubaga gikoreshwa muguhagarika igufwa rya tibia nyuma yuburyo bwa PMTO. Isahani isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingese kandi yagenewe guhuza igufwa ukoresheje imigozi. Uburyo bwo gufunga isahani butuma igufwa rikomera cyane, ritera gukira kandi ritanga ituze rirambye kumubiri.
Inyungu za Proximal Medial Tibial Osteotomy Ifunga Isahani
Gukoresha isahani yo gufunga mugihe cya PMTO itanga inyungu nyinshi, harimo:
Kongera umutekano: Uburyo bwo gufunga isahani butanga umusingi uhamye kugirango igufwa rikire, bigabanye ibyago byingaruka kandi byongere amahirwe yo gutsinda.
Kugabanya igihe cyo gukira: Kuberako isahani itanga inkunga yinyongera kumagufa, igihe cyo gukira mubisanzwe ni kigufi ugereranije nubundi buryo bwo kubaga.
Ibyago byo kwandura: Gukoresha isahani ifunga bigabanya ibyago byo kwandura kuko imigozi ikoreshwa mu kuyihuza n'amagufwa ntabwo yinjira mu ruhu.
Inkovu ntoya: Gukoresha isahani yo gufunga bivamo inkovu nkeya kuko gutemwa byakozwe mugihe gito.
Inzira yo hagati ya Tibial Osteotomy Ifunga Isahani
Gahunda yo gufunga isahani ya PMTO isanzwe ikorwa nu muganga ubaga amagufwa kandi ikubiyemo intambwe zikurikira:
Intambwe ya 1: Anesthesia
Umurwayi ahabwa anesthesia muri rusange kugirango amenye neza muri gahunda zose.
Intambwe ya 2: Gucibwa
Umuganga ubaga akora agace gato imbere yivi kugirango agere kumagufa ya tibia.
Intambwe ya 3: Osteotomy
Umuganga abaga akoresha ibiti byo gukata mu gice cyo hejuru cy'amagufwa ya tibia. Igufwa noneho ryakozwe kugirango rigabanye umuvuduko ku ivi.
Intambwe ya 4: Gusaba isahani
Umuganga abaga yometse ku isahani yo gufunga igufwa rya tibia akoresheje imigozi. Isahani ishyirwa imbere yamagufa kugirango wirinde kurakara uruhu.
Intambwe ya 5: Gufunga
Gutemagura bifunze ubudodo, kandi igitambaro gishyirwa kumavi.
Gukira kuva muri Proximal Medial Tibial Osteotomy Ifunga Icyapa
Gukira muburyo bwa PMTO bwo gufunga ibyapa mubisanzwe bifata ibyumweru 6 kugeza 8. Muri iki gihe, umurwayi agomba kwirinda gushyira uburemere ku ivi ryanduye kandi agakoresha inkoni kugirango azenguruke. Ubuvuzi bwumubiri burasabwa kandi gufasha muburyo bwo gukira no kunoza urwego rwimitsi ivi.
Ingaruka zishobora kubaho n'ingorane
Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zishobora guterwa ningaruka zijyanye na PMTO yo gufunga ibyapa, harimo:
Ni ngombwa kuganira kuri izi ngaruka hamwe na muganga wawe ubaga amagufwa mbere yo kubikora.
Ibibazo
Isahani yo gufunga PMTO niyo nzira yonyine yo kuvura ivi osteoarthritis?
Oya, hariho ubundi buryo bwinshi bwo kubaga amavi osteoarthritis, harimo kubaga ivi no kubaga arthroscopie. Ni ngombwa kuganira kumahitamo yose hamwe na orthopedic umuganga wawe wo kubaga kugirango umenye amahitamo meza kuri wewe.
Ese uburyo bwo gufunga isahani ya PMTO burababaza?
Abenshi mu barwayi bafite ububabare no kutamererwa neza nyuma yo kubikora, ariko ibyo birashobora gukemurwa n'imiti y'ububabare yagenwe na muganga wawe.
Nshobora gusubukura ibikorwa bisanzwe nyuma yuburyo bwa PMTO bwo gufunga?
Ni ngombwa gukurikiza amabwiriza yo kubaga kubijyanye nurwego rwibikorwa nyuma yuburyo bukurikira. Urashobora kugirwa inama yo kwirinda ibikorwa bimwe na bimwe mugihe runaka kugirango wemererwe gukira neza.
Bifata igihe kingana iki kugirango ukire byimazeyo uburyo bwo gufunga PMTO?
Igihe cyuzuye cyo gukira kirashobora gutandukana bitewe nibintu byinshi, harimo imyaka yumurwayi, ubuzima muri rusange, hamwe nuburyo bigenda. Muri rusange, bifata ibyumweru 6 kugeza 8 kugirango igufwa rikire neza, ariko birashobora gufata igihe kirekire kugirango ugarure urwego rwose rwimitsi ivi. Ubuvuzi bwumubiri burashobora gufasha kwihutisha inzira yo gukira.
Umwanzuro
Isahani yo gufunga hafi ya tibial osteotomy ifunga isahani nigikoresho cyiza cyo kubaga abafite uburwayi bwa osteoarthritis. Imikoreshereze yiyi sahani itanga inyungu nyinshi, zirimo kongera umutekano, kugabanya igihe cyo gukira, hamwe ninkovu nkeya. Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hashobora kubaho ingaruka n'ingorane, ariko hamwe no kubitaho neza no kubikurikirana, abarwayi benshi bafite umusaruro ushimishije. Niba utekereza uburyo bwo gufunga isahani ya PMTO, ni ngombwa kuganira ku mahitamo yose hamwe n’ingaruka zishobora kubaho hamwe n’umuganga ubaga amagufwa kugira ngo umenye niba ari amahitamo meza kuri wewe.
