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Ibikomere bya Cranial cruciate ligament (CCL) nikimwe mubibazo bikunze kugaragara mu mbwa. Nubwo imicungire y’ibidukikije ishobora kuba ingirakamaro, akenshi kubaga kubaga birasabwa kugarura imikorere isanzwe yingingo no gukumira indwara ya osteoarthritis ya kabiri. Uburyo bwa Tibial Plateau Leveling Osteotomy (TPLO) nubuhanga bwashyizweho neza bwo kubaga bukoreshwa mugukemura ibikomere bya CCL mu mbwa. Muri iki kiganiro, tuzasuzuma uburyo bwa TPLO nuruhare rwicyapa cya TPLO mukworohereza gukira no gukira neza.
Cranial cruciate ligament (CCL) ni ligamenti ikomeye ituza ihuza igitsina gore (igufwa ryibibero) na tibia (igufwa rya shin) mumaguru yinyuma yimbwa. Irashinzwe kugenzura imigendekere yimbere ya tibia mugihe cyo kwikorera ibiro no gukumira kuzenguruka cyane imbere kwa tibia mugihe cyibikorwa.
Imvune za CCL zirashobora kubaho nkigikorwa kimwe cyakubabaje cyangwa nkigikorwa cyo kwangirika buhoro buhoro. Ubwoko bumwe na bumwe, nka Labrador Retrievers, Retrievers ya Zahabu, na Rottweilers, bahitanwa n’imvune za CCL kubera ihinduka ry’ingingo zabo. Ibindi bintu bishobora kongera ibyago byo gukomeretsa CCL harimo umubyibuho ukabije, kumererwa nabi kumubiri, nimirire idahagije.
Uburyo bwa Tibial Plateau Urwego Osteotomy (TPLO) burimo gukora gukata kugoramye hejuru ya tibia no kuzenguruka ikibaya kugera kurwego rwo hejuru. Ibi bihindura ibinyabuzima byahujwe kandi bikuraho ibikenewe CCL. Ikibaya kizunguruka noneho gihagarikwa hifashishijwe icyuma cya TPLO, cyiziritse kumagufwa ukoresheje imigozi.
Isahani ya TPLO ikora kugirango ihagarike ikibaya cya tibial kizunguruka kandi ikirinde gusubira inyuma muburyo bwa mbere. Isahani ihujwe no guhuza imiterere ya tibial plateau kandi iraboneka mubunini butandukanye kugirango yakire ubunini butandukanye bw'abarwayi. Isahani ikozwe mubyuma byujuje ubuziranenge cyangwa ibyuma bya titanium, bitanga imbaraga nziza kandi biramba.
Uburyo bwa TPLO butanga inyungu nyinshi kurenza ubundi buhanga bwo kubaga ibikomere bya CCL. Kuberako inzira ikuraho ibikenewe kuri CCL, ntabwo ikurikiza igipimo kimwe cyo gutsindwa nkubundi buryo. Byongeye kandi, inzira ya TPLO itanga uburyo bwihuse bwo gusubira mumikorere kandi ifite ibyago bike byo guhura nibibazo.
Gukira nyuma yo kubagwa kwa TPLO mubisanzwe bikubiyemo ibyumweru byinshi byibikorwa byo kubuza no kuvura umubiri. Imbwa nyinshi zirashobora gusubira mubikorwa bisanzwe mugihe cyamezi atatu cyangwa ane nyuma yo kubagwa, nubwo ibi bishobora gutandukana bitewe nuburemere bwimvune hamwe nimbwa kugiti cye.
Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zishobora kuvuka zijyanye no kubaga TPLO. Izi ngaruka zishobora kubamo kwandura, kunanirwa guterwa, no gukira bidakwiye. Ariko, hamwe no guhitamo neza abarwayi hamwe nubuhanga bwo kubaga, ibyago byingaruka birashobora kugabanuka.
Niba imbwa yawe yarasuzumwe ibikomere bya CCL, ni ngombwa kugisha inama umuganga w’ubuvuzi bw’amatungo kugira ngo umenye inzira nziza yo kuvura. Icyemezo cyo gukomeza kubaga TPLO kigomba gushingira ku bintu bitandukanye, birimo ubukana bw’imvune, imyaka n’ubuzima rusange bw’imbwa, hamwe n’ubushobozi bwa nyirubwite bwo gutanga ubuvuzi bukenewe nyuma yo kubagwa no gusubiza mu buzima busanzwe.
Mugihe cyo kubaga TPLO, imbwa yawe izaba iri muri anesthesia muri rusange kandi ikurikiranwe neza nitsinda ryabaganga. Umuganga ubaga azakora uduce duto mu ruhu hejuru ya tibial plateau kandi akoreshe ibikoresho kabuhariwe kugirango agabanye ibikenewe kandi azenguruke ikibanza ahabigenewe. Isahani ya TPLO izahita ifatirwa kumagufwa ukoresheje imigozi, hanyuma gutema bizafungwa hamwe na suture.
Nyuma yo kubagwa kwa TPLO, ni ngombwa gukurikiranira hafi amabwiriza yubuvuzi bwamatungo nyuma yubuvuzi. Ibi birashobora kubamo ibikorwa bibujijwe, kuvura kumubiri, hamwe nubuvuzi bwo gucunga ububabare no gutwikwa. Gutanga ahantu heza kandi hizewe ho gukira, nkigisanduku cyangwa ahantu hafungiwe, birashobora kandi gufasha guteza imbere gukira no kwirinda izindi nkomere.
Kumenyekanisha igihe kirekire kubwa mbwa zibagwa TPLO muri rusange nibyiza. Imbwa nyinshi zirashobora gusubira mubikorwa bisanzwe kandi byahinduye imikorere ihuriweho nyuma yo kubagwa. Nyamara, ni ngombwa kugumana ibiro bizima no gutanga ubufasha buhoraho, nkinyongera cyangwa ubuvuzi busanzwe bwumubiri, kugirango ugabanye ingaruka ziterwa nibibazo bizaza.
Ibiciro byo kubaga TPLO birashobora gutandukana cyane bitewe nimpamvu nyinshi, zirimo aho ivuriro ryamatungo riherereye, ingano n’ubwoko bw’imbwa, n’uburemere bw’imvune. Ugereranije, kubaga TPLO birashobora kugura ahantu hose kuva $ 2,500 kugeza $ 6.000 cyangwa arenga.
Politiki nyinshi yubwishingizi bwamatungo ikubiyemo kubaga TPLO, nubwo ari ngombwa gusuzuma witonze politiki kugirango wumve imipaka yubwishingizi hamwe nibitagenda neza. Politiki zimwe zishobora gusaba igihe cyo gutegereza mbere yuko ubwishingizi butangira gukurikizwa, ni ngombwa rero guteganya mbere no kwemeza ko imbwa yawe ifite ubwishingizi bukwiye mbere yuko ibikomere byose bibaho.
Mugihe inzira ya TPLO ari bumwe muburyo bukoreshwa muburyo bwo kubaga CCL, ubundi buryo burashobora kuboneka bitewe nimbwa kugiti cye hamwe nuburemere bwimvune. Ibi birashobora kubamo gusana ibintu bidasanzwe, gusana kuruhande, cyangwa gutera imbere kwa tibial.
Nubwo ibikomere byose bya CCL bidashobora kwirindwa, hari intambwe nyinshi ba nyirubwite bashobora gutera kugirango bagabanye ibyago byo gukomeretsa. Kugumana uburemere buzira umuze, gutanga imyitozo ngororamubiri no gutunganya umubiri, no guhaza imirire ihagije byose birashobora gufasha guhuza ingingo yimbwa yawe ubuzima bwiza no kugabanya ibyago byo gukomeretsa. Byongeye kandi, kwirinda ibikorwa-bigira ingaruka zikomeye nko gusimbuka cyangwa kwiruka cyane hejuru yimiterere ikomeye birashobora no gufasha gukumira ibikomere bya CCL.
Mu gusoza, inzira ya TPLO nubuhanga bwashyizweho bwo kubaga uburyo bwo gukemura ibikomere bya cranial cruciate ligament imbwa. Gukoresha isahani ya TPLO ikora kugirango ihagarike ikibaya cya tibial kizunguruka kandi itume gukira no gukira neza. Mugihe hari ingaruka zijyanye nuburyo ubwo aribwo bwose bwo kubaga, hamwe no gutoranya abarwayi neza no kuvurwa nyuma yubuvuzi, inzira ya TPLO irashobora gutanga ibimenyetso byiza byigihe kirekire kubwa imbwa.
Ibibazo