Arthroplasty yuzuye ivi (TKA), bizwi kandi no kubaga amavi yose yo kubaga, ni inzira igamije gusimbuza ibyangiritse cyangwa byambarwaivihamwe nagushiramo ibihimbano cyangwa prothèse. Bikunze gukorwa kugirango bigabanye ububabare no kunoza imikorere kubantu barwaye rubagimpande zikomeye, rubagimpande ya rubagimpande, arthrite nyuma y’ihungabana, cyangwa ibindi bintu bigira ingaruka ku ivi.
Dore incamake yuburyo bwo kubaga bugira uruhare mu mavi yose:
Isuzumabumenyi mbere yo kubaga: Mbere yo kubagwa, umurwayi akora isuzuma ryuzuye, harimo gusuzuma amateka y’ubuvuzi, kwisuzumisha ku mubiri, ubushakashatsi bwerekana amashusho (nka X-ray cyangwa MRI), ndetse rimwe na rimwe bipimisha amaraso. Ibi bifasha itsinda ryo kubaga gusuzuma ubuzima bwumurwayi muri rusange no gutegura uburyo bukurikije.
Anesthesia: Arthroplasti yivi yuzuye ikorwa mubisanzwe anesthesia rusange, anesthesia yumugongo, cyangwa guhuza byombi. Guhitamo anesthesia biterwa nubuzima bwumurwayi, ibyo akunda, hamwe n’ibyifuzo byo kubaga.
Gucibwa: Anesthesia imaze gutangwa, umuganga ubaga akora igisebe hejuru y'amavi. Ingano n’aho biherereye birashobora gutandukana bitewe nimpamvu nka anatomiya yumurwayi nuburyo bwo kubaga bwakoreshejwe. Imbuga zisanzwe zirimo imbere (imbere), kuruhande (kuruhande), cyangwa imbere yivi (hagati).
Kumenyekanisha no Gutegura: Nyuma yo kugera ku ivi, umuganga abaga yitonze yitonze ku ngingo ziyikikije kugira ngo agaragaze ubuso bwangiritse. Indwara ya karitsiye n'amagufwa byangiritse noneho bivanwa muri femur (igufwa ryibibero), tibia (igufwa rya shin), ndetse rimwe na rimwe patella (ivi) kugirango ibategure gushyira ibice bya prostate.
Kwimura: Ibikoresho bya prostate bigizwe nibyuma na plastike bigenewe kwigana imiterere karemano n'imikorere y'amavi. Ibi bice birimo icyumaibigize igitsina gore, icyuma cyangwa plastikiIbice bigize tibial, kandi rimwe na rimwe ibice bya plastiki. Ibigize bikingirwa kumagufwa ukoresheje sima yamagufwa cyangwa nubuhanga bukwiye, bitewe nubwoko bwatewe kandi ibyo abaganga bakunda.
Gufunga: Ibigize prothètique bimaze gushyirwaho kandi ingingo yo mu ivi ikageragezwa kugirango ituze kandi igende neza, umuganga ubaga arafunga igisebe hamwe na suture. Imyambarire idasanzwe ikoreshwa hejuru yikibanza.
Ubuvuzi nyuma yo kubagwa: Nyuma yo kubagwa, umurwayi akurikiranirwa hafi aho akira mbere yo kwimurirwa mu cyumba cy’ibitaro cyangwa mu kigo cyita ku barwayi nyuma yo kubagwa. Gucunga ububabare, kuvura umubiri, hamwe no gusubiza mu buzima busanzwe ni ibintu by'ingenzi bigize gahunda yo kwita ku barwayi nyuma yo kubaga kugira ngo biteze imbere gukira, kugarura imbaraga n'imivi, no kwirinda ingorane.
Indwara ya arthroplasti yuzuye ni uburyo bwatsinze cyane bushobora kuzamura imibereho yubuzima kubantu barwaye ububabare bwo mu ivi no kudakora neza. Nubwo bimeze bityo ariko, kimwe no kubagwa kwose, hari ingaruka n'ingaruka zishobora kubaho, harimo kwandura, gutembera kw'amaraso, kurekurwa kwatewe, no gukomera. Ni ngombwa ko abarwayi bakurikiza amabwiriza yabaganga yo kubaga nyuma yo kubagwa no gusubiza mu buzima busanzwe kugira ngo bagere ku musaruro mwiza ushoboka.
Igihe cyo kohereza: Gicurasi-17-2024