Uburyo bwo Kubaga Ivi ryose (Total Knee Arthroplasty)

Ubuvuzi bwose bw'amavi (TKA), izwi kandi nka "total ivi replacement surgery", ni uburyo bugamije gusimbuza icyangiritse cyangwa cyashajeingingo y'ivihamwe nainshinge cyangwa poroteyine y'ubukoranoIbi bikorwa mu rwego rwo kugabanya ububabare no kunoza imikorere y'umubiri ku bantu bafite rubagimpande ikomeye mu ivi, rubagimpande, rubagimpande nyuma y'ihungabana, cyangwa izindi ndwara zigira ingaruka ku ngingo y'ivi.

Dore incamake y'uburyo bwo kubaga bukoreshwa mu gusimbuza ivi burundu:

Isuzuma mbere yo kubagwa: Mbere yo kubagwa, umurwayi akorerwa isuzuma ryimbitse, harimo gusuzuma amateka y’ubuzima bwe, gusuzuma umubiri we, inyigo z’amashusho (nk’amashusho ya X-ray cyangwa MRI), ndetse rimwe na rimwe n’ibipimo by’amaraso. Ibi bifasha itsinda rishinzwe kubaga gusuzuma ubuzima bw’umurwayi muri rusange no gutegura uburyo bwo kumuvura hakurikijwe ibyo azakora.

Anesthesia: Gutera imiti yose yo mu ivi akenshi bikorwa hakoreshejwe anesthesia rusange, anesthesia yo mu mugongo, cyangwa byombi. Guhitamo anesthesia biterwa n'uko umurwayi ahagaze, ibyo akunda, ndetse n'ibyo umuganga wamusabye.

Gukata: Iyo umuganga amaze gutanga ikinya, umuganga ubaga atema igice cy'ivi. Ingano n'aho igice cy'ivi giherereye bishobora gutandukana bitewe n'ibintu nk'imiterere y'umurwayi n'uburyo bwo kubaga bukoreshwa. Ahantu hakunze gukata harimo imbere (imbere), uruhande (uruhande), cyangwa imbere y'ivi (hagati).

Gushyirwa mu kanwa no kwitegura: Nyuma yo kugera ku ngingo y'ivi, umuganga ubaga yitonze akuraho ingingo zikikije kugira ngo agaragaze ubuso bw'ingingo zangiritse. Hanyuma agashishwa n'igufwa byangiritse bikurwa mu igufwa ry'ikibero, mu magufwa y'uruti rw'umugongo, ndetse rimwe na rimwe n'agapfukamunwa k'ivi kugira ngo bitegure gushyirwamo ibice by'inyongera.

Gutera ivi: Ibice by'inyongera bigizwe n'ibyuma na pulasitiki byagenewe kwigana imiterere karemano n'imikorere y'ingingo y'ivi. Ibi bice birimo icyumaigice cy'abagore, icyuma cyangwa pulasitikiigice cy'umugongo, rimwe na rimwe igice cya patellar cya pulasitiki. Ibice bifatanye n'igufwa hakoreshejwe sima y'amagufwa cyangwa hakoreshejwe uburyo bwo gushyiramo ingufu, bitewe n'ubwoko bw'icyuma gishyirwamo ndetse n'ibyo umuganga ubaga akunda.

Gufunga: Iyo ibice by'insimburangingo bimaze gushyirwaho kandi ingingo y'ivi igapimwa kugira ngo harebwe ko ihagaze neza kandi ko igenda neza, umuganga ubaga afunga aho icyuho cyakorewe akoresheje imisumari cyangwa udupira two gufunga. Hashyirwa agapfundikizo kadafite inenge hejuru y'aho icyuho cyakorewe.

Kwita ku burwayi nyuma yo kubagwa: Nyuma yo kubagwa, umurwayi akurikiranirwa hafi mu cyumba cyo gukira mbere yo kwimurirwa mu cyumba cy’ibitaro cyangwa mu kigo cyita ku burwayi nyuma yo kubagwa. Kugabanya ububabare, kuvura umubiri, no kugarura ubuzima ni bimwe mu bintu by’ingenzi muri gahunda yo kwita ku burwayi nyuma yo kubagwa kugira ngo birusheho gukira, kugarura imbaraga n’imikorere y’ivi, no gukumira ingorane.

Uburyo bwo gusimbuza ivi ryose ni uburyo bwiza cyane bushobora kuzamura ubuzima bw'abantu bafite ububabare bukabije bw'ivi n'imikorere mibi. Ariko, kimwe no kubagwa ukundi, hari ibyago n'ingorane zishobora kubaho, harimo kwandura, kuvura amaraso, gucika intege kw'ibinyabutabire, no gukomera. Ni ngombwa ko abarwayi bakurikiza amabwiriza y'umuganga wabo wo kwita ku baganga nyuma yo kubagwa no kugororwa kugira ngo bagere ku musaruro mwiza ushoboka.