Kudzorerwa kwemabvi akabatanidzwa ndiyo nzira yemapfupa inokubvumira kuti uwanezve nhengo dzebasa rakarasikirwa nekuda kwezvirwere zvakasiyana-siyana kana zvinokanganisa. Uyewo, nokuda kwekushanda uku, varwere vanodzinga zviratidzo zvinorwadza:
- kurwadziwa mumabvi panguva yekufamba kana kuonekwa apo pachinenge kuchinja mamiriro okunze;
- lameness;
- kukanganisa kwekufamba mumabvi akabatanidzwa, nezvimwewo.
Ndivanaani vari kuratidza mabvi panzvimbo yavo?
Kuita basa rekugadzirisa mabvi pamwe chete kunogona kukurudzirwa mune zvinotevera:
- ankylosing spondylitis ;
- rheumatoid arthritis;
- osteoarthrosis yemabvi akabatanidzwa nekunetseka kurwadziwa kweropa;
- zvirwere zvinotapukira zvinokonzera mashizha ekugadzira;
- kukundwa kwemakumbo echikadzi;
- bhandi pamwe chete kukuvara, nezvimwewo.
Kazhinji, kupindira kwokuvhiya kunoshandiswa kune nzira dzinogadziriswa dzokurapa (kushandiswa kwemishonga, physiotherapy nzira, nezvimwewo) hazviwani nemigumisiro yakanaka.
Kugadzirira kugadzirirwa kushandiswa kwemabvi
Pamberi pemabasa kuti aone kuwanda kwekukuvadza pamabvi akabatanidzwa, zvinotevera zvirongwa zvinokurudzirwa:
- Roentgenography yemabvi akabatanidza - X-ray yemubatanidzwa inowanikwa muzviverengero zvakawanda.
- Arthroscopy ndiyo nzira yemazuva ano iyo inokubvumira kuwana ruzivo rwakakwana pamusoro pemamiriro ekubatana. Iyi nzira inoparadza uye inoshandiswa pasi peanesthesia yemunharaunda kuburikidza nekuisa mukati mekupedzisira kwekufungidzirwa kuburikidza nediki kudonhedzwa muchikamu chekubatana.
Kusarudzwa kwemafuro emabvi kunoshandiswa uchishandisa kombiyuta yakakosha.
Zvisarudzo zvekushandurwa kwemabvi kunzvimbo
Kune miviri miviri mikuru yekupindira kwekupindira kunotsiva kubatanidzwa mumabvi:
- Kushandurwa kwakakwana kwemabvi ekubatanidza ndiyo inowanzoshandiswa, iyo maviri maviri ejoina anotsiviwa nemapapiro. Anterior incision yemabvi inogadzirwa, bhupapap inomuka, uye migumo yakagadzirirwa yevakadzi ne shank inocheneswa. Mushure mekuisa hutachiona uye kutarisa kushanda kwaro, vanga racho rakavharwa nezvisungo kana zvikamu zvakakosha uye bhanhire rinoshandiswa. Mune zvimwe zviitiko, kuchengetedza kusagadzikana kwerutsoka, kunogadziriswa.
- Kushandurwa kwemafuro akabatanidzwa kunoshandiswa kwevhesi duku, iyo inoitwa kana mumwe munhu zvikamu zvekubatana zvakuvadzwa, kana mitsetse yacho isingaiti. Mukushanda uku, dhipatimendi rimwe chete rinotsiviwa.
Kuvhima kunoitwa pasi peanesthesia. Kune mhando dzakawanda dzehupfees: dzine zvigadziriswa kana zvigadziriswa pombi, plastiki nesimbi, nezvimwewo. Zvizhinji zvavo zvakagadzirirwa hupenyu hwemakore anenge gumi.
Kuvhiya kunotsiva meniscus pamabvi akabatanidzwa kunogonawo - mune imwe nguva iyo kubvambura hakubvumirwi.
Nguva yekudzorera shure mushure mamabvi
Sezvo mutemo, mushure mokushanda murwere anogona kukwira patsoka dzake pazuva rechipiri. Munguva yekudzorera nguva mushure mekugadziriswa kwemabvi akabatanidzwa, mishonga inotevera inoratidzirwa:
- analgesics;
- anticoagulants ;
- antibiotics;
- immunomodulators.
Uyezve, kugadziriswa shure kwekushandurwa kwemabvi akabatanidzwa kunosanganisira:
- therapeutic gymnastics;
- massage;
- phytotherapy.
Matambudziko mushure mekuchinja kwegumbo
Panguva yekushanda, kune ngozi dzezvinetso zvinotevera:
- utachiona hwekuvadzwa;
- kuputsika kana kuputsika kwefupa kumativi ose eprosthesis;
- kuumbwa kwezvakawanda zvishoma zvishoma;
- kushanduka kwepa patella;
- kubuda ropa;
- kukanganisa kumigumisiro, nezvimwewo.
Contraindications for knee replacement surgery:
- zvirwere zvepachikafu;
- chirwere chepfungwa, renal kana kupemha kusakwana;
- kuora ropa;
- chirwere cheshuga chakakomba;
- chikamu chikuru che rheumatic process.