Sauya Half na Rukunin Ball-da-Socket
Haɗin gwiwa na kwakwalwa shi ne haɗin gwal-da-socket. Ball shine saman kashin hannu (jigon humerus), kuma soket (glenoid fossa) yana cikin ɓangaren kafar (scapula). Haɗin gwiwa na haɗin gwiwa haɗuwa ne mai ban mamaki domin yana ba da damar haɓaka fiye da kowane haɗin gwiwa a jikin. Yayinda kafaɗun kafada yana da matsalolin, ciki har da ciwon maganin ƙwaƙwalwa da ƙyama, duka ciwo da nakasa na iya faruwa.
Akwai lokuta da dama waɗanda zasu buƙaci duk ko ɓangaren kafada don maye gurbin. Mafi yawancin maganganun yatsun kafa ne . Arthritis zai iya haifar da suturar sutura mai yatsa na haɗin gwiwa don yayatawa, yaduwar kashi. Hanya arthritis sau da yawa yana jin zafi kuma yana ƙaddamar da aikin kafada. Sauran dalilai na musamman don maye gurbin kafada shine ƙetare kafada . Sau da yawa lokacin da kasusuwa a kusa da haɗin gwiwa ya karya, mafi kyawun zaɓi shine maye gurbin, maimakon kokarin gyara ƙashi. Wannan shi ne ainihin gaskiya lokacin da raunin yana cikin ƙananan matuka kuma a cikin marasa lafiya.
Hanya Hemiarthroplasty
Ƙafaɗɗun maganin kafa ɗaya yana daga cikin zaɓin da za a yi la'akari a lokacin da ake kula da waɗannan yanayi. Tabbatar da zaɓi mafi kyau zai dogara da dalilai masu yawa, ciki har da ganewar asali, kwanakin mai haƙuri, da kuma ayyukan da mai haƙuri ke so ya iya yin.
Halin da ke cikin hemiarthroplasty yana maye gurbin rabi na haɗin gwiwa.
Kalmar arthroplasty na nufin maye gurbin haɗin gwiwa, kuma ta ƙara hemi, wannan na nufin yin rabin rabon. Wasu mutane ma sun bayyana tiyata a matsayin matsayi mai sauƙi na kafada.
Zaɓuka Zɓk
Akwai zaɓuɓɓuka da yawa don la'akari da lokacin maye gurbin kafada.
- Ƙidaya Hanya Sauyawa
Ana maye gurbin cikakkiyar maye gurbin kafada don maganin arthritis mai tsanani na haɗin gwiwa. Wasu likitocin jinya suna jin kunya daga yin maye gurbin kullun, kamar yadda samun sutura don yin aiki da kyau kuma yana da wuyar lokaci yana da wuya. Wadannan likitoci na iya zaɓi su yi hemiarthroplasty, tare da fatan samar da wani sakamako mai mahimmanci. A gefe guda kuma, likitocin likita wadanda suka yarda da takaicin kafada suna da'awar cewa kawai kuna magance wani ɓangare na matsala ta hanyar maye gurbin kwallon, kuma sakamakon ba zai yiwu ba.
- Gyara Kashi Gyara
Sauya sake maye gurbin shi ne sabon tsarin da ake amfani dasu don magance matsalar matsala da ake kira jujjuya mai juyayi . Wannan matsala tana faruwa idan akwai ƙwaƙwalwar ƙwaƙwalwar ƙafa kazalika da mai juyayi rotator . An tsara kowane jigon kafada wanda aka tsara don aiki tare da rotator cuff na al'ada kuma zai iya haifar da matsaloli ba tare da mai kyau rotator cuff ba. An tsara maye gurbin gurbin baya don wannan batun. - Hanya Hemiarthroplasty
Magungunan maganin kafada ya fi sau daya akan daya daga dalilai guda uku. Na farko shine ƙafar arthritic inda sutura ba ta cikin mummunar yanayin ba, amma ball yana buƙatar maye gurbin. Na biyu shi ne a cikin rotator cuff hawaye arthropathy, inda duka zai maye gurbin zai iya kasa a kan lokaci. Ƙarshe, ƙananan ƙwayar ciwon takurmin ƙwayar ƙanƙara ne, inda akwai mummunan lalacewa don gyara ball, amma kwas ɗin bai lalace ba.
Hemiarthroplasty Tiyata
Sassan ɓangaren kafaɗun fallowthroplasty sunyi kama da rabi na maye gurbin kafada. Akwai bambanci daban-daban da kuma nau'ikan alamomin, amma duk suna aiki daidai. An saka tushe na implant a cikin ɓarna na tsakiya. Ana iya yin ta a wuri ta wurin kasancewa a ciki ko a ɗauka a matsayi.
Wasan yana a haɗe a saman tushe.
Amfanin hemiarthroplasty lokacin da aka kwatanta da saukewar kafada daya ya haɗa da tiyata da ba tare da haɗari ba tare da hadarin matsaloli tare da sutura artificial. Rashin hasara shi ne cewa idan sutura mai sawa ya ci gaba da ciwo a kafadar, zane na biyu zai iya zama dole don juyawa zuwa juyawa na juyawa. Hanyoyin da ke faruwa a cikin kafuwa sun hada da kamuwa da cuta, ciwo na naman, rarrabawar kafada, da ciwo mai tsanani.
Sources:
Wiater JM da Fabing MH. "Hanyoyin Arthroplasty: Ra'ayoyin Harkokin Kwayoyi da Bayyanawa" J Am Acad Orthop Surg Yuli 2009; 17: 415-425.