Kamfanin Lnarment na Farko na Kamfanin Ulnar (UCLR)
Kamfanin Lnarment na Kamfanin Ulnar Gyara, ko UCLR, an fi sani da shi a matsayin aikin tiyata Tommy John. Hanyar da ake yi don gyara lagament da aka lalata a gwiwar hannu da ake kira ligament na liyafa na ulnar (wasu suna amfani da kalmar ligament ta tsakiya). Wannan raunin yakan sa kullun yayi jin dadi kuma yana buƙatar farfadowa na jiki. Idan raunin ba ya amsa maganin jiki, tiyata shi ne yawanci wanda ake la'akari da shi.
Shawararren liyafa na 'yan ta'addancin na Kalnar suna da mahimmanci a cikin' yan wasa masu tayar da hankali kamar 'yan wasan kwallon baseball. Ayyukan jingina suna sanya matakan damuwa a kan gwiwar hannu, yin rauni ga yankin mafi kusantar da sauran wasanni. Ga 'yan wasan da yawa, aikin tiyata na Tommy John na iya mayar da cikakken aikin kuma ga wasu, za'a iya dawowa duka.
Ga wasu marasa lafiya, ba a yi tiyata ba don ba da damar su ci gaba da yin aiki a matsayin mai ba da wasa, amma don rage alamun cututtuka na ciwo-mafi yawan ciwo da hannu a hannun hannu.
Kamfanin Lnarment na Kamfanin Ulnar
Ƙungiyar haɗin gwaninta na ulnar wani nau'i ne mai nau'i mai kama da karfi mai laushi. Yana aiki tare da ligament da ke kan gaba don tabbatarwa da karfafa ƙarfin kafa. Ligara zai iya ji rauni ta hanyar tayarwa, da shimfiɗawa da rarrabawa. Rushewar raunin da ya faru, inda lagament ya lalace ta hanyar motsa jiki, yana daga cikin batutuwa masu mahimmanci ta hanyar ligament.
Me yasa aka kira shi Tommy John Tiyata?
Tommy John dan wasa ne mai kwarewa ga Los Angeles Dodgers. A shekara ta 1974 ya lalata haɗin gwiwar shi na farko, wanda aka dauka ya zama rauni don cinikin sana'a. Yahaya, duk da haka, ya zaɓa don yin wani tsari wanda yake gwaji a wancan lokacin, ya maye gurbin ligament da aka ji rauni tare da kashin daga hannunsa.
Da rashin tsammanin cewa zai iya sake dawowa, Tommy John ya amince da Dokta Frank Jobe ya yi aikin. Sa'an nan kuma ya dauki ragowar 1974, sa'an nan kuma kakar wasan kwallon base na 1975 don sake gyara hannunsa. Sakamakon ƙarshen yuwuwar juyin juya hali-Yahaya ya kafa har zuwa shekara ta 1989-kuma hanyar da aka sani yanzu shi ne tiyata Tommy John.
Hanyar
An yi aikin tiyata na Tommy John a karkashin wariyar launin fata ta hanyar likitan likitancin likita. Da zarar an yi haɗari da kututture kuma an yi amfani da ciwon maganin rigakafi, aikin zai fara ne tare da haɗuwa a cikin farfajiya na gwiwoyi, ta hanyar da aka cire lagament da lalacewa. Hanyar yana da ƙananan haɗari , sabili da haka, haɗarin yana ƙananan, kamar yadda aka yi hanya ta amfani da laparoscope.
Idan ana buƙatar gyara, ana amfani da wannan ƙananan haɗin don saka kaya a cikin unguwar haɗin kuma gyara ligament mai tsage. Idan an buƙata sake ginawa, an yi ƙarin gyare-gyare, sau da yawa a kan gaba da baya, don sake farfaɗo daga ɗayan jikin jiki ba tare da jin dadi ba. Duk da yake gabanin yana da zabi na musamman, wasu shafukan yanar gizon sun hada da babba da ƙananan kafa. Mafi mahimmanci, ana iya amfani da tendon mai bayarwa a maimakon gwargwadon hankalin mai haƙuri.
Da zarar an samo sashin gyaran kafa, an sanya shi a matsayin wuri don maye gurbin ligament na cire ulnar. Ga wasu marasa lafiya da ke fuskantar alamun cututtuka da ƙuƙwalwa a hannun, za a iya motsa jijiyar jinin dan kadan don taimakawa sake dawowa.
Risks
Bugu da ƙari, irin hadarin da ke tattare da tiyata da kuma hadarin rashin lafiya , aikin tiyata Tommy John ya ba da kalubale na musamman ga mai haƙuri. Ga wasu, neuropathy, ko kuma rashin ciwon sikila, za su iya barin abin da ya shafa, tingling da / ko rauni. Wannan yanayin na iya inganta a tsawon lokaci ko kuma yana iya kasancewa har abada ga rauni na farko.
Ga wasu marasa lafiya, rashin sassauci ne sananne bayan tiyata, yayin da wasu na iya jin dadin rashin kwanciyar hankali a kusa da gwiwar hannu. Duk da yake yana da kyau bayan yin aikin tiyata don samun matsala wajen gyaran hannu gaba daya, wannan motsi ba zai sake dawowa da motsi wanda ya kasance ba kafin a samu rauni.
Farfadowa
Rashin dawowa bayan tiyata don irin wannan rauni yana da inganci sosai. Lokaci Tommy John yana buƙatar buƙatar kwana a asibiti, sannan ya sami magungunan tsafta. Don 'yan makonni na farko, ƙwaƙwalwar hannu zai iya kasancewa a cikin mai saka jari, yana riƙe da yatsun hannu kuma an gudanar a wurin. Sabuwar shinge yana da matukar damuwa a farkon makonni bayan yin aikin tiyata, don haka yana da muhimmanci a bi umarnin likita don kare gidan tiyata.
Ana iya bayar da magani na ciwo a lokacin farkon lokacin dawowa, bayan haka ana amfani da zafi da kankara don rage rage. Da zarar ba'a buƙatar mai haɓaka ba, farfajiyar jiki zai fara samun ƙarfi da kuma jigilar motsi. Ga wasu, saurin motsi ya dawo a cikin makonni 6-8, duk da haka, don 'yan wasa na gasa, karin tsaftacewa zai iya wucewa a shekara guda don komawa cikakken aikin.
Mutane da yawa masu wasan motsa jiki suna jin cewa sun fi karfi fiye da su kafin a tilasta su, kamar yadda suke "jariri" hannu don magance ciwo. Mafi rinjaye suna samun cikakken farfadowa kuma suna iya komawa al'amuran al'ada.
Sources
Ulnar Kaddamarwar Ligament Girma. CA Bush Yusufu, MD. Samun shiga Afrilu, 2012. http://www.rushortho.com/forms/Ulnar_Collateral_Ligament_Reconstruction_Protocol.pdf