Sake gyaran gyaran gyare-gyare mai sauƙi na Kneecap
Aikin gyaran kafa na gwiwa yana aiki ne akan mutanen da suka yi sanyin gwiwa a kan gwiwar gwiwoyin gwiwa, kuma an bar su tare da kasusuwan kasusuwa a jikin haɗin gwiwa. Wannan zai haifar da ciwo da wahala tare da ayyukan da ake gani a ciwon maganin kututture .
Abin farin, gyare-gyare na gwiwoyi, wani tsari wanda ya maye gurbin kayan haɗin gwiwa tare da hadin gwiwar karfe da filastik , yana da matukar nasara wajen kawar da ciwo da inganta aikin.
Duk da haka, mutane da yawa waɗanda ke da iyakacin ƙwayar ciwon gwiwoyi kawai suna damuwa game da maye gurbin dukan haɗin gwiwa. Akwai wani zaɓi ga mutanen da ke da ƙwayar maganin maganin ƙwaƙwalwar ƙwayar maganin ƙwararre kawai kawai ga wani ɓangare na haɗin gwiwa , kuma wannan ana kiransa maye gurbin gwiwa .
Sake gyaran gyare-gyare
Matsayi mai saurin gwiwa, wanda ake kira maye gurbin dakin jiki, yana nufin kawai an maye gurbin sashi mafi ƙarancin gwiwa. Yawanci, an raba gwiwa zuwa kashi uku , sabili da haka an sanya maye gurbin gwiwa gwiwa a matsayin gurbin maye gurbin doki ba saboda sun maye gurbin wani sashi. Ƙungiyoyin uku sune gefen gwiwa na gwiwa, da gefen gefen gwiwa, da kuma sashi a ƙarƙashin gwiwa. Yawancin maye gurbin gwiwa yana maye gurbin ciki (tsakiya) ko waje (gefe) gefen gwiwa. Duk da haka, akwai wasu maye gurbin gwiwa don maye gurbin furotin a ƙarƙashin gwiwa.
Dakin a ƙarƙashin gwiwa yana da ake kira sashen patellofemoral. Tsarin gindin gwiwa yana a gefe daya, kuma tsagi a ƙarshen cinya (femur) yana a gefe ɗaya. Abubuwan da aka yi amfani da su don maye gurbin shinge na katako suna kunshe da wani tsagi na karfe don ya dace a ƙarshen femur, da kuma filan filastik wanda ke haɗuwa zuwa gefen gindin gwiwa.
Magungunan gyare-gyare na gyaran ƙwayar cuta
A lokacin aikin tiyata don maye gurbin gwiwa, sai likita ya kamata ya kirkiro a gefen gindin gwiwa da kuma tsagi a ƙarshen cinyar cinyar don sauke haɗin gwiwa. An haɗuwa da haɗin da aka gina a wuri tare da simintin kashi , kamar kwatankwacin jigilar gwiwa . Sashi mafi mahimmanci na tiyata shi ne tabbatar da cewa kneecap zai zakuɗa sama da ƙasa a cikin tsagi a ƙarshen cinya cinka kullum. Idan ba a magance wannan ba a hankali, sabon maye gurbin maye gurbin gwiwa zai iya yi sauri.
Sake dawowa bayan kowane irin saurin saurin gwiwa, ciki har da maye gurbin gyaran kafa , yana da sauri sauri fiye da saurin maye gurbin gwiwa . Mai haƙuri ya fara yin amfani da shi don ya durƙusa gwiwa nan da nan bayan tiyata . Duk da yake ana iya sanya nauyin nauyi a kan gwiwa, kullun ko kuma mai tafiya suna amfani dasu don tallafi ga farkon makonni.
Sakamakon Sakamakon gyaran ƙwayar cuta na Patellofemoral
Yana da wuya a san daidai tsawon lokacin da ake maye gurbin patellofemoral zai wuce. Abubuwan da ke cikin kwastan sun canza sosai a cikin shekaru goma da suka gabata, suna fatan cewa mafi kyau kayan aiki zai haifar da kyakkyawan sakamako. Abin takaici, babu bayanai mai tsawo, kuma an bar mu tare da raguwa.
Mun sani cewa a cikin mafi yawan binciken da aka yi, 80-90% na marasa lafiya zasu sami sakamako mai kyau a cikin shekaru goma bayan an maye gurbin patellofemoral, amma za su rike ko fiye da wannan ba.
Mun kuma san cewa dalilin da ya fi dacewa da cewa maye gurbin patellofemoral ba zai yi aiki ba, ba saboda matsala tare da implant ba, amma matsala a cikin sauran gwiwa gwiwa - part da ba'a maye gurbin ba. Kimanin kashi 25 cikin dari na marasa lafiya zasu buƙaci canzawa na maye gurbin su na maye gurbin gurgunta gwiwa don maye gurbin arthritis a wasu bangarori na gwiwa.
Wannan shine dalilin da ya sa marasa lafiya wadanda ke da mafi kyawun sakamako daga maye gurbin patellofemoral su ne marasa lafiya wadanda ke da wasu matsaloli tare da gwiwa, irin su tsohuwar fasella ko matsaloli tare da bin saƙo . Wadannan ka'idodi zasu iya haifar da safarar farkon kayan guringuntsi ƙarƙashin gwiwa. A gefe guda kuma, marasa lafiya wadanda ke da ciwon maganin gwiwoyi na tsakiya , ba saboda sakamakon maganin gwiwa ba, suna da bukatar maye gurbin gwiwa sosai .
Sources:
Lonner JH "Patellofemoral Arthroplasty" J Am Acad Orthop Surg Agusta 2007; 15: 495-506.