Idon arthrodesis: tiyata, sakamakon, fi, haƙuri reviews

Ba duk pathologies na musculoskeletal tsarin za a iya shafe ta da kyautatuwar ingancin tsarin abubuwa. A wasu lokuta, a tarewa aiki na daya ko fiye segments. Arthrodesis na mahadin idon sawun - wannan tiyata. Its burin zama cire nonviable abubuwa kafa ƙananan reshe axis da kara kam na anatomic Tsarin cikin physiological halin da ake ciki. A karkashin abin da yanayi da aka yi arthrodesis na idon? Mene ne sakamakon da baki da kuma fi ka'idojin? Game da wannan - daga baya a cikin labarin.

Alamomi ga tiyata

Arthrodesis - tsangwama, cikinsa da hadin gwiwa gyaran da artificially gyarawa a matsayi. Da bukatar wani m aiki ne makawa a cikin wadannan lokuta:

1. A gaban dangling hadin gwiwa. Wannan yanayin ya faru a cikin bango iri interosseous hadin gwiwa. Yana iya zama m ko complete. A sakamakon haka ne take hakkin nakasawa na physiological aiki a cikin hadin gwiwa (tsawo inna na tsokoki, da tsage jijiyoyin, harbin bindiga raunin da ya wuce kima tsawo gidajen abinci).
2. Development of deforming amosanin gabbai. Arthrodesis na mahadin idon sawun, reviews game da abin da ba za ka iya karanta a kasa, ake bukata a surkin jini, tuberculous tayar da hankali nau'i na Pathology.
3. Degenerative amosanin gabbai da rikitarwa. Pathological yanayi ya kunsa canje-canje a cikin kashi epiphysis.
4. Matsalolin polio.
5. A karaya cewa ya warkar da improperly ko garwaya a baya.
6. Idan ya cancanta, da kafawa da wasu ko duk na hadin gwiwa, idan sauran iri shisshigi ne yiwu.

contraindications

Arthrodesis na idon (da sakamakon wani mummunan hali, da kuma rikitarwa ne sosai rare bayan tiyata) an haramta gudanar da wani a cikin wadannan lokuta:

• har samartaka har musculoskeletal tsarin ne a wani mataki na ci gaba.
• gaban fitsari tubercular hali ya sa ta mataki na mahaukaci atypical mycobacteria.
• gaban kamuwa da cuta a fannin shiga tsakani;
• tsanani yanayin haƙuri, da rashin kwanciyar hankali kan lokaci.

Bayan shekaru 60 na aiki na arthrodesis na idon kuma iya sa tsanani da rikitarwa.

daban na baki

Rarrabe biyar main iri tiyata dangane da ci gaba da magudi da kuma used kayan aiki:

• Ciki-articular arthrodesis na mahadin idon sawun da aka za'ayi da kau da articular guringuntsi.
• Karin-articular hanya ake yi ta hanyar hade fitar kasusuwan jikinsu abubuwa hotuna dauka daga wannan haƙuri. Zai yiwu amfani da mai bayarwa dasa.
• Hada arthrodesis na mahadin idon sawun hadawa da iri ayyukan. Cire daga hadin gwiwa guringuntsi da kashi dasa bonding da aka yi da implanting musamman karfe faranti.
• A tsawo irin aiki dogara ne a kan hali na wucin gadi karaya. Bugu da ari, kashi abubuwa suna gyarawa a matsayin da gyaran physiological miƙa na'ura. A wasu kalmomin, da irin wannan shiga tsakani aka kira "arthrodesis idon Ilizarov".
• A matsawa aiki da aka yi da kayyade hadin gwiwa kashi tare da spokes, pivots, da sandunansu, kuma wasu takamaiman na'urorin amfani a traumatology.

m maganin sa barci

Maganin sa barci a cikin wannan m hanya ba a yi amfani da saboda gaskiya cewa magudi faruwa a zurfin guringuntsi da kashi Tsarin. Aiwatar da wadannan iri maganin sa barci:

• endotracheal maganin sa barci - da haƙuri da aka nutsa cikin m barci musamman medicaments da inhalation, an rarraba a gaseous form.
• kashin baya maganin sa barci - da mãsu haƙuri ne m, ganinSa da jinSa kome da kome, amma ƙananan wata gabar jiki gaba daya gyaran da kuma rashin ji na ƙwarai.
• hada maganin sa barci - kashin baya analgesia a hade tare da nutsewa a cikin wani rabin barci jihar, da ake amfani da sosai m da ma m marasa lafiya.

Arthrodesis na idon, haƙuri shedu da nuna cewa aiki ne wajen tsawo da kuma iya wuce daga 2 zuwa 6 hours. Yana dogara a kan yadda wuya da farko jiha, da zaba m baki da kuma bukatar wannan haƙuri da dasa.

haƙuri shiri

Arthrodesis na idon, haƙuri shedu da nuna bukatar preoperative shiri, na bukatar cikakken jarrabawa na haƙuri. Kamar yadda kafin wani baki, operable dole wuce na asibiti gwaje-gwaje na jini, fitsari, Biochemistry. Ƙayyade da jihar coagulation, jini kungiyar da kuma RH factor. Dauke m gwaje-gwaje don HIV, syphilis, hepatitis, rike da x-ray.

7 kwanaki kafin tiyata dole ta yi watsi da kwayoyi da shafi jini clotting tsarin, da kuma wadanda ba steroidal anti-kumburi kwayoyi. A karshe ranar izini kawai m abinci. The safe ci da sha ruwa kafin shiga tsakani da aka haramta, don kauce wa m rikitarwa a lokacin maganin sa barci.

Tabbata, a matsayin haƙuri zai zama a wani asibiti, kana bukatar shirya wani dadi yanayi a cikin gidan. Don kula da irin waɗannan abubuwa kamata ci gaba:

• cire rugs, wanda za a iya slipping.
• kamar yadda m kamar yadda zai yiwu sanya wayoyi, wanda karya a kan bene, don haka da cewa haƙuri ba a kamu a kan su;
• gidan wanka don saya mat tare da tsotsa kofuna, sabõda haka, ya ba matsawa a kan rigar kasa;
• tsara duk dole wuraren for dauke da fitar kiwon lafiya hanyoyin kusa yadda ya kamata, don haka kamar yadda ba su yi isa su.

dabara na

Arthrodesis na idon rauni bayan rabu amfani ko dauke da kwayar cutar matakai da suka kai ga keta aikin capacities, yana da za'ayi a dama, saukarwa:

1. A fannin baki yana bi da magunguna iri iri, da kuma rufe bakararre m lilin.
2. The hadin gwiwa tsinkaya ne yanke zuwa 15 cm a tsawon. Ƙasansu akwai waɗansu inuwõwi dissected fascia da tsoka har da articular saman ba a nuna a cikin rauni.
3. Guringuntsi nama an cire, cirewa ba mai yiwuwa kuma suka ji rauni hadin gwiwa abubuwa.
4. Saman talus da tibia, wanda zai dace da tam ga juna, suna kafa ayi kasafi. Wannan ne yake aikata domin ya tsayar da daidai axis daga cikin ƙananan reshe.
5. A sakamakon tsarin da ake gyarawa da musamman karfe kayan aiki gyarawa hanya.
6. Ta hanyar lokaci, kashi zai girma tare abubuwa tare da juna da kuma hadin gwiwa zai ba da asalin siffan. Its ayyuka za a partially zarce zuwa sauran abubuwa.

Abin da sauran gidajen abinci aiki

Arthrodesis ba wani takamaiman baki, shi da aka lasafta a kan idon. Haka kuma, rauni Surgeons iya immobilize da wadannan kwayoyin yankuna:

• hip hadin gwiwa - nuna excision na meniscus da kuma gyara shugaban femur da kafafuwa, da hadin gwiwa da ya rage gaba daya m.
• fitar kasusuwan jikinsu gwiwa hadin gwiwa - An yarda ne kawai da in babu pathologies na zuciya da jijiyoyin jini tsarin.
• kafada hadin gwiwa - hanya wanda sau da yawa amfani da kashi dasa na haƙuri (ba su faru kin amincewa) ko bayarwa.
• metatarsophalangeal sanarwa akan abinda - makasudin ne don kawar da tsoma baki ko valgus nakasawa iatrogenic thumb hadin gwiwa motsi riƙe bayan da dawo da lokaci.

A dalilan da cewa bukatar arthrodesis na gidajen abinci, dace duk na sama.

dawo da lokaci

Arthrodesis na mahadin idon sawun, wani photo na da damar da cikakken fahimtar da aiki, na bukatar wani dogon dawo. A ranar farko ba za ka iya fita daga gado domin kauce wa yiwu rikitarwa daga maganin sa barci (dizziness, ciwon kai, amai).

Likita ya furta da yin amfani da analgesics da kuma wadanda ba steroidal anti-mai kumburi da kwayoyi don zafi taimako. antibacterial jamiái amfani, idan ya cancanta. Wannan ake dangantawa da wani babban hadarin da suppuration a wuri na waje jikinsu (needles, faranti, da sandunansu). Na maganin rigakafi son da aka bai wa kalla mai guba ga mãsu haƙuri:

1. Cephalosporins - "cefotaxime" "Ceftriaxone".
2. Macrolides - "Erythromycin", "Clarithromycin".
3. Penicillins - "Ampicillin", "Ampioks".

Wasu lokaci bayan da aiki wajibi ne a ci wani plaster bandeji, to sa sama da matsayi na ƙananan ƙwarai ya kasance daya a cikin abin da rubuta shi da wani gwani. Duration na gypsum iya wuce har zuwa 3-4 watanni.

Likita zai shawara da mãsu haƙuri a lokacin da zai yiwu mashãyarsu online damar. Mallaki wannan ba za a iya yi domin a hana kamuwa da cuta yankin. Bayan cire simintin wajibi ne don sake-X-ray jarrabawa don tabbatar da daidai Fusion na fitar kasusuwan jikinsu abubuwa.

A farko 2 watanni na fatar a kan sarrafa kafar da aka haramta, don haka ka bukatar ka saya crutches da kuma tafiya kawai tare da su. A watanni 3 bayan da X-ray wajen warware rauni Surgeons iya fara dõgara a kan ƙafãfu da kuma amfani da physiotherapy jiyya.

physiotherapy

Fi bayan arthrodesis na mahadin idon sawun ne aka yi nufi ga hada da jiki far, tausa, da kuma sauran abubuwa a cikin postoperative dawo da lokaci. Warkewa motsa jiki ne da ya fi muhimmanci Hanyar domin shi ne godiya ga mata marasa lafiya su hana ci gaban hadin gwiwa contractures.

Na sauran jiki far likita ta zayyana:

1. Electrophoresis - a cikin idon yanki ne da wani tasiri akai lantarki hatsaisai. Su za a iya gudanar via medicated shirye-shirye shoot kumburi, soreness kama, kawar da kumburi, maido da metabolism, jinin samar don kunna tiyata zone.
2. UHF - wata hanya a cikin abin da akwai wani tasiri na electromagnetic filin UHF a kan Kwayoyin da nama. UHF inganta kunnawa da regenerative tafiyar matakai, da waraka na samu karaya kuma a raunuka, sauqaqa kumburi, sauqaqa zafi, stimulates gida jini wurare dabam dabam.
3. Magnetic - shift keying, wanda yana amfani da wani Magnetic filin. Auku kawar da ciwo da kuma edema, hana tsangwama yankin na kamuwa da cuta, ya karu elasticity na jini da kuma inganta jini wurare dabam dabam a cikin shafa yankin.
4. Laser far - yiwu amfani da surface da intraosseous Hanyar daukan hotuna, wanda wani bangare ne na magani da kuma dawo da cututtuka na gidajen abinci.

Arthrodesis na mahadin idon sawun, bayan da fi iya wuce har zuwa 8 months, da mãsu haƙuri bukatar m aiki a kan kunya. Kawai a cikin wannan harka shi ne zai yiwu a kauce wa ci gaban da rikitarwa da kuma mayar da aikin na sarrafa yankin.

zai yiwu rikitarwa

Kamar yadda da wani tiyata, arthrodesis na mahadin idon sawun iya samun yawan rikitarwa:

• hadin gwiwa kamuwa da cuta da kara raya osteomyelitis.
• zub da jini, hematoma samuwar.
• paresthesia - wani take hakkin da ýan a sakamakon dissection na kananan jijiya plexus.
• rashin damar kafa cikin hadin gwiwa.
• lameness da sauran pathological Gait.
• da bukatar ƙarin m hanyoyin.
• thrombosing zurfin jijiyoyinmu daga cikin ƙananan reshe.
• thromboembolism babban jijiyoyi.

Tabbata a gaya da gwani na da wadannan cututtuka:

• zazzabi.
• ciwo mai tsanani a site daga m damar.
• tabbatarwa daga kumburi.
• gaban numbness ko tingling.
• reshe ko blueness bayyanar ruwan kasa spots;
• bayyanar shortness na numfashi, tashin zuciya da amai.

tawaya

Arthrodesis na mahadin idon sawun, wanda aka dauke da za a kashe bayan wani m yanayin bukatar inganta horo bad kafa daga mãsu haƙuri. Domin kananan lokaci bayan da baki na tawaya ne zai yiwu, amma har zuwa na maido da wani aikin yanayin hadin gwiwa.

Bisa ga dokoki, sun amince da Order of Ma'aikatar {wadago, gudanar da aiki ta hanyar tilasta immobilization na mahadin idon sawun abubuwa a mafi yawan lokuta take kaiwa zuwa qananan take hakki na canzawa-tsauri aikin halaye, wanda ke nufin cewa a tawaya ne ba a kafa.

By domin na tawaya tabbatar percentages da cutar yanayin da rabo daga takamaiman Pathology zuwa sama jerin cututtuka. Lokacin da matakin na Pathology zuwa 30% (kiyasta da masana MSEC Hukumar) tawaya ba a saita, 40-60% - a na uku kungiyar na 70-80% - a karo na biyu kungiyar, 90-100% - na farko da kungiyar. A yaro sami wani tawaya a rates daga 40 zuwa 100%.

Qananan canje-canje a cikin abin da wani mutum ne iya bauta wa kansu, ba su kasance a wadannan Categories. A cikin hali na contractures da musculoskeletal cuta na canzawa ayyuka da cewa an kira arthrodesis na mahadin idon sawun, da sakamakon - tawaya, rashin iyawa to da kansa kula da kansu da kuma saduwa da bukatun na ci gaba a cikin wannan bango na m matsaloli.

shedu

A cewar wadanda suka tsira da aiki na hadin gwiwa immobilization, shi ne wani dogon wuya m hanya da bukatar wani babban fasaha na likita. The fi lokaci ne wani muhimmin batu ne da cewa marasa lafiya fara jin hakuri da kanka da kuma underperforming cikin sharuddan kisa na yau da kullum motsa jiki. Yana da wadannan shortcomings zama key kashi a ci gaban hadin gwiwa contractures da sosai motor ayyuka.

Babu azaba, ko a cikin wani Jihar nauyi, wani cikakken maida daga Gait, rashin rashin jin daɗi a cikin baki yankin, mai kyau kwaskwarima bayyanar - Manuniya da ta yi nasara aiki.