Kuvhiyiwa kwebvi rose (TKA), inozivikanwawo se kuvhiyiwa kwekutsiva ibvi rese, inzira yekutsiva bvi rakakuvara kana rakasakaramajoini ebvinechigadzirwa kana kuti prosthesis yekugadzirwa kwechinhuInowanzoitwa kuderedza marwadzo uye kuvandudza mashandiro emuviri kune vanhu vane arthritis yemabvi yakanyanya, rheumatoid arthritis, post-traumatic arthritis, kana mamwe mamiriro anokanganisa majoini emabvi.
Heino pfupiso yemaitiro ekuvhiya anobatanidzwa mukugadzirwa kwebvi rose:
Kuongororwa kwemurwere asati avhiyiwa: Murwere asati avhiyiwa, anoongororwa zvizere, kusanganisira kuongororwa kwenhoroondo yezvekurapa, kuongororwa kwemuviri, zvidzidzo zvemifananidzo (senge X-rays kana MRI), uye dzimwe nguva kuongororwa ropa. Izvi zvinobatsira timu yekuvhiya kuongorora hutano hwemurwere uye kuronga maitiro acho zvinoenderana.
Anesthesia: Kuvhiyiwa kwebvi rose kunowanzoitwa pasi peanesthesia, anesthesia yemusana, kana musanganiswa wezvose zviri zviviri. Sarudzo yeanesthesia inoenderana nemamiriro ehutano hwemurwere, zvaanoda, uye kurudziro yachiremba.
Kuchekwa: Kana mushonga weanesthesia wangopihwa, chiremba anochekwa pamusoro pegumbo. Saizi nenzvimbo yekucheka zvinogona kusiyana zvichienderana nezvinhu zvakaita semuviri wemurwere uye nzira yekuvhiya inoshandiswa. Nzvimbo dzinozivikanwa dzekucheka dzinosanganisira kumberi (kumberi), kurutivi (kumativi), kana kumberi kwebvi (pakati).
Kuonekwa uye Kugadzirira: Mushure mekupinda mujoini remabvi, chiremba anobvisa nyama dzakapoteredza kuti aonekwe panzvimbo dzakakuvara. Cartilage nemapfupa zvakakuvara zvinobviswa kubva pamapfupa echidya, tibia, uye dzimwe nguva patella (kneecap) kuti zvigadzirirwe kuiswa kwezvikamu zvekugadzira.
Kuisirwa: Zvikamu zvekugadzira mapfupa zvine simbi nepurasitiki zvakagadzirirwa kutevedzera chimiro chechisikigo uye mashandiro egumbo. Zvikamu izvi zvinosanganisira simbichikamu chechikadzi, simbi kana purasitikichikamu chetibial, uye dzimwe nguva chikamu chepurasitiki chepatellar. Zvikamu zvacho zvinosungirirwa papfupa uchishandisa simende yemapfupa kana nehunyanzvi hwekudzvanya, zvichienderana nerudzi rwechigadzirwa uye zvinodiwa nachiremba wekuvhiya.
Kuvhara: Kana zvikamu zvekugadzira zvaiswa panzvimbo uye ibvi raongororwa kuti rigare zvakanaka here uye kuti rinofamba sei, chiremba anovhiya anovhara chiboorwa chacho nemasuture kana staples. Chipfeko chisina tsvina chinoiswa panzvimbo yacho.
Kutarisirwa Mushure mekuvhiyiwa: Mushure mekuvhiyiwa, murwere anotariswa zvakanyanya munzvimbo yekupora asati aendeswa kuchipatara kana kunzvimbo yekutarisirwa mushure mekuvhiyiwa. Kudzora marwadzo, kurovedza muviri, uye kugadziriswa zvinhu zvakakosha muchirongwa chekutarisira mushure mekuvhiyiwa kukurudzira kupora, kuwana simba remabvi nekushanda zvakanaka, uye kudzivirira matambudziko.
Kuvhiyiwa kwebvi rese inzira inoshanda zvikuru inogona kuvandudza hupenyu hwevanhu vanotambura nekurwadziwa kwemabvi uye kusashanda zvakanaka. Zvisinei, sezvinoitwa nekuvhiyiwa kupi zvako, kune njodzi nematambudziko angangoitika, anosanganisira hutachiona, ropa rakagwamba, kusunungura maronda emuviri, uye kuomarara. Zvakakosha kuti varwere vatevedzere mirairo yachiremba wavo wekurapa mushure mekuvhiyiwa uye kugadzirisa mapfupa avo kuti vawane mhedzisiro yakanaka.
Nguva yekutumira: Chivabvu-17-2024