Labarai - Tarihin Sauya

An gabatar da manufar sauyawa na kayan maye a cikin 1891. An tsara aikin haɗin gwiwa a cikin mai haƙuri a shekara ta 393 tare da tarin fuka a cikin shekaru 37 da sauransu da kuma kasusuwa na farko Arthroplasty. Maganin likitan hakora ya yi shi ne daga Michaels na Michaels daga Paris, da HUMELERkaraAn yi shi ne da ƙarfe na platinum kuma a haɗe zuwa kai mai rufi mai rufi ta waya ta waya don samar da lalacewa. Sakamakon mai haƙuri ya gamsu da gamsarwa, amma a ƙarshe aka cire prosthesis bayan shekaru 2 saboda yawancin lokuta tarin fuka. Wannan shine farkon farko da mutane suka yi a cikin maye gurbin kafadun kafuwar wucin gadi.

A cikin 1951, Frederick Krederick ya ba da rahoton amfani da wani muhimmin mahimmanci mai mahimmanci kafada costhesis prosthesis da aka sanya daga bitamin da kuma m daga wakilin Hurerus na Cadaver na Cadaver. An sami nasarar amfani da wannan don magance ɗan haƙuri tare da osteonecrosis na humalal kai

Amma an tsara shi da sauyawa na yau da kullun da kafada da kafada Charles Charles Charles yake ci gaba. A cikin 1953, don warware sakamakon rashin gamsarwa game da ciwon ta tiyata, neer ya kirkiro wani nau'i mai mahimmanci na humemeral, wanda aka inganta sau da yawa a cikin shekaru 20 masu zuwa, bi da bi. Tsara na biyu da na uku tsara.

A farkon shekarun 1970, don warware maye gurbin kafada cuffory cuff cuff wari, amma saboda gazawar bangaren glenoid. A cikin 1985, Paul grmont ya inganta bisa ga manufar da ta gabatar da shier, matsawa tsakiyar juyawa a tsakiya da kuma karkatar da matsalar murnar asarar Rotator Cuff ayyukan asarar aiki.

Tsarin ƙa'idodi na trans-kafada prosthesis

Yunkancin kafada Arhroplasty (RTSA) ya juya dangantakar da ke tattare da yanayin kafada don maido da kwanciyar hankali na dabi'a. RTSA tana haifar da cikas da cibiyar juyawa (korafi) ta hanyar yin glenoid gefen gyaran glenoid. Aikin biomechanical na wannan fracrum shine hana humaderal shugaban daga tafiya zuwa sama lokacin da gunkin tsoka na dilcoid don satar da babban hannu. Fasalin RTSA shine cewa cibiyar juyawa na haɗin gwiwa na wucin gadi da matsayin Hamio kai dangi da kafada na zahiri da ƙasa. Daban-daban na kwararrun maganganu masu mahimmanci sun bambanta. A 25 ~ 40mm kuma motsa ciki ta 5 ~ 20mm.

Idan aka kwatanta da hadin gwiwar dan Adam na zahiri, bayyananne fa'idar sauya korar ciki ita ce sabbantar da kuma deltoid, kuma kar a samar da karfi mai tsoka. Guda iri ɗaya, kuma wannan fasalin kuma yana sa sace kan shugaban Huremeral bai sake dogaro da aikin masarauta na cikar cuff.

Wannan shine ƙira da biomechanics na RrSA, kuma yana iya zama ɗan ban sha'awa da wahalar fahimta. Shin akwai wata hanya mafi sauki don fahimtarsa? Amsar ita ce eh.

Na farko shine ƙirar RTSA. A hankali a lura da halaye kowane haɗin jikin mutum, zamu iya samun wasu dokoki. Za'a iya raba hadin gwiwar mutane cikin rukuni biyu. Isaya daga cikin yana kusa-gangar jikin gida kamar kafadu da kwatangwalo, tare da ƙarshen kasancewa "kofin" kuma ƙarshen kasancewa "ball".

Sauran nau'in yana cikin gidajen abinci kamargwiwoyiKuma gogewa, tare da ƙarshen ƙarshen kasancewa "ball" da na nesa ba na "kofin" ba.

Shirye-shiryen da za a amince da majagaba na likita yayin da suke tsara kafada wucin gadi a farkon farkon, don haka dukkanin shirye-shirye sun karewa a matsayin "ball". Wasu masu binciken har ma da gangan sun tsara "kofin" da zurfi don ƙara haɓakar haɗin gwiwa, kama da ɗan adamHadin gwiwa, amma daga baya aka tabbatar da cewa kara da kwanciyar hankali a zahiri ya karu da rashin nasarar, saboda haka wannan ƙira ya kai da sauri. bari. RTSA, a gefe guda, juyar da halaye na zahiri na kafada na halitta, idan aka sanya asali "Haɗin" ko "gwiwa". Wannan canjin canji a ƙarshe ya warware matsaloli da yawa da shakku na wanda zai maye gurbin wucin gadi, kuma a yawancin halaye, ana inganta ingantaccen lokacinta da gajeren lokaci da gajeren lokaci.

Hakanan, ƙirar RTSA tana canza tsakiyar juyawa don ba da izinin ƙara yawan satar bayanai, wanda kuma zai iya zama m m. Kuma idan muka kwatanta da kafada da haɗin gwiwa, yana da sauki fahimta. Kamar yadda aka nuna a cikin adadi da ke ƙasa, yana amfani da wannan torque a cikin shugabanci (ƙarancin ƙanƙan da aka sauya, a bayyane yake cewa an samar da ƙarfi a cikin B.

Canji a Cibiyar Rotsa ta juyawa tana da irin wannan sakamako, tana ba da izinin kafada kafada don fara sacewa ba tare da mai jujjuyawa cuff. A matsayin Archimedes yace: Ka ba ni cikakken bin diddigin kuma zan iya kawar da duniya!

Alamar RTSA da Contraindications

Alamar gargajiya ta hanyar Rotta ita ce Rotator cuff cuff cuff cuff (cta), wani abu mai narkewa cuff da ostearthritis na humeral, wanda yawanci ana ci gaba da canje-canje na kai, achion da humadal da Hamis na ci gaba da canje-canje na degenerative. Yawan gudun hijira sama da kananan mutane da ba a daidaita shi ba a ƙarƙashin aikin Deltooid Cuff dysfunction. CTA ya fi kowa gama gari a cikin tsofaffi, inda classic "pseudoparalysis" zai iya faruwa.

Yin amfani da kafada Arthroplasty, musamman Rrsa, ya karu sosai a cikin shekaru 20 da suka gabata. Dangane da sakamakon farko na nasara na aikace-aikacen Rrsa, ci gaba da ci gaba na aikin tiyata, da kuma sabili da haka, mafi yawan hanyoyin da aka fara aiki a halin yanzu sune RTSA.

Misali, kafaffiyar kalma kafada (ATSA) ita ce zabi zabi ga kafada Ostearthritis ba tare da tsinkayen mutane ba, da yawan mutanen da ke riƙe wannan ra'ayin sannu a hankali. Akwai bangarori masu zuwa. Dalilan da suka haifar da wannan yanayin. Na farko, har zuwa 10% na marasa lafiya waɗanda suke karɓar ASAS sun riga sun sami ruhu cuff. Na biyu, a wasu yanayi, yanayin "aikin" tsarin "cuff bai cika ba, musamman a wasu tsofaffi masu yawan tsofaffi. A ƙarshe, koda kuwa Rotator Cuff yana cikin tsattsauran tiyata a lokacin tiyata, mai jujjuyawa cuftare yana faruwa tare da tsufa, musamman bayan aikin ATsa, musamman bayan aikin APSA game da aikin mai jujjuyawa Cuff. Wannan sabon abu yakan faru ne a cikin tsofaffi tsofaffi fiye da shekaru 70. Sabili da haka, ƙarin masu tiyata sun fara zabar RrSA lokacin da fuskantar tsarkakakken kafada ostearthritis. Wannan yanayin ya haifar da sabon tunani cewa RrSA na iya zama zaɓin farko ga marasa lafiya tare da osteoarthritis tare da wani mai jujjuyawar cuff dangane da shekaru.

Hakazalika, a da, saboda ba tare da wani mai jujjuyawar da ba tare da shi ba (mrct) ba tare da ostepritis ba, hanyoyin maye gurbin Cuff sake gini, hanyar Partial Rotator Cuff sake gini, hanyar Sinanci, da kuma babban haɗin kasar Sin. , Canjin Nasara ya bambanta. Dangane da ƙwarewar aikace-aikace da nasara na RrSA a cikin yanayi daban-daban, ƙari da yawa suna ƙoƙari, kuma sun yi nasara sosai, kuma ta yi nasara sosai, kuma ta yi nasara sosai, kuma ta yi nasara sosai, kuma ta sami nasara sosai,

A takaice, ban da CTA, alamomin da ke faɗaɗa na Rrsa sun haɗa da manyan hawaye mai narkewa ba tare da guba ba, hargitsi-tikici ko rauni mai rauni. kumburi, da kuma discrent kafada.

Akwai 'yan al'adun zuwa Rrsa. Ban da gaba ɗaya na gabaɗaya na musanyawa na wucin gadi kamar kamuwa da cuta, wanda ba aikin tsoka mara nauyi shine cikakkiyar tsoka zuwa Rrsa. Bugu da kari, don wakili Hureerus karaya, ya kamata a bude karabbi da kuma raunin da ya faru da cutar ta hanyar cutar ta zama taurin kai ya kamata a dauki raunin da cutar ta hanji a Ajaba.

Kulawa da Bibus da Gyaran

Ka'idodi na farfadowa daga ciki:

Yin ɗorewa mai ƙarfi ga sake fasalin su kuma tabbatar da tsammanin masu hankali ga marasa lafiya.

Yana rage ciwo da kumburi, kuma yana kare tsarin warkarwa, amma yawan kuɗi yawanci baya buƙatar kariya.

Wataƙila raduwa na kafada da alama zai faru a ƙarshen matsayi na hyperrexevess zuwa ga juyawa da juyawa ciki, ko satar ciki da juyawa da juyawa na waje. Saboda haka, ƙungiyoyi kamar su na baya ya kamata a guji tsawon makonni 4 zuwa 6 bayan aikin. Waɗannan mukamai suna da haɗarin disclocation.

Bayan makonni 4 zuwa 6, har yanzu ya zama dole don sadarwa tare da samun izini daga likitan tiyata kafin fara motsin sama da matsayi.

Ayyukan sake farfadowa da farko ya kamata a fara aiki da farko ba tare da yin nauyi ba kuma sannan da nauyi-hali, da farko ba tare da juriya ba, da farko tare da taurin kai sannan kuma da himma.

A halin yanzu, babu wani tsayayyen daidaitaccen daidaitaccen abu, kuma akwai manyan bambance-bambance a cikin tsare-tsaren masu bincike daban-daban.

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