Kufambira mberi kunogona kuve kwakaoma kune vanhu vari mu post total ankle replacement surgery. Kurapa kwemuviri kungabatsira sei mukudzorera uye kudzorera basa regumbo?
Mukati
Total Ankle Replacement Post Surgery Physical Therapy
Total ankle replacement surgery inzira huru inotora nguva kuti apore. Kuvhiyiwa kweankle kutsiva kana arthroplasty kunogona kubatsira vanhu vane kurwadziwa kusingaperi kwechikwama kana kuremara. Iyi nzira inogona kuvandudza zvakanyanya kurwadziwa kwemunhu uye kushanda nenguva. Kurapa kwepanyama kwakakosha kuti uwanezve kufamba muchitsiko uye kudzorera kufamba kwakazara. Murapi wepanyama achashanda nemunhu kudzora marwadzo nekuputika, kudzorera mararamiro emakumbo emakumbo, chitima pakufamba kufamba uye kuenzanisa, uye kuvakazve simba mugumbo. Izvi zvichabatsira kuwedzera mikana yekubudirira kubudirira mushure mekuvhiyiwa.
Total Ankle Replacement
Gumbo repamakumbo ichikamu chegumbo rezasi apo shinbone/tibia inosangana netalus bone pamusoro petsoka. Chinogona kuitika inzvimbo inotsvedza/articular cartilage inopfeka magumo emabhonzo aya inotanga kutetepa kana kuipa. Sezvo kuora kunofambira mberi, kunogona kutungamirira kumarwadzo makuru, kuremara, uye kuoma kufamba. (Cleveland Clinic. 2021) Apa ndipo apo nyanzvi inogona kukurudzira kuchinjwa kwegumbo rose kuitira migumisiro yakanakisisa. Mamiriro akasiyana-siyana anogona kubatsirwa nemaitiro aya, kusanganisira:
- Kukuvadzwa kwemajoini kunokonzerwa negout
- Post-traumatic arthritis
- Rheumatoid chearthritis
- Advanced osteoarthritis
- Osteonecrosis
- Septic arthritis (Cort D. Lawton et al., 2017)
Panguva yekutsiviwa kwegumbo, chiremba wemapfupa anobvisa magumo akakuvadzwa etibia uye talus mapfupa uye anoatsiva nechivharo chekugadzira. Chikamu che polyethylene chakachengetedzwawo pakati pezvigadziro zviviri kuti zvitsigire kufamba kwakatsetseka kwemagumo matsva akabatanidzwa. (Massachusetts General Hospital. ND) Kutevera maitiro, vanhu vanowanzoiswa mubhutsu yekudzivirira kana splint. Mutariri wehutano achakurudzira kugara kure negumbo kwe4 kusvika kumavhiki masere kubvumira kuporeswa.
Therapy Therapy
Kurapa kwekunze kwevarwere kunowanzotangwa mavhiki akati wandei mushure mekuvhiyiwa kwetsoka. (UW Health Orthopedics uye Rehabilitation. 2018) Kurapa kwepanyama kunogona kugara kwemwedzi mishanu kana kupfuura, zvichienderana nekuoma kwemamiriro acho uye kukuvara. Murapi wepanyama achatarisa munzvimbo dzakasiyana kuti awane mhedzisiro yakanaka. (Cort D. Lawton et al., 2017)
Marwadzo uye Kuzvimba Kudzora
Kurwadziwa kwepashure uye kuzvimba zvinowanzoitika mushure mekutsiviwa kwechidzitiro chose. Hazvishamisi kuti gumbo rizvimba kunyange kwemwedzi mitanhatu kusvika ku12 mushure mekuvhiyiwa. (UW Health Orthopedics uye Rehabilitation. 2018) Chiremba anovhiya anowanzo kupa mishonga inobatsira kugadzirisa kusagadzikana pakutanga, uye kurapa kwemuviri kunobatsirawo pakugadzirisa zviratidzo. Mishonga inoshandiswa inogona kusanganisira:
- Kukurudzira kwemagetsi - zvinyoro zvinyoro zvemagetsi zvinoshandiswa kumamhasuru.
- chando
- Vasopneumatic compression, uko iyo inflatable sleeve inoshandiswa kugadzira kumanikidza kutenderedza nzvimbo, inowanzoshandiswa pakutanga kwekurapa kwemuviri kuderedza marwadzo kana kuzvimba.
- Mamwe maitiro, akadai sekutambanudza uye anonangwa maekisesaizi, anosanganiswa nemamwe marapirwo.
Range of Motion
- Pakutanga mushure mekuita, gumbo richava rakaoma zvikuru uye rakaoma. Izvi zvinokonzerwa nezvikonzero zvakati wandei, zvinosanganisira kuzvimba uye kuzvimba mushure mekuvhiyiwa uye nguva yakashandiswa isina kufambiswa mubhutsu.
- Murapi wepanyama anozoshandisa nzira dzakasiyana siyana dzekuvandudza majoini emajoini ekufamba kuti atenderere uye kuchinjika.
- Murapi wepanyama anogona kushandisa kutambanudza kusinganzwisisike kunokonzerwa nekunze kwesimba senge murapi kana bhendi rekudzivirira) kubatsira kuvandudza kufamba.
- Manual tekinoroji senge nyoro matishu masaja uye majoini kuunganidza anoshandiswa zvakare. (Massachusetts General Hospital. ND)
- Murapi achagadzira chirongwa chekuvandudza imba chinosanganisira maitiro ekuzvitambanudza uye mafambisirwo akapfava.
Gait uye Balance Training
- Mushure memavhiki ekugara kubva pamakumbo akabatwa, chiremba anovhiya achabvisa murwere kuti atange kufamba kudzidzira.
- Murapi wepanyama anozoshanda kuvandudza iyo yakazara gait pateni uye kuderedza kukamhina.
- Vachabatsirawo kushanduka kubva pakushandisa madondoro kana mufambi kuenda kufamba wakazvimirira. (UW Health Orthopedics uye Rehabilitation. 2018)
- Mushure memavhiki akawanda ekuderera kwekufamba uye kushaikwa kwekutakura huremu hupi pamakumbo, mhasuru dzakatenderedza chitsitsinho dzinowanzoita atrophied / kupera simba, izvo zvinogona kukanganisa chiyero.
- Kana munhu wacho achigona kutanga kuisa uremu pagumbo, murapi anozoshandisa proprioceptive / pfungwa yekudzidziswa chinzvimbo chemuviri kuvandudza kugadzikana kwese. (UW Health Orthopedics uye Rehabilitation. 2018)
- Maekisesaizi ekuenzanisa achawedzerwa kupurogiramu yepamba uye inofambira mberi kubva vhiki nevhiki.
simba
Mimhasuru yegumbo, chiziso, uye tsoka inopera simba kubva pakuvhiyiwa uye nguva inopedzwa mutsinga kana bhutsu. Izvi zvimiro zvine basa rakakosha mukuenzanisa, kugona kumira, kufamba, uye kukwira kana kudzika masitepisi.
- Kuwanazve simba uye simba remasumbu aya ndicho chinangwa chakakosha chekugadzirisa.
- Mumavhiki ekutanga, murapi wepanyama achatarisa pane zvinyoro zvekusimbisa zviitwa.
- Isometrics inobata zvishoma mhasuru asi dzivisa kutsamwisa nzvimbo yekuvhiya.
- Sezvo nguva ichipfuura uye kutakura uremu kunobvumirwa, izvi zvinyoro-nyoro zvinofamba zvinotsiviwa nemamwe anonetsa, semabhendi ekupikisa uye maekisesaizi ekumira, kukurumidza kuwana simba.
Kurapa Ankle Sprains neChiropractic Care
References
Cleveland Clinic. (2021). Total ankle replacement.
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Yakazara ankle arthroplasty inopesana neankle arthrodesis-kuenzanisa kwezvakabuda mumakore gumi apfuura. Nyaya yekuvhiyiwa kwemapfupa uye tsvagiridzo, 12 (1), 76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Physical therapy nhungamiro kune yakazara ankle arthroplasty.
UW Health Orthopedics uye Rehabilitation. (2018). Nhungamiro yekudzoreredza inotevera yakazara ankle arthroplasty.
Professional Makuriro Ekudzidzira *
Ruzivo rwuri pano pa "Kurapa Kwepanyama Mushure mekuvhiyiwa Kwese Ankle Replacement"Hazvina kuitirwa kutsiva hukama hwemunhu nemunhu ane ruzivo nezvehutano kana chiremba ane rezinesi uye haisi zano rekurapa. Tinokukurudzira kuti uite sarudzo dzehutano maererano netsvakiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa.
Ruzivo rweBlog & Hurukuro dzeKukura
Nzvimbo yedu yeruzivo inogumira kuChiropractic, musculoskeletal, mishonga yemuviri, hutano, inopa etiological viscerosomatic kusagadzikana mukati mezviratidzo zvekiriniki, yakabatana somatovisceral reflex Clinical dynamics, subluxation complexes, nyaya dzehutano dzakaoma, uye / kana zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano.
Isu tinopa uye tinopa kubatirana kwekiriniki nenyanzvi dzakasiyana-siyana. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda yehutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system.
Mavhidhiyo edu, zvakatumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro ine chekuita uye zvakananga kana zvisina kunanga kutsigira kwedu kwekiriniki yekudzidzira.
Hofisi yedu yakaedza zvine mutsindo kupa zvinyorwa zvinotsigira uye yaona tsvakiridzo yakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira ekutsvagisa zvidzidzo zvinowanikwa kumatare edzimhosva uye kuruzhinji pachikumbiro.
Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez, DC, kana taura nesu isu 915-850-0900.
Tiri pano kuzokubatsira iwe nemhuri yako.
zvikomborero
Dr. Alex Jimenez DC, Msacp, RN*, CCST, IFMCP*, CIFM*, atn*
email: qeqeshi@elpasofunctionalmedicine.com
Akapihwa rezenisi saChiremba weChiropractic (DC) mu Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182
Akapihwa Rezenisi seMukoti Akanyoreswa (RN*) in Florida
Florida License RN License # RN9617241 (Kudzora Nha. 3558029)
Compact Status: Multi-State License: Wakatenderwa Kudzidzira mukati 40 States*
Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Yangu Digital Bhizinesi Kadhi
