Ko te Total Turi Arthroplasty (TKA) he pokanga e tango ana i te hononga turi o te tūroro e pangia ana e te mate hononga kino, te mate hononga mumura rānei, kātahi ka whakakapia te hanganga hononga kua pakaru ki tētahi hononga hono horihori. Ko te whāinga o tēnei pokanga he whakamamae i te mamae, he whakapai ake i te mahi a te hononga, me te whakaora i te kounga o te oranga o ia rā o te tūroro. I te wā o te pokanga, ka tangohia e te tākuta te wheua me te kiko ngohengohe kua pakaru, kātahi ka whakanohoia he hononga hono horihori i hangaia ki te konganuku me te kirihou ki roto i te hononga turi hei whakatauira i te nekehanga o tētahi hononga noa. Ko tēnei pokanga te tikanga e whakaarohia ana i roto i ngā take o te mamae nui, te nekehanga iti, me te maimoatanga tiaki koretake, ā, ko te kaupapa he āwhina i ngā tūroro ki te whakaora i te mahi hononga noa me te kounga o te oranga.
1. He aha te pokanga whakakapinga turi?
Ko te pokanga whakakapinga turi, e mōhiotia ana ko te whakahou i te turi, he tikanga pokanga e whakamahia ana hei rongoā i ngā mate kino o te hononga turi. Ka mahia te pokanga mā te tango i ngā mata o te hononga turi kua pakaru, pērā i ngā mata hononga o te femur distal me te tibia proximal, me ētahi wā ko te mata patellar, kātahi ka tāuta i ngā prostheses hononga horihori hei whakakapi i ēnei wāhanga kua pakaru, kia whakahokia mai ai te pumau me te whānuitanga o te nekehanga o te hononga.
Ko ngā take o te whara o ngā hononga turi ko te osteoarthritis, te rheumatoid arthritis, te traumatic arthritis, me ētahi atu. Ina pā mai te mamae nui o te turi i ēnei mate, te iti o te nekehanga, te hē o te hononga, ā, kāore e whai hua te maimoatanga pūmau, ka whai hua te pokanga whakakapinga turi.
Ko ngā mahi o te pokanga ko ēnei: Tuatahi, tapahia he tapawhā waenga i te hononga turi hei whakaatu i te hononga turi; kātahi, whakamahia ngā taputapu hei keri i te pito o raro o te femur me te pito o runga o te tibia; kātahi, inehia, ka tāutahia he hononga hangai e tika ana, tae atu ki te papa femoral, te papa tibial, te meniscus me te prosthesis patellar; hei whakamutunga, tuituihia te kiko o raro me te kiri hei whakaoti i te pokanga.
He nui te pānga o te pokanga whakakapinga turi, ā, ka taea e tēnei te whakamamae i te mamae, te whakapai ake i te mahi a ngā hononga, me te whakapai ake i te kounga o te oranga o te tūroro. Heoi anō, he tūponotanga anō hoki kei te pokanga, pērā i te mate pāwera, te toto toto, te mōrearea o te mate moepuku, ngā raruraru pokanga, te wetekina, te korenga rānei o te prosthesis, me ētahi atu.
Nō reira, i mua i te pokanga, me arotake whānui ngā tūroro, me kōrero katoa ki te tākuta, me mārama ki ngā mōrearea me ngā pānga o te pokanga, me whai hoki i ngā tohutohu a te tākuta mō te whakarite i mua i te pokanga me te whakaora i muri i te pokanga.
I te nuinga o te wā, he tikanga pakari, he tikanga whai hua hoki te pokanga whakakapinga turi mō te rongoā i ngā mate turi kino, ka taea hoki e tēnei te kawe mai i ngā tumanako hou me ngā whai wāhitanga ki te whakapai ake i te oranga mō ngā tūroro.
2. He aha ngā taputapu e whakamahia ana i roto i te pokanga whakakapinga turi?
Ko ngā taputapu pokanga ko te tīwiri tapaono, he pokepokea whakamātautau tibial, he pokepokea whakamātautau matotoru, he taputapu ine tibial, he osteotome patellar chute, he reti, he kimi tibial extramedullary, he rūrū, he taputapu tango pokepokea whakamātautau osteotomy femur, he rongoā whakamoe, he tokotoko kimi intramedullary, he koe whakatuwhera, he tokotoko raina kaha tibial extramedullary, he hama reti, he rasp wheua, he pehi wheua cancellous, he whakakī, he pehi pokepokea whakamātautau tibial, he aratohu, he taputapu tango me te pouaka taputapu.
3. He aha te wā whakaora mō te pokanga whakakapinga turi?
Ka hoatu e tō tākuta he tohutohu kaukau motuhake ki a koe. Ka tangohia ngā tuitui, ngā here rānei o te pokanga i te wā o te haerenga ki te tākuta whai muri.
Hei āwhina i te whakaiti i te pupuhi, ka tonoa pea koe kia hiki ake i tō waewae, kia pania rānei he huka ki te turi.
Tangohia he rongoā mamae mō te mamae e ai ki tā tō tākuta i tohutohu ai. Tērā pea ka nui ake te toto i te wā e whakamahia ana te āpipirini, ētahi atu rongoā mamae rānei. Kia mahara kia tangohia noa ngā rongoā kua tūtohutia.
Whakamōhio atu ki tō tākuta kia ripoatahia tētahi o ēnei e whai ake nei:
1. Kirika
2. Te whero, te pupuhi, te toto, te rerenga rānei mai i te wāhi i tapahia
3. Te mamae nui haere huri noa i te wāhi i tapahia ai
Ka taea e koe te hoki anō ki tō kai noa, ki te kore koe e tohutohu i tētahi atu mea e tō tākuta.
Kaua e taraiwa kia tohutohungia rā anō koe e tō tākuta. Tērā pea ka pā mai ētahi atu here mō ngā mahi. Tērā pea ka roa pea ētahi marama hei whakaora katoa i te pokanga.
He mea nui kia kaua e hinga i muri i tō pokanga whakakapinga turi, nā te mea ka taea e te hinganga te kino ki te hononga hou. Tērā pea ka tūtohu tō kaiwhakaora hinengaro i tētahi taputapu āwhina (he tokotoko, he taputapu hikoi rānei) hei āwhina i a koe ki te hikoi kia pai ake rā anō tō kaha me tō taurite.
Wā tuku: Hanuere-06-2025
