Proteza e Gjurit Unikondiler<\/a>:<\/strong> Operacionet e protezave t\u00eb gjurit p\u00ebrgjith\u00ebsisht kan\u00eb rezultate shum\u00eb t\u00eb mira. Megjithat\u00eb, disa pacient\u00eb nuk ndihen t\u00eb k\u00ebnaqur p\u00ebr shkak t\u00eb humbjes s\u00eb ndjesis\u00eb natyrale t\u00eb gjurit. K\u00ebshtu, jan\u00eb shfaqur alternativa t\u00eb ndryshme p\u00ebr protezat e gjurit. Nj\u00eb alternativ\u00eb kryesore \u00ebsht\u00eb proteza unikondiler. N\u00eb nyj\u00ebn e gjurit, kemi dy kondil\u00eb n\u00eb kock\u00ebn e kofsh\u00ebs. K\u00ebta kondil\u00eb mund t\u00eb merren si dy rrota t\u00eb ndryshme. N\u00eb protez\u00ebn totale t\u00eb gjurit, t\u00eb dy kondil\u00ebt dhe sip\u00ebrfaqet p\u00ebrkat\u00ebse z\u00ebvend\u00ebsohen me proteza metalike. Megjithat\u00eb, shpesh d\u00ebmtimi ndodh vet\u00ebm n\u00eb kondilin e brendsh\u00ebm dhe sip\u00ebrfaqja p\u00ebrkat\u00ebse. N\u00eb protez\u00ebn unikondiler, z\u00ebvend\u00ebsohet vet\u00ebm kondili i d\u00ebmtuar dhe sip\u00ebrfaqja p\u00ebrkat\u00ebse. Hulumtimet tregojn\u00eb se rreth gjysma e pacient\u00ebve me protez\u00eb totale t\u00eb gjurit mund t\u00eb trajtohen me protez\u00eb unikondiler.<\/p>\nAvantazhet e Protez\u00ebs Unikondiler<\/h2>\n
Protezat unikondiler b\u00ebhen zakonisht p\u00ebrmes incizion\u00ebve m\u00eb t\u00eb vegj\u00ebl (7-10 cm) dhe me d\u00ebmtim minimal t\u00eb muskujve p\u00ebrreth. Kjo rezulton n\u00eb koh\u00eb m\u00eb t\u00eb shpejt\u00eb rehabilitimi dhe kthim n\u00eb aktivitete t\u00eb p\u00ebrditshme. Me nj\u00eb prerje m\u00eb t\u00eb vog\u00ebl dhe m\u00eb pak d\u00ebmtime, rreziku i infeksionit dhe komplikacioneve \u00ebsht\u00eb m\u00eb i ul\u00ebt.<\/p>\n
Duke qen\u00eb se vet\u00ebm nj\u00eb pjes\u00eb e gjurit z\u00ebvend\u00ebsohet me protez\u00eb, pacient\u00ebt p\u00ebrjetojn\u00eb nj\u00eb rikuperim m\u00eb t\u00eb shpejt\u00eb t\u00eb ndjesis\u00eb dhe kinematik\u00ebs normale t\u00eb gjurit. Ata arrijn\u00eb nj\u00eb kinematik\u00eb m\u00eb natyrale t\u00eb ecjes n\u00eb krahasim me protez\u00ebn totale t\u00eb gjurit.<\/p>\n
A \u00ebsht\u00eb Proteza Unikondiler e P\u00ebrshtatshme p\u00ebr T\u00eb Gjith\u00eb?<\/h3>\n
Ekzistojn\u00eb disa kritere p\u00ebr pacient\u00ebt q\u00eb mund t\u00eb p\u00ebrdorin protez\u00ebn unikondiler. Nj\u00ebra prej tyre \u00ebsht\u00eb q\u00eb d\u00ebmtimi t\u00eb jet\u00eb i kufizuar n\u00eb nj\u00eb kompartament t\u00eb gjurit. Pacient\u00ebt me d\u00ebmtim n\u00eb t\u00eb dy kompartamentet nuk jan\u00eb t\u00eb p\u00ebrshtatsh\u00ebm p\u00ebr k\u00ebt\u00eb operacion. Mjeku juaj do t\u00eb vler\u00ebsoj\u00eb gjendjen tuaj pas skanimeve t\u00eb nevojshme.<\/p>\n
Nj\u00eb kriter tjet\u00ebr \u00ebsht\u00eb q\u00eb ligamentet kryesore, ve\u00e7an\u00ebrisht ligamenti i kryq\u00ebzuar i p\u00ebrpar\u00ebm, t\u00eb jen\u00eb n\u00eb gjendje t\u00eb mir\u00eb. Ky ligament \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr funksionimin natyror t\u00eb gjurit.<\/p>\n
Po ashtu, pesha dhe mosha jan\u00eb faktor\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm. Pacient\u00ebt me mbipesh\u00eb (indeksi i mas\u00ebs trupore mbi 35) zakonisht rekomandohet t\u00eb ken\u00eb protez\u00eb totale t\u00eb gjurit. Mosha \u00ebsht\u00eb nj\u00eb kriter relativ dhe vler\u00ebsohet n\u00eb p\u00ebrputhje me sh\u00ebndetin e p\u00ebrgjithsh\u00ebm t\u00eb pacientit.<\/p>\n
Para Ameliyatit<\/h3>\n
Para operacionit, pacient\u00ebt shqyrtohen p\u00ebr t\u00eb p\u00ebrcaktuar ankesat e tyre. N\u00eb shumic\u00ebn e rasteve, r\u00ebntgenet e zakonshme jan\u00eb t\u00eb mjaftueshme p\u00ebr diagnoz\u00ebn dhe planifikimin e trajtimit. Mund t\u00eb k\u00ebrkohen gjithashtu skanime t\u00eb tjera p\u00ebr t\u00eb siguruar informacionin e nevojsh\u00ebm. Pas planifikimit, mjeku do t\u00eb rregulloj\u00eb medikamentet, ve\u00e7an\u00ebrisht ato q\u00eb hollosin gjakun. Nj\u00eb anesteziolog do t\u00eb p\u00ebrcaktoj\u00eb metod\u00ebn m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju, e cila mund t\u00eb jet\u00eb anestezi spinal ose e p\u00ebrgjithshme. Pacient\u00ebt zakonisht duhet t\u00eb jen\u00eb pa ushqim p\u00ebr rreth 6-8 or\u00eb p\u00ebrpara operacionit.<\/p>\n
Gjat\u00eb Ameliyatit<\/h3>\n
Gjat\u00eb operacionit, b\u00ebhet nj\u00eb prerje 7-10 cm n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb gjurit p\u00ebr t\u00eb arritur nyj\u00ebn e gjurit. Me ndihm\u00ebn e udh\u00ebzimeve speciale, pastrimi i kockave dhe menisk\u00ebve t\u00eb d\u00ebmtuar b\u00ebhet p\u00ebr t\u00eb p\u00ebrgatitur vendin p\u00ebr protez\u00ebn e re. Pas provimeve, proteza e p\u00ebrshtatshme vendoset n\u00eb gjurin tuaj. Nj\u00eb drenazh vendoset p\u00ebr t\u00eb parandaluar grumbullimin e gjakut pas operacionit.<\/p>\n
Pas Ameliyatit<\/h3>\n
Pacient\u00ebt zakonisht ngrihen n\u00eb k\u00ebmb\u00eb nj\u00eb dit\u00eb pas operacionit dhe fillojn\u00eb ushtrime p\u00ebr l\u00ebvizshm\u00ebrin\u00eb. Pas 2-3 dit\u00ebsh, shumica e pacient\u00ebve jan\u00eb gati t\u00eb kthehen n\u00eb sht\u00ebpi.<\/p>\n
N\u00eb dy jav\u00ebt e para, zakonisht p\u00ebrdoren mjete mb\u00ebshtet\u00ebse si nj\u00eb karrige ose bastun. Pas 4-6 jav\u00ebsh, pacient\u00ebt fillojn\u00eb t\u00eb ecin pa ndihm\u00eb. Ushtrime p\u00ebr forcuar muskujt e gjurit jan\u00eb t\u00eb rekomanduara p\u00ebr tre muajt e par\u00eb.<\/p>\n
Pas 15 dit\u00ebsh, shumica e pacient\u00ebve mund t\u00eb kryejn\u00eb aktivitetet e tyre t\u00eb p\u00ebrditshme dhe t\u00eb fillojn\u00eb t\u00eb drejtojn\u00eb automjetin pas rreth 3-4 jav\u00ebsh.<\/p>\n