Osteotomia e lart\u00eb tibiale<\/strong><\/a> \u00ebsht\u00eb nj\u00eb operacion i realizuar p\u00ebr t\u00eb korrigjuar deformitetet n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb tibis\u00eb (kemi kavilje). Deformitetet n\u00eb tibin\u00eb mund t\u00eb ndodhin p\u00ebr shkak t\u00eb struktur\u00ebs s\u00eb saj ose aktiviteteve t\u00eb tepruara sportive. K\u00ebto deformitete mund t\u00eb shkaktojn\u00eb dhimbje n\u00eb gjunj\u00eb dhe n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb k\u00ebmb\u00ebs me kalimin e koh\u00ebs. Ajo q\u00eb \u00ebsht\u00eb normale \u00ebsht\u00eb q\u00eb qendra e pesh\u00ebs n\u00eb k\u00ebmb\u00ebt tona duhet t\u00eb kaloj\u00eb p\u00ebrmes qendr\u00ebs s\u00eb gjunj\u00ebve; megjithat\u00eb, te k\u00ebta pacient\u00eb, ajo zhvendoset drejt an\u00ebs s\u00eb brendshme t\u00eb gjunj\u00ebve, duke shkaktuar konsum t\u00eb hersh\u00ebm. Me operacionin e lart\u00eb tibial osteotomi, ky deformitet korrigjohet duke prishur kock\u00ebn dhe ecur drejt pozicionit t\u00eb duhur sipas planit t\u00eb p\u00ebrcaktuar.<\/p>\nKush Mund t\u00eb Pjes\u00ebmarr\u00eb n\u00eb Ameliyatin e Lart\u00eb Tibial Osteotomi?<\/h2>\n
Operacioni i lart\u00eb tibial osteotomi \u00ebsht\u00eb ve\u00e7an\u00ebrisht i p\u00ebrshtatsh\u00ebm p\u00ebr ata q\u00eb kan\u00eb deformitetin e njohur si O-k\u00ebmb\u00eb, ku, kur lidhen majat e k\u00ebmb\u00ebve, gjunj\u00ebt nuk prekin nj\u00ebri-tjetrin. Megjithat\u00eb, vet\u00ebm t\u00eb qenit O-k\u00ebmb\u00eb nuk do t\u00eb thot\u00eb q\u00eb do t\u00eb operoheni. \u00cbsht\u00eb e nevojshme t\u00eb keni dhimbje n\u00eb gjunj\u00eb ose t\u00eb ndjeni dhimbje m\u00eb t\u00eb shpejt\u00eb gjat\u00eb aktiviteteve. Pacient\u00ebt zakonisht jan\u00eb n\u00ebn 50-55 vje\u00e7 dhe kan\u00eb nj\u00eb histori t\u00eb aktivitetit sportiv ose pun\u00ebve q\u00eb k\u00ebrkojn\u00eb forc\u00eb. Mund t\u00eb ket\u00eb shenja t\u00eb hershme t\u00eb degeneracionit n\u00eb gjunj\u00eb ose ndonj\u00ebher\u00eb d\u00ebmtim t\u00eb meniskut.<\/p>\n
Osteotomia e lart\u00eb tibiale gjithashtu mund t\u00eb p\u00ebrdoret si nj\u00eb procedur\u00eb shp\u00ebtimi pas cop\u00ebzimeve t\u00eb p\u00ebrs\u00ebritura t\u00eb ligamentit t\u00eb p\u00ebrparm\u00eb ose t\u00eb pas\u00ebm.<\/p>\n
Gjat\u00eb ekzaminimit, mund t\u00eb jet\u00eb e nevojshme t\u00eb b\u00ebhet nj\u00eb grafik p\u00ebr t\u00eb treguar aksin e gjunj\u00ebve. Ky grafik do t\u00eb llogaris\u00eb devijimin e aksit dhe vendndodhjen e deformitetit n\u00eb k\u00ebmb\u00ebn tuaj. N\u00eb pacient\u00ebt q\u00eb operohen zakonisht kontrollohet n\u00ebse ka ndonj\u00eb d\u00ebmtim t\u00eb kock\u00ebs, ligamentit ose meniskut duke b\u00ebr\u00eb nj\u00eb MRI dhe, n\u00ebse \u00ebsht\u00eb e nevojshme, t\u00eb gjitha k\u00ebto mund t\u00eb korrigjohen n\u00eb t\u00eb nj\u00ebjt\u00ebn seanc\u00eb.<\/p>\n
Para Ameliyatit<\/h3>\n
Pas planifikimit t\u00eb operacionit, medikamentet aktuale t\u00eb pacient\u00ebve, ve\u00e7an\u00ebrisht ato q\u00eb hollosin gjakun, rregullohen n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr operacionin. P\u00ebrdorimi i duhanit ndikon negativisht n\u00eb sh\u00ebrimin e kockave, k\u00ebshtu q\u00eb ndalohet. Nj\u00eb anestezist do t\u00eb vler\u00ebsoj\u00eb dhe do t\u00eb p\u00ebrcaktoj\u00eb metod\u00ebn m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju gjat\u00eb operacionit. Kjo mund t\u00eb jet\u00eb anestezia spinale, ku ju jeni t\u00eb ndjesh\u00ebm vet\u00ebm nga belit posht\u00eb, ose anestezi e plot\u00eb, ku ju flini. Para operacionit k\u00ebrkohet t\u00eb jeni pa ushqim p\u00ebr rreth 6-8 or\u00eb.<\/p>\n
Gjat\u00eb Ameliyatit<\/h3>\n
Para operacionit, mjeku juaj do t\u00eb p\u00ebrdor\u00eb programe ose modele t\u00eb ve\u00e7anta p\u00ebr t\u00eb llogaritur vendin e prerjes dhe sasin\u00eb e korrigjimit nga grafikat e aksit. Gjat\u00eb operacionit, b\u00ebhet nj\u00eb prerje rreth 5-7 cm nga brend\u00ebsia e gjunjit dhe vendi ku do t\u00eb pritet kocka identifikohet me ndihm\u00ebn e skopit (nj\u00eb pajisje e rrezeve t\u00eb l\u00ebvizshme n\u00eb sall\u00ebn e operacionit). P\u00ebrdorimi i mjeteve speciale, deformiteti n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb tibis\u00eb pritet dhe korigjohet sipas matjeve t\u00eb m\u00ebparshme, dhe gjat\u00eb operacionit kontrollohet sakt\u00ebsia. M\u00eb pas, p\u00ebr t\u00eb mbajtur kock\u00ebn n\u00eb pozicionin e korrigjuar, p\u00ebrdoren pllakat dhe vida t\u00eb dizajnuara posa\u00e7\u00ebrisht. Pas k\u00ebsaj, l\u00ebkura juaj mbyllet n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrshtatshme.<\/p>\n
Pas Ameliyatit<\/h3>\n
Pas operacionit, do t’ju jepen ila\u00e7e p\u00ebr t\u00eb menaxhuar dhimbjen p\u00ebrmes venave. N\u00eb dit\u00ebn e par\u00eb pas operacionit, do t\u00eb filloni ushtrime p\u00ebr l\u00ebvizshm\u00ebrin\u00eb e gjunj\u00ebve. Do t\u00eb k\u00ebrkohet q\u00eb t\u00eb vendosni pesh\u00eb n\u00eb k\u00ebmb\u00eb sa m\u00eb shum\u00eb q\u00eb t\u00eb mundeni duke p\u00ebrdorur dy kap\u00ebse. Gjat\u00eb 15 dit\u00ebve t\u00eb para, do t\u00eb k\u00ebrkohet q\u00eb t\u00eb b\u00ebni aplikime t\u00eb ftohta p\u00ebr t\u00eb evituar \u00ebnjtjen dhe t\u00eb b\u00ebni ushtrime p\u00ebr forcimin e muskulit quadriceps mbi gjunj\u00eb.<\/p>\n
Pacient\u00ebt zakonisht mund t\u00eb drejtojn\u00eb automjetin pas rreth 3 jav\u00ebsh dhe pas nj\u00eb muaji mund t\u00eb kryejn\u00eb aktivitete jasht\u00eb sht\u00ebpis\u00eb duke p\u00ebrdorur mb\u00ebshtetje t\u00eb vetme. Sh\u00ebrimi i kockave ndodh mesatarisht brenda 2 muajve dhe pacient\u00ebt kthehen n\u00eb aktivitete normale p\u00ebrditore pas k\u00ebsaj periudhe. Rreth muajit t\u00eb tret\u00eb, ata mund t\u00eb fillojn\u00eb me aktivitete t\u00eb thjeshta si jogging dhe not. Pas 6 muajsh, ata mund t\u00eb kthehen n\u00eb sporte m\u00eb intensive si basketbolli ose futbolli.<\/p>\n
Rreziqet e Ameliyatit<\/h3>\n
Si\u00e7 ndodh me \u00e7do operacion, ka mund\u00ebsi p\u00ebr komplikacione si infeksion ose gjakderdhje pas operacionit t\u00eb lart\u00eb tibial osteotomi. P\u00ebr t\u00eb parandaluar k\u00ebto komplikacione, do t’ju jepet antibiotik\u00eb para operacionit dhe disa ila\u00e7e mund t\u00eb ndryshohen n\u00ebse \u00ebsht\u00eb e nevojshme. Duke qen\u00eb se b\u00ebhet nj\u00eb prishje e kock\u00ebs, ka rrezik q\u00eb kockat t\u00eb mos rriten s\u00eb bashku. Ky rrezik \u00ebsht\u00eb m\u00eb i madh te pacient\u00ebt q\u00eb pin\u00eb duhan. Te pacient\u00ebt q\u00eb kan\u00eb vet\u00ebm nj\u00eb operacion p\u00ebr korrigjimin e deformitetit, mund t\u00eb ket\u00eb dallime n\u00eb gjat\u00ebsin\u00eb e k\u00ebmb\u00ebve deri n\u00eb 1 cm, por shumica e k\u00ebtyre dallimeve nuk do t’i shkaktojn\u00eb shqet\u00ebsime n\u00eb jet\u00ebn e p\u00ebrditshme. Mjeku juaj ndonj\u00ebher\u00eb mund t\u00eb rekomandoj\u00eb t\u00eb vendosni ngjitur t\u00eb vogla n\u00eb k\u00ebpuc\u00ebn tuaj.<\/p>\n
Disa pacient\u00eb mund t\u00eb ndiejn\u00eb shqet\u00ebsim nga pllakat e holla q\u00eb vendosen n\u00eb an\u00ebn e brendshme t\u00eb gjunj\u00ebve. N\u00eb k\u00ebt\u00eb rast, pllakat mund t\u00eb hiqen me nj\u00eb operacion t\u00eb thjesht\u00eb pas 6-8 muajve.<\/p>\n
P\u00ebrve\u00e7 k\u00ebsaj, mund t\u00eb ket\u00eb rreziqe t\u00eb ve\u00e7anta n\u00eb lidhje me gjendjen tuaj t\u00eb p\u00ebrgjithshme sh\u00ebndet\u00ebsore, s\u00ebmundjet dhe ila\u00e7et q\u00eb p\u00ebrdorni. Mjeku juaj do t’ju informoj\u00eb n\u00eb lidhje me k\u00ebto.<\/p>\n
Rezultatet<\/h3>\n
Te pacient\u00ebt me devijim t\u00eb aksit n\u00eb gjunj\u00eb, n\u00eb periudh\u00ebn afatgjat\u00eb, ky devijim ndikon negativisht n\u00eb shp\u00ebrndarjen e ngarkes\u00ebs n\u00eb nyj\u00ebn e gjunjit, duke \u00e7uar n\u00eb artroz\u00eb t\u00eb hershme. Ve\u00e7an\u00ebrisht struktura n\u00eb an\u00ebn e brendshme t\u00eb gjunj\u00ebve, p\u00ebrfshir\u00eb k\u00ebtu kockat dhe menisk\u00ebt, mund t\u00eb d\u00ebmtohen m\u00eb shpejt. Operacioni i lart\u00eb tibial osteotomi korrigjon shp\u00ebrndarjen e ngarkes\u00ebs dhe ju jep mund\u00ebsin\u00eb p\u00ebr t\u00eb p\u00ebrdorur gjunjin tuaj p\u00ebr nj\u00eb periudh\u00eb t\u00eb gjat\u00eb pa pasur nevoj\u00eb p\u00ebr nd\u00ebrhyrje t\u00eb m\u00ebtejshme ose proteza. Pacient\u00ebt jan\u00eb p\u00ebrgjith\u00ebsisht t\u00eb k\u00ebnaqur me rezultatet afatgjata t\u00eb operacionit.<\/p>\n
Pyetje dhe P\u00ebrgjigje<\/h2>\nKam deformitet O n\u00eb k\u00ebmb\u00eb, por a vjen ky deformitet vet\u00ebm nga tibia?<\/h3>\n
Shumica e deformiteteve t\u00eb dizajnit n\u00eb k\u00ebmb\u00eb buron nga tibia, por mund t\u00eb vijn\u00eb gjithashtu nga femuri (kemi e kofsh\u00ebs) ose nga gjunj\u00eb vet\u00eb. N\u00eb rastet kur deformiteti \u00ebsht\u00eb nga gjunj\u00ebt, zakonisht preferohen protezat, nd\u00ebrsa p\u00ebr deformitetet q\u00eb vijn\u00eb nga femuri, mund t\u00eb b\u00ebhet osteotomi dhe korrigjim n\u00eb m\u00ebnyr\u00eb t\u00eb ngjashme.<\/p>\n
Kam shum\u00eb pesh\u00eb dhe kam deformitet O n\u00eb k\u00ebmb\u00eb. A mund t\u00eb operohem gjithsesi?<\/h3>\n
Kjo \u00ebsht\u00eb nj\u00eb vendim q\u00eb mund t\u00eb merret n\u00eb bashk\u00ebpunim me mjekun tuaj. Megjithat\u00eb, te pacient\u00ebt me pesh\u00eb t\u00eb tep\u00ebrt, ka nj\u00eb rrezik m\u00eb t\u00eb madh t\u00eb problemeve n\u00eb vendin e operacionit dhe humbjes s\u00eb korrigjimit p\u00ebr shkak t\u00eb pesh\u00ebs.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7far\u00eb \u00ebsht\u00eb Osteotomia e Lart\u00eb Tibiale? Osteotomia e lart\u00eb tibiale \u00ebsht\u00eb nj\u00eb operacion i realizuar p\u00ebr t\u00eb korrigjuar deformitetet n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb tibis\u00eb (kemi kavilje). Deformitetet n\u00eb tibin\u00eb mund t\u00eb ndodhin p\u00ebr shkak t\u00eb struktur\u00ebs s\u00eb saj ose aktiviteteve t\u00eb tepruara sportive. K\u00ebto deformitete mund t\u00eb shkaktojn\u00eb dhimbje n\u00eb gjunj\u00eb dhe n\u00eb pjes\u00ebn […]<\/p>\n","protected":false},"author":1,"featured_media":276,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-61","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-specializimet"],"_links":{"self":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/61","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/comments?post=61"}],"version-history":[{"count":7,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/61\/revisions"}],"predecessor-version":[{"id":336,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/61\/revisions\/336"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/276"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=61"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=61"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=61"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}