Li Guishan, darektan sashen gyaran gyare-gyare na asibitin kasusuwa na Guizhou Huaxia, ya ga wani majiyyaci na musamman wanda ke fama da ciwon gwiwa na tsawon shekaru 11+, ya zo asibiti da benci don shiga sashen, tare da nakasar duka biyun. gwiwoyi da tsananin wahalar tafiya.Radiyon rediyo sun nuna cewa mai haƙuri yana da tsohuwar karaya (marasa warkarwa) na hagu mai nisa femur + tsohuwar ɓarna na gwiwa na hagu + osteoarthrosis na gwiwa na dama.Don ƙarin magani, majiyyacin ya nemi taimako daga sashen tiyata na haɗin gwiwa na asibitin Guizhou Huaxia Orthopedic, yana fatan samun tiyatar gwiwa.
Dangane da yanayin gwiwar majiyyaci biyu, tawagar darektan Guishan Li sun gudanar da shawarwari sosai tare da yin nazari kan cikakkun bayanai game da aikin tiyatar, inda daga karshe suka samar da cikakken tsarin aikin tiyata na majiyyaci, sannan suka yi aikin arthroplasty na gwiwa ta “bilateral” ta hanyar amfani da LDK “Hinged”. Knee Prosthesis" da "Modular Tumor Knee Prosthesis", kuma aikin tiyata ya yi kyau.
Bayani:
Mai haƙuri, mace, mai shekaru 62
Ƙorafi:
Ciwon gwiwa na biyu da iyakancewar motsi don shekaru 11+.
Tarihin likita na yanzu:
Mai haƙuri yana jin zafi a cikin gwiwoyi biyu tun kimanin shekaru 11 + da suka wuce ba tare da wani dalili ba, kuma a hankali ya zama iyakancewa a cikin motsi (gefen hagu ya fi tsanani), amma ba ta damu ba a lokacin kuma ba ta sami magani na yau da kullum ba.Ba ta iya tafiya, rame lokacin tafiya da sanduna, tsugunne da tafiya sama da ƙasa, da sauran ayyukan ɗaukar nauyi.Nakasar gwiwoyi ta hagu ta karu a hankali;gwiwa na dama a hankali yana haɓaka haɓakawa da jujjuyawar nakasar, wanda ya shafi rayuwar yau da kullun.
A cikin shekarar da ta gabata, alamun da ke sama sun kara tsananta, kuma an kwantar da ita a wani asibiti don ƙarin magani, kuma ta bukaci tiyata a gwiwa.
Tarihin da ya gabata:
13 + shekaru da suka wuce, rauni mai rauni ga gwiwa na hagu ya haifar da nakasa da ciwo da iyakacin aiki, kuma bayan da aka yi amfani da shi, nakasa, ciwo da aiki na gwiwa na hagu ya inganta;a cikin shekaru 13+, an cire shi kyauta daga gwiwa na hagu a wani asibiti na gida kuma an sallame shi a asibiti;tsawon shekaru 8+, yana da tarihin stool baƙar fata ba tare da magani na yau da kullun ba.
Gwaje-gwaje na musamman:
Ƙwararren ilimin lissafi na kashin baya ya zama marar zurfi, babu ciwon matsa lamba da jin zafi a cikin yankin lumbosacral, kuma kashin lumbar yana motsawa a kowane bangare.
Ƙarƙashin ƙananan hagu na hagu ya fi guntu fiye da na dama da kusan 6.0 cm;gwiwa na dama ya kara girma kuma ya lalace (juyawar kusan 30 °);cinyar hagu ya kasance mai ɓarna-articularly a kwance kusa da gwiwa;launin fata da zafin jiki na gwiwoyi biyu sun kasance al'ada;kimanin 8.0 cm na tsofaffin tabo na tiyata a tsaye an gani a gefen gaba na gwiwa na hagu, wanda ya warke sosai.
Duk gwiwoyi biyu suna da mahimmancin peripatellar da jimlar tsaka-tsaki da raunin raunin gwiwa na gefe, gwajin patella mai iyo (-), gwajin aljihun dama (-), gwajin aljihun hagu (ba za a iya yin nazari akai-akai ba), gwajin damuwa na gefe (+), alamar McSweeney ( +), gwajin niƙa na patellar (+), gwajin ɗaga kafa madaidaiciya madaidaiciya, ba za a iya yin gwajin ɗaga ƙafar madaidaiciyar hagu ba;motsin gwiwa na dama yana iyakance: tsawo na gwiwa na dama game da -5 °;ƙwanƙwasa gwiwa na dama game da 70 °;jujjuyawar cikin gwiwa ta dama kusan 5°, jujjuyawar waje kusan 5°.
Rashin haɓaka, jujjuyawa, juyawa na ciki da juyawa na waje na gwiwa na hagu;kyakkyawar jin daɗi da gudanawar jini a cikin nisa na ƙananan gaɓoɓin biyu;Sautin tsoka na al'ada a cikin ƙananan ƙafar dama;Sautin tsoka a cikin ƙananan ƙafar ƙafar hagu ba za a iya auna shi akai-akai ba;mai kyau bugun jini na dorsalis pedis artery a gefe guda.
Gwaje-gwajen taimako:
1, Bilateral gwiwa osteoarthrosis
2, Tsohuwar karaya ta hagu mai nisa (mara waraka)
3, Tsohuwar wargajewar hadin gwiwa gwiwa ta hagu
4, Jinin ciki?
Kafin tiyata
Bayan tiyata
Gabatarwar Likitan Likita
Guishan LI
Daraktan tiyata na hadin gwiwa, Guizhou Huaxia Orthopedic Hospital
Tsohon Daraktan Sashen Orthopedic, Asibitin PLA na 91
Digiri na biyu, Mataimakin Babban Likita
Tsayayyen memba na Kwamitin Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru na Guizhou;
Memba na Tafkin ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru na Birnin Guiyang
Musamman:tiyata ta wucin gadi maye gurbin haɗin gwiwa da tiyata na bita, magungunan wasanni ( tiyatar arthroscopic ), aikin tiyata na raunin da ya faru na kashin baya, raunin da ya faru na kashin baya, raunin nama mai laushi, da gyaran gyare-gyare na nakasa, da dai sauransu. necrosis.
Lokacin aikawa: Mayu-09-2023