Te pokanga turi katoa (TKA), e mōhiotia ana ko te pokanga whakakapinga turi katoa, he tikanga e aro ana ki te whakakapi i te mea kua pakaru, kua tawhito rāneihononga turime tete tāpiringa horihori, te prosthesis rāneiHe mea noa tēnei hei whakamamae i te mamae me te whakapai ake i te mahi a te hunga e pāngia ana e te mate rumatiki kino o te turi, te mate rumatiki rheumatoid, te mate rumatiki muri i te whara, me ētahi atu āhuatanga rānei e pā ana ki te hononga turi.
Anei tētahi tirohanga whānui mō ngā tikanga pokanga e pā ana ki te pokanga turi katoa:
Aromatawai i mua i te pokanga: I mua i te pokanga, ka whai aromatawai whānui te tūroro, tae atu ki te arotake i te hītori hauora, te whakamātautau tinana, ngā rangahau whakaahua (pēnei i ngā hihi-X, MRI rānei), ā, i ētahi wā he whakamātautau toto. Mā tēnei ka āwhina i te tīma pokanga ki te aromatawai i te hauora whānui o te tūroro, me te whakamahere i te tikanga kia rite.
Whakamoemiti: Ko te pokanga turi katoa ka mahia i raro i te whakamoemiti whānui, i te whakamoemiti tuaiwi, i te whakakotahitanga rānei o ngā mea e rua. Ko te kōwhiringa whakamoemiti ka whakawhirinaki ki te āhua hauora o te tūroro, ngā manakohanga, me te taunakitanga a te taote pokanga.
Tapahi: Kia tukuna te rongoā whakamoe, ka tapahia e te taote pokanga te hononga turi. Ka rerekē pea te rahi me te wāhi o te tapahi i runga i ngā āhuatanga pēnei i te hanganga o te tūroro me te tikanga pokanga i whakamahia. Ko ngā wāhi tapahi noa ko te taha mua (o mua), te taha (taha), te taha mua rānei o te turi (waenganui).
Te Whakaaturanga me te Whakarite: Whai muri i te urunga atu ki te hononga turi, ka āta nekehia e te taote pokanga ngā kiko e karapoti ana kia kitea ngā mata o te hononga kua pakaru. Kātahi ka tangohia te kiriuhi me te wheua kua pakaru mai i te femur (wheua huha), te tibia (wheua papa), me ētahi wā te patella (te taupoki turi) hei whakarite mō te whakatakotoranga o ngā wāhanga hangai.
Te Whakatōnga: Ko ngā wāhanga hangai he mea hanga ki te konganuku me te kirihou i hangaia hei tārua i te hanganga me te mahi tūturu o te hononga turi. Kei roto i ēnei wāhanga he konganukuwāhanga femur, he mea whakarewa, he mea kirihou rāneiwāhanga tibial, ā, i ētahi wā he wāhanga kirihou o te hope. Ka herea ngā wāhanga ki te wheua mā te whakamahi i te sima wheua, mā ngā tikanga pēhi-whakauru rānei, i runga i te momo tāpiringa me te hiahia o te taote pokanga.
Katinga: Kia oti ngā wāhanga hangai te whakanoho, ā, kia whakamatautauria te hononga turi mō te pumau me te whānuitanga o te nekehanga, ka kati te taote pokanga i te tapahi ki ngā tuitui, ki ngā staples rānei. Ka pania he takai parakore ki runga i te wāhi i tapahia.
Te Tiaki i Muri i te Tapanga: I muri i te pokanga, ka tirotirohia tata te tūroro i te wāhi whakaora i mua i te whakawhiti ki te rūma hōhipera, ki te whare tiaki rānei i muri i te pokanga. Ko te whakahaere mamae, te whakaora tinana, me te whakaora tinana he wāhanga nui o te mahere tiaki i muri i te pokanga hei whakatairanga i te whakaora, hei whakahoki mai i te kaha me te mahi a te turi, me te ārai i ngā raruraru.
He tino angitu te pokanga turi katoa, ā, ka taea te whakapai ake i te kounga o te oranga mō te hunga e pāngia ana e te mamae turi me te ngoikore o te mahi. Heoi, pērā i ngā pokanga katoa, he tūponotanga me ngā raruraru pea, tae atu ki te mate, te toto totoka, te wetekina o te implant, me te pakari. He mea nui kia whai ngā tūroro i ngā tohutohu a te taote pokanga mō te tiaki me te whakaora i muri i te pokanga kia tutuki ai ngā putanga pai rawa atu.
Wā tuku: Mei-17-2024