Osteotomy kuvhiya kunogadzirisa kuora kwemapfupa uye kwemajoini, kunyanya mumabvi, chiuno kana shaya.

Osteotomy (kubva kuGreek oste: bone; uye tomê: cut) inzira yekuvhiya iyo inosanganisira kucheka pfupa kuitira kuti igadzirise axis yayo, saizi kana chimiro. Rudzi urwu rwekuvhiya runowanzoitirwa kuitira kugadzirisa zvinangwa kana paitika kusagadzikana kana chirwere chinodzikira, senge osteoarthritis yemabvi kana hudyu, semuenzaniso. Asi mune zvimwe zviitiko, kuvhiya kwacho kunogona zvakare kuve nechinangwa chekushongedza, senge semuenzaniso panguva yekuvhiya kwechirebvu kana rhinoplasty (kuvhiya kugadzirisa chimiro uye chimiro chemhino).

Osteotomy inoitwa mune inotevera kesi:

• kukanganisika kwemabvi akabatanidzwa, senge makumbo arched kunze (iyo genu varum) kana makumbo arched mukati kana kuti "mu X" (genu valgum);
• hudyu dysplasia (kana hudyu dislocation), kuberekwa kana kuwana hurema hwekubatana kwechiuno;
• osteoarthritis yemabvi kana hudyu kuitira kunonoka kukodzera kweprosthesis muvarwere vadiki;
• kuremara kwemuzongoza kunokonzeresa kukotama kana kuti "hunchbacked" kumashure (kyphosis) kana sekurapa kwekupedzisira sarudzo mune zvakanyanya kukomba zviitiko zve scoliosis ("S" kuora kwemuzongoza);
• kukanganisa kwemushaya wezasi (mandible) kana shaya yepamusoro (maxilla) iyo inodzivirira kuenderana kwemazino akajairwa;
• bunion (kana hallux valgus) kutsauka kwechigunwe chikuru kuenda kune zvimwe zvigunwe uye kuoneka kwebundu kuenda kunze kwekubatana.

Vanachiremba veplastiki vanoitawo osteotomy kushandura chimiro chechiini.

Kazhinji, panguva yekuvhiyiwa, mapfupa anotemwa nemidziyo yakasarudzika. Ipapo, iyo yekucheka magumo inoiswa zvakare munzvimbo yaunoda uye inozobatwa nemaplate, screws kana simbi tsvimbo (intramedullary zvipikiri). Basa rese rinoitika kungave pasi peanesthesia kana pasi peanesthesia yemuno. Sarudzo inoitwa neanesthetist muchibvumirano nemurwere uye zvinoenderana nerudzi rweosteotomy yakaitwa.

Kudzoreredza mushure mekuvhiyiwa kunoenderana nefupa rakakanganiswa neosteotomy. Kazhinji, kurapa-kununura kurapwa kunorayirwa nachiremba, pamwe nekusarura kana kukwana zvachose kweiyo yakanangana mubatanidzwa (hudyu, ibvi, shaya). Kudzoreredza kwakasiyana zvakare kubva pamavhiki mashoma kusvika kumwedzi yakati wandei zvichienderana nehukuru hwekuvhiya.

Mushure mekuvhiyiwa kwejaya, zvinowanzo kurairwa kuti usapute.

Kufanana nechero nzira yekuvhiya inoitwa pasi peanesthesia, osteotomy inopa njodzi yekusagadzikana neanesthetics kana yekukura kufema.

Kunyanya kazhinji, urwu rudzi rwekuvhiya runosanganisira njodzi dzinowanikwa mune chero kuvhiyiwa. Ngatitaurei semuenzaniso:

• kukura kwehutachiona hwehutachiona;
• kurasikirwa neropa;
• kuumbwa kweropa panzvimbo yekuvhiya (kazhinji mugumbo panguva yekuvhiya kwemabvi);
• kukuvara kune tsinga inokonzeresa kurasikirwa kwekunzwa kana kufamba kwejoini (mabvi, shaya);
• kurwadziwa kusingaperi mushure mekuvhiyiwa;
• kutyora pfupa;
• mavanga anooneka.

Chekupedzisira, kubudirira kwekuvhiya hakuna kumbobvira kwavimbiswa. Zvakare, kune mukana wekutadza uyo ungazoda kuwedzerwa kuvhiiwa.

Kuvhiya kwakakura uye general anesthesia kazhinji hakukurudzirwe kune vanhu vakura kwazvo kana vanhu vanotambura nemamwe marapirwo senge matambudziko emoyo.