Pembedahan radang sendi

Jika anda menderita dari hebat osteoarthritis, pembedahan mungkin di menyimpan bagi anda.

Jika anda menderita dari hebat osteoarthritis, pembedahan mungkin di menyimpan bagi anda.

Radang sendi secara harfiah bermaksud radang bersama. Kebanyakan kasus radang sendi memerlukan sendi badan tetapi sendi tidak adalah satu-satunya badan bagian-bagian untuk terharu oleh radang sendi. Di radang sendi bentuk berbagainya juga bisa mempengaruhi bagian badan lain. Ialah satu paling umum terjadi penyakit yang mengharukan orang semua umur. Namun kebanyakan korban dapat mengurusi urusannya sendiri sebiasa.

Di sendi badan, akhir sebanyak dua tulang bersatu. Akhir tulang diliputi dengan tulang rawan yang membuat permukaan akhir tulang mulus karena meluncur melawan satu sama lain. Kehalusan permukaan membuatnya mungkin melakukan gerak-gerik bersama dengan mudah dan tanpa rasa sakit dengan gesekan minimum ribuan kali pada sehari. Kedua tulang sendi dilekatkan secara kukuh di tempatnya pada ligamen yang juga bentuk sebiji kapsul seputar sendi. Permukaan ligamen bergaris dengan synovial selaput yang mengeluarkan synovial cairan karena melumasi sendi.

Osteoarthritis, salah satu macam yang lebih biasa, hasil kalau tulang rawan rusak. Kalau ini terjadi akhir tulang di kontak dengan satu sama lain kehilangan tabir perlindungan mereka serta permukaan bergerak dengan mulus yang mulus. Tulang berakhir lalu secara langsung bergesekan dengan satu sama lain. Sendi menjadi kaku dan mulai menyakitkan. Ini osteoarthritis melibatkan sendi yang ditampakkan untuk sering mengunjungi memakai dan cabikan seperti jari, empu kaki, lutut, pinggul, merendahkan tulang belakang.

Surgery is no small choice, and doctors and the surgeons they work with are naturally reluctant to operate unless you meet criteria that they consider important.

Hand Arthritis Surgery

Two of the key factors that all surgeons probably consider are the life-expectancies of the artificial joint and of you. Historically artificial joints last about 15 to 20 years. New technologies may extend this, but there's really no one offering a guarantee that this will be so. For the new technologies, the long-term data just isn't there yet. (That's why it's called "new.")

Doctors call the replacement of an artificial joint gone bad a "revision." And revisions are sometimes more difficult than the original operation. This also forms one more cause for reluctance in treating younger patients.

There seem to be two models that doctors and the surgeons they work with go by.

Model #1: Age and pain intensity.

In this model, the age is a critically important factor. If you're expected to live, on average, to age 75 or 80, and the joint is only going to last 15 years, surgeons using this model will be reluctant to operate until you're 65 years old.

The other parameter is pain intensity. No matter how old you are, if you need the replacement because the pain is just unbearable, many (most?) physicians will agree to operate.

Model #2: Add "life style"

In this model, the factors of the first model are still considered, but to them is added the question of whether you're sacrificing your life right now in order to have some kind of "ideal state" when you're 65.

This is clearly a subjective area for both the patient and the doctor, but in many cases, the evidence is so overwhelmingly clear that the call for a replacement of the joint is considered very reasonable.

And there are clear advantages to getting the artificial joint while you are younger.

* Generally, you're better able to withstand surgery when you're younger than when you're in your latter years.

* Assuming the operation and recovery go well, you'll have years of a better life that you can look back on when you're older - even if at that time you get sidelined because a revision isn't possible.

* Technology is improving all the time. By the time you need a revision (assuming that the newer materials do wear out in 15 to 20 years), the procedures may be in place to make revisions much easier to successfully perform.

Concluding Remarks

This article is a clarion call for osteoarthritis patients to be advocates on their own behalf and to have a discussion of the effects that your osteoarthritis is having on your life. If you are severely restricted in what you can do, if your family is suffering so as to compensate for your pain, and if you can imagine what it would be like for you to see your loved ones in pain and know that this is what they feel about you right now, then it may be past due for you to have this conversation.

And if your physician and surgeon will not take lifestyle as an important factor, seek out a second, third and fourth doctor who will.

This is NOT a call for unnecessary or ill-advised surgery. It is a call for a very important discussion that you should have with your doctor.

To a pain free life...

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