Wani mai dawo da Labrador mai suna Ava ya yi tiyatar maye gurbin hip biyu na biyu tare da taimakon likitocin dabbobi na Jami’ar Texas A&M, tsara tsararru (CT) da fasahar bugu na 3D.Sa'an nan kuma koma gudu da wasa tare da iyalinka.
Lokacin da haɗin gwiwar hip guda biyu Ava da aka karɓa a matsayin ɗan kwikwiyo a cikin 2020, likitocin dabbobi na Texas A&M sun cire tsoffin gidajen abinci tare da maye gurbinsu da sababbi, ta amfani da tsarin jagorar CT, ƙirar ƙasusuwa na 3D da sake gwada aikin tiyata don tabbatar da aikin tiyata ya tafi lafiya kuma ba tare da jin zafi ba. .za a yi nasara.
Ba karnuka da yawa suna yin aikin tiyata guda huɗu na maye gurbin hip (THR) a rayuwarsu, amma Ava ya kasance na musamman.
"Ava ta zo wurinmu lokacin tana da kimanin watanni 6 kuma mun kasance iyayen kare da ke zaune a Illinois," in ji mai Ava, Janet Dieter.“Bayan kula da karnuka sama da 40, ita ce ‘yar asararmu ta farko da muka karbe.Har ila yau, muna da wani Baƙar fata Labrador mai suna Roscoe a lokacin, wanda ya yi ƙoƙari ya janye daga ƙwararrun ƙwararru, amma ya ƙaunaci Ava nan da nan kuma mun san cewa za ta zauna. "
Janet da mijinta Ken koyaushe suna kai karnukan su zuwa makarantar biyayya tare da su, kuma Ava ba banda.Duk da haka, a can ne ma'auratan suka fara lura da wani abu dabam game da ita.
"Maudu'in ya taso game da yadda za a hana kare ku tsalle a kan ku, kuma mun fahimci Ava ba zai taba tsalle a kan mu ba," in ji Janet."Mun kai ta wurin wani likitan dabbobi na gida kuma sun yi x-ray wanda ya nuna cewa hip ɗin Ava ya rabu."
An tura masu Dieters zuwa ƙwararren likita mai maye gurbin hip wanda ya yi jimlar maye gurbin Ava a cikin 2013 da 2014.
"Kwancewarta abu ne mai ban mamaki," in ji Janet."Ta fita daga asibitin kamar babu abin da ya faru."
Tun daga wannan lokacin, Ava ta taimaka wa ƴan ƴaƴan ƴan ƴan matan da suke cin abinci su sami mutanen da za su yi wasa da su.Lokacin da dangin Dieter suka ƙaura daga Illinois zuwa Texas shekaru da yawa da suka wuce, ta ɗauki canji cikin sauri.
"A cikin shekaru da yawa, ƙwallo na wucin gadi sun shafe filastik filastik wanda ke kare bangon karfe na haɗin gwiwar wucin gadi," in ji Dokta Brian Sanders, farfesa na ƙananan dabbobin dabba da kuma darektan kula da kananan dabbobi a asibitin koyarwa na dabbobi."Kwallon wucin gadi ta cire tushen karfe, wanda ya haifar da tarwatsewa."
Ko da yake jimlar lalacewa da tsagewar haɗin gwiwa na hip ba wuya ba ne a cikin karnuka, yana iya faruwa lokacin maye gurbin haɗin gwiwa da aka yi amfani da shi shekaru da yawa.
Sanders ya ce "Lokacin da Ava ta sanya kwandon ta na asali, kayan da ke cikin haɗin gwiwa ba ta haɓaka kamar yadda yake a yanzu ba."“Fasaha ta ci gaba har ta kai ga ba za a iya samun wannan matsala ba.Matsaloli kamar na Ava ba su da yawa, amma idan sun faru, ana buƙatar fasahar ci gaba don cimma sakamako mai nasara."
Baya ga rarrabuwar kawuna, lalacewar bangon karfen hips na Ava ya haifar da ƙananan ɓangarorin ƙarfe sun taru a kusa da haɗin gwiwa da kuma cikin magudanar pelvic, suna yin granulomas.
"Granuloma shine ainihin jakar nama mai laushi da ke ƙoƙarin ɗaukar gutsuttsuran ƙarfe," in ji Sanders.“Ava tana da babban granuloma na ƙarfe wanda ke toshe hanyar haɗin gwiwar hip ɗinta kuma yana shafar sassan jikinta.Wannan kuma zai iya sa jikinta ya ƙi duk wani abin da aka saka na prosthetic na THR.
"Tsarin ƙarfe - wani tsari mai banƙyama wanda ke haifar da gutsuttsuran ƙarfe don tarawa a cikin granulomas - na iya haifar da canje-canjen salula wanda ke haifar da kashi a kusa da sabon hip to resorb ko narke.Kamar sanya jiki cikin yanayin kariya don kare kansa daga abubuwan waje,” in ji shi.
Saboda wahalar aikin tiyata da ake buƙata don cire granuloma da gyara hips na Ava, likitan dabbobi na gida na Diters ya ba da shawarar su ga ƙwararren likitan kashi a Jami'ar Texas A&M.
Don tabbatar da nasarar aikin hadaddun, Sanders ya yi amfani da tsarin aikin tiyata na CT na ci gaba da fasahar bugu na 3D.
"Muna amfani da ƙirar kwamfuta ta 3D don sanin girman da kuma sanya kayan da aka sanya a cikin prosthetic," in ji Saunders.“Da gaske mun buga kwafin kwafin hips na Ava kuma mun tsara daidai yadda ake yin tiyatar bita ta amfani da samfurin 3D na kashi.A haƙiƙa, mun lalata samfuran robobi kuma mun yi amfani da su a cikin dakin tiyata don taimakawa wajen sake gina ginin.”
“Idan ba ku da naku shirin bugu na 3D, dole ne ku yi amfani da tsarin biyan kuɗi don sabis don aika CT scan zuwa kamfani na ɓangare na uku.Zai iya zama da wahala dangane da lokacin juyawa, kuma sau da yawa kuna rasa ikon shiga cikin tsarin tsarawa, ”in ji Sanders.
Samun kwafin gindin Ava yana da taimako musamman idan aka yi la'akari da granuloma na Ava yana ƙara rikitarwa.
"Don guje wa ƙin yarda da THR, muna amfani da CT scan kuma muna aiki tare da ƙungiyar likitocin nama mai laushi don cire yawancin granuloma na karfe daga canal na pelvic kamar yadda zai yiwu sannan mu dawo don bitar THR.Sa'an nan idan muka yi bita, za mu iya kammala tiyata a daya bangaren ta hanyar cire sauran granuloma a gefe guda, "in ji Sanders."Yin amfani da samfuran 3D don tsarawa da aiki tare da ƙungiyar tausasawa sun kasance mahimman abubuwa biyu a cikin nasararmu."
Yayin da tiyatar sake gina hips na farko ta Ava ta yi kyau, wahalarta ba ta ƙare ba tukuna.Bayan 'yan makonni bayan tiyata na farko, sauran kushin THR na Ava shima ya gaji kuma ya rabu.Dole ta koma VMTH don sake duba hip na biyu.
"An yi sa'a, hip na biyu bai yi mummunar lalacewa kamar na farko ba, kuma mun riga mun sami samfurin 3D na kwarangwal daga aikin tiyata na kwanan nan, don haka tiyata na biyu na gyaran hip ya fi sauƙi," in ji Saunders.
"Har yanzu tana kewaya bayan gida da filin wasanmu," in ji Janet."Ta haye saman sofa."
"Lokacin da ta fara nuna alamun farko na lalacewa a kan kwatangwalo, mun yi tunanin zai iya zama ƙarshen kuma mun yi mamaki," in ji Ken."Amma likitocin dabbobi a Texas A&M sun ba ta sabuwar rayuwa."
Kwararrun likitocin dabbobi a Jami'ar Texas A&M sun ce samar da "yanki mai aminci" ga kuliyoyi shine mabuɗin gabatarwar nasara.
Kwararrun likitocin dabbobi suna da saurin konewa kuma suna iya mutuwa sau biyar fiye da sauran jama'a.
Masana kimiyya za su yi aiki don fahimtar yadda kwayar cutar da ke haifar da COVID-19 ke yaduwa tsakanin barewa da kuma yadda take shafar lafiyarsu gaba daya.
Drew Kearney '25 yana nazarin bayanan ƙungiyar don inganta dabarun haɓaka ƴan wasa.
Kwararrun likitocin dabbobi a Jami'ar Texas A&M sun ce samar da "yanki mai aminci" ga kuliyoyi shine mabuɗin gabatarwar nasara.
Lokacin aikawa: Dec-18-2023