Ukutshintshwa kweKneeapap ekhethekileyo
Ugqirha lokuguqulwa kwamadolo luyinkqubo eyenziwa kubantu abaye banxiba i-cartilage yecala ye-kneelage yabo kunye, kwaye bashiywe ngokubonakala kwithebhu-kwi-bone kwi-joint. Oku kubangela intlungu kunye nobunzima ngemisebenzi ebonwa kwi- arthritis egugu .
Ngethamsanqa, ukuhlinzwa ngokuguqulwa kwamadolo, inqubo ethatha indawo yokubambisana kunye nensimbi nentsimbi yeplastiki , iphumelele kakhulu ekunciphiseni ubuhlungu nokuphucula umsebenzi.
Nangona kunjalo, abantu abaninzi abanomdla wokuphela kwesifo samathambo banenkxalabo malunga nokutshintshwa kokubambisana. Kukho enye inxaxheba kubantu abane-arthritis kuphela okuyingxenye yamadolo ehlangeneyo , kwaye kuthiwa ukutshintshelwa ngamadolo .
Ukutshintshwa okuKhethekileyo
Ukutshintshelwa kwamadolo okutshatyalaliswa, okubizwa ngokuba yi-unicompartmental knee substitution, kuthetha ukuba kuphela inxalenye edlulileyo yamadolo. Ngokuqhelekileyo, idolo lihlukaniswe ngamacandelo amathathu , kwaye ke ukuguqulwa kwamadolo okutshatyalaliswa kuthiwa kuthiwa ama-knees ayingxowankulu aguqulwe ngenxa yokuba athatha indawo enye. Amacandelo amathathu anecala langaphakathi lamadolo, icala langaphandle lamadolo, kunye nenxalenye phantsi kwe-kneecap. Amanquba amaninzi amaninzi atshintsho aguqula indawo yangaphakathi (eliphakathi) okanye ecaleni (ecaleni) kwicala. Nangona kunjalo, zikhona izimpembelelo zokuguqula idolo ekutshintsheni i-cartilage phantsi kwe-kneecap.
Igumbi phantsi kwe-kneecap ngokuqhelekileyo libizwa ngokuba yi-patellofemoral igumbi. Umgca we-kneecap ungaphantsi kwelinye icala, kwaye i-groove ekupheleni kwethambo lethanga (i-femur) lingaphesheya. Izimpembelelo ezisetyenziselwa ukuthatha indawo yecandelo le- patellofemoral liqulethwe yintsimbi yensimbi ukuze ifikelele ekupheleni kwe-femur, kunye ne diski yeplastiki edibanisa ngaphantsi kwe-kneecap.
I-Patellofemoral Replacement Surgery & Recovery
Ngexesha lotyando lokwenza i-patellofemoral knee substlacement esikhundleni, ugqirha kufuneka adale ubuso ngaphantsi kwe-kneecap kunye ne-groove ekupheleni kwesikhumba sethanga ukuze kulungelelaniswe ukuhlanganiswa kokufakelwa. Isibambiso esilungelelweyo sisoloko sigcinwe kwindawo yesitenti samathambo , esifana neshintsho esisigxina sokuguqula idolo . Inxalenye ebaluleke kakhulu yokuhlinzwa kukuba kuqinisekiswe ukuba i-kneecap iya kupakisha iphantsi kunye phantsi kwiproove ekupheleni kwethambo lethanga ngokuqhelekileyo. Ukuba le nto ayilungiselelwanga ngenyameko, ukutshintshwa kwegama lokuguqa ngamadolo kungekudala kunokukhawuleza.
Ukubuyiselwa emva kwanoma yiliphi uhlobo lokuguqulwa kwamadolo, okuquka ukutshintshwa kwe-patellofemoral , ngokuqhelekileyo kunokukhawuleza kunokutshintshwa kwedolo . Isigulane siqala ukuzithoba ukuguqa ngamadolo ngokukhawuleza emva kokuhlinzwa . Ngelixa ubunzima obupheleleyo bunokufakwa emadolweni, iintonga okanye uhambahamba ngokuqhelekileyo zisetyenziselwa inkxaso kwiiveki ezimbalwa zokuqala.
Iziphumo zePatellofemoral Replacement
Kunzima ukwazi ngokuchanekileyo ixesha elide eliza kutshintsha ngayo i-patellofemoral. Ukuqulunqwa kwezinto ezipakile zitshintshile kakhulu kule minyaka elishumi edlulileyo, ngethemba lokuba iziphumo ezingcono ziza kubangela iziphumo ezingcono. Ngelishwa, akukho ninzi idatha yesikhathi eside, kwaye sishiywe ngokulandelelana okufutshane.
Siyazi ukuba ininzi yezifundo zenziwe, ukuba i-80-90% yezigulane ziya kuba nemiphumo emihle kwiminyaka elishumi emva kokutshintshwa kwe-patellofemoral, kodwa nokuba ngaba abayi kuhlala ixesha elide kunokungacaciswanga.
Siyazi kwakhona ukuba isizathu esivakalayo sokuba indawo yokutshatyalaliswa kwe patellofemoral ayiyi kusebenza kakuhle, kungekhona ngenxa yenkinga ngokufakela, kodwa kunokuba ingxaki kuyo yonke inxalenye yedolo- inxalenye engatshintshwa. Phantse i-25% yezigulane ekugqibeleni zizakufuna ukuguqulwa kwendawo yabo yokutshatyalaliswa kwetelfemoral endaweni yokuguqula idolo ngenxa yesifo se-arthritis nakwezinye iindawo zamadolo.
Yingakho izigulane ezineziphumo eziphambili kwi-patellofemoral knee substlacement zizo zi gulane ezineengxaki ezithile kwi-kneecap yazo, njengophawu oludlulileyo lwe- patella okanye iingxaki zokulandelela i-patellar . Ezi meko zingakhokelela ekugqobeni kwangaphambili kwe-cartilage phantsi kwe-kneecap. Ngakolunye uhlangothi, izigulane ezenzile i- knee arthritis , kungekhona ngenxa yeengxaki ezithile ze-kneecap, ekugqibeleni zifuna ukuguqula idolo ngokugcwele .
Imithombo:
I-Lonner JH "Patellofemoral Arthroplasty" J Am Acad Orthop Surg Agasti 2007; 15: 495-506.