Ukuguqulwa kwamadolo onke , okubizwa ngokuba yi-knee arthroplasty, iyinkqubo yokupasa ngempumelelo. Akunjalo kuphela ukhetho lwonyango olwenziwa ngodolo lwe- osteoarthritis , nangona kunjalo. Ezinye izigulane zibe ngabaviwa abaguqulwa ngamadolo.
Ukwahlukana phakathi kweNkcitho kunye neNdawo yokuTshintshwa kweKnee
Ibhokisi linamagumbi amathathu-igumbi eliphakathi (ngaphakathi kwimbombo), igumbi elingaphandle (ngaphandle kwendolo) kunye negumbi le patellofemoral (phambi kwegolo).
Kwezinye izigulane ze-osteoarthritis zamadolo, enye igumbi elinye lamadolo lichaphazelekayo. Enyanisweni, ngokuqhelekileyo igumbi eliphakathi lichaphazeleka yi-osteoarthritis. Igumbi elingaphandle lingachaphazeleka, kodwa lingaqhelekanga.
Ukutshintshwa kwamadolo okukhethayo okanye okungaqhelekanga, njengoko igama layo libonisa, lithatha indawo yecala elichaphazelekayo lamadolo. Ngakolunye uhlangothi, ukutshintshwa kweendolo ngokupheleleyo kubandakanya ukutshintshwa kwamashishini amathathu emadolweni.
Nangona elinye igumbi elinye litshintshwa ngexesha lokutshintshelwa kwamadolo, i-front and posterior cruciate ligaments iyalondolozwa. Iigamente zisuswe endaweni yokuguqula idolo. Kungenelwe ukuba, ngokutshintshelwa ngamadolo, inxalenye yesimo sakho somzimba ihlala ihleli.
IiNzuzo kunye neengozi ezihambelanayo neNtshukumo yokuTshintshwa kweNdlela
Kukho iinzuzo zokuba utshintshwe ngamadolo. Ngolu hlobo lwenkqubo yokuhlinzwa, kukho:
- Isithambo esincinci kunye nesisombululo esincinci
- Ukulahleka kwegazi encinane
- Iingxaki ezincinci
- Ukuphucula ngokukhawuleza kwendawo yokuhamba
- Uluhlu olungcono lwe-nkqubela
Kukho iingozi ezinxulumene nokutshintshwa kwegama lokuguqa ngamadolo. Ingozi iquka:
- Ukuhlaziywa okuphezulu (ukuphindaphinda okanye ukuphindaphinda) izinga lokuguqula idolo esikhundleni sokuguqula idolo
- Kungenzeka umsebenzi ogqithiseleyo emva kokuhlaziywa kwamanquba okutshintshileyo kunokuba kugqitywe ngamadolo
- Ukuhlaziywa kunokuba nzima kunokuba uphezulu
Iingxaki ezifanayo zinokwenzeka ngeendlela zokuphanda: ukukhulula, ukusuleleka, ukulimala kwentsholongwane, ukuphulwa kwethambo nokunye.
Abaviwa Abalungileyo nabangendawo kwiNdawo yokuTshintshwa kweNdlela
Ngo-1998, oogqirha ababini (iiDr., UScott noKozinn) bamisela imigaqo yokumisela ukuba iziphi izigulane zabaviwa abafanelekileyo ukuba bathathe indawo yokuguqula idolo. Isigulane esihle:
- Umdala kuneminyaka engama-60 ubudala
- Ngama-180 lbs
- Ngaphantsi
- Unobungakanani bokuhamba ngaphambi kokuhlinzwa
- Unobumba obuncinane
Izigulane ezineentlobo ezivuthayo ze-arthritis, ezinjenge- arthritis ye-rheumatoid , azibheki njengabaviwa abalungileyo ekutshintsheni ngamadolo. Ngenxa ye-arthritis evuthayo, ngaphezu kwelinye igumbi libandakanyeka.
Ngaphantsi
Kuye kubekho uphuculo ekudalweni kwee-prostheses ezingabonakaliyo kwiminyaka. Ukuba nodokotela ogqirha owaziwayo ekusebenzeni ngamathambo atshintsho ngamadolo kukudibanisa. Ekugqibeleni, umphumo ophumelelayo kuxhomekeke ekubeni nesigulane esifanelekileyo kwinkqubo. Kuqikelelwa ke, ukuba i-6% ukuya kwi-10% yezigulane zifanelekile kubaviwa abafanelekileyo.
Umthombo:
Ukutshintshwa okuKhethekileyo. Iimeko kunye neZonyango. Isibhedlele soPhengululo olukhethekileyo. UFriedrich Boettner, MD. 3/27/2008.
http://www.hss.edu/conditions_partial-knee-replacement.asp