Ukuze sikhulume nge-MAKOplasty kufuneka siqale sithethe nge-knee arthroplasty (i-UKA okanye i-uni uniyifutshane). Le nto inokuba yintsholongwane yokwesatshiswa, ithetha nje ukutshintshwa kwamagolo okuhlala kunye (okanye ukuguqula idolo ukuba ufuna ukuzobuchwepheshe). Amadolo anamacandelo amathathu: aphakathi (emadolweni), patellofemoral (phakathi kwebhokhwe yamadolo kunye ne-femur), kunye ne-lateral (ngaphandle kwecandelo lamadolo).
Ifomu eqhelekileyo ye-osteoarthritis yintlupheko yesithathu echaphazelekayo echaphazela onke amacandelo amathathu emadolweni. Ngoko ke, kunengqiqo ukuba ukuguqulwa kwamadolo okuqhelekileyo yindawo ephakamileyo yamathambo ethatha indawo yamacandelo amathathu emadolweni. Iqela elincinci labantu abane- osteoarthritis yamadolo ine-OA engenamacandelo. Olu hlobo lwe-arthritis luchaphazela kwelinye lamacandelo amathathu. I-UKA yenzelwe ukujongana ne-OA ye-Unicompartmental. I-UKAs isetyenziswe ngokuqhelekileyo ukuba i-arthritis ehlukeneyo yecala elidlulileyo lamadolo, nangona kunjalo, izixhobo ezintsha zenziwe zifumaneke ezizodwa kwi-OA yomdaka.
Nangona i-knee-side eceleni ye-OA ibonisa ukuba i-UKA, le nto ayinakuba yinto ekhethekileyo kuzo zonke izigulane ezile meko. Kungakhathaliseki ukuba i-UKA yindlela efanelekileyo incike ekubeni ubunzima bomntu, isimo somsebenzi, ubudala, nokuba khona kwayo nayiphi na ilungelelwano lokungaqhelekanga kwamadolo (ukuba umntu uyakhonkcoza okanye aguqe).
Ngoko ke yonke le mingcele kutheni ufumana i-UKA ngokubhekiselele kwi-knee arthroplasty? Impendulo yaloo mibuzo iyinkimbinkimbi kwaye ihlanganiswe. Umguli ogqibeleleyo, i-UKA ivakalelwa ngokwendalo, njengoko kufunyenwe uphando oluthile oluye lwacela izigulane ezenza i-UKA zenzeke kwelinye icala kunye negama elipheleleyo kwenye efunyenweyo.
Ngoku ukuba sinesiseko saloo nto 'uni' ihlanganisiwe, ingxoxo ingatshintsha ku-MAKOplasty. I-MAKOplasty imane nje i-'uni' ekwasetyenziselwa ukuhamba ngekhompyutha kunye nengalo ekhethekileyo ye-robotic. Ukudibanisa kwekhompyutheni yekhomputha kunye nengalo ye-robotic kwenza kube lula ukuba ugqirha ukubeka izixhobo ngendlela yokulungelelanisa okufanelekileyo. I-Robotics kunye nokuhamba kwekhompyutha zilula ukuthengisela abathengi, kwaye oku kwenze i-MAKOplasty ibe yinto ekhethiweyo.
Nangona uphando luye lwabonisa ukuba ukuhamba kwekhompyutheni kwintsebenziswano yokutshintshwa ngokubambisana kuqhubela ukulungelelanisa okunye okusebenzayo, kuze kube yiminyaka akukho zifundo ezibonisa iziphumo eziphuculweyo zeekliniki kunye nokusetyenziswa kwele teknoloji. Ukusetyenziswa kokuhamba kwekhompyutheni kudinga ukubetha kwezikhonkwane ezongezelelweyo kwi-femur ne-tibia. Abanye oogqirha bathi le nto yenza ukuba kubekho ukuphulwa kwengozi kuloo mathambo. Enye ingongoma ebalulekileyo kukuba oogqirha abanamava ne-UKAs banako ukubeka kwiifroshees ezihambelana kakuhle ngaphandle kweendleko ezongezelelweyo kunye nexesha elifunekayo lokusebenzisa i-MAKOplasty.
Ingxabano enamandla ingenziwa kukuba ukusetyenziswa kwe-computer navigation kuya kunceda abo baphrotheli abangenamava. Oku kuya kuphelisa 'ama-outliers,' oku kuthetha ukuba inani elincinci le-'isis 'lokuba abo bagqirha babekwe kulokho kunokubangela ukulungelelaniswa kakubi; Ukuhamba ngekhompyutheni kuya kuqinisekisa ukuba zonke ii-'isis 'ezifakiwe ziwela kwinqanaba elifanayo.
Ngoko ukuba unesigulane esisekude, sigaba sokugqibela, i-osteoarthritis yesiganeko samadolo, ngaba kunengqondo ukuba uthole i-MAKOplasty? Kunzima ukuthetha, nto leyo idinga incoko ende kunye nodokotela wakho ogqirha. Kwaye indlela eyona nto ingcono ukukhetha ogqirha othembelayo kwaye umvumele akhethe isixhobo esilungele wena kwaye uziva ekhululekile kakhulu. Ekupheleni kosuku, isicatshulwa ukuba udlwengulo lwakho lukhululekile kwaye unamava amaninzi kunye naloo nto inakho ukukhokelela kwisiphumo esihle kakhulu. Into ehamba phambili kukuba senze konke okusemandleni ethu ukuba singabi sisisulu sokuthengisa: iirobhothi zinkulu, kodwa zingenako ukwenza oogqirha abagqwesileyo.
> Imithombo:
> MAKOplasty Iqela eliKhethekileyo lokuPhinda kwakhona. Education Patient. MAKO Uphando.
> MAKOplasty Iqela eliKhethekileyo lokuPhinda kwakhona. Q & A.
> Umbhalo we-AAOS