I-Cadaver-Yanikezwa i-Allograft Tissue Ikhutshwe kwaye isetyenziselwa ukhuseleko
Izicubu zinikelo zisetyenziselwa iinkqubo ezahlukeneyo zamathambo. Ngokuqhelekileyo, ezi zicubu zivela kwi-cadaver yomntu ofileyo oye wavuma ukuba neengxenye ezithile zomzimba wakhe ozinikezelwe ngemfuno yonyango. Ezi zicubu zinikelo zibizwa ngokuba ngama-allograft tisses.
Emva kokufumana nokutyhila izicubu ze-allograft, zithunyelwa kwizibhedlele zokufakelwa.
Wonke umntu, oogqirha kunye nezigulane, zixhalabisa ukuba ezi zicubu ze-allograft zikhuselekile.
Iingozi ezivela kwi-Cadaver Tissue ziphantsi kakhulu
Siyazi ukuba ithuba lokuphululela isifo ngenxa yesifo sokudluliselwa kwesifo kwi-allograft efakelwe kakhulu. Ngokutsho kwamaziko okuLawula izifo, kukho iziganeko ezingama-63 ezirekhodiweyo zokudlulisa izifo ngenxa yokutshintshwa kwe-allograft ngaphezu kweminyaka eyi-10 ukususela kwiminyaka ye-1990 ukuya kuma-2000. Ngenxa yokuba izilwanyana eziyi-1.5 ze-allograft zenziwa rhoqo ngonyaka, kukho umngcipheko we-1 kwi-120,000 ithuba lokusuleleka ngenxa yentsholongwane yesifo.
Umngcipheko wokusuleleka ngoGawulayo ngenxa ye-allograft yokufakelwa kwezicubu kuye kwaqikelelwa ukuba enye kwisigidi. Oku akukuthi ukuba akunakwenzeka, kodwa umngcipheko wezinye iingxaki ezinzima ukusuka ekuhlinzekeni kunokwenzeka kakhulu kunobungozi bokudluliswa kwezifo.
Ngubani ofuna iisisiti zokunikela?
Amanyathelo atyunjiweyo amaninzi afuna ukuba inxalenye yomzimba isonakaliswe ngokutsha usebenzisa izicubu ezinempilo. Ukuba awunalo izicubu ezikhoyo, okanye ukuba ungafuni ukuhlinzwa ngokufunekayo ukuze ufumane izicubu ezifunekayo, enye inketho kukusebenzisa izitho zomzimba ezixhaswe ngumniki-mali.
Izicubu ezixhaswe ziquka i-tendon, ligaments, bone, kunye ne-cartilage.
Iinkqubo zokuphanda ezinokuthi zenziwe ngokusetyenziswa kwezicubu zinikelo ziquka:
- Ukwakhiwa kwe-ACL
- i-cartilage transplants
- ukuguqulwa kwamadoda
- fusion
- ukulungiswa kwephuka
Ukufakelwa kwe-Allograft ye-orthopedical surgery kuye kwaqheleke kakhulu, kunye neenkqubo ezimalunga ne-1.5 million allograft ezenziwa ngonyaka ngamnye e-United States.
Indlela I-Tropue Yokuxhaswa Eyifumaneka ngayo kwaye ivivinywa ngoKhuseleko
Ukudluliselwa kwe-Infection kungaba ngumphumo wesifo lowo umnikeli ayenalo emzimbeni wakhe, okanye ukungcola kweethambo ngexesha lokucubungula. Imizamo yenziwe ukuqinisekisa ukuba umniki-mali wayengenaso isifo esingaxhamliyo kunye nokuba izicubu ezixhaswe zenziwa ngendlela enciphisa ithuba lokungcola.
Xa izicubu ezixhasayo ziqokelelwa ukutshintshwa okunokwenzeka, kubonakala ukubonakala okubonakalayo ukuqinisekisa ukukhuselwa kwezi zicubu. Xa umxhasi ongenako unokubonwa, ukuhlolwa komniki-mali kwenziwa ukwenzela ukucacisa isizathu sokufa, ukuziphatha okunobungozi obuphezulu obunokubangela ukuba izicubu zinikeli zingakhuselekanga (umzekelo, ukusetyenziswa kweziyobisi, njl.), Kunye nembali yonyango lomncedisi. . Iimvavanyo zegazi zenziwa ukuvavanya usulelo. Ngokukodwa, abaxhasi bavavanyelwa i- HIV , i- hepatitis B ne-C , i-encephalopathies e-spongiform ehamba phambili (umzekelo, "isifo seenkomo esibi") kunye nezinye izifo.
Izilwanyana ze-Allograft ezizimisele ukuba zilungele ukufakelwa ziqhutyelwa kwiindawo zokuhlala ezicocileyo. Bafumana ukuvavanya kokunyameka ngexesha lokufumana izicubu, ngexesha lokuqhutyelwa kwalo, nangaphambi kokukhululwa kwiziko lokucubungula. Isigaba sokucwangciswa kwe-allograft tissue preparation liquka ukunqandwa kwezicubu.
Indlela i-Allograft Tissue isetyenziselwa ngayo iinkqubo ze-Orthopedic
Xa izicubu zisetyenziselwa iinkqubo zamathambo, izixhobo zeselula zamathambo (kubandakanywa neeseli zegazi) zisuswe ukukhusela ithuba lokulahlwa kwezicubu. Ngethuba lokucubungula, inzala iyasebenza.
Ukutyalwa kwentsholongwane akufanele kube nzima kakhulu ukunciphisa izicubu, kodwa kunele ukukhusela ukungcola kwe-bacterial or virus.
Izishubhu ezilungiselelwe zithunyelwa kwizibhedlele zokufakelwa. Kukho iindlela ezahlukeneyo zokugcina izicubu, kodwa ezininzi zinqabile kwi-80 degrees centigrade. Izicubu zinomhla wokuphelelwa yisikhathi ngokuxhomekeke kuhlobo lweethambo kunye nohlobo lokugcina.
Imibuzo Yokubuza Ugqirha Wakho Nge-Allograft
Ugqirha wakho kufuneka azi kakuhle apho izicubu zivela khona ; esi siphakamiso senziwe yi-American Academy of Orthopedic Surgeons.
Buza ugqirha wakho yiphi ibhanki ye-tissue inikezela ukuxhoma, kwaye kutheni le bhanki yamathambo ekhethiwe. Azikho zonke iibhanki zamathambo ezidalwa ezilinganayo, kwaye ezinye zinemigaqo-nkqubo yokujonga iimeko ezinzulu xa ukhetha ukuba ngabaphi abaxhasi abafanelekile ukuhanjiswa kwabo. Ukuba ugqirha wakho akayikuqonda ukuba uvelaphi, ukungaqiniseki ukuba i-criteria echanekileyo esetyenziselwa ukukhetha ulwahlulo.
Kukho iingxelo kwiindaba zeebhanki zamathambo ezisebenzisayo izicubu okanye ukufumana izicubu ezingafanelekanga. Ugqirha wakho kufuneka atyebise iibhanki zamathambo ukuqinisekisa ukuba izixhobo ezinikezelwayo ziphezulu zokhuseleko kunye nokukhuseleka okusemgangathweni . Ezinye iibhanki zamathambo zinamawebhusayithi ezigulane ukuze zifunde kabanzi malunga neendlela zabo zokufumana nokucwangcisa izicubu. Ugqirha wakho unokunikezela ngolwazi malunga nalapho ulwahlulo lwakho luvela khona.
Imithombo:
"I-Allograft-Associated Infections Infections - eUnited States, i-2002" IiNkonzo zokuLawula izifo. Matshi 15, 2002/51 (10); 207-210.
I-Gocke, D "Ukhetho lwe-Tissue Selection kunye noKhuseleko" I-Orthop Clin: ngoJuni 2005; I-Vol 435, iphepha 17-21