Ukuqonda izimpembelelo ezicacileyo zesini
Oogqirha bama-orthopedic bazama rhoqo ukuphucula ukuveliswa kokufakelwa okuhlangeneyo. Kule minyaka engama-40 edlulileyo, iintlobo zeendlela zokupakisha ziye zavavanywa kwaye zisetyenziswe kwizigulane. Ezinye zezi zinto zenziwe ziphuculwe kwaye zikhokelela ekunyuseni kwexesha elide lokutshintshwa okuhlangeneyo . Ezinye izicwangciso, ngakolunye uhlangothi, azizange zinikeze ngcono kwaye ezinye ziye zaba zibi kunokuba zandulele.
Izimpembelelo ze-Knee zitshintsha zisebenzisa iigobolondo zensimbi ezihlanganisa iziphelo zethambo lethanga (i-femur) kunye ne-top shin bone (i-tibia) enefayili yeplastiki efakwe phakathi. Kubalulekile ukuba iigobolondo zensimbi ziphindaphinda ngokuphindaphindiweyo ngokuqhelekileyo kwe-anatomy yexolo elihlangeneyo. Izimpembelelo ezininzi kakhulu okanye ezingahambelani kakuhle kwisigulane zingenza imingcele ekuhambeni ngokubambisana kwaye iholele ekuqineni emva kokuguqula idolo .
Izimpembelelo eziZodwa
Ukufakelwa okutshintshiselwe ukuguqula idolo ngokwesalathisi yinto ehamba phambili eyenzelwe yinkwenkwe okanye ibhinqa. Ubungakanani bokufakelwa kwendawo ehluke kakhulu ukulungiselela indawo yobukhulu bamathambo phakathi kwamadoda. Amadolo amaninzi atshintshwe ngokuthengiswa njengezo zesini ezijoliswe ngokukhethekileyo ukuze zilungele umfazi wesondo elihlangeneyo.
Ngokwesiko, ukufakela iiplani zenziwe ngokusebenzisa "idatha" yesayizi. Oku kuthetha ukuba abaqulunqi beziplantshi bazama ukufumana ubungakanani "obuphakathi" ngokubambisana, kwaye ke ukuyila izimpembelelo ezincinci kwaye zincinci kuncinane.
Njengoko umntu angalindela, ubungakanani obuqhelekileyo bendoda yamadolo edibeneyo buhluke ngobukhulu bomyinge wamadolo.
Izimpembelelo ezithile zesini zenziwe ngendlela efanayo, ngaphandle kokuba "umyinge" uhlukile kwithambo lomntu kunye nethambo lomfazi. Ingcamango emva kokukwenza oku kukuba ngokubhekiselele ngokubhekiselele kwi-anatomy eqhelekileyo, izimpembelelo zokutshintshwa ezihlanganyelweyo zingavumela umsebenzi ongcono, kunye nokuzinza okuqhubekayo.
Ukusebenza kunye nokuzinza
Akukho datha yokubonisa ukuba ukudala isakhiwo esicwangcisiweyo sesini-mveliso kuza kunceda ukufezekisa iinjongo zomsebenzi olungcono okanye ukuphucula ukuzinza. Amagqirha amaninzi aphethwe ngamathambo aya kukuxelela ukuba izimpembelelo sele zifikelele kwiindawo ezahlukeneyo eziza kubamba malunga naluphi na uhlobo lwesifo sengqondo.
Kucacile ukuba iinkampani ezifake imifuyo zifuna iindlela zokuzihlukanisa. Ngamanye amaxesha izixazululo zenziwa kwiingxaki ezingekho. Ixesha kuphela liza kuxela ukuba ukufakelwa kwesigxina ngokubhekiselele kwesini kubaluleke kakhulu, okanye ngakumbi, ukuvelisa ukuyila. Nangona kunjalo, akukho nto ibonisa ukuba kuyimfuneko ebalulekileyo yesigulane sokuneliseka okanye isiphumo emva kokuhlinzwa okwenziwa ngokubambisana.
Yintoni Okufanele Uyenze?
Abantu abaninzi abaqwalasela ukutyunjwa okutshintshiselanayo banokuthi banomdla kwinqaku elithile okanye uhlobo lokufakelwa. Basenokuba beve ngezinto ezithile zokufaka izinto ezivela kumhlobo, isikhangiso, okanye umntu owaziyo kwicandelo lezonyango. Ngoko ufanele uyenze ntoni? Ngaba kufanelekile ukuba ucele ugqirha wakho ukuba asebenzise uhlobo oluthile lokufakelwa?
Ndicinga ukuba kuhlale kulungile ukuxoxa kunye nodokotela wakho ugqirha nayiphi na imibuzo, ukukhathazeka, okanye umdla onomsebenzi wokutshintshwa ohlanganyelweyo.
Oku kuthetha, kubalulekile ukuba uzimisele ukuphulaphula iinqununu zakho ezikhethiweyo malunga nokuhlinzwa. Ndihlala ndiqaphele xa izigulane zizama ukuqhuba ugqirha wazo ukuba zisebenzise ukunyanzelisa ukuba akunakuqhelana naye. Uninzi lwagqirha aluyi kunikelwa ukusebenzisa i-implant engazi kakuhle, kodwa abanye banako. Ukuqhelana nokuveliswa okuthe ngqo, kunye nezixhobo ezisetyenziselwa ukuyifaka ngaphakathi komzimba, yinxalenye ebalulekileyo yokuhlinzwa.
Ukuba unomdla malunga nokufakelwa okanye izinto ezithile, cela udokotela wakho ugqirha ukuba achaze ngakumbi malunga nalo. Udokotela wakho ugqirha kufuneka akwazi ukuphendula imibuzo yakho, kwaye uchaze ukuba kutheni abangenakucebisa ukuba kwenziwe okuthile.
Gcina ingqalelo, ukunyusa iinkampani zifuna ukuba ukholelwe ukuba ukufakelwa okutsha kukugqwesileyo, kodwa oko akusoloko kunjalo. Kukho ukubaluleka kakhulu ekusebenziseni izimpembelelo ezineengxelo ezide kakhulu zexesha elide, kwaye ukusetyenziswa kwezimpembelelo ezingekho phantsi kwerekhodi yomzila zixhomekeke kwiingxaki.
Umthombo:
Barrett, WP, "Iimfuno zeProstheses ezicacileyo zesini kwi-TKA" I-Orthopedics. 2006 Sep; 29 (9 I-Suppl): S53-5.