Ingxabano Ngaphezulu kweNzuzo yokuTshintshisa iKnee Replacement Implant
Ubungqina obupheleleyo bokuguqulwa kwamadolo yinkqubo eyenziwe ukubuyisela i -cartilage eguguleyo emadolweni kunye nentsimbi yeplastiki. Uphando olutsha luqhubeka lwenzeka ukuyila ukufakelwa okutshintshwa kwamadolo okuza kubakho okunokuthenjwa kunye nokugqibela ixesha elide .
Icandelo loyilo lokuguqulwa kwamadolo kukuqonda ngokucacileyo izinto ezisetyenziselwa ukutshintsha iindawo eziqhelekileyo zamadolo ezihlangeneyo.
Okwesibini, uyilo luzama ukudala i-implant eza kuphinda iphendule ibhande eliqhelekileyo ngokusemandleni akho. Ngokwenza njalo, isigulane siya kukwazi ukuthatha inxaxheba kwimisebenzi efanayo ngaphambi nangemva kokuhlinzwa .
Izimpembelelo zeNdlela zokuTshintshisa iKnee
Izimpembelelo zokuguqulwa kwamadolo ezijikelezayo azigcini nje ukujiya emva nangaphandle (njenge-hinge), kodwa idolo liyakwazi ukujikeleza ngaphakathi ngaphakathi nangaphandle (isilathiso sokuphikisa). Ngenxa yokuba idolo eliqhelekileyo lamadolo lijikeleza inani elincinci, ukuguqulwa kwamadolo okujikelezayo kuhloswe ukuba kwenziwe ngokuphindaphindiweyo ukuphindaphinda ngokuphindaphindiweyo kwesondo.
Usenokuba ubone iimagazini okanye iimboniso zethelevishini malunga nokuguqula idolo. Iinkampani eziliqela zithengisa ezi mpahla njengenyathelo elilandelayo kwisakhiwo sokuguqula idolo. Ezi ntengiso ziya kukukhokelela ekubeni ukholelwe ukuba ukutshintsha kweendolo kunokuba ngcono. Kodwa ngaba kunjalo? Ngaba ukuguqulwa kwamadolo okujikelezayo kusebenza bhetele kwaye kudlulileyo ixesha kunokutshintshwa kwamadolo endala?
Kutheni lo Mcimbi wokujikeleza?
Asinakwazi ukuba kuya kuba neengxaki, kodwa ithemba kukuba ngokusebenza ngokufana neendondo eziqhelekileyo, ukuguqulwa kwamadolo okujikelezayo kuya kuba neengcinezelo ezincinci malunga nokufakelwa kwezinto eziphambili zokufakelwa kwamadolo. Ngaphandle kwengcinezelo encinci kwi-implant, inxalenye yeplastiki yokuguqula idolo ingahlala ixesha elide.
Zonke izithuba zokufakelwa ngokubambisana zilinganiselwe kuba zivame ukugqithisa ixesha elide. Ukutshintshwa kwe-Knee ngokuqhelekileyo kudlula ubuncinci iminyaka engama-20 okanye ngaphezulu, kodwa abahlali ngonaphakade. Le ngxaki kuzo zonke izigulane, kodwa ngokukodwa kwizigulane ezithatha amagodlo endaweni yokuncinci (ubuncinane ngaphantsi kweminyaka engama-60 ubudala). Ezi zi gulane ziza kutshabalalisa iidolo zazo ngexesha lokuphila kwazo.
Ukuguqulwa kwamadolo okujikelezayo kunokungagqoki ngaphantsi kwi-implant, kwaye kunokuhlala ixesha elidlulileyo kunokuba kugqitywe ngamadolo endala. Ngelishwa, le nto imfundiso nje. Akukho mntu uyazi ukuba ukuguqulwa kwamadolo okujikelezayo kungcono kunokuba kugqitywe ngamadolo endala, kwaye abanye oogqirha baya kuthi bangaphezulu. Abanye oogqirha bakholelwa ukuba inkqubela eyongezelelweyo inokukhokelela ekugqibeleni ngokukhawuleza kokufakelwa kwexesha. Ingxaki kukuba, ukuguqulwa kwamadolo okujikelezayo akuzange kube khona ixesha elide ukufumana ukuba ngubani ochanekileyo. Akukho mntu uyazi ngokuqinisekileyo iziphumo zesikhathi eside kunye nokuguquka kwamadolo okujikelezayo.
Ngaba kufuneka ndibe ne-Rotation Knee Replacement?
Lo ngumbuzo ofuna ukuxoxa ngawo nodokotela wakho. Kukho iinkcukacha ezilungileyo, ngokuyininzi ukusuka kwizifundo eYurophu, ezibonisa ukuguqulwa kwamadolo okujikelezayo kunye nokuguqulwa kwamadolo endala.
Nangona kunjalo, akukho zifundo ezide zangexesha elide ezibonisa ukuba izimpembelelo zokuguqula amadolo ezijikelezayo zibhetele kangcono kwixesha elide (iminyaka engama-25 okanye ngaphezulu).
Ngethamsanqa, ukuguqulwa kwamadolo okutshintshisayo kujonga kwaye kuthatha isenzo esifana neentshukumo zokuguqula idolo. Utyando luyafana, kwaye ukubuyiswa kuyafana. Abanye oogqirha bacinga ukuba ukulinganisa i-ligament yokuguqulwa kwamadolo okujikelezayo kunzima kunokuba kugqitywe ngamadolo endala, kodwa oku akuvunyelwanga ngabo bonke oogqirha. Kukho umbahluko phakathi kokutshintshwa kwamadolo okujikelezayo kunye nokuguqulwa kwamadolo endala, kodwa mhlawumbi umlinganiselo omncinci.
Uyakwazi ukuxoxa nodokotela wakho ogqirha ukuba lo mmahluko omele ube nomsebenzi kuwe.
Imithombo:
Aglietti P, et al. "Ukuqhathaniswa kwe-kneth-bearing and bearing-bearing-bearing knee arthroplasty" J Arthroplasty. 2005 Feb; 20 (2): 145-53.
I-LCS Gqibezela iCatate Platform Knee System: Ukususela kuDePuy i-Orthopedics (Johnson & Johnson).