Ukutshintsha i-Ankle Out Ankle Joint
Ukutyunjwa kwe-Ankle ukuguqulwa kwindlela yokunyanga kubantu abajongene neempawu zesifo samathambo esinqabileyo . Ukutshintshwa kwe-Ankle kuyenziwa ngokususa intambo ye-ankle egugile, kunye nokufaka intsimbi kunye neplastiki ekufakeni ekupheleni kwesifuba shin (tibia), kunye nephezulu ye-bone (italus). I-joint joint ivumela ukunyakaza okukhawulezayo kwi-joint joint, ukuze unyawo lukwazi ukugoba kunye nokuhla.
Ukufumana Umonde Ofanelekileyo
Inxalenye ebomngeni yokuhlinzwa okwenziwa ngamathambo kuqinisekiswa ukuba inkqubo enzima iyenziwa kuphela kwizigulane ezifanelekileyo. Ukutshintshwa kwesikhumba kwisigulane esingalunganga kubangela ukuba kubekho iziphumo ezimbi, kwaye kufuneka utyando olongezelelweyo phantsi kwendlela. Izigulana ezimbalwa ezinama-arthritis e-ankle ziyabona abaviwa abalungileyo kulo msebenzi, ngoko okokuqala, inyathelo elibalulekileyo kukuba kukunyanzele ukuba le yonyango elungileyo.
Ukutshintshwa kwe-Ankle kuboniswa ngokubanzi kwizigulane ezidala, ezingaphantsi kwezinto ezifanelekanga ukuba zenze imisebenzi eya kubeka iimfuno eziphezulu kwi-joint joint, efana nemidlalo okanye umsebenzi onzima. Ukutshintshwa kwe-Ankle akulona njengokuba ihlala ihlale ihleli kwaye iguqulwe ngamadolo, ngoko ke nangona izigulane ezinzima kakhulu zifumana ezo zonyango, oko akuthethi ukuba utshintsho lwama-angle luya kuba lufanelekile.
Izigulane ezingalunganga zokutshintshwa
Iigulane ezincinci zivame ukuba zisebenze kakhulu kwiimplants zamashishini ezikhoyo, njengokuba zibeka imfuno eninzi kwi-prosthesis.
Uninzi lwezigulane ezingaphantsi kweminyaka engama-50 ziya kuba nokuhlinzwa ngonyama. Kwizigulane ezingaphezu kwe-50, i-fusion ye-ankle iya kuhanjiswa kulabo abasebenzayo kwaye bafaka iimfuno ezingaphezulu kwidibeneyo.
Izigulane ezigqithiseleyo kufuneka ziphephe ukutshintshwa kwe-ankle. Ukunyanyisa kwandisa umthwalo kwi-joint joint, engakhokelela kwiingxaki.
Ezinye izigulane ezinokuthi ziphephe ukutshintshwa kwe-ankle zibandakanya: izigulane ezinezifo zamagciwane, izigulane ezinezifo ezihamba kakuhle kwiimilenze ( isifo se-vascular peripheral ), kunye nezigulane ezinobungozi obungavamile okanye ukuzinza kwe-ankle.
Ukwenza i-Ankle Replacement
Xa ukutshintshwa kwesikhumba kuqhutywe, iindawo ezigqityiweyo ezidityanisiweyo ekupheleni kwesifo se-shin (tibia), kunye ne-top bone ye-ankle (talus), zisuswe. Oku kwenziwa ngeempawu ezichanekileyo zokudala umgangatho womgangatho weprothementi ehlonyelwe. Ugqirha ke ubeka isinyithi kunye neplastiki efakwe kwisithambo iphelile ukusebenza njengelinye iqela elitsha.
Izigulane ezithatha indawo yesikhewu ngokubanzi zichitha ubusuku obubodwa esibhedlele emva kokuhlinzwa. Uxinzelelo kwi-ankle yokutshintshwa kufuneka kupheleliswe kunye nokusetyenziswa komgcini okanye umququ kwiiveki ezimbalwa. Ukugqiba ukubuyiswa kwinqanaba le-ankle kuthatha malunga neenyanga ezintathu.
Iingxaki zokutshintshwa kweengxowa ziquka izifo, iingxaki zokuphilisa izilonda, kunye nentlungu eqhubekayo ekuhlanganyeleni kweenyawo . Ukufezekisa ukulungelelaniswa kokuhambelana kwezimpembelelo ukuvumela ukuhamba ngokuqhelekileyo kunzima, kwaye akunakuze kufikelelwe. Ukuba ukutshintshwa kwe-ankle akusebenzi, kungadinga ukuba kususwe kwi-joint - emva koko ukuqhutyelwa kwe-ankle fusion kuza kwenziwa.
Iziphumo ezivela kuBucholo
Inkqubo yokutyunjwa kwe-Ankle yinkqubo entsha, ngoko ke iziphumo zexesha elide aziqondanga kakuhle. Oko sikwaziyo kukuba izigulane ezikhethiweyo ezifanelekileyo ezichongiweyo ngokubhekiselele kwiingcebiso ezichazwe ngasentla ziba neziphumo ezilungileyo kakhulu. Uphando olutsha luye lwabonisa ukuba iziphumo zokuhlinzwa zithelekiswa neziphumo ezivela ekusebenzisweni kwe-ankle fusion, okwaneliso lokuneliseka kwama-85%.
Ngelishwa, akukho mntu uyazi kakuhle ukuba izilwanyana ezikhoyo ziza kuhlala zide kangakanani. Izimpembelelo ezitsha ziye zenzelwe ukuhlala ixesha elide kuneendlela zokudala zesitayela, kodwa ingaba oku kuya kuthetha ukuba kukho ukuphuculwa kokuphila ixesha elide umbuzo wodwa uza kuphendula.
Uphando luye lwabonisa ngokucacileyo ukuba, ngenxa yeziphumo ezilungileyo, izigulane kufuneka zivumelane nezi khankanywe ngasentla. Izigulane ezincinci, ezinzima, okanye ezinomsebenzi wokusebenza ngokuthe xaxa zincinci kangako ukuba zibe nempumelelo, ehlala isikhathi eside.
ILizwi
Nangona i-arthritis ye-ankle ingaqhelekanga kunokuba i-hip okanye idolo ye-arthritis, isiphumo sokuba nesifo se-arthritic kwisigxina sakho esingaphantsi sinokuba yingxaki kungakhathaliseki ukuba zeziphi izihlanganisi ezichaphazelekayo. Kukho ukhetho oluninzi lwabantu abane-arthritis enesibindi sokubamba iqhosha, kwaye enye yezinto ezinokuthi ibe yindawo yokutshintshwa kweenyawo. Ukuhlinzwa okutshintshwa kwe-Ank uqhubeka ngokuphuculwa rhoqo, kwaye izimpembelelo zangoku zibonakala zihlala zide kakhulu kwaye ziza kusebenza kakhulu kubantu abaninzi.
Imithombo:
I-Easley, ME, et al. "I-Total Ankle Arthroplasty" J. Am. Acad. IOrn. Ugqirha, ngoMeyi / Juni 2002; 10: 157 - 167.