Ukuba nomnye wesibini ekutshintsheni emadolweni
Ukuhlaziywa kokuguqulwa kwamadolo yinkqubo eyenziwa ukuba ithathe indawo yokufakelwa kwedolo engasasebenzi kakuhle. Izimpembelelo ze-Knee zitshintshelwe ukuhlala ixesha elide, kodwa azihlali ngonaphakade, kwaye kukho iingxaki ezinokuthi zenzeke ukuba kuqhutywe ukuphinda kuqhutywe.
Ukuhlaziywa kwamadolo okutshintshwa ngumsebenzi ophambili kuba utyando olutshintsho lunokuba luyinkimbinkimbi yesibini (okanye yesithathu, okanye yesine ...) ngokubambisana.
Ngokuhamba kwexesha, izicubu ezibomvu, ukulahlekelwa kwethambo kunye nokungazinzi konke kunokubangela ukuba unyango oluphinda lube lunzima ngakumbi.
Ukutshintshwa kwexesha elide lokugqibela
Amadolo amaninzi atshintsho aphelileyo amashumi eminyaka, amanye amade. Nangona kunjalo, kukho amaxesha apho ukuguqulwa kwamadolo kudingeke kulungiswe kwakhona emva kweminyaka okanye kwinyanga nje. Ukuqonda ukuba kutheni ukuguqulwa kwamadolo kuphelile kubaluleke kakhulu ukwenza ukubuyiswa kwempondo ephumelelayo.
Ukutshintshwa kweendlela eziqhelekileyo kudlula iminyaka engaphezu kwemashumi mabini, kodwa kukho iingxelo zezimpembelelo ezihlala ixesha elide, kwaye izinto ezintsha kunye nobugcisa bokucatshulwa benethemba lokubonelela ngamadolo amaninzi. Oko kwathiwa, kukho amaxesha apho ukuguqulwa kwamadolo kungadlulela ixesha elifutshane kakhulu, kwanezinye izigulane eziphilileyo. Ipesenti encinci yezigulane (malunga ne-1-2%) iphetha ngokufuna ukuguqulwa kwamadolo awo ahlaziywe kwiminyaka embalwa yokuhlinzwa kwabo okokuqala.
Izizathu zokuguqulwa kweNguqulelo kuyimfuneko
Ukuhlaziywa kwezithuba zenzeke ngenxa yezizathu ezininzi.
Ezinye zezona ziqhelekileyo ziquka:
- Ukuhluthwa kwe-implant
- Usulelo lwe-joint
- Ukukhubazeka kwamadolo
- Ukulwa kwamalungu
Abantu abaninzi ekugqibeleni banokuguqulwa kwamadolo ngenxa yokuba ingxaki ibangela intlungu. Nangona intlungu ingaba yingxaki ngokwayo, ukuhlaziywa komsebenzi wokuguqula idolo akufanele kwenziwe ngaphandle kokuqonda ukuba kutheni intlungu ibonakala.
Ukwenza olu hlobo lotyando ngenxa yentlungu ngaphandle kwesizathu esibonakalayo akunakwenzeka ukuvelisa iziphumo ezilungileyo. Esikhundleni saloo nto, imbangela yengxaki ngokuguqulwa kwamadolo kufuneka iqondwe ngokucacileyo, kwaye kufuneka kube nesicwangciso sokujongana nale ngxaki ngokufakelwa. Ukusebenza ngaphandle kwesicwangciso esicacileyo sokulungisa ingxaki akunakwenzeka ukuba luncedo.
Iimpembelelo Zithwala njani
Amanquba amaninzi atshintsho ayenziwa ngeentsimbi zensimbi ezifihla ukuphela kwesithambo lesithambo kunye naso phezulu kwesifuba shin. Phakathi kwezi ntlobo zensimbi yiplastiki eyenza indawo epholileyo yokuguqa. Iiplastiki ziyakwazi ukugqithisa ngexesha elide, nokuba liphule ngokukhawuleza, ligqitywe ngokugqithiseleyo, okanye ukungaphumeleli ngokukhawuleza.
Kukho iimeko apho ukugqogqa kunokukhawuleza. Ezi meko ziquka xa ukulungelelaniswa kwezimpembelelo kwakungalungile, xa idolo lingaqiniseki (likhululeke kakhulu), okanye ukuba isigulane senza imisebenzi ebeka ingcinezelo enkulu kwi-implant. Ukwazi ukuba yeyiphi imisebenzi eyenza umonakalo kwimiphelo yokuguqula idolo inokukunceda ukuqinisekisa ukuba iindawo zihlala ixesha elide kunokwenzeka.
Kutheni ukuHlaziywa Kukho nzima
Ukuhlaziywa ngokutsha kunzima kwizizathu ezininzi. Okokuqala, xa umntu etyunjwa, izicubu ezibomvu zikhula, kunye nezicubu ezinothileyo zibonakala zingabonakali.
Ukwenza uphando lwesibini luhlala lukhuni kunzima. Okwesibini, xa usenza ukuguqula idolo, ithambo lisuswe. Xa wenza ibhokisi lokuhlaziywa, amaxesha amaninzi amathambo kufuneka asuswe, kwaye amanye angase alahleke ngenxa yenkinga ngokufakelwa. Ukugcina ithambo elaneleyo lokuxhasa ukuveliswa okutsha kungaba ngumngeni. Ekugqibeleni, ukufumana idolo eguquguqukayo ngokwaneleyo ukuvumela ukunyakaza, kodwa uzinzile ngokwaneleyo ukugcina uzinzile, kunzima nakakhulu ukuhlaziya iziganeko.
Iziphumo zokuHlaziyiswa kweKnee Replacement
Iziphumo zokuhlaziywa kwamadolo okuhlaziywa azincinci kunokuba zenziwe ngophando lokuqala .
Oko kwathiwa, iziphumo ziyahlukahluka, njengoko ezinye iingxaki ezifuna ukuhlinzwa okwesibini zichaneke ngakumbi ukulawula, kunye nezinye ziyinkimbinkimbi.
Ingxaki ngokuzama ukuthelekisa iziphumo zokuhlaziywa kwamadolo ekuhlaziywa kukuba izizathu zokwenza utyando, kwaye ubukhulu benkqubo yokucocwa, luyahlukahlukana kangangokuba kunzima ukufumana izigqibo kwi-data. Nangona kunjalo, uphando oluthile lokuhlaziywa kwamadolo luye lwabonisa umsebenzi ophuculweyo kwizigulane ezininzi (80% okanye ngaphezulu).
Imithombo:
UDennis DA, et al. "Ukuhlaziywa kwama-Knee Arthroplasty" J Am Acad Orthop Surg Agasti 2008 vol. 16 akukho. 8 442-454.