Ukuhlinzwa okwenziwe nge-Knee yintsebenzo enempumelelo kakhulu; Ubuninzi babantu abaye baphathwa ngolu hlobo kunyango lwe- arthritis olude banelisekile ngokuhlinzwa. Nangona kunjalo, akuyena wonke umntu othanda idolo lawo elitsha. Enyanisweni, malunga ne-10-15 ekhulwini labantu abahamba endaweni yokuguqa ngamadolo abayonwabanga ngeziphumo zabo .
Ukuzama ukucacisa ukuba kutheni ukuguquka kwamadolo kube buhlungu kunokuba yingxaki inzima kwizigulane kunye noogqirha.
Ngamanye amaxesha ingxaki icacile, njengokwentsholongwane okanye ukutshintshwa kwegama eligugile. Nangona kunjalo, ngamanye amaxesha, yonke into ihlola kakuhle. Ugqirha wakho uxelela ukuba akukho nto iphosakeleyo, kodwa idolo lakho libuhlungu. Yintoni enokubangela intlungu? Ngaba ukusabela kwisinyithi kwindawo yokufakelwa emzimbeni wakho kubangelwa yinkinga?
Sensitivity Metal
Naliphi na isinyithi edibana nomzimba, mhlawumbi ngesikhumba okanye singene ngaphakathi emzimbeni, sibangela ukuba kubekho ukutshatyalaliswa kwesinyithi. Oku kuqhuma kubangela ukwakheka kweendonga zensimbi ezingasabela ngeeprotheni emzimbeni wakho; Ezi zinokuthi zibe namava emzimbeni wakho njengezilwanyana kwaye ziyakwazi ukuphendula iimpendulo zomzimba .
Iones iones eziqhelekileyo ezifunyenwe kwiimpembelelo zokuguqula idolo ezingabangela ukuxilongwa kwe-hypersensitivity kubandakanya i-nickel, i-cobalt kunye ne-chromium. Ezi zinyithi ziyaziwa ukuba zenze uvelwano lwesikhumba kuluntu jikelele; malunga neepesenti ezingama-15 zabantu banomdla wokuba ne-nickel.
Umbuzo uye wenyuka ukuba ukuphendula okufanayo ngenxa yesithinteli sensimbi kungenzeka kumzimba okhokelela entlungu kunye nokuqina emva kokutshintshwa ngokubambisana .
Lo ngumbuzo onzima ukuphendula. Uninzi lwabantu, kwanabo abanama-hypersensitive personality reaction to metal, abanalo i-hypersensitivity kwi-replacement substtion implant.
Ngokufanayo, abaninzi abantu abaye bakrokrelwa ukuba baphendule i-hypersensitivity kwi-joint replacement ayinayo i-skin reaction to these metals. Ngenxa yalesi sizathu, ukuhlolwa kolukhuni akubonwanga ukuba luncedo ukukhusela okanye ukuxilonga isithinteli sensimbi kwisithenjwa somnxeba.
Ukuphendula kwe-Hypersensitivity
Kukho iimpendulo ezimbini ezibonakala ngathi zivela kwizigulane ezinezitshixo zokuxhomekeka kwendalo kwi-knee substtion substlant. Eyokuqala yindlela ephendula ngayo isikhumba ebizwa ngokuthi i- dermatitis . Kule meko, ukugqithisa kwesikhumba ebonakala ngathi i-eczema inokwenzeka. Oku kufumaneke ngaphambili kwegama, nangona kwabanye abantu banokugqithisa kakhulu. I-Dermatitis ihlala ilawulwa ngokuncediswa yidermatologist, kwaye inqabile ilawulwa kakuhle ngee-steroid creams.
Enye impendulo engenzekayo kuthiwa yi synovitis . I synovium yimbombo yexolo, kunye nesimo esibangela ukuvuvukala kwezi zicubu kuthiwa yi synovitis. I-Synovitis inokuvela kwiintsholongwane zamadolo, ukulimala okudityanisiweyo kwintsebenziswano, okanye xa kukho impendulo ye-hypersensitivity. Umngeni kukho iimeko ezininzi ezinokubangela ukuba i-synovitis yexolo lihlangane, kodwa akukho vavanyo ukuqinisekisa ubungqina be-metal hypersensitivity njengesizathu.
Ngako oko, oku kubonwa njengesifo sokuxilongwa, oku kuthetha ukuba zonke ezinye izizathu kufuneka zipheliswe, kwaye kuphela ke kufuneka ukuba i-hypersensitivity yensimbi ikhunjulwe.
Izinyango Zonyango
Umngeni nge-metal hypersensitivity yinto yokuba i-diagnostic ayikho into ecacileyo (akukho vavanyo kwimeko) kwaye kaninzi iimpawu ziyacaphukisa, kodwa zingakhubaza. Ngaphezulu kwelo, yindlela kuphela yokulungisa ingxaki, ukuba i-hypersensitivity yensimbi yimbangela eyona nto, ukukususa ukufakelwa nokuguqula idolo ngokufakelwa okukhethekileyo kwenziwe nge-ceramic okanye kwi-titanium. Ngako oko, nayiphi nayiphi na i-metal hypersensitivity ikhunjulwa njengomthombo wentlungu emadolweni okanye ubunzima emva kokutshintshwa, kufuneka uqhubeke ngokuqaphela.
Nangona oogqirha bezemfundo nabahlaziyileyo befunda nje ngale meko, kwaye unyango olungcono alucaci. Ukwenza utyando olongezelelweyo lunokuba luncedo okanye aluvumelekanga. Oko kwathiwa, abantu abajamelene nentlungu emva kokuba bathathe indawo bangathanda ukucinga ukuba oku kungabangela intlungu.
Akukho datha yokuxhasa ukusetyenziswa kwesiqhelo se-ceramic (zirconium) okanye i-titanium implants, nakubantu abanenkxalabo malunga ne-hypersensitivity. Ukusetyenziswa kwezi implantsi kuthathwa njengesilingo kwaye kufuneka kwenziwe ngokuqaphela. Oku kuthethi, kukho iingxelo ezincinci kunye nokulandelwa kwexesha elifutshane elibonisa ezinye iziphumo eziphumelelayo.
> Umthombo:
> Lachiewicz PF1, Watters TS, Jacobs JJ. "I-Metal Hypersensitive and Total Knee Arthroplasty" J Am Acad Orthop Surg. 2016 Feb; 24 (2): 106-12.