Oogqirha bama-orthopedic basebenzisa iziplantshi ngeendlela ezahlukeneyo zokuhlinzwa. Ingaba ugqirha wakho wamazinyo uvuselela idibene ewonakalisiweyo, ukulungisa ithambo ephukile, okanye ukutshintsha ukulungelelaniswa kwamathambo, izimpembelelo zingasetyenziselwa iinkqubo ezahlukeneyo zokuhlinzwa.
Ukufakelwa kwesinyithi kunokunceda ukuphulwa kwamathambo ukuphilisa ngokulungelelaniswa kakuhle. Nangona ezi ziphazamiso zingancedisi amathambo aphilise ngokukhawuleza, anokukunceda ukubeka amathambo kwindawo efanelekileyo ngexesha ukuphilisa kwenzeka.
Xa ukuphilisa sele kugqityiwe, ezo zifakelo zetsimbi zingasadingeki. Nangona iiplani zifakwe ngokusisigxina ukuba zihlale emzimbeni ngonaphakade, zingenakudinga, kwaye zinokubangela iingxaki. Izimpembelelo zingabandakanya:
- Amacwecwe ensimbi kunye neentloko
- Iiphini
- Ii-Intramedullary Rods
Kwiimeko ezininzi azikho imfuneko yokuba izifakelo zisuswe. Kukho ezinye izinto apho udokotela wakho angancoma ukuba ususwe. Ngokomzekelo, oogqirha abathile batusa ukuba kususwe izilwanyana ze-syndesmotic Nangona kunjalo, kwiimeko ezininzi, izimpembelelo zinokuhlala emzimbeni ngaphandle kokubangela iingxaki, kwaye ukususwa kwe-implant akufanele kuthathwe njengengxenye "yenkqubo" yonyango.
Ukususwa koMbane
Kwezinye izigulane, ukufakelwa kwesinyithi kunokubangela ukucasula kwiimpawu ezijikelezayo. Oku kunokubangela i-bursitis, itheonitis, okanye ukucasuka kwendawo. Kule meko, ukususwa kwesinyithi kunokunciphisa le ngxaki.
Ezinye zeempawu zentsimbi engxaki zibandakanya:
- Ubuhlungu ngokuthe ngqo kwindawo yokufakelwa kwesinyithi
- Ukuxubha kwe-metal entlant under the skin
- Ukuvakalelwa kweentsimbi ezijikeleze ukufakelwa kwesinyithi
Kungaba nzima kakhulu ukuqikelela ukuba ukususwa kwezitshini zetsimbi kuya kuphucula iimpawu zokungahambi kakuhle. Kwizigulane ezineentlungu ezicacileyo ezivela kwintlungu ebangelwa yintsimbi, ithuba lokunciphisa intlungu luninzi kakhulu.
Ukuba intlungu iyabonakala ngokubanzi, kwaye ngokucacileyo ingcangcazeliso, ithuba lokusombulula intlungu kunye nokususwa kwentsimbi kunzima ukuqikelela.
Kukho iingxaki ezinokuthi utyunjwe ukususa izixhobo zetsimbi. Ingxaki eqhelekileyo ukususwa kwezitrato kunokuba nzima kakhulu, ngokukodwa ngokufakela okujulileyo okuye kwindawo ende . Ukongezelela, ukususa i-implant kungaholela ekuthatheni kwethambo apho kususwe ukufakelwa. Ngokomzekelo, ukuqhekeka kwemingxuma apho izilwanyana zifakwe khona ziqhelekanga. Xoxa nodokotela wakho iingxaki ezinokuthi zibandakanywe nokususwa kokutsalwa.
Enye imeko apho ukufakelwa kwesimbi kungabangela iingxaki ezibalulekileyo xa usulelekile. Izimpembelelo zetsimbi zingaba ngumthombo wokusuleleka kwintsholongwane emzimbeni. Isizathu kukuba umzimba wakho awukwazi ukulwa nentsholongwane kwi-implantation yesinyithi kuba akukho ukhuselo lwakho lokuzivikela kumzimba okanye unyango lwe-antibiotics lunokuhanjiswa kwi-metal plant. Ngesi sizathu, ukufakelwa kwesinyithi kunokugcina usulelo oluqhubekayo, ukuthintela amanxeba okugulisa ukuphilisa, kwaye kubangele ezinye iingxaki. Kule meko, ukufakelwa kwesinyithi kufuneka kususwe, nje ukuphilisa intsholongwane.
Ngaba iziMveliso kufuneka zisuswe?
Ukuba unempawu ezibangelwa ukuthukuthela kwezitye, ukususwa kwe-implant kunokunceda. Ukucaphuka kubandakanya intlungu ngokuthe ngqo kwiziko le-hardware, kunye neempawu ezikhulayo njengengcinezelo eyongeziweyo isetyenziswe kuloo ndawo. Ugqirha wakho unokukunceda ukuba ufumane ithuba lokuba ukususwa kwezitrato kuya kunciphisa iimpawu zakho, njengoko oku kufuneka kuhlolwe kwimeko ngamacala.
Ukuqonda ukuba ukususa izimpembelelo kunokuba neengxaki kwaye akunako ukwenza zonke iimpawu zokungahambi kakuhle. Naliphina ixesha lokuqhutywa kwenkqubo yokuhlinzwa, kukho iingozi ezinxulumene ne-aneshesia, ukusulelwa kwintsholongwane, kunye nezinye izinto ezinokubangela ukuphazamiseka kwilonda kunye nokulimala kwenzwa.
Oko kwathiwa, kukho amaxesha apho ukususa isinyithi ngaphakathi komzimba kunokuba yonyango olusebenzayo kwiingxaki eziqhubekayo ezilandelayo kwinkqubo yemathambo. Izimpawu eziqhelekileyo
Imithombo:
Busam ML, et al. "Ukususwa kwezinto eziphathekayo: izibonakaliso kunye nokulindela" J Am Acad Orthop Surg. 2006 Feb; 14 (2): 113-20.
> Hak DJ, McElvany M. "Ukususwa kweehadi eziphukileyo" J Am Acad Orthop Surg. 2008 Feb; 16 (2): 113-20.