Utyando olutshintsho lwe-Knee lugqirha lokugqibela lonyango kwizigulane ezinegulthis . Uhlobo olutsha lokuguqula idolo oluye lwafumana ingqwalasela lubizwa ngokuthi 'ukutshintshelwa kwamadolo ngokuqhelekileyo.'
Ukufakelwa okutshintshwa kwamadolo kunamalungu amathathu asisiseko esibizwa ngokuba ngamaqumrhu. Icandelo le- tibial lokuguqula idolo lihleli phezu kwethambo lesifuba. Icandelo lomfazi lifikelela ekupheleni kwethambo lesithambo.
Phakathi kwezi zixhobo zensimbi yiplastiki ebizwa ngokuba yi-spacer.
Ukunyuswa kwamaKnee Custom
Ukutshintshwa kwamadolo okuqhelekileyo kufana nokufakelwa kweendolo eziqhelekileyo kwiindidi ezifanayo ezisetyenzisiweyo njengoko kuchazwe ngasentla. Umehluko kunye nokuguqulwa kwamadolo ngokuqhelekileyo kukuba, ngaphambi kokuhlinzwa, isigulane sinomMRI wegolo. Iinqununu zokucoca ngokukodwa zenzelwe isigulane, esinceda ugqirha ukuba asuse inani elithe ngqo lesithambo kwiindawo ezithile ukuze amkele ukutshintshwa kwamadolo. Ithemba kukuba ngokwenza ngezicucu ezenziwe ukuba zilungele ukuguqulwa kwamadolo, ugqirha uya kukwazi ukususa amathambo aqhelekanga kunye nezinye iingxaki zokulungelelanisa ngokufanelekileyo emadolweni.
Awusebenzisi iiNdawo eziNtu
Ndiyifumana ukudukisa ukubiza lo mkhuba wokuguqula idolo. Izigulane ezininzi zikholelwa ukuba ukufakelwa okutshintshwa kwamadolo okutshintshiweyo kuya kusetyenziswa ngokufanelekileyo kumadolo abo. Akunjalo.
Isithethe esisodwa sendawo yokutshintshwa kwesiko sisikhokelo esinceda unogqirha wakho owenzela i-bone cut. Ukutshintshwa kwamanye amadolo kufana nokutshintshwa kwedolo eliqhelekileyo. Ngelixa izikhokelo ezisetyenziselwa ukubeka izimpembelelo zenziwe ngokweziko, izimpembelelo zangempela azenziweyo.
Iinzuzo zoMntu oMiselweyo
Ngokuqinisekileyo kukho iinzuzo ezinokwenzeka kwinkqubo yokuguqula idolo.
Ezi zibandakanya ukunyamezeleka okudityanisiweyo emadolweni mhlawumbi ukususa amathambo angaphantsi. Kwakhona, kuba ulungelelwano lwenziwe ngomgca wakho, umsebenzi omncinci kufuneka uyenze ngexesha lotyando ukulungiselela ukulungelelaniswa nokuqinisekisa ukuba ukufakwa kwamadolo kuya kufakwa ngokufanelekileyo. Abanye oogqirha banomuvo wokuba umsebenzi ungenziwa ngokukhawuleza, kunye nokuphazanyiswa kwezinto ezincinci. Ithemba lexesha elide kukuba ukuba izimpembelelo zokuguqula idolo zingafakwa ngokuchanekileyo, zingahlala ixesha elide ngokungapheli ngokukhawuleza.
Ingcono inkqubo entsha?
Nangona abakhiqizi bafuna ukuguqulwa kwamadolo ukuze kube ngcono, imodeli emitsha ayisoloko ihamba ngcono. Amaninzi amaninzi atshintsho aguqulwe emarikeni, nangona emveni kweminyaka emva kokuqaliswa, kuba befunyenwe bebi kakhulu kunokuba kugqitywe ngamadolo asetyenziswe ixesha elide.
Oko akuthethi ukuba izimpembelelo zamadolo asekudala zona zilungileyo kakhulu esinokuzenza. Kodwa kufuneka silumke ngokucinga okanye sithemba ukuba utshintsho loyilo luya kubakho kwimiphumo engcono, njengoko ayisoloko isebenza ngale ndlela.
Umxholo ophantsi: Ukuguquka Knee Custom
Ndicinga ukuba ukuguqulwa kwamadolo ngokuqhelekileyo kukuphuhliso olumnandi kumsebenzi wokuguqulwa kwamadolo. Kukho izinto ezimbini ndicinga ukuba izigulane zifanele ziqonde ngokutshintshwa kweendondo eziqhelekileyo:
- Ukuzifaka ngokwakho akuyinto eyenzelwe wena. Kuphela izixhobo ezisetyenziselwa ukukhokela amathambo ahlelwa ngeenxa yokuguqa ngamadolo enokwenza ukuba ulungele ngqo.
- Akukho datha yokubonisa ukuba le nkqubo yinto engcono kunamanye amatshintsho okuguqa ugqirha wakho unokucebisa. Enyanisweni, abanye oogqirha banokuphikisa ukuba akukho idatha eyaneleyo yokunyusa le nkqubo phezu kwezinye iinkqubo ezineempembelelo zexesha elide.
Imithombo:
Howell, SM, et al. "Iziphumo zoLuntu oluQebileyo oluLungeleleneyo oluMiselweyo lwama-Total Knee Arthroplasty kwi-Series of 48 Izigulane" I- Orthopedics 2008; 31: 857.