Inketho yokwelashwa kwiindawo zokuHlangana kweNdawo yokuThathaka
I-Microfracture iyindlela ekhethiweyo eyenziwa kunyango lweendawo ezinobungozi. Xa isigulane sinendawo encinci ye- cartilage eyonakalisiwe (engekho isifo se-arthritis ), i-microfracture ingenziwa kwilingo lokukhuthaza ukukhula kwe-cartilage entsha. I-microfracture ivame ukuqhutyelwa ngaphakathi kweedolo, nangona isetyenziselwe unyango kwamanye amajoyina kuquka ne-hip, i-ankle, nephepha.
Inkqubo encinci yokudala imveliso idala imingxuma encinane kwithambo. Uluhlu lwesithambo, olubizwa nge-subchondral bone, lukhuni kwaye alukho ukuhamba kwegazi oluhle. Ngokungena kulolu bunzima obunzima, i-microfracture ivumela ukuba ithambo elunzulu, elincinci likwazi ukufikelela kwindawo yokubambisana. Isithambo esinzulu sinokunikezwa kwegazi elininzi, kwaye iiseli ziyakwazi ukufikelela kumgca womhlaba ukukhuthaza ukukhula kwe-cartilage .
Ngubani umcebisi omhle we-microfracture?
- Izigulane ezineendawo ezinqongopheleyo zomonakalo we-cartilage
- Izigulane ezisebenzayo kwaye azikwazi ukuthatha inxaxheba kwimidlalo okanye umsebenzi ngenxa yempawu
- Iziguli ezinentlungu okanye ukuvuvukala okubangelwa yindawo eyonakalisiwe yesikhumba
Ngubani ongeyena umviwa ofanelekileyo we-microfracture?
- Izigulane ezine-arthritis ezazisasazekayo
- Izigulane ezinokungazinzi okanye ukusabalalisa ngokubambisana kwazo
- Izigulane ezingasebenzi
- Izigulane ezine-arthritis ezivuthayo (njenge-rheumatoid arthritis)
- Izigulane ezingenakunqwenela ukuthatha inxaxheba ekubuyiselweni emva kwe-microfracture
Ngaba isebenza?
I-microfracture ingaba yinkqubo ebalaseleyo, ukubonelela ngokukhululeka kwentlungu xa isenziwa kwisigulane esifanelekileyo. Enye yezinto ezixhalabisayo nge-microfracture kukuba ayikhuthazi ukukhula kwe-cartilage evamile. Kukho ezininzi iintlobo ze-cartilage, kwaye enye yeendidi (i-hyaline cartilage) iyafumaneka kwiindawo ezidibeneyo.
I-microfracture ikhuthaza ukukhula kohlobo lwe-cartilage oluqhelekileyo lufunyenwe kwiisishu ezinqabileyo (fibrocartilage). Ngokungafani ne-hyaline cartilage, i-fibrocartilage ayinamandla afanayo kunye nokuqina kwe-cartilage evame ukufumaneka kwidibene. Ngoko ke, kukho ithuba lokuba i-cartilage evuselelwe inkqubo ye-microfracture ayiyi kuma phezu kwexesha.
Ukutyhilwa kwe-Microfracture Surgery kwenziwa njani
I-microfracture isenziwa njengenxalenye yokuhlinzwa ngombondo we- arthroscopic . Amanye amajoyina angaphathwa ngendlela efanayo, nangokwenziwa ngophando lwe-arthroscopic. I-microfracture iye yenziwa kwi-ankle, emagxeni, e-hip, elbow kunye namanye amalunga. Nangona kunjalo ngokuqhelekileyo eyenziwa ngeengxaki ezidibeneyo zamadolo, lingasetyenziswa ngokufanelekileyo ngxaki kwezinye iinjongo zomzimba.
Okokuqala, ummandla ophantsi kwe-microfracture ulungiswa ngokususa nayiphi na i-cartilage ephosakeleyo okanye eyonakalisiwe. Ngokufanelekileyo, indawo ephantsi kwe-microfracture iya kuba ngaphantsi kwama-2 centimitha ububanzi kwaye ibe nenhle, inempilo ejikeleze i-cartilage. Emva koko, i-picker encinci, i-awl isetyenziselwa ukudala imingxuma encinci yamathambo. Inani leembobo ezincinci ezidalwe zixhomekeke kubukhulu bezo ziphathwe. Uninzi lwezigulane ezineendawo ezi-1 ukuya kweyesi-2 zomonakalo zifuna imingxuma emihlanu ukuya kwe-15 kwithambo.
Ukungena kwamathambo angaphandle kweethambo kuvumela igazi kunye neeseli ezinamabala ukuba zenze i-clot kwindawo yecala le-cartilage. Ezi iiseli zinako ukwenza i-cartilage ungqimba kwisiphene. Ingundoqo umzimba unako ukulungisa indawo eyonakalisiweyo ye-cartilage ngokukhuthaza ukuhamba kwegazi kwisiphene.
Esinye sezihluthulelo zonyango oluyimpumelelo ukulungiswa ngokufanelekileyo kulandela ukutyunjwa kwe-microfracture . Ukubuyiselwa kwempahla kufuneka kukhusele indawo ephathwayo yinkcenkcesho kunye nokugcina amandla kunye nenkqubela yexolo . Ngenxa yoko, uninzi lwezigulane kufuneka zisebenzise iintonga emva kokuhlinzwa, ngokuqhelekileyo i-knee brace iya kucetyiswa, kwaye kwezinye iimeko umatshini wokunyakaza ukuguqa ngamadolo angasetyenziswa.
Ukutyunjwa kwe-microfracture yamadolo ehlangeneyo yinkqubo ekhuselekileyo eneengozi ezincinci. Enyanisweni, umngcipheko omkhulu unokuba nentlungu eqhubekayo nangona le nzame yokuphilisa umonakalo we-cartilage. Eminye ingozi yokuhlinzwa kwe-arthroscopic ibandakanya ukusuleleka, i-clot yegazi, ukuqina, kunye nokuvuvukala kwamadolo. Le engozi enkulu yinto engavamile emva kokutyunjwa kwe-microfracture.
Iziphumo zeMicrosoft
Utyando lwe-microfracture luyabonakala ngenxa yokuba lukhuselekile, kulula ukuyenza, kwaye ngokuthelekiswayo aluxabisekanga kwezinye i-cartilage zokuvuselela ukhenketho. Kodwa ngaba kusebenza? Iziphumo zophando olusenyakathotyana ziye zaphandwa kaninzi. Ngokuqhelekileyo, abantu abaqhutywe ukuhlinzwa ngokugqithisileyo baqiqa ngokufanelekileyo kwixesha elifutshane ukuya kwixesha elide. Kukho imibuzo, nangona kunjalo, malunga nokugcinwa kwe-microfracture repair, kwaye abaninzi abagqirha bayavuma ukuba i-cartilage ephilisa ngaphakathi kwesiphene se-microfracture ayifani ukuba ihlale isigxina njenge-cartilage evamile. Ngenxa yoko, iziphumo zexesha elide ziyanelisekanga, kwaye abantu abaye baphumelela kule nkqubo yokugonywa banokuphela ekubeni neengxaki ngokunyuka kwe-arthritis ngokuhamba kwesikhathi.
Eminye indlela yokwenza i-Microfracture
Izigulane ezifanelekileyo kubaviwa abancinci bangaba ngabaviwa abalungileyo kwezinye iindlela zokwelapha ngenxa yeziphene ze-knetilage. Ezi ndlela ziquka ukuhanjiswa kwe-cartilage kunye ne- cartilage implantation . Nangona kunjalo, iziphumo zazo zonke iinkqubo zokugonywa ukulungisa umonakalo we-cartilage ziye zaboniswa zifana, ngelixa iingozi kunye neendleko ze-microfracture ziphantsi kakhulu. Ngako oko, ukuhlinzwa ngokugqithisileyo ngokuqhelekileyo kubonwa njengonyango lokuqala lwe-cartilage umonakalo emadolweni. Ezinye zezinye iindlela zokugonywa ngokuqhelekileyo zenzelwe abadlali abaye bahluleka ukuphucula emva kokuhlinzwa kancinci.
Imithombo:
> ITuan RS, uKen AF, uKlatt BA. "I-cartilage kabusha" J Am Acad Orthop Surg. 2013 ngoMeyi; 21 (5): 303-11.
> Safran MR, Seiber K. "Ubungqina bokulungiswa kokuhlinzwa kwe-articular cartilage emadolweni" J Am Acad Orthop Surg. NgoMeyi ka-2010; 18 (5): 259-66.