I-CPM ikwabizwa ngokuthi inkqubela eqhubekayo , isistim esisebenzisayo ukucwangcisa kakuhle kunye nokwandisa idolo. Umshini we-CPM ungasetyenziselwa emva kokuhlinzwa ukwenzela ukuba idolo lixoxwe. Ingcamango yokuqala yayikuthi i-CPM yayiza kuphucula isilumkiso emva kokuhlinzwa kwendlela yokuguqula idolo, kunye nezinye iinkqubo zamadolo, nokuphelisa ingxaki yobunzima .
Ngokubeka idolo kule fayili emva kokuhlinzwa, iisitiki ezibomvu zazingayi kukhula, kwaye ingxaki yobunzima ayiyi kuba yinkxalabo.
Kwiminyaka emininzi, imishini ye-CPM ibonwe njengentuthuko ebonakalayo yezokwelapha ezinokukunceda ukukhusela iingxaki zokuhamba emva kokuhlinzwa. Ngokwenza uxolo lwalugxile ngokukhawuleza emva kokuhlinzwa, injongo yayikuphucula ukubuyiswa kokuhamba, kwaye ekugqibeleni ukukhawuleza ukubuyisela. Imishini ye-CPM yayisetyenziswa ngokuqhelekileyo emva kwenani leenkqubo zokuhlinzwa ezihlukeneyo, ngokugqithiseleyo ukuguqulwa kwamadolo.
Ukunyameka emva kokuguqulwa kwamadolo kungaba yinkxalabo enkulu, kwaye yenye yezona zizathu eziqhelekileyo zokuba kutheni abantu banganelisekanga ngophenyo lokuguqula amadolo. Ngelixa abantu abangaba ngu-90% banelisekile ngemiphumo yokuguqula idolo, kukho iingxaki ezinokuthi zenzeke, kwaye izizathu zokuba abantu bengavuyiswa yimiphumo yokupasa kwabo.
Enye yeengxaki ezinokuthi zenzeke ubunzima bexolo.
Uphuhliso olutshanje
Izifundo eziliqela zakutshanje ziye zaphanda ukusebenzisa i-CPM emva kokuhlinzwa okutshintshwa kwamadolo kunye nokuqulunqwa kwe-ACL . Phantse zonke iifundo iziphumo zifana ngokufanayo: kunenzuzo ethile kwiintsuku zokuqala kunye neveki emva kokuhlinzwa, kodwa akukho mmahluko kwi-knee motion emva kweveki ezintandathu.
Akubonakali kungakhathaliseki ukuba i-CPM isetyenziswa, ekugqibeleni, iziphumo ziyafana.
Utyando lwe-Knee luye lwaba lude kuminyaka engama-50 edlulileyo. Nangona kunjalo, oogqirha bamazinyo bahlala bejonga iindlela zokuphucula iziphumo zabo. Ingxaki enye eqhubekayo emva kokuhlinzwa ngokubambisana kukuqina kobambiswano. Iingqungquthela ziyinkathazo ngokukhethekileyo kuba, ukuze siqhubele phambili nemisebenzi yethu eqhelekileyo, sincike kwi-knee motion . Isisombululo esingaqhubekayo, okanye i-CPM, saqulunqwa ngenzame yokuqalisa isantya ngokukhawuleza emva kokuhlinzwa, kwaye, sinethemba lokuba, ukunciphisa ingxaki yokuqina kobambiswano.
Iinkonzo
Ingxabano ye-CPM kukuba izigulane zinokunyuka kwenyathelo emva kokuhlinzwa okukhawuleza ngakumbi kunezigulane ezingasebenzisi i-CPM. Ngaphezu koko, izigulane ezisebenzisa i-CPM elandela ukutyunjwa kwamadolo ekutshintshiselwa ukuguqula amadolo akufuneki ukufuna ukuguqulwa kwamadolo (apho isigulane sinikwa i- anesthesia jikelele , kwaye idolo linyanzeleka ukugoba) kunezigulane ezingasebenzisi i-CPM. Kwakhona, izigulane zihlala zivakalelwa umnqweno wokuba "benze into" ukuze bancede baphumele. Ngelixa i-CPM ingenakho ukuguqula umphumo wokuhlinzwa, inokunika izigulane ukuba zenza into ekuncedeni ukuyifumana, nangona ephumla ebhedini.
Umxhasi
Akukho mntu ubonise ukuba i-CPM yenza nayiphi na into eyahlukileyo ngexesha elide. Ixesha kunye nexesha, uphando lubonisa ukuba phakathi kweeveki ezi-4-6 zokuguqulwa kwamadolo, izigulane ezisebenzisa i-CPM kunye nabangenawo udidi olufanayo lwesondo. Nangona kunokubakho ingxaki yengqondo ekhankanywe ngasentla, abukho ubungqina bokubonisa ukuba ukusebenzisa i-CPM ekugqibeleni kuya kuphucula isiphumo sokuguqula idolo okanye ukulungiswa kwangaphambili kwesigidi. Okokuthi, kukho iinkqubo ezithile, ezifana nokukhutshwa kwesivumelwano okanye ukubambelela, apho iPCM ingaba yinxalenye ebalulekileyo yokubuyisela ekusebenziseni amadolo.
Amagqirha amaninzi anxhala ukuba i-CPM inokugqiba ukuphucula ukuphulukana ngokugcina isigulane ebhedini, kwaye ingayifumana unyango osebenzayo.
ILizwi
Njengoko kushiwo ngaphambili, akukho mntu wakwazi ukubonisa ngokucacileyo nayiphi na inzuzo yexesha elide kwi-CPM esebenzayo ngokulandela ukuguqulwa kwamadolo okanye ukuhlinzwa kwe-ACL . Njengoko izifundo ziboniswa ngokucacileyo, izigulane ziyakuthi zibe kwindawo enye kwiiveki ezintandathu zonyango ngaphandle kokusetyenziswa kwe-CPM. Amagqirha angakumbi aphakamisa ukusetyenziswa kweCMP ngokuqhelekileyo kwaye akhuthaze izigulane ukuba zigxininise kwiimvavanyo zonyango ezisebenzayo zokunyuka nokuphuma ebhedini.
> Imithombo:
> Chaudhry H, Bhandari M. "Cochrane e-CORR: Uhambo oluqhubekayo oluqhubekayo olulandelayo Lonke i-Knee Arthroplasty kubantu abaneArthritis (Ukuhlaziywa)" Clin Clinic Relat Res. 2015 Nov; 473 (11): 3348-54.
> Mistry JB, Elmallah RD, Bhave A, Chughtai M, uKerrian JJ, McGinn T, Harwin SF, Mont MA. "Izikhokelo zoLungiso emva kweNkcazo yeArthroplasty: Ukuhlaziywa" J Knee Surg. 2016 kuMatshi; 29 (3): 201-17.