Yintoni eya kugcina inxaxheba yakho entsha kwindawo? Awunakuze uzibuze oko bekugcina ukudibanisa kwakho kwasekuqaleni endaweni, kodwa ukuba unomxholo obambisanayo uphakamisa lo mbuzo. Unokusenokukhathazeka ngeentlobo zeekhemikhali eziza kusetyenziswa kunye nokuba zichaphazela njani umzimba wakho.
Indlela Izimpembelelo Zemihlaba Ehlangeneyo Ezigcinwe Ngendawo
Ukubamba ukufakwa kwendawo kuthiwa ukulungiswa.
Izimpembelelo zokudibanisa ezihlangeneyo zinokulungiswa, okanye zigcinwe endaweni enye, ngeendlela ezimbini. Zingaba izimpembelelo ezixinzezelayo ezivumela umzimba ukuba uqulunqe amathambo amatsha kuwo. Okanye, banokumiswa endaweni. Kwamanye amanxeba, ukulungiswa kwe-hybride kusetyenziswa, nge-simenti kwelinye iqela kwaye ucinezela-nye kwenye.
I-Press-Fit okanye i-Cementless Implants
Izimpembelelo ezifanelekileyo zinoxinzelelo zinobubanzi obunzima apho ithambo elijikelezayo lingakhula khona. I-Bone yimizimba ephilileyo, kwaye iqela elitsha liyakushukumisela ukuba likhule libe ngumhlaba omtsha, okhuseleka ngakumbi xa kukho izikhalazo zokuba zikhule zibe yintsebenziswano eqinile. Umphezulu wokufakelwa unobumba obunqambileyo (i-grit blasted) okanye indawo ebomvu (i-porous coated). Ukuqhaqha kwamanzi kukuvumela ukuba ithambo likhule libe yinto yokuyibeka kwindawo. Ubuso obuqhekekileyo abuyi kuba nempembelelo efanayo.
- Iingenelo: Inzuzo yokufakela umgca wokunyusa umgangatho wendlela kukuba, ngokuhamba kwexesha, ithambo lixhomekeke ngokuqinile ekutheni litshintshwe, linciphise ithuba lokufakelwa kokuvelisa.
- Iintsilelo: Izimpembelelo ezifanelekileyo zogxininiso zifuna amathambo aqinile ukulungiswa, kwaye kufuneka zilungele ukungena kwisithambo ngexesha lotyando. Ngenxa yoko, ithambo le- osteoporotic , liyakuthi linyamezele ukunyanzelwa kwe-press-fit. Izimpembelelo ezifanelekileyo zokuphinda zixhaswe zifuna ixesha lokuba ithambo likhule libe yilo mveliso. Ukongezelela, kunye neethambo eziqhelekileyo, izimpembelelo ezithile, ezifana nokuguqulwa kwamadolo, azikwazi ukuqhutyelwa ngokufanelekileyo ngaphandle kwemimiselo ukuze ubambe ukufakwa kwisimo.
Implants
Izimplantshi ezimiweyo zidibene ngokuqinile kwisithambo. Kujikeleze ukuveliswa yintsimbi enzima edla ngokubizwa ngokuba yi-samente okanye iglue. Ngokuqhelekileyo i-polymethylmethacrylate, i-stement bone-curing bone samente. Le ngxaki enzima isebenza njenge-filler-filler okanye i-grout kwaye ibambe ukugxininisa kwisimo.
- Iingenelo: Izimpembelelo ezimiweyo zizinzile ngosuku abafakwa kuzo njengoko ziza kwenzeka. Ezi zifakelo zingasetyenzwa ngokugqithiseleyo, ngoko ke ziyakwazi ukufakwa kwithambo elisekelayo.
Nguwuphi uhlobo loQinisekiso oluqhelekileyo olusetyenziswayo?
Ukutshintshwa kwe-Knee Replacement: Ukutshintshwa kwe- Knee kudla ngokumiswa kwisikhundla. Abanye oogqirha banokukhetha ukubeka izimpembelelo ezifanelekileyo, ngokuqhelekileyo ekupheleni kwethambo lethanga, kwezinye izigulane. Nangona kunjalo, ngokuqhelekileyo amadolo asetshenzisiweyo ayamiswa.
Ukutshintshwa kwe-Hip: Izimpembelelo zokutshintshwa kwe-Hip ngokuqhelekileyo zixhomekeke kwi-socket (pelvis) ecaleni. Isiqu (femur) sinokuthi sixineke okanye simiswe. Uninzi lwagqirha lugxininisa-lugxininisa ukuzaliswa kwezigulane ezinamandla amathambo, kunye nesamente ukuba kukho inkxalabo malunga nomgangatho wethambo.
Ukuhlaziywa kwakhona kweziMiselo: Kwiimeko zokuhlaziywa ngokutshintshana ngokutsha (ukutshintshwa kokutshintshwa ngokubambisana) ezinye iinketho kunezo zidweliswe ngasentla zingacetyiswa.
I-stem esele ifunekayo kwaye ingasebenzisa iziqwenga zetsimbi.
Ukuba unemibuzo malunga noko uza kusetyenziswa ekutyunjeni kwakho, xubusha nodokotela wakho.
Umthombo:
UPawulos W. Manner, MD. Izimpembelelo ze-Knee Replacement, i-American Academy ye-Orthopedic Surgeons, ngoSeptemba, 2010.