Ukuba nomugqa wesibili esikhundleni samasondo afanayo
Ukuhlinzwa ukuguqulwa kwamadolo ukubuyekezwa kuyinkqubo eyenziwa ukufaka indawo yokuguqula amadolo engasasebenzi kahle. Izimplantshi zokuguqula izakhi zenzelwe ukuhlala isikhathi eside, kodwa azihlali kuze kube phakade, futhi kunezinkinga eziningana ezingase zenzeke ukuthi kudingeke ukuthi ukuhlinzwa okuphindaphindiwe kuthathe indawo.
Ukuguqula ukuguqulwa kwamadolo kuyindlela enkulu yokuhlinzwa ngoba ukwenza ukuhlinzwa okunye kungaba nzima nakakhulu kwesibili (noma sesithathu, noma sesine ... isikhathi).
Ngokuhamba kwesikhathi, izicubu ezibomvu, ukulahleka kwamathambo nokungazinzi kahle kungabamba iqhaza ekwenzeni ukwelashwa okuqhubekayo kunzima ngokwengeziwe.
Ukuguqulwa Kude Okudlule Kanjani
Amadolo amaningi asetshenziselwa ukuguqulwa amaviki ahlala emashumini ambalwa eminyaka, amanye amade Kodwa-ke, kunezikhathi lapho ukuguqulwa kwamadolo kudinga ukuvuselelwa ngemuva kweminyaka noma ngisho nezinyanga nje. Ukuqonda ukuthi kungani ukuguqulwa kwamadolo kuphelile kubalulekile ukwenza ukuguqulwa kokuguqula ngempumelelo kwempondo.
Ukushintshwa kwamadolo okujwayelekile kudlula iminyaka engaphezu kwamashumi amabili, kodwa kunemibiko yezimila ezihlala isikhathi eside, futhi izinto ezintsha nezinqubo zokuhlinzekwa zithemba ukuhlinzeka ngezindawo zokuguqula amadolo ahlala isikhathi eside. Lokho kusho ukuthi kunezikhathi lapho ukuguqulwa kwamadolo kungadlulela isikhathi esifushane kakhulu, ngisho nakwezinye iziguli ezinempilo. Iphesenti elincane leziguli (elizungeze 1-2%) liphela ekudinga ukuguqulwa kwamadolo abo kubuyekezwe phakathi neminyaka embalwa yokuhlinzwa kwabo kokuqala.
Izizathu zokuguqulwa kokubukezwa kuyadingeka
Ukubuyiselwa esikhundleni sokubuyisela kwenziwa ngezinombolo ezimbalwa.
Ezinye zezinto ezivamile zihlanganisa:
- Ukukhululeka kokufakelwa
- Ukutheleleka kokuhlanganyela
- Ukukhubazeka kwamadolo
- Ukuhlelwa kwezingxenye
Abantu abaningi ekugcineni banokuguqulwa kwamadolo okubukeza ngoba inkinga ibangela ubuhlungu obukhulu. Nakuba ubuhlungu bungaba yinkinga ngokwayo, ukuhlinzwa okubuyiselwa esikhundleni sokuguqula amadolo akumelwe kwenziwe ngaphandle kokuqonda ukuthi kungani ubuhlungu bukhona.
Ukwenza lolu hlobo lokuhlinzeka ngobuhlungu ngaphandle kwesizathu esibonakalayo akunakwenzeka ukuletha imiphumela emihle. Esikhundleni salokho, imbangela yenkinga ngokuguqulwa kwamadolo idinga ukuqondwa ngokucacile, futhi kudingeka kube nesisombululo sokubhekana nale nkinga ngokufakelwa. Ukuhlinzwa ngaphandle kohlelo olucacile lokuxazulula inkinga akungaba usizo.
Yeka ukuthi Izimplantshi Zibopha kanjani
Ukuguqulwa kwamadolo amaningi kwenziwa nge-caps zensimbi ezimboza ukuphela kwethambo lethanga kanye ne-bone shin bone. Phakathi kwalezi zinhlamvu ze-metal kukhona isiqephu sepulasitiki esinikeza ubuso obushelelezi bokuguqa kwe-implant. Ipulasitiki ingaphelelwa yisikhathi, njengokugqoka kancane kancane, kancane kancane, noma ukuhluleka okungazelelwe.
Kunezinye izimo lapho ukugqoka kungashesha khona. Lezi zimo zibandakanya ukuthi ukulungiswa kwezimpande kwakungalungile, lapho amadolo engaqiniseki (okukhululekile kakhulu), noma uma isiguli senza imisebenzi ebeka ukucindezeleka okukhulu ekufakweni. Ukwazi ukuthi yimiphi imisebenzi engabangela ukulimala emiphakathini yokuguqula amadolo ingasiza ukuqinisekisa ukuthi izingxenye zihlala isikhathi eside ngangokunokwenzeka.
Kungani Ukubukeza Kunzima Kakhulu
Ukuguqulwa kokubuyekeza kunzima ngezizathu eziningana. Okokuqala, lapho othile ehlinzwa, izicubu ezibomvu zikhula, futhi izicubu ezincane zibonakala kancane.
Ukwenza ukuhlinzwa kwesibili kunzima kakhulu. Okwesibili, uma wenza idolo esikhundleni, amathambo asusiwe. Lapho wenza idolo lokubuyekeza, ngokuvamile ithambo elengeziwe kufanele lisuswe, futhi amanye angase alahleke ngenxa yenkinga ngokufaka. Ukugcina amathambo okwanele ukusekela ukufakelwa okusha kungaba inselelo. Okokugcina, ukuthola idolo eliguquguqukayo ngokwanele ukuvumela ukunyakaza, nokho lizinzile ngokwanele ukuze likugcine liqinile, kunzima nakakhulu ukubukeza izimo.
Imiphumela Yokubuyiselwa Kokushintshwa Kwenziwe
Imiphumela yokubuyiselwa kwamadolo okubukezwa ayifaneleki kunokuhlinzwa kokuqala esikhundleni .
Lokho kusho ukuthi imiphumela iyashintsha kakhulu, njengoba ezinye izinkinga ezidinga ukuhlinzekwa kwesibili ziqonde ngokuqondile ukuphatha, kanti ezinye ziyinkimbinkimbi kakhulu.
Inkinga ngokuzama ukuqhathanisa imiphumela yokuguqulwa kwamadolo ukubuyekezwa ukuthi izizathu zokwenza ukuhlinzeka, kanye nenani lezinqubo zokuhlinza, ziyahlukahluka kangangokuthi kunzima ukudweba iziphetho kulolu datha. Kodwa-ke, izifundo eziningi zokuguqulwa kwamadolo ezibukeziwe zabonisa umsebenzi othuthukisiwe ezigulini eziningi (80% noma ngaphezulu).
Imithombo:
UDennis DA, et al. "Ukubuyekezwa Konke Knee Arthroplasty" J Am Acad Orthop Surg Ngo-Agasti 2008 vol. 16 cha. 8 442-454.