Ukufakela ingxenye Ingxenye ye-Joint Ball-and-Socket Joint
Ihlangothini lehlombe lihlangene nebhola-ne-socket. Ibhola liyisiphakamiso sesifuba lesandla (i-humerus), kanti isokhethi (glenoid fossa) ingxenyeni ye-shoulder (scapula). Ihlangothini lehlombe lihlangene ngokumangalisayo ngoba livumela ukuhamba okuningi kunokunye okunye okuhlangene emzimbeni. Lapho amalunga ehlombe enenkinga, kuhlanganise nokudla kwamathambo kanye nokuhlukana, kokubili ubuhlungu nokukhubazeka kungenzeka.
Kunezimo eziningi ezingadinga konke noma ingxenye yehlombe ukuthi ithathelwe indawo. Okuvamile kunazo zonke i- arthritis ye-shoulder . I-arthritis ingabangela i-cartilage yebushelelezi ehlangene ukuze iguqulwe, ibonise ithambo. I-arthritis yehlombe ngokuvamile ibuhlungu futhi ibeka umkhawulo wokusebenza. Esinye isizathu esivamile sokufaka esikhundleni sehlombe iphunga lehlombe . Ngokuvamile lapho ithambo elihlangene lehlangothini lwehlombe liphukile, indlela engcono kakhulu yokuthatha indawo, kunokuzama ukulungisa ithambo. Lokhu kuyiqiniso ikakhulu uma ukuqubuka kuzinhlamvu eziningi nasezikhulile.
Hemarthroplasty enamahlombe
I-hemiarthroplasty yehlombe ingenye yezindlela ongayicabangela lapho uphatha lezi zimo. Ukunquma ukukhetha okukhethwa kukho kuncike ezintweni eziningana, kubandakanya ukuxilongwa, iminyaka yesiguli, kanye nemisebenzi isiguli esilindele ukuba sikwazi ukuyenza.
I-hemiarthroplasty iyingxenye yokujoyina.
Igama elithi arthroplasty lisho ukuthatha indawo yokujoyina, futhi ngokufaka i-hemi, lokhu kusho ukuthi uzokwenza ingxenye yesigatshana. Abanye abantu baphinde bachaze ukuhlinzwa njengengxenye ehlombe ehlombe.
Izinketho zokuhlinza
Kunezinketho eziningana okufanele uzicabangele uma ushintsha ihlombe.
- Ukuguqulwa Kwamaqembu Okuphelele
Ukugujwa okuphelele kwehlombe kuvame ukuqhutshwa isifo samathambo esibi kakhulu. Abanye odokotela abahlinzayo bayamahloni ekusebenzeni ngokugcwele, njengoba ukuthola isikhwama sokusebenza kahle futhi kuhlale isikhathi eside kungaba nzima. Labahlinzayo bangase bakhethe ukwenza i-hemiarthroplasty, benethemba lokunikeza umphumela obikezelayo. Ngakolunye uhlangothi, odokotela abahlinzayo abathanda ukuphindaphindiwe baphikisana bathi uphatha kuphela ingxenye yenkinga ngokufaka esikhundleni sebhola nje kuphela, futhi imiphumela engeke ibe yinto enhle kakhulu.
- Ukushintshwa Kwamahlombe Okuphindaphindiwe
Ukuguqulwa kwamaphethini okuphindaphindiwe kuyindlela entsha esetshenziselwa ukuphatha inkinga enzima ebizwa ngokuthi i- rotator cuff i-arthropathy yezinyembezi . Le nkinga ivela lapho kune-arthritis yehlombe kanye ne- rotator cuff izinyembezi . Izindleko ezijwayelekile zezingxenye zamapulangwe zenzelwe ukusebenza ngendwangu evamile ye-rotator futhi zingabangela izinkinga ngaphandle kwebhokisi elihle le-rotator. Ukuguqulwa kwamahlombe okuphambene nakho kwaklanyelwe kulolo daba. - Hemarthroplasty enamahlombe
I-hemiarthroplasty yehlombe ivame ukuqhutshwa ngezizathu ezintathu. Owokuqala i-arthritic ehlombe lapho isikhwama esingekho esimweni esibi, kodwa ibhola idinga ukushintshwa. Owesibini usekhompyutheni ye-rotator ye-tearth arthropathy, lapho inani eliphelele kufanele lihluleke khona ngokuhamba kwesikhathi. Okokugcina, i-humerus ephazamisekile yokulimala, lapho kunomonakalo omkhulu wokulungisa ibhola, kodwa isisekelo asilimazanga.
Ukuhlinza kwe-Hemiarthroplasty
Izingxenye ze-hemiarthroplasty yehlombe zibukeka zifana nengxenye yesigamu sezingxenye. Kunezindlela ezihlukahlukene nobukhulu obuhlukile, kodwa bonke basebenza ngokufanayo. Isiqalo sokufakelwa kufakwa esikhungweni esingenalutho sethanga lesandla. Kungenzeka ukuthi ibanjwe ngokubambisana ngokuqinile noma kumiswe ngesikhundla.
Ibhola linamathele phezulu kwesiteji.
Izinzuzo ze-hemiarthroplasty uma kuqhathaniswa nokuguqulwa okuphelele kwefayili zihlanganisa ukuhlinzeka okungenasidingo futhi kungabikho ingozi yezinkinga ngesokhethi yokufakelwa. Okungalungile ukuthi uma isikhwama esiphelile sisabangela ubuhlungu ehlombe, ukuhlinzekwa kwesibili kungadingeka ukuguqula ukushintshwa kwamahlombe. Izingozi ze-hemiarthroplasty ehlombe zihlanganisa ukutheleleka, ukulimala kwamagundane, ukuchithwa kwehlombe, nokubuhlungu okuqhubekayo.
Imithombo:
I-Wiater JM ne-Fabing MH. "I-Arthroplasty Yezintambo: Izinketho Ze-Prosthetic and Indications" J Am Acad Orthop Surg ngoJulayi 2009; 17: 415-425.