I-CPM iphinde ibike ukunyakaza okuqhubekayo okuqhubekayo , iyisetshenziswa esetshenziselwa ukushintsha kahle nokunwebisa amadolo. Umshini we-CPM ungasetshenziswa emva kokuhlinzwa ukuvumela ukuba idolo lihlangane kancane kancane. Umcabango wokuqala wukuthi i-CPM ingathuthukisa ukunyakaza ngemuva kokuhlinzwa kokuguqula amadolo, kanye nezinye izinqubo zamadolo, futhi kuqede inkinga yobunzima .
Ngokubeka idolo kule divayisi ngokushesha ngemva kokuhlinzwa, izicubu ezinzima ngeke zikhule, futhi inkinga yobunzima ngeke ibe nokukhathazeka.
Iminyaka eminingi, imishini ye-CPM ibonwe njengentuthuko ebalulekile yezokwelapha engasiza ekuvimbeleni ukucindezeleka emva kokusebenza kusukela ekusebenzeni kwamadolo. Ngokubambezela ngamadolo ngokushesha ngemuva kokuhlinzwa, umgomo kwakuwukuthuthukisa ukubuyiswa kokuhamba, futhi ekugcineni ukusheshisa. Imishini ye-CPM isetshenziselwa njalo emva kwezinqubo eziningi zokuhlinza, ikakhulukazi ukuguqulwa kwamadolo esikhundleni.
Ukugabha emva kokuguqulwa kwamadolo kungaba yinkimbinkimbi enkulu, futhi kungenye yezizathu ezivame kakhulu zokuthi kungani abantu bengenelisekile ngokuhlinzwa kokuguqula amadolo. Nakuba abantu abangaba ngu-90% banelisekile ngemiphumela yokuguqula amadolo, kunezinkinga ezingase zenzeke, nezizathu zokuthi kungani abantu bengathokozi ngemiphumela yenqubo yabo yokuhlinzwa.
Enye yalezi zinkinga ezingase zibe khona ukuqina komdolo.
Ukuthuthukiswa Kwamuva
Ucwaningo oluthile lwamuva luye lwaphenya ukusetshenziswa kwe-CPM kulandela ukuhlinzwa kokuguqula amadolo nokuhlinzwa kwe- ACL yokuvuselela . Cishe zonke izifundo zitholakala ngokufanayo: kunenzuzo ethile ezinsukwini zokuqala namaviki alandela ukuhlinzwa, kodwa akukho umehluko ekuhambeni kwamadolo ngemva kwamasonto ayisithupha.
Akubonakala kubalulekile uma i-CPM isetshenzisiwe, ekugcineni, imiphumela ifana.
Ukuhlinzeka ngezinyanga kufike isikhathi eside kule minyaka engamashumi amahlanu edlule. Kodwa-ke, odokotela bama-orthopedic bahlale bebuka izindlela zokuthuthukisa imiphumela yabo. Inkinga eyodwa ephikisanayo emva kokuhlinzwa okuhlanganyelwe yinkinga yokujoyina. Izinkathazi ziyinkimbinkimbi ikakhulukazi ngoba, ukuze siqhubeke nemisebenzi yethu evamile, sincike ekutheni ama knee ahamba phambili . Ukunyakaza okuqhubekayo okuqhubekayo, noma i-CPM, lakhiwe ngomzamo wokuqala ukuhamba ngokushesha ngangokunokwenzeka emva kokuhlinzwa, futhi, ngethemba, ukunciphisa inkinga yokuqina kokuthunyelwa komsebenzi.
Izinzuzo
Ukuphikisana kwe-CPM ukuthi iziguli zinezikhukhula zokuqala emva kokuhlinzwa okusheshayo kuneziguli ezingasebenzisi i-CPM. Ngaphezu kwalokho, iziguli ezisebenzisa i-CPM elandela ukuhlinzwa ngokuguqulwa kwamadolo zingenakudinga ukuguqulwa kwamadolo (lapho isiguli sinikezwa khona ukushisa i-anesthesia , futhi idolo liyaphoqeleka ukugoba) kuneziguli ezingasebenzisi i-CPM. Kanti futhi iziguli zivame ukuzwa isifiso esinamandla sokuba "ukwenza okuthile" ukusiza ukuphola. Ngenkathi i-CPM ingase ingakushintshi umphumela wokuhlinzwa, ingenza iziguli zikwazi ukuthi zenza okuthile ukuze zize zilulame, ngisho nalapho zilala embhedeni.
I-Cons
Akekho oye wabonisa ukuthi i-CPM yenza noma yimuphi umehluko ngokuhamba kwesikhathi. Ngokuphindaphindiwe, izifundo zibonisa ukuthi kungakapheli amasonto angu-4-6 okuhlinzwa okuguqulwa ngamadolo, iziguli ezisebenzisa i-CPM nalabo abangenawo uhlangothi olufanayo lokuguquka kwamadolo. Nakuba kungenzeka kube nomthelela ongokwengqondo okukhulunywe ngenhla, abukho ubufakazi bokubonisa ukuthi ukusetshenziswa kwe-CPM kuzogcina ekuthuthukiseni umphumela wokuguqulwa kwamadolo noma ukuhlinzwa kwangaphakathi kwe-ligament yokuvuselela kabusha. Lokho kusho ukuthi kunezinqubo ezithile, ezifana nokukhululwa kwesivumelwano noma ukunamathela, lapho i-CPM ingaba yingxenye ebalulekile yokutakula kusuka ekusebenzeni kwamadolo.
Odokotela abaningi abahlinzayo bakhathazeka ngokuthi i-CPM ingase ihlehlise ukuphumula ngokugcina isiguli embhedeni, futhi ingatholi ukwelashwa okusebenzayo okusebenzayo.
Izwi elivela
Njengoba kushiwo ngaphambilini, akekho oye wakwazi ukukhombisa ngokucacile noma iyiphi inzuzo yesikhathi eside ekusetshenzisweni komsebenzi we-CPM ngemuva kokuguqula amadolo noma ukuhlinzwa kwe-ACL . Njengoba lezi zifundo zibonisa ngokucacile, iziguli cishe zizoba endaweni efanayo phakathi kwamasonto ayisithupha okuhlinzwa kungakhathaliseki ukusetshenziswa kwe-CPM. Odokotela abahlinzayo abaningi bayancoma ngokusetshenziswa komsebenzi we-CPM futhi bakhuthaza iziguli ukuba zigxile emizamweni yokwelashwa esebenzayo yokuvuka nokuphuma embhedeni.
> Imithombo:
> Chaudhry H, Bhandari M. "Cochrane ku-CORR: Ukuqhubeka Okuhambayo Okungapheliyo Konke Okulandelayo Konke I-Arthroplasty Ephakathi Abantu abane-Arthritis (Ukubuyekezwa)" Clin Orthop Relat Res. 2015 Nov; 473 (11): 3348-54.
> Mistry JB, Elmallah RD, Bhave A, Chughtai M, Cherian JJ, McGinn T, Harwin SF, Mont MA. "Izinkombandlela Zokuvuselela Ngemva Kwama-Total Knee Arthroplasty: Ukubuyekeza" J Knee Surg. 2016 Apr; 29 (3): 201-17.