Ingqikithi yokuguqulwa kwamadolo , eyaziwa nangokuthi ingu-knee arthroplasty, iyindlela ehlinzekwa kakhulu ephumelelayo. Akuyona kuphela ukhetho lokuhlinzeka nge- knee osteoarthritis , kodwa. Ezinye iziguli zikhethwa esikhundleni sokuguqa ngamadolo.
Umehluko Phakathi Konke Nendawo Eyingxenye Yokwakhiwa Konke
Ibhande linamakamelo amathathu - igumbi eliphakathi (ngaphakathi kwendolo), igumbi eliseceleni (ngaphandle kwamadolo) negumbi le-patellofemoral (phambi kwamadolo).
Kwezinye iziguli ze-osteoarthritis zamadolo, igumbi elilodwa kuphela lamadolo liyathinteka. Empeleni, ngokuvamile igumbi eliphakathi elithinteka yi-osteoarthritis. Ikamelo langasese lingathinteka, kodwa lingavamile.
Ukuguqulwa kwamadolo ayingxenye noma okungekho emthethweni, njengoba igama layo liphakamisa, lishintsha kuphela igumbi elithintekayo legolo. Ngakolunye uhlangothi, ukuguqulwa kwamadolo ngokugcwele kuhilela ukubuyiswa kwazo zonke izingxenye ezintathu zamadolo.
Ngenkathi igumbi elilodwa lithatha indawo lapho kuguqulwa khona idolo, ama-anterior and posterior cruciate ligaments agcinwa. Imigqa isuswe endaweni yokuguqula ingqikithi. Kuyakwazi ukukusho, ngokushintshwa kwamadolo okuyingxenye, okunye okwakhiwa komzimba kwakho kuhlale kungalungile.
Izinzuzo kanye Neengozi Ezihlobene Nokushintshwa Kwamaqembu Okuzimele
Kukhona izinzuzo zokuba esikhundleni sokuguqa ngamadolo. Nale nqubo yokuhlinzwa, kukhona:
- I-bones encane ne-soft tissu dissection
- Ukulahlekelwa kwegazi okungaphansi
- Izinkinga ezimbalwa
- Ukutakula ngokushesha kokuhamba kokuhamba
- Uhlobo olungcono lwe-motion jikelele
Kukhona nezingozi ezihlobene nokuguqulwa kwamadolo. Izingozi zihlanganisa:
- Ukubuyekezwa okuphakeme (ukuphindaphinda noma ukuphindaphinda) isilinganiso sokuguqa kwesondo kunengqikithi yokuguqa kwedolo
- Kungenzeka ukusebenza okubi nakakhulu emva kokubuyiselwa esikhundleni segama lamadolo kunokuguqula amadolo
- Ukubuyekezwa kungaba nzima nakakhulu kunokuhlinzwa okuyisisekelo
Izinkinga ezifanayo zingenzeka ngazo zombili izinqubo zokuhlinza: ukukhululeka, ukutheleleka, ukulimala kwenzwa, ukuphuka kwethambo nokunye.
Abafaki Abalungile nabangalungile Ukushintshwa Kwendlela Ehlukile
Ngo-1998, odokotela ababili (uDkt. Scott noKozinn) basebenzise izindlela zokunquma ukuthi iziphi iziguli ezazikhethela ukuguqulwa kwamadolo. Isiguli esihle:
- Endala kuneminyaka engama-60 ubudala
- Ngaphansi kwama-180 lbs
- Isebenza kancane
- Inokuhamba okuhle okuhle ngaphambi kokuhlinzwa
- Unokukhubazeka okuncane
Iziguli ezinezinhlungu zokugula izifo, njenge- arthritis ye-rheumatoid , azibhekwa njengezikhalazo ezinhle zokuguqula idolo. Nge-arthritis evuthayo, ngokuvamile igumbi elingaphezu kwelilodwa lihilelekile.
Okubalulekile
Kube khona ukuthuthukiswa ekwakhiweni kwe-prostheses ye-unicompartmental kule minyaka. Ukuba nodokotela ohlinzayo owawuthola ekusebenzeni ngamadolo ayingxenye yesikhashana kuyinto yokuhlanganisa. Ekugcineni, umphumela ophumelelayo uncike ekubeni nesiguli esifanele ngenqubo. Kodwa-ke, kulinganiselwa ukuthi iziguli ezingu-6% kuya kwezingu-10% kuphela ezifanelekile zokufaka esikhundleni sokuguqa ngamadolo.
Umthombo:
Ukuguqulwa Knee Okuyingxenye. Izimo Nezokwelapha. Isibhedlela Sokuhlinzwa Okukhethekile. UFriedrich Boettner, MD. 3/27/2008.
http://www.hss.edu/conditions_partial-knee-replacement.asp