Yini ezogcina ukujoyina kwakho okusha endaweni? Ungase ungakaze uzibuze ukuthi yini egcina ukujoyina kwakho kwasekuqaleni endaweni, kodwa ukuhlanganyela okufakwayo okusha kuphakamisa lo mbuzo. Ungase ube nokukhathazeka ngezinhlobo zamakhemikhali azosetshenziswa nokuthi zingathinta kanjani umzimba wakho.
Indlela Izimpande Zezakhi Ezihlangene Ezibekwe Ngendawo
Ukubamba ukufakwa endaweni ebizwa ngokuthi ukulungiswa.
Izimpande zokufakelwa ezihlangene zingalungiswa, noma zigcinwe endaweni eyodwa, ngezindlela ezimbili. Kungenzeka ukuthi izimplantshi ezihambelana nokucindezela ezivumela umzimba ukuba wakhe ukuxhumana okusha kwethambo kuwo. Noma, zingase ziqinisekiswe endaweni. Amanye amajoyina, ukulungiswa kwe-hybrid kusetshenziswe, ngamakhemikhali kwenye ingxenye eyodwa bese ucindezela kwenye.
Cindezela-Fit noma Cementless Izimplantshi
Izimplantshi ezicindezelayo zinezinto ezinzima lapho amathambo azungezile angakhula khona. I-Bone yizicubu eziphilayo, futhi ukuhlanganyela okusha kungashukumisela ukuba ikhule ibe yindawo entsha, egcina iphephile nakakhulu uma kunezikhalazo zokuthi zikhule zibe yinkimbinkimbi eqinile. Ubuningi bokufakelwa buba nombuso obuncane (i-grit blasted) noma ubuso obunzima (obunamapulangwe). Lokhu kukhwabanisa kwesikhumba kuvumela ukuba ithambo likhule libe yindawo yokuyibeka endaweni. Ubuso obushelelezayo ngeke bube nomphumela ofanayo.
- Izinzuzo: Inzuzo yokufakelwa komshini wokugcizelela ukuthi ngokuhamba kwesikhathi, ithambo linamathele ngokuqinile ekutshaleni, ukunciphisa amathuba okufakelwa okufakiwe.
- Ukungalungi: Izimplantshi ezicindezelayo zidinga ithambo eliqinile lokulungiswa, futhi kufanele lilungele kahle ithambo ngesikhathi sokuhlinzwa. Ngakho-ke, ithambo elibuthakathaka, i- osteoporotic , ngeke libekezelele ukufakelwa okufakiwe. Izimplantshi ezicindezelayo nazo zidinga isikhathi sokuba ithambo likhule libe yilokufaka. Ukwengeza, ngisho namathambo avamile, izimpande ezithile, ezifana nokuguqulwa kwamadolo, azikwazi ukuqhutshelwa endaweni efanele ngokwanele ngaphandle kokumisa ukufaka ukufakwa endaweni.
Izimplomelo ezenziwe nge-Cemented
Izimplantshi ezinamathele ziphinde zivumelane ngokuqinile emthanjeni. Emkhakheni wokufakelwa yizinto ezilukhuni ezivame ukubizwa ngokuthi i-samente noma i-glue. Ngokuvamile i-polymethylmethacrylate, isamente samathambo esheshayo. Lesi sici esinzima sisebenza njenge-filler-filler noma i-grout futhi sinamathele ukugxila ngokuqinile.
- Izinzuzo: Izimplantshi ezenziwe nge-cemented ziqinile ngosuku abafakwa ngalo njengoba ziyobe zikhona. Lezi zimila zingabekwa kahle kakhulu, ngakho-ke zingafakwa emathangeni angaphansi kokusekela.
Yiluphi uhlobo lwe-Fixation olwenziwe kakhulu?
Ukuguqulwa kwe-Knee: Ukuguqulwa kwama- knee kuvamise ukufakwa esimweni. Abanye odokotela abahlinzayo bangakhetha ukubeka izimplantshi ezifakwe emshinini, ngokuvamile ekupheleni kwethambo lethanga, kwezinye iziguli. Kodwa-ke, ngokuvamile ngokuvamile amadolo asetshenzisiwe aqinisekiswa.
Ukushintshwa kwe-Hip: Izimpande ze-Hip esikhundleni sezivame ukucindezela ohlangothini lwe-socket (pelvis). I-stem (femur) ingaba i-press-fit noma i-cemented. Abahlinza abaningi abahlinzayo bacindezela-ukuhambisana nokufakelwa kweziguli ezinezinthambo ezinamandla, nesamente uma kunokukhathazeka ngekhwalithi yethambo.
Izimpendulo Zokubuyekeza: Uma kwenzeka ukubuyekezwa okuhlanganyelwe kabusha (esikhundleni sokushintshaniswa okuhlangene) nezinye izinketho kunalokho okubalwe ngenhla kungase kuphakanyiswe.
I-stem ende ingahle idingeke futhi ingasebenzisa izingcezu zensimbi ezingaphezulu.
Uma unemibuzo mayelana nokuthi yini ezosetshenziswa ekuhlinzekeni kwakho, xoxisana nodokotela wakho.
Umthombo:
UPaul W. Manner, MD. Izimpande Zama-Knee Replacement, i-American Academy yezigulane ze-Orthopedic, ngo-September, 2010.