Yeka ukuthi i-knee cartilage eyonakalisiwe yalungiswa kanjani
I-cartilage defect iyindawo yesikhumba esonakele. Isizathu se-cartilage defect singabangwa ngenxa yokulimala, i- osteonecrosis , i- osteochondritis , nezinye izimo. Amaphutha e-cartilage avame ukubonakala emadolweni ehlangene, lapho ngokuvamile kubangelwa ukuhlukunyezwa futhi kubonwe ngokubambisana nokulimala kwe-ligament, njengezinyembezi ze- ACL .
Ingabe I-Cartilage Defect Isifana Ne-Arthritis?
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Lokhu kubaluleke kakhulu ukuqonda, njengoba ukwelashwa kwe-cartilage defect kanye nokuphathwa kwe-arthritis kuhluke kakhulu. Imithi yokwelapha i-cartilage izifo azifanelekile, ngaphansi kwanoma yiziphi izimo, iziguli ezine-arthritis evamile. Ukwenza noma iyiphi yalezi zinqubo ezilandelayo egulini one-arthritis kuzoholela ekutholeni imiphumela embi.
Yiziphi Izinketho Zokwelashwa Ezibhekene Nomguli Ophethe I-Cartilage Defect?
Ukwelashwa kwesifo se-cartilage njalo kuqala ngemithi yokwelapha . Lezi zihlanganisa imithi, ukwelashwa ngokomzimba, ukujola okungenzeka, nezinye izinketho. Uma lezi zokwelashwa zingasebenzi, ezinye izinketho zihlanganisa:
Ukukhipha okuncane
Ukukhipha imfucuza kuyindlela yokwelapha esetshenziselwa ukukhuthaza umzimba ukuba ukhule uqwanga endaweni engumonakalo. Ngenkambiso ye-microfracture, ungqimba lwangaphandle lwethambo lufakiwe, ukudalula izingxenyana zangaphakathi zethambo lapho kukhona khona amakholomu. Lawa maseli angakwazi ukufinyelela endaweni emelekile futhi agcwalise igebe le-cartilage.
- Izinzuzo: Ukukhishwa kwe-microfracture yi-invasive encane yalezi zinketho, okudinga ukuhlinzekwa okulodwa kuphela futhi ingagcwaliswa ngokuphelele i-arthroscopically. Kuyinkambiso ephephile futhi enokwethenjelwa, futhi imiphumela iye yaba kuhle ezigulini eziningi.
- I-Cons: I-cartilage entsha egcwalisa izikhala ezinkambisweni ezincane ze-microfracture ayifani ne-cartilage ejwayelekile yokujoyina, futhi kukhona ukukhathazeka ngeke kube khona isikhathi. Iziguli kumele zizimisele ukuhlanganyela ekuvuselelweni kwe-postoperative, okufaka isikhathi sokulinganisa okulinganiselwe.
Ukudluliswa kwe-Cartilage
Ukudluliswa kwe-cartilage kuhilela ukuhamba kwe-cartilage kusuka ezingxenyeni ezinempilo yezinto ezihlangene ezindaweni ezimele. Ama-plugs amancane we-cartilage asuswa, ngengxenye yamathambo angaphansi, adluliselwe endaweni yomonakalo. Amaphakheji athathwa ezindaweni zokujoyina lapho ubuso be-cartilage engadingeki khona.
- Izinzuzo: Ukudluliswa kwe-cartilage kulungele kakhulu iziguli ezinezindawo ezisemqoka (ezincane) zokulimala kwe- cartilage . Le nqubo isebenzisa izicubu ezinomsoco onomsoco futhi indawo eyonakalisiwe ifanelana ngokushesha ne-cartilage enhle.
- Umthamo: Ukudluliswa kwe-cartilage okwamanje kusetshenziswa kuphela emadolweni okuhlangene (futhi okungajwayelekile kakhulu emaqenjini) abantu abanendawo encane yokulimala kwe-cartilage, hhayi isifo se-arthritis. I-cartilage defect kumele ibe nesayizi encane ngokwanele ukuthi amaphugi azogcwalisa ngokwanele indawo ewonakele.
Ukufakelwa kwe-Cartilage
I-cartilage implantation, ebizwa nangokuthi i-autologous chondrocyte implantation (ACI), iyindlela entsha esetshenziselwa ukukhula amangqamuzana angqimba. Udokotela ohlinzayo ususa amanye amangqamuzana e-cartilage ukuze akhule ebhodini le-cartilage cell expansion laboratory. Uma amangqamuzana akwanele ekhulile ngokwanele, aphinde afakwe kabusha ekuhlanganyeleni okonakele.
- Izinzuzo: Umbono wukuthi uma singenakukwazi ukuthola i-cartilage ukuze ikhule ngaphakathi komzimba womuntu (in vivo), singayikhulisa ngaphandle (in vitro) bese siyibuyisela emuva. Izifundo zesikhashana esifushane zikhombisa imiphumela embalwa emibi ukufakelwa kwe-cartilage.
- I-Cons: Njengokudluliswa kwe-cartilage, ukufakelwa kwe-cartilage okwamanje kusetshenziswe kuphela emadolweni ahlangene nabantu abanendawo encane yokulimala kwe-cartilage, hhayi isifo se-arthritis. Ukufakelwa kwe-cartilage kuhilela ukuhlinzwa okuningi, futhi ukulungiswa okuphelele kungathatha okungaphezu konyaka.