Ukuqonda izimpendulo eziqondene nobulili
Abahlinzayo bama-orthopedic bazama njalo ukuthuthukisa ukwakhiwa kwezinto zokufakelwa ezihlangene. Eminyakeni engu-40 eyedlule, izinhlobo ezihlukahlukene zokufakelwa kwemvelo ziye zahlolelwa futhi zasetshenziselwa iziguli. Ezinye zalezi zakhiwo ziye zathuthukiswa futhi zaholela ekwenzeni isikhathi eside sokushintshwa kokuhlanganyela okuphelele . Eminye imiklamo, ngakolunye uhlangothi, ayizange inikeze ngcono futhi abanye baye baba kubi nakakhulu kunabo ababengaphambi kwabo.
Izimplantshi zokuguqula izigqoko zakhiwa sebenzisa igobolondo lensimbi elihlanganisa umkhawulo wethambo lethanga (i-femur) kanye ne-top bone le-shin (i-tibia) ene-plastic inserted ephakathi. Kubalulekile ukuthi igobolondo lensimbi liphindaphindiwe ngokuphindaphindiwe kwe-anatomy evamile yamadolo. Izimpande ezincane kakhulu noma ezingalingani kahle ngesiguli zingabangela ukulinganiselwa ekuhambeni okuhlangene futhi ziholele ekuqineni ngemuva kokuguqula amadolo .
Izimpembezo ezicacile ngokobulili
Ukufakela esikhundleni sokuguqulwa kwamadolo ngokulingana ngokobulili kuyisisindo esakhiwe ngokuqondile kumuntu wesilisa noma wesifazane. Ubukhulu bokutshala buhluke kakhulu ukuhlala ngobukhulu obuthile bamathambo phakathi kobulili. Amadolo amaningi asetshenziselwa ukuguqulwa njengoba ubulili obucacisiwe buhlelwe ngokufanelekile ukuba buvumelane ne-knee-female joint anatomy.
Ngokwesiko, ukuklanywa kwemiklamo kwenziwe ngokusebenzisa idatha "yesilinganiso" sesayizi. Lokhu kusho ukuthi abaklami be-implants bazama ukuthola ubungako "obujwayelekile" ngokuhlanganyela, bese udweba izimplantshi ezikubili ezincane kakhulu futhi ezincane kunezinga elivamile.
Njengoba omunye angalindela, ubukhulu obujwayelekile bendoda yabesifazane obuhlangene buhlukile ebukhulu besilinganiso samadolo womuntu.
Izimila eziqondene nesini sobulili zenzelwe ngendlela efanayo, ngaphandle kokuthi "isilinganiso" asifani nethambo lomuntu nethambo lomfazi. Umqondo wokwenza lokhu yikuthi ngokuchaza kangcono isimo semvelo esivamile, izimpande zokufakelwa ezihlangene zingavumela umsebenzi ongcono, kanye nokuqina okuthuthukile.
Ukuphumelela Nokuzinza
Ayikho idatha yokusikisela ukuthi ukudala umkhiqizo ohlotshaniswa ngokobulili kuzosiza ukufeza imigomo yomsebenzi ongcono noma ukusimama okuthuthukisiwe. Abahlinzayo abaningi bamazinyo bayokutshela ukuthi izimplantshi sezivele zikhona ezinhlobonhlobo zobukhulu ezizokwazi ukuhlala cishe kunoma yisiphi isisu semithi yesiguli.
Kusobala ukuthi izinkampani ezifake imithi yama-orthopedic zifuna izindlela zokuzihlukanisa. Ngezinye izikhathi izixazululo zenziwa ngezinkinga ezingekho. Isikhathi kuphela sizokutshela ukuthi ukufakelwa okuqondene nobulili empeleni kungcono, noma kubi kakhulu, ukuklama umklamo. Kodwa-ke, akukho lutho olusikisela ukuthi kuyinhloko ebalulekile yokwaneliseka kwesiguli noma umphumela ngemuva kokuhlinzwa okuhlanganyelwe kokujoyina.
Yini Okufanele Uyenze?
Abantu abaningi abacubungula ukuhlinzwa ngokuhlanganyela bangase babe nesithakazelo kumkhiqizo othize noma uhlobo lokufakelwa. Kungenzeka ukuthi bezwe ngomuthi othile wokufakelwa kusuka kumngani, isikhangiso, noma othile owaziyo enkampanini yezokwelapha. Ngakho kufanele uyenze? Ingabe kufanelekile ukubuza udokotela wakho ohlinzayo ukuba asebenzise uhlobo oluthile lokufakelwa?
Ngicabanga ukuthi kulungile ngaso sonke isikhathi ukuxoxa nodokotela wakho ohlinzayo noma yikuphi imibuzo, ukukhathazeka, noma intshisekelo onayo yokuhlinzwa okuhlanganyelwe esikhundleni.
Lokho kusho, kubalulekile ukuthi uzimisele ukulalela izintandokazi zakho zokuhlinza mayelana nokuhlinzwa. Ngihlale ngiqaphile lapho iziguli zizama ukuqondisa udokotela wabo ohlinzayo ukuba asebenzise ukufakelwa okungenzeka angazijwayele kakhulu. Abahlinza abaningi abahlinzayo ngeke banikeze ukusebenzisa ukusebenzisa okungazi kahle, kodwa abanye bangase bakwazi. Ukujwayele ukutshala okuthile, kanye nezinsimbi ezisetshenziselwa ukusifaka emzimbeni, kuyinto ebalulekile yokuhlinzwa.
Uma unesithakazelo ngokutshala okuthile noma impahla, cela udokotela wakho ohlinzayo ukuthi achaze kabanzi ngakho. Udokotela wakho ohlinzayo kufanele akwazi ukuphendula imibuzo yakho, futhi uchaze ukuthi kungani bengase bangasikhuthazi leso sitshalo esithile.
Khumbula, izinkampani ezakhayo zivame ukufuna ukuthi ukholwe ukuthi ukufakelwa okusha kuyaphakeme kakhulu, kodwa lokho akusiyo njalo. Kukhona ukubaluleka okukhulu ekusetshenzisweni kweziplantshi ezinomlando omuhle wethrekhi yesikhathi eside, futhi ukusetshenziswa kwezimplantshi ezingenalo irekhodi yethrekhi kubhekene nezinkinga zezinkinga.
Umthombo:
I-Barrett, i-WP, "Isidingo SamaProstheses Aqondene Nebulili ku-TKA" I-Orthopedics. 2006 Sep; 29 (9 Ukusekela): S53-5.