Iziguli eziningi ezisebenza ngokuguqulwa kwamadolo zizochaza izingoma ezivela ekuhlanganyeleni kwazo. Abantu bavame ukusho ngokuchofoza noma ukugxila ekufikeni kwamadolo uma behamba, futhi bavame ukukhathazeka ngokuthi kukhona okungalungile ngokuguqula amadolo abo. Ingabe kuyinkinga ukuzwa ukuchofoza ngemuva kokuhlinzwa kokuguqulwa kwamadolo?
Ngokuvamile, cha, akuyona inkinga.
Akuyona into engavamile ukuba abantu bakwazi ukuzwa noma bazizwe esikhundleni sabo sokuguqula ngemuva kokuhlinzwa. Ngokuvamile, ukuqinisekiswa okuncane ukuthi akukho okulimazayo okwenzekayo yilokho okudingekayo kulezi zimo. Udokotela wakho ohlinzayo angakwazi ukuhlola idolo lakho, futhi mhlawumbe uthole izivivinyo ezifana ne-x-ray, ukuqinisekisa ukuthi akukho okungahambi kahle ngokufakelwa.
Imisindo ingavela emithonjeni eminingi engenzeka, kufaka phakathi izimpande zensimbi neziplastiki, ama-tendon, kanye noswakama-azungeze emadolweni. Ukunquma umthombo womsindo kungukuthi udokotela ohlinzayo angakusiza. Kodwa-ke, thola induduzo kuleso sizathu ukuthi iziguli eziningi zichaza ukuchofoza kanye nezinye izingoma ezivela ekuguqeni kwamadolo.
Lokho kusho ukuthi ngezinye izikhathi imisindo evela emadolweni afakwe esikhundleni kufanele ihlolwe udokotela wakho ohlinzayo:
- Izingoma ezintsha ezivela emadolweni afakwe esikhundleni: Ngokuvamile, imisindo nokuchofoza okuvela emadolweni esikhundleni sithatha ukwehlisa ngokuhamba kwesikhathi. Izinduku ezintsha kufanele zihlolwe udokotela wakho ohlinzayo.
- Imisindo ehlotshaniswa nobuhlungu: imisindo engenalutho ivame ukujwayelekile, kepha uma ubuhlungu, ukukhubazeka, noma ukuvuvukala kuhlotshaniswa nomsindo, lokho kuyisibonakaliso esihle amadolo adinga ukuhlolwa.
Izinto zokwenza izinto ezishintshayo
Amadolo amaningi asetshenziselwa ukuguqulwa ayenziwe izingxenye ezine ezihlukene. Ngenkathi kukhona ukuhlukahluka okucashile, ukushintshwa kwamadolo okuvame kakhulu kunezingxenye ezimbili zensimbi nezingxenye ezimbili zeplastiki.
Izingxenye ezine zamadolo esikhundleni silezi:
- Isakhi sabantu besifazane: i-femor component iyinhloko yensimbi evunyelwe ekupheleni kwethanga lesthanga, i-femur. Ingxenye yezinsikazi iyinhloko efana no-U ehlanganisa ukuphela kwethambo, egoqa nxazonke nangemuva. Kunezinhlobo ezehlukene ezakhiweni zezinsikazi ezingase zisekelwe esilinganisweni sesiguli, nokuthi kudingekile ukuqina okunamandla ukuvuselela umsebenzi ojwayelekile wesondo.
- Ingxenye ye-Tibial: isakhi se-tibial senziwe ngensimbi, futhi sihlala phezulu kwesifuba shin, i-tibia. Ingxenye ye-tibial ineyingxenye efinyelela esikhungweni esingenalutho sethanga ukusekela isiteji esiphezulu sendawo ye-tibial.
- Ingxenye ye-Patellar: ngenkathi kungezona zonke iziguli eziphetha ngenxenye yokufaka esikhundleni se-kneecap, labo abenzayo bayoba ne-plastic polyethylene. Le ngxenye ishintsha isigamu sangaphakathi se-kneecap - phezulu kwe-kneecap ozizwa ngaphansi kwesikhumba sakho ayishintshiwe.
- I-Polyethylene spacer: emkhatsini wensimbi yensimbi ye-femal neye-tibial yiplastiki eyenziwe nge-polyethylene ebizwa ngokuthi i-spacer. Lokhu kuvumela ukunyakaza okubushelelekile kwamadolo ndawonye. Kukhona ukuhlukahluka kokuma nokuqina kwezingxenye ze-polyethylene ukufanisa nesiguli nesimo ngasinye.
Ingxenye ngayinye yalezi zingxenye ezifakiwe zigcinwe ngaphakathi kwethambo noma nge-samente noma ziboshwe ngokuqinile endaweni ukuze ithambo likhule lingene. Izimplantshi ezahlukene zenzelwe ukuba zenziwe ngezindlela ezahlukene, futhi udokotela wakho ohlinzayo angase abe nokukhetha uhlobo oluthile noma umkhiqizo wokufakelwa.
Umsindo abantu abaningi abathola ngemva kokuguqula amadolo kuwumphumela wezakhi zensimbi neziplastiki ezithintana futhi zenze 'ngokuchofoza' okuzwakalayo. Lezi zingxenye zokuguqula amadolo ajwayelekile azixhunyiwe komunye nomunye, kunalokho amadolo ahlanganiswe ndawonye ngamagagasi omzimba wakho, imisipha, kanye namathenda.
Njengoba lezi zakhiwo zithutha, kungaba khona ukunyakaza okuhlangene okuvumela izingxenye zensimbi neziplastiki ukuba zichofoze komunye nomunye.
Umthombo:
> Husain A, Lee GC. "Ukusungula Ukulindela Ngokwemvelo Okulindelekile Ngemva Konke Ukuqothuka Kwe-Arthroplasty" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 707-13.
Ingqikithi Yokumiswa Konke. I-American Academy yezigulane ezingama-Orthopedic, ngo-Ephreli 2009.