Ukufaka esikhundleni se-Worn Out Ankle Joint
Ukuhlinzwa ukuguqulwa kwe-Ankle kuyindlela yokwelashwa kubantu abanezifo ze- arthritis ezinzima ze- ankle . Ukufakelwa kwe-Ankle kwenziwa ngokususa ukuhlanganiswa kwe-ankle egugile, nokufaka ukufakelwa kwensimbi nesiplastiki ekupheleni kwesifuba se-shin (tibia), kanye ne-top bone ye-ankle (talus). I-joint joint ivumela ukunyakaza okubushelelezi ekuhlanganyeleni kwe-ankle ukuze unyawo lukwazi ukugoba kalula.
Ukuthola Isiguli Esifanele
Ingxenye eyinselele yokuhlinza ukuguqulwa kwe-ankle kuqinisekisa ukuthi inqubo eyinkimbinkimbi yenziwa kuphela kwiziguli ezifanele. Ukwenza esikhundleni se-ankle kwisiguli esingalungile kuvame ukuholela emiphumeleni emibi, futhi ngokuvamile kudinga ukuhlinzwa okungeziwe emgwaqeni. Iziguli ezimbalwa ezinama-arthritis we-ankle ziyizikhethelo ezinhle kulokhu kuhlinzwa, ngakho isinyathelo sokuqala, esibaluleke kakhulu ukucacisa ukuthi lokhu kuyindlela efanele yokwelapha.
Ukushintshwa kwe-ankle kuvame ukuphakanyiswa kumagala amadala, angasebenzi kakhulu akufanele enze imisebenzi ezobeka izidingo eziphezulu ekuhlanganyeleni okufakiwe, njengemidlalo yezemidlalo noma umsebenzi wezandla. Ukuguqulwa kwe-ankle akuyona njengendlela ehlala njalo njenge-hip namadolo esikhundleni salo, ngakho-ke ngisho noma kunzima kakhulu, iziguli ezisebenzayo zithola lezo zindlela zokuhlinza, lokho akusho ukuthi ukushintshwa kwe-ankle kuzoba kufanelekile.
Iziguli ezingalungile zokufaka esikhundleni
Iziguli ezincane zivame ukuba zikhuthele kakhulu ukufaka izimpande zesikhashana zamanje, njengoba zibeka isidingo esiningi kakhulu ekufakweni kwe-prosthesis.
Ngakho-ke iziguli eziningi ezingaphansi kweminyaka engama-50 zizohlinzwa ukuhlinzwa kwe-ankle . Ezigulini ezingaphezu kuka-50, ama-fusion yama-ankle azobe esinikelwa kulabo abasebenza kakhulu futhi bebeka izidingo eziningi ekuhlanganyeleni.
Iziguli ezithwala ngokweqile kufanele zigweme ukushintshwa kwe-ankle. Ukukhuluphala kwandisa umthwalo ohlangene ohlangene, ongabangela izinkinga.
Ezinye iziguli okufanele zigweme ukushintshwa kwe-ankle zifaka phakathi: iziguli ezinokutheleleka kwe-ankle, iziguli ezinegazi elibi zigeleza ezinyaweni ( izifo zesifo se-vascular peripheral ), neziguli ezinokulingana okungavamile noma ukuzinza kwe-ankle.
Ukwenza Ukushintshwa Kwe-Ankle
Uma kushintshwa i-ankle, izakhiwo ezihlanganisiwe eziphelile ekupheleni kwesifuba se-shin (tibia), kanye ne-top of the ankle bone (talus), zisusiwe. Lokhu kwenziwa ngezingcingo ezicacile zokudala ubuso bezinga lokufakelwa kwe-prosthesis. Udokotela ohlinzayo wabe esebeka ukufakelwa kwensimbi nesipulasitiki emathangeni okuphela ukusebenza njengamajoyina amasha.
Iziguli ezithatha isikhundla se-ankle zivame ukuchitha ubusuku obubodwa esibhedlela ngemuva kokuhlinzwa. Ukucindezela ekushintsheni kwe-ankle kufanele kunqunyelwe ukusetshenziswa komuntu ohamba ngezinyawo noma amathanga amasonto amaningana. Ukuqeda ukuqeda kusuka endaweni ye-ankle kuthatha cishe izinyanga ezintathu.
Izinkinga zokufaka esikhundleni se-ankle zihlanganisa izifo, izinkinga zokuphulukisa ezinxeba, nobuhlungu obuqhubekayo ekuhlanganyeleni kwe-ankle . Ukufeza ukulungiswa okwanelisayo kwezimpembelelo ukuvumela ukuhamba okuvamile kunzima, futhi ngeke kutholakale ngaso sonke isikhathi. Uma ukuguqulwa kwe-ankle kungasebenzi, kungase kudingeke kususwe ekuhlanganyeleni - emva kwalokho ukuhlinzekwa kwe-ankle fusion kuzokwenziwa.
Imiphumela Evela Ekuhlinzeni
Ukuhlinzwa ukuguqulwa kwe-ankle kuyindlela entsha, ngakho-ke imiphumela yesikhathi eside ayisaqondakali kahle. Lokho esikwaziyo ukuthi iziguli ezikhethwe kahle ezihlinzekwe kahle ngokuvumelana nezincomo ezibalulwe ngenhla zivame ukuba nemiphumela emihle kakhulu. Ucwaningo lwamuva luveze ukuthi imiphumela yokuhlinza iyafana nemiphumela yokuhlinzwa kwe-ankle fusion, okusho ukuthi inani lokunethezeka lizungeze u-85%.
Ngeshwa, akekho owazi ngempela ukuthi izitshalo zamanje zizohlala isikhathi eside kangakanani. Izimplantshi ezisha zenzelwe ukuhlala isikhathi eside kunama-implantantshi endala, kodwa ngabe lokhu kusho ukuthi kukhona ukuthuthukiswa kokuphila kwesikhathi eside kuphela umbuzo nje kuphela ozophendula.
Ucwaningo luye lwabonisa ngokucacile ukuthi, ngenxa yemiphumela emihle, iziguli kufanele zivumelane nalezi zinqubo ezibalulwe ngenhla. Iziguli ezincane, ezinzima kakhulu, noma ziningi izindlela zokuphila azisebenzisayo kakhulu ukuthi zingaphumelele, zihlale zihlala isikhathi eside.
Izwi elivela
Ngenkathi i-arthritis ye-ankle ingavamile kakhulu kune-hip noma i-arthritis yamadolo, umphumela wokuhlangana kwe-arthritic emkhawulweni wakho ophansi ungabangela inkinga kungakhathaliseki ukuthi yiziphi lezi zixhumanisi ezithintekayo. Kunezinketho eziningana kubantu abane-arthritis enamandla yokujoyina ama-ankle, futhi enye yalezi zingase zibe esikhundleni sesikhumba. Ukuhlinzwa okuqhubekayo kwe-Ankle kuqhubeka nokuthuthukiswa okuqhubekayo, futhi izimpembelelo zamanje zibonakala zihlala isikhathi eside kunazo zonke futhi ziphumelela kakhulu kubantu abahlala phansi.
Imithombo:
Easley, ME, et al. "I-Ankle Total Arthroplasty" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi / Juni 2002; 10: 157 - 167.