Ukuphikisana Ngezinzuzo Zomphumela Wokushintshwa Knee Replacement
Ukuhlinzwa ukuguqulwa kwamadolo kunomsebenzi okwenziwe ukufaka esikhundleni se -cartilage egugile emadolweni ngokuhlanganiswa kwessimbi nesiplastiki. Ucwaningo olusha luqhubeka njalo ukuklama ukufakelwa kokuguqulwa kwamadolo okuzoba kokubili okuthembekile futhi kuhlale isikhathi eside .
Ingxenye yokwakha i-knee esikhundleni iwukuqonda okujulile izinto ezisetshenziselwa ukufaka esikhundleni sezindawo ezivamile zokuhlangana kwamadolo.
Okwesibili, umklamo uzama ukwakha ukufakelwa okuzophindaphinda ibhande elivamile ngangokunokwenzeka. Ngokwenza kanjalo, isiguli sizokwazi ukuhlanganyela emisebenzini efanayo ngaphambi nangemva kokuhlinzwa .
Izimplantshi Zokushintshwa Knee ezijikelezayo
Izimpande ezishintshayo zokuguqula amadolo azigcini nje ngokugijima emuva nangaphandle (njenge-hinge), kodwa amadolo angabuye ajikeleze ngaphakathi nangaphakathi (ukunyakaza okuphazamisayo). Ngenxa yokuthi igolide elivamile elijikelezayo lijikeleza inani elincane, ukuguqulwa kwamadolo okujikelezayo kuhloswe ukuba kuphinde kuphinde kuphinde kuphinde kubhekise ukuhamba komzimba okuvamile.
Kungenzeka ukuthi uke wabona izikhangiso zamaphephandaba noma zethelevishini ngokushintshwa kwamadolo ajikelezayo. Izinkampani eziningana zithengisa lezi zimila njengesinyathelo esilandelayo emklamo wokuguqula amadolo. Lezi zikhangisi zizoholela ekukholweni ukuthi ukuguqulwa kwamadolo okujikelezayo kungcono kakhulu. Kodwa ingabe lokhu kuyiqiniso? Ingabe ukuguqulwa kwamadolo okujikelezayo kusebenza kangcono futhi kudlule isikhathi eside kunokuthi ukushintshwa kwamadolo endabuko?
Kungani Lo Mbuzo Wokuguqula?
Asazi ngempela ukuthi kuyodingeka, kodwa ithemba ukuthi ngokusebenza ngokufana nomugqa ovamile, ukuguqulwa kwamadolo okujikelezayo kuzoba nokucindezeleka okuncane kokufakelwa kunezimpande zendabuko yokuguqula amadolo. Ngengcindezi encane ekufakweni, ingxenye yepulasitiki yokuguqula idolo ingase ihlale isikhathi eside.
Zonke izinguquko ezihlangene zilinganiselwe ngoba zivame ukuphelelwa isikhathi. Ukuguqulwa kwezintambo ngokuvamile kuqhubeka okungenani iminyaka engu-20 noma ngaphezulu, kodwa akuhlali phakade. Lena inkinga kuzo zonke iziguli, kodwa ikakhulukazi ezigulini ezishintsha ngamadolo ezincane (ezingaphansi kweminyaka engama-60 ubudala). Lezi ziguli cishe zizoguqulwa ngamadolo ngesikhathi sokuphila kwazo.
Ukuguqulwa kwamadolo okujikelezayo kungase kungagqoki kancane ekutshalweni, futhi kungadlulela isikhathi eside kunamajaji endabuko edolo. Ngeshwa, lokhu kungumqondo nje. Akekho owazi ngempela ukuthi ukuguqulwa kwamadolo okujikelezayo kungcono kunezinguquko zamadolo endabuko, kanti abanye odokotela bayophikisana ukuthi bayingozi kakhulu. Abanye odokotela abahlinzayo bakholelwa ukuthi ukunyakaza okungeziwe kungaholela ekugqokeni okusheshayo kokufakelwa ngokuhamba kwesikhathi. Inkinga, ukushintshwa kwamadolo okujikelezayo akuzange kube khona isikhathi eside ngokwanele ukunquma ukuthi ngubani olungile. Akekho owazi ngokuqiniseka ukuthi imiphumela yesikhathi eside yenzelwa ukuguqulwa kwamadolo okujikelezayo.
Ingabe Kufanele Nginakho Ukushintshwa Knee Okushintshekayo?
Lo mbuzo okudingayo ukuxoxa nodokotela wakho. Kunezinye idatha ezinhle, ikakhulukazi ezivela e-Yurophu, ezikhombisa ukuguqulwa kwamadolo okujikelezayo nomsebenzi wokuguqula amadolo wendabuko.
Kodwa-ke, azikho izifundo zesikhathi eside ezikhombisa ukuthi lezi zitshalo zokuguqula amadolo ezijikelezayo zingcono kakhulu esikhathini eside (iminyaka engu-25 noma ngaphezulu).
Ngenhlanhla, ukuguqulwa kwamadolo okujikelezayo kubheka futhi kuthathe isenzo esifana nokufaka izimpande zendabuko. Ukuhlinzwa kuyafana, futhi ukubuyiswa kuyafana. Abanye odokotela abahlinzayo banomuzwa wokuthi ukuguqulwa kwegilingi yokuguqula ibhande elijikelezayo kunzima kakhulu kunokuba kuguqulwe ngamadolo endabuko, kodwa lokhu akuvunyelwanga yiwo wonke odokotela abahlinzayo. Kungase kube khona umehluko emkhatsini wokuguqulwa kwamadolo okujikelezayo kanye nokuguqulwa kwamadolo wendabuko, kodwa kungenzeka kube umehluko omncane.
Ungabonisana nodokotela wakho ohlinzayo uma lokhu kungukumahluko okumele kukukhathalele.
Imithombo:
Aglietti P, et al. "Ukuqhathaniswa kwe-kneth bearing and bearing-bearing bearing knee arthroplasty" J Arthroplasty. 2005 Feb; 20 (2): 145-53.
I-LCS Complete Plateform Planeform System: Kusukela kuDePuy Orthopedics (Johnson & Johnson).