Ukungezwani komzimba ku-Metal Orthopedic Implants

Ngingaba I-allergesi Ukufakelwa Kwensimbi?

Izimpande zensimbi zisetshenziselwa izilungiselelo ezihlukahlukene zokuhlinzeka ngamathambo, kufaka phakathi ukulungiswa kokuqhekeka nokuhlinzwa okuhlanganyelwe kokujoyina. Abanye abantu bakhathazekile ngokuba nesisindo sokungena emithini yokufakelwa kwensimbi. Ingabe lokhu kungenzeka, futhi kungaba yini imbangela yobuhlungu noma ukucasuka ngemuva kokuhlinzwa?

Ukuphefumula noma ukungezwani komzimba kungenzeka ngemuva kokuxhumana nezinsimbi ezihlukahlukene.

Nakuba la magama "hypersensitivity" kanye "ukungezwani komzimba" avame ukusetshenziswa ngendlela engafaneleki, azifani ngempela. Lokho kusho, ekuxoxweni kokufakelwa kwensimbi emzimbeni, lawa magama asetshenziselwa ingxoxo efanayo. Iningi labantu liyakwazi ukuzwela kwesikhumba ensimbi, nokuthi ngabe lokhu kuhlobene nezinkinga zensimbi ezifakwe ngaphakathi emzimbeni akuqondakali kahle. Abantu abaningi baye babhekana nohlobo oluthile lokuzwela kwesikhumba ebucwebeni ukuze babukele, njengoba ezinye izinsimbi zingabangela ukucasuka esikhumbeni, futhi abanye abantu bangase bathambekele ekuthuthukiseni impendulo ezinsimbi ezihlukahlukene.

Izitsha Ezifakwe Emzimbeni

Izitshalo ezivame kakhulu ezisebenziselwa izimila zamathambo yi-cobalt / chrome, insimbi engagqwali, ne-titanium. Zonke izimila zamathambo ziyi-alloys, okusho ukuthi zinezinsimbi ezimbalwa ezihlukene ekufakweni. I-metal (s) esisekelo itholakala ezingeni eliphakeme kakhulu, kodwa amanani amancane kwezinye izinsimbi nazo zitholakala ekufakweni.

Izitsha ezivame ukufakwa ezinhlameni ze-orthopedic alloys zihlanganisa nickel, aluminium, nezinye.

Abantu abaningi baye bazi izinzwa zesikhumba ezihlukahlukene. Ukuzwela okuvame kakhulu okuhlangene nakho kungukungcebeleka okungabizi okungase kube ne-nickel. Ezinye izimila zamathambo ziqukethe inani elincane le-nickel, futhi kube nokukhathazeka ukuthi lokhu kungase kube yinkinga kulabo abamukela izimplantshi futhi abanokucasula isikhumba kule nsimbi.

Ingabe Kufanele Ngikhathazeke Ngokuphathelene Nezinsimbi Zokungcolisa Umzimba Lapho Ngifakwa?

Ukuzwela kwensimbi kanye nokudla okuthe xaxa kuye kwacatshangelwa kwezinye izimo ezifake izimpande ezibuhlungu noma eziyinkimbinkimbi. Kungenzeka ukuthi izinzwa zensimbi yizona ezibangelwa izinkinga zokufaka izimo kwezinye izimo, kodwa lokhu kucatshangwa ukuthi kungavamile kakhulu. Ubuhlungu obuzungeze isayithi yezimila zamathambo kunezimbangela eziningi, futhi ngaphambi kokusola kungabelwa ukuzwela kwensimbi noma ukungezwani komzimba, uphenyo olunzulu kufanele lwenzeke.

Ngeshwa, izimpawu zensimbi ezenza ukuzwela nokuzwela izinto azihambisani kahle. Ukuba nomzwelo wesikhumba kwensimbi ethile akucatshangwa ukuthi kuhlobanise kahle nokuthola izinzwa ezakhiweni zensimbi. Ngakho-ke, ukwenza ukutholakala kokuzwela noma ukungahambi kahle kwemithwalo yensimbi ngokuvamile kudinga ukususwa kokufakelwa. Iziguli ezinezinhlungu ezungeze izimila zensimbi kanye nezinguquko zesikhumba ezihambisanayo ( eczema ) kufanele zihlolwe ukuzwela kwensimbi.

Kuthiwani uma Nginesikhumba Sensitivity Nickel?

Amaphesenti angu-10 kuya kwezingu-15% ebantwini abaningi banomzwelo noma ukungezwani komzimba ku-nickel. Iziguli ezithintekayo ku-nickel kufanele zazise odokotela bazo ngale mpendulo. Udokotela wakho angase afune ukucubungula ukusetshenziswa kwe-implant eyenziwe ngaphandle kwe-nickel ku-alloy (ngokuvamile ukufakelwa kwe-titanium).

Lokhu kungenzeka ukuthi akunakwenzeka ngaso sonke isikhathi, futhi ukufakelwa okwenziwa nge-nickel kungase kube isitshalo esifanele kunazo zonke esitholakalayo esimweni sakho. Ngenhlanhla, ithuba lokuthuthukisa izinkinga ezinezimboni zensimbi, ngisho nabantu abanezizwela ezikhunjulwayo, ziphansi kakhulu.

Kufanele Ngibe Nomshini Wami Wezinsimbi Esusiwe?

Ukususwa kwezitshalo zensimbi ukwelashwa kokungezwani komzimba noma ukuzwela kwensimbi akuvamile ukwenza. Yize kuyinto enhle ukwazi ukuthi izimpande zensimbi azivami ukudala ukusabela okudinga ukwelashwa okudinga ukukhipha, kubikiwe, futhi abanye abantu bathole ukuxazulula izimpawu zabo ngemuva kokususwa noma ukufakwa kwezimpande zabo.

Udokotela wakho angakusiza ukuthi unqume imbangela yezinkinga zakho kanye nokwelashwa okufanele ucabangele. Ngenhlanhla, kulabo abagulayo abanezinzwa zensimbi ezenza izinkinga zabo zokufakelwa, ukususwa kokufakelwa kuzovame ukuhlinzeka ngokuphumula ngokushesha kwezimpawu.

Kukhona izimplantshi ezenziwa ngezinto ezingenasisekelo. Ngeshwa, kunomkhawulo kakhulu idatha mayelana nokusebenza nokuphila isikhathi eside salezi zimila ezingensimbi. Iningi lalezi zimila ezihlukile zenziwe nge-ceramics, futhi ukuthi lezi zimila zizohlala zikwazi kangakanani ngoba azimbalwa. Ngakho-ke, lezi zinto kufanele zisetshenziswe kuphela esimweni esiqondile lapho izitshalo kudingeka zisuswe khona, noma uma kunomuntu othe xaxa enenkinga yokufakelwa kwensimbi.

Imithombo:

> Granchi D, Cenni E, Giunti A, Baldini N. "Ukuhlolwa kwe-Metal hypersensitivity kwiziguli ezithathwa esikhundleni sokujoyina: ukubuyekezwa okuhlelekile" J Bone Joint Surg Br. 2012 Aug; 94 (8): 1126-34.