Ukwelashwa okuyisifo esiphezulu kuyindlela yokugcina yokwelashwa kweziguli ezine- arthritis ejulile yegama. Uhlobo olusha lokuguqulwa kwamadolo oluthole ukunakwa lubizwa ngokuthi 'ukugujwa kwamadolo ngokweziko.'
Ukufakelwa kwamadolo esikhundleni sinezingxenye ezintathu eziyisisekelo ezibizwa ngokuthi izingxenye. Ingxenye ye- tibial yokuguqulwa kwamadolo ihlezi phezulu kwesithambo shin. Ingxenye yesifazane iyahambisana ekupheleni kwethambo lethanga.
Phakathi kwalezi zindwangu zensimbi kukhona ingxenye yepulasitiki ebizwa ngokuthi i-spacer.
Ukuhlelwa Kwezifiso Kwezifiso
Ukushintshwa kwamadolo okukhubazeka kufana nokufakela kwama-knee okujwayelekile ngoba izinhlobo ezifanayo zezingxenye zisetshenziswe njengoba kuchaziwe ngenhla. Umehluko kanye nokuguqulwa kwamadolo okujwayele ukuthi wukuthi, ngaphambi kokuba uhlinzekwe, isiguli sinemithi ye-MRI. Kwenziwe iziqondiso zokusika ngokukhethekile, okwenzela udokotela ohlinzayo ukuthi asuse inani eliqondile lamathambo emazingweni ezithile ukuze amukele ukugxilongwa kwamadolo esikhundleni. Ithemba ukuthi ngokwenza ngokwezifiso ukusika okwenziwe ukuze kufanelane nokufakelwa kwamadolo, udokotela ohlinzayo uzokwazi ukususa ithambo elincane elingaphansi kanye nezinkinga ezingaphezulu zokuqondanisa ezifanelekile emadolweni.
Abasebenzisi Izinto Zomuntu
Ngiyithola idukisa ukubiza lokhu esikhundleni sokugujwa kwamadolo. Iziguli eziningi zikholelwa ukuthi ukufakelwa kwegama langempela lokuguqulwa kwamadolo kuzothathwa kube yinto efanelekile emadolweni abo. Akunjalo.
Okuwukuphela kwenkambiso yenkambiso yenkambiso yenkambiso iyisiqondiso esisiza udokotela wakho ohlinzayo enze ukuchithwa kwamathambo okuqondile. Ukunye okunye kokuguqula amadolo kufana nokuguqulwa kwamadolo okujwayelekile. Ngenkathi iziqondiso ezisetshenziselwa ukubeka implants zenziwe ngokwezifiso, izimpande zangempela azikwenziwe ngokwakho.
Izinzuzo zoMumo Wokwezifiso
Kukhona izinzuzo ezikhona zesistimu yokuguqula idolo.
Lokhu kufaka ukuhlukunyezwa okulinganiselwe emadolweni ngokususa cishe ithambo elincane. Futhi, ngoba ukulungiswa kuwumkhuba okwenzelwe idolo lakho, umsebenzi omncane kufanele wenziwe ngesikhathi sokuhlinzwa ukunquma ukulungiswa nokuqinisekisa ukuthi ukufakwa kwamadolo kuzobekwa kahle. Abanye odokotela abahlinzayo bacabanga ukuthi ukuhlinzwa kungenziwa ngokushesha, ngokuphazanyiswa okuncane okunamathenda. Ithemba lesikhathi eside liwukuthi uma ukufakelwa kwamadolo kufakwa kungafakwa ngokunembile, bangase bahlale isikhathi eside ngokungapheli ngokushesha.
Ingabe uhlelo olusha lungcono?
Ngenkathi abakhiqizi bafuna ukuguqulwa ngamadolo ukuze kube ngcono, amamodeli amasha ahlale engcono. Ukuguqulwa kwamadolo amaningi kuye kwadonswa emakethe, ngisho nangemva kweminyaka eyethulwa, ngoba zitholakala zibe zibi kakhulu kunama-knee esikhundleni esasetshenziswa isikhathi eside.
Lokho akusho ukuthi izimpande zesitayela esidala zokugqoka zingcono kakhulu esingakwenza. Kodwa kufanele siqaphe ngokucabanga noma sithemba ukuthi ushintsho lomklamo luzoholela emiphumeleni engcono, njengoba engenzi njalo ngaleyo ndlela.
Ngezansi: Ukuguqulwa Kwezifiso Kwezifiso
Ngicabanga ukuthi ukuguqulwa kwamadolo ngokujwayelekile kuyintuthuko ejabulisayo ekusebenziseni amadolo esikhundleni. Kunezinto ezimbili engizicabangela ukuthi iziguli kufanele ziqonde ngokushintshwa kwamadolo okujwayele:
- Ukufakelwa ngokwayo akusiko okwenzelwe wena. Amathuluzi asetshenziselwa ukuhoxa amathambo awela emadolweni kuphela amasiko akwenziwe ukuze afanelane nawe ngqo.
- Ayikho idatha yokubonisa ukuthi le nqubo ingcono kunamanye ama-knees esikhundleni sakho udokotela angase ancome. Eqinisweni, odokotela abathile bangaphikisana ukuthi akukho idatha eyaneleyo okwamanje okuphakamisa le nqubo phezu kwamanye amasistimu anemiphumela yesikhathi eside.
Imithombo:
Howell, SM, et al. "Imiphumela ye-Experience Initial nge-Custom-fit Positioning Total Knee Arthroplasty ku-Series of 48 Iziguli" I- Orthopedics 2008; 31: 857.