Ukwenziwa ukuhlinzwa okuqhutshwayo kuyindlela yokuhlinzwa ephumelelayo kakhulu; iningi labantu ababhekana nalokhu ukwelapha i- arthritis ejulile yegciwane banelisekile ngokuhlinzwa. Nokho, akuwona wonke umuntu othanda idolo lawo elisha. Eqinisweni, amaphesenti angaba ngu-10-15 abantu abaguqa ngamadolo abajabuli ngemiphumela yabo .
Ukuzama ukuthola ukuthi kungani ukuguqulwa kwamadolo kubuhlungu kungaba yinkinga enzima kubagulayo nodokotela.
Ngezinye izikhathi inkinga icacile, njengokutheleleka noma ukufaka esikhundleni sokuguqula amadolo. Nokho, ezinye izikhathi, konke kuhlola kahle. Udokotela wakho ukutshela ukuthi akukho okungahambi kahle, kodwa idolo lakho lisalimaza. Yini engabangela ubuhlungu? Kungenzeka ukuthi ukusabela ensimbi ekufakweni komzimba emzimbeni wakho kungabangela inkinga?
Ukuzwela kwensimbi
Noma yisiphi isimbi esithinta umzimba, mhlawumbe ngesikhumba noma singene ngaphakathi komzimba, sibangela ukubola kwesibalo esithile. Lokhu kudubula kuholela ekusungulweni kwe-ion zensimbi ezingasabela ngama-protein emzimbeni wakho; lezi zingase zibe nakho emzimbeni wakho njengama-allergen futhi zingaba nomthelela wokuzivikela omzimba .
Ions zensimbi ezivame kakhulu ezitholakala ezimpilweni zokuguqula amadolo ezingabangela ukuguqulwa kwe-hypersensitivity kufaka i-nickel, i-cobalt, ne-chromium. Lezi zensimbi ziyaziwa ukuthi zibangela ukuzwela kwesikhumba emphakathini jikelele; cishe amaphesenti angu-15 abantu anesisindo somzimba we-nickel.
Umbuzo usuvele uma kwenzeka ukufana okufanayo ngenxa ye-hypersensitivity yensimbi kungenzeka emzimbeni oholela ebuhlungu nasekuqiniseni ngemuva kokujoyina ngokuhlanganyela .
Lokhu bekuwumbuzo onzima ukuphendula. Iningi labantu, ngisho nalabo abanama-hypersensitivity skin reaction reaction, abanalo i-hypersensitivity ekufakweni kokufakelwa okuhlangene.
Ngokufanayo, abantu abaningi abasolakala ukuthi banesisindo sokuxoshwa kwe-hypersensitivity ekushintsheni okuhlanganyelwe abanakho ukusabela kwesikhumba kulezi zinsimbi. Ngenxa yalesi sizathu, ukuhlolwa kwesikhumba akuzange kuboniswe ukuthi kuyasiza ukuvimbela noma ukuxilonga ukucindezeleka kwensimbi endaweni yokufakelwa kwessimbi.
Ukuphendula kwe-Hypersensitivity
Kukhona ukusabela okubili okubonakala kubonakala ezigulini ezine-hypersensitivity zensimbi ekufakweni kokuguqula amadolo. Owesokuqala ukuphendula isikhumba okuthiwa i- dermatitis . Kulesi simo, ukuqhuma isikhumba okubukeka sengathi i-eczema kungenzeka. Lokhu kuvame ukutholakala ngaphesheya kwamadolo, nakuba kwabanye abantu bangase basakaze kabanzi. I-dermatitis ivame ukuphathwa ngokusisiza nge-dermatologist, futhi ngenhlanhla ivame ukulawulwa kahle nge-creativity steroid creams.
Okunye ukuphendula okungenzeka kwenzeka kuthiwa yi- synovitis . I-synovium yimbeni yehlangothini lamadolo, futhi isimo esibangela ukuvuvukala kwalezi zicubu kubizwa ngokuthi synovitis. I-Synovitis ingenzeka ngezifo zamadolo, ukulimala okubuhlungu ekuhlanganyeleni, noma uma kukhona impendulo ye-hypersensitivity. Inselelo kunezimo eziningana ezingabangela i-synovitis yebhande elihlangene, kodwa akukho ukuhlolwa okuqinisekisa ukuthi i-hypersensitivity yensimbi iyimbangela.
Ngakho-ke, lokhu kucatshangwa ukuthi ukuxilongwa, okusho ukuthi zonke ezinye izizathu kufanele ziqedwe, futhi kuphela lapho kufanele kube khona ukucutshungulwa kwe-metal hypersensitivity.
Izinketho zokwelapha
Inselele nge-hypersensitivity yensimbi yilezi ukuthi ngokuvamile ukuxilongwa akucaci (akukho ukuhlolwa kwesimo) futhi kaningi izimpawu ziyacasula, kodwa hhayi ukukhubaza. Ngaphezulu kwalokhu, indlela kuphela yokulungisa inkinga, uma i-hypersensitivity yensimbi iyimbangela yangempela, ukususa ukufakelwa nokuguqula amadolo ngokufaka okukhethekile okwenziwa nge-ceramic noma i-titanium. Ngakho-ke, noma ngabe kunini lapho i-hypersensitivity yensimbi kucatshangwa ukuthi ingumthombo wamadolo noma ukuqina ngemva kokufaka esikhundleni, kufanele uqhubeke ngokuqapha okukhulu.
Ngisho nezihlinza ezihlinzeka ngezifundiswa kanye nokuqhubekayo zifunda nje ngalesi simo, futhi ukwelashwa okulungile akucaci. Ukwenza ukuhlinzwa okungeziwe kungase kube usizo noma kungabi usizo. Lokho kusho ukuthi abantu bahlushwa ubuhlungu ngemuva kokufaka esikhundleni bangase bafune ukucabangela ukuthi lokhu kungaba umthombo wobuhlungu.
Ayikho idatha yokusekela ukusetshenziselwa kokusetshenziswa kwe-ceramic (zirconium) noma izifali ze-titanium, ngisho nakubantu abanenkinga yokuthi kungenzeka ukuthi i-hypersensitivity. Ukusetshenziswa kwalezi zimila kubhekwa njengokuhlola futhi kufanele kwenziwe ngokuqapha. Lokho kusho ukuthi kunemibiko elinganiselwe ngokulandela okwesikhashana okubonisa imiphumela eminye ephumelelayo.
> Umthombo:
> Lachiewicz PF1, Watters TS, Jacobs JJ. "I-Metal Hypersensitive and Total Knee Arthroplasty" J Am Acad Orthop Surg. 2016 Feb; 24 (2): 106-12.