Option Treatment for Izindawo ze-Joint Cartilage ewonakele
I-Microfracture iyindlela yokuhlinzwa esetshenziselwa ekwelapheni izindawo ze-cartilage ewonakele. Uma isiguli sinendawo encane ye- cartilage ewonakele (hhayi i- arthritis esakazeke), ukuqhuma okuncane kungenziwa ngomzamo wokugqugquzela ukukhula kwe-cartilage entsha. Ukwenziwa kwe-microfracture kuvame ukuqhutshwa ngaphakathi kwehlangothini lamadolo, nakuba liye lasetshenziselwa ukwelashwa kwamanye amajoyina kufaka phakathi i-hip, i-ankle, nehlombe.
Inqubo ye-microfracture idala izimbobo ezincane ethambo. Ingqimba yamathambo, okuthiwa i-subchondral bone, inzima futhi ayikho ukugeleza kwegazi okuhle. Ngokungena kulolu chungechunge obunzima, i-microfracture ivumela ithambo elijulile, elingaphezulu kwe-vascular ukuba lifinyelele ebusweni bombuthano. Leli thambo elijulile linokunikezwa kwegazi elicebile kakhulu, futhi amangqamuzana angakwazi ukufika ekungqimba komhlaba ukuze akhuthaze ukukhula kwe- cartilage .
Ubani omele ukhetho oluncane lwe-microfracture?
- Iziguli ezinezindawo ezinganiselwe zokulimala kwe-cartilage
- Iziguli ezisebenzayo futhi azikwazi ukuhlanganyela emdlalweni noma umsebenzi wazo ngenxa yezimpawu
- Iziguli ezinezinhlungu noma ukuvuvukala okubangelwa yindawo enobungozi ye-cartilage
Ubani ongeyena omele ukhetho oluncane lwe-microfracture?
- Iziguli ezine-arthritis egcwele yesibindi
- Iziguli ezinokungazinzi noma ukusabalalisa kokuhlanganyela kwazo
- Iziguli ezingasebenzi
- Iziguli ezine-arthritis evuvukalayo (njenge-rheumatoid arthritis)
- Iziguli azange zizimisele ukuhlanganyela ekuvuseleleni emva kokukhishwa kwe-microfracture
Isebenza?
Ukukhipha imfucumfucu kungaba yindlela enhle kakhulu, ukuhlinzeka ngokukhululeka kokuhlunguphazwa lapho kwenziwa isiguli esifanele. Enye yezinto ezikhathazayo nge-microfracture yukuthi ayikhuthazi ukukhula kwe-cartilage evamile. Kunezinhlobo eziningi ze-cartilage, kanti enye yalezi zinhlobo (i-hyaline cartilage) ivame ukutholakala endaweni ehlangene.
I-microfracture ivuselela ukukhula kohlobo lwe-cartilage olutholakala ngokushukela kwezicubu (fibrocartilage). Ngokungafani ne-hyaline cartilage, i-fibrocartilage ayinayo amandla afanayo nokuqina kwe-cartilage evame ukutholakala ehlangene. Ngakho-ke, kunethuba lokuthi le-cartilage evuselelwe inqubo ye-microfracture ngeke iphakamise ngokuhamba kwesikhathi.
Ukuhlinzwa Kancane Kwenziwe Kancane Kanjani
I-microfracture yenziwa njengengxenye yokuhlinzwa kwegciwane le- arthroscopic . Amanye amalunga angaphathwa ngendlela efanayo, futhi ngokuhlinzwa okwenziwa yi-arthroscopic. I-microfracture yenziwe emagqabeni, ehlombe, e-hip, elbow kanye namanye amalunga. Ngenkathi kusetshenziselwa kakhulu izinkinga ezihlangene zamadolo, ingasetshenziswa ngokuphumelelayo ngezinkinga zamanye amalunga emzimbeni.
Okokuqala, indawo ehamba nge-microfracture ilungiswa ngokususa noma iyiphi i-cartilage evulekile noma eyonakalisiwe. Ngokufanelekile, indawo engaphansi kwe-microfracture izoba ngaphansi kwezingamamitha amabili ububanzi futhi ibe nenhle, enempilo ehambisana nesikhumba. Khona-ke, ukukhethwa okuncane, okuphambene (awl) kuyasetshenziselwa ukudala izimbobo ezincane ezincane. Inombolo yezimbobo ezincane ezidalwe zixhomeke ebukhulu bezokwelapha. Iningi leziguli ezinendawo engamamitha angu-1 kuya kwezingu-2 zomonakalo zidinga izimbobo ezincane ezinhlanu kuya ku-15 ethambo.
Ukungena kwezingxenyeni zangaphandle zethambo kuvumela igazi namaseli aqinile ukuba akhe i-clot endaweni yesifo se-cartilage. Lawa maseli anekhono lokwenza ungqimba lwe-cartilage ngaphakathi kwesici. Ngokuyinhloko umzimba uyakwazi ukulungisa indawo ewonakele ye-cartilage ngokugqugquzela ukugeleza kwegazi kuya kwesici.
Esinye sezihluthulelo zokwelashwa okuphumelelayo ukulungiswa okufanelekile kulandela ukuhlinzwa okuncane . Ukuvuselelwa kufanele kuvikelwe indawo ephathwe yi-microfracture kanye nokugcina amandla nokunyakaza kwamadolo . Ngenxa yalokho, iziguli eziningi zidinga ukusebenzisa izintambo emva kokuhlinzwa, ngokuvamile kunconywa ukuguqa ngamadolo, futhi kwezinye izimo umshini wokunyakaza wokuguqa ungasetshenziswa.
Ukuhlinzwa okuncane kwe-microfracture kwamadolo okuhlangene kuyinkambiso ephephile ngeengozi ezincane. Eqinisweni, ingozi eyinhloko ibuhlungu obuqhubekayo naphezu kwalo mzamo wokuphulukisa umonakalo we-cartilage. Ezinye izingozi zokuhlinzwa kwe-arthroscopic zihlanganisa ukutheleleka, i-clot yegazi, ukuqina, nokuvuvukala kwamadolo. Lezi zingozi ezinzima kakhulu azivamile emva kokuhlinzwa okuncane kwe-microfracture.
Imiphumela ye-Microfracture
Ukuhlinzeka ngokuhlinzeka nge-microfracture kuyathandwa ngoba kuphephile, kulula ukwenza, futhi kungabizi kakhulu kwezinye izinyathelo zokuvuselela izifo ze-cartilage. Kodwa ingabe isebenza? Imiphumela yokuhlinzwa okuncane okuphenywe yiphenyo izikhathi eziningi. Ngokuvamile, abantu abahlinzeka ngokuhlinzwa okuncane kakhulu ngokucacile esikhathini esifushane kuya phakathi nesikhathi. Kodwa-ke, kunemibuzo mayelana nokuqina kokukhanda okuncane, futhi odokotela abaningi abahlinzayo bavuma ukuthi isifo esidonsa amanzi esiphila ngaphakathi kwesiphambeko se-microfracture asinasigxili njengoba i-cartilage evamile. Ngenxa yalesi sizathu, imiphumela yesikhathi eside ayinelisekile kakhulu, futhi abantu ababhekana nale nqubo yokuhlinzwa bangagcina benenkinga ngokuqhubeka kwe-arthritis ngokuhamba kwesikhathi.
Okunye okungahambisani nendawo
Iziguli ezitholakalayo kahle ze-microfracture zingase zibe izakhamuzi ezinhle kwezinye izifo ze-cartilage amaphutha emadolo. Lezi ezinye izindlela zifaka ukudluliswa kwe-cartilage kanye nokufakelwa kwe-cartilage . Kodwa-ke, imiphumela yezinketho zokuhlinza ukulungisa umonakalo we-cartilage kuye kwaboniswa ukuthi iyafana, kuyilapho izingozi nezindleko ze-microfracture zihle kakhulu. Ngakho-ke, ukuhlinzeka nge-microfracture ngokuvamile kubhekwa njengokwelashwa kokuqala kwe-cartilage umonakalo emadolweni. Ezinye zalezi ezinye izinketho zokuhlinzwa ngokuvamile zenzelwe abagijimi abahlulekile ukuthuthukisa emva kokuhlinzwa okuncane.
Imithombo:
> Tuan RS, Chen AF, uKlatt BA. "Ukuvuselelwa kwe-cartilage" J Am Acad Orthop Surg. 2013 Meyi; 21 (5): 303-11.
> Safran MR, Seiber K. "Ubufakazi bokulungiswa kokuhlinzwa kwe-carticlage ye-articular emadolweni" J Am Acad Orthop Surg. 2010 Meyi; 18 (5): 259-66.