Zokongoletsera za Allograft Zoperekedwa ndi Cadaver Zimayang'aniridwa ndi Kukonzedwa Kuti Zitetezedwe
Minofu yothandizira imagwiritsidwa ntchito m'njira zosiyanasiyana zamatenda. Kawirikawiri, minofu imeneyi imachokera ku cadaver ya munthu wakufayo yemwe adagwirizana kuti akhale ndi mbali zina za thupi lake lomwe lapatsidwa pofuna thandizo lachipatala. Matendawa amapereka allograft matenda.
Atatha kupeza ndi kuyesa zida za allograft, amatumizidwa kuzipatala kuti akonze.
Aliyense, onse madokotala ndi odwala, akudandaula kuti izi allograft zimakhala zotetezeka.
Mavuto Ochokera ku Matenda a Cadaver Ndi Ochepa Kwambiri
Tikudziwa kuti mwayi wodwala matenda chifukwa cha matenda opatsirana pogwiritsa ntchito allograft umakhala wochepa kwambiri. Malingana ndi Centers for Disease Control, pakhala pali matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda a Edzi. Chifukwa chakuti pafupifupi 1,5 miliyoni allograft implants amachitidwa pachaka, pamakhala pafupifupi chiopsezo cha 1 mwa 120,000 mwayi wa matenda chifukwa cha matenda opatsirana.
Kuopsa kwa kachilombo ka HIV chifukwa cha kusungunuka kwa allograft kwayesedwa kukhala imodzi mwa milioni. Izi sizikutanthauza kuti sizingatheke, koma chiopsezo cha mavuto akuluakulu kuchokera ku opaleshoni ndizovuta kwambiri kusiyana ndi chiopsezo chotenga matenda.
Ndani Akufunikira Matenda Othandizira?
Mankhwala ambiri a opaleshoni amafunika kuti thupi lowonongeka lizikonzedwanso mwa kugwiritsa ntchito zida zabwino. Ngati mulibe ziphuphu zofunikira, kapena ngati simukufuna kuchita opaleshoni yofunikira kuti mupeze minofu yofunikira, chinthu chimodzi ndicho kugwiritsa ntchito ziwalo za thupi kuchokera kwa wopereka ndalama.
Minofu yowonjezera imaphatikizapo matope, mitsempha, fupa, ndi cartilage.
Njira zopangira opaleshoni zomwe zingagwiritsidwe ntchito pogwiritsa ntchito makoswe opereka ndalama ndi awa:
Kulemba kwa Allograft kwa opaleshoni ya mafupa kwafala kwambiri, ndipo njira pafupifupi 1.5 miliyoni za allograft zikuchitika chaka chilichonse ku United States.
Mitundu Yopereka Zopereka Zomwe Zimapezeka ndi Kuyesedwa Kuti Zitetezedwe
Kutenga kachilombo ka HIV kungakhale chifukwa cha matenda omwe wopereka anali nawo m'thupi mwake, kapena kuipitsidwa kwa minofu panthawi ya kukonza. Kuyesera kumapangidwira kuti woperekayo asakhale ndi matenda opatsirana komanso kuti minofu yoperekedwayo imayendetsedwa m'njira yomwe imachepetsetsa chonchi.
Pamene zimakhala zogwiritsidwa ntchito popereka mankhwala, kuyang'ana kwakukulu kumachitika pofuna kuteteza chitetezo cha minofuyi. Ngati wothandizira angadziwike, kufufuza kwa woperekayo kumachitidwa kuti mudziwe chomwe chimayambitsa imfa, zomwe zingatheke kuti zikhale zoopsa kwambiri zomwe zingapangitse tizilombo toyambitsa matenda kukhala opanda chitetezo (mwachitsanzo, kugwiritsa ntchito mankhwala osokoneza bongo, etc.), komanso mbiri yachipatala . Mayeso a magazi amachitika kuti ayese matenda. Mwapadera, opereka ndalama amawerengedwa kuti ali ndi kachilombo ka HIV , matenda a chiwindi a B & C , matenda osokoneza bongo otchedwa spongiform encephalopathies (mwachitsanzo, "matenda otupa a ng'ombe"), ndi matenda ena.
Mankhwala a Allograft omwe atsimikiziridwa kukhala oyenerera kusinthitsa amawasandutsa mu malo oyeretsa. Amalandira mayeso osakaniza panthawi yomwe minofu imapezeka, panthawi yomwe ikugwiritsidwa ntchito, ndipo isanayambe kumasulidwa ku malo osungirako ntchito. Kukonzekera gawo la allograft minofu yokonzekera kumaphatikizapo kuperewera kwa zinyama.
Momwe Mankhwala a Allograft Amagwiritsiridwira Ntchito Zopangira Orthopedic
Pamene minofu ikugwiritsidwa ntchito pa njira zamatenda, zigawo zapadera za minofu (kuphatikizapo maselo a magazi) zimachotsedwa kuti zisawononge mwayi wotsutsa minofu. Panthawi imeneyi, kuperewera kwa thupi kumachitanso.
Kutsekemera sikuyenera kukhala koopsa kwambiri kuti kufooketsa tizilombo, koma kokwanira kuteteza tizilombo toyambitsa matenda kapena tizilombo.
Zisakasa zomwe zakonzedwa zimatumizidwa kuzipatala kuti zikhazikike. Pali njira zosiyanasiyana zosungira ziphuphu, koma zambiri zimakhala ndi mazira 80 ° centigrade. Matendawa ali ndi nthawi yotsiriza malinga ndi mtundu wa minofu ndi mtundu wa yosungirako.
Mafunso Ofunsa Dokotala Wanu Za Allograft
Dokotala wanu ayenera kudziwa kwenikweni kumene minofu inachokera ; Malingaliro ameneŵa apangidwa ndi American Academy of Orthopedic Surgeons.
Funsani dokotala wanu banki yamtundu wanji yomwe ikupereka kuphatikizidwa, ndipo chifukwa chiyani banki ya minofu yasankhidwa. Si mabanki onse omwe amawongolera ofanana, ndipo ena ali ndi ndondomeko zowonongeka kwambiri posankha omwe amapereka oyenera. Ngati dokotala sakudziwa kumene akuchokera, sangadziwe momwe zovuta zogwiritsira ntchito zowonjezera zakhalira.
Pakhala pali malipoti m'nkhani za mabanki omwe amagwiritsa ntchito matisitiki kapena osapeza matupi. Dokotala wanu ayenera kuwonetsa mabanki a minofu kuti awonetsetse kuti ma grafts aperekedwa ndi apamwamba kwambiri ndi otetezeka kwambiri . Mabanki ena a minofu ali nawo mawebusaiti kwa odwala kuti aphunzire zochuluka za njira zawo zopezera ndi kukonza matenda. Dokotala wanu angakupatseni inu chidziwitso chochokera kumene akulembera.
Zotsatira:
"Matenda a Allograft-Ophatikizidwa Osakaniza - United States, 2002" Zomwe Zidzasokoneza Matenda. March 15, 2002/51 (10); 207-210.
Gocke, D "Kusankhidwa kwa Ophatikizira Minofu ndi Chitetezo" Clinic Clinic: June 2005; Vol 435, tsamba 17-21