Kodi n'chiyani chingasunge mgwirizanowu watsopano? Mwinamwake simunadabwe chomwe chinali kusunga mgwirizano wanu pachiyambi, koma kukhala ndi chojambulira chatsopano kumadzutsa funso ili. Mwinanso mukhoza kudera nkhaŵa za mtundu wa mankhwala omwe angagwiritsidwe ntchito ndi momwe angakhudzire thupi lanu.
Momwe Mapangidwe Amalowetsamo Amagwirira Ntchito
Kusunga chokhazikika m'malo kumatchedwa kukonza.
Zowonjezereka zowonjezereka zimatha kukhazikitsidwa, kapena kukhala m'malo, mwa njira imodzi. Zikhoza kukhala zosakaniza zokwanira zomwe zimalola thupi kupanga mawonekedwe atsopano a fupa. Kapena, iwo akhoza kumangidwe m'malo. Kwa ziwalo zina, kukonzedwa kwa haibridi kumagwiritsidwa ntchito, ndi simenti pa chigawo chimodzi ndi kufalitsa-kumagwirizana pa chimzake.
Onetsani-Fit kapena Cementless Implants
Mapulogalamu oyenerera amagwiritsa ntchito phokoso lamtundu umene mafupa ozungulira amatha kukula. Thupi ndi minofu yamoyo, ndipo mgwirizano watsopano ukhoza kuwukweza kuti ukhale watsopano, womwe umakhala wotetezeka kwambiri ngati pali zofunikira kuti zikulumikire kukhala mgwirizano wamphamvu. Pamwamba pa pulogalamuyi muli ndi dimpled surface (grit blasted) kapena pamwamba (porous coated). Kuphulika kumeneku kumapangitsa fupa kukula kuti likhazikitsidwe kuti likhalepo m'malo mwake. Zosalala sizikanakhala ndi zotsatira zofanana.
- Ubwino: Kupindula kwa makina oyenera kutsindikizira ndi kuti pakapita nthawi, fupa limagwira mwamphamvu ndi kukhazikitsa, kuchepetsa mwayi wotsalira.
- Zowonongeka: Implants ofunika -bwino amafuna fupa lolimba lakonzekera, ndipo ayenera kukhala loyenera kulowa mu fupa panthawi ya opaleshoni. Chifukwa chake, wofooka, osteoporotic bone, nthawi zambiri sangalekerere kukakamizidwa kumangirira. Makina opangira makinawa amafunikanso nthawi kuti fupa lizikula. Kuonjezera apo, ngakhale mafupa enieni, mapiritsi ena, monga mawondo amawombola, sangathe kuchitidwa mokwanira popanda simenti kuti agwire ntchitoyo.
Cemented Implants
Zimangidwe zowonjezereka zimagwirizananso mwamphamvu mu fupa. Padziko lonse lapansi muli mankhwala ovuta omwe amatchedwa simenti kapena glue. Kaŵirikaŵiri ndi polymethylmethacrylate, simenti yodzala mwamsanga. Dothi lovuta limeneli limakhala ngati malo odzaza malo kapena grout ndipo imakhala ndi malo olimbitsa thupi.
- Ubwino: Zimangidwe zowonjezereka ndizolimba tsiku lomwe iwo apatsidwa monga momwe zidzakhalira. Izi zimayikidwa bwino kwambiri, choncho zimatha kuikidwa mumphongo wosathandiza.
Kodi Ndi Mtundu Wotani Womwe Umagwiritsidwa Ntchito Kwambiri?
Knee Replacement: Knee m'malowa nthawi zambiri amamangiriridwa mu malo. Ochita opaleshoni ena amatha kusankha kuika makina osakaniza, makamaka kumapeto kwa fupa la thivu, mwa odwala ena. Komabe, kawirikawiri mawondo amaikidwa amaimitsidwa.
Hip Kubwezeretsa: Zipangizo zojambulidwira za Hip nthawi zambiri zimagwedeza-mbali pambali ya pelvis (pelvis). Tsinde (femur) likhonza kukhala lopikisana kapena lolimbitsa. Ochita opaleshoni ambiri amawongolera-amatha kulumikiza kwa odwala omwe ali ndi mafupa amphamvu, ndi simenti ngati pali nkhawa yokhudzana ndi mafupa.
Zowonongeka Zowonongeka: Muzochitika zowonongedwa pamodzi potsitsimutsa (kusinthanitsa chotsitsiramo chotsatira) zina zosankha kuposa zomwe zatchulidwa pamwambazi zikhoza kuperekedwa.
Nsonga yayitali ingakhale yofunika ndipo ingagwiritse ntchito zidutswa zopangira zitsulo.
Ngati muli ndi mafunso aliwonse omwe angagwiritsidwe ntchito mu opaleshoni yanu, kambiranani ndi dokotala wanu.
Chitsime:
Paul W. Manner, MD. Knee Replacement Implants, American Academy of Orthopedic Surgeons, September, 2010.