Kuchita opaleshoni yowonongeka ndi opaleshoni yopambana kwambiri; Anthu ambiri amene amachiritsidwa ndi matenda a nyamakazi amawondoka amakhutira ndi opaleshoniyi. Komabe, si aliyense amene amakonda bondo lawo latsopano. Ndipotu, pafupifupi 10-15 peresenti ya anthu omwe amapitiliza kugwa maondo sakukondwera ndi zotsatira zawo .
Kufuna kudziwa chifukwa chake mawondo amawapweteka angakhale vuto lalikulu kwa odwala komanso madokotala.
Nthawi zina vuto limakhala lodziwika bwino, monga matenda kapena kuikidwa mmbuyo kwa mawondo. Komabe, nthawi zina, chirichonse chimayang'ana bwino. Dokotala wanu akukuuzani kuti palibe cholakwika, koma bondo lanu limapwetekabe. N'chiyani chingayambitse ululu? Kodi njira yothetsera zitsulo zomwe zimapangidwira m'thupi lanu zingayambitse vuto?
Metal Sensitivity
Chitsulo chilichonse chimene chimakhudzana ndi thupi, kaya ndi khungu kapena chimalowa mkati mwa thupi, chimayambitsa zitsulo zina zamtundu. Kuphulika uku kumayambitsa kupanga ions zitsulo zomwe zimatha kuchita ndi mapuloteni m'thupi lanu; izi zikhoza kukhala zodziwika mu thupi lanu ngati zotsekula ndipo zingayambitse chitetezo cha mthupi .
Ioni zamtundu wambiri zopezeka m'mabotolo omwe amachititsa kuti mawonekedwe a hypersensitivity akhale ndi nickel, cobalt, ndi chromium. Zitsulozi zimadziwika kuti zimakhudza khungu pakati pa anthu; pafupifupi 15 peresenti ya anthu ali ndi nickel sensitivity.
Funso labweranso ngati njira yomweyi yothandizidwa ndi chithunzithunzi chachitsulo ikhoza kuchitika mkati mwa thupi lomwe limatsogoletsa ululu ndi kuuma pambuyo potsatizidwa .
Ichi chakhala funso lovuta kuyankha. Anthu ambiri, ngakhale omwe ali ndi kapangidwe ka khungu kachitsulo, sakhala ndi hypersensitivity kumalo olowa m'malo.
Mofananamo, anthu ambiri amene akudandaula kuti ali ndi kachilombo koyambitsa matenda osagwiritsa ntchito khungu lawo alibe mawonekedwe a khungu ku zitsulozi. Pachifukwa ichi, kuyezetsa khungu sikunapangidwe kuti ndiwothandiza kupewa kapena kugwiritsira ntchito chithunzithunzi chachitsulo chosungunula.
Kusintha kwa Hypersensitivity
Pali zochitika ziwiri zomwe zikuwoneka kuti zikuchitika kwa odwala omwe ali ndi chithunzithunzi chachitsulo chowongolera mawondo. Choyamba ndi khungu lotchedwa dermatitis . Mu chikhalidwe ichi, kutukusira kwa khungu komwe kumawoneka ngati chisanu kungachitike. Izi zimapezeka kutsogolo kwa bondo, ngakhale kuti anthu ena akhoza kufalikira. Dermatitis imayendetsedwa nthawi zambiri mothandizidwa ndi dermatologist, ndipo mwachisangalalo nthawi zambiri imayendetsedwa bwino ndi topical steroid creams.
Zina zomwe zingathe kuchitika zimatchedwa synovitis . The synovium ndi chida cha mawondo, ndipo chikhalidwe chimene chimayambitsa kutupa kwa minofuyi amatchedwa synovitis. Synovitis ikhoza kuchitika ndi matenda a bondo, kuvulala koopsya kwa mgwirizano, kapena pamene pali yankho la hypersensitivity. Vuto liripo pali zinthu zingapo zomwe zingayambitse synovitis wa mawondo a bondo, koma palibe mayeso kuti atsimikizire kuti hypersensitivity zitsulo ndi chifukwa.
Choncho, izi zimaonedwa kuti ndizochotsedwa, kutanthauza kuti zifukwa zonse ziyenera kuthetsedwa, ndipo pokhapokha ngati chithunzithunzi chachitsulo chingawonongeke.
Njira Zothandizira
Chovuta ndi chithunzithunzi chachitsulo ndi chakuti nthawi zambiri matendawa sakudziwika bwino (palibe chiyeso cha chikhalidwe) ndipo nthawi zambiri zizindikiro zimakwiyitsa, koma osati kulepheretsa. Pamwamba pa izo, njira yokhayo yothetsera vutoli, ngati chitsimikizo chachitsulo ndicho chifukwa chenichenicho, ndichochotsa choyikacho ndi kubwezeretsa bondo ndi choikapo chapadera chopangidwa ndi ceramic kapena titaniyamu. Choncho, nthawi iliyonse imene chithunzithunzi chachitsulo chimagwiritsidwa ntchito ngati gwero la kupweteka kwa bondo kapena kulimbika pambuyo mutalowa m'malo, muyenera kukhala osamala kwambiri.
Ngakhale opaleshoni yapamwamba komanso yapamwamba akuphunzira za vutoli, ndipo chithandizo chabwino kwambiri sichiri bwino. Kuchita opaleshoni yowonjezera kungakhale kosathandiza. Izi zikuti, anthu omwe akuvutika ndi ululu atatha kuwongolera angafune kuganizira ngati izi zingakhale zowawa.
Palibe deta yothandizira kugwiritsa ntchito kachipamenti (zirconium) kapena implants, ngakhale anthu omwe ali ndi nkhaŵa zokhudzana ndi hypersensitivity. Kugwiritsiridwa ntchito kwa implants izi kumayesedwa kuyesera ndipo kuyenera kuchitidwa mosamala. Izi zati, pali malipoti ochepa ndi zotsatira zochepa zomwe zikuwonetsa zotsatira zabwino.
> Chitsime:
> Lachiewicz PF1, Watters TS, Jacobs JJ. "Hypersensitivity Metal ndi Total Knee Arthroplasty" J Am Acad Orthop Surgery. 2016 Feb; 24 (2): 106-12.