Ekintu ekikolebwa mu kiwanga ekikoleddwa mu seminti kye ki?

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Ennyonyola y’obujjanjabi n’endowooza y’okulongoosa ku kizimba ky’omubiri ekikoleddwa mu seminti

Enkola y’okusiba amagumba mu seminti y’enkola ekozesebwa ennyo ey’okunyweza amagumba mu kulongoosa okukyusa amagumba. Mu kifo ky’okwesigamira ku kukula kw’amagumba mu biramu, ekintu ekisimbibwa kitebenkeza nga bakozesa seminti w’amagumba —okusinga okuyitibwa polymethyl methacrylate (PMMA) —okusobola okutuuka ku kunyweza amangu mu byuma wakati w’eggumba ery’ekinnansi n’eggumba erikyaza.

Enkola eno ey’okunyweza ebadde ekakasibbwa mu bujjanjabi okumala emyaka mingi era ekyali nkola eyesigika mu kulongoosa enkizi okw’omulembe naddala mu muwendo gw’abalwadde ng’omutindo gw’amagumba gukoma ku bulungibwansi bw’okunyweza nga press-fit oba seminti.

Omulimu gw’ebyuma ogwa seminti w’amagumba mu kunyweza ebitundu by’omubiri eby’ekinnansi

Seminti w’amagumba takola nga ekyesiiga eky’ebiramu. Wabula, kikola ng’ensengekera y’okutambuza omugugu ejjuza ebituli ebitonotono wakati w’oludda lw’ekisimbibwa n’eggumba erya cancellous. Okuyita mu seminti interdigitation, stresses zisaasaanyizibwa kyenkanyi, okukendeeza micromotion ku implant–bone interface.

Okutebenkera kuno okw’ebyuma kikulu nnyo naddala mu kiseera ekisooka eky’oluvannyuma lw’okulongoosebwa, ng’okunyweza amangu kuwagira okukungaanya amangu n’okudda engulu mu nkola. Okusobola okutegeera obulungi enneeyisa ya seminti n’ebikozesebwa, abasomi batera okujuliza okukozesa seminti y’amagumba mu magumba mu nkola z’okukyusa ebinywa.

Ebiraga n’okulonda kw’omulwadde okukola prosthesis eriko seminti

Profiles z’abalwadde zisinga kukwatagana n’okuteekebwamu ebiyungo ebiteekeddwamu seminti

Ebitundu by’omubiri ebikoleddwa mu seminti bitera okusemba eri abalwadde abakadde, abantu ssekinnoomu abalina obulwadde bw’amagumba oba abalwadde abalina amagumba agakendedde. Mu mbeera zino, okutuuka ku kunyweza ebiramu okwesigika n’ebintu ebiteekebwamu ebitaliimu seminti kiyinza okuba ekizibu.

Okunyweza seminti kuwa obutebenkevu obuteeberezebwa awatali kulowooza ku density y’amagumba, ekigifuula eky’okulonda ekisinga obulungi nga okunyweza amangu n’okutambuza omugugu mu ngeri efugibwa kyetaagisa.

Enkozesa eya bulijjo mu bujjanjabi mu kulongoosa ebinywa by’ekisambi n’okugulu

Mu kulongoosa ebinywa by’ekisambi, ebikoola by’ekisambi ebiteekeddwamu seminti bitera okulondebwa eri abalwadde abeetaaga okusitula obuzito nga bukyali oba ababeerawo nga balina omutindo gw’amagumba g’ekisambi ogutali mu mbeera. Mu kulongoosa amaviivi, ebitundu by’amagulu ebiteekeddwamu seminti n’obutambi bwa patellar bisigala nga bikolebwa mu bitundu bingi mu nsi yonna.

Enkola zino zitera okukolebwa nga tukozesa omutindo okukyusa ekinywa ky’ekisambi okukyusa ekinywa ky’omubiri (prosthesis) n’ knee joint replacement systems , okusinziira ku nsengeka y’omulwadde n’ebigendererwa by’okulongoosa.

Cemented vs Cementless Prosthesis: Endowooza y’okusalawo mu bujjanjabi

Fixation Stability n’ebiva mu kuddaabiriza nga bukyali

Ekimu ku birungi ebikulu ebiri mu bitundu by’omubiri ebikoleddwa mu seminti kwe kunyweza amangu ddala. Abalwadde batera okutandika okukunga n’okuddaabiriza nga bukyali bw’ogeraageranya n’enkola ezitaliimu seminti, ezisinziira ku kugatta amagumba okumala ebbanga eddene.

Mu balwadde abalina omutindo gw’amagumba ogutali mulungi, okulwawo okunyweza ebiramu kuyinza okwongera ku bulabe bw’okusenguka amangu, ekifuula okunyweza seminti eky’obukuumi era ekiteeberezebwa.

Okuwona okw’ekiseera ekiwanvu n’okulowooza ku kuddamu okusoma

Olw’enkulaakulana mu bukodyo bw’okusiba seminti, okuwangaala okumala ebbanga eddene kw’ebitundu by’omubiri ebikoleddwa mu seminti kifuuse okugeraageranyizibwa ku nkola ezitaliiko seminti. Naye okulongoosa okuddamu okulongoosa ebiteekebwamu seminti kuyinza okwetaagisa obukodyo obw’enjawulo obw’okuggyawo seminti, obulina okulowoozebwako mu kiseera ky’okulonda okusooka.

Mu mbeera enzibu, abasawo abalongoosa bayinza okwesigama ku beewaddeyo revision joint replacement implants ezikoleddwa okukola ku bulema bw’amagumba n’okusoomoozebwa kw’okunyweza.

Ebirungi n’obuzibu bw’enkola z’ebitundu by’omubiri ebikoleddwa mu seminti

Ebirungi Ebikulu ebiri mu Kunyweza Sementi

• Okutebenkera amangu mu byuma mu kiseera ky’okulongoosebwa

• Predictable fixation mu balwadde abalina omutindo gw’amagumba omubi

• Okukendeeza ku bulabe bw’okutambula kwa micromotion oba okusenguka okw’okuteekebwa mu mubiri nga bukyali

• Ebiva mu bujjanjabi eby‟ekiseera ekiwanvu ebikakasibwa

Obulabe obukwatagana ne seminti n’okusoomoozebwa mu by’ekikugu

Wadde nga kirimu ebirungi, okunyweza seminti kukwatagana n’obulabe obw’enjawulo, omuli obulwadde bw’okuteekebwamu seminti, ebikosa ebbugumu mu kiseera ky’okukola polimeeri, n’okwongera okuzibuwalirwa mu by’ekikugu mu nkola z’okuddamu okusoma. Obulabe buno bukendeera nnyo nga enkola entuufu ey’okusiba seminti n’obukodyo bw’okulongoosa bugobereddwa.

Obukodyo bw’okulongoosa n’enkola ennungi ey’okukola ebitundu by’omubiri ebiyitibwa Cemented Prosthesis

Enkola za seminti ez’omulembe zikola kinene nnyo mu kulongoosa amaanyi g’okunyweza n’ebivaamu eby’ekiseera ekiwanvu. Emitendera emikulu mulimu okuteekateeka obulungi omwala, okutabula seminti w’amagumba mu vacuum, n’okufuga puleesa ya seminti okulongoosa okuyingira mu ggumba erya cancellous.

Obukodyo buno butera okukolebwa nga tukozesa okwewaayo orthopedic surgical instruments for joint replacement , eziyamba okukakasa obutakyukakyuka era nga ziddamu okuzaalibwa nga ziteekebwamu.

Okumaliriza: Ddi Eky’omubiri Ekikoleddwa mu Sseminti kye Kiba Ekituufu?

Ebitundu by’omubiri ebikoleddwa mu seminti bisigala nga byesigika era nga bikakasiddwa mu bujjanjabi mu kulongoosa okukyusa ebinywa. Ensonga ezikwata ku mulwadde —gamba ng’emyaka egy’obukulu, omutindo gw’amagumba okukendeera, oba obwetaavu bw’okutebenkera amangu oluvannyuma lw’okulongoosebwa —bwe zibaawo, okunyweza amagumba mu seminti kukyagenda mu maaso n’okukola kinene mu nkola y’amagumba ey’omulembe guno.

Mu kifo ky’okukyusibwamu enkola ezitaliimu seminti, ebitundu by’omubiri ebikolebwa mu seminti bizze bikulaakulana wamu n’enkulaakulana mu bukodyo bw’okulongoosa n’okukola enteekateeka y’okuteekebwamu, ne bikuuma obukulu bwabyo mu kulongoosa enkizi okw’omulembe guno.

Ebibuuzo Ebibuuzibwa Ebikwata ku Prosthesis Ekoleddwa mu Sementi

Ekitundu ky’omubiri ekikoleddwa mu seminti kisinga ku balwadde abakadde?

Okunyweza seminti kutera okwettanirwa abalwadde abakadde kubanga kuwa obutebenkevu obw’amangu era tekwesigama ku kukula kw’amagumba munda, ekiyinza okuba ekitono olw’okukendeera kw’amagumba.

Ekitundu ky’omubiri ekiyitibwa prosthesis ekiriko seminti kitera kumala bbanga ki?

Singa omulwadde alondeddwa bulungi n’enkola entuufu ey’okulongoosa, ebitundu by’omubiri ebikoleddwa mu seminti bisobola okukola obulungi okumala emyaka 15–20 oba okusingawo.

Ebitundu by’omubiri ebikoleddwa mu seminti bisobola okuddamu okutunulwamu bwe kiba kyetaagisa?

Yee. Wadde ng’okulongoosa okuddamu okulongoosa kuyinza okuba okwetaagisa ennyo mu by’ekikugu olw’okuggyawo seminti, ebitundu by’omubiri ebikoleddwa mu seminti bisobola okuddamu okutunulwamu awatali bulabe nga tukozesa obukodyo bw’okulongoosa obuteereddwawo.

Seminti w’amagumba talina bulabe ku mubiri okumala ebbanga eddene?

Seminti w’amagumba ow’omutindo gw’obusawo abadde akozesebwa mu kulongoosa amagumba okumala emyaka mingi era alina obukuumi obuwandiikiddwa obulungi bw’akozesebwa okusinziira ku mutindo gw’obujjanjabi.

Okunyweza seminti kisobozesa okusitula obuzito nga bukyali?

Yee. Ekimu ku birungi ebikulu ebiri mu kunyweza seminti kwe kunyweza amangu ebyuma, ekitera okuwagira okukungaanya n’okuddaabiriza nga bukyali.

Okunyweza seminti kukyakozesebwa nnyo leero?

Butereevu. Okunyweza seminti kukyali nkola ya mutindo era ekkirizibwa nnyo mu nkola nnyingi ez’okukyusa ekisambi n’okugulu mu nsi yonna.

Ensonga ki ezikwata ku kulonda wakati w’ebitundu by’omubiri ebikolebwa mu seminti n’ebitaliiko seminti?

Omutindo gw’amagumba, emyaka gy’omulwadde, eddaala ly’emirimu, embeera z’omubiri, n’ebigendererwa by’okulongoosa byonna bikola kinene mu kusalawo enkola esinga okutuukirawo ey’okunyweza.

Ebitundu by’omubiri ebikoleddwa mu seminti bisobola okukozesebwa mu kulongoosa okukyusa ebinywa?

Yee. Enkola za seminti zitera okukozesebwa mu mbeera z’okuddamu okutunula naddala ng’obulema bw’amagumba bukoma ku bulungibwansi bw’okunyweza ebiramu.