Kodi chiyani ? ndi implants za msana
Mapiritsi a msana ndi zipangizo zamankhwala zomwe zimagwiritsidwa ntchito pochiza matenda a msana monga herniated discs, spinal stenosis, ndi scoliosis. Zidazi nthawi zambiri zimapangidwa ndi zinthu zomwe zimagwirizanitsa ndi biocompatible monga titaniyamu kapena PEEK (polyetheretherketone) ndipo zimapangidwira kuti zipangidwe msana kuti zikhazikike kapena kubwezeretsa zowonongeka kapena zowonongeka.
Mitundu ina yodziwika bwino ya ma implants a msana ndi awa:
Zomangira za pedicle: Zomangira izi zimagwiritsidwa ntchito kuyika ndodo zachitsulo ku msana ndikupereka kukhazikika kwa vertebral column.
Ndodo: Zitsulo zachitsulo zimagwiritsidwa ntchito kugwirizanitsa zitsulo za pedicle kapena implants zina za msana kuti zipereke chithandizo chowonjezera ndi kukhazikika kwa msana.
Zingwe zapakati: Izi ndi zida zomwe zimayikidwa pakati pa ma vertebrae awiri kuti asunge kutalika kwake komanso kupindika kwa msana, komanso kupereka chithandizo ndi kukhazikika.
Ma discs opangira: Izi ndi zida zomwe zimagwiritsidwa ntchito m'malo mwa ma disc owonongeka kapena odwala msana.
Mbale ndi zomangira: Izi zimagwiritsidwa ntchito kuti zikhazikike ndikuthandizira mbali yakutsogolo (kutsogolo) kwa msana.
Zida za implants za msana
Ma implants a msana amatha kupangidwa kuchokera kuzinthu zosiyanasiyana, kuphatikiza:
Titaniyamu: Titaniyamu ndi chitsulo chopepuka komanso cholimba chomwe chimagwiritsidwa ntchito kwambiri popanga msana. Ndi biocompatible, zomwe zikutanthauza kuti ndizochepa zomwe zingayambitse thupi.
Chitsulo chosapanga dzimbiri: Chitsulo chosapanga dzimbiri ndi chitsulo cholimba komanso cholimba chomwe chimagwiritsidwanso ntchito kwambiri popanga msana. Ndizotsika mtengo kuposa titaniyamu, koma sizogwirizana ndi biocompatible.
Cobalt-chromium: Cobalt-chromium ndi alloy zitsulo zomwe zimagwiritsidwanso ntchito popanga msana. Ndi yamphamvu komanso yosachita dzimbiri, koma sizogwirizana ndi biocompatible ngati titaniyamu.
Polyetheretherketone (PEEK): PEEK ndi mtundu wapulasitiki womwe umagwiritsidwa ntchito nthawi zambiri m'makola apakati. Zili ndi zinthu zofanana ndi fupa ndipo zimatha kulimbikitsa kukula kwa mafupa.
Mpweya wa carbon: Ulusi wa carbon ndi chinthu chopepuka komanso champhamvu chomwe nthawi zina chimagwiritsidwa ntchito poyika msana. Komanso ndi biocompatible.
Kusankha kwa implants kumadalira zinthu zingapo, kuphatikizapo zosowa zenizeni za wodwalayo, malo a implants mu msana, ndi zomwe dokotala wachita opaleshoniyo komanso zomwe amakonda. Ndikofunika kukambirana za zoopsa zomwe zingatheke komanso ubwino wa chinthu chilichonse choyikapo ndi dokotala wa opaleshoni ya msana musanayambe opaleshoni.
Kodi kusankha implants msana kwa maopaleshoni?
Kusankha ma implants a msana pakuchita maopaleshoni kumadalira zinthu zingapo, kuphatikiza:
Odwala: Msinkhu wa wodwalayo, thanzi lake lonse, mbiri yachipatala, ndi kachulukidwe ka mafupa angakhudze kusankha kwa msana. Ma implants ena sangakhale oyenera kwa odwala omwe ali ndi thanzi labwino kapena omwe ali ndi mafupa ofooka.
Mkhalidwe wa msana: Mkhalidwe weniweni wa msana, monga malo ndi kuopsa kwa kuwonongeka kapena kuwonongeka, kungakhudze kusankha kwa implant. Mwachitsanzo, ma implants osiyanasiyana angagwiritsidwe ntchito pakuphatikizana kwa msana motsutsana ndi opaleshoni ya msana.
Zomwe dokotala wachita opaleshoni: Zomwe dokotala wachita opaleshoniyo komanso zomwe amakonda zingathandizenso posankha implantation. Madokotala ena ochita opaleshoni angakhale ndi chidziwitso chochuluka ndi mitundu ina ya implants, ndipo angakonde kuwagwiritsa ntchito kwa odwala awo.
Kuyika zinthu: Kusankha kwa implants kuyenera kuganiziridwanso, popeza zida zosiyanasiyana zimakhala ndi zinthu zosiyanasiyana ndipo zitha kukhala zoyenera kwa odwala ena kapena mikhalidwe.
Kuopsa ndi ubwino: Zowopsa zomwe zingatheke ndi ubwino wa mtundu uliwonse wa implant ziyenera kukambidwa ndi wodwalayo, kuphatikizapo chiopsezo cha kulephera kwa implants kapena zovuta, zomwe zingatheke kwa nthawi yaitali, komanso mwayi wochira bwino.
Kodi madokotala amaika bwanji implant ya msana?
Njira yeniyeni yokhazikitsira implant ya msana imadalira mtundu wa implant ndi momwe akuchizira, koma nthawi zambiri, masitepe omwe akukhudzidwa ndi njirayi ndi awa:
Anesthesia: Wodwala amapatsidwa mankhwala oletsa ululu kuti atsimikizire kuti sakudziwa komanso alibe ululu panthawi yonseyi.
Kudulira: Dokotala wa opaleshoni amacheka pakhungu ndi minofu pamalo okhudzidwa a msana.
Kukonzekera kwa msana: Dokotala wa opaleshoni amachotsa minofu iliyonse yowonongeka kapena yodwala pamsana, monga ma discs a herniated kapena fupa la fupa, ndipo amakonzekera malo omwe amaikidwa.
Kuyika kwa implant: Dokotala ndiye amaika implant mu malo okonzekera a msana. Izi zingaphatikizepo zomangira, ndodo, makola, kapena mitundu ina ya implants.
Kuteteza implants: Kuyikako kukakhazikika, dokotalayo amachiteteza ku msana pogwiritsa ntchito zomangira, mawaya, kapena zida zina.
Kutseka: Dokotala wa opaleshoni ndiye amatseka choduliracho ndi sutures kapena staples ndikuyika bandeji kapena kuvala.
Kuchira: Wodwala amayang'aniridwa pamalo ochira kwa maola angapo ndipo akhoza kupatsidwa mankhwala opweteka kapena chithandizo china chothandizira ngati pakufunika.
Pambuyo pa ndondomekoyi, wodwalayo adzafunika kutsatira ndondomeko yokonzanso kuti athandize kubwezeretsa kuyenda ndi mphamvu ku msana. Pulogalamu yeniyeni idzadalira mtundu wa implant ndi zosowa za wodwalayo komanso momwe alili.
Ndani angapindule ndi ma implants a msana?
Mapiritsi a msana amagwiritsidwa ntchito kwa odwala omwe akuvutika ndi zinthu zomwe zimayambitsa kupweteka, kufooka, kapena kusakhazikika kwa msana. Zina mwazinthu zomwe zingapindule ndi ma implants a msana ndi awa:
1. Degenerative disc matenda
2. Herniated kapena bulging discs
3. Stenosis ya msana
4. Spondylolisthesis
5. Kuphulika kwa msana
6. Scoliosis
7. Zotupa za msana
Mapiritsi a msana amagwiritsidwa ntchito nthawi zambiri pamene mankhwala osachita opaleshoni monga chithandizo chamankhwala, mankhwala, kapena jekeseni wa msana walephera kupereka mpumulo. Chisankho chogwiritsa ntchito ma implants a msana nthawi zambiri chimapangidwa ndi katswiri wa msana, monga dokotala wa opaleshoni ya mafupa kapena neurosurgeon, yemwe adzayesa momwe wodwalayo alili ndikupangira ndondomeko yoyenera ya chithandizo.
