Kodi prosthesis yomangidwa ndi simenti ndi chiyani?

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Tanthauzo Lachipatala ndi Lingaliro la Opaleshoni la Cemented Prosthesis

Prosthesis yomangidwa ndi simenti ndi njira yomwe imagwiritsidwa ntchito kwambiri kuti munthu akhazikitse mafupa opangira maopaleshoni olowa m'malo. M'malo modalira ingrowth ya mafupa a biological, implant imakhazikika pogwiritsa ntchito simenti ya fupa-kawirikawiri polymethyl methacrylate (PMMA) - kuti akwaniritse kukonza kwachangu pakati pa prosthesis ndi fupa lokhalamo.

Njira yokonzekerayi yatsimikiziridwa mwachipatala kwa zaka zambiri ndipo imakhalabe njira yodalirika mu arthroplasty yamakono, makamaka m'magulu odwala kumene khalidwe la fupa limachepetsa mphamvu ya makina osindikizira kapena opanda simenti.

Mechanical Ntchito ya Bone Cement mu Prosthesis Fixation

Simenti ya mafupa sagwira ntchito ngati zomatira zamoyo. M'malo mwake, imakhala ngati mawonekedwe otumiza katundu omwe amadzaza mipata yaying'ono pakati pa implant pamwamba ndi fupa lochotsa. Kupyolera mu kuphatikizika kwa simenti, kupanikizika kumagawidwa mofanana, kuchepetsa micromotion pa mawonekedwe a implant-fupa.

Kukhazikika kwamakina kumeneku ndikofunikira makamaka panthawi yoyambilira ya postoperative, pomwe kukonza kwachangu kumathandizira kusonkhanitsa koyambirira komanso kuchira kogwira ntchito. Kuti mumve zambiri zamakhalidwe ndi zida za simenti, owerenga nthawi zambiri amatchula za mafupa a simenti a mafupa m'makina olowa m'malo.

Zizindikiro ndi Kusankha Odwala kwa Cemented Prosthesis

Mbiri Za Odwala Zoyenera Kwambiri Zoyika Simenti Zophatikizana

Ma prostheses opangidwa ndi simenti nthawi zambiri amalimbikitsidwa kwa odwala okalamba, anthu omwe ali ndi matenda osteoporosis, kapena odwala omwe ali ndi mafupa ochepa. Zikatere, kukwaniritsa kukhazikika kodalirika kwachilengedwe ndi ma implants opanda simenti kumatha kukhala kovuta.

Kukhazikika kwa simenti kumapereka kukhazikika kodziwikiratu mosasamala kanthu za kuchuluka kwa mafupa, ndikupangitsa kuti ikhale njira yabwinoko pakafunika kukonza nthawi yomweyo ndikuwongolera katundu.

Mapulogalamu Odziwika Achipatala mu Hip ndi Knee Arthroplasty

Mu hip arthroplasty, zimayambira zachikazi zomangika nthawi zambiri zimasankhidwa kwa odwala omwe amafunikira kulemera koyambirira kapena omwe ali ndi vuto la mafupa achikazi. M'mawondo a arthroplasty, zigawo za tibial zomangika ndi mabatani a patellar zimakhalabe zochitika m'madera ambiri padziko lonse lapansi.

Njirazi zimagwiritsidwa ntchito mokhazikika prosthesis m'chiuno olowa m'malo ndi mawondo olowa m'malo machitidwe , malingana ndi thupi la wodwalayo ndi zolinga za opaleshoni.

Cemented vs Cementless Prosthesis: Chisankho Chachipatala

Kukhazikika Kukhazikika ndi Zotsatira Zakukonzanso Koyambirira

Chimodzi mwazinthu zabwino kwambiri zama prostheses omangidwa ndi simenti ndikukhazikika kokhazikika. Odwala nthawi zambiri amatha kuyamba kusonkhanitsa ndi kukonzanso kale poyerekeza ndi machitidwe opanda simenti, omwe amadalira osseointegration kwa nthawi yayitali.

Odwala omwe ali ndi mafupa osakwanira bwino, kuchedwetsa kukhazikika kwachilengedwe kumatha kukulitsa chiwopsezo cha kusamuka koyambirira, kupangitsa kukonza simenti kukhala njira yotetezeka komanso yodziwikiratu.

Kupulumuka Kwa Nthawi Yaitali Ndi Kuganiziranso Kukonzanso

Ndi kupita patsogolo kwa njira zopangira simenti, kupulumuka kwa nthawi yayitali kwa ma prostheses omangidwa kwakhala kofanana ndi machitidwe opanda simenti. Komabe, opaleshoni yokonzanso zoikamo simenti ingafune njira zowonjezera zochotsera simenti, zomwe ziyenera kuganiziridwa pakusankha koyambira.

Muzochitika zovuta, madokotala ochita opaleshoni angadalire odzipereka kukonzanso ma implants olowa m'malo opangidwa kuti athane ndi vuto la mafupa ndi zovuta kukonza.

Ubwino ndi Zofooka za Cemented Prosthesis Systems

Ubwino Wachikulu Wa Kukhazikika Kwa Cemented

• Kukhazikika kwachangu kwamakina panthawi ya opaleshoni

• Kukonzekera kodziwikiratu kwa odwala omwe ali ndi mafupa osauka

• Kuchepetsa chiopsezo cha kuyambika kwa implant micromotion kapena kusamuka

• Zotsatira zachipatala zotsimikiziridwa zazitali

Zowopsa Zokhudzana ndi Simenti ndi Zovuta Zaukadaulo

Ngakhale zabwino zake, kukonza simenti kumalumikizidwa ndi zoopsa zina, kuphatikiza simenti yoyika implantation, kutenthedwa kwamafuta panthawi ya polymerization, komanso kuwonjezereka kwaukadaulo pakukonzanso njira. Zoopsazi zimachepetsedwa kwambiri pamene ndondomeko zoyenera zopangira simenti ndi njira zopangira opaleshoni zimatsatiridwa.

Njira Yopangira Opaleshoni ndi Njira Zabwino Kwambiri Zopangira Cemented Prosthesis

Njira zamakono zopangira simenti zimagwira ntchito yofunika kwambiri pakuwongolera mphamvu zokhazikika komanso zotsatira zanthawi yayitali. Njira zazikuluzikulu ndikukonzekeretsa bwino ngalande, kusakaniza kotsekera kwa simenti ya mafupa, ndikuwongolera kukakamiza kwa simenti kuti kulowetsedwe m'mafupa olephera.

Njira izi nthawi zambiri zimagwiritsidwa ntchito modzipereka zida zopangira opaleshoni za mafupa zolowetsa m'malo olowa , zomwe zimathandiza kuonetsetsa kuti zikugwirizana komanso kuberekana panthawi yoikamo.

Kutsiliza: Kodi Simenti Yopangidwa Ndi Simenti Ndi Yoyenera Liti?

Ma prosthes okhala ndi simenti amakhalabe njira yodalirika komanso yovomerezeka yachipatala popanga opaleshoni yolowa m'malo. Pamene zifukwa zenizeni za odwala-monga ukalamba, kuchepa kwa mafupa, kapena kufunikira kwa kukhazikika kwachangu pambuyo pa opaleshoni-zilipo, kukonza simenti kumapitirizabe kugwira ntchito yofunika kwambiri m'machitidwe amakono a mafupa.

M'malo mosinthidwa ndi makina opanda simenti, ma prostheses omangika asintha limodzi ndi kupita patsogolo kwaukadaulo wa maopaleshoni ndi kamangidwe ka implants, kusungitsa kufunika kwawo mu arthroplasty yamakono.

Mafunso Okhudza Cemented Prosthesis

Kodi prosthesis yomangidwa ndiyabwino kwa odwala okalamba?

Kukonzekera kwa simenti nthawi zambiri kumakonda kwa odwala okalamba chifukwa kumapereka kukhazikika kwachangu ndipo sikudalira ingrowth ya mafupa, yomwe ingakhale yochepa chifukwa cha kuchepa kwa mafupa.

Kodi prosthesis ya simenti imatha nthawi yayitali bwanji?

Ndi kusankha koyenera kwa odwala komanso njira yoyenera ya opaleshoni, ma prostheses omangidwa amatha kugwira ntchito bwino kwa zaka 15-20 kapena kupitilira apo.

Kodi ma prosthes omangidwa ndi simenti angawunikidwenso ngati kuli kofunikira?

Inde. Ngakhale maopaleshoni okonzanso atha kukhala ovuta kwambiri chifukwa chochotsa simenti, ma prostheses omangidwa amatha kukonzedwanso bwino pogwiritsa ntchito njira zomwe zakhazikitsidwa.

Kodi simenti ya fupa ndi yotetezeka kuti ikayikidwe kwa nthawi yayitali?

Simenti ya mafupa yachipatala yakhala ikugwiritsidwa ntchito pa opaleshoni ya mafupa kwa zaka zambiri ndipo imakhala ndi mbiri yotetezedwa bwino ikagwiritsidwa ntchito molingana ndi miyezo yachipatala.

Kodi kukonza simenti kumalola kunyamula zolemera msanga?

Inde. Ubwino umodzi wofunikira pakukhazikitsa simenti ndikukhazikika kwamakina, komwe nthawi zambiri kumathandizira kusonkhanitsa ndi kukonzanso koyambirira.

Kodi kukonza simenti kumagwiritsidwabe ntchito kwambiri masiku ano?

Mwamtheradi. Kukonza simenti kumakhalabe njira yovomerezeka komanso yovomerezeka m'njira zambiri zosinthira chiuno ndi mawondo padziko lonse lapansi.

Kodi ndi zinthu ziti zomwe zimakhudza kusankha pakati pa zomangira za simenti ndi zopanda simenti?

Ubwino wa mafupa, msinkhu wa odwala, msinkhu wa ntchito, zochitika za anatomical, ndi zolinga za opaleshoni zonse zimagwira ntchito yofunika kwambiri pozindikira njira yoyenera yokonzekera.

Kodi ma prostheses omangidwa angagwiritsidwe ntchito pokonzanso maopaleshoni olowa m'malo?

Inde. Machitidwe a simenti amagwiritsidwa ntchito nthawi zambiri pokonzanso, makamaka pamene kuwonongeka kwa mafupa kumachepetsa mphamvu ya kukonza kwachilengedwe.