TPLO ipleyiti

I-TPLO Plate: Isisombululo soCando kwi-Cranial Cruciate Ligament Injuries kwiZinja

Ukulimala kwe-Cranial cruciate ligament (CCL) yenye yezona zinto zixhaphakileyo zamathambo kwizinja. Nangona ulawulo olulondolozayo lunokusebenza, ungenelelo lotyando luhlala lufuneka ukubuyisela umsebenzi oqhelekileyo welungu kunye nokuthintela ukuphuhliswa kwe-osteoarthritis yesibini. Inkqubo ye-Tibial Plateau Leveling Osteotomy (TPLO) yindlela yotyando esekwe kakuhle ehlala isetyenziselwa ukujongana nokulimala kweCCL kwizinja. Kule nqaku, siza kuhlolisisa inkqubo ye-TPLO kunye nendima yeplate ye-TPLO ekuququzeleleni ukuphulukiswa okufanelekileyo kunye nokubuyisela.

1. Yintoni iCranial Cruciate Ligament?

I-cranial cruciate ligament (CCL) ligament elibalulekileyo lokuzinzisa elidibanisa i-femur (ithambo lethanga) kwi-tibia (ithambo le-shin) kwilungu langemva lenja. Inoxanduva lokulawula ukuhamba phambili kwe-tibia ngexesha lobunzima kunye nokuthintela ukujikeleza okugqithisileyo kwangaphakathi kwe-tibia ngexesha lomsebenzi.

2. Yintoni ebangela ukwenzakala kwe-Cranial Cruciate Ligament?

Ukulimala kwe-CCL kunokwenzeka ngenxa yesiganeko esisodwa esibuhlungu okanye njengenkqubo yokunciphisa ngokuthe ngcembe. Iintlobo ezithile, ezifana neLabrador Retrievers, i-Golden Retrievers, kunye ne-Rottweilers, zixhomekeke kukulimala kwe-CCL ngenxa yokubambisana kwamalungu abo. Ezinye izinto ezinokunyusa umngcipheko wokulimala kweCCL ziquka ukukhuluphala, ukungahambi kakuhle komzimba, kunye nokungondleki ngokwaneleyo.

3. Yintoni iNkqubo yeTPLO?

Inkqubo ye-Tibial Plateau Leveling Osteotomy (TPLO) ibandakanya ukwenza i-curved cut in top of the tibia kunye nokujikeleza i-plateau kwindawo ephezulu. Oku kutshintsha i-biomechanics yokudibanisa kunye nokuphelisa imfuno ye-CCL. I-plateau ejikelezayo iyazinziswa ngokusebenzisa ipleyiti ye-TPLO yensimbi, ekhuselwe kwithambo ngokusebenzisa izikrufu.

4. Isebenza Njani I-TPLO Plate?

I-plate ye-TPLO isebenza ukuzinzisa i-plateau ye-tibial ejikelezayo kwaye ithintele ukuba ijikeleze ibuyele kwindawo yayo yokuqala. I-plate i-contoured ukuze ihambelane nemilo ye-plateau ye-tibial kwaye ifumaneka kwiindidi ezahlukeneyo zobukhulu ukuze kuhlaliswe izigulane ezahlukeneyo. Ipleyiti yenziwe ngentsimbi ekumgangatho ophezulu okanye i-titanium alloy, enika amandla abalaseleyo kunye nokuqina.

5. Ziziphi izinto eziluncedo kwiNkqubo yeTPLO?

Inkqubo ye-TPLO ibonelela ngeenzuzo ezininzi ngaphezu kwezinye iindlela zotyando zokonzakala kwe-CCL. Ngenxa yokuba inkqubo iphelisa imfuno ye-CCL, ayixhomekeke kwizinga elifanayo lokungaphumeleli njengezinye iinkqubo. Ukongezelela, inkqubo ye-TPLO ivumela ukubuyisela ngokukhawuleza emsebenzini kwaye inomngcipheko ophantsi weengxaki.

6. Injani iNkqubo yoBuyiselo emva koTyando lwe-TPLO?

Ukuchacha emva kotyando lwe-TPLO ngokuqhelekileyo kubandakanya iiveki ezininzi zomsebenzi othintelweyo kunye nonyango lomzimba. Uninzi lwezinja ziyakwazi ukubuyela kumsebenzi wesiqhelo kwiinyanga ezintathu ukuya kwezine emva kotyando, nangona oku kunokwahluka ngokuxhomekeke kubunzima bokwenzakala kunye nenkqubo yokubuyisela inja nganye.

7. Yeyiphi imingcipheko yoTyando lwe-TPLO?

Njengayo nayiphi na inkqubo yotyando, kukho imingcipheko ehambelana notyando lwe-TPLO. Le mingcipheko inokubandakanya usulelo, ukungaphumeleli kokufakwa kwezityalo, kunye nokuphiliswa ngokungafanelekanga. Nangona kunjalo, ngokukhethwa kwesigulane esifanelekileyo kunye nobuchule botyando, umngcipheko weengxaki unokuncitshiswa.

8. Ndingafumanisa Njani Ukuba Utyando lwe-TPLO Luyilungele Inja Yam?

Ukuba inja yakho ifunyanwe inobungozi be-CCL, kubalulekile ukubonisana nodokotela wezilwanyana wezilwanyana ukuze unqume indlela efanelekileyo yonyango. Isigqibo sokuqhubeka notyando lwe-TPLO kufuneka sisekelwe kwizinto ezahlukeneyo, kubandakanywa ubunzima bokulimala, iminyaka kunye nempilo yonke yenja, kunye nokukwazi umnini ukubonelela ngononophelo olufunekayo emva kokusebenza kunye nokuvuselelwa.

9. Kufuneka Ndilindele Ntoni Ngexesha LoTyando lwe-TPLO?

Ngexesha lotyando lwe-TPLO, inja yakho iya kuba phantsi kwe-anesthesia jikelele kwaye ijongwe ngononophelo liqela lotyando. Ugqirha uya kwenza i-incision encinci kwesikhumba phezu kwe-plateau ye-tibial kwaye asebenzise izixhobo ezikhethekileyo ukwenza ukusika okufunekayo kunye nokujikeleza i-plateau kwindawo echanekileyo. Ipleyiti ye-TPLO iya kuthi ifakwe kwithambo isebenzisa izikrufu, kwaye i-incision iya kuvalwa nge-sutures.

10. Ndingayinceda Njani Inja Yam Ukuba Iphile Emva koTyando lwe-TPLO?

Emva kotyando lwe-TPLO, kubalulekile ukulandela ngokusondeleyo imiyalelo yokhathalelo lwasemva kokusebenza kwezilwanyana. Oku kunokubandakanya umsebenzi othintelweyo, unyango lomzimba, kunye namayeza okulawula iintlungu kunye nokuvuvukala. Ukubonelela ngendawo yokubuyisela ekhululekile kunye nekhuselekileyo, njengendawo yekreyiti okanye indawo yokuvalelwa, kunokunceda ukukhuthaza ukuphilisa kunye nokuthintela ukulimala okuqhubekayo.

11. Yintoni iPrognosis yexesha elide emva koTyando lwe-TPLO?

I-prognosis yexesha elide yezinja ezenza utyando lwe-TPLO ilungile. Uninzi lwezinja ziyakwazi ukubuyela kumanqanaba omsebenzi oqhelekileyo kwaye ziphucule ukusebenza ngokudibeneyo emva kotyando. Nangona kunjalo, kubalulekile ukugcina ubunzima obunempilo kunye nokubonelela ngenkxaso edibeneyo eqhubekayo, njengezongezelelo okanye unyango oluqhelekileyo lomzimba, ukunciphisa umngcipheko wemibandela edibeneyo ezayo.

12. Zithini Iindleko zoTyando lweTPLO?

Iindleko zotyando lwe-TPLO zinokuhluka ngokubanzi kuxhomekeke kwizinto ezininzi, kubandakanywa indawo yekliniki yezilwanyana, ubungakanani kunye nohlobo lwenja, kunye nobukhulu bokulimala. Ngokomyinge, utyando lwe-TPLO lunokubiza naphi na ukusuka kwi-2,500 yeedola ukuya kwi-6,000 yeedola okanye ngaphezulu.

13. Ngaba uTyando lwe-TPLO lunokuKhutshwa yi-Inshurensi yeSilwanyana?

Iipolisi ezininzi ze-inshorensi yezilwanyana zasekhaya ziyayigubungela utyando lwe-TPLO, nangona kubalulekile ukuphonononga ngononophelo ipolisi ukuze uqonde imida yokhuseleko kunye nakuphi na ukukhutshwa. Eminye imigaqo-nkqubo inokufuna ixesha lokulinda ngaphambi kokuba i-coverage isebenze, ngoko kubalulekile ukucwangcisa kwangaphambili kwaye uqinisekise ukuba inja yakho ikhuselwe ngokufanelekileyo ngaphambi kokuba kwenzeke nayiphi na ingozi.

14. Loluphi olunye uKhetho oluFumanekayo kwi-CCL?

Nangona inkqubo ye-TPLO yenye yezona ndlela zixhaphakileyo zotyando zokulimala kwe-CCL, ezinye iinketho zinokufumaneka ngokuxhomekeke kwiimfuno zenja nganye kunye nobukhulu bokulimala. Oku kunokubandakanya ukulungiswa kwe-extracapsular yendabuko, ukuzinza kwe-suture ye-lateral, okanye ukuqhubela phambili kwe-tuberosity ye-tibial.

15. Ndingakuthintela njani ukwenzakala kwe-CCL kwiNja yam?

Nangona kungabikho konke ukulimala kwe-CCL kunokuthintelwa, kukho amanyathelo amaninzi abanini abangawathatha ukunciphisa umngcipheko wokulimala. Ukugcina ubunzima obunempilo, ukubonelela ngokuzilolonga rhoqo kunye nokulungiswa komzimba, kunye nokuqinisekisa isondlo esaneleyo kunokunceda ukugcina amalungu enja yakho esempilweni kwaye unciphise umngcipheko wokwenzakala. Ukongezelela, ukuphepha imisebenzi enempembelelo ephezulu efana nokutsiba okanye ukubaleka ngokugqithiseleyo kwiindawo ezinzima kunokunceda ukukhusela ukulimala kwe-CCL.

Ukuqukumbela, inkqubo ye-TPLO yindlela yotyando esekwe kakuhle yokujongana nokwenzakala kwe-cranial cruciate ligament kwizinja. Ukusetyenziswa kweplate ye-TPLO kusebenzela ukuzinzisa i-plateau ye-tibial ejikelezayo kunye nokuvumela ukuphulukiswa okufanelekileyo kunye nokubuyisela. Ngelixa kukho imingcipheko ehambelana nayo nayiphi na inkqubo yotyando, ngokukhetha okufanelekileyo kwesigulana kunye nokhathalelo lwasemva kotyando, inkqubo ye-TPLO inokubonelela nge-prognosis yexesha elide elihle kwizinja.