Yintoni iprothesis eyenziwe ngesamente?

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Inkcazo yeklinikhi kunye neNgcaciso yoCando ye-Cemented Prosthesis

I-prosthesis enesamente yindlela esetyenziswa ngokubanzi yokufakelwa kwamathambo kwi-joint replacement surgery. Esikhundleni sokuthembela kwi-ingrowth yamathambo e-biological, i-implant iqiniswe ngokusebenzisa i-samente yethambo-ngokuqhelekileyo i-polymethyl methacrylate (PMMA)-ukufezekisa ukulungiswa komatshini ngokukhawuleza phakathi kwe-prosthesis kunye nethambo lomkhosi.

Esi sicwangciso sokulungisa siye saqinisekiswa ngokweklinikhi amashumi eminyaka kwaye sihlala siyindlela ethembekileyo kwi-arthroplasty yanamhlanje, ngokukodwa kwizigulane zezigulane apho umgangatho wamathambo unciphisa ukusebenza kwe-press-fit okanye ukulungiswa kwe-cementless.

Umsebenzi womatshini we-Bone Cement kwi-Prosthesis Fixation

I-samente yethambo ayisebenzi njenge-adhesive biological. Endaweni yoko, isebenza njengonxibelelwano lokuhambisa umthwalo ogcwalisa izithuba ezincinci phakathi kwendawo yokufakelwa kunye nethambo elirhoxisayo. Ngokudibanisa kwesamente, uxinzelelo lusasazwa ngokulinganayo, lunciphisa i-micromotion kwi-implant-bone interface.

Oku kuzinza komatshini kubaluleke kakhulu ngexesha lokuqala emva kokusebenza, xa ukulungiswa ngokukhawuleza kuxhasa ukuhlanganiswa kwangaphambili kunye nokubuyisela ukusebenza. Ukuqonda okubanzi kokuziphatha kwesamente kunye nezixhobo, abafundi bahlala bebhekisa kwizicelo ze-samente yamathambo kwiinkqubo ezidibeneyo zokutshintshwa.

Iimpawu kunye noKhetho lwesigulana kwi-Cemented Prosthesis

Iiprofayili zesigulana zifanelene kakhulu noFakelo oluDityanisiweyo lweCemented

Iiprostheses ezenziwe ngesamente ziqhele ukucetyiswa kwizigulana esele zikhulile, abantu abane-osteoporosis, okanye abaguli abanesitokhwe esincitshisiweyo samathambo. Kwezi meko, ukufezekisa ukulungiswa okuthembekileyo kwebhayoloji ngokufakelwa kwesamente kunokuba ngumngeni.

Ukulungiswa kwesamente kunika uzinzo oluqikelelwayo kungakhathaliseki ukuba ubuninzi bamathambo, okwenza kube yinto ekhethiweyo xa ukulungiswa ngokukhawuleza kunye nokuhanjiswa komthwalo olawulwayo kuyadingeka.

Izicelo eziqhelekileyo zeklinikhi kwi-Hip kunye ne-Knee Arthroplasty

Kwi-hip arthroplasty, iziqu ze-femoral cemented zikhethwa rhoqo kwizigulane ezifuna ubunzima bokuqala okanye zikhoyo kunye nomgangatho wethambo lobufazi. Kwi-knee arthroplasty, i-tibial cemented components kunye namaqhosha e-patellar ahlala esebenza ngokusemgangathweni kwimimandla emininzi yehlabathi.

Ezi nkqubo ziqhele ukwenziwa kusetyenziswa umgangatho i-hip joint replacement prosthesis kunye iinkqubo zokutshintshwa kwamadolo ahlangeneyo , kuxhomekeke kwi-anatomy yesigulane kunye neenjongo zokuhlinzwa.

I-Cemented vs Cementless Prosthesis: Umbono weSigqibo seKlinikhi

Uzinzo lokuLungisa kunye neZiphumo zoBuyiselo kwangethuba

Enye yeenzuzo eziphambili zeeprostheses ezenziwe ngesamente kukuzinza ngokukhawuleza ukulungiswa. Izigulane zihlala ziqala ukuhlanganiswa kunye nokubuyisela kwangaphambili xa kuthelekiswa neenkqubo ezingenasimenti, ezixhomekeke kwi-osseointegration yexesha elide.

Kwizigulana ezinomgangatho ophantsi wamathambo, ukulibaziseka kokulungiswa kwebhayoloji kunokunyusa umngcipheko wokufuduka kokufakelwa kwangethuba, ukwenza ukulungiswa kwesamente kube yinto ekhuselekileyo nenokucingeleka ngakumbi.

Ukusinda kwexesha elide kunye nokuqwalaselwa ngokutsha

Ngokuhambela phambili kweendlela zokufaka isamente, ukusinda kwexesha elide kwiiprostheses ezenziwe ngesamente kuye kwafaniswa neenkqubo ezingenasimenti. Nangona kunjalo, utyando oluhlaziyiweyo lokufakelwa kwesamente kunokufuna iindlela ezongezelelweyo zokususwa kwesamente, ekufuneka ziqwalaselwe ngexesha lokhetho lokuqala lokufakelwa.

Kwiimeko ezinzima, oogqirha botyando banokuthembela ekuzinikeleni uhlaziyo lokufakela okudibeneyo endaweni eyilelwe ukujongana neziphene zamathambo kunye nemingeni yokulungiswa.

Izinto eziluncedo kunye neMida yeeNkqubo zeCemented Prosthesis

Izinto eziluncedo eziphambili zoLungiso lweCemented

• Ukuzinza ngokukhawuleza komatshini ngexesha lotyando

• Ukulungiswa okuqikelelweyo kwizigulane ezinomgangatho ophantsi wamathambo

• Ukunciphisa umngcipheko wokufakelwa kwangaphambili kwe-micromotion okanye ukufuduka

• Iziphumo zeklinikhi eziqinisekisiweyo zexesha elide

Imingcipheko eNxulumene neCement kunye nemingeni yobuGcisa

Naphezu kweenzuzo zayo, ukulungiswa kwe-cemented kuhambelana nemingcipheko ethile, kubandakanywa ne-cement implantation syndrome, imiphumo ye-thermal ngexesha le-polymerization, kunye nokwanda kobunzima bobugcisa ngexesha leenkqubo zokuhlaziya. Le mingcipheko iyancipha kakhulu xa kulandelwa iinkqubo ezifanelekileyo zesamente kunye neendlela zotyando.

Ubuchwephesha boTyando kunye neMisebenzi eGqwesileyo yeProsthesis eneCemented

Iindlela zesamente zanamhlanje zidlala indima ebalulekileyo ekwandiseni amandla okulungisa kunye neziphumo zexesha elide. Amanyathelo aphambili abandakanya ukulungiswa komsele ofanelekileyo, ukuxutywa kwe-vacuum ye-samente yamathambo, kunye nokulawulwa kwe-cement pressurization ukuphucula ukungena kwithambo elikhansela.

Ezi zixhobo ngokuqhelekileyo zenziwa kusetyenziswa ukuzinikela izixhobo zotyando lwe-orthopedic for joint replacement , ezinceda ukuqinisekisa ukuhambelana kunye nokuveliswa kwakhona ngexesha lokufakelwa.

Isiphelo: Xa iProsthesis eneCemented luKhetho oluLungileyo?

Iiprostheses ezenziwe ngesamente zihlala zisisisombululo esithembekileyo nesiqinisekisiweyo ngokweklinikhi kuqhaqho oludibeneyo. Xa izinto ezithile zesigulane-ezifana nokuguga, ukunciphisa umgangatho wamathambo, okanye isidingo sokuzinza ngokukhawuleza emva kokuhlinzwa-zikhoyo, ukulungiswa kwe-cemented kuyaqhubeka kudlala indima ebalulekileyo kwi-orthopedic yanamhlanje.

Endaweni yokutshintshwa kweenkqubo ezingenasamente, iiprostheses ezenziwe ngesamente ziye zavela ecaleni kwenkqubela phambili kubuchule botyando kunye noyilo lokufakelwa, ukugcina ukubaluleka kwazo kwi-arthroplasty yangoku.

Ii-FAQ malunga neProsthesis eneCemented

Ngaba iprothesis eyenziwe ngesamente ingcono kwizigulana esele zikhulile?

Ukulungiswa kwe-cemented kudla ngokukhethwa kwizigulane ezisebekhulile kuba kunika ukuzinza ngokukhawuleza kwaye akuxhomeki kwi-ingrowth yamathambo, enokuthi inqunyelwe ngenxa yokunciphisa amathambo.

Ingaba iprosthesis eyenziwe ngesamente ihlala ixesha elingakanani?

Ngokukhethwa kwesigulane esifanelekileyo kunye nobuchule obufanelekileyo botyando, iiprothes eziqinileyo zingasebenza ngokufanelekileyo iminyaka eyi-15-20 okanye ngaphezulu.

Ngaba iiprosthesis ezenziwe ngesamente zinokuphinda zihlaziywe ukuba kuyimfuneko?

Ewe. Nangona utyando lohlaziyo lunokuba yimfuneko ngakumbi ngokobuchwephesha ngenxa yokususwa kwesamente, iiprothesthesi ezenziwe ngesamente zinokuhlaziywa ngokukhuselekileyo kusetyenziswa ubuchule botyando obusekiweyo.

Ngaba i-samente yethambo ikhuselekile ekufakweni kwexesha elide?

I-samente yethambo ye-Medical-grade isetyenziswe kwi-orthopedic utyando amashumi eminyaka kwaye ineprofayili yokhuseleko ebhalwe kakuhle xa isetyenziswe ngokwemigangatho yeklinikhi.

Ngaba ukulungiswa kwesamente kuvumela ukuthwala ubunzima kwangoko?

Ewe. Enye yeenzuzo eziphambili zokulungiswa kwesamente kukuzinza kwangoko koomatshini, okuhlala kukuxhasa ukuhlanganiswa kwangaphambili kunye nokuvuselelwa.

Ngaba ukulungiswa kwesamente kusasetyenziswa ngokubanzi namhlanje?

Ngokuqinisekileyo. Ukulungiswa kwesamente kuhlala kungumgangatho oqhelekileyo kunye nokwamkelwa ngokubanzi kwiinkqubo ezininzi zokutshintshwa kwe-hip kunye namadolo kwihlabathi jikelele.

Zeziphi izinto eziphembelela ukhetho phakathi kweeprothesisi ezenziwe ngesamente nezingenasimenti?

Umgangatho wamathambo, ubudala besigulane, inqanaba lomsebenzi, iimeko ze-anatomical, kunye neenjongo zotyando zonke zidlala indima ebalulekileyo ekumiseleni eyona ndlela ifanelekileyo yokulungisa.

Ngaba iiprostheses ezenziwe ngesamente zingasetyenziswa kuhlaziyo lotyando lokubuyisela amalungu?

Ewe. Iinkqubo zesamente zisetyenziswa rhoqo kwiimeko zohlaziyo, ngakumbi xa iziphene zamathambo zinciphisa ukusebenza kokulungiswa kwebhayoloji.