Izincazelo	Izinto zokwakha	Isethi Yensimbi Efanisiwe
I-JPX Femoral Condylar	I-Co-Cr-Mo Alloy	I-AK-JPX
I-JPX Tibial Insert	UHMWPE
I-JPX Fixed Tibial Tray	I-Co-Cr-Mo Alloy
JPX Patella	UHMWPE

Uhlelo Oluyisisekelo Lwedolo Eliphelele: Uhlolojikelele

Njengoba sikhula, ingozi yezinkinga ezihlangene zamadolo iyanda, okuholela ekuhambeni okulinganiselwe kanye nobuhlungu obungapheli. I-primary total knee system (PTKS) iyinqubo yokuhlinzwa ethuthukisiwe esetshenziselwa ukufaka esikhundleni sejondolo elilimele noma eligugile nge-prosthesis. Lesi sihloko sinikeza ukubheka okujulile ohlelweni oluyinhloko lwamadolo, izingxenye zalo, kanye nenqubo yokuhlinzwa.

Iyini i-Primary Total Knee System?

Uhlelo oluyisisekelo lwamadolo luyinqubo yokuhlinzwa lapho ijoyinti elilimele lithathelwa indawo i-prosthesis, eyaziwa ngokuthi ilunga lokwenziwa. Inqubo ngokuvamile yenziwa ezigulini ezine-knee osteoarthritis, i-rheumatoid arthritis, noma abalimele ejoyintini lamadolo. I-PTKS ithatha indawo yejoyinti lonke lamadolo, okuhlanganisa i-femur (ithambo lethanga), i-tibia (i-shinbone), ne-patella (i-kneecap).

Izingxenye Zohlelo Oluyisisekelo Lwedolo Eliphelele

I-PTKS ihlanganisa izingxenye ezintathu eziyinhloko: ingxenye yesifazane, ingxenye ye-tibial, kanye nengxenye ye-patellar.

Ingxenye Yabesifazane

Ingxenye yesifazane iyingxenye ye-prosthesis ethatha indawo yokuphela kwethambo lesifazane. Ngokuvamile yenziwe ngensimbi futhi yakhelwe ukulingisa ukuma nosayizi wekhanda lemvelo lesifazane.

Ingxenye ye-Tibial

Ingxenye ye-tibial ithatha indawo ephezulu yethambo le-tibia, futhi ngokuvamile yenziwe ngenhlanganisela yensimbi nepulasitiki. Yenzelwe ukulingisa ukuma kwethafa lemvelo le-tibial.

Ingxenye ye-Patellar

Ingxenye ye-patellar ithatha indawo ye-kneecap ehlangana ne-femur. Ngokuvamile kwenziwa ngepulasitiki.

Inqubo Yokuhlinza

Inqubo ye-PTKS ivamise ukwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi ithatha cishe amahora amabili ukuqeda. Udokotela ohlinzayo wenza imbobo ngaphambili kwedolo ukuze athole ukufinyelela ekuhlanganyeleni. I-cartilage eyonakele kanye nethambo iyasuswa, futhi izingxenye ze-femoral ne-tibial zifakwe endaweni. Ingxenye ye-patellar ngokuvamile ayishintshwa ngaphandle uma ilimele kakhulu.

Uma i-prosthesis isisendaweni, udokotela ohlinzayo uhlola ububanzi bokunyakaza kwedolo elihlangene, futhi i-incision ivaliwe nge-sutures noma i-staples. Isiguli sibe sesiyiswa egunjini lokululama futhi siqashwe ngeso lokhozi uma kukhona izinkinga.

Ukubuyisela kanye Nokuvuselela

Ngemuva kwenqubo ye-PTKS, isiguli sizochitha izinsuku ezimbalwa esibhedlela, lapho ukwelapha ngokomzimba kuzoqala khona. Umhlinzeki womzimba uzosebenza nesiguli ukuze athuthukise uhla lwazo lokunyakaza namandla ekuhlanganyeleni kwamadolo. Ngokuvamile iziguli zikwazi ukuhamba ngosizo lwezinduku noma umuntu ohamba ngezinyawo phakathi nezinsuku ezimbalwa zokuhlinzwa.

Iziguli zizoqhubeka nokwelashwa ngokomzimba ngemva kokukhishwa esibhedlela, ngokugxila ekuqiniseni imisipha ezungeze idolo. Ukululama ngokugcwele kungathatha izinyanga eziyisithupha, kodwa iziguli eziningi ziyakwazi ukuqalisa kabusha imisebenzi evamile phakathi namaviki ambalwa.

Izinzuzo Zohlelo Oluyisisekelo Lwedolo Eliphelele

Uhlelo oluyinhloko lwamadolo lunikeza izinzuzo eziningana phezu kwezinye izinqubo zokushintsha amadolo. Inikeza ukukhululeka kobuhlungu besikhathi eside, ukusebenza okuhlangene okuthuthukisiwe, nokwandisa ukuhamba. I-prosthesis nayo iqinile futhi ingahlala iminyaka engama-20, ivumela iziguli ukuba ziphile ukuphila okusebenzayo nokwanelisayo.

Izingozi Nezinkinga

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezingaba khona ezihlobene ne-PTKS. Lokhu kungabandakanya ukutheleleka, amahlule egazi, ukulimala kwezinzwa, nokwehluleka kwezimila. Nokho, lezi zingozi ziphansi uma kuqhathaniswa, futhi iziguli eziningi zinemiphumela eyimpumelelo.

Isiphetho

Uhlelo oluyisisekelo lwamadolo luyinqubo yokuhlinzwa ethuthukisiwe enikeza ukukhululeka kobuhlungu besikhathi eside kanye nokusebenza okuhlangene okuthuthukisiwe. Ngokwelashwa ngokomzimba okulungile nokuvuselelwa, iziguli zingakwazi ukuphinde zikwazi ukuhamba futhi ziphinde ziqale imisebenzi evamile. Nakuba kunezingozi ezihlobene nenqubo, izinzuzo zizidlula kude ubungozi obungaba khona. I-PTKS inezinga eliphezulu lempumelelo, futhi iziguli zingalindela ukufakelwa okuqinile okuhlala isikhathi esingafika eminyakeni engama-20.

Imibuzo Evame Ukubuzwa

1. Yisiphi isikhathi sokuthola kabusha senqubo ye-PTKS?

Isikhathi sokululama singahluka, kodwa iziguli eziningi ziyakwazi ukuqalisa kabusha imisebenzi evamile phakathi namaviki ambalwa futhi zithole ukululama okuphelele phakathi nezinyanga eziyisithupha.

2. Ingabe ikhona imikhawulo yobudala ye-PTKS?

Ayikho imingcele yobudala ye-PTKS, kodwa inqubo ivame ukwenziwa ezigulini ezinezinkinga ezinzima zamadolo, kungakhathaliseki ubudala bazo.

3. Ithatha isikhathi esingakanani inqubo ye-PTKS?

Inqubo ngokuvamile ithatha cishe amahora amabili ukuqeda.

4. I-prosthesis ihlala isikhathi esingakanani?

I-prosthesis ingahlala iminyaka engama-20 ngokunakekelwa nokunakekelwa okufanele.

5. Ingabe i-PTKS ikhokhelwa umshwalense?

Yebo, i-PTKS ivamise ukumbozwa umshwalense, kodwa kungcono ukuthi uhlole umhlinzeki wakho womshwalense kusengaphambili.