Uhlelo Lokubuyekeza Ingqikithi Yamadolo

Izincazelo	Izinto zokwakha	Isethi Yensimbi Efanisiwe
I-ACCK Femoral Condylar	I-Co-Cr-Mo Alloy	I-AK-ACCK
I-ACCK Tibial Insert	UHMWPE
I-ACCK Tibial Tray	I-Co-Cr-Mo Alloy
I-ACCK Extension Stem (Iqondile)	I-Titanium Alloy
I-ACCK Extension Stem (OffSet)	I-Titanium Alloy
I-Distal Femoral Augment	I-Titanium Alloy
I-Postererior Femoral Augment	I-Titanium Alloy
I-Tibial Augment (Kwesobunxele)	I-Titanium Alloy
I-Tibial Augment (Kwesokudla)	I-Titanium Alloy

Ukubuyekeza Isistimu Yamadolo Ephelele: Ukuthuthukisa Imiphumela Yeziguli Ezishintsha Idolo

Ukuhlinzwa okushintshwa kwamadolo kuyindlela evamile eyenziwa ukuze kuthuthukiswe ubuhlungu nokubuyisela ukusebenza ezigulini ezinezinkinga ezinzima zamadolo. Nakuba ukuhlinzwa okuningi okushintshwa kwamadolo kuphumelela, kunezimo lapho kungase kudingeke ukuhlinzwa okubukeziwe. I-revision total knee system (RTKS) iwukufakelwa okukhethekile okuklanyelwe ukuthuthukisa imiphumela ezigulini ezidinga inqubo yesibili yokubuyisela idolo.

Iyini i-Revision Total Knee System?

I-revision total knee system (RTKS) iyi-prosthetic implant eyenzelwe iziguli eziye zathola ukuguqulwa kwamadolo okuyisisekelo kodwa zidinga inqubo yesibili yokubuyisela idolo ngenxa yezinkinga noma ukwehluleka kokufakelwa. I-RTKS iyi-implant eyinkimbinkimbi kune-primary total knee system (PTKS) futhi idinga izinga eliphezulu lobuchwepheshe bokuhlinzwa ukuze ifakwe.

Ukufakelwa kwe-RTKS kunezingxenye eziningana, okuhlanganisa ingxenye yesifazane, ingxenye ye-tibial, kanye nengxenye ye-patellar. Lezi zingxenye zenziwe ngezinto ezihlukahlukene, njengensimbi, i-ceramic, noma i-polyethylene, futhi zenzelwe ukulingisa ukunyakaza kwemvelo nokuzinza kwejoyinti enempilo yamadolo.

Kudingeka nini Uhlelo Lokubuyekeza Ingqikithi Yedolo?

Ukubuyekezwa okuphelele kwesistimu yamadolo kungase kudingeke ngenxa yezizathu eziningana, okuhlanganisa ukuxegiswa kokufakelwa, ukungazinzi, noma ukuguga, ukutheleleka, noma ukulahlekelwa kwamathambo. Iziguli ezibhekana nalezi zinkinga zingadinga ukuhlinzwa okubukeziwe ukuze kuthathelwe indawo ukufakelwa nokubuyisela umsebenzi endaweni ehlangene yamadolo ethintekile.

Iziguli ezishintsha idolo eliphelele ngokuvamile zikhulile futhi zingase zibe nezinye izinkinga zezempilo ezingandisa ingozi yezinkinga. Kwezinye izimo, iziguli zingase zibe nezinkinga ngisho nangemva kokuhlinzwa okuphumelelayo kokubuyisela amadolo.

Yenziwa Kanjani Inqubo Yokubuyekeza Ingqikithi Yedolo Ledolo?

Inqubo ye-RTKS iwukuhlinzwa okuyinkimbinkimbi kunokuhlinzwa okuyisisekelo okuphelele kokushintsha idolo futhi kudinga izinga eliphezulu lobuchwepheshe bokuhlinzwa. Inqubo ngokuvamile ithatha isikhathi eside ukwenza futhi ingase ihlanganise izinyathelo ezengeziwe, ezifana nokuxhunyelelwa kwethambo noma ukusetshenziswa kwezifakelo ezikhethekile ukuze kubhekwane nokulahlekelwa noma ukungazinzi kwamathambo.

Inqubo ye-RTKS ihilela ukukhipha isifakelo esikhona bese sifaka endaweni entsha. Udokotela ohlinzayo uzohlola ngokucophelela izinga lomonakalo emadolweni athintekile futhi anqume izingxenye ezifanele zokufakelwa okufanele zisetshenziswe. Izingxenye zokufakelwa zibe sezinamathiselwa ethanjeni kusetshenziswa izikulufu, usimende, noma ezinye izindlela zokulungisa.

Izinzuzo Zohlelo Lokubuyekezwa Kwedolo Eliphelele

I-RTKS inikeza izinzuzo ezimbalwa phezu kwesistimu yamadolo eyinhloko, okuhlanganisa ukuzinza okuthuthukisiwe, ukuqina, nokuphila isikhathi eside. Ukufakelwa kwe-RTKS kuklanyelwe ukuhlinzeka ngokusekela okukhulu nokuzinza ekuhlanganyeleni kwedolo, ukunciphisa ingozi yokufakelwa ukuxega noma ukuguga.

Ukufakelwa kwe-RTKS nakho kuhlala isikhathi eside kunesistimu yamadolo ephelele futhi ingahlala iminyaka engama-20 noma ngaphezulu ngokunakekelwa okufanele nokugcinwa. Ukufakelwa kwe-RTKS kwenziwa ngezinto ezithuthukisiwe eziklanyelwe ukumelana nokuguga nokugcina amandla nokuzinza kwazo ngokuhamba kwesikhathi.

Izingozi Nezinkinga

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezingaba khona ezihlobene nenqubo ye-RTKS. Lezi zingozi zihlanganisa ukutheleleka, ukopha, amahlule egazi, ukulimala kwemizwa noma imithambo yegazi, kanye nokwehluleka kokufakelwa. Iziguli ezilandela inqubo ye-RTKS kufanele zixoxe ngalezi zingozi nodokotela wazo ohlinzayo futhi zilandele yonke imiyalelo yangemva kokuhlinzwa ngokucophelela ukuze kuncishiswe ubungozi bezinkinga.

Isiphetho

Uhlelo oluphelele lwamadolo olubuyekeziwe luyi-implant ye-prosthetic ekhethekile eyenzelwe iziguli ezidinga inqubo yesibili yokubuyisela idolo. I-RTKS inikeza izinzuzo ezimbalwa phezu kwesistimu yamadolo eyinhloko, okuhlanganisa ukuzinza okuthuthukisiwe, ukuqina, nokuphila isikhathi eside. Nakuba inqubo ye-RTKS iyinkimbinkimbi kakhulu kunokuhlinzwa okuyisisekelo kokushintshwa kwamadolo, inganikeza izinzuzo ezibalulekile ezigulini ezihlangabezana nezinkinga noma ukwehluleka kokufakelwa kabusha ngemva kokuhlinzwa kwazo kokuqala esikhundleni samadolo.

Imibuzo Evame Ukubuzwa

1. Ingabe ukubuyekezwa kwenqubo yesistimu yamadolo ibuhlungu kakhulu kunokuhlinzwa okuyisisekelo okuphelele kokushintshwa kwamadolo?

• Izinga lobuhlungu okuhlangenwe nakho ngesikhathi senqubo ye-RTKS lifana nelo lokuhlinzwa okuyisisekelo kokushintshwa kwamadolo. Kodwa-ke, iziguli ezenza inqubo ye-RTKS zingase zithole ukungakhululeki okwengeziwe ngesikhathi sokululama ngenxa yesimo esibanzi kakhulu sokuhlinzwa.

1. Kuthatha isikhathi esingakanani ukululama kusukela ekubuyekezweni kwenqubo yesistimu yedolo?

• Isikhathi sokululama esisuka kunqubo ye-RTKS singahluka kuye ngezici eziningana, njengempilo yonke yesiguli kanye nezinga lokulimala kwelunga ledolo. Ngokuvamile, iziguli zingalindela ukuchitha izinsuku ezimbalwa esibhedlela futhi amasonto ambalwa zisekhaya zilulama ngaphambi kokubuyela emisebenzini evamile.

2. Yini engingayenza ukuze nginciphise ubungozi bezinkinga ngemva kwenqubo ye-RTKS?

• Ukulandela yonke imiyalelo yangemva kokuhlinzwa ngokucophelela kubalulekile ukuze unciphise ubungozi bezinkinga ngemva kwenqubo ye-RTKS. Lokhu kuhlanganisa nokugcina indawo yokuhlinza ihlanzekile futhi yomile, ukuphuza imithi njengoba kuyalelwe, nokuhambela zonke izikhathi zokulandelela nodokotela wakho ohlinzayo.

3. Ngabe ngizodinga ukwelashwa ngokomzimba ngemuva kwenqubo ye-RTKS?

• Yebo, ukwelapha ngokomzimba ngokuvamile kudingekile ngemva kwenqubo ye-RTKS ukusiza ukubuyisela amandla nobubanzi bokunyakaza endaweni ehlangene yamadolo ethintekile. Udokotela wakho ohlinzayo uzosebenza nawe ukuthuthukisa uhlelo lokwelapha ngokomzimba olwenziwe ngokwezifiso olusekelwe ezidingweni zakho ezithile kanye nemigomo yakho.

4. Ingabe ukufakelwa kwesistimu yedolo elibukeziwe kungashintshwa uma lehluleka?

• Yebo, uma ukufakwa kwe-RTKS kwehluleka noma konakaliswa, kungashintshwa kufakwe okusha. Kodwa-ke, ukuhlinza okubukeziwe ngokuvamile kuyinkimbinkimbi kunokuhlinzwa okuyisisekelo kwamadolo futhi kungase kudinge izinqubo ezengeziwe noma amasu okubhekana nanoma yiziphi izinkinga eziwumsuka.