Ipuleti le-TPLO

I-TPLO Plate: Isixazululo Sokuhlinzwa Sokulimala Kwe-Cranial Cruciate Ligament Ezinjeni

Ukulimala kwe-Cranial cruciate ligament (CCL) kungenye yezinkinga ezivame kakhulu zamathambo ezinjeni. Nakuba ukuphathwa ngendlela elondolozayo kungase kuphumelele, ukungenelela kokuhlinzwa kuvame ukudingeka ukuze kubuyiselwe ukusebenza kwezitho ezivamile nokuvimbela ukuthuthukiswa kwe-osteoarthritis yesibili. Inqubo ye-Tibial Plateau Leveling Osteotomy (TPLO) iyindlela yokuhlinzwa esungulwe kahle evame ukusetshenziselwa ukubhekana nokulimala kwe-CCL ezinjeni. Kulesi sihloko, sizohlola inqubo ye-TPLO kanye nendima yepuleti ye-TPLO ekwenzeni lula ukuphulukiswa nokululama okufanele.

1. Iyini i-Cranial Cruciate Ligament?

I-cranial cruciate ligament (CCL) iwumgogodla obalulekile wokuzinzisa oxhuma i-femur (ithambo lethanga) ne-tibia (ithambo lomlenze) esithweni sangemuva senja. Inesibopho sokulawula ukuhamba phambili kwe-tibia ngesikhathi sokuthwala isisindo nokuvimbela ukujikeleza kwangaphakathi okudlulele kwe-tibia phakathi nomsebenzi.

2. Yini Ebangela Ukulimala Kwe-Cranial Cruciate Ligament?

Ukulimala kwe-CCL kungase kwenzeke ngenxa yesehlakalo esisodwa esibuhlungu noma njengenqubo ewohlokayo kancane kancane. Izinhlobo ezithile, njenge-Labrador Retrievers, i-Golden Retrievers, ne-Rottweilers, zisengozini yokulimala kwe-CCL ngenxa yokuhlangana kwamalunga abo. Ezinye izici ezingandisa ingozi yokulimala kwe-CCL zihlanganisa ukukhuluphala, isimo esibi somzimba, nokungondleki okwanele.

3. Iyini Inqubo ye-TPLO?

Inqubo ye-Tibial Plateau Leveling Osteotomy (TPLO) ihilela ukwenza ukusika okugobile phezulu kwe-tibia nokuzungezisa ithafa libe sezingeni elengeziwe. Lokhu kushintsha i-biomechanics yelunga futhi kuqede isidingo se-CCL. Ithafa elizungezisiwe libe seliqiniswa kusetshenziswa ipuleti lensimbi le-TPLO, elivikelwa ethanjeni kusetshenziswa izikulufu.

4. Isebenza Kanjani I-TPLO Plate?

Ipuleti le-TPLO lisebenzela ukuzinzisa ithafa le-tibial elizungezayo futhi livimbele ukuthi lingajikezi libuyele endaweni yalo yokuqala. Ipuleti lijikijelwe ukuze lihambisane nokuma kwethafa le-tibial futhi litholakala ngobukhulu obuhlukahlukene ukuze kuhlaliswe osayizi abahlukene besiguli. Ipuleti lenziwe ngensimbi engagqwali yekhwalithi ephezulu noma i-titanium alloy, enikeza amandla amahle kakhulu nokuqina.

5. Yiziphi Izinzuzo Zenqubo ye-TPLO?

Inqubo ye-TPLO inikeza izinzuzo ezimbalwa ngaphezu kwamanye amasu okuhlinza okulimala kwe-CCL. Ngenxa yokuthi inqubo iqeda isidingo se-CCL, ayikho ngaphansi kwezinga elifanayo lokwehluleka njengezinye izinqubo. Ukwengeza, inqubo ye-TPLO ivumela ukubuyela ngokushesha emsebenzini futhi inengozi ephansi yezinkinga.

6. Injani Inqubo Yokubuyisela Ngemva Kokuhlinzwa Kwe-TPLO?

Ukululama ngemva kokuhlinzwa kwe-TPLO ngokuvamile kuhilela amasonto ambalwa omsebenzi okhawulelwe kanye nokwelashwa ngokomzimba. Izinja eziningi ziyakwazi ukubuyela emsebenzini ovamile phakathi nezinyanga ezintathu kuya kwezine ngemva kokuhlinzwa, nakuba lokhu kungase kuhluke kuye ngobunzima bokulimala kanye nenqubo yokululama yenja ngayinye.

7. Yiziphi Izingozi Zokuhlinzwa Kwe-TPLO?

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi zemvelo ezihlobene nokuhlinzwa kwe-TPLO. Lezi zingozi zingabandakanya ukutheleleka, ukwehluleka kokufakelwa, kanye nokuphulukiswa okungalungile. Kodwa-ke, ngokukhethwa okufanele kwesiguli kanye nezindlela zokuhlinza, ingozi yezinkinga ingancishiswa.

8. Nginganquma Kanjani Uma Ukuhlinzwa Kwe-TPLO Kuyilungele Inja Yami?

Uma inja yakho itholwe inokulimala kwe-CCL, kubalulekile ukubonisana nodokotela ohlinzayo wezilwane ukuze uthole inkambo engcono kakhulu yokwelapha. Isinqumo sokuqhubeka nokuhlinzwa kwe-TPLO kufanele sisekelwe ezintweni ezihlukahlukene, okuhlanganisa ubukhulu bokulimala, iminyaka kanye nempilo yonke yenja, kanye nekhono lomnikazi lokuhlinzeka ngokunakekelwa okudingekayo kwangemva kokuhlinzwa nokuvuselela.

9. Yini Okufanele Ngiyilindele Ngesikhathi Sokuhlinzwa Kwe-TPLO?

Ngesikhathi sokuhlinzwa kwe-TPLO, inja yakho izoba ngaphansi kwe-anesthesia ejwayelekile futhi iqashwe ngokucophelela ithimba labahlinzayo. Udokotela ohlinzayo uzokwenza i-incision encane esikhumbeni phezu kwe-tibial plateau futhi asebenzise izinsimbi ezikhethekile ukuze enze ukusikeka okudingekayo futhi ajikeleze i-plateau endaweni efanele. Ipuleti le-TPLO lizobe selinamathiselwe ethanjeni kusetshenziswa izikulufu, futhi ukusika kuzovalwa nge-sutures.

10. Ngingayisiza Kanjani Inja Yami Ukululama Ngemva Kokuhlinzwa Kwe-TPLO?

Ngemuva kokuhlinzwa kwe-TPLO, kubalulekile ukulandela eduze imiyalelo yokunakekelwa kwangemva kokuhlinzwa kadokotela wakho. Lokhu kungase kuhlanganise umsebenzi okhawulelwe, ukwelashwa ngokomzimba, kanye nemithi yokulawula ubuhlungu nokuvuvukala. Ukuhlinzeka ngendawo yokutakula enethezekile nephephile, njengekhreyithi noma indawo yokuvalelwa, kungasiza futhi ukukhuthaza ukuphulukiswa nokuvimbela ukulimala okwengeziwe.

11. Iyini I-Prognosis Yesikhathi Eside Ngemva Kokuhlinzwa Kwe-TPLO?

Ukubikezelwa kwesikhathi eside kwezinja ezihlinzwa i-TPLO ngokuvamile kuhle. Izinja eziningi ziyakwazi ukubuyela emazingeni okusebenza ajwayelekile futhi zithuthukise ukusebenza kwamalunga ngemva kokuhlinzwa. Kodwa-ke, kubalulekile ukugcina isisindo esinempilo futhi unikeze ukusekela okuhlangene okuqhubekayo, okufana nezithako zokudla noma ukwelashwa ngokomzimba okuvamile, ukunciphisa ubungozi bezinkinga ezihlangene zesikhathi esizayo.

12. Ziyini Izindleko Zokuhlinzwa Kwe-TPLO?

Izindleko zokuhlinzwa kwe-TPLO zingahluka kakhulu kuye ngezici eziningana, okuhlanganisa indawo yomtholampilo wezilwane, ubukhulu nohlobo lwenja, kanye nobukhulu bokulimala. Ngokwesilinganiso, ukuhlinzwa kwe-TPLO kungabiza noma yikuphi ukusuka ku-$2,500 kuya ku-$6,000 noma ngaphezulu.

13. Ingabe Ukuhlinzwa Kwe-TPLO Kungakhaviswa Umshwalense Wezilwane Zezilwane?

Izinqubomgomo eziningi zomshuwalense wezilwane ezifuywayo ziyakukhava ukuhlinzwa kwe-TPLO, nakuba kubalulekile ukuthi ubuyekeze ngokucophelela inqubomgomo ukuze uqonde imikhawulo yokufakwa kanye nanoma yikuphi ukukhishwa. Ezinye izinqubomgomo zingadinga isikhathi sokulinda ngaphambi kokuba ukufakwa kusebenze, ngakho-ke kubalulekile ukuhlela kusengaphambili futhi uqinisekise ukuthi inja yakho ifakwe umshwalense ofanele ngaphambi kokulimala okungenzeka.

14. Yiziphi Ezinye Izinketho Zokuhlinza Ezikhona Ngokulimala Kwe-CCL?

Nakuba inqubo ye-TPLO ingenye yezindlela zokuhlinza ezivame ukusetshenziswa kakhulu zokulimala kwe-CCL, ezinye izinketho zingase zitholakale kuye ngezidingo zenja ngayinye kanye nobukhulu bokulimala. Lokhu kungase kuhlanganise ukulungiswa kwe-extracapsular yendabuko, ukuqiniswa kwe-suture ye-lateral, noma ukuthuthukiswa kwe-tibial tuberosity.

15. Ngingakugwema Kanjani Ukulimala Kwe-CCL Enjeni Yami?

Nakuba kungebona bonke ukulimala kwe-CCL okungavinjelwa, kunezinyathelo ezimbalwa abanikazi abangazithatha ukuze banciphise ingozi yokulimala. Ukugcina isisindo esinempilo, ukuhlinzeka ngokuzivocavoca njalo nokuba nesimo somzimba, nokuqinisekisa ukudla okwanele kungasiza ekugcineni amalunga enja yakho enempilo futhi kunciphise ingozi yokulimala. Ukwengeza, ukugwema imisebenzi enomthelela omkhulu njengokugxuma noma ukugijima ngokweqile ezindaweni eziqinile kungasiza futhi ukuvimbela ukulimala kwe-CCL.

Sengiphetha, inqubo ye-TPLO iyindlela yokuhlinzwa esungulwe kahle yokubhekana nokulimala kwe-cranial cruciate ligament ezinjeni. Ukusetshenziswa kwepuleti ye-TPLO kusebenzela ukuzinzisa i-plateau ye-tibial ejikelezayo futhi ivumele ukuphulukiswa okufanele nokubuyisela. Nakuba kunezingozi ezihlobene nanoma iyiphi inqubo yokuhlinzwa, ngokukhethwa okufanele kwesiguli nokunakekelwa kwangemva kokuhlinzwa, inqubo ye-TPLO inganikeza ukubikezelwa okuhle kwesikhathi eside kwezinja.