Isigaba somkhiqizo
Izinsimbi zokuhlukumezeka zingamathuluzi okuhlinza akhethekile asetshenziswa ekwelapheni ukuphuka kwamathambo, ukuhlukaniswa, nokunye ukulimala okubuhlungu. Lawa mathuluzi aklanyelwe ukuhlinzeka ngokulawula okunembile kanye nokuxhaphaza amathambo, izicubu ezithambile, nezifakelo phakathi nokuhlinzwa.
Amathuluzi okuhlukumezeka ngokuvamile enziwa ngezisetshenziswa zekhwalithi ephezulu, ezihlala isikhathi eside njengensimbi engagqwali noma i-titanium ukuze kuqinisekiswe amandla amakhulu nokumelana nokugqwala.
Izibonelo zamathuluzi okulimaza zihlanganisa ukubhoboza amathambo, ama-reamers, amasaha, amapulangwe, ama-forceps, izinsimbi zamathambo, ukubamba ithambo kanye nezidladla zokunciphisa, amapuleti amathambo nezikulufu, nezixhumi zangaphandle.
Lawa mathuluzi asetshenziswa odokotela abahlinza amathambo nongoti bokuhlukumezeka ukuze balungise amathambo aphukile, balungise ukuphuka, futhi bazinzise izitho ezilimele.
Ukusetshenziswa okufanele kwezinsimbi zokuhlukumezeka kubalulekile ekuzuzeni imiphumela ephumelelayo ekuhlinzeni ukuhlukumezeka, ukunciphisa ingozi yezinkinga nokuqinisekisa ukululama kwesiguli okuphelele.
Amathuluzi okuhlukumezeka ngokuvamile enziwa ngensimbi engagqwali yekhwalithi ephezulu noma ama-titanium alloys ukuze kuqinisekiswe ukuqina kwawo, ukumelana nokugqwala, kanye nokuhambisana kwezinto eziphilayo.
Lezi zinto zikhethwa ngenxa yamandla azo, isisindo esiphansi, nokuhambisana nomzimba womuntu. Insimbi engagqwali iyikhethelo elidumile ngenxa yokuthengeka kwayo kanye nezakhiwo ezinhle zemishini, kuyilapho i-titanium ikhethwa ngenxa yesilinganiso sayo esiphakeme samandla nesisindo kanye nokuvumelana kwe-biocompatibility.
Amanye amathuluzi okuhlukumezeka angase futhi abe ne-coating noma ukwelashwa okungaphezulu ukuze kuthuthukiswe ukusebenza kwawo nokunciphisa ukuguga.
Amapuleti e-Titanium avame ukusetshenziswa ekuhlinzeni ngezizathu eziningana, kufaka phakathi:
I-Biocompatibility: I-Titanium iyimpahla evumelana ne-biocompatible, okusho ukuthi mancane amathuba okuba ibangele ukusabela okungekuhle noma yenqatshwe amasosha omzimba. Lokhu kuyenza ibe yimpahla efanelekile yokufakelwa kwezokwelapha, okuhlanganisa namapuleti amathambo.
Amandla Nokuqina: I-Titanium yaziwa ngamandla ayo nokuqina, okuyenza ibe ukukhetha okuthembekile kokufakelwa kwezokwelapha. Iphinde imelane nokugqwala, okusiza ukuqinisekisa ubude besikhathi sokufakelwa.
Ukuminyana Okuphansi: I-Titanium inokuminyana okuphansi, okusho ukuthi ilula uma iqhathaniswa nezinye izinsimbi ezinamandla afanayo. Lokhu kungasiza ekunciphiseni isisindo sonke sokufakelwa, okungase kube nenzuzo ezinqubweni ezithile zokuhlinzwa.
I-Radiopacity: I-Titanium iyi-radiopaque, okusho ukuthi ingabonakala kuma-X ray nokunye ukuhlola kwesithombe sezokwelapha. Lokhu kuvumela odokotela ukuthi baqaphe inqubo yokuphulukisa futhi baqinisekise ukuthi ukufakelwa kubekwe kahle.
Amapuleti angakhiyiki ngokuvamile asetshenziswa ezimweni lapho ukuqina okuqinile kokuphuka kwethambo kungadingeki, futhi umgomo uwukunikeza ukuzinza ethanjeni ngokuvimbela ukugudluzwa kwezingcezu zamathambo phakathi nenqubo yokuphulukisa.
Zingasetshenziswa futhi ezimweni lapho kukhona ukulahlekelwa okukhulu kwamathambo noma ukuhlukana (ukuhlukaniswa) kwethambo, njengoba amapuleti angavali angasiza ukubamba izingcezu ndawonye ngenkathi ithambo liphulukisa.
Amapuleti angakhiyiwe avame ukusetshenziswa ekuhlinzeni kwamathambo njengokulungisa ukuphuka, ukwakhiwa kabusha kwamathambo, nokwakha kabusha amalunga.
I-bone plate iyisisetshenziswa sezokwelapha esisetshenziswa ekuhlinzeni amathambo ukulungisa amathambo aphukile. Isebenza ngokuhlinzeka ngokusekela okuzinzile nokulungiswa kwezingcezu zamathambo, okuzivumela ukuba ziphulukise kahle.
Ipuleti lethambo linamathiselwe ngaphezulu kwethambo kusetshenziswa izikulufu noma ezinye izinto zokulungisa, ezibamba izingcezu zamathambo endaweni. Ipuleti lisebenza njengesakhiwo sokuzinzisa, livimbela ukunyakaza okuqhubekayo kwezingcezu zamathambo, futhi livumele ithambo ukuba liphole ngaphandle kokulimala okwengeziwe.
I-bone plate isebenza ngokudlulisa ukucindezeleka nomthwalo othwala isisindo kusuka ethanjeni kuya epuletini, bese kuya ezicutshini ezizungezile. Lokhu kusiza ekuvimbeleni ithambo ukuba lingagobi noma liphuke ngaphansi kokucindezeleka, okunganciphisa noma kuvimbele ukuphulukiswa okufanele kwamathambo. Uma ithambo selipholile, ipuleti nezikulufi zingakhishwa uma kunesidingo.
Imikhiqizo