Iyini i-prosthesis eyenziwe ngosimende?

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Incazelo Yomtholampilo kanye Nomqondo Wokuhlinza we-Cemented Prosthesis

I-prosthesis enosimende iyindlela esetshenziswa kakhulu yokufaka i-orthopedic implant ekuhlinzeni okuhlangene. Esikhundleni sokuthembela ekungeneni kwethambo lebhayoloji, ukufakwa kuzinziswa kusetshenziswa usimende wethambo-imvamisa kakhulu i-polymethyl methacrylate (PMMA) -ukufeza ukulungiswa komshini ngokushesha phakathi kwe-prosthesis nethambo lomsingathi.

Leli su lokulungisa liye laqinisekiswa ngokomtholampilo amashumi eminyaka futhi lihlala liyindlela enokwethenjelwa ku-arthroplasty yesimanje, ikakhulukazi emiphakathini yeziguli lapho ikhwalithi yamathambo ikhawulela ukusebenza kokuqina komshini noma ukulungiswa okungenasimende.

Umsebenzi Wemishini Ye-Bone Cement ku-Prosthesis Fixation

Usimende wethambo awusebenzi njenge-adhesive yezinto eziphilayo. Kunalokho, isebenza njengesixhumi esibonakalayo sokudlulisa umthwalo esigcwalisa izikhala ezincane phakathi kwendawo yokufakelwa kanye nethambo elikhansela. Ngokuhlangana kukasimende, izingcindezi zisatshalaliswa ngokulinganayo, kunciphisa ukuhamba kwe-micro ku-interface ye-implant-bone.

Lokhu kuzinza kwemishini kubaluleke kakhulu phakathi nenkathi yokuqala yangemva kokuhlinzwa, lapho ukulungiswa ngokushesha kusekela ukuhlanganisa kusenesikhathi kanye nokululama kokusebenza. Ukuze uthole ukuqonda okubanzi kokuziphatha kukasimende nezinto zokwakha, abafundi bavame ukubhekisela ekusetshenzisweni kwamathambo usimende kumasistimu okubuyisela ahlangene.

Izinkomba kanye Nokukhethwa Kwesiguli Kwe-Cemented Prosthesis

Amaphrofayili Esiguli Afaneleka Kakhulu Izimila Ezihlanganisiwe Ezihlanganisiwe

Ama-prostheses anosimende avame ukutuswa ezigulini esezikhulile, abantu abane-osteoporosis, noma iziguli ezinamathambo ancishisiwe. Kulezi zimo, ukuzuza ukulungiswa okuthembekile kwebhayoloji ngezifakelo ezingenasimende kungaba inselele.

Ukulungiswa okufakwe usimende kunikeza ukuzinza okubikezelwe kungakhathaliseki ukuthi amathambo angakanani, okwenza kube inketho ekhethwayo lapho ukulungiswa okusheshayo nokudluliselwa komthwalo olawulwayo kuyadingeka.

Izicelo Zomtholampilo Ezijwayelekile ku-Hip and Knee Arthroplasty

Ku-hip arthroplasty, iziqu zesifazane eziqinile zivame ukukhethwa ezigulini ezidinga ukuthwala isisindo ngaphambi kwesikhathi noma ezikhona ezinekhwalithi yethambo lesifazane elisengozini. Ku-knee arthroplasty, izingxenye ze-tibial ezihlanganisiwe nezinkinobho ze-patellar zihlala zingumkhuba ojwayelekile ezifundeni eziningi emhlabeni jikelele.

Lezi zinqubo zivame ukwenziwa kusetshenziswa okujwayelekile i-hip joint replacement prosthesis kanye izinhlelo zokushintshwa kwamadolo ahlangene , kuye ngokuthi isiguli anatomy kanye nezinjongo zokuhlinzwa.

I-Cemented vs Cementless Prosthesis: Umbono Wesinqumo Somtholampilo

Ukuzinza Kokulungisa kanye Nemiphumela Yokuvuselela Kwangaphambi kwesikhathi

Enye yezinzuzo eziyinhloko zama-prostheses anosimende ukuzinza kokulungisa ngokushesha. Iziguli zivame ukuqala ukuhlanganisa nokuvuselela ngaphambi kwesikhathi uma kuqhathaniswa nezinhlelo ezingenasimende, ezincike ekuhlanganiseni kwe-osseointegration yesikhathi eside.

Ezigulini ezinekhwalithi ephansi yamathambo, ukulungiswa kwebhayoloji okubambezelekile kungase kwenyuse ingcuphe yokufuduka kwangaphambi kwesikhathi kokufakelwa, okwenza ukulungiswa kukasimende kube inketho ephephile nengabikezelwa.

Ukusinda Kwesikhathi Eside Nokucatshangelwa Kokubuyekeza

Ngokuthuthuka kwezindlela zikasimende, ukusinda isikhathi eside kwezitho zokwenziwa zikasimende sekufaniswa nezinhlelo ezingenasimende. Kodwa-ke, ukuhlinzwa okubukeziwe kokufakwa kukasimende kungase kudinge amasu engeziwe okukhipha usimende, okufanele kucatshangelwe lapho kukhethwa ukufakwa kokuqala.

Ezimweni eziyinkimbinkimbi, odokotela abahlinzayo bangase bathembele ekuzinikeleni izimila ezihlanganisiwe zokubuyisela eziklanyelwe ukubhekana nokukhubazeka kwamathambo kanye nezinselele zokulungisa.

Izinzuzo kanye nemikhawulo ye-Cemented Prosthesis Systems

Izinzuzo Eziyinhloko Zokulungiswa Okusikiwe

• Ukuzinza okusheshayo kwemishini ngesikhathi sokuhlinzwa

• Ukulungiswa okubikezelwayo ezigulini ezinekhwalithi ephansi yamathambo

• Ingozi encishisiwe ye-micromotion yokufakelwa kwangaphambi kwesikhathi noma ukufuduka

• Imiphumela yomtholampilo yesikhathi eside efakazelwe

Izingozi Ezihlobene Nosimende kanye Nezinselele zobuchwepheshe

Naphezu kwezinzuzo zako, ukulungiswa kukasimende kuhlotshaniswa nezingozi ezithile, okuhlanganisa i-syment implantation syndrome, imiphumela yokushisa ngesikhathi se-polymerization, nokwanda kobunzima bezobuchwepheshe phakathi nezinqubo zokubuyekeza. Lezi zingozi zincishiswa kakhulu lapho kulandelwa imigomo efanele yokufaka usimende kanye namasu okuhlinza.

Isu Lokuhlinza kanye Nemikhuba Engcono Kakhulu Ye-Cemented Prosthesis

Izindlela zesimanje zikasimende zidlala indima ebalulekile ekwandiseni amandla okulungisa kanye nemiphumela yesikhathi eside. Izinyathelo ezibalulekile zihlanganisa ukulungiswa kahle komsele, ukuxutshwa kwe-vacuum kasimende wamathambo, nokucindezela kosimende okulawulwayo ukuze kuthuthukiswe ukungena ethanjeni elikhansela.

Lezi zinqubo ngokuvamile zenziwa kusetshenziswa ukuzinikela amathuluzi okuhlinza amathambo okubuyisela amalunga , asiza ukuqinisekisa ukuvumelana nokukhiqizwa kabusha ngesikhathi sokufakela.

Isiphetho: Ngabe i-Cemented Prosthesis iyisinqumo esifanele nini?

Izitho zokufakelwa zikasimende zihlala ziyisixazululo esinokwethenjelwa nesiqinisekiswa ngokomtholampilo ekuhlinzweni okuhlangene. Lapho izici eziqondene nesiguli-ezifana nokuguga, ikhwalithi yamathambo encishisiwe, noma isidingo sokuzinza ngokushesha ngemva kokuhlinzwa-zikhona, ukulungiswa kwe-cemented kuyaqhubeka nokudlala indima ebalulekile ekusebenzeni kwamathambo kwanamuhla.

Esikhundleni sokushintshwa ngamasistimu angenasimende, izitho zokufakelwa zikasimende ziye zavela ngokuhambisana nenqubekelaphambili yendlela yokuhlinza kanye nomklamo wokufakelwa, okugcina ukuhambisana kwazo ku-arthroplasty yesimanje.

Imibuzo Evame Ukubuzwa Mayelana Ne-Cemented Prosthesis

Ingabe i-prosthesis eyenziwe ngosimende ingcono ezigulini esezikhulile?

Ukulungiswa kukasimende kuvame ukukhethwa ezigulini esezikhulile ngoba kunikeza ukuzinza okusheshayo futhi akunciki ekungeneni kwethambo, okungase kukhawulelwe ngenxa yokuncipha kwamathambo.

I-prosthesis eyenziwe ngosimende ngokuvamile ihlala isikhathi esingakanani?

Ngokukhetha okufanele kwesiguli kanye nezindlela ezifanele zokuhlinza, izitho zokufakelwa zikasimende zingasebenza ngempumelelo iminyaka eyi-15-20 noma ngaphezulu.

Ingabe izitho zokufakelwa zikasimende zingabuyekezwa uma kunesidingo?

Yebo. Nakuba ukuhlinza okubukeziwe kungase kudinge kakhulu ngenxa yokususwa kukasimende, izitho zokufakelwa zikasimende zingabuyekezwa ngokuphepha kusetshenziswa amasu okuhlinza asemisiwe.

Ingabe usimende wamathambo uphephile ekufakweni isikhathi eside?

Usimende wamathambo wezinga lezokwelapha usetshenziselwe ukuhlinza amathambo amashumi eminyaka futhi unomlando wokuphepha obhalwe kahle uma usetshenziswa ngokwezindinganiso zomtholampilo.

Ingabe ukulungiswa kukasimende kuvumela ukuthwala isisindo kusenesikhathi?

Yebo. Enye yezinzuzo ezibalulekile zokulungiswa kukasimende ukuzinza okusheshayo kwemishini, okuvame ukusekela ukuhlanganisa nokuvuselelwa kwangaphambili.

Ingabe ukulungiswa kukasimende kusasetshenziswa kabanzi namuhla?

Nakanjani. Ukulungiswa okufakwe usimende kuhlala kuwumkhuba ojwayelekile futhi owamukelwa kabanzi ezinqubweni eziningi zokushintshwa kwe-hip namadolo emhlabeni jikelele.

Yiziphi izici ezithonya ukukhetha phakathi kwezitho zokwenziwa zikasimende nezingenasimende?

Ikhwalithi yamathambo, iminyaka yesiguli, izinga lomsebenzi, izimo ze-anatomical, nezinhloso zokuhlinza zonke zidlala indima ebalulekile ekunqumeni indlela yokulungisa efaneleke kakhulu.

Ingabe izitho zokufakelwa zikasimende zingasetshenziswa ekubuyekezweni kokuhlinzwa okuhlangene?

Yebo. Amasistimu anosimende avame ukusetshenziswa ezimweni zokubuyekeza, ikakhulukazi lapho ukukhubazeka kwamathambo kunciphisa ukusebenza kahle kokulungiswa kwezinto eziphilayo.