Chii chichachengetedza sangano yako itsva munzvimbo? Iwe unogona kunge usati wakambofunga kuti chii chakanga chiri kuchengeta chibatanidzwa chepakutanga panzvimbo, asi kuva nebatanidzwa mutsva unosimudza mubvunzo uyu. Iwe unogona kunge uine hanya nemhando yemakemikisi achashandiswa uye kuti ingakanganisa sei muviri wako.
Iyo Joint Replacement Implants Inochengetwa Nzvimbo
Kubata iyo inogadzirwa munzvimbo inonzi kugadziriswa.
Zvose zvinogadziriswa zvinoshandiswa zvinogona kugadziriswa, kana kuti zvakagadzirirwa munzvimbo, mune imwe yenzira mbiri. Zvinogona kunge zvakagadzikana-zvinokonzera mapiritsi anobvumira muviri kuti hugadzire mapfupa matsva. Kana kuti, inogona kusimbiswa panzvimbo. Kune mamwe masangano, kugadziriswa kwehuwandu kunoshandiswa, pamwe nesamende pane chimwe chikamu uye kushandisa-kukodzera pane imwe.
Dhinda-Fit kana Cementless Implants
Kushanda-kupindirana kwakagadzikana kune nzvimbo yakaoma mukati maipo mapfupa akapoteredza anogona kukura. Bhusi ndiro mhenyu mhenyu, uye sangano idzva rinogona kukurudzira iyo kuti rikure kuva mutsva, iyo inova yakachengeteka kana pane zvikwereti zvayo kuti zvikure kuva nehukama hwakasimba. Nzvimbo yepamusoro iyo inogadziriswa ine denga (grit rakaputika) kana nzvimbo yakaoma (porous coated). Iyi kubwinya kwepamusoro inobvumira bone kuti rikure kuva iyo inogadziriswa kuti ibate panzvimbo yayo. Nzvimbo yakashata yakanga isingaiti zvakafanana.
- Kubatsirika: Kubatsira kwepakiti yakanyatsogadziriswa kwakakosha ndeyokuti nekufamba kwenguva, pfupa rinotsigira zvakasimba kumisiro, zvichideredza mukana wekuisa mukati maro kusununguka.
- Kukanganisika: Kuisa-kupindira kwakagadzika kunoda fupa rakasimba rekugadzirisa, uye inofanirwa kunge yakanyatsonaka mumapfupa panguva yekuvhiyiwa. Nokudaro, kushaya simba, osteoporotic bone, kazhinji hazviregi kusungirirwa kwepine-fit fit. Kushanda-kupindirana kwakagadzikana kunodawo nguva kuti pfupa rikure kuva iyo inogadziriswa. Uyezve, kunyange nemapfupa chaiwo, zvimwe zvipembenene, zvakadai semabvi anotsiviwa, hazvigoni kuitirwa munzvimbo yakakwana pasina simenti kuti ibatisise kuiswa panzvimbo.
Cemented Implants
Cemented implants zvakare inokodzera zvakasimba mufupa. Pasi pemiti inenge iri doro rakaoma rinowanzoreva samente kana glue. Inowanzo i polymethylmethacrylate, inokurumidza-kurapa bone samende. Iri dambudziko rakaoma rinoshanda se-space-filler kana grout uye inobata iyo yakasimbiswa zvakasimba munzvimbo.
- Kubatsira: Cemented implants yakasimba pazuva ravanoiswa panzvimbo yavo sezvavanenge vambove. Izvi zvinogona kuiswa zvakanakisisa, saka zvinogona kuiswa mumusana muduku-unotsigira bone.
Ndeupi rudzi rwekugadzirisa inowanzoshandiswa?
Knee Replacement: Knee kushandiswa kunowanzonyatsoiswa munzvimbo. Vamwe vanachiremba vanogona kusarudza kuisa mapiritsi emakwikwi, zvichiwanzo pamagumo ehudyu, mune vamwe varwere. Kunyange zvakadaro, kazhinji mabheji akaiswa inomiswa.
Hip Kudzokorora: Hip inogadziriswa mapiritsi inowanzomiririra-yakagadzika pacheketi (pelvis). Nheyo (femur) inogona kunge yakaoma-yakakodzera kana ikamiswa. Nyanzvi dzakawanda dzechiremba dzinopindira-dzinokodzera kuiswa mune varwere vane simba rakasimba, uye samende kana pane kunetseka pamusoro pemafupa.
Kudzokorora Implants: Muzviitiko zvekudzokorora pamwe chete kuchinjwa (kushandiswa kwekubatanidza replacement) mamwe maitiro kunze kweavo akanyorwa pamusoro apa zvinogona kuratidzirwa.
Simba refu rinogona kudiwa uye rinogona kushandisa simbi zvishoma zvidimbu.
Kana uine mibvunzo pamusoro peiyo ichashandiswa mukuvhiya kwako, kurukura nachiremba wako.
Kunobva:
Paul W. Manner, MD. Knee Replacement Implants, American Academy of Orthopedic Surgeons, September, 2010.