Kuti tive nekutaura nezve MAKOplasty isu tinotanga kutaura nezve unicompartmental knee arthroplasty (UKA kana kuti 'uni' yekfupi). Izvozvo zvingava izwi rinotyisa rezvokurapa, rinongoreva kushandiswa kwebasa rimwe chete remabvi (kana mabvizve kuumba kana iwe uchida kuva unyanzvi). Mabvi ane makamuri matatu: miviri (mukati memabvi), patellofemoral (pakati pemabheti evharo nevakadzi), uye lateral (kunze kwerutivi rwemabvi akabatanidzwa).
Nzira yakakurumbira ye osteoarthritis inonzi tri-compartmental arthritis inobata zvikamu zvitatu zvemadondo. Nokudaro, zvinonzwisisika kuti kuchinja kwemabvi echitendero ndiyo tri-compartmental arthroplasty inotsiva zvikamu zvitatu zvemabvi. Chikamu chediki chevanhu vane osteoarthritis yemabvi ane unicompartmental OA. Urwu urwere hwehutano hunoita pane imwe yemakamuri matatu. A UKA yakagadzirirwa kugadzirisa unicompartmental OA. UKAs inowanzogadzirirwa kugadziriswa kweArthritis yechipfuva chemukati yemabvi, zvisinei, zvigadzirwa zvitsva zvave zviripo izvo zvakananga kumabvi ekutambisa OA.
Kunyange zvazvo kurega kwemajeri ezvibhedhi OA ndiyo chiratidzo chetsika yeKU, izvi zvingasava nzira yakanakisisa kune vose varwere vane chirwere ichi. Kunyangwe UKA isarudzo inogadzikana inofanirwa nehutatu hwomunhu, hutano hunoshanda, makore, uye kuvapo kwehumwe humwe hutano husina kufanana hwemabvi (kana munhu wacho akapfugama kana kugogodza-akafugama).
Saka nezvose izvi zvisingakwanisi nei uchiwana UKA kune imwe tsika yegondo arthroplasty? Mhinduro yemibvunzo iyoyo yakaoma uye yakawanda. Nokuda kwemurwere akakwana, UKA inonzwa yakasununguka, sezvakaitwa kumwe kuongororwa kwakabvunza varwere vaiva neUKA vakaita kune rumwe rutivi uye gondo rose kune rimwe rakawanikwa.
Iye zvino zvatine zvidzidzo zvekuti 'uni' yakavharwa, nhaurirano inogona kutamira kuMAKOplasty. A MAKOplasty inongova 'uni uni' iyo inoshandiswa mukushandisa kombiyuta yekufamba uye imwe nzira yakakosha robotic. Kubatanidzwa kwekombiyuta kufamba uye ruoko rwebhobhoti kunoita kuti zvive nyore kuti chiremba chiremba aise zvikamu nenzira yakakodzera yekugadzirisa. Robotics uye kombiyuta yekutsvaga zviri nyore kutengesa kune vatengi, uye izvi zvakaita kuti MAKOplasty isarudzo yakakurumbira.
Nekutsvakurudza kwakaratidza kuti kombiyuta yekufamba mumashandiro ekubatanidza kushandiswa kunotungamirira kune kumwe kusagadzikana kwekugadzirisa magetsi, kusvika panguva iyo hapana zvidzidzo zvinoratidza kuvandudzwa kwemigumisiro yekliniki nekushandiswa kwekombiyuta iyi. Kushandiswa kwekombiyuta kunofanirwa kunoda kubvongerwa kwepini dzakawedzerwa muchikadzi uye tibia. Vamwe vanachiremba vanopikisa kuti izvi zvinoita kuti zvigone kugadzirisa kukanganisa kwemafupa iwayo. Imwe pfungwa inokosha ndeyekuti vanachiremba vane ruzivo neUKAs vanogona kuisa mu prostheses zvakabatana pasina mari yakawedzerwa uye nguva inodiwa kushandisa MAKOplasty.
Nharo yakasimba inogona kuitwa ndeyokuti kushandiswa kwekombiyuta kunobatsira avo vanovhiya vasina ruzivo. Izvi zvichabvisa 'kunze,' zvichireva nhamba shomanana ye 'unis' iyo avo vanovhiya vanoisa mune izvo zvingaguma nekugadzirisa kusina kunaka; kombiyuta yekutengesa ichaita kuti zvose zvakaiswa 'unis' zvive mumamiriro akasiyana.
Saka kana iwe uri murwere uri kure, gedhi-gadziriro, osteoarthritis yechipfuva chemukati wemabvi, zvine musoro here kuti uwane MAKOplasty? Zvakaoma kutaura, zvinoda kutaurirana kwenguva refu nechiremba wako. Uye nzira yakanakisisa inogona kunge iri kusarudza chiremba anovhiya waunovimba naye uye omurega asarudze chimbo chakakodzera iwe uye kuti anonzwa akanakidzwa nazvo. Pakupera kwezuva, chigadzirwa icho chiremba wako anonzwa achigadzikana nacho uye ane ruzivo rwakawanda kune iyo inonyanya kutungamirira kune zvakanakisisa mugumisiro. Izvo zvakanakisisa kutora ndekuita zvatinokwanisa kuti tisagumburwa kugadzirwa zvakanaka: marobhoti akanaka, asi haagoni kuita vashandi vanovhiya vakanakisisa.
> Sources:
> MAKOplasty Partial Knee Resurfacing. Patient Education. MAKO Surgical.
> MAKOplasty Partial Knee Resurfacing. Q & A.
> Journal of AAOS