Xa waphuke ingalo okanye umlenze, oogqirha bafaka iplasta kuyo, akunjalo? Ngokwesiqhelo, emva kwexesha elithile, amathambo ayaphola aze aphinde ahlangane kakuhle. Kodwa ngamanye amaxesha, nokuba kudlula ixesha elingakanani, amathambo awahambelani kakuhle. Okanye ukuba ithambo lityumkile kwingozi enkulu, umzimba ngokwawo awukwazi ukuvala loo msantsa. Kulapho oogqirha bathetha khona 'ngokufakelwa kwamathambo '. Nangona kusenokuvakala kusoyikisa, olu lutyando olubaluleke kakhulu olunceda umzimba wethu. Masithethe ngalo ngokulula.
Ngamafutshane, yintoni ukufakelwa kwamathambo?
Khawucinge ukuba kukho umngxuma omkhulu eludongeni lwendlu yakho. Sisebenzisa izinto ezifana nesamente kunye nezitena ukugcwalisa loo mngxuma, akunjalo? Yinto efanayo nale. I-bone graft yinkqubo yotyando equka ukutshintsha ithambo elaphukileyo, elibuthathaka, okanye elingekhoyo ngelinye ithambo okanye into yokwenziwa esebenza ngendlela efanayo nelo thambo ukulinceda liphile.
Oku kuneenjongo ezimbini eziphambili:
1. Ukunika amandla kunye nenkxaso eyongezelelweyo: Xa le graft ifakwa kwindawo evulekileyo kwithambo elibuthathaka, inika amandla amatsha. Kufana nokufaka iprop kwithambo elaphukileyo.
2. Ikhuthaza ukukhula kweeseli ezintsha zamathambo: Le graft isebenza njenge scaffold. Iiseli ezakha amathambo emzimbeni zinokukhula ecaleni kwe scaffold, zizalise umsantsa, kwaye ziqale ukwenza ithambo elitsha. Ekuhambeni kwexesha, i graft kunye nethambo lakho elikhoyo ziyadibana, zenze ithambo elinye eliqinileyo.
Kukweziphi iimeko apho olu hlobo lotyando lufunekayo?
Kukho izizathu ezininzi zokuba kufuneka i-bone graft. Esona sizathu siphambili kukuba ukwaphuka kwamathambo akuphili kakuhle.
Iingxaki zokuphilisa ukwaphuka kwamathambo
Ngamanye amaxesha xa ithambo laphukile, alipholi njengoko kulindelekile. Oku kunokwenzeka ngeendlela ezintathu eziphambili:
- Ukudibana okulibazisekileyo: Xa ithambo lithatha ixesha elide kunesiqhelo ukuphola.
- I-Malunion: Iziqwenga ezibini zethambo zihlanganiswa kwindawo engalunganga okanye engalunganga.
- Ukungadibani: Xa iziqwenga ezibini zethambo zingadibani, nto leyo eshiya umsantsa phakathi kwazo.
Kwiimeko ezinje, kufuneka i-graft ukuze kuvalwe umsantsa kwaye kukhuthazwe ukukhula kwamathambo.
Ezinye izizathu
Ukongeza kwiingozi, olu tyando lunokufuneka kwezinye iimeko ezininzi:
- Ezinye izifo zamathambo: Kwizifo ezifana ne -osteonecrosis, apho igazi eliya emathanjeni lilahleka kwaye amathambo ayafa, nakwiimeko ezifana nomhlaza wamathambo.
- Usulelo Lwamathambo (i-Osteomyelitis): Xa inxalenye yethambo yonakele ngenxa yosulelo olunzima, loo nxalenye iyasuswa kwaye isithuba siyavalwa.
- Iingxaki zokuzalwa: Abanye abantu banokuzalwa benomahluko kubude bemilenze. Le ndlela ikwasetyenziselwa ukulungisa iimeko ezifana nethambo elincinci kakhulu lesilevu.
- Ukuqinisa umhlathi ngaphambi kokufakelwa amazinyo: Ngaphambi kokuba umntu afakelwe umhlathi wamazinyo, ukuba umhlathi wakhe awunamandla ngokwaneleyo ukuwuxhasa, kwenziwa i-graft encinci yamathambo ukuze iqine.
- Utyando lokutshintshwa kwamalungu: Xa amalungu okwenziwa, anjenge-hip joint okanye idolo, efakwa emzimbeni, kufuneka ukukhula kwamathambo okongeziweyo ukuqinisekisa ukuba angena kakuhle emathanjeni omzimba.
- Ukuhlanganiswa komqolo: Kwiinkqubo zotyando lokuhlanganisa umqolo, ezi zifakelo zisetyenziswa kakhulu ukuhlanganisa nokuqinisa amathambo.
- Iingozi eziqatha: Xa ithambo liqhekeka libe ziingceba kwingozi eqatha, oku kubalulekile ukuze kwakhiwe kwakhona iindawo ezilahlekileyo.
Ziziphi iindlela eziphambili zokufakelwa kwamathambo?
Ugqirha uza kukhetha indlela efanelekileyo kuwe ngokusekelwe kwizinto ezininzi, ezifana nemeko yakho kunye nobukhulu bendawo efuna ukufakelwa. Kukho iindlela ezininzi eziphambili.
| Uhlobo lwe-Graft | Kwenzeka ntoni apha? (Kalula nje) |
|---|---|
| I-Autograft (i-graft efunyenwe kuwe) | Le yeyona ndlela iphumelele kakhulu. Ibandakanya ukuthatha iqhekeza elincinci lethambo kwelinye ilungu lomzimba wakho, ngokuqhelekileyo i-iliac crest, uze ulifake kwindawo oyifunayo. Umzimba uyakwamkela oku lula kuba yinxalenye yawo. Nangona kunjalo, kufuna ukusika okongezelelweyo, kwaye kunokubakho intlungu okwethutyana apho ithambo lithathwe khona. |
| I-Allograft (ukufakelwa komnye umntu) | Oku kuquka ukusebenzisa ithambo elivela kumntu oswelekelweyo. La mathambo ayacocwa, acocwe, aze agcinwe ngokukhuselekileyo kwiindawo zokugcina amathambo phantsi kwemigaqo engqongqo yezempilo. Inzuzo yale ndlela kukuba akufuneki wenze naluphi na ukusika naphi na emzimbeni wakho. Le ndlela isetyenziswa kakhulu kutyando lomqolo. |
| I-Bone Marrow Aspirate | Umongo wamathambo ngaphakathi kwamathambo ethu uneeseli ze-stem ezikhethekileyo ezinceda ukukhula kwamathambo. Kule nkqubo, inani elincinci lomongo wamathambo lithathwa kwithambo lakho lesinqe kusetyenziswa inaliti kwaye lisetyenziswe lodwa okanye lixutywe nelinye igrafti ukukhawulezisa ukuphiliswa kwamathambo. |
| Ukufakelwa Kwamathambo Okwenziwayo | Ezi zizinto ezenziwe ngokwenziwa ezilungiselelwe ngokukodwa kwiilabhoratri. Zenziwe ngezinto ezahlukeneyo, kwaye ezinye zineproteni ezongezelelweyo ezinceda ekukhuleni kwamathambo. Ekubeni zifumaneka ngobuninzi, ziluncedo kakhulu ekuzaliseni izithuba ezinkulu zamathambo. Kwaye akukho mngcipheko wosulelo. |
Kwenzeka ntoni ngexesha lotyando?
Olu lutyando oludla ngokwenziwa phantsi kwe-anesthesia jikelele. Ngoko ke awuyi kuva ntlungu. Nantsi into eyenzekayo ngexesha lotyando:
1. I-Anesthesia: Ingcali ye-anesthesia iza kukwenza ulale ngokupheleleyo.
2. Ukusikwa: Ugqirha usika ulusu apho kukho ithambo elifuna ukufakelwa khona, aze afikelele ethanjeni.
3. Ukulungiselela: Emva koko ithambo liyacocwa kakuhle, nasiphi na isicwili esonakeleyo okanye esinesifo siyasuswa, kwaye silungele ukufumana i-graft.
4. Ukubekwa kwe-implant: Okulandelayo, uhlobo lwe-implant olukhethiweyo lufakwa kwindawo efanelekileyo kwaye luqiniswe ngeepleyiti zesinyithi okanye izikrufu ukuze luthintelwe ukuba luhambe.
5. Ukuthungwa: Ekugqibeleni, isilonda sivalwa ngezititshi.
Zithini iingozi zolu tyando?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile ezibandakanyekileyo. Nangona kunjalo, ezi azixhaphakanga kakhulu. Iqela lakho lezonyango liya kwenza konke okusemandleni alo ukunciphisa ezi ngozi.
- Ukopha
- Iintsholongwane
- I-appendix ayipholi kakuhle.
- Intlungu ehlala ixesha elide
- Ukwaphuka kwethambo elijikeleze i-implant
- Ukungasebenzi kakuhle kweepleyiti zesinyithi okanye izikrufu ezifakiweyo
- Amanxeba
Eyona nto ibalulekileyo: Ukuba ungumntu otshayayo, ngumqobo omkhulu kwinkqubo yokuphiliswa kwamathambo. I-Nicotine inciphisa ukuhanjiswa kwegazi emathanjeni. Ke ngoko, ukuqinisekisa utyando oluphumelelayo, kubalulekile ukuba ungatshayi. Qiniseka ukuba uthetha nogqirha wakho ngale nto.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kuhlala esibhedlele iintsuku ezimbalwa. Uza kunikwa amayeza okulawula iintlungu. Ekuhambeni kwexesha, umzimba wakho uza kuqala ukukhula amathambo amatsha ajikeleze kwaye adlule kwinxalenye etyaliweyo. Le nkqubo ingathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa, okanye unyaka.
Ixesha lokuchacha liya kwahluka ngokuxhomekeke kwiminyaka yakho, impilo iyonke, kunye nobungakanani kunye nendawo yesixhobo sokufakelwa. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi malunga nexesha lokuphumla kunye nexesha lokuqala ukuzilolonga.
Uninzi lwexesha, olu tyando luyaphumelela. Nangona kunjalo, kunqabile ukuba kubekho iingxaki ezinjengokwaliwa kokufakelwa, usulelo, okanye umonakalo wemithambo-luvo.
Ziziphi iimpawu ezifuna ukuba ubone ugqirha ngokukhawuleza?
Xa ufika ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi, fowunela ugqirha wakho ngoko nangoko.
- Ukopha kakhulu, ukudumba kakhulu, okanye ukukhupha okungaqhelekanga okufana nobovu kwindawo yotyando.
- Ifiva .
- Ukuba uziva ungenazimvakalelo okanye urhawuzelelwa yi-penis (Neuropathies).
- Ukuba unentlungu enzima ongenakukwazi ukuyilawula nokuba sele usele amayeza okudambisa iintlungu achazwe ngugqirha.
Ukufakelwa kwamathambo yindlela ebaluleke kakhulu yezonyango enceda ekubuyiseleni amathambo onakeleyo kwaye ikubuyisele kwimeko yesiqhelo. Akukho mfuneko yokoyika oko. Kukho iqela loogqirha abanezakhono abaza kukhetha indlela ekufaneleyo kwaye bakunyamekele kakuhle. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo kwaye ube nomonde ngelixa uphola.
Umyalezo Wokuya Ekhaya
- Ukufakelwa kwamathambo yindlela yotyando enceda umzimba ukuba wakhe ithambo elitsha ngokugcwalisa izithuba zamathambo ezingenakukwazi ukuphiliswa ngokwazo.
- Oku kungenziwa ngokusebenzisa ithambo elivela emzimbeni wakho (i-autograft), ithambo elivela komnye umntu onikelayo (i-allograft), okanye i-graft yokwenziwa. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Umonde ubalulekile kuba inkqubo yokuphiliswa ithatha ixesha. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ukuze utyando luphumelele, kubalulekile ukuyeka ngokupheleleyo ukutshaya .
- Ukuba ufumana iimpawu ezilumkisayo ezifana nomkhuhlane, iintlungu ezigqithisileyo, ukudumba, okanye ubomvu emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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