Uma uphuka ingalo noma umlenze, odokotela bafaka i-plaster cast kuyo, akunjalo? Ngokuvamile, ngemva kwesikhashana, amathambo azophola futhi aphinde ahlangane kahle. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi kudlula isikhathi esingakanani, amathambo ngeke ahlangane kahle. Noma uma ithambo lichotshoziwe engozini enkulu, umzimba ngokwawo awukwazi ukuvala isikhala. Yilapho odokotela bekhuluma khona 'ngokufakelwa kwamathambo '. Nakuba kungase kuzwakale kusabisa, empeleni lokhu kuyindlela ebaluleke kakhulu yokuhlinzwa esiza umzimba wethu. Ake sixoxe ngakho kalula.
Kalula nje, kuyini ukufakelwa kwamathambo?
Cabanga ukuthi kukhona imbobo enkulu odongeni lwendlu yakho. Sisebenzisa izinto ezifana nosimende nezitini ukugcwalisa leyo mbobo, akunjalo? Yilokho okufanayo nalokhu. Ukufakelwa kwamathambo inqubo yokuhlinzwa ehilela ukufaka esikhundleni sethambo eliphukile, elibuthakathaka, noma elilahlekile ngelinye ithambo noma into yokwenziwa esebenza ngendlela efanayo nalelo thambo ukuze liphulukiswe.
Lokhu kunezinhloso ezimbili eziyinhloko:
1. Ukunikeza amandla engeziwe nokusekelwa: Uma lesi sitho sifakwa esikhaleni sethambo elibuthakathaka, silinika amandla amasha. Kufana nokufaka i-prop ethanjeni eliphukile.
2. Kukhuthaza ukukhula kwamangqamuzana amasha amathambo: Lo mhlume usebenza njengesikafula. Amaseli akha amathambo emzimbeni angakhula eceleni kwesikafula, agcwalise isikhala, bese eqala ukwakha ithambo elisha. Ngokuhamba kwesikhathi, umhlume kanye nethambo lakho elikhona lihlangana ndawonye, lakha ithambo elilodwa eliqinile.
Kukuziphi izimo lapho lolu hlobo lokuhlinzwa ludingeka khona?
Kunezizathu eziningana zokuthi kungani kungadingeka ukufakelwa kwamathambo. Isizathu esiyinhloko ukuthi amanxeba awapholi kahle.
Izinkinga zokuphulukisa ukuphuka kwamathambo
Ngezinye izikhathi uma ithambo liphukile, alipholi njengoba kulindelekile. Lokhu kungenzeka ngezindlela ezintathu eziyinhloko:
- Ukuhlangana okulibazisekile: Lapho ithambo lithatha isikhathi eside kakhulu kunokujwayelekile ukuphola.
- I-Malunion: Izingcezu ezimbili zethambo zihlanganiswa endaweni engaqondile noma engalungile.
- Ukungabi yinhlangano: Lapho izingcezu ezimbili zethambo zingapholi ndawonye, kungakhathaliseki ukuthi isikhathi eside kangakanani, okushiya isikhala phakathi kwazo.
Ezimweni ezinjengalezi, kudingeka i-graft ukuze kugcwaliswe isikhala futhi kukhuthazwe ukukhula kwamathambo.
Ezinye izizathu
Ngaphezu kokuphuka kwamathambo, lokhu kuhlinzwa kungadingeka kwezinye izimo eziningana:
- Ezinye izifo zamathambo: Ezifweni ezifana ne -osteonecrosis, lapho igazi eliya emathanjeni lilahleka khona futhi amathambo efa, nasezimweni ezifana nomdlavuza wamathambo.
- Ukutheleleka Kwamathambo (i-Osteomyelitis): Uma ingxenye yethambo ibhujiswa ngenxa yokutheleleka okukhulu, leyo ngxenye iyasuswa bese isikhala sigcwaliswa.
- Izinkinga zokuzalwa: Abanye abantu bangazalwa benomehluko wobude bezitho. Le ndlela isetshenziselwa nokulungisa izimo ezifana nethambo elincane kakhulu lesilevu.
- Ukuqinisa umhlathi ngaphambi kokufakelwa kwamazinyo: Ngaphambi kokuba umuntu afakelwe umjovo wamazinyo, uma umhlathi wakhe ungaqinile ngokwanele ukuwusekela, kwenziwa i-graft encane yamathambo ukuze iqiniswe.
- Ukuhlinzwa kokufakelwa kwamalunga: Uma amalunga okwenziwa, njenge-hip joint noma i-knee joint, efakwa emzimbeni, kudingeka ukukhula okwengeziwe kwamathambo ukuqinisekisa ukuthi angena kahle emathanjeni omzimba.
- Ukuhlanganiswa komgogodla: Ekuhlinzeni kokuhlanganiswa komgogodla, lezi zifakelo zivame ukusetshenziselwa ukuhlanganisa nokuqinisa amathambo.
- Izingozi ezinkulu: Uma ithambo liphuka libe yizicucu engozini enkulu, lokhu kubalulekile ukuze kwakhiwe kabusha izingxenye ezilahlekile.
Yiziphi izindlela eziyinhloko zokufakelwa amathambo?
Udokotela uzokhetha indlela efanele wena ngokusekelwe ezicini eziningi, njengesimo sakho kanye nobukhulu bendawo edinga ukufakwa kwe-implant. Kunezindlela eziningana eziyinhloko.
| Uhlobo lwe-Graft | Kwenzekani lapha? (Kalula nje) |
|---|---|
| I-Autograft (i-graft etholwe kuwe) | Lena indlela ephumelela kakhulu. Kuhilela ukuthatha ingxenye encane yethambo kwenye ingxenye yomzimba wakho, ngokuvamile i-iliac crest, bese uyitshala endaweni oyifunayo. Umzimba uyakwamukela lokhu kalula ngoba kuyingxenye yawo. Kodwa-ke, kudinga ukusikwa okwengeziwe, futhi kungase kube nobuhlungu isikhashana lapho ithambo lithathwe khona. |
| I-Allograft (ukufakelwa komunye umuntu) | Lokhu kuhilela ukusebenzisa ithambo elivela kumuntu oshonile onikelayo. Lawa ayahlanzwa, ahlanzwe amagciwane, futhi agcinwe ngokuphephile emabhange amathambo ngaphansi kwemithetho eqinile yezempilo. Inzuzo yale ndlela ukuthi akudingeki wenze noma yikuphi ukusikeka kwenye indawo emzimbeni wakho. Le ndlela ivame ukusetshenziswa ekuhlinzeni umgogodla. |
| I-Bone Marrow Aspirate | Umnkantsha wamathambo ngaphakathi kwamathambo ethu uqukethe amaseli e-stem akhethekile asiza ukukhula kwamathambo. Kule nqubo, inani elincane lomnkantsha wamathambo lithathwa ethanjeni lakho lesinqe kusetshenziswa inaliti bese lisetshenziswa lodwa noma lixutshwe nelinye i-graft ukuze kusheshiswe ukuphulukiswa kwamathambo. |
| Ukufakelwa Kwamathambo Okwenziwa | Lezi izinto zokwenziwa ezilungiselelwe ngokukhethekile emalabhorethri. Zenziwe ngezinto ezahlukene, kanti ezinye zinamaprotheni engeziwe asiza ukukhula kwamathambo. Njengoba zitholakala ngobuningi, ziwusizo kakhulu ekugcwaliseni izikhala ezinkulu zamathambo. Futhi akukho bungozi bokutheleleka. |
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu ukuhlinzwa okuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngakho-ke ngeke uzwe ubuhlungu. Nakhu okwenzekayo ngesikhathi sokuhlinzwa:
1. I-Anesthesia: Udokotela we-anesthesia uzokulalisa ngokuphelele.
2. Ukusikwa: Udokotela ohlinzayo usika isikhumba lapho kukhona ithambo elidinga ukufakelwa, afinyelele ethanjeni.
3. Ukulungiselela: Ithambo liyahlanzwa kahle, noma yiziphi izicubu ezonakele noma ezigulayo ziyasuswa, bese lilungiselelwa ukwamukela i-graft.
4. Ukubekwa kwe-implant: Okulandelayo, uhlobo lwe-implant olukhethiwe lufakwa esikhaleni esifanele bese luqiniswa ngamapuleti ensimbi noma izikulufo ukuze luvimbele ukuthi lunganyakazi.
5. Ukuthungwa: Ekugcineni, ukusikwa kuvalwa ngezitishi.
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi azivamile. Ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukunciphisa lezi zingozi.
- Ukopha
- Izifo
- I-appendix ayipholi kahle.
- Ubuhlungu obuhlala isikhathi eside
- Ukuphuka kwethambo elizungeze i-implant
- Ukwehluleka kwehadiwe kwamapuleti ensimbi noma izikulufo ezifakiwe
- Izibazi
Okubaluleke kakhulu: Uma ubhema, kuyisithiyo esikhulu enkambisweni yokuphulukiswa kwamathambo. I-Nicotine inciphisa ukuphakelwa kwegazi emathanjeni. Ngakho-ke, ukuqinisekisa ukuhlinzwa okuphumelelayo, kubalulekile ukuyeka ukubhema. Qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzohlala esibhedlela izinsuku ezimbalwa. Uzonikezwa imithi yokulawula ubuhlungu. Ngokuhamba kwesikhathi, umzimba wakho uzoqala ukukhula amathambo amasha nxazonke nangaphakathi kwengxenye etshaliwe. Le nqubo ingathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa, noma ngisho nonyaka.
Isikhathi sokululama sizohluka kuye ngeminyaka yakho, impilo yakho iyonke, kanye nosayizi nendawo ye-implant. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, ikakhulukazi mayelana nezikhathi zokuphumula kanye nokuthi uqale nini ukuzivocavoca.
Esikhathini esiningi, lokhu kuhlinzwa kuyaphumelela. Kodwa-ke, akuvamile ukuba kube nezinkinga ezifana nokwenqatshwa kokufakelwa, ukutheleleka, noma ukulimala kwemizwa.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha?
Uma ufika ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma unanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha.
- Ukopha ngokweqile, ukuvuvukala ngokweqile, noma ukuphuma kwegazi okungavamile okufana nobomvu endaweni yokuhlinzwa.
- Imfiva .
- Uma uzizwa ungenamizwa noma ushukuma eduze kwepenisi (i-Neuropathy).
- Uma unezinhlungu ezinzima ongeke ukwazi ukuzilawula ngisho nangemva kokuthatha imithi yobuhlungu enqunywe udokotela.
Ukufakelwa kwamathambo kuyindlela ebaluleke kakhulu yezokwelapha esiza ekubuyiseleni amathambo alimele futhi akubuyisele esimweni esijwayelekile. Asikho isidingo sokwesaba. Kukhona ithimba lodokotela abanekhono abazokhetha indlela ekufanele kakhulu futhi bakunakekele kahle. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo futhi ube nesineke ngenkathi ululama.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa kwamathambo kuyindlela yokuhlinzwa esiza umzimba ukuthi wakhe ithambo elisha ngokugcwalisa izikhala zamathambo ezingakwazi ukuzelapha ngokwazo.
- Lokhu kungenziwa kusetshenziswa ithambo elivela emzimbeni wakho (i-autograft), ithambo elivela komunye umnikeli (i-allograft), noma i-graft yokwenziwa. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Ukubekezela kubalulekile njengoba inqubo yokuphulukiswa ithatha isikhathi. Landela imiyalelo kadokotela wakho ngqo.
- Ukuze ukuhlinzwa kuphumelele, kubalulekile ukuyeka ngokuphelele ukubhema .
- Uma uqaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obukhulu, ukuvuvukala, noma ubomvu ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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