I-Prosthesis Yamadolo Enezinsika

Ngu-CAH Medical | eSichuan, eShayina

Kubathengi abafuna ama-MOQ aphansi kanye nezinhlobonhlobo zemikhiqizo ephezulu, abaphakeli be-Multispecialty banikeza ukwenza ngokwezifiso kwe-MOQ ephansi, izixazululo ze-logistics kusukela ekuqaleni kuya ekugcineni, kanye nokuthengwa kwezigaba eziningi, okusekelwa ulwazi lwabo olucebile embonini kanye nensizakalo kanye nokuqonda okuqinile kwezitayela zomkhiqizo ezisafufusa.

Ⅰ. Iyiphi indlela entsha yokushintsha idolo?

I-knee arthroplasty iwukuhlinzwa kwamathambo okuvuselela ukusebenza kwamalunga ngezitho zokufakelwa zokwenziwa ngokufaka esikhundleni sengxenye eyonakele yejoyinti ledolo, futhi kufanelekile ezigulini ezine-osteoarthritis enzima, i-rheumatoid arthritis noma ukulimala kwamalunga okubuhlungu. Ukuhlinzwa kudinga ukwenziwa ngaphansi kwe-anesthesia, okuhlanganisa nokususa izicubu ezigulayo, ukufaka i-prosthesis ngokunembile, kanye nokuqalisa kabusha ukunyakaza kwamalunga ngemva kokuhlinzwa kuhlanganiswe nokuqeqeshwa kokuvuselelwa.

1. I-Anesthesia kanye Nesikhundla Somzimba

Indlela yokubulala izinzwa: I-anesthesia yomgogodla (i-hemibody anesthesia) noma i-anesthesia ejwayelekile isetshenziswa kakhulu.

Indawo ezinzile: Isiguli silele phansi, kanti isitho esithintekile siyahlanzwa futhi siphakanyisiwe ukuze kube lula ukuchayeka endaweni yokuhlinzwa.

2. Ukusikwa kanye nokuvezwa

Kwenziwa ukusika okude (cishe amasentimitha angu-15-20) phambi kwejoyinti ledolo, bese isikhumba, i-fascia kanye nemisipha kunqunywa ungqimba ngengqimba ukuze kuvezwe umgodi wamalunga.

Susa i-meniscus eyonakele, ama-osteophyte angaphezulu kwe-trophic kanye nezicubu ze-synovial ezigulayo.

3. Ukwelashwa kobuso bethambo

Sebenzisa umhlahlandlela we-osteotomy ukuze unqume ngokunembile i-cartilage eyonakele kanye nengxenye yethambo ku-femur kanye ne-tibia ukuze ulondoloze izicubu zamathambo ezinempilo.

Kuye ngohlobo lwe-prosthesis, khetha ukuthi uzoyisusa yini indawo ye-patellar articular (iningi le-patella yokuqala ligciniwe).

4. Ukufakelwa kwe-prosthesis

Ukufakelwa okwenziwe ngosimende: Faka usimende wethambo endaweni yokuhlinzwa kwe-osteotomy, bese ulungisa ingxenye yensimbi ye-femoral, ukwesekwa kwe-tibial, kanye ne-polyethylene spacer.

Izimila ezingafakwanga ucement: Zikhuthaza ukukhula kwamathambo ngesembozo esingenazimbobo, esifanele iziguli ezinezinkinga zamathambo ezinhle.

Ⅱ.Yiziphi izinkinga zokushintsha idolo elinohinge?

Ukuhlaziywa Kwesimo: I-Rotational hinge knee arthroplasty isetshenziswa kakhulu ekulimaleni kwamalunga edolo okunokukhubazeka okukhulu noma amaphutha emisipha, futhi yize iwusizo olukhulu ezimweni ezithile, futhi inamaphutha athile.

1. Umklamo oyinkimbinkimbi: Umklamo we-hinged knee prosthesis uyinkimbinkimbi kakhulu ngoba udinga ukuhlangabezana nokunyakaza kokugoba kanye nokujikeleza.

2. Ingozi yokunyakaza: Uma kuqhathaniswa nezinye izinhlobo ze-prostheses zedolo, idolo elinohinge lingase libe namathuba amaningi okubangela ukunyakaza kwe-implant. Ngoba lidinga ukulungiswa okungcono, futhi ngesikhathi sokuhlinzwa kufanele kuqinisekiswe ukufakwa okunembile.

3. Ingozi yokutheleleka: Udokotela udala inxeba elikhulu lapho enza ukuhlinzwa, isakhiwo esiyinkimbinkimbi sedolo elinomgogodla kanye nobuso obukhulu benxeba lesiguli kungandisa ingozi yokutheleleka.

4. Ububanzi bokunyakaza obulinganiselwe: Nakuba kuvumela ukujikeleza, ububanzi bokunyakaza bungase bube nomkhawulo, okusho ukuthi kunemikhawulo ethile. Ngakho-ke i-hinged knee prothesis isebenza kuphela esimweni esithile esikhethekile.

5. Izinkomba Ezilinganiselwe: I-hinge knee arthroplasty ifaneleka kuphela ezimweni ezithile ezinzima futhi ayisebenzi kuzo zonke iziguli. Kubalulekile ukukhetha indlela efanele yokuhlinzwa ukuze ugweme imiphumela engemihle. Isinyathelo sokuqala kudokotela ukwahlulela isimo seziguli.

I-hinge knee arthroplasty inezinhlelo zokusebenza kanye nemikhawulo ehlukile. Lapho ukhetha le ndlela yokuhlinzwa, kubalulekile ukucabangela izimo ezithile zesiguli bese uhlola izingozi nezinzuzo.