Kubathengi abafuna ii-MOQ eziphantsi kunye nohlobo oluphezulu lwemveliso, ababoneleli beMultispecialty banikezela ngokwezifiso ze-MOQ eziphantsi, izisombululo zezothutho ukusuka ekuqaleni ukuya ekugqibeleni, kunye nokuthengwa kweendidi ezininzi, kuxhaswa ngamava abo atyebileyo kushishino kunye neenkonzo kunye nokuqonda okuqinileyo kweendlela ezintsha zemveliso.
I. Ingaba izikrufu zamathambo zihlala ngaphakathi?
Ukuba izikrufu zethambo kufuneka zigcinwe ixesha elide kuxhomekeke kuhlobo lwezinto ezisetyenziswayo kunye neemeko zomntu ngamnye:
Izikrufu zetitanium zingagcinwa ngonaphakade
I-alloy ye-titanium ihambelana kakuhle nomzimba womntu, ayizukugqwala okanye ilahlwe, kwaye ingagcinwa ubomi bonke ukuba akukho ntlungu emva kokuphola kwamathambo. Izixhobo ze-alloy ze-titanium zanamhlanje zikwaxhasa uvavanyo lwe-MRI ngamandla entsimi ayi-1.5T nangaphantsi.
Iimeko apho isikrufu kufuneka sisuswe khona:
Ukungakhululeki kwenzeka: njengentlungu, usulelo okanye ukusebenza okulinganiselweyo.
Iindawo ezikhethekileyo: ezifana ne-femur, i-tibifibular joint kunye nezinye iindawo ezisengozini yoxinzelelo.
Iimfuno zomsebenzi: Abadlali kufuneka baphephe umngcipheko wokuqhekeka koxinzelelo
Ukunganyamezelani nesinyithi: Bambalwa kakhulu abantu abanokuba nokurhawuzelelwa lusu kunye nezinye iziphumo.
Iingcebiso zabantu abakhethekileyo
Abantwana: Izikrufu ezifunxwayo zinokuthathwa njengezithintela utyando lwesibini.
Izigulane ezindala: Ukufakwa kwangaphakathi okunzulu (njengezikrufu ze-pelvic) akusoloko kufuneka kususwe.
II. Ingaba imingxunya yokubhoboza emathanjeni iyaphola?
Imingxunya emathanjeni eyenziwe kukwenzakala okanye utyando (ezifana nokuqhekeka, ukuqiniswa kwemingxunya yezikrufu, iziphene zamathambo, njl.njl.) zihlala zibuyela esiqhelweni kancinci kancinci, kodwa izinga kunye nesantya sokubuyela esiqhelweni kuxhomekeke kubukhulu, indawo, impilo yomntu ngamnye kunye neendlela zonyango. Amathambo anokukwazi ukuzilungisa, kwaye imingxunya emincinci (njengemingxunya yezikrufu) inokuzaliswa ngezicubu ezintsha zamathambo kwiinyanga ezimbalwa ukuya kunyaka emva kotyando; Iziphene ezinkulu zinokufuna ukulungiswa kwethambo okanye ukulungiswa okuncediswa yi-biomaterial.
Imigaqo esisiseko yokulungiswa kwamathambo
1. Indlela yokuvuselela amathambo: Ithambo lilungiswa ngokulinganisela okuguquguqukayo kwee-osteoblasts (ezivelisa amathambo amatsha) kunye nee-osteoclasts (ezifunxa amathambo amadala).
Imingxunya emincinci (<1cm ububanzi): Xa igazi lifumaneka ngokwaneleyo, izicubu ezintsha zethambo ziya kuzalisa kancinci kancinci kwaye ekugqibeleni zenze amathambo e-trabecular afana nesakhiwo sethambo esijikelezileyo.
Iziphene ezinkulu (umz., emva kokwenzakala okanye ukususwa kwethumba): Ukuba isiphene sidlula amandla ethambo okuzilungisa (ngesiqhelo > 2 cm), ukuphiliswa kukhuthazwa kukufakelwa kwamathambo, ukuzaliswa kwesamente, okanye izinto ezisebenzayo njenge-hydroxyapatite.
2. Ukubaluleka kokunikezelwa kwegazi: Ukuphiliswa kwamathambo kuxhomekeke ekunikezelweni kwegazi kwindawo ethile, apho iindawo ezinegazi elininzi (ezifana nesiphelo samathambo amade) ziphinda zibuyele esiqhelweni ngokukhawuleza, ngelixa iindawo ezinegazi elibi (ezifana nentamo ye-femoral) zinokuphola kancinci okanye zingapholi.
Ixesha leposi: Disemba-08-2025
