Nigute ushobora guhitamo ikibuno cyiburyo

Prothèse hip ni igikoresho cyubuvuzi cyatewe kigizwe nibice bitatu: uruti rwigitsina gore, umutwe wigitsina gore nigikombe cya acetabular. Ibi bice bitatu bisimbuza ikibuno cyangiritse, kugarura umuvuduko no kugabanya ububabare kumurwayi.

01.Ni ibihe bice bigize a ikibuno?

Prothèse yibibuno igizwe nibice bitatu byingenzi:

Uruti rw'umugore

nyuma yo gukuramo umutwe wigitsina gore wumurwayi, umuyoboro wigitsina gore wumurwayi wongeye guhindurwa kandi uruti rwumugore. Uruti rwigitsina gore rushobora gushimangirwa cyangwa kudashyirwa mubikorwa (kanda tekinike ikwiye) bitewe nimyaka yumurwayi, morphologie, imvugo yamagufwa hamwe ningeso za muganga.

Umutwe wumugore

Umutwe wa serefegitura wakozwe mubyuma, polymer cyangwa ceramic ushyirwa kumurongo wo hejuru wuruti rwigitsina gore kugirango usimbuze umutwe wumugore ushaje wangiritse wakuweho.

Prothèse Acetabular (cyangwa igikoma cya prothèse)

karitsiye yangiritse kuva hejuru ya acetabulum, aho umutwe wa femorale ushaje wari uri, ukurwaho. Mu mwanya wacyo ni prothèse ya acetabula. Imiyoboro cyangwa sima irashobora gukoreshwa kugirango ifate umwanya. Imbere muri iki gikombe harimo plastiki, ceramic cyangwa ibyuma byinjira bizahuza numutwe wa prostate femorale.

22. Ni ibihe bikoresho by'ingenzi bikoreshwa muri prostate?

Prothèse yibibuno irashobora gutandukana ukurikije ibikoresho bikoreshwa mukubikora. Kugeza ubu, ibyo bikoresho birashobora gushyirwa mubice bitatu:

Ibyuma

Ibyuma bimwe na bimwe, nk'ibyuma bidafite ingese, cobalt-chromium alloy cyangwa titanium bikoreshwa mu gukora ibiti by'umugore.

Abapolisi

polyethylene, plastike ikomeye cyane nibikoresho bikoreshwa cyane kwisi. Nibintu bidafite imbaraga kandi biocompatible byinjijwe muri orthopedie mu myaka ya za 1960 nkigice cya sima ya acetabula ya sima. Muri iki gihe, ibi bikoresho biracyakoreshwa mu barwayi bamwe na bamwe, ariko ikibabaje ni uko uko igihe kigenda gihita, hari ibyago ko prothèse izashira muri plastiki, bityo ubuzima bwa protezi bukaba bugufi. Nyamara, iyi ngaruka irashobora kugabanuka kuko abarwayi bamwe bashobora kugumana iyi protezi kugeza kumyaka 30 nabandi mumyaka mike.

Oto Ifoto: PROCOTYL® L Igikombe cya Acetabular (Ibicuruzwa bito bya orthopedic byibasiwe cyane: Bihujwe na Delta Ceramic Liners na A- Urwego Rwambukiranya Polyethylene Liners)

Agace ko kugenda hagati yumutwe wigitsina gore nigikombe cyigitsina gore kirema icyo twita umwanya wo guterana. Nibice bidakomeye bya prothèse, cyane cyane mubijyanye no kwambara. Hariho ibintu bine bishoboka:

-Ceramic-polyethylene

-Ceramic-ceramic

-Metal-polyethylene

-Icyuma

Buri jambo rishyira hamwe rifite ibyiza nibibi, kandi umuganga ubaga amagufwa azahitamo guhuza ibivanze bikwiye hashingiwe kubintu byinshi, harimo imyaka yumurwayi, imyitozo ngororamubiri, hamwe n'amagufwa yihariye.

Ni ngombwa kumenya ko prothèse yicyuma muri rusange idasabwa. Ibigo bimwe na bimwe bitanga ibihingwa byiyemeje guhagarika kubigurisha muri 2010-2011, kandi ku nyungu z’abarwayi, byiyemeza kwibutsa ibyo byatewe bitakoreshejwe. Ikibazo gikomoka ku guterana amagambo hagati yibintu bitandukanye byatewe, kandi uku guterana gushobora gukuramo uduce duto duto duto twinjira mumaraso. Mu kibuno cy'ibibuno, utwo duce duto dushobora gutera allergie reaction, biganisha ku bubabare bwaho no gukomeretsa.

03. Nubuhe buryo nyamukuru bwo gutunganya prothèse yibibuno?

Prostheses irashobora gukosorwa kuri femur cyangwa acetabulum hakoreshejwe kubaga sima cyangwa kubaga amagufwa ya kabiri (tekinike idahwitse cyangwa yogusenyera). Mubisanzwe, uruti rwigitsina gore rwa sima rufitanye isano nigikombe cyigitsina gore kidahwitse. Ibiranga ubu buhanga byasobanuwe hepfo:

Ubuhanga bwo kubaga amagufwa ya sima

amagufwa ya sima yakoreshejwe ni an polimeri . Irakomera muminota 15 mugihe cyo kubikora hanyuma igashyiraho ako kanya nyuma yo gukosorwa.

Tekinike idakenewe cyangwa ikanda-ikoreshwa

Prothèse idakorewe (inkoni ya prostate cyangwa ibikombe) irahagarara nyuma yibyumweru bitandatu kugeza kuri cumi na bibiri kubera ikibazo cyo kuvugurura amagufwa. Kugirango uteze imbere amagufwa, ubuso bwa protezi busanzwe busizwe hamwe na hydroxyapatite yoroheje, imyunyu ngugu igize amagufwa. Amagufwa yegeranye amenya hydroxyapatite nkimwe mubigize hanyuma igakura vuba ikava mumagufwa ya prostate. Hydroxyapatite irashobora gukorwa muburyo bwa shimi.

04. Prothèse yo mu kibuno imara igihe kingana iki?

Ubuzima bwa serivisi ya prostate bwiyongereye mumyaka yashize: mubarwayi bari munsi yimyaka 50, umubare wabarwayi bafite prostate iracyakora nyuma yimyaka icumi yo gukoresha ni 99%.

Imibare nkiyi irashobora kugaragara mubarwayi bakuze bityo abarwayi bicaye. Kubwibyo, kubaga gusimbuza ikibuno birashobora gukorwa kubarwayi bingeri zose.

Ubuzima bwa serivisi ya prothèse buterwa ahanini nimpamvu zikurikira:

-imyaka yumurwayi, igipimo cyimibiri yumubiri nurwego rwibikorwa

-Dimetero yumutwe wa prostate

-ubwoko bwigihe cyo guterana amagambo

Mugihe cyanyuma, ni ngombwa kumenya ko kuramba kwa prothèse biterwa ahanini nuburinganire bwa prostate. Iyo imitwe yombi yumugore nigikombe cya prostate ikozwe mubyuma cyangwa ceramique, ibyiza byingenzi nigipimo gito cyo kwambara kandi birashoboka gukoresha umutwe mugari wigitsina gore, bikagabanya ibyago byo kwimurwa. Ni ngombwa kumenya ko hari ibyago byo gutatanya imyanda mumyanya ikikije protezi mugihe icyuma-cyuma-cyuma na ceramic-to-ceramic prostate bihujwe. Nubwo prothèse ceramic-ceramic ivunika munsi ya prostate yicyuma kandi irwanya isuri yivuguruza kuruta ibyuma-byuma, bigomba gukoreshwa mubwitonzi.

05. Ni izihe ngaruka ziterwa na prostate yo mu kibuno?

Usibye ingaruka zishobora guterwa no kubaga (ingaruka za anesthesia, indwara zanduye ibitaro), ibibazo bishobora kubaho:

Ingaruka zo kwimurwa

ibi nibibazo nyamukuru mubarwayi kandi ingaruka ziratandukanye mugihe. Ni hejuru cyane mumezi yambere nyuma yo kubagwa kandi igabanuka nyuma yumwaka wambere. Ihita yiyongera buhoro buhoro mugihe runaka. Hariho ibintu byinshi bishobora gutera dislokisiyo, bishobora kuba bifitanye isano numurwayi, kubagwa no guterwa, cyangwa gukurikiranwa nyuma yo kubagwa. Ibyago byo kwisubiramo byiyongera cyane nyuma yicyiciro cya mbere cyo gutandukana.

Ibyago byo kwandura

uburyo ubwo aribwo bwose bwo kubaga butwara ibyago byo kwandura, kandi iyo hashyizweho prothèse, iyi ngaruka iriyongera uko umubiri w’amahanga winjiye mu mubiri. Muri ubu buryo, sisitemu yubudahangarwa irayoborwa kandi hashyizweho agace kegereye ubudahangarwa bw'umubiri. Indwara ya bagiteri isanzwe idafite amahirwe yo kubaho irashobora gukura kuri uyu mubiri wamahanga. Izi ngaruka zo kwandura zishobora kuba nyinshi kubantu bakuze kuko bafite ubudahangarwa bw'umubiri. Ibindi bintu, nk'umubyibuho ukabije, bigora ibikorwa, cyangwa diyabete, bigabanya ubudahangarwa, no kunywa itabi, bishobora kongera ibyago byo kwandura.

Ingaruka ziterwa na allergique

bimwe mubikoresho bikoreshwa muri protezi bifite ubushobozi bwo gutera allergique.

Ibyago byo kubagwa gusubiramo

Kunanirwa, kwambara no kurira, cyangwa guturika kwa prothèse birashobora gusaba kubagwa.