Ukuxhunyaniswa kwamathambo

Ukuxhunyaniswa kwamathambo ukuhlinzekwa ukufaka amathambo noma amathambo amasha esikhundleni sezikhala ezungeze ithambo eliphukile noma ukukhubazeka kwethambo.

Ukuxhunyelelwa kwamathambo kungathathwa ethanjeni lomuntu eliphilile (lokhu kubizwa nge-autograft). Noma, ingathathwa ethanjeni elifriziwe, elinikelwe (i-allograft). Kwezinye izimo, kusetshenziswa indawo yamathambo enziwe ngesandla (yokwenziwa).

Uzobe ulele futhi ungezwa buhlungu (i-anesthesia ejwayelekile).

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo usika ukushiyeka kwethambo. Ukuhlanganiswa kwamathambo kungathathwa ezindaweni ezisondelene nokukhubazeka kwethambo noma ngokuvamise kakhulu okhalweni. Ukuxhunyaniswa kwamathambo kubunjwe futhi kufakwe ngaphakathi nendawo ezungezile. Ukuhlanganiswa kwamathambo kungadinga ukubanjelwa endaweni ngezikhonkwane, amapuleti noma ngezikulufo.

Amathambo afakwa ku:

• Amalunga we-fuse ukuvimbela ukunyakaza
• Lungisa amathambo aphukile (amaqhekeza) alahlekelwe ngamathambo
• Lungisa ithambo elimele elingakalulami

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ubuhlungu endaweni yomzimba lapho kukhishwe khona ithambo
• Ukulimala kwemizwa eduze nendawo yokuxhunyelelwa kwamathambo
• Ukuqina kwendawo

Tshela udokotela wakho ohlinzayo ukuthi iyiphi imithi oyisebenzisayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Landela imiyalo yokumisa izinciphisi zegazi, njenge-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-rivaroxaban powder (i-Xarelto), noma ama-NSAID afana ne-aspirin. Lokhu kungadala ukopha okwengeziwe ngesikhathi sokuhlinzwa.

Ngosuku lokuhlinzwa:

• Landela imiyalelo mayelana nokungadli noma ukuphuza noma yini ngaphambi kokuhlinzwa.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Uma uya esibhedlela uvela ekhaya, qiniseka ukuthi ufika ngesikhathi esibekiwe.

Isikhathi sokutakula sincike ekulimaleni noma ekhubazekeni okuphathwayo kanye nosayizi wokuxhunyelelwa kwamathambo. Ukutakula kwakho kungathatha amaviki amabili kuya ezinyangeni ezi-3. Ukuhlanganiswa kwamathambo uqobo kuzothatha izinyanga ezi-3 noma ngaphezulu ukuphola.

Ungatshelwa ukuthi ugweme ukuzivocavoca ngokweqile izinyanga eziyisithupha. Buza umhlinzeki wakho noma umhlengikazi ukuthi yini ongayenza nongakwazi ukuyenza ngokuphepha.

Uzodinga ukugcina indawo yokuxhunyelelwa kwamathambo ihlanzekile futhi yomile. Landela imiyalo mayelana nokugeza.

UNGABHALI. Ukubhema kubambezela noma kuvimbele ukuphulukiswa kwamathambo. Uma ubhema, okuxhunyelelwa kungenzeka ukuthi kwehluleke. Yazi ukuthi ama-nicotine patches aphulukisa kancane njengokubhema.

Ungadinga ukusebenzisa isikhuseli samathambo. Le yimishini engagqokwa ngaphezulu kwendawo yokuhlinzwa ukushukumisa ukukhula kwamathambo. Akukhona konke ukuhlinzwa kwamathambo okudinga ukusetshenziswa kwama-bone stimulators. Umhlinzeki wakho uzokwazisa uma uzodinga ukusebenzisa isikhuseli samathambo.

Iningi lamathambo lifakela ukuphulukiswa kwamathambo kungabi nengozi encane yokulahlwa ngokuxhunyelelwa.

Autograft - ithambo; I-Allograft - ithambo; Ukwephuka - ukufakelwa kwamathambo; Ukuhlinzwa - ukufakelwa kwamathambo; I-Autologous bone graft

• Ukuxhunyelelwa kwethambo lomgogodla - uchungechunge
• Ukuvunwa kwamathambo

U-Brinker MR, u-O'Connor DP. Izinyunyana: ukuhlolwa nokwelashwa. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

USeitz IA, Teven CM, uReid RR. Ukulungisa nokuxhunyelelwa kwethambo. Ku: Gurtner GC, PC yeNeligan, ama-eds. Ukuhlinzwa Kweplastiki, Umqulu 1: Izimiso. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 18.