Ni iki cyitwa gusimbuza ivi? Intego, Uburyo & Ibivamo

Gusimbuza ivi ni uburyo bwo kubaga aho ibice byangiritse by'ivi ryawe bikurwaho bigasimbuzwa ibice by'ubukorano bikozwe mu cyuma, pulasitike, cyangwa ceramike. Kubaga bifasha gusubiza imikorere ku ivi ryangiritse cyane ritera ububabare buhoraho kandi rigatuma udashobora gukora imirimo yawe ya buri munsi.

Uruhu rw'ivi ryawe rukora nk'umugozi, rukemerera ukuguru kwawe gupfukama no gukoroka neza. Iyo aritisiti, imvune, cyangwa izindi ndwara zangiza urugingo rw'ivi ryawe n'igufwa, uru rugendo rworoshye ruhinduka rubabaza kandi rugahinduka urugomo. Kubaga gusimbuza ivi biguha urwo rugendo rworoshye, rutababaza binyuze mu kurema urugingo rushya.

Ni iki cyitwa gusimbuza ivi?

Kubaga gusimbuza ivi bikubiyemo gukuraho urugingo rwangiritse n'igufwa riva mu gice cy'ukuguru kwawe, igufwa ry'ukuguru, n'igice cy'ivi, hanyuma ugasimbuza ibi bice ibice by'ubukorano. Urugo rwa gikorano, rwitwa porotese, rwashizweho kugira ngo bigane urugendo rw'ivi ryiza.

Hariho ubwoko bubiri bw'ingenzi bwo gusimbuza ivi. Gusimbuza ivi ryose bisimbuza urugingo rwose rw'ivi, mugihe gusimbuza ivi ry'igice gusa bisimbuza gusa igice cyangiritse. Umuganga wawe w'abaganga bazagutera inama y'uburyo bwiza bushingiye ku bice byinshi by'ivi ryawe byangiritse n'ubuzima bwawe muri rusange.

Ibice by'ivi by'ubukorano bikozwe mu bikoresho byageragejwe mumyaka mirongo. Ibice by'icyuma bikozwe muri titanium cyangwa cobalt-chromium alloys, mugihe ibice bya pulasitike bikozwe muri ultra-high molecular weight polyethylene.

Kuki gusimbuza ivi bikorwa?

Kubaga gusimbuza ivi birasabwa iyo kwangirika gukabije kw'ivi gutera ububabare buhoraho butabangamira ubuzima bwawe bwa buri munsi kandi ntibitanga ibisubizo ku zindi nshuti. Intego ni ukugabanya ububabare, gusubiza imikorere, no kunoza imibereho yawe.

Impamvu isanzwe itera gusimbuza ivi ni osteoarthritis, ibaho iyo urugingo rwo mu ivi rwangirika uko igihe kigenda gihita. Ibi bituma igufwa rihura n'irindi, bigatera ububabare, umugaga, no kubyimba. Izindi ndwara zishobora gutera gusimbuza ivi harimo rheumatoid arthritis, arthritis iterwa n'imvune, n'indwara zimwe na zimwe z'amagufa.

Muganga wawe ashobora kugusaba gusimbuza ivi niba ufite ububabare bukomeye mu ivi bugabanya ibikorwa bya buri munsi nk'ukugenda, kuzamuka amaparamu, cyangwa guhaguruka ku ntebe. Ushobora kandi kuba ukwiriye niba ububabare bwo mu ivi bukubuza gusinzira cyangwa niba izindi nshuti nka imiti, imyitozo ngororamubiri, cyangwa inshinge zitatanze ubufasha buhagije.

Ni iki gikorerwa gusimbuza ivi?

Kubaga kugira ngo hasimburwe ivi mubisanzwe bifata isaha imwe kugeza ku masaha abiri kandi bikorwa hakoreshejwe anesthesia rusange cyangwa anesthesia ya spinal. Umuganga wawe azakora urukonda hejuru y'ivi ryawe kugira ngo agere ku rugingo kandi akureho igufwa n'urugingo rwangiritse yitonze.

Mugihe cyo kubaga, umuganga wawe azakora imikorezo yitonze kugira ngo akureho ibice byangiritse by'igufwa ryo mu itako, igufwa ryo mu gice cy'umuguru, n'igufwa ryo mu ivi. Ibice by'ubwoko bw'ubwoko bwa gihanga noneho bishyirwa ku magufwa asigaye akora neza hakoreshejwe sima yihariye cyangwa bakemerera igufwa gukura mu gice cy'implant.

Nyuma yo gushyira ibice bishya by'urugingo, umuganga wawe azagerageza imigendekere n'umutekano w'ivi. Urukonda noneho rufungwa n'imitsi cyangwa staples, hanyuma hashyirwaho bandeji itagira mikorobe. Abantu benshi bashobora kwitega kumara iminsi 1 kugeza kuri 3 mu bitaro nyuma yo kubagwa.

Ni gute witegura gusimbuza ivi ryawe?

Kwitegura kubagwa kugira ngo hasimburwe ivi bikubiyemo intambwe nyinshi kugira ngo habeho umusaruro mwiza ushoboka. Umuganga wawe azatanga amabwiriza yihariye yagenewe uko ubuzima bwawe bumeze, ariko gutegura mubisanzwe bitangira ibyumweru byinshi mbere y'itariki yo kubagwa kwawe.

Uzagomba gukora ibizamini mbere yo kubagwa, bishobora kurimo ibizamini by'amaraso, electrocardiogram, na X-rays y'igituza. Ibi bizamini bifasha ikipe yawe y'abaganga kumenya niba ufite ubuzima bwiza buhagije kugira ngo ubazwe kandi uhabwe anesthesia. Umuganga wawe ushinzwe kubaga ashobora kandi kukubwira guhagarika gufata imiti imwe, cyane cyane imiti igabanya amaraso, mbere yo kubagwa.

Kutegura umubiri ni ingenzi cyane. Muganga wawe ashobora kugusaba gukora imyitozo ngororamubiri kugira ngo ukomeze imitsi ikikije ivi ryawe kandi unoze ubuzima bwawe muri rusange. Ugomba kandi gutegura urugo rwawe kugira ngo urusheho gukira ukuraho ibintu byose bishobora gutera impanuka, gushyiraho imigozi yo gufata mu bwiherero, no gutegura ubufasha mu bikorwa bya buri munsi mu gihe cyo gukira kwawe kwa mbere.

Ni gute usoma ibisubizo byo gusimbuza ivi ryawe?

Intsinzi yo kubagwa ivi risimburwa ipimwa no kugabanya ububabare, kunoza imikorere, n'ubushobozi bwawe bwo gusubira mu bikorwa bya buri munsi. Abantu benshi bagabanya cyane ububabare kandi barashobora kugenda batagombye ubufasha mu byumweru bike cyangwa amezi nyuma yo kubagwa.

Umuganga wawe ushinzwe kubaga azakurikiza uko urimo utera imbere binyuze mu nama zikurikira kandi ashobora gukoresha X-rays kugira ngo arebe uko ivi rishya ryawe rihagaze neza kandi rihamye. Izi shusho zifasha kumenya neza ko ibice by'ubwenge bishyirwa neza kandi ko igufwa rikira neza hirya no hino ku gice cyashyizweho.

Inzira zinoze zikubiyemo imikorere myiza, kwagura intera yo kugenda, n'ubushobozi bwo kuzamuka amategeko byoroshye. Abantu benshi barashobora gusubira mu bikorwa byoroheje nko koga, gukoresha igare, no gukina golf, nubwo imikino ikomeye muri rusange itagomberwa hamwe n'ivi ry'ubwenge.

Ni gute wakwongera imbaraga zo gukira ivi risimburwa?

Gukira nyuma yo kubagwa ivi risimburwa bikubiyemo kwitabira cyane imyitozo ngororamubiri no gukurikiza amabwiriza y'umuganga wawe ushinzwe kubaga. Urufunguzo rwo gukira neza ni ugutangira imyitozo ngororamubiri hakiri kare kandi ukaguma mu gahunda yawe yo gukora imyitozo ngororamubiri.

Ubusanzwe kuvura umubiri bitangira mu masaha 24 nyuma yo kubagwa, kabone n'iyo ukiri mu bitaro. Umuganga wawe w'umubiri azakwigisha imyitozo yo kunoza imikorere y'amaraso, kwirinda amaraso avurirana, no gutangira gusubiza imikorere y'ivi. Iyi myitozo ishobora kugaragara nk'igoye mu ntangiriro, ariko ni ingenzi kugira ngo ubashe kugera ku musaruro mwiza.

Iyo uri mu rugo, uzakenera gukomeza imyitozo yawe kandi ukongera buhoro buhoro urwego rwawe rw'ibikorwa. Abantu benshi bashobora gusubira mu bikorwa bya buri munsi bisanzwe mu byumweru 3 kugeza kuri 6, nubwo gukira neza bishobora gufata amezi menshi. Gukurikiza ibyo umuganga wabagishije akubuza ku bijyanye no gushyira uburemere ku ivi no ku rwego rw'ibikorwa ni ingenzi kugira ngo ukire neza.

Ni iki gisubizo cyiza cyo gusimbuza ivi?

Igisubizo cyiza cyo gusimbuza ivi ni ukugabanya cyane ububabare mu gihe ukomeza imikorere myiza y'ivi no kugenda neza. Abantu benshi bagira ibisubizo byiza cyane, hamwe n'ubushakashatsi bwerekana ko hejuru ya 90% byo gusimbuza ivi bigikora neza nyuma y'imyaka 10 kugeza kuri 15.

Igisubizo cyiza kirimo kuba washobora kugenda nta bubabare, kuzamuka amatepisi neza, no kwitabira ibikorwa bya buri munsi nta mbogamizi zikomeye. Abantu benshi bashobora gusubira mu bikorwa byo kwidagadura nk'urugendo rwo mu misozi, kubyina, no gukina golf, nubwo ibikorwa byihariye ushobora gukora biterwa n'ukuntu wowe ubwawe ukira n'inama z'umuganga wabagishije.

Intsinzi irambye iterwa n'ibintu bitandukanye, harimo gukurikiza amabwiriza yo kwitabwaho nyuma yo kubagwa, kugumana uburemere buzima, gukomeza gukora imyitozo ikwiye, no kwitabira gahunda zigenwa zo gusuzumwa. Kurinda urugingo rwawe rushya rw'ivi kwangirika cyane bifasha kuryongerera igihe rishobora kumara.

Ni ibihe bintu byongera ibyago byo kugira ingorane zo gusimbuza ivi?

Mugihe kubagwa kugirira imvune mu ivi muri rusange bifite umutekano kandi bigenda neza, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibyo bintu byongera ibyago bifasha wowe n'umuganga wawe gufata ibyemezo bifitiye akamaro no gukora intambwe zo kugabanya ibibazo bishoboka.

Indwara zishobora kongera ibyago birimo diyabete, indwara z'umutima, no kubyimbirwa. Izo ndwara zishobora kugira ingaruka ku gukira no kongera ibyago byo kwandura cyangwa izindi ngorane. Umuganga wawe azakorana nawe kugirango ateze imbere ubuzima bwawe mbere yo kubagwa kandi ashobora kugusaba kugabanya ibiro cyangwa kugenzura diyabete neza niba bishoboka.

Imyaka n'urwego rw'ibikorwa na byo bigira uruhare mu myanzuro. Nubwo nta myaka ntarengwa yo gusimbuza ivi, abarwayi bakuze bashobora kugira igihe kirekire cyo gukira n'ibyago byinshi by'ibibazo bimwe na bimwe. Abantu bakora cyane bashobora gukoresha ivi ryabo ry'ubwenge vuba, nubwo ibyo bitandukanye cyane ku muntu ku muntu.

Ese ni byiza kubagwa ivi mbere cyangwa nyuma?

Igihe cyo kubagwa ivi giterwa n'uko ubuzima bwawe bumeze, harimo urwego rw'ububabare, imbogamizi z'imirimo, n'uburyo wakiriyeho izindi nshuti. Nta gihe kimwe cyiza, ariko hari ibintu by'ingenzi byo gutekereza ku bikorwa byo mbere na nyuma.

Kubagwa ivi mbere bishobora kugira akamaro niba ububabare bwo mu ivi bugabanya cyane ibikorwa byawe bya buri munsi n'imibereho yawe. Gutegereza igihe kirekire bishobora gutuma imitsi idakora neza, gutakaza ubwinshi bw'amagufa, no guhindura uburyo ugenda bishobora kugira ingaruka ku gukira kwawe. Gukora mbere na mbere birashobora kandi gufasha gukomeza imiterere yawe y'ubuzima n'urwego rw'ibikorwa.

Ariko, kubera ko amavi y'ubwenge atamara igihe cyose, kubagwa hakiri kare bishobora gusobanura gukenera kubagwa nyuma mu buzima. Umuganga wawe azagufasha gupima inyungu n'ibyago bishingiye ku myaka yawe, urwego rw'ibikorwa, n'uburyo ushobora kwihanganira kubagwa mu gihe bibaye ngombwa.

Ni izihe ngorane zishoboka zo gusimbuza ivi?

Kubagwa ivi risimbura akandi ni byiza cyane, ariko nk'uko kubagwa gukomeye kwose, bifite ibyago bimwe na bimwe. Kumva ibi bibazo bishobora kuvuka bifasha gufata icyemezo gifitiye akamaro kandi kumenya icyo ugomba kwitaho mugihe cyo gukira.

Ibiza bisanzwe bishobora kuvuka birimo indwara, amaraso yiziba, no gukakara. Indwara irashobora kwaduka hafi y'igice cy'ivuriro cy'ubwenge kandi bishobora gusaba kubagwa kwiyongera kugirango bivurwe. Amaraso yiziba arashobora kwibumbira mumaguru nyuma yo kubagwa, niyo mpamvu uzahabwa imiti n'imyitozo kugirango uyakumire.

Ibiza bitamenyerewe ariko bikomeye birimo igice cy'ivuriro cy'ubwenge kirekuye, kwambara ibice by'ivuriro ry'ubwenge, no kwangiza imitsi cyangwa imitsi y'amaraso. Abantu bamwe bashobora guhura n'ububabare burambye cyangwa urwego ruto rwo kugenda nubwo babazwe. Kubagwa gusubiramo bishobora gukenerwa niba igice cy'ivuriro cy'ubwenge cyashizeho igihe cyangwa niba ibibazo byadutse.

Ibiza bitamenyerewe cyane birimo allergie ku bintu by'ivuriro, imvune zikikije igice cy'ivuriro cy'ubwenge, n'ibibazo byo gukira ibikomere. Itsinda ryawe ry'abaganga rizagusuzuma neza ibimenyetso by'ibibazo kandi ritange ubuvuzi bwihuse niba hari ikibazo kivutse.

Ni ryari nkwiriye kubona umuganga kugirango asuzume kubagwa ivi risimbura akandi?

Ugomba gutekereza kubona umuganga w'amagufa kugirango asuzume kubagwa ivi risimbura akandi mugihe ubuvuzi busanzwe butatanze ubufasha buhagije kandi uburibwe bwawe bw'ivi bugira ingaruka zikomeye kubuzima bwawe bwa buri munsi. Ntukategereze kugeza ubonye ububabare bukomeye kandi buhoraho kugirango usabe isuzuma.

Teganya gahunda niba uhura n'ububabare burambye bw'ivi bugabanya ubushobozi bwawe bwo kugenda, kuzamuka amategeko, cyangwa gukora ibikorwa bya buri munsi. Ugomba kandi gutekereza ku isuzuma niba uburibwe bwawe bw'ivi buhungabanya ibitotsi byawe cyangwa niba wirinda ibikorwa wari usanzwe ukunda kubera kutumva neza ivi.

Ibimenyetso bindi bikwiye isuzuma birimo ubugore bw'ivi, kutagira umutekano, cyangwa niba ububabare bw'ivi ryawe butitabira imiti, imiti ivura umubiri, cyangwa izindi mvura muganga wawe wibanze yatanze. Isuzuma rito ntirisobanura ko ukeneye kubagwa ako kanya, ariko rigufasha gusobanukirwa amahitamo yawe no gutegura ejo hazaza.

Ibikunze kubazwa ku bijyanye no gusimbuza ivi

Q.1 Ese kubagwa ivi ni byiza ku bantu barwaye umusonga?

Yego, kubagwa ivi bifite akamaro kanini ku musonga ukaze utitabiriye izindi mvura. Kubagwa bikuraho ahantu hangiritse, hafitanye isano n'umusonga, hanyuma hagasimburwa n'ibice by'ubwenge bigenda neza bikuraho guhura kw'amagufa gutera ububabare.

Ubushakashatsi bwerekana ko hejuru ya 90% by'abantu barwaye umusonga bakorerwa kubagwa ivi bagira igihombo kinini cy'ububabare no kunoza imikorere. Ibice by'ubwenge by'ivi ntibiteza umusonga, bityo igihombo cy'ububabare gikunze kumara igihe kirekire. Ariko, gusimbuza ivi bikunze gukoreshwa gusa nyuma yo kugerageza izindi mvura.

Q.2 Ese imyaka igira uruhare mu gutsinda kwa gusimbuza ivi?

Imyaka yonyine ntigena gutsinda kwa gusimbuza ivi, nubwo ari kimwe mu bintu umuganga abanza gutekerezaho. Abantu bari mu myaka ya za 80 na za 90 bashobora kugira ibisubizo byiza, mugihe abarwayi bato bashobora guhura n'inzitizi zidasanzwe. Ubuzima bwawe muri rusange n'urwego rw'ibikorwa bifite akamaro kurusha imyaka yawe.

Abarwayi bakuze bashobora kugira igihe kirekire cyo gukira n'ibibazo byinshi by'ibibazo bimwe na bimwe, ariko akenshi bagira urwego rumwe rwo kugabanya ububabare no kunoza imikorere nk'abarwayi bato. Umuganga wawe azasuzuma ubuzima bwawe bwite n'ubuzima bwitezwe mugihe asaba kubagwa.

Q.3 Ese gusimbuza ivi bimara igihe kingana iki?

Ubusanzwe, imvune zigezweho zo mu ivi zimara imyaka 15 kugeza kuri 20 cyangwa irenga iyo zivurwa neza. Ubushakashatsi bumwe bwerekana ko hejuru ya 85% by'imvune zo mu ivi zigikora neza nyuma y'imyaka 20. Ibi biterwa n'ibintu nk'urwego rwawe rw'ibikorwa, uburemere bwawe, n'uko ukurikiza neza amabwiriza yo kwitabwaho nyuma yo kubagwa.

Abantu bakiri bato, bakora cyane imvune zabo zishobora gushira vuba kurusha abantu bakuze, batagira ibikorwa byinshi. Ariko, iterambere mu bikoresho by'imvune n'ubuhanga bwo kubaga bukomeza kwongera ubuzima bw'imvune zo mu ivi. Niba imvune yawe yashize, kubagwa kongera gukora bishobora gusimbuza ibice byashize.

Q.4 Mbese nshobora gusubira mu mikino nyuma yo gusimbuza ivi?

Abantu benshi bashobora gusubira mu mikino yo kwidagadura n'ibikorwa nyuma yo gusimbuza ivi, nubwo ibikorwa byihariye biterwa n'ubuzima bwawe bwite n'ibitekerezo by'abaganga bakubaze. Ibikorwa bitagira ingaruka nyinshi nko koga, gutwara igare, gukina golf, no kugenda mu misozi muri rusange birashishikarizwa kandi bishobora gufasha gukomeza ubuzima bwawe n'ubuzima bw'ingingo.

Ibikorwa bifite ingaruka nyinshi nko gusiganwa, imikino yo gusimbuka, n'imikino ikoranaho ntibisanzwe byemewe kuko bishobora kongera kwangirika ku ngingo y'ubwenge no kongera ibyago by'imvune. Ariko, abantu bamwe bitabira ibi bikorwa neza. Muganga wakubaze azatanga ubuyobozi bwihariye bushingiye ku iterambere ryawe ryo gukira n'intego zawe z'ibikorwa.

Q.5 Ni ikihe gitandukanye hagati yo gusimbuza ivi igice n'igiteranyo?

Gusimbuza ivi igice bikubiyemo gusimbuza gusa igice cyangiritse cy'ingingo yawe y'ivi, mugihe gusimbuza ivi ryose bisimbuza urwego rwose rw'ingingo. Gusimbuza igice gusa bikwiye gusa iyo kwangirika kugarukira ku gice kimwe cy'ivi kandi imitsi igikora neza.

Kugabanya igice cy'ivi mubisanzwe bikubiyemo gukata gato, igihe gito cyo gukira, kandi bishobora kumvikana neza kuko byinshi mu bice by'ivi ryawe ry'umwimerere bibungabungwa. Ariko, bikwiriye gusa ku bantu bagera kuri 10% bakeneye kubagwa ivi. Gusimbuza ivi ryose birashoboka kandi biramba ku barwayi benshi bafite imvune nyinshi ku ivi.