Yini Ukufakelwa Kwe-Chondrocytes Autologous Cultured: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ukufakelwa kwe-chondrocytes autologous cultured kuyinqubo yokuhlinzwa ekhethekile esiza ukulungisa i-cartilage elimele emalungeni akho usebenzisa amaseli akho. Lokhu kwelashwa kuthatha amaseli e-cartilage anempilo emzimbeni wakho, awakhulise e-laboratory, bese ewalungisa emuva ezindaweni lapho i-cartilage yakho ilimele khona noma igugile. Kufana nokunika amalunga akho ukuqala okusha ngamaseli alingana ngokuphelele nomzimba wakho ngoba avela kuwe.

Yini Ukufakelwa Kwe-Chondrocytes Autologous Cultured?

Le nqubo ihlanganisa ukuqoqa amaseli akho e-cartilage, okuthiwa ama-chondrocytes, engxenyeni enempilo yelunga lakho. Lawa maseli abese akhuliswa ngokucophelela futhi andiswe e-laboratory amasonto amaningana ukuze kwakhiwe izigidi zamaseli amasha, anempilo e-cartilage. Lapho amaseli anele esekhuliwe, abekwa ngokuhlinzwa endaweni elimele ye-cartilage yakho ukusiza ukubuyisela ukusebenza okuvamile kwamalunga.

Igama elithi

Udktela wakho angase ancome le nqubo yokwelapha uma unomonakalo we-cartilage ngenxa yokulimala kwezemidlalo, izingozi, noma izimo ezithile zamalunga. Kubaluleke kakhulu kubantu abafuna ukugcina indlela yokuphila esebenzayo kodwa benenkinga ye-cartilage ekhawulela ukuhamba kwabo noma ebangela ubuhlungu obuqhubekayo.

Le nqubo futhi isetshenziselwa ukulimala kwe-cartilage okungazange kuphendule kahle kwezinye izindlela zokwelapha ezifana ne-physical therapy, imijovo, noma izinqubo zokuhlinzwa ezilula. Kwezinye izimo, ingase icatshangelwe ekulungisweni kweqakala noma kwamanye amalunga, nakuba izicelo zamadolo zivame kakhulu.

Isebenza Kanjani I-Chondrocytes Autologous Cultured Implantation?

Lokhu kwelapha kusebenza ngokunikeza umzimba wakho ngqo lokho okudingayo ukuze wakhe kabusha i-cartilage enempilo - amaseli akho akhethekile ngobuningi obukhulu. I-Cartilage inamandla alinganiselwe okuphulukisa ngokwayo ngoba ayinayo ukuhlinzekwa okuhle kwegazi, ngakho le nqubo empeleni iqala inqubo yokuphulukisa ngokuhlinzeka izigidi zamaseli alungele ukusebenza.

Le nqubo yenzeka ezigabeni ezimbili eziyinhloko. Okokuqala, ngesikhathi sokuhlinzwa okuncane kwe-arthroscopic, udokotela ohlinzayo ususa isampula elincane le-cartilage enempilo endaweni engathwali isisindo yelunga lakho. Le tissue ithunyelwa elabhorethri ekhethekile lapho amaseli e-cartilage ehlukaniswa futhi akhuliswe endaweni elawulwayo cishe amasonto angu-3-5.

Ngesikhathi sokuhlinzwa kwesibili, udokotela ohlinzayo ubeka ngokucophelela la maseli akhuliwe endaweni elimele futhi awamboze ngembrane evikelayo noma isiqeshana. Ezinyangeni ezilandelayo, la maseli akhiqiza kancane kancane i-tissue entsha ye-cartilage ehlanganisa nendawo yakho ekhona yelunga, okungenzeka ukuthi ibuyisele ukusebenza kwelunga okubushelelezi.

Kufanele Ngilungiselele Kanjani I-Chondrocytes Autologous Cultured Implantation?

Ukulungiselela kuqala emasontweni ambalwa ngaphambi kwenqubo yakho ngokuhlinzwa kokuqala kokuvuna amaseli. Kuzodingeka ukuthi ulandele imiyalelo kadokotela wakho mayelana nemithi, ngamanye ama-blood thinners avame ukumiswa cishe ngesonto ngaphambi kwenqubo. Udokotela wakho uzohlinzeka ngemihlahlandlela ethile esekelwe emlandweni wakho wezokwelapha kanye nemithi yamanje.

Phakathi kokuhlinzwa okubili, cishe uzoqhubeka nemisebenzi yakho ejwayelekile ngenkathi amaseli akho ekhula e-laboratory. Lesi sikhathi sokulinda sikunika isikhathi sokuzilungiselela ngokomzimba nangokwengqondo ukuhlinzwa okukhulu kwesibili. Ithimba lakho lokuhlinzwa lizokugcina unolwazi ngentuthuko yesiko lakho leseli.

Ngaphambi kokuhlinzwa kokufakelwa, kuzodingeka ukuthi uhlele usizo ekhaya ngesikhathi sokululama kwakho. Lokhu kuhlanganisa ukuba nomuntu okushayela uye futhi ubuye esikhungweni sokuhlinzwa, ukusiza ngemisebenzi yansuku zonke ezinsukwini ezimbalwa zokuqala, nokusiza nganoma yiziphi izidingo zokuhamba ngesikhathi sesigaba sokuqala sokuphulukisa.

Ngingalindela Isikhathi Esingakanani Ukuthi Inqubo Yokululama Ithatha?

Ukwelulama ekufakweni kwamaseli e-chondrocytes autologous cultured kuyinqubo kancane kancane evame ukuthatha izinyanga eziyi-12-18 ukuze uthole imiphumela ephelele. Isigaba sokuqala sokuphulukisa sithatha amasonto angaba ngu-6-8, lapho kuzodingeka ukuthi uvikele amaseli afakiwe ngenkathi eqala ukuzimisa emgqonyeni wakho.

Ukwelulama kwakho cishe kuzobandakanya izigaba eziningana zokuvuselela. Ekuqaleni, kungase kudingeke ukuthi usebenzise izinduku futhi unqande imisebenzi yokuthwala isisindo ukuze uvikele i-cartilage entsha. I-physical therapy ivame ukuqala kungakapheli amasonto ambalwa, iqala ngemithambo yokuhamba kancane nokuthuthuka kancane kancane ekuqiniseni nasezintweni ezisebenzayo.

Iziguli eziningi zingabuyela emisebenzini enomthelela ophansi njengokuhamba nokubhukuda kungakapheli izinyanga ezi-3-4, kuyilapho ukubuyela emidlalweni enomthelela ophezulu kungathatha izinyanga eziyi-9-12 noma ngaphezulu. Udokotela wakho ohlinzayo kanye ne-physical therapist bazokuqondisa esigabeni ngasinye sokululama ngokusekelwe ekutheni i-cartilage yakho iphilisa futhi ihlanganisa kahle kangakanani.

Ziyini Izimo Ezingezinhle Zokufakelwa Kwe-Chondrocytes Autologous Cultured?

Njenganoma iyiphi inqubo yokuhlinzwa, ukufakelwa kwe-chondrocytes autologous cultured kungaba nemiphumela emibi, nakuba izinkinga ezingathi sína zingavamile. Iziguli eziningi zithola imiphumela ethile elindelekile njengengxenye yenqubo yokwelapha ejwayelekile, kanti ezinye zingahlangabezana nezinkinga ezibaluleke kakhulu ezidinga ukunakekelwa kwezempilo.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ubuhlungu besikhashana nokuvuvukala endaweni yokuhlinzwa, okuvame ukuthuthuka emasontweni ambalwa okuqala. Ungase futhi uqaphele ukuqina emgombeni wakho njengoba izicubu zelapha, yingakho ukwelashwa ngokomzimba kudlala indima ebaluleke kangaka ekululameni kwakho.

Nansi imiphumela emibi ejwayelekile iziguli ezivame ukuyithola ngesikhathi sokululama:

• Ukwanda kwesikhashana kobuhlungu obuhlangene nokungakhululeki
• Ukuvuvukala nokulimala eduze nendawo yokuhlinzwa
• Ukuqina kwamalunga nokuncishiswa kokunyakaza ekuqaleni
• Ubuthakathaka besikhashana emisipheni ezungezile
• Ukungakhululeki okuncane kuya kokulingene ngesikhathi sokuzivocavoca kokwelashwa ngokomzimba

Le miphumela ejwayelekile ngokuvamile ilawuleka ngemithi efanele yobuhlungu, ukuphumula, nokulandela uhlelo lwakho lokuvuselela. Iziguli eziningi zithola lezi zimpawu zithuthuka kancane kancane njengoba ukuphulukiswa kwazo kuqhubeka.

Izinkinga ezingavamile kodwa ezingathi sína zingenzeka ngezikhathi ezithile, zidinga ukuqapha okuseduze kwezokwelapha. Lezi zinkinga azivamile kodwa kubalulekile ukuziqaphela uma zenzeka.

Nansi imiphumela emibi engavamile engase idinge ukunakekelwa kwezempilo:

• Ukutheleleka endaweni yokuhlinzwa
• Ukuphuma kwegazi okukhulu noma ukuvuvukala okuqhubekayo
• Amagazi ehlule emlenzeni noma emaphapheni
• Umonakalo wemizwa obangela ukuba ndikindiki noma ukuluma
• Ukwehluleka kwamaseli afakelwe ukuhlanganisa kahle
• Ukwakheka kwezicubu ezinamanxeba ezikhawulela ukunyakaza kwamalunga

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, kubalulekile ukuxhumana nethimba lakho lokuhlinza ngokushesha. Ukubona nokwelashwa kwangaphambi kwesikhathi kwezinkinga kungasiza ekuvimbeleni izinkinga ezinkulu ukuthi zingathuthuki.

Izinkinga ezingavamile kakhulu zihlanganisa ukusabela okukhulu komzimba emithini yokubulala izinzwa noma imithi, ukungazinzi okukhulu kwamalunga, noma isidingo sokuhlinzwa okwengeziwe ngenxa yokwehluleka kokufakelwa. Ngenkathi lezi ziphumo zingavamile, ithimba lakho lokuhlinza lizoxoxa ngalezi zinto nawe ngaphambi kwenqubo.

Ubani Ongafanele Abe Nokufakelwa Kwe-Chondrocytes Autologous Cultured?

Le nqubo ayifaneleki kuwo wonke umuntu onomonakalo we-cartilage. Udokotela wakho ohlinzayo uzohlola ngokucophelela ukuthi ungumuntu ofanelekayo yini ngokusekelwe ezintweni eziningana ezihlanganisa iminyaka yakho, impilo yonke, kanye nemvelo ethile yenkinga yakho ye-cartilage.

Abantu abane-arthritis esabalele kulo lonke ilunga ngokuvamile ababona abantu abafanelekayo ngoba le nqubo isebenza kahle kakhulu lapho izakhiwo ezizungezile zilungile. Uma unomonakalo omkhulu wamathambo noma ukungazinzi kwamalunga, ezinye izindlela zokwelapha zingase zifaneleke kakhulu esimweni sakho.

Ezinye izimo zezokwelapha nezimo zenza le nqubo inganconywa kakhulu noma ibe yingozi. Udokotela wakho uzoxoxa ngalezi zinto nawe ngesikhathi sokubonisana kwakho ukuze anqume indlela engcono yokwelapha.

Nawa amakhondishini amakhulu angase akwenze ungafaneleki kule nqubo:

• I-osteoarthritis ethuthukile ethinta izindawo eziningi zelunga
• Ukutheleleka okusebenzayo ngaphakathi noma ngaphandle kwelunga
• Umonakalo omkhulu wamathambo noma ukukhubazeka okukhulu kwamalunga
• Izimo ze-Autoimmune ezithinta ukuphulukiswa
• Isifo sikashukela esingalawuleki noma ezinye izifo ze-metabolic
• Ukusetshenziswa kwamanje kwemithi ethile ephazamisa ukuphulukiswa
• Ukungakwazi ukulandela uhlelo olwandisiwe lokuvuselela

Iminyaka nayo ingaba yisici, njengoba le nqubo ivame ukuphumelela kakhulu ezigulini ezincane ezinemizimba yazo enekhono elingcono lokuphola. Nokho, iminyaka yezinto eziphilayo ivame ukubaluleka kakhulu kuneminyaka eqondile, futhi udokotela ohlinzayo uzohlola ikhono lakho ngalinye lokuphola.

Ukubhema kuphazamisa kakhulu ukuphola futhi kwandisa ingozi yezinkinga, ngakho odokotela abaningi abahlinzayo bafuna ukuthi iziguli ziyeke ukubhema ngaphambi kokucabangela le nqubo. Ukuzibophezela kwakho ekulandeleni uhlelo lokuvuselela ngemva kokuhlinzwa nakho kubalulekile ukuze uphumelele.

Amagama Omkhiqizo Wokufakelwa Kwe-Chondrocytes Autologous Cultured

Izinkampani eziningana zikhiqiza amasistimu okulima nokufakelwa kwe-chondrocyte, ngalinye linamasu nezinto zalo ezithile. Isistimu esetshenziswa kakhulu ibizwa nge-Carticel, okuyinto yokuqala yomkhiqizo wokufakelwa kwe-autologous chondrocyte ovunyelwe yi-FDA e-United States.

Ezinye izinhlelo ezitholakalayo zihlanganisa i-MACI (Matrix-Associated Chondrocyte Implantation), esebenzisa indlela ehlukile lapho amaseli alinyiwe akhuliswa khona emembraneni ekhethekile ngaphambi kokufakelwa. Le ndlela ingase inikeze ezinye izinzuzo mayelana nokugcinwa kwamaseli nokuhlanganiswa.

Udokotela ohlinzayo uzokhetha uhlelo olufanele kakhulu olusekelwe ezidingweni zakho ezithile, indawo nosayizi wokukhubazeka kwakho kwe-cartilage, kanye nolwazi lwabo ngamasu ahlukene. Isimiso esiyisisekelo sihlala sifana kungakhathaliseki ukuthi iyiphi isistimu esetshenzisiwe - ukukhulisa amaseli akho futhi uwalungise kabusha ukuze kulungiswe i-cartilage elimele.

Ezinye Izindlela Zokufakelwa Kwe-Chondrocytes Autologous Cultured

Ezinye izindlela zokwelapha zingabhekana nokulimala kwe-cartilage, kusukela ezinkethweni ezingahlinzi kuya kwezinye izinqubo zokuhlinzwa. Ukukhetha okungcono kuncike osayizini nendawo yokulimala kwakho kwe-cartilage, iminyaka yakho, izinga lomsebenzi, nempilo yonke yamalunga.

Ezinye izindlela ezingahlinzeki ukwelashwa zihlanganisa ukwelashwa ngokomzimba, imithi elwa nokuvuvukala, kanye nemijovo yamalunga enezinto ezinjenge-hyaluronic acid noma i-platelet-rich plasma. Lokhu kwelashwa kungasebenza ezindaweni ezincane zomonakalo noma uma kuhlanganiswe nezinye izindlela.

Ezinye izindlela zokuhlinzwa zihlanganisa i-microfracture, lapho kwenziwa izimbobo ezincane ethambo ukuze kuvuselelwe ukuphola, kanye nokufakelwa kwe-osteochondral, lapho ama-plugs ethambo ne-cartilage ethuthwa endaweni eyodwa iye kwenye. Ukuze kulungiswe umonakalo omkhulu, ukufakelwa kwengxenye noma konke okwenzelwa amalunga kungase kucatshangelwe.

Nazi ezinye izindlela eziyinhloko udokotela wakho angase axoxe ngazo nawe:

• Ukuhlinzwa kwe-Microfracture ngezinkinga ezincane ze-cartilage
• Ukufakelwa kwe-Osteochondral autograft (OATS)
• Ukufakelwa kwe-Osteochondral allograft kusetshenziswa izicubu zomnikeli
• Imijovo ye-Platelet-rich plasma (PRP)
• Imijovo ye-Hyaluronic acid yokugcoba amalunga
• Ukwelashwa ngamaseli esiqu (kusavivinywa ezimweni eziningi)
• Ukufakelwa kwamalunga ngenxa yomonakalo omkhulu, osabalale kabanzi

Udkt. wakho wokuhlinza uzokusiza ukuthi uqonde ukuthi yiziphi izinketho ezingase zisebenze kangcono esimweni sakho esithile, ucabangela izinto ezinjengobudala bakho, imigomo yomsebenzi, kanye nobukhulu bomonakalo wakho we-cartilage.

Ingabe i-Chondrocytes Autologous Cultured Implantation ingcono kune-Microfracture?

Zombili izinqubo zinezindawo zazo ekwelapheni umonakalo we-cartilage, kodwa zisebenza kangcono ezimweni ezehlukene. Ukufakelwa kwe-Chondrocytes autologous cultured ngokuvamile kuveza ukulungiswa kwe-cartilage yekhwalithi ephezulu futhi kuvame ukuhlala isikhathi eside ngokuhamba kwesikhathi, ikakhulukazi ngezinkinga ezinkulu.

I-Microfracture iyinqubo elula, yesigaba esisodwa evame ukuzanywa kuqala ngezinkinga ezincane ze-cartilage. Ivuselela impendulo yokuphola yomzimba kodwa ngokuvamile ikhiqiza i-fibrocartilage, engahlali isikhathi eside njenge-hyaline cartilage okuhloswe ukuthi i-chondrocyte implantation iyenze.

Ngezinkinga ezinkulu ze-cartilage (ngokuvamile ezingaphezu kwamasentimitha-skwele angu-2-4), ukufakelwa kwe-chondrocyte kuvame ukunikeza imiphumela engcono yesikhathi eside. Kodwa-ke, i-microfracture ingase ithandwe ngezinkinga ezincane, iziguli ezindala, noma labo abafuna ukugwema inqubo yezigaba ezimbili nesikhathi eside sokululama.

Udkt wakho ohlinzayo uzocabangela usayizi nendawo yenkinga yakho, iminyaka yakho, izinga lomsebenzi, kanye nokwelashwa kwangaphambilini lapho encoma indlela engcono kakhulu. Ngezinye izikhathi i-microfracture izanywa kuqala, ngokufakelwa kwe-chondrocyte okugcinwe eceleni uma inqubo elula inganikezi ukuthuthuka okwanele.

Imibuzo Evame Ukubuzwa Mayelana Nokufakelwa Kwe-Chondrocytes Autologous Cultured

Ingabe Ukufakelwa Kwe-Chondrocytes Autologous Cultured Kuphephile Kubantu Abane-Arthritis?

Ukuphepha nokusebenza kwale nqubo kuncike kakhulu ezingeni nohlobo lwe-arthritis onalo. Kubantu abanonakaliso lwe-cartilage oluqondile emgqonyeni ophilayo, le nqubo ingaba iphephile futhi isebenze kahle. Kodwa-ke, uma une-arthritis ebanzi kulo lonke ilunga, lokhu kwelashwa ngokuvamile akukhuthazwa.

Udkt wakho ohlinzayo uzohlola ngokucophelela ilunga lakho esebenzisa izifundo zokucabanga futhi mhlawumbe i-arthroscopy ukuze anqume ukuthi unayo yini i-cartilage namathambo anempilo ngokwanele ukusekela le nqubo. Izakhiwo ezizungezile zokuhlangana zidinga ukuba zibe sesimweni esihle ukuze amaseli afakelwe abe nethuba elingcono lokuphumelela.

Uma une-arthritis yesigaba sokuqala enezindawo ezihlukile zokulahlekelwa okukhulu kwe-cartilage, ungase usaba ngumuntu okhethekile kule nqubo. Udkt wakho uzoxoxa ngezinzuzo ezingaba khona nezingozi ngokuya ngesimo sakho esithile futhi akusize uqonde okulindelekile okungokoqobo ekuthuthukiseni.

Ngingenzani Uma Ngilimaza Ngengozi Ilunga Lami Ngemva Kokufakelwa Kwe-Chondrocytes Autologous Cultured?

Uma ulimala kakhulu elungeni lakho eliphathwayo, ikakhulukazi ezinyangeni ezimbalwa zokuqala ngemuva kokuhlinzwa, kufanele uthinte udokotela ohlinzayo ngokushesha. Ngisho nokulimala okuncane kungase kuthinte inqubo yokuphola yamaseli akho e-cartilage afakwe.

Ungalindi ukubona ukuthi ukulimala kuyazixazulula yini ngokwako, njengoba ukungenelela ngokushesha kungasiza ekuvimbeleni izinkinga ezingathi sína. Ithimba lakho lokuhlinzwa lingahlola ukuthi ukulimala kuthinte i-cartilage yakho ephilayo futhi linqume ukuthi ngabe kukhona yini ukwelashwa okwengeziwe okudingekayo.

Okwamanje, landela izimiso eziyisisekelo zokunakekelwa kokulimala: phumuza ilunga, sebenzisa iqhwa uma kukhona ukuvuvukala, futhi gwema ukubeka isisindo elungeni kuze kube yilapho ungahlolwa. Gcina ilunga liphakanyisiwe uma kungenzeka futhi gwema noma yimiphi imisebenzi ebangela ubuhlungu obukhulu noma ukungakhululeki.

Kufanele Ngenzeni Uma Ngiphuthelwa Ukuqokwa Kwe-Physical Therapy Ngemuva Kwenqubo Yami?

I-Physical therapy ibalulekile empumelelweni ngemuva kokufakelwa kwe-chondrocyte, ngakho ukuphuthelwa ukuqokwa kungase kuthinte ukululama kwakho. Xhumana nodokotela wakho we-physical therapy ngokushesha ngangokunokwenzeka ukuze uhlele kabusha izikhathi eziphuthelwe futhi uxoxe ngendlela yokugcina intuthuko yakho okwamanje.

Udokotela wakho angakunikeza izivivinyo ongazenza ekhaya uma udinga ukuphuthelwa ukuqokwa ngenxa yokugula noma ezinye izimo. Ukuqina ohlelweni lwakho lokuvuselela kubalulekile ekupholiseni kwe-cartilage okuhle kanye nokululama komsebenzi we-joint.

Uma unenkinga yokuhambisana ne-physical therapy ngenxa yobuhlungu, ukungqubuzana kokuhlela, noma ezinye izinkinga, xoxa lezi zinselelo nethimba lakho lezempilo. Bavame ukulungisa uhlelo lwakho lokwelapha noma banikeze izixazululo zokukusiza ukuthi uhlale emgwaqeni wokululama kwakho.

Ngingabuyela nini Ezemidlalo Ngemuva Kokuqaliswa Kwe-Chondrocytes Autologous Cultured Implantation?

Ukubuyela emidlalweni kuyahluka kakhulu kuye ngomdlalo, inqubekela phambili yakho yokuphola, kanye nokuhlola kukahlinzayo wakho ngokuhlanganiswa kwe-cartilage yakho. Iziguli eziningi zingaqala imisebenzi enomthelela ophansi njengokubhukuda noma ukuhamba ngebhayisikili phakathi nezinyanga ezi-3-4, kanti ukubuyela emidlalweni enomthelela omkhulu ngokuvamile kuthatha izinyanga eziyi-9-12 noma ngaphezulu.

Udkt wakho ohlinzayo cishe uzofuna ukubona ubufakazi bokuphola okuhle kwe-cartilage ekuhlolweni kwezithombe ngaphambi kokukuvumela ukuthi ubambe iqhaza ngokugcwele emidlalweni. Lokhu kungabandakanya ukuskena kwe-MRI noma ezinye izivivinyo zokuhlola ukuthi amaseli akho afakelwe kanjani futhi akhe i-cartilage entsha.

Ukubuyela kancane kancane emidlalweni ngokuvamile kulandela inqubekela phambili evela emisebenzini enomthelela ophansi kuya ekuqeqeshweni okuthile komdlalo futhi ekugcineni kuya emqhudelwaneni ogcwele. Umelaphi wakho womzimba uzokuqondisa ngale nqubekela phambili, ekusiza ukuthi wakhe amandla, ukukhuthazela, nokuzethemba ngaphambi kokubuyela emdlalweni wakho.

Ingabe Imiphumela Yokufakelwa Kwe-Chondrocytes Autologous Cultured Imiphumela Ihlala Isikhathi Esingakanani?

Izifundo zesikhathi eside zikhomba ukuthi ukufakelwa kwe-chondrocyte okuphumelelayo kungahlinzeka ngezinzuzo ezihlala isikhathi eside iminyaka eminingi, neziguli ezithile ezithola imiphumela emihle iminyaka eyi-10-15 noma ngaphezulu. Kodwa-ke, ubude bemininingwane buyahluka kumuntu nomuntu ngokuya ngezinto ezinjengobudala, izinga lomsebenzi, nokuthi inqubo yokuphola yokuqala ihamba kahle kangakanani.

Ikhwalithi ye-cartilage ekhiqizwa yile nqubo ngokuvamile iphakeme kunaleyo eyenziwe ngamanye amakhambi alula njenge-microfracture, engaholela emiphumeleni eqinile. Kodwa-ke, i-cartilage efakwe akufani ne-cartilage yakho yasekuqaleni, futhi ingase isahluleke ukugqoka ngokuhamba kwesikhathi.

Ukugcina impilo enhle yamalunga ngokuzivocavoca okufanele, ukuphatha isisindo, nokugwema imisebenzi ebeka ingcindezi enkulu elungeni kungasiza ukwelula ubude bemininingwane yakho. Ukulandela njalo nodkt wakho ohlinzayo kuvumela ukuqapha impilo yakho ye-cartilage kanye nokungenelela kwangaphambi kwesikhathi uma izinkinga zivela.