Ku barwayi bagiye gusimbuzwa ikibuno cyangwa batekereza gusimbuzwa ikibuno mu gihe kiri imbere, hari ibyemezo byinshi by'ingenzi bagomba gufata. Icyemezo cy'ingenzi ni uguhitamo ubuso bushyigikira ingingo kugira ngo ingingo zisimbuzwe: icyuma-ku-icyuma, icyuma-ku-poliyelene, ceramic-ku-poliyelene, cyangwa ceramic-ku-ceramic. Hari igihe ibi bishobora kuba ikibazo!
Kubaga igikomere cyose mu kibuno bishobora gukoreshwa mu gusimbuza ingingo y'ikibuno irwaye rubagimpande, hakoreshejwe uburyo bwahip iguteramokugira ngo bikureho ububabare buterwa no gukaraba ahantu.
Ikibunojamavutaprosthesebyagenewe guha abarwayi ubusugire buhagije no kwangirika guke. Ibikoresho gakondo by'icyuma na polyethylene byakoreshejwe kuva mu myaka ya 1960, ariko iterambere mu ikoranabuhanga ryatumye ibikoresho bya ceramic n'ibindi birushaho gukundwa.
Ubuvuzihip jamavutaibikoresho.
Kimwe mu bibazo bikunze kugaragara nyuma yo gusimbuza ikibuno ni ukwangirika kw'ingingo z'umugozi zikoreshwa mu buryo busanzwe. Bitewe n'imimerere yihariye y'umurwayi, nk'imyaka, ingano, urwego rw'imikorere, n'uburambe bw'umuganga ubaga akoresheje iyi mashini,oindwara ya rtopedichip iibimeraishobora kuba ikozwe mu cyuma, polyethylene (pulasitiki), cyangwa ceramic. Urugero, niba umurwayi akora cyane cyangwa akiri muto kandi akaba akeneye kugenda cyane nyuma yo kubagwa, umuganga w’amagufwa ashobora kumusaba gushyiramo ceramic mu kibuno.
1. Umutwe w'icyuma n'urukuta rwa polyethylene (plastiki)
Imipira isanzwe y'icyuma n'udupira twa polyethylene byakoreshejwe kuva mu ntangiriro za 1960. Ubushakashatsi bwa siyansi bwerekana ko ikoreshwa ry'udupira twa polyethylene twanonosoye, tuzwi nka "highly-linked polyethylene liners", rishobora kugabanya cyane igipimo cyo kwangirika kw'udupira twometseho implants. Bitewe no kuramba kwayo n'izindi mpamvu zijyanye nayo, polyethylene y'icyuma yabaye ibikoresho by'ingenzi ku baganga b'amagufwa kuberaaumwimererehip jamavutakuva aho abaganga ba mbere bo gusimbuza ikibuno bakorewe. Umupira w'icyuma ukozwe muri aloyide ya cobalt-chromium naho igitambaro gikozwe muri polyethylene.
2. Umutwe w'umupira wa seramu n'urupapuro rwa polyethylene (plastiki)
Impande za ceramic zirakomeye kurusha icyuma kandi ni zo zikoreshwa mu kubaga ingingo zisimbura ingingo. Ceramics ikoreshwa ubu mu kubaga ingingo zifite ubuso bukomeye, budashobora gushwara kandi bworoshye cyane bushobora kugabanya cyane imbaraga zo kwangirika kw'imirongo ya polyethylene. Igipimo cyo kwangirika kw'iyi plant kiri hasi ugereranyije n'igipimo cyo kwangirika kw'icyuma kuri polyethylene.
3,Umutwe w'umupira w'icyuman'icyuma gikozwe mu cyuma
Uburyo bwo gukururana kw'ibyuma (cobalt-chromium alloys, rimwe na rimwe icyuma kidashonga) bwakoreshejwe kuva mu 1955, ariko ntibwemejwe na FDA ngo bukoreshwe muri Leta Zunze Ubumwe za Amerika kugeza mu 1999. Uko ikoranabuhanga rigenda ritera imbere, kwangirika kugabanuka cyane, bigatuma ubushyuhe n'amagufwa bigabanuka. Udupira tw'ibyuma turaboneka mu bunini butandukanye (kuva kuri mm 28 kugeza kuri mm 60), ndetse n'uburyo butandukanye bwo guhagarara mu ijosi. Ariko, raporo z'igihe kirekire nyuma yo kubagwa zigaragaza ko icyuma, nk'iyoni ikora cyane, gikusanya imyanda y'icyuma bitewe no kwangirika no gucika kw'igihe kirekire, bishobora gutuma amagufwa ashonga hirya no hino ku ngingo, amaherezo bigatera gucika no guhindagurika kw'ingingo. Igikorwa cyarananiranye.
4,Umutwe w'umupira w'ibumbanaigitambaro cy'ibumba
Muri ibiaumwimererehip jamavutassisitemus, imipira gakondo y'icyuma n'imitako ya polyethylene byasimbuwe n'ibibumbano bikomeye cyane, bizwiho kuba bifite ubushobozi bwo kwangirika buhoro cyane. Ariko, nubwo bifite ibyiza byo kwangirika no kwangirika buhoro, nta gushidikanya ko bifite n'ingaruka mbi zo guhenda cyane.
Amahitamo ya nyuma yahip jamavutaiguteramobizagenwa hashingiwe ku buzima bw'umurwayi kandi bizasaba kandi ubuhanga bw'umuganga w'amagufwa, uburezi, n'ubuhanga bw'umuganga w'amagufwa kugira ngo ahindure ibicuruzwa by'uruganda runaka. Kubwibyo, ni ngombwa kuganira n'umuganga w'amagufwa mbere yo kubagwa kugira ngo wumve ubwoko bw'implant ateganya gukoresha mu kubaga ikibuno cyawe, hamwe n'impamvu zo guhitamo implant runaka.
Niba ushaka kumenya byinshi kuri imiterere y'ikibunoubumenyi, nyamuneka mwumve nezaTwandikire; itsinda ryacu rizaguha ubufasha bw'inzobere n'ibisubizo.
Igihe cyo kohereza: 23 Mata 2026