Kugovana Nyaya dzeKliniki-Kutsiva Joint yeHudyu
● Ruzivo Rwekutanga: Ms. Chen, mukadzi, ane makore 92 ekuberekwa.
● Tsananguro Pfupi yeMatambudziko: Makore mashanu apfuura, akadonha netsaona ndokunzwa kurwadziwa muhudyu yekuruboshwe. Akazorora kumba uye kurwadziwa kwacho kwakadzikira. Mwedzi mumwe chete wapfuura, kurwadziwa kwehudyu yekuruboshwe kwemurwere kwakawedzera. Pakutanga kwaKukadzi gore rino, murwere akashanyira Chipatara cheTongliang District cheChongqing uye akapinzwa muJoint Department 1 yeOrthopedics Department nekuda kwe "kutyoka kwemutsipa wekuruboshwe wefemoral; necrosis yemusoro weruboshwe wefemoral; BP; chirwere chemwoyo".
● Kuongororwa Kwekubatsira: Kuongororwa kweCT, kuongororwa kweX-ray
● Kuongorora Kuvhiyiwa: Kutyoka kwemutsipa wekuruboshwe wefemoral necrosis yemusoro weruboshwe wefemoral necrosis
● Chirongwa Chekurapwa: Kutsiva chiuno chose cheruboshwe
● Kupera kweKuvhiyiwa: Pasi pekutungamirirwa nachiremba, jira rekugadzira chiuno rakabva kuBeijing Zhongantaihua (ZATH) rakaiswa zvakanaka. Kuvhiyiwa kwacho kwakaitwa zvakanaka uye zviratidzo zvehupenyu hwemurwere zvakagadzikana.
Ndeapi marudzi ezvigadzirwa zvechiuno zviripo?
1. Musoro wesimbi nepurasitiki (purasitiki) mukati
Mabhora esimbi akajairwa uye mapurasitiki epurasitiki akagadzirwa nekapu zvave zvichishandiswa kubvira kuma1960. Tsvagiridzo yesainzi inoratidza kuti kushandiswa kwemapurasitiki epurasitiki akavandudzwa, anozivikanwa se "highly-linked" polyethylene liners, kunogona kuderedza zvakanyanya kupfeka kwema implants. Nekuda kwekugara kwayo kwenguva refu uye zvimwe zvinhu zvine chekuita nayo, polyethylene yesimbi yave iri chinhu chinosarudzwa nevarapi vemapfupa emapfupa ekubatanidza chiuno kubva pakaitwa kuvhiyiwa kwekutanga kwekutsiva chiuno. Bhora resimbi rakagadzirwa ne cobalt-chromium alloy uye jira racho rakagadzirwa ne polyethylene.
2. Musoro webhora receramic uye jira repurasitiki (repurasitiki)
Zvidimbu zvesimbi zvakaoma kupfuura simbi uye ndizvo zvinonyanya kukwachurwa. Zvidimbu zvesimbi zvinoshandiswa pakuvhiya majoini zvine nzvimbo dzakaoma, dzisingakwechurwi, dzakapfava zvikuru dzinogona kuderedza zvakanyanya kupera kwe polyethylene friction interfaces. Kupera kwesimbi iyi kwakaderera pane kupera kwesimbi pa polyethylene.
3, Musoro webhora resimbi uye simbi yesimbi
Zvishandiso zvesimbi-pane-simbi (cobalt-chromium alloys, dzimwe nguva simbi isina ngura) zvakamboshandiswa kare muna 1955, asi hazvina kubvumidzwa neFDA kuti zvishandiswe muUnited States kusvika muna 1999. Sezvo tekinoroji ichifambira mberi, kupera simba kunoderera zvakanyanya, zvichikonzera kuzvimba kushoma uye kurasikirwa nemapfupa. Mabheya esimbi anowanikwa muhukuru hwakasiyana-siyana (kubva pa28mm kusvika 60mm), pamwe nesarudzo dzakasiyana-siyana dzekureba kwemutsipa. Zvisinei, mishumo yenguva refu mushure mekuvhiyiwa inoratidza kuti simbi, seion inoshanda zvishoma, inounganidza tsvina yesimbi nekuda kwekukwegura kwenguva refu, izvo zvinogona kutungamira mukuputsika kwemapfupa akatenderedza pfupa rejoint prosthesis, zvichizopedzisira zvaita kuti joint prosthesis isununguke uye ishanduke. Kuvhiya kwacho kwakakundikana.
4, Musoro webhora reCeramic uye jira receramic
Mumasystem aya ekugadzira majoini echiuno, mabhora esimbi echinyakare nemapurasitiki akatsiviwa neceramics dzakasimba kwazvo, dzinozivikanwa nehunyanzvi hwadzo hwekupfeka husina kusimba zvakanyanya. Zvisinei, kunyangwe dziine zvakanakira zvemhando yepamusoro uye kusapfeka kwakaderera, dzinewo dambudziko remutengo wakakwira.
Kana uchida kudzidza zvakawanda nezve chiuno chekugadziraruzivo, ndapota inzwa wakasununguka kutaura nesu; timu yedu ichakupa rutsigiro rwehunyanzvi nemhinduro.
Nguva yekutumira: Gunyana-10-2026