Ukumiliselwa kwamathambo

Ukufakelwa kwethambo kukuhlinzwa ukuze kufakwe amathambo amatsha endaweni yamathambo aqhekekileyo okanye iziphene zethambo.

Ukuthathwa kwethambo kunokuthathwa kwithambo lomntu elisempilweni (oku kubizwa ngokuba yi-autograft). Okanye, inokuthathwa kwiithambo ezinqabileyo, ezinikelweyo (allograft). Ngamanye amaxesha kusetyenziswa into eyenziweyo eyenziwe endaweni yethambo.

Uya kulala kwaye ungeva zintlungu (i-anesthesia ngokubanzi).

Ngexesha lotyando, ugqirha wotyando usika isiphako samathambo. Ukufakelwa kwethambo kungathathwa kwiindawo ezikufutshane nesiphene samathambo okanye ngakumbi kwi-pelvis. Umdwebo wethambo ubunjiwe kwaye wafakwa ngaphakathi kwaye ujikeleze indawo. Ukufakelwa kwethambo kunokufuna ukubanjwa endaweni yezikhonkwane, iipleyiti, okanye izikrufu.

Ukufakelwa kwamathambo kusetyenziselwa:

• Fuse amalungu ukuthintela intshukumo
• Ukulungisa amathambo aphukileyo (amachaphaza) aphulukene nethambo
• Lungisa ithambo elonzakeleyo elingaphilanga

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zibandakanya:

• Intlungu kwindawo yomzimba apho ithambo lisuswe khona
• Ukwenzakala kwemithambo-luvo kufutshane nendawo yokufakelwa kwethambo
• Ukuqina kwendawo

Xelela ugqirha wakho wotyando ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Landela imiyalelo malunga nokuyeka ukucoca igazi, njenge-warfarin (Coumadin), i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), okanye ii-NSAID ezinjenge-aspirin. Oku kunokubangela ukwanda kwegazi ngexesha lotyando.

Ngomhla wotyando:

• Landela imiyalelo malunga nokungatyi okanye ukusela nantoni na ngaphambi kotyando.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Ukuba uya esibhedlele ukusuka ekhaya, qiniseka ukuba ufike ngexesha elimiselweyo.

Ixesha lokubuyisela kwimeko yesiqhelo lixhomekeke ekwenzakaleni okanye kwisiphene esinyangiweyo kunye nobukhulu bomthambo. Ukuchacha kwakho kungathatha iiveki ezimbini ukuya kwiinyanga ezi-3. Ukudityaniswa kwamathambo ngokwawo kuya kuthatha iinyanga ezi-3 okanye ngaphezulu ukuphilisa.

Unokuxelelwa ukuba uphephe umthambo ogqithileyo ukuya kuthi ga kwiinyanga ezi-6. Buza umboneleli wakho okanye umongikazi ukuba yintoni onokuyenza kwaye awunakukwenza ngokukhuselekileyo.

Uya kudinga ukugcina indawo yokufakelwa kwethambo icocekile kwaye yomile. Landela imiyalelo malunga nokuhlamba.

Musa ukutshaya. Ukutshaya kucotha okanye kuthintela ukuphola kwamathambo. Ukuba uyatshaya, ukuntywila kulindeleke ukuba kusilele. Yazi ukuba ii-nicotine patches ziphilisa kancinci njengokutshaya.

Kuya kufuneka usebenzise isikhuseli samathambo. Oomatshini abanokunxitywa ngaphezulu kwendawo yotyando ukukhuthaza ukukhula kwethambo. Ayizizo zonke utyando lofakelo olufuna ukusetyenziswa kwezivuseleli zethambo. Umboneleli wakho uya kukwazisa ukuba uya kudinga ukusebenzisa into evuselela amathambo.

Uninzi lwegrafti yamathambo inceda isiphene samathambo siphilise ngomngcipheko omncinci wokwaliwa.

Autograft - ithambo; Allograft - ithambo; Ukuqhekeka - ukudityaniswa kwethambo; Utyando - utyando lwamathambo; Ukuzilungiselela kwamathambo

• Ukuthanjiswa kwethambo lomqolo - uthotho
• Ukuvunwa kwamathambo

Brinker MR, O'Connor DP. Imanyano: uvavanyo kunye nonyango. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

I-Seitz IA, i-Teven CM, kunye neReid RR. Ukulungiswa kunye nokudityaniswa kwethambo. Ku: Gurtner GC, Neligan PC, ii-eds. Utyando lweplastikhi, Umqulu 1: Imigaqo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 18.