Ukufakwa kwamazinyo ku-mellitus yesifo sikashukela, equkethe ukufaka i-prosthesis endaweni lapho kungekho zinyo, kungadingeka emacaleni ahlukahlukene. Kodwa-ke, kunezindlela eziningi eziphikisayo zokwenza inqubo enjalo. Ngakho-ke, abaningi abanesifo sikashukela banesifiso kulo mbuzo: bangaba nazo izimila ze-hyperglycemia ezingamahlalakhona?
Imibono yama-orthopedists, ama-implantologists kanye nama-endocrinologists ayahluka kulolu daba. Ngaphezu kwalokho, imiphumela yocwaningo ihlukile futhi: kwabathile kwabanesifo sikashukela amazinyo amasha aqala ukwanda, njengoba kubantu abanempilo, kuyilapho kwabanye, ukwelashwa okugxilisayo kungokusweleka.
Ngakho-ke, ngesifo sikashukela, udokotela ohlinzayo onolwazi kufanele afake amazinyo. Ngemuva kwakho konke, kunezizathu eziningi ezenza i-hyperglycemia engapheli ibe ukwephulwa okuhlobene nale nqubo.
Kukuziphi izimo lapho ukunqunyelwa kwamazinyo kuvinjelwe futhi kuvunyelwe kushukela?
Kunezizathu eziningana ezingenza ukufaka ukufakwa kwamazinyo kube nzima. Ngakho-ke, ezigulini eziningi ngemuva kwenqubo efanayo, ukwenqaba izinyo elisha kuyaphawulwa.
Ukusinda ompofu kuyaqapheleka kuhlobo 1 nesifo sikashukela sohlobo 2, kanye nokuntuleka ngokuphelele kwe-insulin, ngoba kulokhu inqubo yokwakheka kwamathambo inenkinga. Ngaphezu kwalokho, kwabanesifo sikashukela, uhlelo lokuphendula izivikeli mzimba luyancipha, futhi basheshe bakhathale lapho kwenziwa inqubo yamazinyo.
Kepha yiziphi izimo lapho isifo sikashukela nokufakwa kwamazinyo kuyahambelana? Ukufaka ukufakwa kwe-hyperglycemia engapheli, kumele kuhlangatshezwane nemibandela eminingi:
- Kuyo yonke inkathi yokufakwa, isiguli kufanele siqashelwe yisazi se-endocrinologist.
- Isifo sikashukela kufanele sinxephezelwe, futhi akufanele kube nokuphazamiseka ekusebenzeni kwethambo.
- Ukwenqaba ukubhema notshwala.
- Ukushisa i-glycemia ngaphambi kokuhlinzwa nangesikhathi sokufakwa kufanele kungabi ngaphezu kuka-7 mmol / L.
- Isifo sikashukela akufanele sibe nezinye izifo ezivimbela ukufakelwa (izilonda ze-National Assembly, isifo se-thyroid, i-lymphogranulomatosis, ukungasebenzi kahle kohlelo lwe-hematopoietic, njll.).
- Ukuhambisana nayo yonke imithetho yokuhlanzeka yokunakekela i-cavity yomlomo kuyisibopho.
Ukuze ukufakelwa kwamazinyo kuphumelele, iziguli kufanele ziqaphele izici zokuhlinzwa. Ngakho-ke, isikhathi sokwelashwa ngama-antibhayoriki esikhathini se-postoperative kufanele sithathe okungenani izinsuku eziyi-10. Kulokhu, kubalulekile ukuthi uqaphe njalo i-glycemia ukuze izinkomba zayo zingaphezu kuka-7-9 mmol / l phakathi nosuku.
Ngaphezu kwalokho, ngemuva kokuhlinzwa, ukuvakasha njalo kudokotela wamazinyo kuyadingeka kuze kube yilapho isitho esisha sivele sinezimpande ngokuphelele. Kuhle ukukhumbula ukuthi ngesifo sikashukela, isikhathi se-osseointegration siyanda: emhlathini ongenhla - kufika ezinyangeni eziyi-8, ophansi - kuze kube yizinyanga ezi-5.
Njengoba abanesifo sikashukela benenkinga yemetabolic, akufanele uphuthume ngenqubo yokuvula ukufakwa. Ngaphezu kwalokho, ukufakwa kokulayisha ngokushesha akumele kusetshenziswe.
Izici Ezithinta Impumelelo Ukufakwa Kwamazinyo Esifo Sikashukela
Umphumela omuhle wokuhlinzwa uthintwa isipiliyoni nohlobo lwalesi sifo. Ngakho-ke, uma lesi sifo siqhubeka isikhathi eside, kulapho amathuba okuba umuntu enqatshwa khona. Kodwa-ke, ngokubheka kahle isimo, ukufakwa kwesifo sikashukela kuvame kakhulu.
Uma umuntu onesifo sikashukela enamathela ekudleni okwehlisa ushukela, khona-ke amathuba okusinda okuhle kwezinyo lokufakelwa ukwanda kakhulu kunokuba nabenzeli abajwayelekile be-hypoglycemic. Njengoba sinesifo sikashukela esingalawulwa kahle nalabo abakhonjiswa ngokuqhubekayo ukwelashwa kwe-insulin, ukufakwa akunconywa. Ngaphezu kwalokho, ngohlobo lwesifo sokuqala, ukufakelwa kwamazinyo kubekezelelwa kubi kakhulu kunesifo sikashukela sohlobo 2, ngoba le ndlela yesifo ivame ukuvela ngendlela emnene.
Ucwaningo luye lwabonisa ukuthi ukufakwa kokufakwa kokufakelwa kwaba yimpumelelo enkulu kulezi ziguli ezake zaqeqeshwa ngaphansi kokuhlanzeka kanye nokukhucululwa kwendle yomlomo, okuhloswe ngayo ukucindezela i-infexpat emlonyeni. Ngenhloso efanayo, ama-antimicrobials anconywa kwabanesifo sikashukela ngaphambi kokuhlinzwa.
Impumelelo yokwelapha okufakwa kuyo iyancishiswa uma isiguli sine:
- izifo ezithathelwanayo;
- amasenti;
- i-pathology yemithambo yegazi nenhliziyo;
- i-xerostomia;
- i-periodontitis kushukela.
Kuhle ukwazi ukuthi ukwakheka kokufakelwa kuthinta ikhono lokufakwa kwawo. Ukubaluleka okubalulekile kunikezwa ngamapharamitha abo, ngakho-ke akufanele babe yinde kakhulu (hhayi ngaphezu kuka-13 mm) noma mfushane (hhayi ngaphansi kuka-10 mm).
Ukuze ungavuseleli ukusabela komzimba, futhi ungephuli izinkomba zokulinganisa neziningi zamathe, ukufakwa kwesifo sikashukela kufanele kwenziwe nge-cobalt noma i-nickel-chromium alloys. Ngaphezu kwalokho, noma imuphi umklamo kufanele uhlangabezane nazo zonke izidingo zokulinganisa umthwalo ofanele.
Kuyaqapheleka ukuthi emhlathini ophansi iphesenti lokusinda ngempumelelo kwezimila liphakeme kakhulu kunaphezulu. Ngakho-ke, le nto kufanele icatshangwe odokotela abahlinzayo ngamakhemikhali ohlelweni lokulinganisa izivumelwano zamazinyo.
Ngesikhathi esifanayo, abanesifo sikashukela kufanele bakhumbule ukuthi ngenxa yokuphazamiseka kwe-metabolic, i-osseointegration, uma iqhathaniswa nabantu abanempilo, ihlala kancane (cishe izinyanga eziyi-6).
Ukulungiselela kanye nokufakwa kwezifakwa
Inqubo yokufaka ukufakelwa kushukela iyenziwa futhi nakumuntu ophilile. Kepha nge-hyperglycemia engapheli, kunconywa ukukhetha udokotela onolwazi ngokusebenza nabanesifo sikashukela, ngoba kufanele aqonde zonke izingozi futhi enze ngokucophelela ngangokunokwenzeka.
Isiguli singanikezwa ukufakelwa kwesifo sikashukela ngomthwalo obambezelekile (ama-prostheses abekwa kuphela lapho ukufakwa kufakwe ngokuphelele), noma indlela enokulayisha ngokushesha ngemuva kokufakwa. Kepha ngokuvamile, ukukhethwa kwendlela kungukuphinda kudokotela, kususelwe kwimininingwane yokuxilonga.
Ngaphambi kokuhlinzwa kwamazinyo, isiguli kufanele sihlolwe amathe, umchamo negazi. Kufanele futhi uthintane nodokotela oyi-endocrinologist kanye ne-Therapist.
Ukulungiselela okuthe xaxa kokufakwa kwamazinyo kushukela kuyinto elandelayo:
- ukuthuthwa kwendle komlomo;
- ukuxubha okuthuthukisiwe izinyanga ezimbili ngaphambi kokufakwa;
- uma kunesidingo, i-plaque isuswa emazinyweni, ukusungulwa kwama-carious namatshe kuyasuswa;
- Ukuxilongwa komhlathi (kuveza izifo ezifihliwe futhi kukuvumela ukuthi uhlole ikhwalithi nenani lezicubu zamathambo).
Kubalulekile ukuthi ukusebenza kuqashelwe ngangokunokwenzeka ngomonakalo omncane wezicubu. Lokhu kuyadingeka ukusheshisa kabusha futhi kuvikele imiphumela engathandeki. Ngakho-ke, kungakuhle ukhethe izindlela ezihlaselayo zokufakelwa kwamazinyo okufakelwa, okungenzeka kuphela esimweni sokufakelwa ngokulayisha ngokushesha.
Ngemuva kokuhlinzwa kwamazinyo, abanesifo sikashukela badinga ukulawula i-glycemia yabo ngokucophelela. Isimo sikashukela egazini esivela emunweni singu-5.5-6.1 mmol l. Ngaphezu kwalokho, kufanele kuthathwe imithi elwa namagciwane izinsuku ezingaba ngu-12, ukuqapha ngokuhlanzisisa inhlanzeko yomlomo futhi uvakashele udokotela njalo ezinsukwini ezingama-2-3 ngemuva kokufakwa. Ngasikhathi sinye, kubaluleke kakhulu ukuyeka ukubhema.
Kuyafaneleka ukwazi ukuthi isifo sikashukela ekuhlinzeni kwamazinyo asidingi izindleko ezincane zezimali, ngoba ngesifo esinjalo akukho siqiniseko sokuthi okufakwa kuzothatha izimpande. Ngaphezu kwalokho, ngisho nokulungiselela ngokucophelela kanye nokunxephezela kwalesi sifo esiyisisulu ngeke sikukhiphe ngokuphelele ukwenqatshwa kwaso izinyo elenziweyo
Ngakho-ke, bonke abanesifo sikashukela, ikakhulukazi lapho kukhona izifo ezihlangana nabo, basengozini. Ngakho-ke, impumelelo yokwelashwa okufakayo akuhlali njalo kuncike ezifundweni zodokotela wamazinyo.
Intengo evamile yokufakwa isuka kuma-ruble ayizinkulungwane ezingama-35 kuye kwangama-40. Izindleko zokufaka zingama-ruble angama-20,000.
Imininingwane emayelana nezici zezitho zokuthambisa zesifo sikashukela izotshela uchwepheshe ovela kuvidiyo ekulesi sihloko.
