Ungayikhetha njani i-silicone prosthesis?

Kwicandelo lehlabathi lokuvuselela umzimba kunye ne-orthopedic,iiprosthesi/ii-liners ze-silicone kunye nee-implants ze-orthopedicziye zaba lukhetho oluphambili kubantu abanqunyulwe amalungu omzimba, izigulane zokubuyiselwa kwimeko yesiqhelo, kunye nabo bafuna ukulungiswa kwamathambo ngenxa yeenzuzo zazo ezifana nokuhambelana kakuhle kwezinto eziphilayo, ukuchukumisa okuthambileyo, ukulingana okuphezulu, ukuqina, kunye neempawu zokulwa nokwaluphala. Nangona kunjalo, bejongene nezixhobo ezahlukeneyo, ubulukhuni, iinkqubo, kunye nemigangatho, abantu abaninzi abaqinisekanga ukuba bangakhetha njani ngokuchanekileyo. Eli nqaku lithatha imbono yabasebenzisi bamazwe ngamazwe, liphepha ukuthengisa uphawu kunye nocalucalulo lwesiteshi sengingqi, ligxile kuphela kwingqiqo yokuthenga echanekileyo nesebenzayo ukukunceda ukhethe iiprostheses ze-silicone ezikhuselekileyo, ezifanelekileyo, nezihlala ixesha elide.

I. Okokuqala, cacisa: Loluphi uhlobo lwe-silicone prosthesis olufunekayo?

Kumazwe ngamazwe, izixhobo zokufakelwa/zokuncedisa ze-silicone ngokubanzi zahlulwe zibe ziindidi ezintathu eziphambili ezinokusetyenziswa okwahlukileyo ngokupheleleyo. Ukukhetha engalunganga kuchaphazela ngokuthe ngqo amava:
I-Silicone Liner (Undoqo Wokunxiba Imilenze Eseleyo): Ibekwe kwilungu eliseleyo, iyakhusela, inciphisa uxinzelelo, ithintela i-allergies, ithintela ukutyibilika, kwaye ikhusela ulusu. "Lumaleko ohambelanayo" we-prostheses yethanga/umlenze ongezantsi/umlenze ongaphezulu kwaye ibalulekile phantse kubo bonke abantu abanqunyulwe amalungu omzimba.

Iiprostheses zeSilicone zokuhombisa (Ukubuyiselwa kweNkangeleko): Zisetyenziselwa ukulungisa iminwe, amalungu omzimba angaphelelanga, kunye neziphene zomphezulu. Kugxininiswa kwinkangeleko yokwenyani, umbala wolusu, kunye nokuthungwa, kwaye umsebenzi ungowesibini. Ifanelekile kwiimeko apho ubuhle bubaluleke kakhulu.

Iiprostheses zeSilicone ezisebenzayo (Ukuqinisa Imidlalo/Ukuthwala Ubunzima): Zinezakhiwo eziqinisiweyo, ukuthamba okuphezulu, kunye nomthamo ophezulu wokuthwala umthwalo. Zilungelelaniswe neemeko zomthwalo ophezulu ezifana nokuhamba, ezemidlalo, kunye nomsebenzi. Kugxininiswa kakhulu kumandla kunye nokuzinza. Cacisa ngokucacileyo indlela yokusetyenziswa ecetywayo ngaphambi kokujonga iinkcukacha ukuze uphephe ukuchitha imali.

II. Imigangatho yoKhetho oluPhambili eyamkelweyo kwihlabathi liphela (ekufuneka ifundwe)

1. Udidi lwezinto: Khetha kuphela uhlobo lwezonyango, ungavumi ukusebenzisa i-silicone yemizi-mveliso.
Eyona nto ibalulekileyo kwimarike yokuvuselela umzimba kwihlabathi liphela: Iiprostheses zeSilicone ezidibana ngqo nolusu/ilungu eliseleyo kufuneka zenziwe ngesilicone yodidi lwezonyango.

Ihambelana nothotho lwe-ISO 10993 (ukuhambelana kwezinto eziphilayo, ukungachaphazeli ityhefu, ukungachukumisi, ukungacaphukisi). Ihambelana nemigangatho efanelekileyo ye-FDA okanye ye-CE yokuqhagamshelana. Izinto ezizinzileyo, azinambitheki ukubila, azigugi, kwaye azitshintshi umbala okanye zibe namathelayo ngokulula. I-silicone engaphantsi kwemizi-mveliso inokubangela: i-allergies, i-dermatitis, ukubomvu kwamalungu aseleyo kunye nokudumba, ukuguga ngokukhawuleza kunye nokuguquguquka, kunye nemingcipheko ephezulu kakhulu xa isetyenziswa ixesha elide.

2. Ukuqina kunye nokuthamba: Ukuchonga intuthuzelo kunye nomthamo wokuthwala ubunzima Umgangatho wamazwe ngamazwe wokufumanisa ubunzima sisikali seShore; ukuthamba akusoloko kungcono: Ukuhamba imihla ngemihla kunye nomsebenzi olula: Shore 10–25°, ithambile kwaye ilungele ulusu, uxinzelelo oluphantsi. Umsebenzi ophezulu, ezemidlalo, kunye nokuthwala ubunzima: Shore 25–40°, inkxaso enamandla, ayithandeki kakhulu ekuguqukeni, ukuqina okuphezulu. Ulusu olubuthathaka/amalungu aseleyo abuthathaka: Beka phambili iimodeli ezithambileyo kakhulu, ezingenayo i-allergen kunye netekhnoloji yokuphefumla enokukhupha ii-microporous.

Izinto ekufuneka ziqwalaselwe xa usolula: Ukubuyela umva ngokukhawuleza, akukho kuguquka kwexesha elide, akukho kudilika, ukugcina ulusu lukwimeko entle nokuba sele lugugile ngokuphindaphindiweyo.

3. Ukufaneleka: Eyona nto ibalulekileyo kunebhrendi. Ehlabathini lonke, ngaphezulu kwama-60% okungonwabi kweprosthesis kuvela ekungafaneleki kakuhle kweprosthesis.

Umjikelezo, ubude, kunye nemilo yelungu eliseleyo kufuneka ihambelane; iimveliso ezixhasa ukuskena kwe-3D/ukwenziwa ngokwezifiso ngokwezifiso ziyathandwa. Akukho manqaku oxinzelelo, akukho kutyibilika, akukho zimpawu; aziyi kukrwela ulusu nasemva kokuhlala/ukuhamba ixesha elide. Kwabo baneenguqu zobunzima okanye ukuwohloka kwemisipha, khetha iindlela ezinokulungiswa nezinokwelulwa kakhulu.

4. Ubuchule kunye nolwakhiwo: Kumisela ukuqina kunye nokuphefumla
Ukubumba okunenxalenye enye: Akukho mthungo, akukrazuki, kwaye akungeni manzi. Ukuphefumla okunemingxuma emincinci: Kuthintela ukubila ngexesha lokuguguleka kwexesha elide, kunciphisa umngcipheko we-eczema/usulelo. Iindawo ezijiyileyo ezimelana nokukrazuka: Iindawo ezithwele umthwalo oqinisiweyo zandisa ubomi. Ukulinganisa umbala wesikhumba: Ubume bendalo, imithambo yegazi, kunye nombala wesikhumba, zifanelekile kwiindawo ezivezwe.

5. Iingxelo zeZatifikethi zaMazwe ngaMazwe kunye neeNgxelo zoKhuseleko (Iimpawu zoThengo oluQhubekekileyo)
Xa uthenga ngaphaya kwemida/ngobuninzi, qiniseka ukuba uyaqinisekisa:
Ingxelo yokuhambelana kwezinto eziphilayo (ISO 10993-5 / ISO 10993-10)
Iingxelo zovavanyo lokumelana nokuxinana, ukulwa nokwaluphala, kunye nokumelana nokukrala
Uvavanyo lokungabi nazintsholongwane/ukungabi na-allergies, olungenazo izinto eziyingozi (ii-phthalates, ii-heavy metals)

III. Ukhetho Oluchanekileyo Ngokusekelwe Kwiimeko Zokusetyenziswa (Kusebenza kwihlabathi liphela)

1. 1. Ukusetyenziswa Ekhaya Imihla Ngemihla / Ukuhamba Kancinci

Iimfuno: Ikhululekile, iyaphefumla, uxinzelelo oluphantsi

Ingcebiso: I-silicone ethambileyo ye-hypoallergenic ye-medical + izinto eziphefumlayo ezinemingxuma emincinci, i-Shore 10–25°, uyilo olulula olusisiseko

Iimpawu eziphambili: Ayina-allergies, kulula ukuyicoca, kulula ukuyinxiba

2. Imisebenzi Yomsebenzi/Ixesha Elide

Iimfuno: Inkxaso elungileyo, ayityibiliki, ihlala ixesha elide

Ingcebiso: Ubulukhuni obuphakathi + umaleko wangaphakathi ongatyibilikiyo + ukuqinisa umphetho, uLwandle 20–30°

Iimpawu eziphambili: Akulula ukushukuma, kunciphisa ukudinwa kwamalungu aseleyo, ukulwa nokubhidana

3. Ezemidlalo / Ngaphandle / Umthwalo Ophezulu

Iimfuno: Amandla aphezulu, uzinzo, ukumelana nokukrazula

Ingcebiso: I-silicone eqinisiweyo ene-elasticity ephezulu, i-Shore 25–40°, enesakhiwo esiqinisiweyo

Iimpawu eziphambili: Uphumelele uvavanyo lwe-ISO 10328 lokuqina kweprosthesis, olufanele iimeko eziguqukayo ezifana nokubaleka, ukuhamba, kunye nokunyuka

4. Ulusu olubuthathaka / Unyawo olunesifo seswekile / Amalungu abuthathaka

Iimfuno: Ithambile kakhulu, ikhusela ulusu

Ingcebiso: I-silicone engenazo izongezo, engeyongozi kwizonyango, umphezulu ogudileyo nongacaphukisiyo, umaleko oqinileyo we-cushion

Amanqaku aphambili: Inciphisa umngcipheko wezilonda zoxinzelelo, umonakalo, kunye nosulelo, iphucula ukhuseleko lokunxiba ixesha elide

5. Ukulungiswa Kwezinto Zokuhombisa (Iminwe/Umphezulu Womzimba)

Iimfuno: Ukulinganisa okuphezulu, kwendalo, okuncinci

Ingcebiso: Ukuphindaphinda ubume, ukwenza ngokwezifiso umbala wolusu, i-silicone yokuhombisa ethambileyo nehambelanayo

Amanqaku aphambili: Ukuhambelana kombala, ubukhulu obufanayo, ukunxiba okungabonakaliyo

IV. Isikhokelo sokuphepha abasebenzisi behlabathi

Musa ukufuna iimveliso "ezithambileyo kakhulu" ngokungaziboni. Ukuthamba okugqithisileyo kukhokelela ekuguqukeni kombala, ukungaxhasi ngokwaneleyo, ukungazinzi xa uhamba, kunye nokuncipha okukhulu kokuqina komzimba.

Musa ukuthenga iimveliso ezingaqinisekiswanga ezixabiso liphantsi. Iitshaneli ezinqumla imida ziyinkimbinkimbi; i-silicone exabiso liphantsi ngaphandle kweengxelo zovavanyo ibeka impilo emngciphekweni.

Musa ukungawunaki ubungakanani kunye nokwenza ngokwezifiso. Uyilo oluqhelekileyo alufane luhambelane ngokugqibeleleyo; ukwenza ngokwezifiso ngokwezifiso kubalulekile ukuze uhlale ukhululekile.

Musa ukulibala ukucoca nokulungisa. Khetha iindlela ezilula ukuzicoca, ezomisa ngokukhawuleza, nezingenakubulala iintsholongwane ukuze ucoceke ngakumbi ekuhambeni kwexesha.

V. Indlela yokufumanisa ukuba iSilicone Prosthesis ifanelekile na (Uvavanyo olukhawulezileyo)

Ivumba: Akukho vumba libukhali, livumba elincinci le-silicone kuphela.

Ukuchukumisa: Kuthambile xa kuchukunyiswa, akunamatheli, kwaye kuyakhawuleza ukubuya.

Yolula: Ibuyela ngokukhawuleza kwimo yayo emva kokuyolula okuphakathi, ngaphandle kokuyimhlophe okanye ukuyiqhekeza.

Faka: Akukho kurhawuzelelwa kwesikhumba, ukuxinana, ukuba bomvu, okanye ukurhawuzelelwa.

Inkangeleko: Ubuchule obuthambileyo, akukho zibhamuza, akukho maqamza, kwaye akukho mahluko emibala.

VI. Isishwankathelo: Ifomula yoKhetho eyamkelekileyo kwihlabathi liphela

I-silicone yodidi lwezonyango + Ubulukhuni obufanelekileyo + Ukulingana ngokuchanekileyo + Isiqinisekiso sokhuseleko lwamazwe ngamazwe + Imeko yokusetyenziswa okufanayo = I-prosthesis ye-silicone elungileyo

Nokuba ukuliphi na ilizwe, nokuba lolokulungiswa okanye ukubumba, ukusetyenziswa kwemihla ngemihla okanye kwezemidlalo, ukulandela lo mgangatho kuya kukunceda ukhethe imveliso ye-silicone prosthesis ekhuselekileyo, ekhululekileyo, nehlala ixesha elide yokusetyenziswa ixesha elide, ethembekileyo, nezinzileyo.