Kodi Mungasankhe Bwanji Silicone Prosthesis?

Mu gawo ladziko lonse la kukonzanso ndi kusamalira mafupa,ma prostheses/ma liners a silicone ndi ma implants a mafupaakhala chisankho chachikulu cha anthu odulidwa ziwalo, odwala omwe akuchira, komanso omwe akufuna kuchira mafupa chifukwa cha zabwino zake monga kuyanjana bwino ndi thupi, kukhudza kofewa, kukhala bwino, kulimba, komanso mphamvu zoletsa kukalamba. Komabe, pokumana ndi zipangizo zosiyanasiyana, kuuma, njira, ndi miyezo, anthu ambiri sakudziwa momwe angasankhire molondola. Nkhaniyi imagwiritsa ntchito malingaliro a ogwiritsa ntchito padziko lonse lapansi, kupewa kutsatsa kwa malonda ndi tsankho la njira zachigawo, kungoyang'ana kwambiri pamalingaliro ogula enieni komanso othandiza kuti akuthandizeni kusankha ma prostheses a silicone otetezeka, oyenera, komanso olimba.

I. Choyamba, fotokozani: Kodi mukufuna mtundu wanji wa silicone prosthesis?

Padziko lonse lapansi, ma prostheses a silicone/zipangizo zothandizira nthawi zambiri zimagawidwa m'magulu atatu akuluakulu omwe amagwiritsidwa ntchito mosiyana kwambiri. Kusankha kolakwika kumakhudza mwachindunji zomwe zimachitika:
Silicone Liner (Chigawo Chapakati Cha Zovala Zotsalira za Ziwalo): Chikayikidwa pa mwendo wotsala, chimateteza, chimachepetsa kupanikizika, chimaletsa ziwengo, chimaletsa kutsetsereka, komanso chimateteza khungu. Ndi "gawo loyandikira" la ntchafu/m'munsi mwa mwendo/m'mwamba ndipo ndi lofunikira kwa pafupifupi onse odulidwa ziwalo.

Ma Prostheses Okongoletsa a Silicone (Kubwezeretsa Maonekedwe): Amagwiritsidwa ntchito pokonza zala, ziwalo zina, ndi zolakwika pamwamba. Kugogomezera kumayikidwa pa mawonekedwe enieni, mtundu wa khungu, ndi kapangidwe kake, ndipo ntchito yake ndi yachiwiri. Yoyenera zochitika zomwe kukongola ndikofunikira kwambiri.

Ma Prostheses Ogwira Ntchito a Silicone (Kulimbitsa Masewera/Kulemera): Ali ndi zomangamanga zolimba, kusinthasintha kwakukulu, komanso mphamvu zambiri zonyamula katundu. Angagwiritsidwe ntchito pazinthu zolemera monga kuyenda, masewera, ndi ntchito. Kugogomezera kumayikidwa pa mphamvu ndi kukhazikika. Fotokozani bwino momwe mungagwiritsire ntchito musanayang'ane zofunikira kuti mupewe kuwononga ndalama.

II. Miyezo Yovomerezeka Padziko Lonse Yosankha Zinthu Zachikulu (Yoyenera Kuwerengedwa)

1. Kalasi Yopangira Zinthu: Sankhani kalasi yachipatala yokha, koma kanani silicone ya mafakitale.
Mfundo yaikulu ya msika wa kukonzanso zinthu padziko lonse lapansi ndi iyi: Ma prostheses a silicone omwe amakhudzana mwachindunji ndi khungu/chiwalo chotsalira ayenera kupangidwa ndi silicone yapamwamba kwambiri.

Zimagwirizana ndi mndandanda wa ISO 10993 (kugwirizanirana ndi zinthu zachilengedwe, kusawononga poizoni, kusayambitsa kukwiya, kusakwiyitsa). Zimagwirizana ndi miyezo yoyenera ya FDA kapena CE yokhudzana ndi zinthu. Zipangizo zokhazikika, zosagwira thukuta, zosakalamba, ndipo sizisintha mtundu mosavuta kapena kukhala zomata. Silicone yotsika kwambiri ya mafakitale ingayambitse: ziwengo, dermatitis, kufiira ndi kutupa kwa miyendo yotsalira, kukalamba ndi kusinthasintha mwachangu, komanso zoopsa zazikulu kwambiri pogwiritsa ntchito nthawi yayitali.

2. Kuuma ndi Kutanuka: Kudziwa Chitonthozo ndi Mphamvu Yonyamula Zolemera Muyezo wapadziko lonse wodziwira kuuma ndi muyeso wa Shore; kufewa sikoyenera nthawi zonse: Kuyenda tsiku ndi tsiku ndi kuchita zinthu mopepuka: Shore 10–25°, yofewa komanso yogwirizana ndi khungu, yotsika mphamvu. Kuchita zinthu zambiri, masewera, komanso kunyamula zolemera: Shore 25–40°, chithandizo champhamvu, chosavuta kusintha, komanso cholimba kwambiri. Khungu lofewa/miyendo yotsala yofooka: Sankhani mitundu yofewa kwambiri, yopanda ziwengo yokhala ndi ukadaulo wopumira wa microporous.

Zofunika kuziganizira pa kukhuthala: Kuchira msanga, kusasinthika kwa nthawi yayitali, kusagwa, kusunga mawonekedwe ake oyambirira ngakhale mutagwiritsa ntchito mobwerezabwereza.

3. Kuyenerera: Chizindikiro chofunika kwambiri kuposa mtundu. Padziko lonse lapansi, kupitirira 60% kwa kusagwira bwino ntchito kwa ziwalo zoberekera kumachitika chifukwa cha kusayenerera bwino.

Kuzungulira, kutalika, ndi mawonekedwe a mwendo wotsala ziyenera kugwirizana; zinthu zomwe zimathandiza kusanthula kwa 3D/kusintha kwapadera ndizo zomwe zimakondedwa. Palibe malo opanikizika, palibe kutsetsereka, palibe zizindikiro; sizingakhudze khungu ngakhale mutakhala/mukuyenda kwa nthawi yayitali. Kwa anthu omwe ali ndi kusinthasintha kwa kulemera kapena kufooka kwa minofu, sankhani mitundu yosinthika komanso yotambasuka kwambiri.

4. Luso ndi Kapangidwe: Zimatsimikiza Kulimba ndi Kupuma Bwino
Kuumba chinthu chimodzi: Chopanda msoko, chosang'ambika, komanso chosalowa madzi. Kupuma movutikira ndi ma micropore: Kumaletsa thukuta pakapita nthawi yayitali, kuchepetsa chiopsezo cha eczema/matenda. Malo okhuthala osamva kuwawa: Malo olimba okhala ndi katundu amawonjezera moyo wa munthu. Kuyerekezera kamvekedwe ka khungu: Kapangidwe kachilengedwe, mitsempha yamagazi, ndi kamvekedwe ka khungu, koyenera malo owonekera.

5. Ziphaso Zapadziko Lonse ndi Malipoti a Chitetezo (Zisonyezo Zovuta Zogulira)
Mukagula zinthu m'malire/m'magulu, onetsetsani kuti mwatsimikiza izi:
Lipoti la Kugwirizana kwa Zamoyo (ISO 10993-5 / ISO 10993-10)
Malipoti oyesera mphamvu yokoka, yoletsa ukalamba, komanso kukana kukanda
Kuyesa kusabereka/kusayambitsa ziwengo, kopanda zinthu zoopsa (phthalates, zitsulo zolemera)

III. Kusankha Molondola Kutengera Zochitika Zogwiritsidwa Ntchito (Zoyenera Padziko Lonse)

1. 1. Kugwiritsa Ntchito Pakhomo Tsiku ndi Tsiku / Kuyenda Mopepuka

Zofunikira: Yomasuka, yopumira, komanso yotsika mphamvu

Malangizo: Silikoni yofewa ya kalasi yachipatala yosakhala ndi ziwengo + zinthu zopumira zomwe zimalowa m'madzi, Shore 10–25°, kapangidwe kosavuta

Zinthu Zofunika: Hypoallergenic, yosavuta kuyeretsa, yosavuta kuvala

2. Ntchito / Zochita Zanthawi Yaitali

Zofunikira: Thandizo labwino, losaterera, lolimba

Malangizo: Kulimba kwapakati + wosanjikiza mkati + wolimbitsa m'mphepete, gombe 20–30°

Zinthu Zofunika Kwambiri: Sizisinthasintha kwambiri, zimachepetsa kutopa kwa miyendo, komanso sizimasuntha

3. Masewera / Panja / Kulemera Kwambiri

Zofunikira: Mphamvu yayikulu, kukhazikika, kukana misozi

Malangizo: Silikoni yolimbikitsidwa ndi kukhuthala kwakukulu, Shore 25–40°, yokhala ndi kapangidwe kolimbikitsidwa

Zinthu Zofunika: Wapambana mayeso a mphamvu ya prosthesis a ISO 10328, oyenera zochitika zosiyanasiyana monga kuthamanga, kuyenda, ndi kukwera

4. Khungu Lofewa / Mapazi a Shuga / Ziwalo Zofooka

Zofunikira: Yofewa kwambiri, yoteteza khungu

Malangizo: Silikoni yopanda zowonjezera, silikoni yachipatala yotsika mtengo, pamwamba pake posalala komanso osakwiyitsa, komanso yokhuthala yokhala ndi cushion.

Mfundo Zofunika: Kuchepetsa chiopsezo cha zilonda zopanikizika, kuwonongeka, ndi matenda, komanso kupititsa patsogolo chitetezo cha kuvala kwa nthawi yayitali

5. Kukonza Zokongoletsa (Zala/Pamwamba pa Thupi)

Zofunikira: Kuyerekezera kwakukulu, zachilengedwe, zoonda

Malangizo: Kubwereza kapangidwe kake, kusintha mtundu wa khungu, silikoni yofewa komanso yokongola

Mfundo Zofunika: Kufananiza mitundu, makulidwe ofanana, kuvala kosaoneka

IV. Buku Lotsogolera Kupewa Ogwiritsa Ntchito Padziko Lonse

Musamatsatire zinthu “zofewa kwambiri” mosazindikira. Kufewa kwambiri kumabweretsa kusintha kwa thupi, kusakwanira kuthandizira, kusakhazikika poyenda, komanso kuchepa kwambiri kwa mphamvu.

Musagule zinthu zotsika mtengo zosatsimikizika. Njira zodutsa malire zimakhala zovuta; silikoni yotsika mtengo popanda malipoti oyesera imabweretsa mavuto pa thanzi.

Musanyalanyaze kukula ndi kusintha kwa kalembedwe. Mapangidwe achilengedwe nthawi zambiri samagwirizana bwino; kusintha kwa kalembedwe kake ndi chinsinsi cha chitonthozo cha nthawi yayitali.

Musanyalanyaze kuyeretsa ndi kukonza. Sankhani njira zosavuta kuyeretsa, zouma mwachangu, komanso zosapha tizilombo toyambitsa matenda kuti mukhale aukhondo bwino pakapita nthawi.

V. Momwe Mungadziwire Ngati Silicone Prosthesis Ndi Yoyenerera (Kudziyesa Mwachangu)

Fungo: Palibe fungo lopweteka, koma fungo lochepa la silikoni.

Kukhudza: Kusalala kukhudza, sikumamatira, ndipo kumabwerera m'mbuyo mwachangu.

Kutambasula: Kumachira msanga mawonekedwe ake pambuyo potambasula pang'ono, popanda kuyera kapena kusweka.

Pakani: Palibe kuyabwa pakhungu, kudzaza, kufiira, kapena kuyabwa.

Mawonekedwe: Kapangidwe kosalala, kopanda ma burrs, kopanda thovu, komanso kopanda kusiyana kwa mitundu.

VI. Chidule: Njira Yosankhira Yovomerezeka Padziko Lonse

Silikoni ya digiri ya zamankhwala + Kuuma koyenera + Kukwanira koyenera + Chitsimikizo cha chitetezo chapadziko lonse + Chitsanzo chogwiritsira ntchito chofanana = Chopangira cha silicone chabwino

Kaya muli m'dziko liti, kaya mukukonzanso kapena kukonza mawonekedwe, kugwiritsa ntchito tsiku ndi tsiku kapena masewera, kutsatira muyezo uwu kudzakuthandizani kusankha chinthu cholimba, chotetezeka, komanso cholimba cha silicone prosthesis kuti mugwiritse ntchito kwa nthawi yayitali, modalirika, komanso mokhazikika.