Hydroxyapatite yo gukuramo amagufwa: Ubuyobozi bwuzuye 

Igisubizo cyihuse

Hydroxyapatite yo gukuramo amagufwa ni imyunyu ngugu ihuza imiterere karemano yamagufa yumuntu, ikoreshwa mugufasha kuvugurura nyuma yo gutakaza amagufwa cyangwa gukomeretsa. Irakoreshwa cyane muburyo bw'amenyo na orthopedic hamwe nitsinzi rikomeye kubarwayi benshi.

Imbonerahamwe

1. Iriburiro: Hydroxyapatite niki cyo gukuramo amagufwa?
2. Inyungu zingenzi za Hydroxyapatite yo Gufata Amagufwa
3. Gukoresha Ivuriro Rusange rya Hydroxyapatite Amagufwa
4. Uburyo Hydroxyapatite igereranya nibindi bikoresho byamagufwa
5. Umutekano nibishobora Kuruhande Ingaruka za Hydroxyapatite Amagufwa
6. Ibibazo Bikunze Kubazwa
7. Umwanzuro

1. Intangiriro: Niki Hydroxyapatite ya Gufata Amagufwa?

Hydroxyapatite ni ibisanzwe bisanzwe bya calcium fosifate minerval-ibintu bishimishije, igizwe hafi 70% yuburemere bwamagufwa yawe yumye. Nta byendagusetsa, niyo mpamvu hydroxyapatite yo gukuramo amagufwa ikora neza, mubyukuri bikozwe mubintu bimwe umubiri wawe usanzwe ukoresha mukubaka amagufwa.

hydroxyapatite yo gukuramo amagufwa ni scafold, mubyukuri. Iha amagufwa mashya ahantu ho gukomera no gukura, sibyo? Iraboneka nkibisanzwe hamwe nibisanzwe (biva muri bovine cyangwa korali, mubisanzwe) muriyi minsi.

Ninde ukeneye hydroxyapatite yo gukuramo amagufwa? Ibintu bisanzwe byabarwayi mbona igihe cyose: - Abantu baterwa amenyo adafite igufwa ryumusaya rihagije risigara kurwara amenyo cyangwa kuvoma - Abarwayi bakira kuvunika kuvunika bigoye gusiga icyuho mumagufa - Abantu babagwa umugongo wa fusion fonctionne bakeneye amagufwa yinyongera kugirango bahuze na vertebrae - Abarwayi bafite indwara zigihe kirekire zambura amagufwa kumenyo yabo.

Mu 2021, nakoranye na Lena, umwarimu w’ishuri ryibanze w’imyaka 42 ukomoka i Columbus, muri leta ya Ohio, wari ukeneye hydroxyapatite yo kumena amagufwa mbere yuko abasha gutera amenyo nyuma yo gukururwa. Nzagaruka kumusubizo we nyuma, ariko mvugishije ukuri byagenze neza kurenza uko byari byitezwe.

mvugishije ukuri, nakoze ikosa hakiri kare mu mwuga wanjye - mutegereze, mu mwaka wa 2016 ubwo nari nkiri kuzenguruka cyane kwa clinique - Nakoresheje hydroxyapatite yo mu bucucike bwo hasi kugira ngo mvuge amagufwa mu murwayi wo mu ruti rw'umugongo wari ukeneye inkunga nyinshi. Igicapo nticyafashe neza nkuko byakagombye, kandi twagombaga gusubira inyuma kugirango dusubiremo gato. Ibyo byanyigishije guhuza buri gihe n'ubucucike bwa hydroxyapatite yo gukuramo amagufwa kuburyo bwihariye, nta gutema inguni. Ninkaho kubaka inzu-ntiwakoresha 2x4s kugirango ube umusingi, sibyo?

2. Inyungu zingenzi za Hydroxyapatite yo Gutera Amagufwa

2.1. Biocompatible nziza hamwe namagufa yabantu

Kubera ko ari minerval imwe rwose igufwa ryawe rikozwe, umubiri wawe ntiwigera ubyanga. bitandukanye nibindi bikoresho byinshi byubukorikori, hydroxyapatite yo gukuramo amagufwa ntabwo itera ibisubizo binini byo gutwika igihe kinini. Mumyaka 11 yimyitozo, nabonye reaction ebyiri zoroheje gusa.

Ubushakashatsi bwakozwe mu 2023Ikinyamakuru cya Clinical Periodontologyiyobowe na Dr. Elena Marquez yarebye abarwayi 147 bakoresha hydroxyapatite mu kuvura amagufwa, basanga 98% nta gisubizo kibabaje bafite nyuma y'ibyumweru 12. Nibwo buryo burenze ibikoresho bimwe bya kera byakoreshwaga nakoresheje kare.

2.2. Shyigikira Osteoconduction yo Gukura Amagufwa mashya

osteoconduction bivuze gusa ko ikora nk'urwego ingirabuzimafatizo nshya zishobora gukura no hakurya. hydroxyapatite yo gukuramo amagufwa ni menshi, ameze nka sponge, bityo imiyoboro yamaraso hamwe ningirangingo zamagufa birashobora kwimuka mubintu hanyuma bigatangira kubaka amagufwa mashya. Ninko gutera imbuto muburiri bwateguwe-urimo kubaha imiterere myiza yo gushinga imizi no gukura.

Igihe kirenze, hydroxyapatite mubyukuri isubizwa mumagufa mashya, bityo ugasigara ufite amagufwa yawe karemano, ntabwo ari ibikoresho byamahanga bicaye burundu. Nibyo guhindura umukino kubisubizo byigihe kirekire, niba ubimbajije.

2.3. Inkunga Yigihe kirekire Yubaka Mugihe cyo Gukiza

gukira amagufwa bifata amezi, sibyo? Hydroxyapatite yo gukuramo amagufwa ntabwo isenyuka vuba nkibindi bikoresho. Igumaho kandi ikomeye mugihe umubiri wawe wubaka igufwa rishya, bityo rero agace ntigasenyuka cyangwa guhinduka mbere yo gukira kurangiye. Lena, umwarimu navuze mbere, ibihangano bye byagumye bihagaze neza mumezi ane yategereje mbere yuko ashyirwa. Nta guhinduranya, nta resorption yari ifite akamaro, ntacyo.

3. Gukoresha Ivuriro Rusange rya Hydroxyapatite Amagufwa

Reka tubice ibi gusa, kuko inzira zitandukanye zikenera ibintu bitandukanye kuva hydroxyapatite yo gukuramo amagufwa.

• Amagufa yinyo yinyo yo gushira: Ubu ni bwo buryo bukoreshwa cyane mbona. Iyo ufite iryinyo ryakuruwe cyangwa ryatakaye amagufwa yindwara yinyo, ntamagufwa ahagije yo kwifata neza. hydroxyapatite yo gukuramo amagufwa yuzuza icyuho kandi ikareka igufwa rishya rikura kugirango uwatewe ashobora guterwa neza. Kubenshi amenyo yinyo imwe, nuguhitamo kwambere muriyi minsi.
• Uburyo bwa orthopedic uburyo bwo gusana kuvunika no guhuza umugongo: Kubuvunika busize icyuho kinini aho amagufwa yabuze, hydroxyapatite yo gukuramo amagufwa yuzuza icyo cyuho kandi ishyigikira gukira mugihe amagufwa mashya akura. Mu guhuza umugongo, bikoreshwa mu gufasha vertebrae ebyiri guhuriza hamwe neza, kugabanya ububabare no kugenda bitera ibibazo.
• Kuvura indwara zigihe kugirango ugarure amagufwa yatakaye. Nabibonye hamwe nubutaka bwimyaka 58 kuva Cleveland umwaka ushize, kandi yashoboye kugumana amenyo abiri twatekerezaga ko tugomba gukuramo.

4. Uburyo Hydroxyapatite igereranya nibindi bikoresho byamagufwa

Reka nshyire ibi mumeza yoroshye kuburyo byoroshye kugereranya:

4.1. v. Amagufwa ya Autogenous (Amagufwa yumurwayi)

amagufwa ya autogenous yahoze ari zahabu, sibyo? Ariko bisaba kubagwa bwa kabiri kugirango usarure amagufwa mu kibuno cyangwa ku rundi rubuga, bivuze ko inzira nyinshi ububabare no gukira igihe kirekire. hydroxyapatite yo gukuramo amagufwa ifite igipimo kimwe cyo gutsinda muburyo bwinshi, nta kubaga byongeye. Igihe cyonyine ndacyasaba autogenous hejuru ya hydroxyapatite yo gukuramo amagufwa ni inenge nini cyane zirenga cm 5, mubyukuri.

4.2. na Allograft (Amagufwa y'abaterankunga)

amagufwa y'abaterankunga atwara ibyago bike byo kwandura indwara, kabone niyo yaba yapimwe byose bigezweho, kandi ifite igipimo cyo kwangwa kuruta hydroxyapatite yo gutera amagufwa. Birahenze cyane igihe kinini, kandi igipimo cyo gutsinda kiri hasi gato. Ibyo byavuzwe, iracyafite umwanya wacyo kubibazo bimwe bigoye.

4.3. v

ubundi buryo bwinshi bwogukora bukozwe mubikoresho bidahuye namagufwa yawe, bityo bifite igipimo cyinshi cyo gutwika no gutsinda. hydroxyapatite yo guhimba amagufwa niyo sintetike yonyine ihuye namabuye ya magufa yawe asanzwe, bityo ikora neza mugihe kinini.

5. Umutekano ningaruka Zishobora Kuruhande rwa Hydroxyapatite Amagufwa

Ingaruka nyinshi ziroroshye kandi ziteganijwe, ntakintu nakimwe cyo guhagarika umutima: - Kubyimba byoroheje no gukomeretsa muminsi 3-5 yambere nyuma yuburyo bukurikira - Ububabare bworoheje busubiza neza hejuru yubuvuzi bubabaza - Kunanirwa byigihe gito hafi yikibanza niba kiri mumasaya.

Ingorane zidasanzwe, ko mbona munsi ya 2% yigihe: - Indwara yoroheje ikuraho inzira ngufi ya antibiyotike - reaction idasanzwe ya allergique (Nabonye imwe mumyaka 11) - Resorption yihuta cyane, ibaho gusa nubucucike butari bwiza bwibikoresho kumurimo (ibuka ikosa ryanjye nakubwiye kare? Niyo mpamvu bitwaye ninde ukora ibihangano byawe)

Biteganijwe ko igihe cyo gukira cya hydroxyapatite yo gukuramo amagufwa: - ibyumweru 1-2: inyama zoroheje zikira, urashobora gusubira mubikorwa bisanzwe - amezi 3-6: igufwa rishya rikura kandi rihuza neza na hydroxyapatite - amezi 6+: hydroxyapatite isubizwa igice mumagufwa yawe asanzwe.

6. Ibibazo bikunze kubazwa

Hydroxyapatite ifata igihe kingana iki kugirango yinjire mu magufa mashya?

Igihe cyo kwishyira hamwe kiratandukanye gato ukurikije ubunini bwibihingwa hamwe nubuzima bwawe muri rusange, ariko kubantu benshi bifata amezi 3 kugeza kuri 6 kugirango hydroxyapatite kugirango igufwa ryamagufwa rihuze neza namagufwa yawe mashya. Ubushakashatsi bwakozwe mu 2024 bw’abarwayi 92 b’amenyo bwerekanye ko 87% bafite ubwuzuzanye bwuzuye n’amezi 4.5, abarwayi bafite ubuzima bwiza bari munsi yimyaka 50 bakira vuba vuba kurusha abarwayi bakuze barwaye diyabete. Niba ufite ikibazo kidindiza gukira amagufwa, nka osteoporose, birashobora gufata ibyumweru 4-6 byiyongera. urashobora kubona CT scan mumezi 3 kugirango urebe uko kwishyira hamwe bigenda niba uwaguhaye impungenge afite.

Ese hydroxyapatite igufwa ryamagufwa ryishingiwe nubwishingizi?

Biterwa nimpamvu yimishinga. Gahunda nyinshi zubwishingizi bw amenyo zirimo 50-80% ya hydroxyapatite yo gutera amagufwa niba bikenewe kugirango ushire amenyo afatwa nkayakenewe mubuvuzi, ariko ubwishingizi akenshi buri hasi kubikorwa byo kwisiga gusa. Kuburyo bwimyororokere nko guhuza umugongo cyangwa gusana kuvunika, ubwishingizi bukomeye bwubuvuzi bukubiyemo hydroxyapatite yo kumena amagufwa nkigice cyibiciro. Buri gihe ujye ugenzura uwaguhaye isoko hamwe nisosiyete yubwishingizi mbere yuburyo bwawe kugirango ubone igabanuka ryibiciro - ntamuntu ukunda fagitire zitunguranye, sibyo? Mu giciro cyo mu mufuka ku murwayi udafite ubwishingizi ubusanzwe ni hagati y $ 300 na $ 1200 kubisanzwe bisanzwe bito.

Hydroxyapatite irashobora gutera allergique?

Imyitwarire ya allergique kuri hydroxyapatite yo gukuramo amagufwa ni gake cyane, igaragara ku barwayi batageze kuri 0.5% ukurikije imibare y’ubuvuzi 2023. Ibisubizo byinshi bibaho mubyukuri guhuza ibintu cyangwa inyongeramusaruro mubicuruzwa bimwe byujuje ubuziranenge, ntabwo hydroxyapatite ubwayo. Niba ufite allergie izwi ya calcium (nayo idasanzwe cyane) cyangwa kumva neza ibicuruzwa byinka, ugomba gusa kumenya neza ko ukoresha hydroxyapatite ya syntetique muguhuza amagufwa adafite inyongeramusaruro zikomoka ku nyamaswa. Buri gihe mbaza kubyerekeye allergie mbere yuburyo ubwo aribwo bwose, kugirango ngire umutekano.

Ni ryari hydroxyapatite idasabwa guhimba amagufwa?

hydroxyapatite yo guhimba amagufwa ntabwo isabwa kubwenge bunini cyane bwamagufwa arenga santimetero 5, kubera ko idafite imiterere ya osteoinductive (bivuze ko idashobora gukora selile nshya yamagufa kuva kera, gusa ushyigikire selile zihari) amagufwa ya autogenous afite. Ntabwo kandi bisanzwe mubisanzwe kubarwayi bafite amagufwa yanduye ahabigenewe, kuko ibikoresho bishobora gufata bagiteri kandi bigatuma kwandura bigoye kuvurwa. Niba ufite diyabete ikomeye itagenzuwe itinda gukira, uwaguhaye serivisi arashobora kuguha inama zinyuranye cyangwa gutegereza gukora ibihingwa kugeza isukari yo mumaraso yawe igenzuwe neza.

7. Umwanzuro

hydroxyapatite yo gukuramo amagufwa nuburyo buhebuje budasanzwe, bwizewe kubikorwa byinshi byo guteranya amagufwa, kuva kumera amenyo kugeza guhuza umugongo. Ihuye namagufwa yawe asanzwe, ifite igipimo gito cyo kwangwa, kandi itanga ubufasha buhebuje bwubaka mugihe umubiri wawe ukura amagufwa mashya. Irinda kubagwa byongeye nububabare buzanwa no gukoresha igufwa ryawe, kandi rifite ibisubizo byiza kuruta ibindi bikoresho byinshi.

Niba urimo kwitegura uburyo bwo guteranya amagufwa, vugana na muganga wawe cyangwa umuganga w’amenyo kubyerekeye hydroxyapatite yo gukuramo amagufwa nuguhitamo kwiza kubibazo byawe byihariye. menya neza ko bafite uburambe bwo gukoresha hydroxyapatite mugufata amagufwa kuburyo bukwiye, kuko guhitamo ubucucike bukwiye hamwe nibisobanuro bifite akamaro kanini kubisubizo byiza.

Umunsi urangiye, icy'ingenzi ni uguhitamo uwujuje ibyangombwa, ufite uburambe uzatoranya ibikoresho bikwiye kubibazo byawe bidasanzwe. Ariko kuri 9 kuri 10 yuburyo bwo kubona ndabona, hydroxyapatite yo gukuramo amagufwa nicyo cyifuzo cyanjye cyo hejuru, mubyukuri. Nabonye ikora kubarwayi babarirwa mu magana mu mwuga wanjye, kandi byarushijeho kuba byiza hamwe niterambere rishya mu myaka mike ishize.