Mō ngā kaihoko e rapu ana i ngā MOQ iti me ngā momo hua nui, ka tukuna e Multispecialty Suppliers he whakaritenga MOQ iti, he otinga whakahaere rauemi mai i te tīmatanga ki te mutunga, me te hokohoko maha-kāwai, e tautokona ana e ō rātou wheako ahumahi me te ratonga me te māramatanga pakari ki ngā au hua hou.
I. Ka noho tonu ngā tīwiri wheua ki roto?
Ko te hiahia kia mau tonu ngā tīwiri wheua mō te wā roa, e whakawhirinaki ana ki te momo rauemi me ngā āhuatanga takitahi:
Ka taea te pupuri tonu i ngā tīwiri titanium
He tino pai te hototahitanga o te koranu titanium ki te tinana tangata, e kore e waikura, e kore hoki e maka atu, ā, ka taea te pupuri mō te wā roa mena kāore he mamae i muri i te whakaora whati. Ka tautokohia hoki e ngā rauemi koranu titanium hou ngā whakamātautau MRI me te kaha o te mara o te 1.5T me raro iho.
Ngā āhuatanga e tika ana kia tangohia te tīwiri:
Ka puta te kore whakamarie: pērā i te mamae, te mate pāwera, te iti rānei o te mahi.
Ngā wāhanga motuhake: pērā i te femur, te hononga tibifibular me ētahi atu wāhanga ka pāngia e te ahotea.
Ngā hiahia mahi: Me karo ngā kaitākaro i te mōrearea o ngā whati ahotea
Mate pāwera ki te konganuku: He tokoiti noa iho te hunga ka pāngia e te mākati o te kiri me ētahi atu uruparenga.
Ngā taunakitanga mō ngā taupori motuhake
Tamariki: Ka taea te whakaaro ki ngā tīwiri mimiti hei karo i te pokanga tuarua.
Ngā tūroro kaumātua: Ko ngā whakapiri hohonu o roto (pērā i ngā tīwiri hope) kāore e hiahiatia kia tangohia.
II. Ka ora rānei ngā poka keri i roto i ngā wheua?
Ko ngā kōhao i roto i ngā wheua i hangaia e te whara, e te pokanga rānei (pērā i ngā whati, ngā kōhao tīwiri whakapiri, ngā hapa o te wheua, me ētahi atu) ka taea te whakaora mārire, engari ko te nui me te tere o te whakaora ka whakawhirinaki ki te rahi, te wāhi, te hauora o te tangata takitahi me ngā tikanga maimoatanga. Ka taea e ngā wheua te whakatika i a rātou anō, ā, ka taea te whakakī i ngā kōhao iti (pērā i ngā kōhao tīwiri) ki te kiko wheua hou i roto i ētahi marama ki te tau i muri i te pokanga; Ko ngā hapa nui ake ka hiahiatia he hononga wheua, he whakatika rānei mā te āwhina o ngā rauemi koiora.
Ngā mātāpono taketake o te whakatikatika wheua
1. Te tikanga whakaora wheua: Ka whakatikatikaina te wheua mā te taurite hihiri o ngā osteoblast (e whakaputa ana i te wheua hou) me ngā osteoclast (e mimiti ana i te wheua tawhito).
Ngā kōhao ririki (<1cm te whānui): Mēnā ka nui te toto e tukuna ana, ka āta whakakīia te kiko wheua hou, ā, ka hanga he wheua trabecular e rite ana ki te hanganga wheua e karapoti ana.
Ngā hapa nui ake (hei tauira, i muri i te whara, i te tango rānei i te pukupuku): Mena ka nui ake te hapa i te kaha o te wheua ki te whakatika i a ia anō (te nuinga o te wā > 2 cm), ka whakatairangahia te whakaora mā te tāpiri wheua, te whakakī sima, ngā rauemi koiora rānei pērā i te hydroxyapatite.
2. Te hiranga o te rere o te toto: Ko te whakaora o te wheua e whakawhirinaki ana ki te rere o te toto ā-rohe, ā, ko ngā wāhi he nui te rere o te toto (pērā i ngā pito o ngā wheua roa) ka tere ake te ora, ko ngā wāhi he iti te rere o te toto (pērā i te kaki o te femur) ka puhoi pea te ora, kāore rānei e ora.
Wā tuku: Hakihea-08-2025



