Ezinye iindlela zokutshintsha i-Hip

Ngaba zikhona ezinye izigqibo kwizigulane ezinezifo ezinamandla?

I-hip arthritis enamandla ingabangela intlungu kunye nobunzima bokuhamba. Izigulane ezininzi ezinezi zifo ezikhubazayo ngenxa ye-arthritis ye-hip ziza kukhetha ukuba zenze utyando olupheleleyo lwentambo . Nangona kunjalo, ukutshintshwa kwe-hip totali akukho ngaphandle kweengozi kunye nokukhathazeka kwayo, ngoko ke izigulane ezininzi zibuza ukuba zikhona iindlela zokutshintsha indawo.

Eminye indlela eya kutshintshwa kwe-Hip ukuqwalasela

1. Utyando lwezonyango: Ukungenalo utyando luhlala lukhetha . Utyando olusandul 'ukutshintshwa olutsha alupheli nonyango olufunekayo; kunoko yimeko ekhethiweyo abantu abanokukhetha ukuba ngaba ixesha lilungile kubo. Izigulane ezinesifo esiyingozi kakhulu, kodwa sikwenza ngokufanelekileyo, sinokukhetha ukuhlala kunye nemeko yazo. Kukho unyango olufanelekileyo lwe-hip arthritis ezinokunceda izigulane ziphephe imfuneko yokutshintshwa kwe-hip. Phakathi kwezi zixhobo zonyango, izixhobo zokuhamba, iimithi ezichasayo , izigulane ze-cortisone kunye nezongezelelo ezihlangeneyo . Ngokuqhelekileyo, ukutyunjwa okutshintshiselwayo ukutshintshwa akuyiphumo eliphuthumayo, kwaye ngokuqhelekileyo akukho monakalo ekulibalekeni ukuhlinzwa kuze kube yilapho uziva ixesha lilungile. Kukho ezinye izinto ngaphandle koko, kodwa kubantu abaninzi, ukutshintshwa kwe-hip kuyindlela yokuhlinzwa okhethwayo.

1. Uhlobo lwe-Hip Resurfacing : Utyando lokuvusa ukuvuthwa kwe-Hip ulungelelaniso oluthile lokufakelwa endaweni yezilwanyana ezine-arthritis enamandla. Ngophakamiso lokuvuthwa kwe-hip, ukufakelwa kwincinci, kwaye ithambo elincinci elincinane liyasuswa. Ukuvuthwa kwe-Hip kukufumana umdla, ngakumbi kwizigulane ezincinci. Ngethuba lenkqubo yokuvuthwa kwe-hip, kuphela inani elincinci lesithambo lisuswe kwi-ball-and-socket joint joint, kwaye i-cap yensimbi ifakwa ngaphezulu kwebhola. Isalathisi sensimbi sifakwa kwi-pelvis, efana nenkqubo yokuguqula indawo. Ukuvuthwa kwe-hip ukugcina i-bone engaphezulu yesikhumba kunokuba kubekho ukutshintshwa kwe-hip. Ukuhlinzwa kwe-Hip ukuvulwa komzimba kuye kwaba nzima kakhulu kwiminyaka yamuva ngenxa yexhala malunga nokusebenzisa okubizwa ngokuba yi- metal-on-metal . Ezi zitshintshi zetsimbi zensimbi ziquka zonke izixhobo zokuvuthwa kwe-hip ekuveleni. Ukutshintsha kwe-Metal-on-metal kuye kwaziwayo izikhumbuzo eziziwayo kunye neengxaki ezibangela ukuba oogqirha kunye nezigulane zabo ziqaphele kakhulu ngale nkqubo kunye nale mihlaba.

1. Ukutshintshwa kwe-Hip Partial (Hemiarthroplasty): Ukutshintshwa kwe-hip okuyingxenye yindlela eqhutywayo eyenziwa ngokugqithisileyo, kodwa ingaqhelekanga yenzelwa i-hip arthritis. Ngethuba le nkqubo yokugqirha, ibhola kuphela yendibano ye-hip kunye ne-socket ishintsho. Le yonyango olusebenzayo lweentlobo ezithile zeentlobo ze-hip xa kuphela ibhola le-hip lonakaliswe. Ingxaki kubantu abane-arthritis eqathayo kukuba i-socket ye-hip nayo yonakaliswe, kwaye ngoko ke kufuneka iphendulwe. Ngenxa yalesi sizathu, ukutshintshwa kwe-hip esikhundleni esincinci ngokuqhelekileyo akuyona into efanelekileyo yokuhlinzwa ngonyama.

1. Uhlobo lwe-Hip Fusion (Arthrodesis): I- fusion ye-Hip ayiyona nkqubo eyenziwa ngokuqhelekileyo ngoku ukuba ukutshintshwa kwe-hip kuphumelele. Utyando lwe-Hip fusion luphelisa konke ukunyakaza kwi-joint hip ngokuba kunye namathambo e-femy ne-pelvis aphilisa kunye. Zibanjwe kule ndawo ngeplani enkulu yensimbi kunye neentloko. I-fusions ye-Hip idlalwa kwizigulane ezincinci ezinezisebenzi ezinzima. I-fusion ye-hip ayifaki ukutshintshwa kwe-hip kuyo kwezi zi gulane. I-fusion ye-hip ivumela isigulane ukuba senze imisebenzi efuna impilo engakhokelela ekugqobeni kwangaphambili kwi-hip replacement. Ingxaki nge-hip fusion kukuba izigulane aziyi kubakho isisombululo somlenze, ziya kuhamba kunye nesigxina, kwaye ekugqibeleni kufuneka zidityaniswe ngokuqhubekayo ukuze ziguqulwe kwi-hip substitution.
2. Ukuhlaselwa kweArthroplasty (i-Gridlestone Procedure): I-resection i-arthroplasty yinkqubo apho ithambo elijikelezileyo lihlanganyelweyo kwaye indawo edibeneyo ivumelekile ukuba igcwalise izicubu ezinobumba. Le nqubo ivame ukuqhutyelwa kwizigulane ezineentsholongwane ezinzima ezingenakulawulwa, okanye kwizigulane ezinobuhlobo benyama ukuba banalo ithuba lokuhamba ngokuqhelekileyo. Izigulane ezithobela i-Girdlestone resection arthroplasty ziyakudinga idivaysi ethile (iinqonga okanye uhambahamba) ukuhamba.

1. Uhlobo lwe-Hip Osteotomy: I- osteotomy ye- Hip yinkqubo eyenziwa ukulungisa amathambo ehlangene. I-osteotomy ingenziwa kwithambo lethanga (femur), i-pelvis, okanye zombini. I-Osteotomi idlalwa kwizigulane ezineengxaki eziye zaholela ekubeni i-arthritis yasekuqaleni. Ngokomzekelo, iimeko zokuphuhlisa ezifana ne- hip dysplasia zingakhokelela kwi-arthritis yasekuqaleni. I-dysplasia ye-Hip ivela kwiintsana kwaye ikhokelela kumathambo agxekayo emlonyeni. I-osteotomy inceda ukuguqula amathambo kunye nokunciphisa iimpawu zesifo se-arthritis sokuqala . Ezi nkqubo kufuneka zenziwe kwizigulane ezikhethiweyo.

Le ngenye yeendlela zokukhetha abantu abanesifo esiyingozi se-hip arthritis abangafuna enye indlela yokwenza unyango. Ngelixa zonke ezi zikhethiweyo zingenakwenzeka ukuba unomdla kwenye yalezi zikhetho kufuneka uxoxe ngazo kunye nodokotela wakho ogqirha.

> Imithombo: uNho SJ, uKymes SM, uCallaghan JJ, uFelson DT. "Umthwalo we-hip osteoarthritis e-United States: iingxaki ze-epidemiologic nezoqoqosho" J Am Acad Orthop Surg. 2013; 21 I-Suppl 1: S1-6.