Ukutshintsha iHlf ye-Ball-and-Socket Joint
Umxhelo wamagxa ngumxube webhola kunye ne-socket. Ibhola yintloko yesifuba lesengalo (i-humerus), kunye nesiseko (glenoid fossa) inxalenye yecala lehlombe (scapula). Umxhelo wegxina unamathele ngokumangalisayo kangangokuba kuvumela ukuhamba ngaphezu kweyiphi enye inxalenye yomzimba. Xa izixhamlo zamagxa zinengxaki, kubandakanya i-arthritis kunye neentambo, zombini intlungu kunye nokukhubazeka kuya kwenzeka.
Kukho inani leemeko ezinokufuna ukuba zonke okanye inxalenye yefayili ithathe indawo. Eyona ndlela ixhaphakileyo isifo samathambo . I-arthritis inokubangela ukuba i-cartilage ye-cartilage idibene kunye negxala elixhambileyo lokugqoka, ukubonisa ithambo. I-arthritis yamathambo ihlala ibuhlungu kwaye imisela umthwalo. Esinye isizathu esivakalayo sokutshintshwa kwegxalaba yintlungu . Ngokuqhelekileyo xa ithambo elijikeleze umxhelo wexanduva liphukile, okukhethwa kukho kukuthatha indawo, kunokuzama ukulungisa ithambo. Oku kuyinyani ngokukhethekileyo xa i-fracture ixutywa ezininzi kunye nezigulane ezinde.
Hemiarthroplasty
I-hemiarthroplasty yexhefu enye yeendlela zokuqwalasela xa uphatha le miqathango. Ukuqwalasela ukhetho olufanelekileyo kuncike kwizinto eziliqela, kubandakanya ukuxilongwa, ubudala beminyaka, kunye nemisebenzi isigulane esilindele ukuba sikwazi ukuyenza.
I-hemiarthroplasty ishintshana isiqingatha sobambiswano.
Igama elithi arthroplasty lithetha ukuthatha indawo yokubambisana, kwaye ngokudibanisa i-hemi, oku kuthetha ukuthatha inxalenye yesabelo. Abanye abantu baphinde bachaze ukuhlinzwa njengengxowanxu yehlombe.
Izinketho zokuphanda
Kukho iindlela ezininzi zokuqwalasela xa ubeka endaweni yegxala.
- Ukutshintshwa kweNgcali
Ukutshintshwa kwefayili ngokuqhelekileyo kudlalwa kwintlungu yesifo segazi. Abanye oogqirha banamahloni ekutshintsheni ngokupheleleyo ihlombe, njengoko ukufumana i-socket ukusebenza kakuhle kwaye kugcine ixesha elide kunokuba nzima. La magqirha angakhetha ukwenza i-hemiarthroplasty, enethemba lokwenza umphumo oqikelelweyo. Ngakolunye uhlangothi, oogqirha abathanda ukutshintshwa kwegxala elipheleleyo lichaza ukuba uphatha kuphela inxalenye yengxaki ngokufaka endaweni yodwa ibhola, kwaye iziphumo zingenakwenzeka ukuba zilungele.
- Ukutshintshwa kweNtshukumo
Ukutshintshelwa kwegxala eliphambili yindlela entsha esetyenziswayo ukunyanga ingxaki enzima ebizwa ngokuba yi- rotator cuff i-tearth arthropathy . Le ngxaki iyenzeka xa kukho i-arthritis yamagxa kunye nekhefu yokujikeleza . Amanqaku afanelekileyo atshintshe iifom zenziwe ukuba zisebenze kunye nekhopu evamile yokujikeleza kwaye zingabangela iingxaki ngaphandle kwebhotile yokujikeleza. Ukuguqulwa kwamagxa okutshintshiweyo kwenzelwe loo nto. - Hemiarthroplasty
I-hemiarthroplasty yexhefu isoloko iqhutyelwa esinye sezizathu ezintathu. Iyokuqala i-arthritic shoulder where the socket is in a bad condition, kodwa ibhola kufuneka ithathelwe endaweni. Okwesibini ku-rotator coff i-tearth arthropathy, apho ixabiso elipheleleyo kufuneka libe nexesha elifanelekileyo. Ekugqibeleni, i-humerus ilahleka, apho kukho umonakalo omkhulu wokulungisa ibhola, kodwa isiseko asiyonakaliswa.
I-Hemarthroplasty Surgery
Iindawo zamagxa e-hemiarthroplasty zibukeka zifana nehafu yesigxina. Kukho ubukhulu obuhlukeneyo kunye neempawu ezahlukeneyo, kodwa bonke basebenza ngokufanayo. Isiqalo sokufakelwa sisifakwe kwisibonda esingenasiphakamiso sesifuba lesengalo. Inokuthi iqhutywe endaweni ngokuqiniweyo okanye kumiswe ngesimo.
Ibhola iqhotyoshelwe phezulu kwisitshixo.
Iintlobo ze-hemiarthroplasty xa kuthelekiswa nokutshintshwa kwefayili epheleleyo ziquka ukuhlinzwa okungapheliyo kwaye akukho mngcipheko weengxaki kunye nesiseko sezinto ezifakelwayo. Ukungalungi kukuba ukuba isiseko esipheleleyo sisabangela intlungu ehlombe, ukuhlinzwa okwesibini kunokuba kuyimfuneko ukuguqula ukutshintshwa kwefayili. Ingozi yehlombe i-hemiarthroplasty ibandakanya ukusuleleka, ukulimala kwentsholongwane, ukuxhatshazwa kwegxala, kunye nentlungu eqhubekayo.
Imithombo:
I-Wiater JM ne-Fabing MH. "I-Arthroplasty ye-Arthroplasty: Izinketho zeProsthetic kunye neZalathiso" J Am Acad Orthop Surg ngoJulayi 2009; 17: 415-425.