I-Hip Inombolo Yokutshintshwa Kwamaxabiso Ukukhula Kufuna Ukunyuka kunye neNombolo yezigulane zeArthritis
Ingqungquthela yokuqala yokuqhaqha i-hip yenziwe ngo-1962 nguSir John Charnley waseNgilani. Ukutshintshwa kwe-hip yangaphambili evunyiweyo yokuqala ye-FDA yafakwa ngo-1969. Ukutshintshwa okuhlangeneyo kwakungenye yeyona nto ibaluleke kakhulu yokunyangwa kwamathambo enkulungwane ye-20. Unyaka ngamnye eUnited States yedwa, ngaphezu kwe-285,000 ukutshintshwa kwe-hip isenziwa, kwaye inani lilindeleke ukuba liphindwe kabili ukuya kuma-573,000 ngonyaka wama-2030, ngokubhekiselele kuMbasa we-6 kuMatshi ka-2008.
I-prostitution yempembelelo yokutshintshela i-hip iyonke, efaka indawo yokudibanisa i-hip eyonakalisiweyo, inamalungu amathathu:
- indebe yeplastiki ebuyisela i-acetabulum yakho (i-hip socket)
- ibhola yensimbi eyenza intloko yesifazane
- isitoli sensimbi esanyathiselwe kwi-shaft ye-femur
Kukho kwakhona ukutshintshwa kwe-ceramic hip kunye nezinye iindlela zokutshintshwa kwe-hip yokuphela-umzekelo, iBirmingham Hip Resurfacing System .
Ngubani ofuna ukutshintshwa kwe-Hip?
Umsebenzi oqhelekileyo we-hip uyadingeka ukuhamba kwaye wenze yonke imisebenzi yakho yemihla ngemihla . Ukuba i-hip yakho yalimala okanye ibuhlungu ngenxa ye-arthritis, unokufumana kunzima ukwenza imisebenzi yansuku zonke ngaphandle kwezibonelelo zokuhamba . I-osteoarthritis , i- rheumatoid arthritis , kunye ne-arthritis ephazamisayo ziintlobo ezintathu eziqhelekileyo ze-arthritis ezibangela ubuhlungu be-hip.
Isigqibo sokuba utyando oluthathe indawo lufanele lwenziwe kunye nosapho lwakho, ugqirha wezonyango, kunye nodokotela ohlinzayo.
Khawuqwalasele oku kulandelayo. Unayo:
- ukunqumla intlungu ephazamisa imisebenzi eqhelekileyo equka ukuhamba nokuguqa?
- ukuphuza ubuhlungu obuqhubekayo xa uphumula emini okanye ebusuku?
- ukuqina okuhlangeneyo kwi-hip echaphazela ukuhamba okanye ukuphakamisa umlenze wakho?
- uncedo olunganelisekiyo kwii- NSAID (izidakamizwa ezichasayo ezingekho komzimba)?
- uncedo olunganelisekiyo kwiinkonzo zentlungu ?
- ukuphuculwa okwaneleyo emva kokuzama ukunyanga , ukusetyenziswa kwezixhobo zokuncedisa kunye nezibonelelo zokuhamba?
Ukuba uphendule u-ewe kuninzi okanye yonke imibuzo, unokuba ngumviwa we-hip yokuguqulwa.
Umntu oMntu oMonde uhlolwe njani ukubuyiswa kwe-Hip?
Nangona izigulane ezininzi ezithotyelwayo zonyango ziphakathi kweminyaka engama-60 no-80 ubudala, zikhona izigulane ezincinci nangaphezulu ezineziphumo eziphumelelayo. Ubudala akusona yinkqubo kuphela xa izigulane zivavanywa ukuhlinzwa okutshintshiselwayo kwinqanaba - inqanaba lentlungu kunye nokukhubazeka, kunye nempilo jikelele ngokubanzi.
Ukuvandlakanywa kwindlela yokutyunjwa kwe-hip kuqukwa:
- yakho yembali
- uvavanyo lomzimba ukuvavanya uhla lwe- hip, ulungelelwano lwe-hip, kunye ne-hip stability kunye namandla
- x-ray ukucacisa umonakalo odibeneyo
Ezinye izifundo zokucinga okanye i-bone scans ngezinye izihlandlo zisetyenziselwa ukuvavanya imeko yethambo namathambo athambileyo.
Ngaba Ulindelo Lakho malunga Nokutshintsha Kwe-Hip?
Izigulane ezicwangcise ukutyunjwa kwe-hip esikhundleni kufuneka ziqonde ngokupheleleyo ukuba zilindele ntoni ngaphambili, ngexesha, nangemva kokuhlinzwa. Ekuqaleni kunye nokubuyiselwa, isigulane kufuneka sigxilwe kwiinjongo eziphambili zokuphulukana nentlungu kunye nomsebenzi ophuculweyo we-hip (ukufumana amandla kunye neendlela ezingcono zokuhamba).
Ngexesha leenyanga ezi-3 zokukhula, kuya kuba nemimiselo ethile yokuthintela ukuhanjiswa kwe-prosthesis entsha. Uya kufundiswa indlela yokuhamba kunye nendlela ongazifanelekanga ngayo. Unokufuna izixhobo zokuncedisa ezifana nesitulo esasiphakamise indlu yangasese , abahlaziyileyo abaphethe ixesha elide, intonga yokugqoka, uncedo lwe-socks, kunye ne-cushions eqinile. Ezinye izithintelo ziya kuba zisesigxina kwaye abanye basigxina.
Imisebenzi ethile, efana nokugijima, ukugijima, imidlalo ye-jumping, imidlalo yokudibanisa kunye ne-aerobics ephezulu iyakunqanda umda emva kokuhlinzwa kunye nobomi bakho bonke. Kodwa nangokusetyenziswa ngokuqhelekileyo, emva kwexesha i-progrance ye-hip ikhula kwaye ikhulule .
Ukuba oko kwenzeka, uya kufuna enye into yokuhlinzwa, ebizwa ngokuba yi-hip replacement.
Ngaba Ulungele Ukuhlinzwa?
Ugqirha wakho wamathambo kunye nabasebenzi bakhe baya kukukhokela ngokuqhelekileyo kwindlela yokuqhelekileyo yokutyunjwa kwe-hip. Baza kunika usuku lokuhlinzwa kwaye banike ishedyuli yento ekufuneka yenziwe phambi kokuhlinzwa - ukususela kwi-inshurensi yezobuganga, ukuhlola ngaphambi kokuhlola, ukunikela ngeminikelo yegazi xa ifunekayo.
Emva kokuba yonke into ilungiselelwe imiba yokupasa ngaphambili, uya kunikwa ulwazi malunga noko ukulindele ngexesha lotyando. Uza kufunda malunga neenketho zakho ze-aneshesia, kuza kube nini utyando luza kuthatha ixesha elide, ungakulindela ixesha elingakanani ukuba ube esibhedlele, kwaye ukhutshwe ucwangciso. Emva kokuhlinzwa, okanye u-post-op, uya kunikwa imiyalelo yokuvuselela okanye imiyalelo yokuya ekhaya.
Yintoni enokubangela iingxaki ze-Hip Replacement?
Ngokutsho kweAmerican Academy of Orthopedic Surgeons, izinga lokuxilwa kwe-total hip yokuhlinzwa ngokutsha liphantsi. Ngaphantsi kwe-2% yezigulane ezinzima, ezifana nokusuleleka . Ukulandela utyando lokutshintshwa kwe-hip, iingubo zegazi kwimilenze yomlenze okanye i-pelvis yinkxalabo eqhelekileyo. Kukho unyango ugqirha wakho onokumisela ukukhusela i-clots yegazi okanye ukujongana nabo xa befom.
Ezinye izigulane zifumana ukungalingani kwexesha lomlenze emva kokuhlinzwa kwe-hip. Ukufakwa kwezicathulo kunokufuneka ukuba ude ubude bomlenze. Ezinye iingxaki zingabandakanya:
- ukutshintshwa
- ingozi yomzimba okanye isitya segazi
- kuphuma
- ukuphuka
- ubunzima obunzima okanye intlungu eseleyo
Iingongoma zokukhumbula ngokuphathelele ukutshintshwa kwe-Hip
Emva kokuba ube neyonke indawo yokutshintsha indawo, qaphela izinto ezithile ezibalulekileyo zokufumana kwakhona:
- Yenza umsebenzi wakho we-post-op njengoko ulandiswa ngumgulana wakho wenyama.
- Ukuphumla kunye nomsebenzi, ngokukodwa kude kubekho ezinye izithintelo eziphakanyiswe ngugqirha wakho.
- Landela imiyalelo yokuthintela i-clots yegazi - ukuba uxelwa ukuba ugqoke i-hose yenkxaso, gqoba i-hose support.
- Yazi kwaye uyayiqonda imiqondiso yesifo.
- Lahla ukuphosa umbhoxo okanye intambo yokongezwa okungabangela ukuwa.
- Akukho ukukopela - landela imiyalelo yegqirha. Ukuba uxelelwe ukuba wenze into ethile, kukho isizathu esizwakalayo.
Umthombo:
I-Hip Inombolo Yokutshintshwa. I-American Academy ye-Orthopedic Surgeons. Agasti 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377