Izinketho zokuphandwayo zanda njengoko izigulane ziba selula
Utyando olusisigxina lokuguqula indawo luphakathi kweenkqubo eziphumelele kakhulu ezenziwa ngabagqirha bamazinyo. Banikela ngoncedo olukhawulezileyo kunye nexesha elide kubantu abanobunzima be-hip arthritis , i- hip osteonecrosis , okanye ezinye iingxaki ze-hip ezinzima. Amaphesenti angaphezu kwe-90 abo baye bafumana ingxelo yokuhlinzwa ngokukhululeka kwentlungu kunye nokukwazi ukuphucula ukwenza imisebenzi eqhelekileyo.
Ngaphezu koko, malunga neepesenti ezingama-80 ziya kuba ne sixhobo ezipheleleyo emva kweminyaka engama-20.
Ukusetyenziswa kwe-Hip-substitution Usetshintsha ngokukhawuleza
Ngenxa yokuphumelela kwe- hip yokuguqulwa komsebenzi, inkqubo ngoku iyenziwa kwizigulane ezincinci. Ingxaki ngale nto, ewe, ukuba loo ndawo ishintshiswa ngokugqithiseleyo idlulile ngaphandle kwexesha. Okwangoku, ukutshintshwa kwe-hip average kuqhubeka malunga nama-25 iminyaka. Kwiselula, abantu abakhutheleyo, ukungonakaliswa kunokukhawuleza.
Kwaye le nto ingaba yingxaki yangempela. Okwangoku, ukuhlaziywa kwe-hip yinto elukhuni kakhulu, kwaye iziphumo azihlali zilungileyo. Ejongene nale nyaniso, izazi zezinzwa ziya kuyenza yonke imizamo yokulibazisa ukutshintshwa kuze kube yilapho i-implant iyakwazi ukugcina ixesha elide lokuphila.
Kodwa ngamanye amaxesha ukulibaziseka akunakwenzeka. Ngenxa yoko, abaphandi baqhubeka behlola ubuchwepheshe obutsha obunokunika inqanaba elifanayo lokunceda ngenkqubela ixesha lokuphila kwezixhobo ezixabisekileyo.
Ukufika kweeChramic Hip Implants
Izimpembelelo ze-Ceramic hip ziphakathi kweentsholongwane ezitsha ezisetyenziselwa ukutshintshwa kwe-hip, enikezela ngokumelana nomonakalo kunye nokunyakaza okuhambelanayo.
Amathambo amaninzi namhlanje awakubheka ukuba uphuculo kwiimpembelelo zetsimbi kunye neeplastiki ezonakalisa ukutshabalalisa kweplastiki kungakhokelela ekuqaliseni ngokukhawuleza kweengxowanxu ezidibeneyo.
Oku kunokubangela impendulo yokuzivikela emzimbeni ekhokelela ekuvukeleni nasekuphuhliseni ama-cyst benign eyaziwa ngokuba yi-pseudotumors. Ngokuhamba kwexesha, ezi ziganeko zinganciphisa ngokukhawuleza ukuveliswa kwaye zenze ukuphumelela kwangaphambili.
Izixhobo zeCeram, ngokuchaseneyo, zibonakala zibangele ukuvuvukala okungaphantsi kwaye zimbalwa, ukuba zikhona, i-pseudotumors. Oku kubonakala kuyinyaniso ukuba ingaba i-ceramic, i-ceramic-n-metal, okanye i-ceramic-ne-plastiki.
Nangona kubonakala kunengqiqo ukubonisa ukuba ezi zinzuzo ziguqulela kwixesha elide, ukusetyenziswa kweengxaki, sinokucinga nje ukuba kweli nqanaba. Ngobu bungqina obuncinane bexesha elide lokuxhasa ezo mabango, konke esinokukwenza oko kuhlolisisa into esazi ngayo into.
Oko Uphando Lwanje lusitshela
Uphando oluqhutywe ngo-2015 luhlolisise ezintlanu eziphezulu-iimpawu zophando ngokuphanda iziphumo zekliniki zabantu abafumana i-hi-ceramic hip implant. Kwonke, izigulane ezingama-897 zifakiwe. Ixesha elithethayo leentlanganiso ezidibeneyo lalingama-8.4 iminyaka, ngelixa ubudala bendiba bathathi-nxaxheba bekuyiminyaka engama-54.5.
Ngokusekelwe kuhlalutyo, abaphandi banako ukugqiba ukuba abantu abanikezele i-all-ceramic implant had a inferior rate of revision, ukuphulukana kwamathambo, kunye nokukhutshwa kunye / okanye ukuchithwa kweso sixhobo xa kuthelekiswa nokufakelwa kwe-metal-and-plastic.
Iingxaki ezimbini ezinkulu, ngokuthelekiswa, kwakukho amathuba amaninzi okukhupha kunye nomngcipheko ophezulu wokulimaza kwisixhobo ngexesha losebenziso (njengento yokuqhawula okanye iimbophu ezibangelwa ukuba idilesi ilahleke ngengozi).
Ukongezelela, kukho umngcipheko omncinci wokuthi u-"ukungaphumeleli kwintlekele," apho ukuwa okanye ukuphazamiseka okungathintekako kunokusaphaza i-ceramic. Ngethamsanqa, izakhi ezitsha zibonakalise ukuba zinamandla kakhulu kwaye zinqandeki kunokuba zithintele iiramikhi zangaphambili.
ILizwi
Kungakhathaliseki ukuba iphumelele kangakanani okanye ithandwa yinkqubo eyenziwe, ukutshintshwa kwendawo yokuhlala ngokufanelekileyo kufuneka kuhlale kuthathwa njengophando oluphambili kwaye kufuneka kuqalwe kuphela ngokuqonda ngokupheleleyo ezi zibonelelo zovavanyo kunye nemiphumo enokwenzeka.
Nangona ukufakelwa kwe-creamic hip kuvela ngokucacileyo kwindlela ekhangayo ngakumbi kubantu abancinci, cinga kuphela emva kokubonisana ixesha elide kunye neengcali zezinzwa kwaye emva koko zonke iindlela zokunyanga ziphelile.
> Umthombo:
> Hu, D .; Umda, K .; Yang, X. et al. "Ukuqhathaniswa kwe-ceramic-on-ceramic kwi-polyethylene ene-metal-on-polyethylene kwi-hip arthroplasty: i-meta-analysis of trials." J Orthop Surg Res . 2015; 10:22.