Utyando lokutshintshwa kwe-Hip yinkqubo eyenziwa ukunyanga kwe-arthritis eqatha . Kwizigulane ezine- arthritis eziqhekezayo eziphazamisana nemisebenzi yazo eqhelekileyo kwaye zingakhange ziphathwe ngokwaneleyo ngononophelo olungagqirha, ukuhlinzwa okutshintshiselwayo kwindlela enokukhetha ngayo.
Zonke izigulana zifuna ukutshintshwa kwe-hip ukuze zikhuphe iimpawu zabo.
Nangona kunjalo, nabo bafuna ukufakelwa kwabo ukuhlala ixesha elide - benethemba lokuba, ubomi babo bonke. Kule minyaka emininzi edlulileyo, izimpembelelo ezintsha zokufakelwa kwe-hip ziye zaphela, zithembele ekufumaneni ukuphuculwa kwindlela yokuyila. Nangona iiplani ziphuculwe, ziyakhathalela, zenza oogqirha kunye nezigulane abanomdla kwizixhobo ezintsha ezinokubangela ukuba kubekho ukulungiswa okutsha kwexesha elide.
Izimpembelelo ze-Hip Replacement
Ukutshintshwa kwe-Hip kwenziwa ngokusetyenziswa kwezinto ezifakwe kwi-prosthetic implants. Ukufakela ukuyila kwimihla yama-1960 kodwa kuye kwavela emva kwexesha. Ezinye ezifakela ukuyila ziye zasetyenziselwa amashumi eminyaka, iirekodi zengoma ende, ezinye zitshintshile kwaye zinekhompyutha.
Uninzi lwezigulane zinomdla wokufuna uhlobo olusandul 'utsha lokufakelwa , ukucinga ukuba intsha ingcono. Nangona kunjalo, enye inzuzo yokusebenzisa i-implant eyayijikelezile kukuba enye iyaziwa malunga neziphumo zexesha elide kunye nokufakelwa.
Ukutshintshwa kwe-Metal-on-Metal Hip Replacements
Ukutshintshwa kwe-hip-metal-metal-substituted replacements kuye kwenzelwa iminyaka emininzi kodwa kwagqithiswa kakhulu kule minyaka elishumi edlulileyo. Izimpembelelo zetsimbi-on-metal zisebenzisa i-design efanayo kunye nokutshintshwa kwe-hip endaweni efanelekileyo , kodwa iindawo zomhlaba zombini kunye nesiseko ziyenziwe ngesinyithi. Ezi zakhiwo zensimbi ziphezulu kwaye zipholile.
Ukongezelela, iindawo ezinzima kunokuba zikhuni ngaphezu kwendawo yokwenza iplastiki yesikhokelo, okwenza kube nzima ukugqithisa. Izimpembelelo zetsimbi-on-metal nazo zisetyenziselwa ukuvuthwa kwezixhobo zokuvelisa .
Inzuzo
Ukutshintshwa kwe-hip-metal-on-metal kwenzelwe ezimbini ezinokubakho ezilungileyo. Okokuqala, ubukhulu bebhola ye-ball-and-socket implant ingaba mkhulu. Kwindawo yokutshintsha i-metal-and-plastic plastic hip, iscket isenziwe ngeplastiki ethatha indawo. Ngezifakelo zetsimbi-on-metal, akukho iplastiki ethatha indawo, kwaye ibhola yensimbi ingaba enkulu. Ibhola yensimbi enkulu ikomelele kwaye iyancipha ukuba ingabonakali . Oku kubakho ukukhathazeka okukhulu kwizigulane ezikhutheleyo.
Umba wesibini uxhalaba malunga nezindleko zokugqoka. Zonke izinto ezisetyenziselwa ukutshintshwa ngokuhlangeneyo zigqithise ixesha elide, ezinye zikhawuleza kunezinye. Enye inkxalabo malunga nokufakelwa kwe-metal-and-plastic-hip implants igqoke kwiplastiki ngexesha. Izinto ezintsha zenziwe uphando ukuze zifumane izinto ezingabonakali lula. Iiplastiki ezintsha, ii-ceramics kunye nentsimbi zizo zonke izinto ezisetyenziselwa ukujongana nale nkxalabo.
Iingxaki
Inkxalabo malunga nokutshintshwa kwe-hip yenksimbi yensimbi, ngokukodwa ukufakela kwenziwe yiYohnson & Johnson Inkampani ebizwa ngokuba yi-DePuy Orthopedics, ngaba izimpembelelo zazibangela iingxaki kwiminyaka embalwa yokuqala emva kokutshintshwa.
Ingxaki efunyenwe kukuba ngelixa izinto eziphathekayo zingagqibekanga ngokukhawuleza, zenza iinqununu ezincinci ze-metallic debris. Umzimba ubonakala usabela kwizinto ezincinci ezinokuphendula ngamagciwane. Oku kungakhokelela kumonakalo we-soft-tissue kunye neethambo kumxube we-hip. Kwezinye izigulane, lo monakalo wesisu uye wabangela ukulimala ngokusisigxina kwaye kudinga ukuhlinzwa okongeziweyo . Izigulane ezile ndawo zitshintshile kakhulu zifuna ukuphindaphinda kwakhona.
Izigulane ezinezimpembelelo zetsimbi-on-metal zifunyenwe ukuba zinamazinga aphakamileyo eononi zetsimbi kwigazi labo, ubungqina bezinto ezincinci zimbatha iinqununu ezibalekela emzimbeni.
Umphumo wale ioni zensimbi egazini ayiqondwanga ngokupheleleyo, nangona kungekho ubungqina beengxaki kwezinye iindawo zomzimba, nje imiphumo kwi-hip ngokwayo.
Oko Ufanele Uyenze Ngoku
Ukuba unalolu hlobo oluthile lwe-iron-on-metal-substtion implant substitution, kufuneka uhlale ubona ugqirha wakho ukuvavanya rhoqo. Kukho iingcebiso ezicacileyo kwizigulane ezifakela kulo mvavanyo malunga nokuba yiyiphi imvavanyo yokuhlola, kwaye ukuba uphando olungakumbi lufanele luqwalaselwe.
Izigulane ezinezinye iintlobo zezifakelo zokutshintshwa kwe-hip-metal-on-metal kufuneka zibonwe rhoqo ngabagqirha babo ukuze bahlole. Kuye kwakhunjulwa inani elincinci lendlela yokufakelwa kwesinyithi-sinyithi, kwaye nazo ezo zifakelo ezikhunjulwayo akufuneki zisuswe. Nangona kunjalo, ngenxa yezi nkxalabo, ezi zifakelo kufuneka zijongwe ngokugqithiseleyo ukuba zijonge iingxaki ezikhoyo.
Kutheni Le nto Yenzeke?
Kungenzeka njani ukuba amashumi ezinkulungwane zezigulane ezamkele ukufakelwa okugqityiweyo ukuba zenzeke ukusilela? Lo ngumbuzo obalaseleyo, kwaye lo mbandela ukhanyisa ukukhanya okukhanyayo kwinkqubo apho izixhobo zonyango zihlaziywa kwaye zivunyiwe ukuba zifakwe.
Abagqirha kufuneka bakhumbule iinkampani zenza inkqubo entsha engenakho idatha yeklinikhi. Izigulane kufuneka zifundiswe malunga nobungozi beentlobo ezahlukeneyo zezimpembelelo. Kubalulekile ukuqonda ukuba zonke iintlobo zokufakelwa zinenkxalabo ethile, kwaye ukugqiba okubaluleke kakhulu kunokuba ngumngeni kuogqirha kunye nezigulane.
Imithombo:
Ukukhupha ama-Orthopedics: I-ASR Hip Replacement Isikhumbuzo sokuKhumbula ukuhlaziywa: ngo-Apreli 2012.
I-Meier B "I-Hipse Phaseout yedivayisi ilandele isicelo seData ye-FDA" iNew York Times, ngoMatshi 22, 2012.
Smith AJ, et al. "Ukungaphumeleli kweeMpahla zeMetri-on-Metal Ukutshintshwa kwe-Hip Lancet, i-V. 379, ingu-9822, i-Pg 1199-1204, ngo-31 Matshi 2012.