Izindlela zokuphanda ezisetyenziselwa ukutshintshwa kwe-Hip

Luhlobo luni lwe-Hip Replacement Surgery oluhle?

Ukutshintshwa kwe-hip iyonke yaba yinto eqhelekileyo, kwaye iphumelele kakhulu, i-orthopedic surgeries eyenziwa. Phantse i-500,000 yokupasa i-hip yokuqhutyelwa kwindlela eqhutyelwayo eqhutyelwa e-United States minyaka yonke. Nangona utyando lokutshintshwa kwendawo yokupasa lugxininiswe ngokubanzi, kukho ukuhlukahluka kwindlela yokuhlinzwa. Amagqirha ahlukeneyo akhetha amacandelo ahlukeneyo ukwenza i-hip substitution substitution, kwaye apha sixoxa ngezinye zezi zikhetho kunye nendlela ezahlukileyo ngayo.

Kwinqaku elihle, ukutshintshwa kwe-hip ngokupheleleyo kungaphumelela kakhulu kungakhathaliseki ukuba zeziphi iindlela zobugcisa bokusetyenziswa. Zonke zinokuthi zenziwe njengezindlela " ezingenasiphelo ". Zonke zineengozi ezinxulumene nayo nganye yeendlela zokugula. Nangona abanye oogqirha banokwenza ubuchule obuthile bokuba nethemba lokuba kuncitshiswe ingozi ethile, kunokukho nezinye iindawo ezingaphantsi kwenkqubo yokuhlinzwa. Ukongezelela, enye inkqubo yokuhlinzwa ingasifaneleka isigulane esinye, kodwa ingenakulungelelanayo. Ngenxa yoko, kufuneka uhlale ucela ugqirha wakho ukuba unemibuzo malunga nokuhlinzwa okuthe ngqo, okanye ukuba ucinga ukuba enye ingcono nakwiimeko zakho.

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Ukutshintshwa kwe-Hip Post

Indlela yokugqibela yokutyunjwa kwe-hip yokufakelwa indawo yindlela yokugqithisa eqhelekileyo esetyenziswa kwi-United States nakwihlabathi lonke. Le nkqubo yokugonywa iyenziwa ngesigulane elele kwicala labo, kunye nokuchithwa okugqityiweyo kwenziwa ngaphandle kwe-hip. Isizathu sokuba oku kuthiwa yindlela ehamba phambili kukuba i-hip ngokubambisana iyabonakaliswa emva kwethambo lethanga, umgangatho osemva kwesigxina se-hip.

Inzuzo yale nkqubo yokugqirha ibonakala ngokugqithiseleyo. Inkqubo yokugqirha ibonelela ngokucacileyo ukuhlanganiswa kwe-hip. Kwiimeko ezinzima kakhulu ngenxa yokukhubazeka kwethambo , i-hardware ngaphakathi kwe-hip, okanye ezinye izinto eziyinkimbinkimbi, indlela inokunyanzelwa ukuba ivumeleke ukuvuselelwa ngokutsha kancinci. Uninzi kunako nayiphi na ukunyuswa kungeniswa ukusuka kwindlela engaphezulu.

Ukungalungi okuphambili kwendlela ehamba phambili kukuba kukho iinkxalabo malunga nezinga eliphezulu lokukhutshwa kwe-hip replacement substtion implant. Idatha yexesha elide ayisayi kubuthwa, kodwa enye yethemba kwezinye iindlela zokugqirha kukuba i-dislocation rate iya kuba yincinane xa kuthelekiswa nokuboniswa kwangaphambili. Enye into ebangelekanga ngale ndlela yokuhlinzwa, kunye nesinye sezizathu ezinokuba negalelo kwizinga eliphezulu lokungabikho kwamanani, kukuba ezinye iinthambo kunye neetoni ziyacutshulwa kwaye ziphinde zixhaswe kwakhona ukuze zifikelele kwi-joint hip. Ezi zitoni, ezibizwa ngokuba yi-rotators zangaphandle, zihlukaniswe ngaphandle kwethambo ukuze zingene kwi-hip joint.

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Ukutshintshwa kwangaphambili kwe-Hip yangaphambili

Indlela ehambelana nendawo yangaphambili kwi-hip iya kuba yinto eyenziwa ngokuqhelekileyo. Le nkqubo yokugonywa iye yajikeleza ixesha elide, ngaphezu kweminyaka eyi-100, kodwa ithole inzala ebalulekileyo kubagqirha abenza ukutshintshwa kwe-hip iyonke kwiminyaka elishumi edlulileyo. Indlela eya ngqo yangaphakathi isenziwa ngesigulane esilala ngasemva kwabo, kwaye ukuchithwa kokugqitywa kweza kuhla phambi kwethanga.

Kukho iinzuzo ezininzi zendlela yokusebenza yangaphambili. Iintlobo ezimbini ezibalulekileyo ezixhasayo zale ndlela yokuhlinzwa ziza kuthetha ngengozi yokuphazamiseka kunye nokuphulukana kwangaphambili emva kokusebenza . Abantu abaninzi banomuva wokuthi umngcipheko wokutshintshwa kwendlela elandelayo emva kwe-hip esikhundleni sezantsi kuncinci kunokuthelekiswa nokutshintshwa kwe-hip esikhundleni. Ngoxa i-risk risk with a posterior approach is only 1 okanye 2 percent, iyakwazi ukunciphisa ukuba utshintsho lweendlela zokukhangela luqwalasela. Into yesibini kukuba abantu abaninzi banomuva wokuphucula emva kokuva emva kokusebenza emva kokukhawuleza. Abantu abaye bahlinzwa ngokusesikweni kwangaphambili bavame ukuphucula ngokukhawuleza kwi-hospitality emfutshane.

Ukungahambi kakuhle kwindlela engaphambili kubaluleke ukuba ukunyanzeliswa kokugqithisa kunokuba nzima, ngakumbi kubantu abanesistim kakhulu okanye banobhankqalazi obalulekileyo kwiziko lomzimba wabo. Kucacile ukuba kuthatha ixesha kunye nokuzisebenzisela oogqirha ukuba babe nezakhono kule ndlela, kwaye iingxaki kwiingcali ezigqithiseleyo ekusebenziseni ukutshintshwa kwe-hip yangaphambili ziqhelekileyo. Ukongezelela, akuyiyo yonke imiphumo engasetyenziswa ngokulula kwindlela yangaphambili, kwaye ukujongana nokukhubazeka okanye ukwenza ukutshintshwa kwe-hip replacement akusoloko kulula nje ngeendlela ezihamba phambili.

Ekugqibeleni, inzwa yesikhumba ebizwa ngokuba yi-nerveal femoral cutaneous nerve ingalimala ngexesha lotyando. Nangona oku kungatshintshi usebenzo, abanye abantu baxhatshazwa yinqanaba ye-numbness phambi kwethanga.

Kaninzi

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Iindlela zokuPhepha kweeNkcazo

Indlela ehambelanayo yoxinzelelo okanye i-anterolateral eyenziwa kwicala lomxube we-hip. Le ndlela yokugqirha ibonakala rhoqo ngabagqirha njengendlela yokulinganisela phakathi kweendlela zangaphambili nezangemva. Isantya sokungabonakali sibonakala sisezantsi kuneendlela eziphambili, ngelixa utyhutyha kunye nokukwazi ukwandisa isixhobo sokubonakalisa bhetele kungcono kuneendlela zangaphambili. Abantu abasebenzisa indlela yokubambisana bebekwe kwicala labo, kwaye ukugqitywa kokugqithwa kuya kwehla ngqo ngaphandle kwe-hip.

Kwakhona, inzuzo ephambili ngolu hlobo lokugqithisa ukulinganiswa kokubakho okuxhomekeke kwintsebenziswano engasetyenziselwa ukwenza kuphela ukutshintshwa kwe-hip ngokuthe ngqo kodwa kwakhona ukulungisa ukubola nokufaka izimplomelo ezizodwa. Izinga lokutshintshwa kwezi zilandelayo emva kokuhlinzwa zibonakala zingaphantsi kuneendlela zokungena ngaphaya komsebenzi.

Ukungahambi kakuhle kwindlela ehambelanayo yokubambisana yinto yokuba imisipha ye-abductor yomxube we-hip inqunywe ukuze ingene kwi-hip. Ezi zihlunu ziyakwazi ukuphilisa ngokuqhelekileyo, kodwa ukuba azinjalo, abantu bangakwazi ukuhlakulela into engapheliyo. Ukongezelela, ukuchithwa kwezi zihlunu kungabangela imeko ebizwa ngokuthi i- heterotopic ossification . Nangona i-osterification ye-heterotopic ingenzeka emva kokuba nayiphi na inkqubo yokucubungula kwi-joint hip, kubonakala iyinto eqhelekileyo emva kokuba indlela ehambelanayo yokusebenza iqhutywe.

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Iindlela zokuKhenketho

Kukho nezinye iinkqubo zokuphanda ezenziwayo, nangona ziphantsi kakhulu kuneendlela ezintathu ezikhankanywe ngaphambili.

Ezinye iinkqubo zokupasa iinkqubo ziquka inkqubo ye- 2-incision kunye nendlela ephezulu. Zomibini zale migaqo yokuqapha zenziwe ngenzame yokwenza izibhedlele ezincinci kunye nokunciphisa inani lokulimala komzimba okwenzeka ngexesha lotyando. Zomibini iinkqubo zixhomekeka kakhulu kwiindlela ezibonakalayo ezingekho ngqo, oku kuthetha ukuba ugqirha wakho usebenzisa i-x-ray ngexesha locwangco lokuncedisa ngokufakelwa ngokufanelekileyo kwezimpembelelo. Zomibini zale migaqo yokugonywa zinganwezelwa kwi-hip yokufakelwa ukutshintshela indawo xa kwenzeka ukuba kuboniswe bhetele ngexesha lotyando.

Kukho kuphela umda ochanekileyo okhoyo kwiingeniso zonyango, kodwa ngokuqinisekileyo ukunciphisa umonakalo kwizicubu eziqhelekileyo ze-muscle kunokukhokelela ekuphuculeni ngokukhawuleza emva kwayo nayiphi na inkqubo yokuhlinzwa.

> Imithombo:

> Miller LE, Gondusky JS, Bhattacharyya S, Kamath AF, uBoettner F, W. J. Wright "Indlela yokuThengisa ichaphazela iziPhumo kwi-Total Hip Arthroplasty Ngeentsuku ezingama-90 zokulandelwa? Ukuhlolwa ngokuchanekileyo nge-Meta-Analysis" J Arthroplasty. 2018 Apr; 33 (4): 1296-1302.

> Petis S, Howard JL, iLanting BL, iVasarhelyi EM. "Indlela yokutyikitya kwi-hip arthroplasty eyona nto iphambili: i-anatomy, ubuchule kunye neziphumo zeklinikhi" Ngaba i-J Surg. 2015 Ngo-Apr; 58 (2): 128-39.