Ukutshintshwa kwe-Hip kukhona phakathi kweenkqubo eziqhelekileyo zomzimba. Xa kuthathwa indawo yokutshintsha i-hip , i- arthritic , inxube ye-hip eyonakalisiwe isusiwe. I-ball-and-socket ye-hip idityaniswe yatshintshwa ngokufakelwa okufakelwayo. Izinto ezisetyenziselwa ukuveliswa zixhomekeke kwiimeko ezahlukeneyo, kubandakanywa:
- Ubudala besigulane
- Umgangatho womsebenzi wesigulane
- Ukhetho lwabagqirha
- Ukutshatyalaliswa okukhethekileyo / ukungavumelekanga kwintambo
Nazi iincwadana ezimfutshane zezinye izifakelelo zokutshintshwa kwe-hip eziqhelekileyo. Azikho zonke izimpembelelo ezikhethiweyo kuzo zonke izigulane.
Izixhobo zeMetri kunye nePlastiki
I-prosthetic eyenziwe yensimbi kunye neplastiki yizona zifakela ngokuphindaphindiweyo zokufakelwa kwe-hip. Bobabini ibhola kunye nesiseko soxakelo lwe-hip sithathelwa endaweni yenkxaso yesinyithi, kwaye i-spacer yeplastiki ifakwa phakathi. Izitye ezisetyenziswa ngokuqhelekileyo ziquka i-titanium kunye nentsimbi engenasici. Iplastiki ibizwa ngokuba yi-polyethylene. Ukufakela kuqinisekiswe kwithambo ngeendlela ezimbini; mhlawumbi i-press-fit or cemented in place. Kwiindlela ezifanelekileyo zokunyusa, ukufakelwa kulungelelanisa kwisithambo, kwaye amathambo amatsha ajikeleze ukufakelwa ukusikhusela kwisikhundla. Xa ukufakelwa kutyunyiwe, isamente ekhethekileyo yamathambo isetyenziselwa ukukhusela iprothesis kwindawo.
Izimpembelelo ezintsha zihlala ziphuhliswa kwizame zokwenza ezi zimilo zigcine ixesha elide kunokwenzeka.
Olunye uphuhliso olutshanje luphucula ixesha elide le-polyethylene elisetyenziselwa ukutshintshwa. Ezi zibizwa ngokuthi 'iiplastiki ezinqamlekileyo kakhulu' zifakwe ngendlela ebenxibayo ngokukhawuleza kunokuba zeplastiki zendabuko.
Ukufakwa kweMetri-on-Metal
Ukufakelwa kwe-Metal-on-metal kusetyenziswa izinto ezifanayo, kodwa akukho nendawo yokupaka eplastiki efakwe phakathi kwezimpembelelo.
Ukufakelwa kwe-Metal-on-metal kwathandwa kakhulu kuba befunyenwe ukuba baneempawu ezintle zokugqoka kwilebhu. Nangona kunjalo, naphezu kwezinga eliphantsi lokugqoka, bekukho iingxaki ngokufaka izixhobo zetsimbi-on-metal.
Ekuqaleni, bekukho ukukhathazeka malunga neengubo ezinxibayo eziveliswa kwiimplantshi zetsimbi. Ions zetsimbi zikhishwe kwigazi, kwaye ezi ioni zensimbi ziyakwazi ukufunyanwa kuwo wonke umzimba . Ukugxininisa le ioni zensimbi kwanda ngaphezu kwexesha. Akukho datha yokubonisa ukuba ezi zinyithi zikhokelela kwizinga eliphezulu lokomhlaza okanye izifo, kodwa iimfuno zexesha elide zisadingeka zenziwe.
Ukongezelela, kukho izikhumbuzo ezipapashwe ngokugqithisileyo zezifakelo zetsimbi-nge-metal ngoba ziboniswe ukuba zidinga ukuhlolwa ngokutsha (ukutshintshwa kwe-substitution) kwisilinganiso esiphezulu kunezimpembelelo zokutshintshwa kwe-hip. Ngenxa yoko, izifakelo zetsimbi-on-metal ziye zavela ekubeni luhlobo oluthandwa kakhulu lokufakelwa kwisakhiwo esingaqhathaniswa nangoko.
Izixhobo zeCeramic
Izimpembelelo ze-Ceramic hip replacement nazo zisebenzisa izitho zensimbi ezifakwe ngaphakathi kwethambo, kodwa ukuphakama kwebhola (ibhola kunye nesiseko) kungenziwa ngezinto ze-ceramic. Izimpembelelo zeCeramic zenzelwe ukuba zithintele ukugqoka zonke izixhobo zokufakelwa kwe-hip .
Bembatha nangaphantsi kwezinto zokufakelwa zetsimbi-on-metal. Iiceramics zibonakala zinganyangeki kwaye zilula kunezinye zezi zinto ezifakelwayo. Iziguqulelo ezigugu ze-ceramic implants zineengxaki ngenxa yokuba zilungele ukuphazamiseka, kodwa iinguqulelo ezitsha azizange zineengxaki. Ngenxa yeso sizathu, ukutshintshwa kwe-ceramic hip esikhundleni sitshintshwe kakhulu.
Yiyiphi Impumelelo?
Akukho ndawo ecacileyo "yokufakela". Nangona iimplants ezintsha ziphuhliswa ukuphucula ukuyila, ngezinye iimeko iingxaki ezingaziwa ngokukhawuleza xa kukhishwa umtsha. Ngenxa yeso sizathu, abanye oogqirha bakhetha ukuveliswa ngento efanelekileyo, irekhodi elide.
Udokotela wakho ogqirha kufuneka akwazi ukuchaza ngokucacileyo ukuba kutheni bacebisa ukutsalwa okuthile.