Utyando lokutshintshwa kwe-Hip unyango lwe- hip arthritis . Uninzi lwezigulane ziqonda ukuba ukutshintshwa kwe-hip kushintshi ngaphezu kwexesha, kodwa ingakanani ixesha lokutshintshwa kwe-hip ekufuneka ligcine?
Ukutshintshwa kwe-Hip ekugqibeleni kuyaphela. Ngelishwa, i-hip yokufakelwa yinto engapheliyo njengeyakho. Ngenxa yokuba izimpembelelo zokutshintsha indawo zenziwe ngetsimbi kunye neplastiki, ezi zinto ziqala ukugqoka ixesha elide, nje ngearubha kwiilondo zamoto.
Kwaye ukutshintshwa kwezinto ezikhethiweyo ezenziwe ngezinto ezizodwa ezilungiselelwe ukuhlala ixesha elide azihlali ngonaphakade.
Iindaba ezilungileyo kukuba iingcaphephe zibonisa ukuba iintlobo eziqhelekileyo zokutshintshwa kwe-hip zingadlulela ngaphezu kweminyaka engama-20. Nangona kukho amakhulu emfundo, zonke ziyahluka ngohlobo lokufakela ukusetyenziswa kunye nohlobo lwesigulane esasifake indawo yaso. Olunye uphando oluninzi lufumene ukuba iingu-80% zokutshintshwa kwe-hip zisebenza ngokufanelekileyo emva kweminyaka eyi-15 kwizigulane ezincinci (ezingaphantsi kwe-65), kunye ne-94% yezigulane ezidlulileyo (ezingaphezu kwe-65).
Kufuneka ukhumbule ukuba ngelixa ezinye izigulane zinokuthi zitshintshe izithuba zokugqibela ezidlulileyo, ezinye izigulana zingadinga ukutshintshwa kwento yokuphindaphinda nje emva kweminyaka embalwa emva kokuhlinzwa kwabo.
Ukuhlaziywa kwe-hip (indawo yesibini yokutshintshwa) yinto enqwenelayo eyenziwa ngokuphindaphindiweyo iziphumo ezingaphumelelanga ngaphaya komsebenzi wokutshintshwa kokuqala. Kwiphepha eliqaqambileyo, ingxelo yafumanisa ukuba kuphela i-2% ye-hip yokuguqulwa kwendawo yokupakisha ifuna ukuhlinzwa okwesibini kwiminyaka emihlanu yohlobo lokuqala lwentsimbi.
Izinto ezichaphazela ubude beeShift Replacement
Izifundo ezininzi zenzelwe ukuchonga ixesha elide lokutshintshwa kwe-hip liza kuhlala. Ngamakhulu eentlobo ezahlukeneyo zokutshintshwa kwe-hip kunye neentlobo ezahlukeneyo zezigulane, akukho mgaqo ukuya kwithuba elide lokutshintshwa kwe-hip kuza kuhlala kumntu othile.
Ukuvelisa abavelisi bazama rhoqo ukudala "ukuphucula" okuza kuhlala ixesha elide. Ezinye zezi mplomelo zisebenzisiwe kuphela kwiminyaka embalwa, kwaye zigqiba ukuba ngaba ziza kuhlala ixesha elide umbuzo nje kuphela unokuphendula.
Ezinye zezinto ezibonakala zichaphazela ukuhlala ixesha elide lokufakelwa kwezixhobo ezibandakanya i-hip ziquka:
- Ubudala bomonde
Izigulane ezincinci zifuna ukutshintshwa kwe-hip ukuhlala ixesha elide. Ngaphezulu, izigulane ezincinci zivame ukuba zisebenza. Ngako oko, izigulane ezithatha indawo yokuqhaqha inxaxheba kwiminyaka yabo engama-50 okanye abancinci banokulindela ukuba zifune ukutshintshwa kwe-hip endaweni yabo yokuphila. - Mi sebenzi
Eminye imisebenzi ayinakufanelekela izigulane ezineempembelelo. Nangona le mi sebenzi ingabi yintlungu okanye inzima, inokubeka uxinzelelo olunzulu kwi-hip substlacement, eyenza ukuba izixhobo zigqitywe ngokukhawuleza. - Isisindo somonde
Umntu okhulula ngakumbi uxinzelela uxinzelelo olubekwe kwi-implantation replacement. Ukugcina ubunzima bomzimba obuqhelekileyo kubaluleke kakhulu xa uzama ukutshintshwa ngokuhlanganyela. Ukuzivocavoca okufanelekileyo kunokuba luncedo ekulondolozeni ukunyuswa kwe-hip enempilo. - U kuphepha Iingxaki
Oku kunokubonakala kucacile, kodwa kukho iimeko ezithile zonyango ezinokubangela iingxaki ezichaphazela ukutshintshwa okuhlangeneyo. Izigulane ezineenkqubo zonyango ezingenayo (kubandakanywa nomsebenzi wamazinyo ) zingadinga unyango lwe-antibiotic ukukhusela iibhaktheriya ukuba zingene endaweni yokujoyina. Izigulane ezine- osteoporosis kufuneka ziqinisekise ukuba zonyango ngokwaneleyo, njengoko ukuphuka kwithambo ejikeleze ukutshintshwa ngokubambisana kunokuchaphazela ukusebenza kwe-implant.
I-Latest and Greatest
Isilingo esisinye sezigulane kunye nodokotela ogqithisileyo ngokufanayo kukutsalwa kwi-hip entsha kwi-marketplace. Ngokuqinisekileyo, oku kufakwa kuza kubakho ukusebenza bhetele kwaye kuphele ixesha elide kunezinye iindawo zokufakelwa kwe-hip. Nangona ezi zixhobo ezintsha zingcono, kubalulekile ukuqonda ukuba intsha ithetha ukuba akukho datha yesikhathi eside malunga nokuba izimpembelelo ziya kusebenza njani ngexesha elide.
Buza nayiphi na ugqirha wamazinyo malunga nezimpembelelo abazibonayo zize zihambe kwikhosi yazo. Kungenxa yokuba ukufakelwa kwintsha-ntsha akuthethi ukuba kulungile.
Ndihlala ndincoma ukuba izigulane kunye nabagqirha bazama ukufumana ibhalansi efanelekileyo phakathi koyilo lwangoku kunye nokungaxilongo.
Ugqirha wakho unokunceda ekukhokele ekutshintsheni okufanelekileyo kwendawo yokuqhafaza.
Imithombo:
Mäkelä KT, et al. "Iyonke i-hip arthroplasty ye-osteoarthritis ephambili kwizigulane ezingamashumi amahlanu anesihlanu ubudala okanye ngaphezulu." I-Bone Joint Surg Am. 2008 Oct; 90 (10): 2160-70.
Mahomed NN, et al "IiRhafu kunye neziphumo zeprayimari kunye nokuhlaziywa kwe-hip substitution in the population of the United States." I-Bone Joint Surg Am. 2003 Jan; 85-A (1): 27-32.