Imiba Ngokuphindaphinda i-Hip yokutshintshwa kwi-Outdoor Out Implants
Uphando oluthile lokuhlaziywa ngokutsha lugqityiweyo lwenkqubo yokucanda ukutshintshwa kwendawo yokutshintshwa kwe-hip . Ukutshintshwa kwe-Hip kukhona phakathi kweenkqubo eziqhelekileyo ezenziwa ngabagqirha bamazinyo . Olu uphando luphumelele ngokukhawuleza, kwaye lube nemiphumo emihle kwizigulane ezininzi. Ingxaki, ngelishwa, kukuba ukutshintshwa kwexesha lokutshintsha kwexesha kuthintela .
Ukutshintshwa kwe-Hip kugxininisa ngokukhawuleza, kodwa ingxaki iqhubekela phambili kwiminyaka. Iminyaka eyi-10 emva kokutshintshwa kwe-hip , kukho ithuba eli-90% lokufakelwa kwayo kuya kusebenza kakuhle. Emva kweminyaka engama-20 emva kokuhlinzwa, ithuba li malunga ne-80%. Emva kweminyaka engama-25 ukuya ku-30 emva kokuhlinzwa, malunga ne-50% ye-hip replacements isasebenza kakuhle. Izigulane ezithwala i-prosthesis yazo zifuna ukuhlaziywa kwe-hip yokuguqulwa. Ukuhlaziywa kwe-hip substitutes kungenziwa kwakhona ukulawula iingxaki ezifana nokusuleleka kwe-hip substitution , ukutshintshwa kwe-hip esikhundleni sokutshintshwa , okanye ukuhlukana kwethambo malunga nokutshintshwa kwe-hip.
Inani labahlaziyi be-hip eyenziwa ngamagqirha ogqirha ngamathambo lukhula ngokukhawuleza, kwizinga eliqikelelweyo lika-8-10% ngonyaka. Phantse i-70,000 yokuhlaziywa kwe-hip ishintshwe minyaka yonke e-United States. Njengoko abantu abaninzi bekhetha ukutshintshwa kwe-hip, ngokukodwa kwiminyaka emncinci, inani le-hip substitution replacements likhula ngokukhawuleza.
Kutheni Kutshintsho lwe-Hip Ukuvala ngaphandle
Ukutshintsha kwe-Hip kungaphelela ngezizathu ezahlukeneyo. Isizathu esivakalayo sokutshintshwa kwe-hip ukugqithisa sibizwa ngokuthi i- aseptic ekhululekayo . Ukukhishwa kwe-Aseptic kwenzeka xa ukufakelwa kwe-hip kukhululekile ngaphakathi kwethambo. Ukufakelwa kwe- hip ekhululekile kubangela ukuba buhlungu, kwaye ngokuqhelekileyo kufuna ukubuyiswa kwe-hip esikhundleni.
Ezinye izizathu zokutshintshwa kwe-hip ukugqithisa ziquka ukusulelwa, ukuphulwa kweprothesis, ukuphulwa kwethambo malunga neprothesis, kunye nezinye iingxaki. Ngokuxhomekeke kwisibalo sokungaphumeleli, ukunyanga ngaphandle kokuhlaziywa kwe-hip ingashintsha. Ngokomzekelo, kwimeko yokusuleleka, ukutshintshwa kwe-hip kusenokufuneka kususwe ukunyanga ukusuleleka, kulandelwa iinguqu zokuhlaziya iinyanga zokugqibela.
Kutheni ukuHlaziywa kuyinkimbinkimbi
Ukuhlaziywa kwama-hip esikhundleni sendlela yokuhlinzwa yinkimbinkimbi kwaye iziphumo azikho ezinjengeyokutshintshwa kwe-hip yokuqala. Iingxaki zobuchwepheshe ziquka umgangatho wethambo kunye nokukwazi ukukhusela ngokwaneleyo ukutshintshwa kwe-hip esikhundleni sokubeka esikhundleni. Ukongezelela, ukususa indawo yokuguqulwa kwe-hip kunokudala utyando olunzulu. Ngokubambisana, ezi ngxaki zifuna ukuba utshintsho lwe-hip lube lunzima kakhulu. Ukucwangciswa ngokucophelela ngudokotela ogqirha wamathambo kuyadingeka ukuqinisekisa ukuba uya kukwazi ukwenza i-hip eyokukuvumela ukuba ufumane ngokufanelekileyo.
Enye ingxaki ngokuguqulwa kwakhona kwe-hip yinto yokuba utyando ngokwawo lunokuba luyinkimbinkimbi. Izigulane zivame ukuba zikhulile, kwaye zincinci ukunyanzeliswa kweenkqubo eziphambili.
Inkqubo yinkalo enzima kunokuba i-hip substitution substitution, kwaye iziphumo kwisigulane zibaluleke kakhulu (ukuhlinzwa okude, ukulahleka kwegazi ngaphezulu). Ngenxa yoko, ukuhlaziywa kwe-hip yokuhlaziywa kufuneka kuqwalaselwe ngokucokisekileyo kwaye kucwangciswe. Ukubandakanywa koogqirha bonyango jikelele, i-anesthesiologists, kunye nodokotela ogqirha wamazinyo kubalulekile.
Xa Kufuneka Uhlaziywe Ngonyango
Nguwe kuphela kunye nodokotela wakho wamazinyo onokuthi anqume ukuba ixesha lilungele ukutshintshwa kwe-hip replacement. Ngamanye amaxesha iimpawu ezimbalwa zivakalelwa zizigulane, kodwa ii-ray ziza kubonisa isizathu sokuqwalasela ukutshintshwa kwe-hip replacement.
Amanye amaxesha, nangona iimpawu eziphawulekayo, ugqirha wakho wamazinyo angasincoma malunga nokutshintshwa kwe-hip replacement.
Andikwazi ukugxininisa indlela indlela yokwenza izigqibo ezithintekisayo zokubuyisela izigqibo ezinokwenziwa ngayo. Azikho zonke iingxaki zokutshintshwa kwe-hip zixazululwa ngophenyo olubuyiselwayo . Isigulane ngasinye kufuneka sithathwe njengabantu ngabanye - i-generalizations ayinakwenziwa kwimeko yokuhlaziywa kwe-hip yokuguqulwa. Ukuba une-hip substitution kwaye ucinga ukuba unokufuna ukuhlaziywa ngokutsha, kufuneka uxoxe ngeendlela ozikhethayo kunye nodokotela ohlinzeka ngamathambo.
ILizwi
Ukwenza uphenyo lokubuyisela ukuhlaziywa kwe-hip yinto ebalulekileyo. Ngenxa yokuhlinzwa kwangaphambili, ukuhlaziywa ngokutsha ngokuphindaphindiweyo kusondeleko kwindlela yokuhlinzwa enzima, iqhubela phambili kwimiphumo engaphumelelanga ngaphantsi, kwaye inomngcipheko ophezulu weengxaki. Izizathu zokuhlaziywa ngokutsha ngokubambisana kunzima kunzima ukubandakanya izicubu ezibomvu, ubunzima bokukhipha izifakelo, kunye nesidingo seemfuno ezizodwa ezisetyenziselwa ukuhlinzwa ngokutsha. Oko kwathiwa, xa eshiya ukutshintsha ukuyeka ukuyeka ukusebenza ngokuqhelekileyo, ukuhlinzwa ngokutsha kuyakufuneka ukuba uzame ukubuyisela umsebenzi oqhelekileyo kwi-joint.
> Imithombo:
> UNho SJ, uKymes SM, uCallaghan JJ, uFelson DT. "Umthwalo we-hip osteoarthritis e-United States: iingxaki ze-epidemiologic nezoqoqosho" J Am Acad Orthop Surg. 2013; 21 I-Suppl 1: S1-6.