Ukuphulukiswa kwe-Hip Replacement Surgery

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Ukuxilongwa kwe-Hip Arthritis

I-arthritis ye-Hip yimbangela eqhelekileyo yentlungu ye-hip. Ukuba i- arpritis ye-hip iba nzima, inkqubo yokubuyisela indawo yokucoca ingacetyiswa. I-arthritis ye-Hip yenza ukuba indawo eqhelekileyo ye-cartilage ye-joint ishicilelwe ngaphandle kwexesha. Njengoko le ngqungquthela igugile, ithambo libonakaliswe kwaye ukunyakaza okuqhelekileyo kwintsimbi kunzima. Oku kunokubangela ubunzima ngemisebenzi kuquka ukuhamba, ukunyuka esihlalweni, okanye ukulala ebusuku.

Umxube we-hip ngumxube webhola kunye ne-socket - ibhola ijikeleza ngaphakathi kwesikhokelo ukuvumela ukunyakaza kwe-hip. Ibhola kunye nesiseko zihlanganiswe ngoluhlu lwe-cartilage ephathekayo. Le ngqungquthela ivumela ukuba i-hip idityaniswe ukuhamba ngokukhululeka. Xa i- cartilage yelinye iqhagamshelo liphuma , ukunyakaza kwe-hip kuya kuba nzima kwaye ibuhlungu.

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Ukususa i-Hip Joint Ball ekhutshiwe

Isinyathelo sokuqala sokutyunjwa kwendawo yokuqhaqhaqha isicatshulwa esonakele kunye nethambo. Umxube we-hip unamacala amabini, ibhola (intloko yesifazane), kunye nesiseko (i-acetabulum). Xa umxube we- hip uba yi-arthritic , indawo eqhelekileyo ye-cartilage yomhlaba iphela.

Ukuze ususe ibhola ebhubhayo ye-ball-and-socket joint joint, ithambo linqunyulwa ukususa intloko yesifazane. Ukuze ufake ifowuni entsha, ithambo elonakalisiweyo kunye ne-cartilage kufuneka isuswe kuqala.

I-hip ingafumaneka kwiindlela ezahlukeneyo. Abanye oogqirha baya kwi-hip ngokusebenzisa umva wokudibanisa (indlela engezantsi) ngelixa abanye beza kwi-hip phambi kobambiswano (indlela yangaphambili ). Le ndlela ye-anterior iya kuba yindume kakhulu njengoko kubonakala sengathi izigulane ziyakwazi ukufumana izifo kwaye zihambe esibhedlele ngokukhawuleza emva kokuhlinzwa.

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Ukususa i-Soft Out Joint Socket

Xa ibhola le-arthritic lisuswe, isiseko esipheleleyo sinokuqwalaselwa. Ngokungafani nebhola, le thambo ayikwazi ukunqunyulwa - isiseko sendibano ehlangene yinxalenye yethambo le-pelvis.

Ukuze kususwe i-arthritis ye-socket ye-hip, ithuluzi elikhethekileyo elibizwa ngokuba yi-reamer lisetyenziselwa ukukhupha i-cartilage eyonakalisiweyo kunye nethambo. Oku kushiya indawo epholileyo, ngokugqibeleleyo ukuba ivume ukufakelwa okutsha kwe-hip esikhundleni.

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Ukufakwa kweCandelo le-Acetabular

Xa ithe ithambo elonakalisiweyo lisuswe kwi-acetabulum, isalathisi esitsha sokutshintshwa kwe-hip singeniswa. Ingxowa ye-pelvis ibizwa ngokuba yi-acetabulum, kwaye inxalenye yokutshintshwa kwe-hip efakwe kwisiseko ibizwa ngokuba yi-acetabular component. Abanye abantu baphinde bathi le ngxenye "indebe."

Icandelo le-acetabular ligcinwe ngokuqinileyo kwi-pelvis ngokwenza isiseko encinci kuncinci kwinqanaba le-acetabular, kunye nokutshata ukufakelwa kwithambo. Ukufakela kunomhlaba okhuni ukuvumela ukuba ithambo likhule libe phezu komda wokufakwa kwithuba.

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Ukulungiselela i-Femur

Ngoku ukuba isalathisi isetyenziselwe, ingqwalasela ingajika kwibhola ye-ball-and-socket joint joint. Ibhola ixhaswa kunye ne-implant efakwe phantsi kwesiko esingenalathanga sethanga lethanga (femur). Oku kufakwa kuthiwa yi-stem stem.

Njengentsimbi ye-acetabular, i-stem stem kufuneka ibanjwe ngokuqinileyo kwithambo. Izixhobo ezizodwa zisetyenziselwa ukuloba isikhungo sefu lesathanga ukuze senze i-stem stem.

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Ukufakwa kweStem

Ngethambo elungiselelwe ukufumana isiqalo sokufakelwa kwendawo yokutshintshwa kwe-hip, i-stem stem ifakiwe. Isiqu singabanjwa kwithambo kunye okanye ngaphandle kwesamente.

Xa ithambo ligcinwe ngesamente, isamente ifakwe kwifom yefayili, kwaye i-stem iyafakwa. Ngemizuzu embalwa, isamente isigxina ngokukhawuleza ukubamba ukufakelwa okufakwe ngaphakathi kwethambo.

Xa kungekho senti esetyenzisiweyo, ukufakelwa kubizwa ngokuba yi-"press-fit". Oku kuthetha ukuba ukufakelwa kudibene ngokuqinileyo kwisithambo. Ubuso obunzima obufake i-implant ivumela ukuba ithambo likhule libe linyusa ixesha.

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Ukufakwa kweBhola

Ngomthi ofakwe kwiziko lesithambo lesangqa, ibhola ye-ball-and-socket joint joint ingeniswa kwi-stem. Ibhola yensimbi iyanamathela kwi-top stem. Ubuninzi bokuyilwa kwe-hip implant substlacement implant empeleni yindlela nje yokubamba ibhola yomxube we-hip kwindawo efanelekileyo. Kukho uhlobo lokutshintshwa kwe-hip apho ibhola livuswa khona kunokuba ithathe indawo, ithetha ukuba kukho izinto ezincinci ezifakelwe emzimbeni-le ndlela yokutshintshwa kwe-hip ibizwa ngokuba yi- hip yokuvula ukuhlinzwa .

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Ukuzaliswa kokuQiniswa kweeNdawo zokuQala koHlomelo

Ngesiseko, isitshixo, kunye nebhola yonke ifakwe, ukufakwa endaweni ye-hip ingafakwa kwindawo yokugqibela. Ngeendawo ezikuyo, ibhola ibuyiselwa kwisiseko-ebizwa ngokuthi ukunciphisa umlenze.

Kubalulekile ukuqinisekisa ukuba izimpembelelo zokutshintshwa kwe-hip zizinzile. Izimpembelelo zokutshintshwa kwe-Hip ezingaqinisekanga zingashenxisa , ingxaki enkulu yokuhlinzwa ngokutsha .