Ngaba Kukhona Ingxaki Nge-Hip yakho Yokuzibandakanya?
Utyando lokutshintshwa kwe-Hip unyango lwe- hip arthritis . Ngethuba lokutyunjwa kwe-hip esikhundleni, ibhanti ebhatywayo-ne-socket iqhagamshelo le-hip ithathelwe indawo kunye neqhagamshelo lokufakelwa. Ngokuqhelekileyo, ukutshintshwa kwe-hip substitution kwenziwa ngentsimbi kunye neplastiki. Ngophando oluthile lwendlela yokutshintshwa kwe-hip, izitho zensimbi zixhomekeke kwithambo le-femur (ithambo lesithambo) kunye ne-pelvis.
Phakathi kwezinto zensimbi yinkampani yeplastiki kwisalathisi sokufakelwa kwe-hip.
Ngelishwa, ezi zithuba zokutshintshwa ziyakwazi ukugqithisa ngexesha. Ngomgudu wokunciphisa oku kuvala kwiindawo zokutshintshwa kwe-hip, kukho ezinye izinto ezisetyenzisiweyo ngokuqhelekileyo ukutshintshela i-hip joint. Ezi zinto ezibizwa ngokuba yiindawo eziza kuthathwa ngenye indlela zinokuba zonke izitye (akukho plastiki) okanye zineenxalenye zekheram.
Ngoxa ezi ndawo zithatha indawo yokuthwala i-hip izithintelo zingenakugqithiswa ngokukhawuleza njengempahla eqhelekileyo yokubuyisela izinto, kukho ezinye iinkxalabo ezi ntlobo zezimpembelelo. Enye inkxalabo ekhethekileyo, ngokukodwa ngokutshintshwa kwe- ceramic hip esikhundleni , kukuba i-joint joint isenza ukuba kube neengxolo ezixakekayo. I-squeak esuka kwindawo yokufakelwa kwe-hip ingenza kube yimpembelelo, okanye ingaba ngumqondiso weengxaki kunye nokudibanisa okufakwayo.
Izizathu
Ukukhenkceka kwi-hip substlacement kungaba ngumphumo wemicimbi eyahlukeneyo enxulumene nokufakelwa, ukuhlinzwa okanye isiguli.
Isinyathelo sokuqala ekuhlolweni kwesandi esingaqhelekanga esivela kwenye indawo ye-hip ukufumana isizathu. Ngaphandle kokungazi isizathu esithile, akunakwenzeka ukufumana unyango olungcono lweengxaki.
- Ukuveliswa kweengxaki : Ukunyuka kwamaxesha okuphantse kubangele ukuba kukho ingxaki kwizigulane ezifake umbane kunye nenye into engaphezulu kwesinyithi kunye neplastiki), kwaye ngokuqhelekileyo iindawo zokutshintshwa kwe-ceramic hip. Ezinye izimpembelelo ezithile ziye zanyamekela ukutshatyalaliswa, kwaye kwezinye iimeko zibonakala zihambelana nobukhulu bokufakelwa, kunye nezimpembelelo ezincinci ziqhekeza ngokuqhelekileyo.
- Ukupakisha ukupakisha: Xa ukufakelwa kwe-hip esikhundleni sakho kufakwe emzimbeni wakho, ugqirha wakho kufuneka aqinisekise ukuba ihambelana ngokufanelekileyo. Ezinye iziphumo ziye zafumanisa ukuba imiba yokulungelelaniswa kokunyusa ingakhokelela ekuthambekeni kokunyuka.
- Izinto ezinesifo: Ezinye iimpawu zesigulane ziye zadibaniswa nokukrazula, kubandakanywa nokuba ngumncinci, unzima, kwaye ude. Izigulane ezihambisa umlenze wazo ngokusebenzisa uluhlu olubanzi lwabanqamlezo nazo ziyakwazi ukufumana ukutshintshwa kwe-hip esikhundleni.
Ngaba i-Squeak ingxaki?
Ngokuqhelekileyo, akukho. I-hip ecaaking ivame ukuphazamiseka, kwaye ugqirha wakho unokukwazi ukukunceda ukukhusela ukucima ngokukucebisa ngezikhundla ezithile kunye nemisebenzi yokuphepha. Nangona kunjalo, nayiphi na i-squeaking kufuneka ixelelwe, kwaye ihlolwe ngugqirha wakho. Ngokukodwa iindawo zokutshintsha i-ceramic hip, kukho iingxelo eziqhelekileyo zokutshatyalaliswa kweyona nto ingumqondiso osisigxina weengxaki zokufakelwa.
Ukuba i-squeaking izimisele ukuba ingabi yingxaki ngokufakela, kwaye ingxolo iyakunyamezela, ingxaki ihlala isodwa. Ukuba ukufakelwa kuyinkathazo, okanye ukuba ukuxakeka kukwazi ukunyamezela, ukuhlinzwa okwesibini kwendawo yokutshintshwa, okubizwa ngokuba yi- replacement hip replacement ingenziwa. Ukuhlaziywa kwe-hip substitution kungabangela umngeni, kunye neenkqubo ezingenangxaki.
Nangona bebanokuphulukana ngokugqithiseleyo ngonyango malunga neengxaki ezinokuba nzima, ukutshintshwa kwe-hip replacement kufanele kwenziwe kuphela xa kuyimfuneko.
Kwenziwe ntoni
Ukuba ukufakelwa akuyona ingxaki, kukulungele ukwenza nantoni na ehlukileyo. Nangona isandi sikhathazeka, ukwenza umsebenzi wokuhlaziya uphuculo olusenyakatho ngumsebenzi omkhulu kwaye kukho iingxaki ezinokuthi zenzeke.
Oko kwathiwa, xa kukho ingxaki yokufaka ingxaki, ukuchongwa kwangaphambili kwengxaki kunye nokulungiswa kocwangco kungenza ukuba uphenyo luhlaziywe kakhulu kwaye luphumelele kakhulu. Xa ukufakelwa iingxaki kungenaziphumo, umphumo wexesha elide unokuba nzima kakhulu ngenxa yomonakalo, kungekhona nje kwimiphumo, kodwa kunye neethambo ezizungezile kunye nezicubu ezincinci.
Ukuba ukufakela kufumaneka ukuba kubangele ingxaki kunye nokuhlaziywa kokuhlaziywa kunconywa, ngoko ukufumana oku kunyamekelwa kungekudala kunokuba kunokunceda kunokunciphisa ithuba lokungxaki.
Umthombo:
UWalter WL, et al. "Ukuhlaziywa kwama-Hipsaking Hips" J Am Acad Orthop Surg, Vol 18, No-6, Juni 2010, 319-326.