I-Minimally Invidable Approach Interior Approach for Hip Replacement Surgery
Utyando olusenyakatho lwangaphambili lusetyenziso lwakutshanje oluthile lokusebenzisa iindlela ezincinci ezingaphantsi. Ingcamango yale ndlela yokuhlinzwa iyenze inkqubo efanayo kunye nokuphazanyiswa kancinci kwiisiphako ezijikelezayo kunye nezicubu ezincinci. Ngokwenza utyando ngokusebenzisa izinto ezincinci, kunye ne-dissection encinci, ithemba ukuba izigulane ziya kuba neentlungu ezingaphantsi kunye nokuphucula ngokukhawuleza.
Ukuqonda ukutshintsha kwe-Hip yangaphambili
Ukutshintshwa kwe-hip yangaphambili akuyona into entsha yokuhlinzwa. Amagqirha amaninzi ayenze ukutshintshwa kwe-hip ngokungena kwi-incter yangaphambili kwiminyaka emininzi. Enyanisweni, ingxelo ekhankanyiweyo kakhulu yale nkqubo yanyatheliswa ngo-1980. Yintoni entsha malunga nokutshintshwa kwe-hip yangaphambili yinto yokuba utyando lwenziwe ngokubambisana okuncinci kunye nezixhobo ezikhethekileyo zokuncedisa ukuba lo msebenzi uphephe kancinci kwisigulane.
Ukubambisana kwe-hip kunzulu ngaphakathi emzimbeni ekuhlanganiseni kweeplavis kunye nentloko yesithambo lesithanga. Zonke izithuba zokutshintshwa, kungakhathaliseki uhlobo lwe-incision, zidinga ukuba ugqirha wakho athathe indawo ephakamileyo yesikhumba sethanga kunye nesiseko se-pelvis. Kukho iindlela ezininzi zokuthi udokotela wakho aphumelele, njengokuba ugqirha wakho angasondela kwi-hip yakho emva kokubambisana (indlela engaphaya kwayo), ecaleni lendlela yokudibanisa (intsebenziswano okanye i-anterolateral approach), phambi kwendibano (yangaphakathi indlela), okanye ngokudibanisa iindlela ( iindlela zokubambisa ezimbini ).
Kubalulekile ukuqonda ukuba zonke ezi ndlela zifezekisa injongo efanayo yokutshintsha ibhola kunye nesiseko soxube lwe-hip .
Iimpawu ezizodwa zeendlela zangaphambili Ukutshintshwa kwe-Hip
Inkqubo yokumisa i-anterior isithuba sokuhlukanisa imisipha, oku kuthetha ukuba ugqirha ufika emlanjeni phakathi kwezihlunu ezimbini, kunokuba ususe kunye nokubuyisela kwakhona imisipha.
Inzuzo icingelwa kukuba ukuvuselelwa kunokuhamba ngokukhawuleza ngokungavumeli ukuba isisundu esihlangeneyo siphilise.
Njengoko kunye nezinye iindlela ezingenayo i-invasive, ubukhulu bokubakho bugcinwe bufutshane njengoko kunokwenzeka kumzamo wokuncedisa ukungaxhamli komsebenzi. Ukutshintshwa kwe-hip anterior kucatshulwa ngabanye abagqirha ukuba babe nezinga eliphantsi lokutshintshwa , nangona izilwanyana ezitsha zenziwa ngabagqirha banokuthi le nto ayisona nzuzo ecacileyo yendlela yokuguqula indawo yangaphambili.
Uninzi lweengxaki ezinxulumene neendlela zangaphambili ze-hip substitution zifana neengxaki eziguquguqukayo zokuguqula indawo . Enye inkcenkceshelo ethile yenzakalisa kwi-nerve enkulu yecala elikufutshane ne-incision ye-hip replacing hip substitution. Ukulimala kule nzobo, i-nerveal cutoral nerve, ngexesha lotyando lingakhokelela ekubandezelekeni okungapheliyo kunye neengqondo ezingavamile ngokuphambi kwecala.
Ngaba i-Anterior Hip-Replacement Better?
Njengokuba kukho nezinye iinguqu ezininzi ekusebenziseni ukutshintshwa okuhlanganyelweyo, akukwazi nje ukuba ukutshintshwa kwe-hip yangaphambili kukuphucula ngaphezu kwezinye iindlela zokuhlinzwa ngokutsha. Kukho iingenelo kunye nokuphazamiseka kweendlela ezahlukeneyo zokuhlinzwa ngokutsha.
Nangona abanye bethetha ukuba i-rehab inokukhawuleza okanye intlungu ingaba ngaphantsi, kukho idatha ephikisanayo yokuxhasa le ngxabano. Ezinye iingcali azifumani nantlukwano ekubuyiseni xa ukuchithwa kwe-hip yokumisela kuqhathaniswa namanye amacandelo.
Umnqweno wokunciphisa intlungu kunye nokuphucula ngokukhawuleza kuyaqondakala. Nangona kunjalo, umbandela obaluleke kakhulu we-hip ukutyunjwa ngokutsha kukukunika intsebenziswano engenabuhlungu kwaye iza kukuhlala ixesha elide . Ezi njongo azikwazi ukuphazamiseka xa kukho utshintsho olwenziwe ukucima ubuchule bokubuyisela.
Nangona i-hijacking hip replacements ingaba neenzuzo ezithile xa kuthelekiswa nezinye iindidi zokufakelwa kwe-hip , ayaziwa ukuba ngaba ngokwenene kubonisa ukuphuculwa kwindlela yokuhlinzwa yokutshintsha indawo.
Unokuxoxa ngale miba kunye nogqirha wakho xa ulungele ukucinga ngokutshintshwa kwe-hip.
Imithombo:
Klausmeier V, et al. "Ngaba kukho ukuhlaziywa ngokukhawuleza nge-THA yangaphambili okanye ye-anterolateral? Uvavanyo lokuqhubela phambili." I-Clin Orthop Relat Res. 2010 Feb; 468 (2): 533-41.
Ukukhanya TR, uKeggi KJ: Indlela yokuqala yokunyusa i-arthroplasty. Clin Clinic Relat Res 1980; 152: 255-260.
I-TP ye-Vail, uClalaghan JJ. "Ubuncitshisi obuncinane Ubunzima be-Hip Arthroplasty" J. Am. Acad. IOrn. Ugqirha, uDisemba 2007; 15: 707 - 715.