Inkxalabo enokuthi yenzeke ngo-Hip Replacement Surgery
Utyando olutshintsho lwe-Hip luphumelele kakhulu; ukukhululwa kwentlungu kunye nokwandiswa kwamandla okwenza imisebenzi eqhelekileyo ziphakathi kweenzuzo ezibalulekileyo zale nkqubo. Ngelishwa, ukutyunjwa okutshintshwayo kwimiba enokubakho iingxaki. Ezi ngxaki aziqhelekanga, kodwa zenzeka-ngamanye amaxesha kwiimeko ezingalindelekanga. Phakathi kweengxaki ezininzi ezibonakalayo zokutyunjwa kwe-hip yokutshintshwa kwendawo yokuchithwa kwe-hip ukuchithwa kwe-hip esikhundleni .
Ukutshintshwa kwe-Hip replacement kwenzeka kwi-4% ye-first-time operesheni, kwaye malunga ne-15% yokutshintshwa kwe-hip substitution .
Indlela Ukuguqulwa Kwama-Hip Umsebenzi
Ukutshintshwa kwe-Hip kwenziwa ngokuqhelekileyo kwizigulane ezine- arthritis ezinamandla ze-hip joint . Ukutshintshwa kwe- hip kusetyenziswe isinyithi kunye nesiplastiki (impendulo ngezinye iikriyam) ukutshintshela iqhosha eliqhelekileyo lebhola kunye ne-socket . Ngokususa ithambo eligqityiweyo kunye ne- cartilage yomxube we-hip, kwaye ubeka endaweni yezinto zetsimbi kunye neplastiki, ezininzi izigulane zifumana ukukhululeka kwentlungu kunye nokunyakaza okuphuculweyo kokubambisana kwe-hip.
Ukuhanjiswa kweeShift Replacement
Izihlanganisi eziqhelekileyo ze-hip zinamanyathelo amaninzi azungezile anceda ukuzinzisa ukuhlanganiswa kwe-hip. Ezi zakhiwo zibandakanya izihlunu, iigaments, kunye nesakhiwo esiqhelekileyo sokubambisana kwe- hip . Ngokubambisana, ezi zakhiwo zigcina ibhola ( intloko yesifazane ) ngaphakathi kwesikhokelo (i-acetabulum). Xa kuqhutyelwa utyando lokutshintshwa kwendawo yokuqhaqha , i-hip iba yincinci.
Xa ukhulula ezinye zezi zakhiwo ze-hip ezizinzileyo, ukutshintshwa kwento yentsimbi kunye neplastiki kulungele "ukuphuma ngokubambisana," okanye ukutshintsha.
Abantu abanokutshintshwa kwe-hip banokufundiswa malunga nokuqapha kwe-hip . Iziqaphelo ze-Hip zihlukeneyo zihambelana nesigulane esifumene nokutshintshwa kwe-hip kufuneka iphephe.
Izinyathelo zokuzikhusela ze-Hip ziquka:
- Musa ukuwela imilenze yakho
- Musa ukugoba imilenze yethu ngaphezu kwama-90 degrees
- Musa ukuhlala kwi-sofas okanye kwizihlalo eziphantsi
- Ungalali kwicala lakho
Uninzi lwagqirha luyanciphisa le miqathango emva kokuvuselelwa, kodwa ukutshintshwa kwendawo yokuqhaqhaqhaqhaqhaqhaqhaqhaqheko kuncinci kunezintlu eziqhelekileyo kwaneeminyaka emva kokuhlinzwa.
Le mi sebenzi yenza inxube ye-hip kwindawo apho ibhola ingawela khona kwisiseko. Maxa wambi ama-hip replacements afanelekile ukutshintshwa. Izinto ezinokuthi zenze igalelo ekutshintsheni ukutshintshiselwa indawo ziquka:
- Ukutshatyalaliswa kwezimpembelelo zokufakelwa kwe-hip
- Ukuhlaziywa kwe-hip esikhundleni
- Ukusela ngokweqile utywala
- Iingxaki ze-Neuromuscular (umz. Isifo se-Parkinson )
- I-hip dysplasia
Kwezinye iimeko, izigulana azikho izizathu ezibonakalayo zokugcina ukuchithwa kwazo.
Abantu abahlala bexakeka kwi-hip baya kukwazi ngokukhawuleza ukuba into ephosakeleyo ngokufakelwa kwabo. Ngokuqhelekileyo, nayiphi na intshukumo okanye inzame ekuthwaleni ubunzima bubuhlungu kwaye kunzima ukwenza. Nangona iimeko zentlungu sele ziphantse emva kokufakela i-hip implants, abaninzi abantu abaye baqhubeka bexakeka ingxaki yokuxhalaba baxhatshazwa yixhala kunye nokungakhathazeki ngale ngxaki ivela kwakhona.
Unyango lwe-Hip Dislocation
Uphulo lokuchithwa kwe-Hip replacement kuxhomekeke kwizinto eziliqela. Isinyathelo sokuqala sivame ukubeka i-joint hip. Le nkqubo, ebizwa ngokuthi ukunciphisa ukutshintshwa kwe-hip, yenziwa phantsi kwe-anesthesia-nokuba yindawo yokukhanya kwindlu yexakeka okanye i- anesthesia jikelele kwindawo yokusebenza. Ngethuba le nkqubo, udokotela ogqirha wamathambo uya kutsala emlenzeni ukuze aphinde aphinde abeke umlenze ngaphakathi kwesikhokelo.
Ngokuqhelekileyo umlenze "u-pop" uphindela kwindawo. I-ray-ray iya kufumaneka ukuqinisekisa ukuba i-hip iyabuyiselwa kwakhona kwaye ibone ukuba kukho naziphi na izizathu ezichongiweyo zokutshatyalaliswa.
Ukuba kukho ukutshatyalaliswa kwezinto ezininzi, kufuneka ukuba utyando lube luyimfuneko ukukhusela ukuqhubela phambili. Izimpembelelo zingasetyenzwa kwakhona, okanye izixhobo ezizodwa zingasetyenziselwa ukuzama ukukhusela ukuhanjiswa okuqhubekayo. Uya kufuneka uxoxe kunye nodokotela wakho wamazinyo ngenxa ye-dislocation yakho, kwaye yintoni na unyango olufumanekayo kwingxaki.
Iindlela ezintsha zokuthintela ukuchithwa
Ukuphuhliswa kwangoko kwindlela yokwakhiwa kwezimpembelelo zokutshintshwa kwendawo yokukhwela kunye nokucwangciswa kwendlela yokupakisha isenokunciphisa ithuba lokuphuhlisa le nkxalabo. Ukuqulunqwa koyilo kungatshintshwa ukudala ukunyuswa okuzinzile. Ukutshintshwa kwendlela yokuvelisa kufuneka kuhanjiswe ngononophelo, njengoko kunokubakho iingxaki ngeempembelelo ezitsha ezingenakho irekhodi elide lokusetyenziswa kwezigulane. Nangona ezi ziphumo zinganciphisa ithuba lokutshintshwa, ufuna ukuqiniseka ukuba azibangeli ezinye iingxaki. Kukho ukufakelwa kwepropati ephakamileyo yakutshanje oku khumbula ukuba izimpembelelo ezichaphazelekileyo zenzelwe ukuhlala ixesha elide kunye nethuba elingaphantsi lokutshatyalaliswa. Ekugqibeleni, ezi zimpembelelo zaboniswa zingaphumeleli. Utshintsho oluqhelekileyo lwezinto eziphambili ezikhuselekileyo ezibandakanya ukukhutshwa ukubandakanya:
- Ukusebenzisa izimpembelelo ezinkulu. Xa ibhola lomxube we-ball kunye ne-socket iqhosha likhulu, akunakwenzeka ukuba liphume kwisiseko. Izimpembelelo ze-hip ezindala zisetyenziswe ibhola engaphantsi kwama-3 cm ububanzi. Ezinye izilwanyana ezitsha zisebenzise ibhola elingaphezulu kwe-3 cm, okwenza ukuba bancinci ukuphuma kwisikhundla. Ukuphazamiseka kokusebenzisa ibhola enkulu kunokuba kubekho ukurhweba kwixesha elide lokufakelwa.
- Ukusebenzisa izimpembelelo ezingaphezulu. Kukho izimpembelelo ezicetywayo ukuvumela ulwahlulo olubanzi lwebhola kunye ne-socket. Esinye sezimpembelelo sibizwa ngekomityi yokuhamba. Ezi zifakelo zivumela ukunyuka kwezimbini ezihlukeneyo, ukwandisa ukuhamba okufunekayo ukuba ibhola liphume kwisekho.
- Ukusebenzisa izimpembelelo ezingaphezulu. Izimpembelelo ezingqongqo aziqhelekanga zisetyenzisiweyo, kodwa kwiimeko apho ukutshintshwa kweengxaki kuyingxaki ephindaphindiweyo kunokunceda. Ezi zifake zixhunyiwe kunye ukuze ibhola ixhunyiwe ngaphakathi kwesikhokelo. Ukuphazamiseka kwezi mpawu kukuba ukuhlala ixesha elide kunye neziphumo zokungaphumeleli okukhulu kunyuke.
Ukongezelela, kukho iindlela ezitsha zokwenza indawo ye-hip. Ngokukodwa, ukutshintshwa kwe-hip yokupakisha yindlela yokuhlinzwa yenziwa ukunciphisa i-trauma kwezinye zezakhiwo ezizinzileyo. Amagqirha amaninzi acinga ukuba umngcipheko wokufuduka ungaphantsi emva kokuba utyando luqhathaniswe nokutshintshwa kwendawo yokunyusa. Ngenxa yesiphumo esincinci sokutshintshwa, abadla ngokugqithisileyo baya kucebisa ukuba basebenzise naziphi na izicwangciso zokunqanda emva kokutshintshwa kwe-hip yangaphandle.
ILizwi
Ukuchithwa kwe-Hip kuyinkcenkcesho enkulu ye-hip yokuguqulwa ngokutsha. Ukuthintela le ngxaki kungenziwa ngezilumkiso ezithile kunye nokusetyenziswa kweziplani ezikhethekileyo kunye nobuchule bokucoca. Nangona kunjalo, ukutshintshwa kungaqhubeki, kwaye xa kwenziwe utyando olongezelelweyo lunokuba luyimfuneko ukukhusela ukuphindaphindiwe okuphindaphindiweyo. Ngethamsanqa, ithuba lokutshintshwa emva kokutshintshwa kwe-hip lincinci, kodwa xa lwenzeka khona lingafuna ukungenelela okungakumbi.
Imithombo:
Jones SA. "Ukuthintela kunye nokunyangwa kwe-displantation emva kwe-hip arthroplasty: iinjongo zamanqaku kunye neendlela ezizayo" Hip Int. 2015 Jul-Aug; 25 (4): 388-92.