Utyando olusandul 'ukuguqulwa luye lwasetyenziswa ixesha elide ukunyanga isifo samathambo kwizigulane ezigugile. Nangona kunjalo, iingxaki zivela xa isigulane esinama-40s, ama-50, okanye esincinci, sinomzimba onamandla kakhulu we-hip arthritis engaxhaswanga nonyango. Xa sele igcinwe kwizigulane ezisebekhulile , ukuhlinzwa okutshintshiselwayo kuqhutyelwa ngokuqhelekileyo kuncinci, kuluntu olusebenzayo.
Ubuncinane Kangakanani?
Akukho mntu unokukwazi ukuphendula ngokuqinisekileyo lo mbuzo, kodwa oko sikuyazi kukuba iinzuzo zokwenza utyando lwabadlali abancinci kwizigulane ezincinci zingadlulisa ubunzima bokuhlinzwa . Iingeniso ngokuyinhloko umgangatho wobomi , ukunciphisa intlungu , nokugcina impilo efanelekileyo. Ngokufezekisa ezi njongo, izigulana nazo zinokunciphisa ingozi yokuphuhlisa ezinye iingxaki ezinxulumene nokunyameka okunempilo ezifana nesifo senhliziyo .
Ingxaki ebalulekileyo ekusebenziseni ukutyunjwa kwe- hip kwizigulane ezincinci kukukhathazeka ngokugqithisa ukufakelwa. Uphuhliso kwimveliso luye lwafuna ukunciphisa ubukhulu beli ngxaki, kodwa luxhalaba. Ukongezelela, isixa sokugqoka endaweni yokutshintsha i-hip sihambelana nenqanaba lomsebenzi wesigulane. Njengoko unokulindela, imisebenzi eqhelekileyo yomyinge oneminyaka engama-30 ubudala iyahluka kumntu oneminyaka engama-80 ubudala. Ngoko ke, izigulane ezincinane ezinokufakelwa ngokuhlanganyela kufuneka ziqaphele kwaye zenze imisebenzi ephakanyisiwe kuphela.
Iziphumo ze-Hip Replacement kwi-Patients Young
Iziphumo zokutshintsha i-hip kwizigulane ezingaphantsi kweminyaka engama-50 ngokucacileyo azikho kakuhle njengoko zihlala kwizigulane ezinde. Nangona kunjalo, ezi zifundo zibonisa ukuba malunga ne-90% yezimpembelelo zisasebenza iminyaka eyi-10 emva kokuhlinzwa, kwaye ngaphezulu kwama-60% asebenza emva kweminyaka eyi-15.
Siyazi ukuba uneminyaka emncinci onokutshintshwa kwe-hip, mhlawumbi kunokwenzeka ukuba ugqibe ngokukhawuleza.
Into esingaziyo yindlela implants entsha inokuchaphazela ngayo ixesha elide lokutshintshwa kwe-hip . Uninzi lweengxelo zijonga indlela i- long-implantant long-implants ekugqibeleni ihlalutya ngayo izityalo zendatshana kunye neplastiki. Izifakelo ezitsha zenziwe zonke izitye okanye i-ceramic zibonise iziphumo ezingcono kwiimvavanyo zelabhoratri. Kubalulekile ukuqonda, nangona kunjalo, ukuba iziphumo zebhabhi azihlali ziqikelele ukuba zezi ziphumo ziza kusebenza njani kubantu, kwaye asazi nje ukuba ezi zimilo ezintsha zizakuhlala ixesha elide.
Ngaba izimpembelelo ezintsha zilunge?
Zininzi izimpembelelo zokutshintshwa ngokutsha zihlala ziphuhliswa. Injongo yalo naluphi na ukufakelwa okutsha kukuba iya kuba yithembeke ngakumbi kwaye ihlale ihleli ngaphezu kwezimpembelelo eziphambili. Nangona eli ligosa elibi, umgca wukuthi akusoloko kunjalo. Ezinye izimpembelelo ezintsha ziye zaba yimpumelelo enkulu, ngelixa kukho ezinye iziganeko zezimpembelelo eziye zakhunjulwa kwaye kwafuneka ukuba zisuswe. Ngelishwa, ngamanye amaxesha ezi ngxaki azibonakali de kube zifake ukusetyenziswa kweeminyaka okanye kwamashumi eminyaka.
Izimpembelelo zinokuvavanywa kwizicwangciso zelabhoratri ngaphandle kokubhengeza izigulane kunoma yimuphi umngcipheko okanye umonakalo, nangona kunjalo, ezinye iingxaki ezifakela ingxaki zibonisa kuphela emva kokuba zifakwe kubantu.
Izigulane zihlala zifuna iingcebiso malunga nokufakela okulungileyo , okanye ukuba izimpembelelo ezintsha zilunge. Le mibuzo enzima ukuphendula, kwaye akukho sixazululo esipheleleyo. Nangona i-prospect of implantation esandul 'ukutshalwa yinto enokubangela, ndicinga ukuba izigulane, nokuba izigulane ezincinci, kufuneka ziqaphele xa zizama nantoni ngaphandle kwerekhodi eqinisekisiweyo.
Izigulane eziselula zichaphazeleka ngokufanelekileyo malunga nokuthatha ixesha elide lokutshintshwa ngokubambisana. Nangona kungekho ziqinisekiso, kukho idatha efanelekileyo yokucebisa ukuba ukutshintshwa kwezithuba zokuhlala kufakelwe ukuhlala iminyaka engama-20 okanye ngaphezulu. Ukunamathela kwi-implant eqinisekisiweyo enerekhodi elungileyo kunokunceda ukuqinisekisa ukuba ukutshintshwa kwakho kuya kuhlala ixesha elide kunokwenzeka.
Imithombo:
UDaras M, Macaulay W. "I-Total Hip Arthroplasty kwizigulane eziselula kunye ne-Osteoarthritis" i-Amer Journal Orthop. 2009 uMar: v38, n3: 125-29.
McAuley JP, et al. "Iyonke i-hip arthroplasty kwizigulane kwiminyaka engama-50 ncinane" I-Clin Orthop Relat Res. 2004 Jan; (418): 119-25.