Ukutshintshwa kwe-Hip Minimum

Ukuhlinzwa okwenziwa ngokutsha kwendabuko kwenziwa nge-incision ngokuqhelekileyo malunga ne-5 ukuya kwe-8 intshi ubude. Ngaphantsi kwe-incision, i-muscle iyahlukana, kunye ne-hip idityaniswa. Ugqirha uyasusa i- arpritic hip kunye kunye nokufaka endaweni yenkxaso yensimbi kunye neplastiki. Ugqirha wenza lo msebenzi ngokubheka ngokuthe ngqo kwi-joint arpritic hip kunye nokubeka i-hip implantation endaweni.

Emva kokuhlinzwa, izigulane zihlala zihlala esibhedlele iintsuku ezi-4 ukuya kwezi-6 kwaye zifuna iinyanga zokubuyiswa.

Uphuhliso olutshanje

Amasu amatsha aphuhlisiwe avumela ukuba ugqirha ukuba enze utyando olufanayo (ukutshintshwa kwenyakatho) ngemibono emibini encinci kunye ne-dissection encinci ye-muscle. Udokotela ogqirha akabheki ngqo kwi-hip arthritic, kunoko, usebenzisa i-x-ray isikhokelo kwigumbi lokuqhuba ukubeka i-hip yokufakelwa. Ithemba kukuba izigulane ezithotyelwayo ngokutsha endaweni ye-hip ziza kuba nexesha elifutshane lokuhlala esibhedlele, ukulungiswa ngokukhawuleza kunye neziphumo ezingcono. Nangona kunjalo, ukuba utyando olutsha, kukho imibuzo malunga nokuba le nto ingcono "inkqubo engcono".

Imvelaphi

Utyando olutshintsho lwe-Hip luphakathi kweyona mpu melelo (ngokwezigulane ezanelisayo) iinkqubo ezikhoyo namhlanje. Nangona kunjalo, oogqirha bazama rhoqo ukuphucula ukutshintshwa kwe-hip.

Injongo ye-hip substitution substitution ukulungiselela inkqubo ejongene nokuphalazwa okungaphantsi (oku kuthetha intlungu engaphantsi, ukulahleka kwegazi ngaphantsi, ukulungiswa okuncinci), kodwa njengento efanelekileyo, okanye engcono, iziphumo ezipheleleyo. Kuze kube ngoku, abanye oogqirha baye bakwazi ukubonisa iziphumo ukuba le nkqubo inokuba neentlungu ezingaphantsi kunye nokulahleka kwegazi ngaphantsi, kodwa kukho ingxoxo enkulu malunga nokuba iziphumo zonke zilunge, okanye nokuba zilungile , njengokwenziwa kobugcisa bendawo .

Iinkonzo

Abaxhasi beendlela ezimbini zokufakelwa kwe-hip substitution bathi ukuhlinzwa kungenziwa ngokuchanekileyo kobuchwephesha obufanayo kunye nobunzima bokungabikho komsebenzi. Ngenxa yokuba utyando luphantsi kakhulu, ukulungiswa kwakhona kunokukhawuleza, intlungu ingaba yinto encinci, kwaye kunokwenzeka ukuba ezinye iingxaki , ezifana nokulahleka kwegazi kunye nokuchithwa kwegazi, zingase zingaphantsi. Iziphumo zakuqala ezivela kwabanye oogqirha ziye zabonisa ukuba izigulane zivame ukushiya esibhedlele ngokukhawuleza (ngamanye amaxesha zihlala zihlala zibhedlele zentsuku ezi-1 okanye ezimbini), kwaye zihlala zilungiswa ngokukhawuleza.

Umxhasi

Abo bagqirha abangabambeleli le nkqubo baneengxabano eziliqela. Okokuqala , akukho zifundo ezilungileyo ezibonisa ukuba le nqubo ingcono kunokuba yindawo yokutshintshwa kwendalo, kwaye abaninzi abagqirha baziva ukuba iziphumo zibi kakhulu. Okwesibini , bambalwa oogqirha abaye benza le nkqubo iminyaka engaphezu kwembini. Le nqubo kunzima ukwenza, kwaye ukufunda le nkqubo intsha kunokuba nzima. Okwesithathu , ngokuxhomekeka kwikhokelo ye-x-ray, abanye oogqirha baziva ukuba le ndlela ayifanelekanga kwaye ingakhokelela ekumiseni okungafanelekiyo kwe-hip implantation. Ekugqibeleni , kukho inani elincinci lokukhethwa kwezinto ezifakelwayo kunye nokutshintshwa kwe-hip substitution, kwaye abanye oogqirha baziva bengenakukwazi ukusebenzisa i-hip implantation.

Apho ibeka khona

Utyando oluthile lokutshintshwa kwe-hip yokutshintshwa kwendawo ephakathi kwasekuqaleni. Kucacile, sifuna ukuhlalutya kwexesha elide izigulane ezenze le nkqubo ukwenzela ukuba zichane ukuba ngaba izigulane zibhetele, okanye zibi ngaphezu kwezigulane eziye zatshintshelwa.

Kukho uphando olutshanje olubuza umvuzo wale nkqubo yokutshintshwa kwe-mini-hip. Ezi zifundo ziye zabuza amabango ukuba ukutshintshwa kwe-mini-hip ukubonelela ngokukhawuleza [ikhonkco]. Njengoko ixesha lidlulayo, uphando olongezelelweyo luhlola indlela enokwenzeka ngayo yokutshintshwa kwe-mini-hip esikhundleni.

Izigulane zivame ukutsaliswa kwimbono yokuba nenqabana encinci, kwaye ayinakuqwalasela into yokuba asinayo imiphumo emihle yexesha elide ebonisa ukuba luhle kangakanani le ndlela yokuchithwa kwezinto ezimbini zokutshintsha indawo.

Ekugqibeleni, iinjongo ezibalulekileyo zokuqashwa kwendawo yokutshintshela i-hip ziza kuba ne-intle, engenabuhlungu, inxu lumano oluya kuhlala iminyaka emininzi ngangokunokwenzeka. Ngelixa iincinci ezincinci kunye nokuvuselelwa okufutshane kumnandi "i-perks," oku akuzona iinjongo ezibalulekileyo zokuhlinzwa ngokutsha.

Okokugqibela, akubona zonke izigulane abaviwa abalungileyo kule nkqubo ye-incision-two. Nangona uzimisele ukwenza le nkqubo, kwaye unqwenela ukuba luncedo, kufuneka ulungele umqathango wesigulane ukuba ube nale nkqubo.