Zomwe Zingatheke Ku Hip Surgery Surgery
Kuchita opaleshoni ya Hip kupambana; kupumula kupweteka ndi kuwonjezera luso lochita zinthu zowonongeka ndi zina mwa phindu lalikulu la njirayi. Mwamwayi, kuchitidwa opaleshoni yowonjezera kuli ndi mavuto ena. Zovutazi ndizosazolowereka, koma zimachitika - nthawi zina zochitika zosayembekezereka. Zina mwa zovuta zomwe zimawonedwa kawirikawiri za opaleshoni yophika m'malo mwake zimachotsedwa .
Kusamalidwa kwa Hip kumapezeka pafupifupi 4 peresenti ya opaleshoni yoyamba, ndipo pafupifupi 15 peresenti ya kubwezeretsa nsapato .
Momwe Replacement Akugwiritsira Ntchito
Kupititsa patsogolo kwa Hip kumachitika kawirikawiri kwa odwala omwe ali ndi matenda aakulu a nyamakazi . Kubwezeretsa mchiuno kumagwiritsa ntchito chitsulo ndi pulasitiki (nthawi zina ceramic) kuti agwirizane ndi chikhomodzinso chachingwe . Pogwiritsa ntchito fupa lopindika ndi khungu la pakhosi, ndipo m'malo mwazikhala ndi zitsulo ndi pulasitiki, odwala ambiri amapeza kupweteka kopweteka komanso kuyendetsa bwino kwa chiuno.
Kuthamangitsidwa kwa Hip Replacements
Zilumikizidwe zazingwezi zimakhala ndi zipangizo zambiri zomwe zimathandiza kuti zikhale zolimba. Nyumbazi zimaphatikizapo minofu, mitsempha, ndi mawonekedwe omwe amawoneka bwino. Pamodzi, izi zimapangitsa mpira ( mutu wa chikazi ) mkati mwa chingwe (acetabulum). Pamene opaleshoni yong'ambayo ikuchitidwa, chiunochi chimakhala chochepa.
Mwa kumasula zina zazitsulozi, zida zitsulo ndi mapulasitiki amatha kukhala "kuchoka pamodzi," kapena kusokoneza.
Anthu omwe ali ndi chiuno cha mchiuno akhoza kulangizidwa kuti asamangidwe . Njere za njuchi ndizosiyanasiyana zomwe zimayendetsa wodwala yemwe wapatsidwa chikhodzodzo kuti azipewa.
Zilonda za Hip zikuphatikizapo:
- Musadutse miyendo yanu
- Musagwedeze miyendo yathu kupitirira madigiri 90
- Osakhala pa sofas kapena pansi
- Musagone pambali panu
Ambiri mwa madokotala amachepetsa njira zoterezi akamatha kukonzanso, koma kusintha kwanyumba kumakhala kosavuta kusiyana ndi m'chiuno mwamba ngakhale zaka zambiri pambuyo pa opaleshoni.
Ntchito izi zimagwirizanitsa chiuno ndi malo omwe mpira ungatulukemo. Nthawi zina kubwezeretsa nsalu kumakhala kovuta kwambiri. Zinthu zomwe zingathandize kuthandizira kupuma m'malo ndi kuphatikizapo:
- Kupanga ma implants omwe amalowa m'malo mwake
- Sinthani m'malo osinthira
- Kumwa kwambiri mowa
- Matenda a mphuno (monga matenda a Parkinsons )
- Kupititsa patsogolo
Nthawi zina, odwala alibe chifukwa chodziwikiratu kuti apitirize kusinthanitsa.
Anthu omwe amatha kusokoneza chiuno amadziwa mwamsanga kuti chinachake chalakwika ndi kuyika kwawo. Kawirikawiri, kusuntha kulikonse kapena kuyesera kulimbikitsa ndi kovuta kuchita. Ngakhale kuti kupweteka kwapweteka kumakhala pafupi mwamsanga pambuyo poti mapangidwe a mchiuno atchulidwanso, anthu ambiri omwe akhala akuvutitsa chipsinjo amavutika ndi nkhawa komanso kusowa mtendere chifukwa cha vutoli.
Chithandizo cha Hip Dislocation
Kupanga mankhwala ochotsa njuchi m'malo mwake kumadalira zifukwa zingapo. Nthawi yoyamba ndiyomwe mukuyikanso palimodzi. Njirayi, yotchedwa kuchepetsedwa kwa mchiuno, imagwiritsidwa ntchito poyerekeza ndi kupweteka kwa magazi - kumakhala kosavuta kumalo osungirako ntchito kapena chipatala chachikulu mu chipinda chogwiritsira ntchito. Panthawiyi, dokotala wanu wa opaleshoni amathyola mwendo kuti aike kachiuno mkati mwa chingwe.
Kawirikawiri chiuno cha "pops" chimapita kumalo. Zidzakhala zogwiritsidwa ntchito kuti zitsimikizidwe kuti chiuno chilipo ndikuwona ngati pali chifukwa chodziwika chokhachokha.
Ngati kuchulukana kochuluka kumachitika, opaleshoni ikhoza kukhala yofunikira kuti zisawonongeke. Ma implants akhoza kupangidwanso, kapena mapiritsi apadera angagwiritsidwe ntchito pofuna kuteteza kusokoneza kwina. Muyenera kukambirana ndi dokotala wanu wa opaleshoni chifukwa cha kusuntha kwanu, ndipo ndi mankhwala ati omwe alipo chifukwa cha vutoli.
Njira Zatsopano Zokuletsa Dislocation
Zomwe zachitika posachedwapa popanga mawonekedwe opangira mawonekedwe komanso njira yopangira opaleshoni imatha kuchepetsa mwayi wopanga vutoli. Kupanga zojambula zingasinthidwe kuti zikhazikike. Zosintha zowonongeka zimayenera kulankhulidwa mosamala, popeza zingakhale zovuta ndi ma implants atsopano omwe sangakhale nawo nthawi yaitali kuti agwiritsidwe ntchito kwa odwala. Ngakhale kuti izi zikhoza kuchepetsa mpata wothamangitsidwa, mufunanso kutsimikiza kuti sizimayambitsa mavuto ena. Pakhala pali zochitika zaposachedwapa zomwe zimakumbukira kuti ma implants omwe anagwiritsidwa ntchito makamaka kuti apitirize kukhala ndi nthawi yochepa. Pamapeto pake, izi zimapangidwira kuti sizikuyenda bwino. Zomwe zimawoneka kupanga mawonekedwe a implants omwe amathandiza kuteteza kusuntha kumaphatikizapo:
- Pogwiritsira ntchito mapiritsi akuluakulu. Pamene mpira wa phokoso lachitsulo ndilokulu, sungathe kutuluka m'thuthu. Mapiritsi akuluakulu a hip amagwiritsa ntchito mpira omwe anali osachepera masentimita atatu. Mitundu ina yatsopano yomwe imagwiritsa ntchito mpira yomwe ili ndi masentimita atatu, kuwapangitsa kuti asatulukemo. Kukhumudwa kwa kugwiritsira ntchito mpira wochulukirapo kungakhale malonda ena mu nthawi yaitali ya implants.
- Kugwiritsa ntchito mapulaneti ambiri. Pali ziphuphu zomwe zimapangidwa kuti zilolere kuyenda kwakukulu kwa mpira ndi zitsulo. Chimodzi mwa ziphuphuzi chimatchedwa chikho chimodzi chokha. Izi zimapangitsa kuyenda pamagulu awiri osiyana, kuonjezera kuyenda kofunikira kuti mpira utuluke muzitsulo.
- Kugwiritsa ntchito zilembo zowonjezereka. Zomwe zimapangidwira sizimagwiritsidwa ntchito kawirikawiri, koma panthawi yomwe kusokonezeka ndi vuto lobwerezabwereza zingakhale zothandiza. Izi zimayanjanitsidwa palimodzi kuti mpira ukhale wogwirizana mkati mwa chingwe. Zotsalira za izi zimakhala kuti kutalika kwa implants ndi chiopsezo cholephereka kwakukulu kumawonjezeka.
Kuonjezerapo, pali njira zatsopano zopangira mawonekedwe a nsalu. Mwachindunji, njira yowonjezera yowonjezereka ndi opaleshoni yomwe imachitidwa kuti kuchepetsa kupwetekedwa kwa zina mwazomwe zimakhazikitsa batala. Ochita opaleshoni ambiri amaganiza kuti chiopsezo chothamangitsidwa chingakhale chochepa pambuyo pochita opaleshoniyi poyerekeza ndi chikhalidwe chotsatira. Chifukwa cha kuchepa kwapansiku, nthawi zambiri madokotala opaleshoni amalimbikitsa kuti asagwiritse ntchito njira iliyonse yothandizira atachoka.
Mawu Ochokera
Hip dislocation ndi vuto lalikulu la opaleshoni yowonongedwa. Kupewa kupanikizika kumeneku kungatheke mwazidziwitso ndi kugwiritsa ntchito mapulaneti apadera ndi njira zopaleshoni. Komabe, kusokonezeka kumathabe, ndipo pamene opaleshoni yowonjezera ikhoza kukhala yofunikira kuti mutetezedwe mobwerezabwereza. Mwamwayi, mwayi wotsalira pambuyo pa nsanamira ndi waung'ono, koma zikachitika zingakhale zofunikira zowonjezera.
Zotsatira:
Jones SA. "Kupewa ndi kuchiza matenda osokoneza bongo pambuyo pa chiwindi chonse cha arthroplasty: kuyesayesa kutsogolo ndi njira zamtsogolo" Hip Int. 2015 Jul-Aug; 25 (4): 388-92.