Hip Resurfacing

Kodi Hip Resurfacing Procedure N'chiyani?

Hip kuukitsa ndi njira ina yopaleshoni yowonongeka yomwe imagwiritsidwa ntchito pofuna kuchiza nyamakazi yambiri . Hip kuukitsa si opaleshoni yatsopano. Hip akukweza opaleshoni yachitidwa opaleshoni kuyambira kumayambiriro kwa zaka za m'ma 1970. Komabe, kusintha kwaposachedwapa ku chiuno kumapangidwanso kukonzekera kukonza kwachititsa chidwi chatsopano mu njirayi.

Ndani Angakhale ndi Hip Resurfacing Surgery?

Hip kukupula opaleshoni ndikutheka kuganizira odwala ali ndi nyamakazi yambiri .

Hip resurfacing yadandauliridwa kwa odwala omwe ali aang'ono ndipo angayang'ane opaleshoni yambiri pa nthawi yonse ya moyo wawo. Palibe kafukufuku wasonyeza kuti kubwezeretsa chiuno kuli bwino kwa odwala achinyamata, koma pali ubwino wachinsinsi umene watsogolera madotolo ena kuti athe kuchita izi.

Nchifukwa chiyani Hip Resurfacing inagwa mwachisomo m'ma 1970?

Hip resurfacing inali njira yotchuka zaka zambiri zapitazo. Implants omwe anagwiritsidwa ntchito panthawiyo anali opangidwa ndi chitsulo ndi pulasitiki. Mwamwayi, ziphuphu izi zinali ndi mavuto aakulu ndipo nthawi zambiri zinalephera zaka zingapo zoyambirira pambuyo pa opaleshoni. Odwalawa nthawi zambiri amafunika opaleshoni yowonjezera, ngakhale patangopita nthawi yochepa atangoyamba kukwera.

Kodi N'chiyani Chinayambitsa Kuwonjezeka Kwaposachedwa ku Hip Resurfacing Surgery?

M'zaka za m'ma 1990, adayambanso kulumikiza nsalu yatsopano. Kuwombera kumapikoko kumapangidwa ndi chitsulo, ndi zidutswa ziwiri zosiyana.

Chimodzi mwa zilembo zachitsulo ndi "kapu" yomwe imayikidwa pa mpira wa chophimba chophimba mchiuno, ndipo mbali inayo yowonjezera ndi chikho chachitsulo chomwe chimapanga chingwe cha mzere. Zopangira izi sizinapangitse kuchuluka kwa kuchepa koyambirira komwe kunaoneka mu zitsulo ndi mapulitiki apulasitiki m'ma 1970 ndi 80s.

Madokotala ena opanga opaleshoni adalimbikitsa kuphuka kubwezeretsa mapiritsi chifukwa cha ubwino wambiri.

Ubwino uwu ndi awa:

• Kusungidwa kwapafupipafupi mafupa: Kuphika kwa Hip kumapanga opaleshoni kumachotsa mafupa ocheperapo kusiyana ndi kuikidwa m'malo. Muyeso wotsatila wamba , mpira wonse wa chophimba chophimba mpira ndi chotsitsa chachotsedwa. Pochita opaleshoni yam'chiuno, m'malo mochotsa mpira, chikhochi chimayikidwa kuzungulira kumene khungu lakale litayala. Chifukwa chakuti fupa lozungulira palimodzi likuthandizira chithunzithunzi chachitsulo, fupa ili limakhalabe labwino ndi lamphamvu. Pfupa pozungulira mzere wotsalira akhoza kukhala wochepa thupi ndi wofooka ngati chombocho chotsitsimula chimathandiza mtolo wonse. Vutoli limatchedwa "kupanikizika," ndipo zimawoneka kuti sizingowonjezereka mu chiuno.
• Zowopsya zochepa zowonongeka: Kujambula kojambula kwa Hip kumapangitsanso kubwezeretsa chizoloŵezi chodziwika bwino cha mgwirizano wa m'chiuno ndipo, motero, amakhala ndi chiopsezo chochepa chochotsera opaleshoni pambuyo pa opaleshoni. Makamaka pa odwala, odwala kwambiri, kusokonezeka kungakhale chiopsezo chachikulu cha opaleshoni yotsalira .
• Kukonzekera kosavuta: Ngati opaleshoni yam'chiuno ikamangidwe siidathera moyo wonse wa wodwala, kubwezeretsa (kubwereza) kubwezeretsa sikovuta. Nthawi iliyonse ndondomeko yowonjezeredwa ikuchitidwa, opaleshoni yaikulu ndi kuikidwa kwakukulu ziyenera kugwiritsidwa ntchito. Pochepetsa kuchepa kwa mafupa, ndikugwiritsira ntchito kamangidwe kazing'ono, opaleshoni yowonongeka yomwe ikutsatira chiwombankhanga ikuyamba kuchitidwa opaleshoni ikhoza kukhala ngati kupanga mzere wotsalira.

Ndani Amene Ali Wopirira Kwambiri pa Hip Resurfacing Procedure?

Wodwala wabwino kuti ayambe kubwezeretsa chiuno ndi wodwala (wosakwana zaka 60) wodwala ndi fupa lolimba palimodzi. Odwala achichepere akudandaula kwambiri ndi opaleshoni ochita nawo opaleshoni chifukwa cha mwayi wawo wofuna kubwezeretsa m'malo ena. Kukonzekera kwa mchiuno kumagwiritsidwa ntchito kusunga mafupa ena ndi kuteteza mavuto omwe angagwirizane ndi opaleshoni yowonongedwa.

Kodi Ndani Sali Woleza Mtima Chifukwa cha Hip Resurfacing Surgery?

Odwala omwe ali ndi vuto m'mafupa ophatikizana m'chiuno samayenera kuchitidwa opaleshoni.

Izi zikuphatikizapo odwala omwe ali ndi mafupa chifukwa cha matenda awo a nyamakazi, odwala matenda opatsirana matenda, ndi odwala omwe ali ndi mphutsi mkati mwa fupa. Zonsezi zikhoza kufooketsa fupa palimodzi, ndipo zimayambitsa zovuta za m'chiuno kubwezeretsa opaleshoni.

Zifukwa zina zingapangitse odwala kuti asamangokhalira kubwezeretsa. Zinthu izi zikuphatikizapo:

• Ukalamba: Odwala opitirira zaka 60 ayenera kusamala kuti agwiritse ntchito opaleshoni yowonongeka. Pamene chiuno chimapangidwanso, timadziwa kuti ambiri omwe ali ndi zaka zoposa makumi asanu ndi awiri (60) adzachita bwino kwambiri ndi kupatsanso malo. Kuchitidwa opaleshoni (kubwereza kubwezeretsa) kumakhala kovuta kwambiri kwa odwala oposa zaka 60, choncho, nthawi zambiri mawonekedwe ochizira amavomerezedwa
• Akazi : Akazi awonetsedwa kuti ali ndi chiwerengero chapamwamba cha vutoli kuchokera ku chiuno akuukanso opaleshoni. Cholinga chenichenicho cha izi sichidziwika, koma akuganiza kuti chiyenera kukhala chifukwa cha mphamvu ya fupa yomwe imathandizira kukwezeretsa m'chiuno. Akazi awonetsedwa kuti ali ndi chiopsezo chachiwiri chophwanyidwa pozungulira kuikidwa mchigawochi pakubwera opaleshoni.
• Kunenepa kwambiri: Odwala omwe ali olemera kwambiri amaonanso kuchuluka kwa mavuto omwe akutsatira mchiuno akubweranso opaleshoni. Zina za vutoli zimalingaliridwa chifukwa cha mphamvu yochulukirapo pang'onopang'ono yothandizira, kuphatikizapo vuto laumisiri pa opaleshoni kwa wodwala wamkulu.
• Matenda a kutupa nyamakazi ndi Osteonecrosis: Odwala omwe ali ndi nyamakazi yotupa, monga nyamakazi ya nyamakazi , kapena osteonecrosis yomwe imayambitsa mavuto awo, imayenera kugwiranso ntchito m'malo mwake. Odwalawa nthawi zambiri amakhala ndi fupa lopweteka lomwe lingayambitse mavuto omwe amathandiza kuti abwezeretsedwe. Dokotala wanu akhoza kuitanitsa mayesero apadera kuti adziwe ngati pali fupa lokwanira lothandizira kubwezeretsa m'chiuno.

Hip kukuza opaleshoni imapangidwa kudzera mu chombo chofanana ndi chikhochi chotsatira. Matenda a nyamakazi amaonekera, ndipo katsamba kotsalira kamachotsedwa, koma mafupa ambiri amakhala m'malo. Chophimba chachitsulo chimaikidwa pa mpira, ndipo chingwe chachitsulo chimaikidwa m'matumbo.

Kodi Zingatheke Zotani za Hip Resurfacing Surgery?

Pali zifukwa zingapo zazikuluzikulu zomwe zimachitidwa opaleshoni, ndipo mwatsoka, palibe amene amadziwa zotsatira za nthawi yaitali zomwe zimagwiritsidwa ntchito. Choncho, palibe amene anganene kuti opaleshoniyi ndi yabwino kapena yoipitsitsa kusiyana ndi kusintha kwapadera. Zomwe zimagwiritsidwa ntchito pakubwezeretsa chiuno zakhala zikugwiritsidwa ntchito kwa zaka pafupifupi khumi, ndipo deta yokhayo yomwe ilipo ndi yotchedwa yochepa (yosakwana chaka chimodzi) ndi pakati pa zaka (1 mpaka 10) kutsata. Palibe deta ya nthawi yayitali yomwe imapezeka pakubwera opaleshoni.

Zomwe zingakhale zovuta zikuphatikizapo:

• Kupasuka: Kuopsa kwa kupunthwa kwa fupa kumapangidwe kwa chiuno kumapangitsa madokotala kukayikira ngati opaleshoniyi iyenera kuchitidwa kwa odwala alionse. Ngakhale kuti kafukufuku wasintha, pangozi ya kupasuka kwa mafupa ikuoneka kuti ili pakati pa 1% ndi 20% odwala. Matendawa amapezeka kwambiri kwa odwala omwe ali ndi ubweya wochepa wa mafupa, odwala kwambiri, ndi amayi. Komanso, anthu ambiri opaleshoni amachita opaleshoni mobwerezabwereza.
• Kutsegulira: Monga momwe chikhochi chimakhalira m'malo, chiuno chokwera chimangidwe chimatha kumasuka pakapita nthawi. Ngati pulogalamuyo ikamasulidwa, nthawi zambiri mumalowa amachotsedwa.
• Metal Ions: Zonse zomwe zimayikidwa m'thupi zimathera pang'onopang'ono. Zipangizo zachitsulo zomwe zimagwiritsidwa ntchito popanga opaleshoni zikuwonetsedwa kuti zimakhala zochepa kusiyana ndi mapulaneti a pulasitiki, koma zida zitsulo zimatulutsa zitsulo zamatumbo m'thupi pamene zimabvala. Ion zitsulo zikhoza kuzindikiridwa thupi lonse pa odwala omwe apanga zitsulo zamatsenga kapena zitsulo opanga opaleshoni.

  Zotsatira za ion zitsulo m'thupi sizidziwika. Pali nkhawa zowonjezera zomwe zimachititsa kuti munthu asamangokhalira kugwidwa ndi khansa komanso zotsatira zake za khansa (zotsatira za khansa). Mwamwayi, pali deta yaing'ono yosonyeza kuti ndi vuto, koma ndizovuta kuganizira.

Kodi Kubwezeretsedwa kwa Hip Resurfacing Surgery N'kutani?

Kuchotsa kachilombo kotsatizana kumeneku kumayambanso opaleshoni kufanana ndi zomwe zikuchitika opaleshoni yotsalira. Odwala ali ndi chiopsezo chochepa cha kusokoneza ma implants, kotero zowonetsetsa kuti wodwalayo asakhale ochepa.

Chaka choyamba chitatha opaleshoni, zonse zimakhudza ntchito ndi kukweza katundu ziyenera kupeŵedwa. Iyi ndiyo nthawi yomwe fupa lokhazikika likhoza kutengeka. Choncho, zotsatila zamakono ndizopewa kuthamanga, kulumpha, ndi kukweza kwa miyezi 12 yoyamba pambuyo pa opaleshoni.

Kodi Ndiyenera Kuchita Opaleshoni Yambiri pa Tsiku Lotsatira?

Sitikudziwika kuti mapulaneti amtundu wambiri omwe amachokera kumapiri adzatha. Ndi zomangira zopangidwa bwino, zikuwoneka zikugwira ntchito bwino pa zaka 10. Komabe, izo sizinali zabwino monga zomwe zimadziwika potsatila mwapamwamba m'malo.

Ngati kukwezeretsa m'chiuno kumabweretsa mavuto, kapena ngati kutaya, ntchito yowonjezera ingapangidwe. Chifukwa chakuti chiwindi choyamba chikayamba kuchitidwa opaleshoni chinachotsa mafupa osachepa kusiyana ndi kusintha kwa thupi, kubwereza (kubwereza) opaleshoni kawirikawiri kumakhala kosavuta potsatira njira yowonongeka. Njira yodziwika ndikutembenuza kubwezeretsa kumapeto kwa mphuno kumapangidwe kumalo amodzi.

Kodi ndingapeze kuti zambiri zokhudza Hip Resurfacing Surgery?

Chomera chomwe chimagwiritsidwa ntchito kwambiri popita ku United States amatchedwa Birmingham Hip Resurfacing implant kapena BHR Hip ku Smith & Nephew. Machitidwe ena avomerezedwa ndi Stryker Corporation ndi dongosolo la Conservation-Plus loup resurfacing dongosolo ndi Wright Medical Technology. Mukhoza kupeza zambiri zokhudza izi, ndi madokotala ochita opaleshoni omwe amapita ku webusaiti yawo.

Makampani ena akukonzekera ndikuyezetsa chikhomo kubwezeretsa mapiritsi, kotero zina zowonjezereka zidzakhalapo m'zaka zikubwerazi.

> Zotsatira:

> Mont, MA, ndi al. "Hip Resurfacing Arthroplasty" J. Am. Acad. Ortho. Kukula, August 2006; 14: 454 - 463.

> Birmingham Hip Resurfacing System; Smith & Nephew