Nkhani Zogwiritsa Ntchito Kubwezeretsa Hip Kusintha kwa Zowonongeka Kwambiri
Kuchitidwa opaleshoni yowonjezeretsa kubwezeretsa ndi njira yopaleshoni yokonzanso chotsalira chotsitsimula . Kusintha kwa Hip ndi chimodzi mwa njira zomwe zimachitika ndi opaleshoni zamagetsi . Opaleshoniyi imapambana bwino, ndipo ili ndi zotsatira zabwino kwambiri kwa odwala ambiri. Vuto, mwatsoka, ndilo kuti nthawi yowonjezera nthawi yonyamulira imatha.
Kusintha kwa Hip kumatuluka pang'onopang'ono, koma vuto limapita patsogolo pa zaka. Zaka 10 mutapatsidwa chiuno , pali mwayi wa 90% wokhalapo ukugwira ntchito bwino. Zaka 20 mutatha opaleshoni, mwayi uli pafupi 80%. Pakachitika zaka 25-30 pambuyo pa opaleshoni, pafupifupi 50% ya m'malo opangira ntchafu akugwirabe ntchito bwino. Odwala omwe amavala ma prostate amafunika kuti opaleshoni yowonjezeredwa yatsopano ikonzedwe. Kukonzanso ndondomeko yong'onoting'ono kumathandizanso kuti athetse mavuto monga matenda a chiuno , kubwezeretsa m'malo , kapena kuphulika kwa fupa kumbuyo kwa chiuno.
Chiwerengero cha mapulogalamu opangira opaleshoni omwe amachitidwa ndi opaleshoni ya mafupa akukula mofulumira, pa chiwerengero cha 8-10% chaka chilichonse. Pafupifupi makumi asanu ndi awiri mphambu makumi asanu ndi awiri (70,000) omwe amawomboledwanso m'malo opangira nsapato amachitidwa chaka chilichonse ku United States. Pamene anthu ambiri akusankha kukhala ndi chiuno, makamaka m'zaka zazing'ono, chiwerengero cha kubwezeretsa nsanza kumakula msanga.
N'chifukwa Chiyani Kusintha Kwambiri Kuvala Kumatulutsa
Kusintha kwa Hip kungafe chifukwa cha zifukwa zosiyanasiyana. Chomwe chimayambitsa kulemba m'malo mwake chimatchedwa aseptic kumasula . Kutsekemera kwapakati kumachitika pamene mapulogalamu a m'chiuno amamasulidwa mkati mwa fupa. Kuyika mchiuno kosalala kumakhala kowawa, ndipo kawirikawiri kumafuna kubwezeretsa nsabwe.
Zina mwazifukwa zomwe zimayambanso kusinthanitsa ndi matendawa, kuphwanya ma prostate, kuphwanya fupa pozungulira ma prosthesis, ndi mavuto ena. Malinga ndi chifukwa cha kusamalidwa kwake, kusamalidwa kupatula kubwezeretsa nsabwe kumalo kungafunike. Mwachitsanzo, ngati matendawa ali ndi kachilombo ka HIV, chikhochicho chiyenera kuchotsedwa kuti chiteteze matendawa, kenaka chidzatsatiridwa ndi miyezi ingapo yotsatila.
Chifukwa Chakuwonetsetsa Ndizovuta
Kukonzanso ndondomeko yotsalira ndi opaleshoni yovuta kwambiri ndipo zotsatira sizili bwino ngati malo oyamba opangira. Mavuto a zaumisiri amaphatikizapo ubwino wa fupa komanso kuthekera kwasungunuka kukonzanso nsanamira. Kuwonjezera apo, kuchotsa chotsalira chakale chikhoza kuchitidwa opaleshoni yambiri. Palimodzi, mavutowa nthawi zambiri amafunika kuti kubwezeretsa nsabwe kukhale kovuta kwambiri. Kukonzekera mosamala ndi dokotala wanu wa mafupa kumafunika kuti athandize kupanga chiuno chomwe chidzakuthandizani kupeza bwino.
Vuto linanso lokhazikitsanso nsapato lokonzanso ndi lakuti opaleshoni yokha ingakhale yovuta kwambiri. Odwala amakhala okalamba, ndipo amalekerera nthawi yaitali opaleshoni.
Ndondomekoyi ndi yowopsya kwambiri kuti nsalu yoyamba ikhale m'malo mwake, ndipo zotsatira za wodwala ndizofunika kwambiri (opaleshoni yaitali, kutaya magazi ambiri). Chifukwa chaichi, kubwezeretsa nsalu yothandizira ayenera kuyang'anitsitsa ndi kukonzedwa. Kuphatikizidwa kwa madokotala ambiri azachipatala, anesthesiologists, ndi opaleshoni ya mafupa onse ndi ofunika.
Nthawi Yopangiritsa Opaleshoni
Inu nokha ndi dokotala wanu wa opaleshoni mungathe kusankha nthawi yoyenera kubwezeretsa nsapato. Nthawi zina odwala amamva zizindikiro zochepa chabe, koma ma-x-ray adzawonetsa chifukwa choyenera kubwezeretsa nsabwe.
NthaƔi zina, ngakhale zizindikiro zazikulu, dokotala wanu wa opaleshoni amakhoza kulangiza motsutsana ndi kubwezeretsa kumbuyo kwachitsulo.
Sindingathe kufotokozera momwe chisankho chosinthira chokonzanso chosinthira chingakhalire. Sikuti mavuto onse ndi kusinthanso mchiuno amathetsedwa ndi opaleshoni yokonzanso . Wodwala aliyense ayenera kuyembekezedwa payekha - generalizations silingathe kupangidwanso pa opaleshoni yowonongedwa m'malo mwake. Ngati muli ndi chikhodzodzo ndipo mukuganiza kuti mungafunike opaleshoni yowonongeka, muyenera kukambirana zomwe mungachite ndi dokotala wanu wa opaleshoni.
Mawu Ochokera
Kupanga opaleshoni yowonjezeretsa kubwezeretsa ntchito ndi ntchito yaikulu. Chifukwa cha opaleshoni yam'mbuyomu, kubwezeretsanso ndondomeko yowonjezereka nthawi zonse ndi njira yovuta yopaleshoni, makamaka kumabweretsa zotsatira zopindulitsa, ndipo amakhala ndi chiopsezo chachikulu. Zifukwa zobwezeretsanso zowonjezereka zimakhala zovuta kuphatikizapo minofu yambiri, zovuta kuchotsa implants, ndi kufunikira kwa mapiritsi apadera omwe akugwiritsidwa ntchito pa opaleshoni yowonanso. Izi zikuti, pamene akuchotsa m'malo omwe amalephera kugwira ntchito, opaleshoni yowonjezeredwa ikhoza kukhala yofunikira kuyesa ndikubwezeretsanso ntchito yogwirizana.
> Zotsatira:
> Nho SJ, Kymes SM, Callaghan JJ, Felson DT. "Kulemberana kwa mafupa opaoarthritis ku United States: matenda opatsirana pogonana ndi a zachuma" J Am Acad Orthop Surg. 2013; 21 Suppl 1: S1-6.