Kuchita opaleshoni yowonongeka kwa Hip ndi njira yomwe amachitira pochiza nyamakazi yambiri . Kwa odwala omwe ali ndi nyamakazi yolepheretsa kugwira ntchito zawo zachilendo komanso osapatsidwa mankhwala ochiritsira osagwiritsa ntchito opaleshoni, opaleshoni yokhala pamalo opaleshoni ingakhale yabwino.
Odwala onse amafuna kuti malo awo athetsere zizindikiro zawo.
Komabe, amafunanso kuti apitirize kukhala ndi nthawi yaitali - ndikuyembekeza, moyo wawo wonse. Kwazaka makumi angapo zapitazo, zida zatsopano zowonjezera zidafika ndipo zatha, pokhulupirira kuti zidzakonzedwa bwino. Ngakhale kuti mapulaneti ayamba bwino, amathabe, ndikupangitsa madotolo ndi odwala kukhala ndi chidwi ndi mapangidwe atsopano omwe angapangitse kuti apange malo abwino kwambiri othandizira kuti azikhala ndi nsabwe.
Hip Implant Implants
Kusintha kwa Hip kumagwiritsidwa ntchito pogwiritsa ntchito makina opangira ma prosthetic. Kupanga zojambula kuyambira zaka za m'ma 1960 koma zakhala zikuchitika patapita nthawi. Zojambula zina zakhala zikugwiritsidwa ntchito kwa zaka zambiri, ndi zolemba zakale, zina ndi zatsopano ndipo sizikhala ndi mbiri.
Odwala ambiri ali ndi chizoloŵezi chofuna njira yatsopano yowonjezeretsa , poganiza kuti mwatsopano ndibwino. Komabe, mwayi umodzi wogwiritsa ntchito mankhwala omwe wakhalapo pafupi ndikuti zambiri zimadziwika za zotsatira za nthawi yayitali ndi kuyika.
Metal-on-Metal Hip Replacements
Zida zowonjezera zitsulo zakhala zikuchitidwa kwa zaka zambiri koma zakhala zotchuka kwambiri pazaka 10 zapitazo. Mitengo ya iron-on-metal imagwiritsa ntchito mapangidwe ofanana ndi malo omwe amaikidwa m'malo mwake , koma mapangidwe a mpira wonsewo ndi zitsulo zopangidwa ndi chitsulo. Malo achitsulo ndi opukutidwa bwino komanso ofewa.
Kuwonjezera pamenepo, malowa ndi ovuta kwambiri kuposa chida cha pulasitiki chopangira chipewa, zomwe zimapangitsa kuti asatope. Mitengo ya iron-on-metal imagwiritsidwanso ntchito popanga zipsyinjo za hip .
Phindu
Zitsulo zamagetsi zachitsulo zogwiritsa ntchito zitsulo zinapangidwa ndi zinthu ziwiri zomwe zingathandize. Choyamba, kukula kwake kwa mpira wa pulasitala kungakhale yaikulu. Muzitsulo zazitsulo ndizitsulo zamapulasitiki, zitsulo zopangidwa ndi pulasitiki zomwe zimatenga malo. Ndi zitsulo zopangira zitsulo, palibe pulasitiki yomwe imatenga malo, ndipo mpira wachitsulo ukhoza kukhala wawukulu. Mpira waukulu wachitsulo ndi wolimba kwambiri ndipo sungatheke kuwonongeka. Izi nthawi zambiri zimakhudzidwa kwambiri ndi odwala akhama.
Nkhani yachiwiri ikudandaula za mavalidwe ovala. Zipangizo zonse zomwe zimagwiritsidwa ntchito kuti zilowe m'malo zimatha nthawi, ena mofulumira kuposa ena. Chinthu chimodzi chokhudzidwa ndi zowonjezera zitsulo ndi mapepala apachipale cha pulasitiki ndi kuvala pulasitiki pa nthawi. Zipangizo zatsopano zafufuzidwa kuti zipeze zipangizo zomwe sizikutha mosavuta. Mapulasitiki atsopano, makeramik, ndi zitsulo zonse ndizo zipangizo zomwe zingagwiritsidwe ntchito pothetsa vutoli.
Mavuto
Chisamaliro cha zitsulo zachitsulo zitsulo, makamaka zomwe zimapangidwa ndi Johnson & Johnson Company yotchedwa DePuy Orthopedics, ndizomwe zimayambitsa mavuto m'zaka zingapo zoyambirira zitatha.
Vuto lomwe limapezeka ndiloti pamene zipangizo sizikutha mwamsanga, zimapanga tinthu tating'onoting'ono ta zitsulo. Thupi likuwoneka ngati likuchita ndi zowonongeka zazikuluzikulu zomwe zimayankhidwa ndi chitetezo cha mthupi. Izi zingayambitse kupweteka komanso kupweteka kwa fupa kuzungulira mchiuno. Kwa odwala ena, kuwonongeka kwa minofu kumeneku kwakhala kuvulaza kwamuyaya ndipo kumafuna opaleshoni yowonjezera . Odwala omwe ali ndi vutoli amafunika kubwereza mobwerezabwereza.
Odwala omwe ali ndi implants zitsulo amapezeka kuti ali ndi ayoni zamtundu wambiri m'magazi awo, umboni wa tizilombo ting'onoting'onoting'ono ting'onoting'ono timataya timene timatuluka mthupi.
Zotsatira za ion zitsulo m'magazi sizimvetsetsedwa bwino, ngakhale kuti palibe umboni wa mavuto m'madera ena a thupi, zotsatira zokha za m'chiuno chomwecho.
Zimene Muyenera Kuchita Tsopano
Ngati muli ndi mtundu uwu wa chitsulo chosungunuka chotsitsiramo, muyenera kuwona nthawi zonse dokotala wanu kuti aziwunika nthawi zonse. Pali malingaliro apadera kwa odwala omwe amaphatikizapo izi zomwe ziyeso zoyang'anira ziyenera kuchitidwa, ndipo ngati opaleshoni yowonjezera iyenera kuganiziridwa.
Odwala omwe ali ndi mitundu ina ya zitsulo zopangira zitsulo amaonanso nthawi zonse ndi dokotala wawo opaleshoni kuti apitirize kuwunika. Nkhalango zochepa zokhala ndi zitsulo zakumbukira zakumbukiridwa, ndipo ngakhale zizindikiro zosakumbukira siziyenera kuchotsedwa. Komabe, chifukwa cha nkhawazi, izi zimayang'aniridwa mosamala kuti ziwone mavuto omwe angakhale nawo.
N'chifukwa Chiyani Izi Zachitika?
Zingatheke bwanji kuti odwala masauzande ambiri adzalandire mankhwala omwe adatsimikizika kukhala olephera? Ili ndi funso labwino kwambiri, ndipo nkhaniyi ikuunikira kwambiri pa njira zomwe zipangizo zachipatala zimayang'aniranso ndikuvomerezedwa kuti zikhazikitsidwe.
Ochita opaleshoni amafunika kukumbukira makampani akupanga njira yatsopano yomwe ilibe deta yachipatala. Odwala amafunika kuphunzitsidwa za kuopsa kwa mitundu yosiyanasiyana ya implants. Ndikofunika kumvetsetsa kuti mitundu yonse yowonjezera ili ndi nkhaŵa zinazake, ndipo kudziwa chomwe chiri chabwino kungakhale kovuta kwa madokotala ndi odwala.
Zotsatira:
Depuy Orthopediki: Buku la ASR Hip Replacement Recall Guide Linasinthidwa: April 2012.
Meier B "Hip-Phaseout ya Hip ili Yotsatira Dandaulo la Deta la FDA" New York Times, pa March 22, 2012.
Smith AJ, et al. "Kulephera kwa Malo Opangidwa ndi Zitsulo Zolimba Zachimake Zachitsulo Lancet, V. 379, Is. 9822, Pg 1199 - 1204, 31 March 2012.