Njira Zina Zomwe Zidzasinthira Hip

Kodi pali zosankha zina kwa odwala omwe ali ndi matenda aakulu a nyamakazi?

Matenda amphamvu a nyamakazi amatha kupweteka komanso kuyenda movutikira. Odwala ambiri omwe ali ndi zizindikiro zofooketsa chifukwa cha nyamakazi ya mchifu adzasankha kuti apite opaleshoni yowonongeka . Komabe, kubwezeretsa nsalu kwathunthu sikuti kulibe zoopsa komanso zodetsa nkhawa zake, choncho odwala ambiri amadabwa ngati pali njira zina zowonjezeramo.

Njira Zina Zogwiritsira Ntchito Hip Kusintha Kuganizira

1. Kuchiza Kwachipatala: Kusakhala ndi opaleshoni nthawi zonse ndizosankha. Kuchita opaleshoni ya hi m'malo mwake sikumangotengera chithandizo chovomerezeka; M'malo mwake ndi chisankho chimene anthu angasankhe kukhala nacho ngati nthawi yawo ili yoyenera. Odwala omwe ali ndi nyamakazi yambiri, koma amagwira ntchito mokwanira, akhoza kusankha kukhala ndi moyo wawo. Pali mankhwala othandizira odwala nyamakazi omwe angathandize odwala kupeŵa kufunika kokhala m'malo amodzi. Zina mwazo ndi mankhwala opatsirana, mankhwala othandiza, anti-inflammatory drugs , jekeseni ya cortisone , ndi zowonjezereka zowonjezera . Kawirikawiri, kupaleshoni kwapadera si njira yofulumira, ndipo nthawi zambiri palibe vuto pochita opaleshoni mpaka mutamva nthawi yake. Pali zosiyana ndi izi, koma kwa anthu ambiri, kubwezeretsa chiuno ndiko kusankha opaleshoni.

1. Hip Resurfacing : Hip kufalitsa opaleshoni ndi njira yowonjezera yotsatila minofu ya odwala omwe ali ndi matenda aakulu a nyamakazi. Pa opaleshoni yowumitsa mchiuno, chomeracho n'chochepa, ndipo fupa lochepa kwambiri limachotsedwa. Hip akukwera akupeza chidwi, makamaka kwa odwala achichepere. Pomwe chikhochi chimakwera, pangТono pang'onopang'ono pamakhala fupa lokhazikika, ndipo chikhochi chimayikidwa pamwamba pa mpira. Chingwe chachitsulo chimayikidwa m'mimba mwachitsulo, mofanana ndi ndondomeko yotsitsimula. Kubwezeretsa mchiuno kumatulutsa mafupa ochulukirapo kusiyana ndi kusinthana kwabwino. Hip akuchiritsa opaleshoni yafala kwambiri m'zaka zaposachedwa chifukwa cha nkhawa zogwiritsa ntchito zotchedwa zitsulo zothandizira zitsulo . Zitsulozi zitsulo zitsulo zimaphatikizapo zonse zomwe zikupangika kumapiri. Zida zowonjezera zitsulo zakhala zikudziwika bwino komanso mavuto amachititsa kuti madokotala ndi odwala awo asamalire kwambiri njirazi ndi izi.

1. Kusintha kwapadera kwapadera (Hemiarthroplasty): Kumalo osakanikirana kwapadera ndi kachitidwe kachitidwe ka opaleshoni kawirikawiri, koma osati kawirikawiri yopangidwa ndi nyamakazi ya hip. Panthawi ya opaleshoniyi, ndi mpira wokhawokha wothandizana nawo. Ichi ndi chithandizo chabwino cha mtundu wina wa ziphuphu zam'chiuno pamene mpira wophika umangowonongeka. Vuto kwa anthu omwe ali ndi nyamakazi yaikulu ya mchiuno ndi chakuti chingwe cha mchiuno ichi chawonongedwanso, choncho chifunikanso kuthandizidwa. Pachifukwa ichi, kusinthana kwapadera kwapadera sikuli njira yabwino yopaleshoni ya nyamakazi.

1. Hip Fusion (Arthrodesis): Kusakanika kwa Hip ndi njira yomwe nthawi zambiri imayendetsedwa. Opaleshoni ya fusion ya Hip imachotsa zochitika zonse pamagulu a m'chiuno mwa kukhala ndi mafupa a chikazi ndi mapira pamodzi. Amagwiritsidwa ntchitoyi ndi lalikulu mbale yazitsulo ndi zikuluzikulu. Ma fusions a njuchi amachitidwa odwala achinyamata omwe ali antchito olemetsa. Kutsekemera kwa mchiuno sikungokhala ngati kusungunuka kwachapa kumene odwala awa angapite. Kusakanikirana kwa mchiuno kumalola wodwala kuchita ntchito zofuna thupi zomwe zingayambitse kuvala mwatsatanetsatane. Vuto ndi kupweteka kwa m'chiuno ndiko kuti odwala sangakhale ndi kayendetsedwe ka mchiuno, adzayenda ndi chiwindi, ndipo pamapeto pake amafunika opaleshoni yopitilira kusintha kuti asinthe.
2. Resection Arthroplasty (Gridlestone Procedure): A resection arthroplasty ndi njira yomwe fupa lozungulira mchiuno likuchotsedwera ndipo malo ogwirizana amaloledwa kudzaza minofu yowopsya. Njirayi imakhala ikuchitidwa kwa odwala omwe ali ndi matenda aakulu omwe sangathe kulamulidwa, kapena odwala omwe ali ndi thupi labwino kotero kuti alibe mwayi woyenda bwino. Odwala omwe amagwira Girdlestone resection arthroplasty adzafunikira chipangizo china (kugwedeza kapena kuyenda) kuti ayende.

1. Hip Osteotomy: Osteotomy ya njuchi ndi njira yomwe imapangidwira kupanga mafupa a mgwirizano wa m'chiuno. Osteotomy ingakhoze kuchitidwa pa ntchafu fupa (femur), pelvis, kapena onse awiri. Osteotomies kawirikawiri imachitidwa kwa odwala omwe ali ndi vuto lalikulu limene lachititsa kuti nyamakazi yoyamba yothandizana. Mwachitsanzo, chikhalidwe cha chitukuko monga hip dysplasia chingayambitse nyamakazi yoyamba. Hip dysplasia imapezeka m'matumbo ndipo imatsogolera mafupa omwe sagwidwa ndi malungo pafupi ndi mchiuno. Osteotomy imathandiza kuti mafupa azigwiritsidwa ntchito komanso kuthetsa zizindikiro za nyamakazi yoyamba . Njirazi ziyenera kuchitidwa mwa osankhidwa osankhidwa.

Izi ndi zina mwa zosankha za anthu omwe ali ndi nyamakazi yambiri yamphongo yomwe ingakhale yopempha chithandizo chosiyana ndi malo ena. Ngakhale kuti zosankha zonsezi zingakhale zomveka ngati muli ndi chidwi mwa imodzi mwazigawozi muyenera kukambirana ndi dokotala wanu.

> Zomwe: 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.