Total Hip Replacement Akufuna Kukula Pamodzi ndi Ambiri Odwala Matenda a Nyamakazi
Choyamba chokonzekera mchiuno chinakhazikitsidwa mu 1962 ndi Sir John Charnley wa ku England. Chigawo choyamba chovomerezedwa ndi FDA chinapangidwa m'chaka cha 1969. Kupititsa patsogolo ndi chimodzi mwazofunikira kwambiri zamaphunziro opanga opaleshoni m'zaka za m'ma 1900. Chaka chilichonse ku United States kokha, malo opitilira hip oposa 285,000 amachitidwa, ndipo chiwerengerochi chiyenera kuwirikiza pa 573,000 chaka cha 2030, malinga ndi nthawi ya March 6, 2008.
Chizoloŵezi chathunthu chodzola m'malo mwake, chomwe chimalowetsa chophatika chanu chophwanyika, chiri ndi magawo atatu:
- kapu ya pulasitiki yomwe imalowa m'malo anu acetabulum (chingwe chachiuno)
- mpira wachitsulo umene umalowetsa mutu wachikazi
- chitsulo chosungunula chomwe chimagwiritsidwa ntchito pamthunzi wa chikazi
Palinso njira zowonjezeramo zitsulo za ceramic ndi njira zina zowonjezera kumbuyo . Mwachitsanzo, Birmingham Hip Resurfacing System .
Ndani Akufunikira Kupititsa Hip?
Ntchito yachibadwa ya hip ndi yofunika kuti ikhale yoyendayenda ndikuchita pafupifupi ntchito zanu zonse za tsiku ndi tsiku . Ngati chiuno chanu chavulazidwa kapena chowawa chifukwa cha nyamakazi, mukhoza kupeza zovuta kuchita ntchito za tsiku ndi tsiku popanda zothandizira . Matenda a mafupa a m'magazi , nyamakazi ya nyamakazi , ndi nyamakazi yoopsa kwambiri ndiyo nyamakazi itatu yomwe imayambitsa kupweteka kwa m'chiuno.
Chisankho choyenera kuchitidwa opaleshoni chiyenera kupangidwa ndi banja lanu, dokotala wamkulu, komanso opaleshoni ya mafupa.
Taganizirani izi. Kodi muli ndi:
- Kupweteka kwa ululu umene umalepheretsa kuchita zinthu zowononga kuyenda ndi kugwedezeka?
- Kupweteka kwa ululu umene ukupitirizabe pamene mukugona masana kapena usiku?
- Kupsinjika pamodzi m'chiuno chomwe chimakhudza kusuntha kapena kukweza mwendo?
- Zopereka zosakhutiritsa kuchokera ku NSAIDs (mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs)?
- Kupumula kosasangalatsa kwa mankhwala opweteka ?
- Kusintha mwakachetechete atayesa mankhwala , kugwiritsa ntchito zipangizo zothandizira ndi zothandizira zogwira ntchito?
Ngati munayankha inde inde mafunso ambiri, mukhoza kukhala ovomerezeka kuti muwachitire opaleshoni.
Kodi Mmodzi Wodwala Amayesedwa Bwanji Chifukwa Chotsitsimula Hip?
Ngakhale odwala ambiri omwe amapita opaleshoni yowonongeka ali pakati pa zaka 60 ndi 80, pali odwala ang'onoang'ono kapena okalamba omwe ali ndi zotsatira zabwino. Zaka sizinthu zokhazokha pamene odwala amayesedwa kuti apite opaleshoni yowonongeka - kuchuluka kwa ululu ndi kulemala, komanso thanzi labwino ndilo kulingalira.
Kuyeza kwa opaleshoni yotsalira kumaphatikizapo:
- mbiri yanu ya zamankhwala
- kukayezetsa thupi kuti uone kayendetsedwe kake , kayendedwe ka mchiuno, ndi chiuno chilimbikitso ndi mphamvu
- x-rays kuti mudziwe kuwonongeka kofanana
Kafukufuku wina wamaganizo kapena fupa la mafupa nthawi zina amagwiritsidwa ntchito kuti aone momwe chifuwa cha mafupa ndi zofewa zimakhalira.
Kodi Mukuyembekeza Zanu Zokhudza Kusintha kwa Hip?
Odwala omwe akukonzekera kupaleshoni yotsalira kumalo ayenera kumvetsetsa zomwe ayenera kuyembekezera, nthawi, ndi pambuyo pa opaleshoni. Poyambirira ndi kuchiza, wodwalayo ayenera kuganizira zolinga zoyamba za kupaleshoni-kupweteka komanso kugwira bwino ntchito m'chiuno (kubwezeretsanso mphamvu komanso kuyenda bwino).
Pa miyezi itatu yobwezeretsa, padzakhala zoletsedwa kuti zisawonongeke kuntchito. Mudzaphunzitsidwa momwe mungasunthire komanso momwe musasamalire. Mungafunike zipangizo zothandizira monga chitukuko chakumadzi, zipangizo zogwiritsidwa ntchito kwa nthawi yaitali, ndodo yokuvala, chithandizo chothandizira, ndi ma cushions olimba. Zina zoletsedwa zidzakhala zazing'ono ndipo ena adzakhala osatha.
Ntchito zina, monga kuthamanga, kuthamanga, masewera othamanga, masewera olankhulana, ndi kuthamanga kwapamwamba kwambiri kwazomwe zidzasokonezedwe kudzakhala malire pambuyo pa opaleshoni ndi moyo wanu wonse. Koma ngakhale pogwiritsa ntchito bwino, m'kupita kwa nthawi chifuwachi chimakhala chovala ndipo chimatha kumasula .
Ngati izi zitachitika, mungafunikire opaleshoni ina, yotchedwa kubwezeretsa nsanamira.
Kodi Ndinu Wokonzekera Opaleshoni?
Dokotala wanu wa opaleshoni wamagulu ndi antchito ake adzakutsogolerani kudzera muzochitika zawo zachizolowezi kuti apite opaleshoni yatsopano. Adzakulangizani tsiku la opaleshoni ndikukupatsani ndandanda ya zomwe muyenera kuchita musanachite opaleshoni - pofufuza inshuwalansi ya zachipatala, kuti muyambe kuyesa kupima, ndikupatseni zopereka za magazi ngati mukufunikira.
Chilichonse chikakhala kuti chisanachitike, mungapatsidwe zowonjezera zomwe mungayembekezere pakuchita opaleshoni. Mudzaphunzira za zomwe mungachite kuti mukhale ndi anesthesia, nthawi yomwe opaleshoni idzatengere nthawi yaitali bwanji, mutha kuyembekezera nthawi yanji kuchipatala, ndikukonzekera. Pambuyo pa opaleshoni, kapena kutseguka, mudzapatsidwa malangizo othandizira kukonzanso.
Kodi N'zotheka Mavuto a Hip Replacement?
Malingana ndi a American Academy of Orthopedic Surgeons, chiŵerengero chophatikizira cha kuchuluka kwa opaleshoni yowonongedwa m'malo ndi kochepa. Ochepa kuposa odwala 2% ovutika kwambiri, monga matenda opatsirana . Pambuyo pa opaleshoni yowonjezereka, kupsa kwa magazi m'mitsempha ya m'mimba kapena pakhosi ndilo vuto lalikulu kwambiri. Pali mankhwala omwe dokotala wanu angapereke pofuna kupewa magazi kapena kuwagwiritsira ntchito ngati apanga.
Odwala ena amakumana ndi kusiyana kwa miyendo nthawi yayitali pambuyo pa opaleshoni yam'chipinda. Kuika nsapato kungathenso kutuluka kutalika kwa mwendo. Zovuta zina zingaphatikizepo:
- kusokoneza
- kuvulala kwa mitsempha kapena kupha magazi
- magazi
- kupasuka
- kuuma kwina kapena kupweteka kochepa
Mfundo Zokumbukira Za Hip Replacement
Pambuyo pokhala ndi chikho chonse, dziŵani mbali zina zofunika za kuchira kwanu:
- Chitani zozizira zanu za positi monga momwe mwalangizi wanu akuwunikira.
- Kupuma mokwanira ndi ntchito, makamaka mpaka malamulo ena atakwezedwa ndi dokotala wanu.
- Tsatirani malangizo kuti muteteze magazi - ngati mwauzidwa kuvala pulosi yothandizira, valani pepala lothandizira.
- Kudziwa ndi kuzindikira zizindikiro za matenda.
- Chotsani kuponya mateti kapena zingwe zowonjezera zomwe zingachititse kugwa.
- Palibe chinyengo - tsatirani madokotala. Mukauzidwa kuchita chinachake, pali chifukwa chomveka.
Chitsime:
Total Hip Replacement. American Academy of Orthopedic Surgeons. August 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377