Izinketho zokuhlinzeka zanda njengoba iziguli zihlala zincane
Ukuhlinzekwa okuphelele kwe-hip esikhundleni senye yezinqubo eziphumelele kakhulu ezenziwe ngabahlinzayo bama-orthopedic. Bahlinzeka kokuphumula okusheshayo nangesikhathi eside kubantu abahlukunyezwa isifo samathambo esiqhwaga , i- hip osteonecrosis , noma ezinye izinkinga eziyinkimbinkimbi ze-hip. Amaphesenti angaphezu kuka-90 alabo abaye bahlinzwa ukubika ukukhululeka kobuhlungu obukhulu kanye nekhono elithuthukisiwe lokwenza imisebenzi yesimiso.
Ngaphezu kwalokho, cishe amaphesenti angu-80 azoba nokusebenza ngokugcwele ngemva kweminyaka engu-20.
Ukusetshenziswa kwe-Hip esikhundleni kuyashintsha kancane kancane
Ngenxa yokuphumelela kwe- hip esikhundleni sokuhlinzwa , inqubo manje isenziwa kwiziguli ezincane. Inkinga ngalokhu, yebo, yilokho ukufakwa esikhundleni kwe-hip kuphelelwa isikhathi. Njengamanje, ukushintshwa kwe-hip isilinganiso kuqhubeka iminyaka engaba ngu-25. Kubantu abasebasha, abantu abakhuthele, ukuwohloka kungase kube masinyane kakhulu.
Futhi lokhu kungaba inkinga yangempela. Njengamanje, ukuguqulwa kabusha kwe-hip kuyinkimbinkimbi kakhulu, futhi imiphumela ayivame ukuhle. Ebhekene naleqiniso, ama-orthopedists ngokuvamile azokwenza yonke imizamo yokulibazisa indawo kuze kube yilapho ukufakwa khona kungase kube khona isikhathi eside sokuphila komuntu.
Kodwa ngezinye izikhathi ukulibaziseka akunakwenzeka. Ngenxa yalokho, abacwaningi baqhubeka behlola ubuchwepheshe obusha obunganikeza izinga elifanayo losizo ngenkathi bedlulisela amandla okusebenza kwalezi zinsuku ezibalulekile.
Ukufika kwe-Implants ye-Ceramic Hip
Izimila ze-ceramic hip ziphakathi kwezinhlobo ezintsha ze-prostheses ezisetshenziselwa ukufaka esikhundleni se-hip, enikeza ukumelana okukhulu nomonakalo nokunyakaza okubushelelezi kokujoyina.
Odokotela abaningi abahlinzayo namuhla babheka njengento ephuthumayo ngaphezu kwezimila zensimbi nezensimbi zendabuko lapho ukuwohloka kwepulasitiki kungaholela ekwakheni kancane kancane kwezingxube ezungeze ukujoyina.
Lokhu kungabangela ukuphendula komzimba okuvimbela ukuvuvukala nokuthuthukiswa kwama-cysts benign eyaziwa ngokuthi ama-pseudotumors. Ngokuhamba kwesikhathi, lezi zenzakalo zinganciphisa kancane kancane ukutshala futhi zidale ukwehluleka ngaphambi kwesikhathi.
Amadivayisi we-Ceramic, ngokuphambene, kubonakala sengathi enza ukuvuvukala okuncane kakhulu futhi kuncane, uma kukhona, ama-pseudotumors. Lokhu kubonakala kuyiqiniso ukuthi ngabe idivayisi yonke-i-ceramic, i-ceramic-n-metal, noma i-ceramic-ne-plastic.
Nakuba kungase kubonakale kunengqondo ukusikisela ukuthi lezi zinzuzo zihumusha isikhathi eside, ukusetshenziswa kwezinkinga, singacabanga nje ukuthi kulesi sigaba. Njengoba ubufakazi obuncane besikhathi eside okwamanje ukusekela lezi zimangalo, konke esingakwenza ngempela kuhlola lokho esikwaziyo ngeqiniso.
Okushiwo yi-Research Current
Ucwaningo oluqhutshwa ngonyaka wezi-2015 lubuyekeze imiphumela emihlanu ephezulu-izimfanelo zihlola uphenyo ngomphumela wokutholwa kwabantu abathola yonke into yokufakelwa i-hip. Kuphelele, iziguli ezingu-897 zifakiwe. Ubude besikhathi sezifundo ezihlanganisiwe kwakungu-8.4 iminyaka, kanti iminyaka yobudala yabahlanganyeli yayineminyaka engu-54.5.
Ngokusekelwe ekuhlaziyweni, abaphenyi bakwazi ukuphetha ngokuthi abantu abahlinzekwa ukufakelwa kwe-ceramic yonke babe namazinga aphansi okuhlinzwa okubukezwayo, ukuwohloka kwethambo, nokukhishwa kanye / noma ukuhlukaniswa kwedivayisi uma kuqhathaniswa nezimila zensimbi nesiplastiki.
Izinselelo ezimbili ezinkulu, ngokuqhathanisa, kwakuyingozi enkulu yokuzamazama futhi ingozi ephezulu yokulimaza kudivayisi ngesikhathi sokusebenza (njengokuqhekeka noma ama-chips abangelwa lapho idivayisi ilahlekile ngengozi).
Ngaphezu kwalokho, kunengozi encane yokuthiwa "ukuhluleka okuyingozi," lapho ukuwa okungathí sina noma umthelela omkhulu kungase kuphazamise i-ceramic. Ngenhlanhla, izingqungquthela ezintsha ziboniswe ukuqina okunamandla nokumelana nomthelela kunamakhemikhali angaphambili.
Izwi elivela
Kungakhathaliseki ukuthi kuphumelele kangakanani noma kuyithandwa kanjani inqubo, ukushintshwa kwama-hip okuphelele kumele kuthathwe njalo njengophethiloli olukhulu futhi kufanele kuqalwe kuphela ngokuqonda ngokugcwele kokubili izinzuzo zokuhlinzwa kanye nemiphumela engenzeka.
Ngenkathi ukufakelwa kwe-hip ceramic kuvele kubonakale kuyindlela ekhangayo kakhulu kubantu abasha, cabanga ngomunye emva kokubonisana isikhathi eside nomchwepheshe wezinyosi futhi emva kokunye okukhethwa kukho ukwelashwa sekuphelile.
> Umthombo:
> Hu, D .; I-Tie, K .; I-Yang, i-X. et al. "Ukuqhathaniswa kwe-ceramic-on-ceramic ezithwalweni zensimbi-on-polyethylene ephelele ye-hip arthroplasty: ukuhlaziywa kwe-meta-ukuhlolwa kwezilingo ezilawulwa ngokungahleliwe." J Orthop Surg Res . 2015; 10:22.