Ukuhlinzwa okuvamile esikhundleni se-hip kwenziwa nge-incision ngokuvamile ephakathi kwamasentimitha angu-5 kuya kwangu-8 ubude. Ngaphansi kwe-incision, i-muscle ihlukanisiwe, futhi ukuhlanganiswa kwe-hip kubonakala. Udokotela ohlinzayo bese esusa ukuhlanganiswa kwe- arpritic hip futhi esikhundleni salokhu nge-implantation yensimbi nesiplastiki. Udokotela ohlinzayo wenza lokhu kuhlinzeka ngokubheka ngqo ekuhlanganyeleni kwe-arthritic hip futhi ebeka ukufakelwa kwe-hip yokufakelwa endaweni.
Ngemuva kokuhlinzwa, iziguli zivame ukuhlala esibhedlela izinsuku ezingu-4 kuya kwezingu-6 futhi zidinga izinyanga zokuvuselelwa.
Ukuthuthukiswa Kwamuva
Amasu amasha asetshenzisiwe avumela ukuthi udokotela ohlinzayo enze ukuhlinzwa okufanayo (ukuphinda esikhundleni) ngokusebenzisa ukucubungula okuncane nezinkinga zokunciphisa imisipha. Udokotela ohlinzayo akabheki ngokuqondile kwi-hip arthritic, kunalokho, usebenzisa isiqondiso se-X ekamelweni lokusebenza ukubeka i-hip yokufakelwa. Ithemba lokuthi iziguli ezitholakale kule ndawo yokuhlala esikhundleni esiyinkimbinkimbi ye-hip zizoba nezikhathi ezincane zokuhlala esibhedlela, ukuvuselelwa okusheshayo, nemiphumela engcono. Noma kunjalo, ukuhlinzwa okusha, kunemibuzo yokuthi ngabe lokhu empeleni kuyindlela "engcono".
Ingemuva
Ukuhlinzeka ngokuhlinzwa kwe-Hip kungenye yezindlela eziphumelele kakhulu (ngokweziguli ezanelisiwe) izinqubo ezitholakalayo namuhla. Kodwa-ke, odokotela abahlinzayo bazama njalo ukuthuthukisa indawo ye-hip.
Umgomo we-double-incision hip substlacement ukuhlinzeka inqubo ene-infirmity (okungukuthi ubuhlungu obuncane, ukulahleka kwegazi okungaphansi, ukuvuselelwa okuncane), kodwa njengemiphumela emihle, noma engcono, jikelele. Kuze kube manje, abanye odokotela abahlinzayo baye bakwazi ukukhombisa imiphumela ukuthi le nqubo ingase ibe nobuhlungu obuncane nokulahleka kwegazi kancane, kodwa kukhona impikiswano enkulu mayelana nokuthi imiphumela yonke ingcono yini, noma yinto enhle, njengokwenziwa komsebenzi wendabuko wokuguqula indawo .
Izinzuzo
Abagqugquzeli bezinsimbi ezimbili zokufakelwa kwe-hip esikhundleni bathi ukuhlinzwa kungenziwa ngokucacile okufanayo kwezobuchwephesha nokunciphisa okuncane kokuthunyelwe. Ngenxa yokuthi ukuhlinzeka okuncane kakhulu, ukuvuselelwa kungase kube msinya, ubuhlungu bungase bube buncane, futhi kungenzeka ukuthi ezinye izinkinga , ezifana nokulahleka kwegazi kanye nokwehliswa kwe-hip, kungase kungabi njalo. Imiphumela yokuqala yabanye odokotela abahlinzayo ibonise ukuthi iziguli zivame ukushiya esibhedlela ngokushesha (ngezinye izikhathi zihlala kuphela esibhedlela sezinsuku ezingu-1 noma ezimbili), futhi zivame ukuvuselelwa ngokushesha.
I-Cons
Lawo odokotela abahlinzayo abaphikisana nale nqubo banezimpikiswano eziningana. Okokuqala , azikho izifundo ezinhle ezibonisa ukuthi le nqubo ingcono kunomsebenzi wendabuko, futhi odokotela abaningi abahlinzayo bacabanga ukuthi imiphumela iyingozi kakhulu. Okwesibili , abahlinzayo abahlinzeka kakhulu kule minyaka engaphezu kweminyaka emibili. Le nqubo kunzima ukwenza, futhi ukufunda le nqubo entsha kungaba nzima. Okwesibili , ngokuthembela ekuqondisweni kwe-x-ray, abanye odokotela abahlinzayo bazizwa ukuthi le nqubo ayinembile futhi ingabangela ukuma kahle kokufakelwa kwe-hip yokufakelwa. Okokugcina , kunombalwa onqunyelwe wezinketho zokufakelwa ngokufakelwa kabusha kwe-hip incision, kanti abanye odokotela abahlinzayo bazizwa bengakwazi ukusebenzisa ukufakelwa kwe-hip engcono yokufakelwa.
Lapho Uqala khona
Ukuhlinzekwa okuphindaphindiwe kwe-hip replacement kusencane. Ngokusobala, sidinga ukuhlaziywa isikhathi eside kweziguli ezenze le nqubo ukuze zithole ukuthi lezi ziguli zingcono yini, noma zibi kakhulu kuneziguli eziye zafakwa esikhundleni se-hip.
Kunezifundo ezithile zakamuva ezibuza umhlomulo wale nqubo yokumisa esikhundleni se-mini-hip. Lezi zifundo ziye zaphazamisa izimangalo zokuthi indawo ye-mini-hip inikeza ukutholakala ngokushesha [isixhumanisi]. Njengoba isikhathi sidlula, izifundo eziningi zihlola ukuthi kungenzeka yini ukufakwa esikhundleni se-mini-hip.
Iziguli zivame ukuheha umqondo wokuba nobuncane obuncane, futhi angeke ucabange ukuthi asikho imiphumela emihle yesikhathi esigcwele ebonisa ukuthi kuhle kangakanani lokhu kusetshenziselwa ukukhishwa kwe-hip esikhundleni esihle.
Ekugcineni, imigomo ebaluleke kunazo zonke yokuhlinza ukuqhutshwa kwe-hip esikhundleni sokusebenza esikhundleni kufanele kube nokuhlanganiswa okuhle, okungenabuhlungu, okuyi-hip okuzohlala iminyaka eminingi ngangokunokwenzeka. Ngenkathi izibazi ezincane nokuvuselelwa okufishane kuyizinto ezinhle kakhulu, "lezi akuzona izinhloso ezibaluleke kakhulu zokuhlinzwa ngokuqashwa kwe-hip.
Okokugcina, akuzona zonke iziguli ezikhethwe kahle kule nqubo emibili yokucubungula. Ngisho noma uzimisele ukwenza le nqubo, futhi ufisa izinzuzo ezinokwenzeka, kufanele uhambisane nemigomo yesiguli ukuze ube nale nqubo.