Izindlela Zokuhlinza Ezisebenziselwa Ukushintshwa Kwe-Hip

Yikuphi uhlobo lwe-Hip Replacement Surgery olungcono kakhulu?

Ukuqotshwa kwe-hip esiphelele kuye kwaba yinye yezinto ezivame kakhulu, futhi eziphumelele kakhulu, ukuhlinzwa kwamathambo okwenziwa. Ukuhlinzekwa okuphindaphindiwe kwama-hip hop angu-500,000 kwenziwa eNingizimu Afrika njalo ngonyaka. Ngenkathi ukuhlinzeka esikhundleni sokuqashwa kuncike ngokujwayelekile, kunezinhlobonhlobo kule ndlela yokuhlinza. Odokotela abahlinzayo abahlukahlukene bakhetha amasu ahlukene okwenza indawo ephelele ye-hip, futhi lapha sixoxa ngezinye zezinketho nokuthi zihluka kanjani.

Ngomqondo omuhle, ukushintshwa kwe-hip esiphelele kungaphumelela kakhulu kungakhathaliseki ukuthi yikuphi amasu okuhlinzwa asetshenzisiwe. Zonke zingenziwa njengamacebo " amancane angenawo ". Zonke zinezingozi ezihambisana nazo zonke izindlela zokuhlinzwa. Nakuba abanye odokotela abahlinzayo bangase bathathe inqubo ethile bethemba ukuthi kuyanciphisa izingozi ezithile, kungenzeka kube nezinye izinsizakalo zaleso nqubo yokuhlinzwa. Ngaphezu kwalokho, inqubo eyodwa yokuhlinzeka ingase ibe efanele isiguli esisodwa, kodwa hhayi ekahle kwenye. Ngenxa yalesi sizathu, kufanele njalo ubuze udokotela wakho ohlinzayo uma unemibuzo mayelana nendlela ethile yokuhlinzwa, noma ucabanga ukuthi omunye angase abe ngcono ngesimo sakho.

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Ukushintsha esikhundleni kwe-Hip post

Indlela ehamba phambili yokuhlinza indawo yokuqashisa i-hip iyindlela ejwayelekile kakhulu yokuhlinzwa esebenzisa e-United States nasezweni lonke. Le nqubo yokuhlinzwa yenziwa ngesiguli esisehlangothini lwayo, futhi ukukhishwa kokuhlinzwa okwenziwe ngaphandle kwe-hip. Isizathu sokuthi lokhu kubizwa ngokuthi indlela ehamba phambili yukuthi ukuhlanganiswa kwangempela kwe-hip kuboniswa ngemuva kwethambo lethanga, isici esingaphansi kwesigxobo se-hip.

Inzuzo yale nqubo yokuhlinza ibaluleke kakhulu ekusebenziseni izinto ezihlukahlukene. Inqubo yokuhlinzeka inikeza ukuboniswa okuhle kakhulu kokuhlanganiswa kwe-hip. Ezimweni eziyinselele ikakhulukazi ngenxa yokukhubazeka kwamathambo , i-hardware ngaphakathi kwe-hip, noma ezinye izinto eziyinkimbinkimbi, indlela ingafinyelelwa kalula ukuze ivumele ukuvuselelwa kanzima okuqhubekayo. Okuningi kunoma yisiphi isitshalo singasuswa kusuka endleleni ehamba phambili.

Ukungalungi okuyinhloko kwendlela ehamba phambili yukuthi kukhona ukukhathazeka mayelana nesilinganiso sokukhuphuka esiphezulu sokufakelwa kabusha kwe-hip esikhundleni. Idatha yesikhathi eside ayisazobuthelwa, kepha enye yethemba ngezinye izindlela zokuhlinzeka ukuthi izinga lokuhlukanisa lizobe liphansi uma liqhathaniswa nokucubungula okulandelayo. Okunye okungalungile okukhulu ngale ndlela yokuhlinzeka, futhi esinye sezizathu ezingase zibe nomthelela ekukhusheni okuphakeme okuphezulu, ukuthi ezinye izinhlanzi kanye namathononi ngokuvamile ziyonqunywa futhi kamuva ziphinde zixhunywe ukuze zifinyelele ekuhlanganyeleni kwe-hip. Lezi zithoni, ezibizwa ngokuthi i-rotator yangaphandle ye-hip, zihlukaniswa ngaphandle kwethambo ukuze zingene emhlangothini we-hip.

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Ukushintshwa okuqondile kwe-Hip Anterior

Indlela eqondile yangaphambili ye-hip isenziwa ngokujwayelekile kakhulu. Le nqubo yokuhlinzwa iye yahlala isikhathi eside, eminyakeni engaphezu kwengu-100, kodwa isithole isithakazelo esikhulu kubahlinzeki abahlinzayo ababenzela indawo yokuqhaqhaza inhlawulo eminyakeni eyishumi edlule. Indlela yokuqondisa yangaphakathi eyenziwa ngesiguli elele ngemuva, futhi ukukhishwa okuhlinzekwayo kwehla phambili kwethanga.

Kunezinzuzo ezimbalwa ezingase zibe khona zendlela yangaphakathi yangaphambili. Izinzuzo ezimbili eziqondile ezithintekayo kule ndlela yokuhlinzwa zizokhuluma ngengozi yokuhlukanisa kanye nokubuyiselwa kokuqala kokusebenza ngemva kwesikhathi . Abantu abaningi banomuzwa wokuthi ingozi yokususwa ngokulandela indawo ye-hip esikhundleni esingaphansi kuncane kakhulu uma kuqhathaniswa nokuphindaphindiwe kwe-hip esikhundleni. Ngenkathi ingozi ngeendlela ezihamba phambili ingaba yi-1 noma 2 kuphela yamaphesenti, ikhono lokunciphisa lokho ngokuguqulwa kwendlela yokuhlinzwa kuyinkinga ekhangayo. Isizathu sesibili ukuthi abantu abaningi bazizwa ukuthi ukuphumula kokuqala kokusebenza ngemuva kwesikhathi kuyashesha. Abantu abahlinzwa ngokuqondile kwangaphambili bavame ukutholakala ngokushesha ngokushesha esibhedlela.

Ukungahambi kahle kwe-anterior approach ikakhulukazi ukuthi ukuvezwa kokuhlinzwa kungaba nzima kakhulu, ikakhulukazi kubantu abanesisindo esinzima kakhulu noma abanobhantshi obalulekile phakathi nendawo yomzimba wabo. Kuyacaca ukuthi kudinga isikhathi nokuzivocavoca abahlinzayo ukuba babe abanolwazi kule ndlela, futhi izinkinga ezihlinzekwe izidakamizwa ekuqaleni kokusetshenziswa kwe-hip replace hip substlacement zivame kakhulu. Ngaphezu kwalokho, akuwona wonke ama-implants angasetshenziswa kalula endleleni engaphambili, futhi ukubhekana nokukhubazeka noma ukwenza ukuvuselelwa kwe-hip yokuvuselela akulula ngaso sonke isikhathi njengendlela yokuhamba ngemuva.

Okokugcina, inzwa yesikhumba okuthiwa i-lateral femoral cutaneous nererve ingalimala ngesikhathi sokuhlinzwa. Ngenkathi lokhu kungashintshi umsebenzi noma umsebenzi, abanye abantu bakhathazekile yi-patch of numbness ngaphambili kwethanga.

Okuningi

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Izindlela Zokuhlinzekwa Kamuva

Indlela eqondile ye-lateral noma i-anterolateral yenziwa eceleni kohlangothini lwe-hip. Le ndlela yokuhlinzwa ivame ukubonwa odokotela abahlinzayo njengendlela yokulinganisela phakathi kokusondela nangemva kokusondela. Izinga lokuhlukanisa libonakala liphansi kunezindlela ezihamba phambili, ngenkathi ukuhlinzekwa okuhlinzekwayo kanye nekhono lokunciphisa ukufakwa kombono ukuze kubonakale kangcono kungcono kunendlela ehlukile. Abantu abasebenzisa indlela yokuhamba phambili bahlezi eceleni kwabo, futhi ukukhishwa okuhlinzekwayo kuhamba ngqo ngaphandle kwe-hip.

Futhi, inzuzo eyinhloko nalokhu kuvezwa okuhlinzekwayo ukulinganisa okuyi-incision ehambisanayo engasetshenziselwa ukwenza kuphela ukushintshwa kwe-hip ngokuqondile kodwa futhi ukulungisa ukukhubazeka nokufaka izimpande ezikhethekile. Izinga lokuhlukaniswa ngemuva kokuhlinzwa libonakala liphansi kunendlela yokuhlinzwa emva kwesikhathi.

Ukungahambi kahle kwendlela eqondile yendlela yokwelapha yukuthi imisipha ye-abductor ye-joint hip inqunywe ukuze ingene esikhwameni. Lezi zinhlanzi zingase ziphulukise ngendlela evamile, kodwa uma zingenjalo, abantu bangakwazi ukuhlakulela okungaqhubeki. Ukwengeza, ukuxoshwa ngalezi zinsimba kungabangela isimo esibizwa nge- ossification ye-heterotopic . Ngenkathi i-ossification ye-heterotopic ingenzeka ngemva kwenqubo yokuhlinzekela ngokuhlanganyela kwe-hip, kubonakala sengathi iyavame kakhulu ngemuva kokusebenza ngendlela eqondile.

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Izinyathelo Zokuhlinzeka Ngendlela Ehlukile

Kukhona nezinye izinqubo zokuhlinza ezenziwa, nakuba zivame kakhulu kunezindlela ezintathu ezikhulunywe ngaphambilini.

Izinqubo zokuhlinzwa ezihlukile zibandakanya inqubo ye -incision 2 kanye nendlela ephakeme yokuqondisa. Zombili lezi zinqubo zokuhlinzwa zakhiwe ngomzamo wokwenza ukufakwa okuncane ezincane nokunciphisa inani lokulimala kwemisipha okwenzeka ngesikhathi sokuhlinzwa. Zombili lezi zinqubo zixhomeke kakhulu ekubonisweni okungaqondile, okusho ukuthi udokotela wakho ohlinzayo usebenzisa i-x-ray phakathi nenqubo yokuhlinzeka ukusiza ngokufaka kahle izimpande. Zombili lezi zinqubo zokuhlinzekela zinganwetshwa ku-incp-in-hip replacement incision esikhundleni lapho kwenzeka ukubonakala okungcono ngesikhathi sokuhlinzwa.

Kukhona idatha elinganiselwe kuphela etholakalayo ngezinzuzo ezikhona zokuhlinzwa, kodwa ngokuqinisekile ukuvimbela umonakalo emasukeni ajwayelekile asemasimini kungaholela ekutheni kutholakale ngokushesha ngemuva kwanoma iyiphi inqubo yokuhlinza.

> Imithombo:

> Miller LE, Gondusky JS, Bhattacharyya S, Kamath AF, Boettner F, Wright J. "Ingabe Indlela Yokuhlinza Ithinta Imiphumela Ngayo Yonke Ingqikithi Ye-Arthroplasty Ngezinsuku ezingu-90 Zokulandelwa? Ukubuyekezwa Okuhlelekile Nge-Meta-Analysis" J Arthroplasty. 2018 Apr; 33 (4): 1296-1302.

> Petis S, Howard JL, uLanting BL, i-Vasarhelyi EM. "Indlela yokuhlinza e-primary hip arthroplasty: i-anatomy, inqubo kanye nemiphumela yomtholampilo" Can J Surg. 2015 Ngo-Apr; 58 (2): 128-39.