Izindlela zokuhlinzwa ze-Hip esikhundleni

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Ukuxilongwa kwe-Hip Arthritis

I-arthritis ye-Hip iyimbangela evamile yobuhlungu be-hip. Uma i- hip arthritis iba yinkimbinkimbi, inqubo yokuthatha indawo ye-hip inganconywa. I-arthritis ye-Hip ibangela ubuso obuvamile obubushelelezi bomzimba we-joint ukugqoka ngaphandle kwesikhathi. Njengoba lesi sikhumba siphelile, amathambo avuleka futhi ukunyakaza okuvamile kwesikhumba kunzima. Lokhu kungabangela ubunzima ngemisebenzi ehlanganisa ukuhamba, ukuvuka esihlalweni, noma ngisho nokulala ebusuku.

Ukuhlanganiswa kwe-hip kuyinhlangano yebhola-ne-socket - ibhola lijikeleza ngaphakathi kwesikhwama ukuze kuvunyelwe ukunyakaza kwe-hip. Ibhola kanye nezikhonkwane zimbozwe ngendwangu ye-cartilage ebushelelezi. Le ngqungquthela ivumela ukuhlanganiswa kwe-hip ukuhamba ngokukhululekile. Lapho ugqoke lwama - cartilage ohlangene luphela , ukunyakaza kwe-hip kuba nzima futhi kuyabuhlungu.

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Ukususa i-Hip Joint Ball ephuliwe

Isinyathelo sokuqala sokuhlinzwa kokuqashwa kwe-hip ukususa i-cartilage eyonakalisiwe nethambo. Umhlanganiso we-hip unamacala amabili, ibhola (ikhanda le-femal), kanye ne-socket (i-acetabulum). Lapho ukuhlanganiswa kwe - hip kuba i-arthritic , indawo ejwayelekile yesibhakabhaka isendaweni.

Ukuze ususe ibhola eligqamile ye-ball-and-socket joint joint, ithambo liyonqunywa ukususa ikhanda lesifazane. Ukuze ufake ukujoyina okusha, amathambo ne-cartilage emelekile kufanele kuqala isuswe.

I-hip ingafinyelelwa ngezindlela ezahlukene. Abanye odokotela abahlinzayo bafika emlonyeni ngemuva kokujoyina (indlela ehamba phambili) ngenkathi abanye befika emlonyeni ngaphambi kokuhlanganyela (indlela yangaphakathi ). Le ndlela ye-anterior iyaziwa kakhulu njengoba kubonakala sengathi iziguli zingase zilulame futhi zisuke esibhedlela ngokushesha ngemva kwalokhu kuhlinzwa.

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Ukususa i-Out Worn Out Hip Joint Socket

Uma ibhola le-arthritic isusiwe, isokhethi esiphelile ingaqondiswa. Ngokungafani nebhola, leli thambo alikwazi ukunqunywa - isisekelo sohlangothini lwe-hip luyingxenye yethambo le-pelvis.

Ukuze ususe i-arthritis yesikhwama se-hip, ithuluzi elikhethekile elibizwa ngokuthi i-reamer lisetshenziselwa ukususa i-cartilage ne-bone. Lokhu kushiya indawo ebushelelezi, ephelele ukuze yamukele ukufakelwa kabusha kwe-hip esikhundleni esisha.

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Ukubekwa kwe-Acetabular Component

Uma ithambo elonakalisiwe lisuswe ku-acetabulum, isakhi esisha sokufaka esikhundleni se-hip singafakwa. I-socket ye-pelvis ibizwa ngokuthi yi-acetabulum, futhi ingxenye yendawo yokufakelwa kwe-hip efakwe engxenyeni ibizwa ngokuthi yi-acetabular. Abanye abantu bayabiza le nxenye "indebe."

Ingxenye ye-acetabular ibanjwe ngokuqinile emgodleni ngokwenza isikhwama esincane kakhulu kunomshini we-acetabular, futhi ukushada ukufakwa ngaphakathi kwethambo. I-implant ine-surface ebusweni ukuze kuvumele amathambo ukuba akhule abe phezu kwendawo esetshenziswe ngokuhamba kwesikhathi.

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Ukulungiselela i-Femur

Manje ukuthi isikhombisi sibhekiswe, ukunakekelwa kungadlulisela ibhola le-ball-and-socket joint joint. Ibhola lisekelwa ngokufakelwa okufakwe ngaphansi kwesizinda esingenalutho sethanga lesenzeni (femur). Lokhu kuhlanganiswa kuthiwa yi-stem stem.

Njengesixhumi se-acetabular, i-stem femem kumele ibanjwe ngokuqinile ethempheni. Amathuluzi akhethekile asetshenziselwa ukuloba phakathi kwethambo lethanga ukuze kutholakale isiqu sezinsikazi.

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Ukufakwa kwesiqu

Ngethambo elungele ukwamukela isitshalo sokufakelwa kabusha kwe-hip, i-femal stem ifakiwe. Isiqu singabanjwa esitheni noma ngaphandle kwamasenti.

Uma ithambo ligcinwe ngesimiso, isamente ifakwa efomini eliketshezi, bese kuthi isiqu sibekiwe. Kungakapheli imizuzu embalwa, usimende luma kunzima ukubamba ukufakwa okuhleliwe ngaphakathi kwethambo.

Uma kungekho isamente esetshenzisiwe, ukufakelwa kubizwa ngokuthi "cindezela-kahle." Lokhu kusho ukuthi ukufakelwa kuhlanganiswe ngokuqinile ngaphakathi kwethambo. Umbala ogqamile omboza ukufakelwa kuvumela ukuba ithambo likhule libe yinkomo ngokuhamba kwesikhathi.

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Ukufakwa kweBhola

Njengoba isiqu sifakwa phansi phakathi kwethambo lethanga, ibhola le-ball-and-socket joint ye-hip lingeniswa phezulu kwesiteji. Ibhola lensimbi liqinile ngokuqinile phezu kwe-stem. Imiklamo eminingi yokufakelwa kabusha kwe-hip esikhundleni samanje kuyindlela nje yokubamba ibhola lohlangothini lwe-hip endaweni efanele. Kukhona isitayela sokuguqulwa kwe-hip lapho ibhola livuswa esikhundleni sokuthi lishintshwe endaweni, okusho ukuthi kukhona okuncane okufakelwe emzimbeni - lesi sitayela sokufaka esikhundleni se-hip sibizwa ngokuthi ukuhlinzwa ukuvuvukala kwe-hip .

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Isiqalo sokugcina esikhundleni se-Hip Hip

Ngesikhwama, isiqu, nebhola konke kufakwa, ukufakwa esikhundleni se-hip kungenziwa endaweni yokugcina. Ngezingxenye ezikhona, ibhola libuyiselwa emuva ekhoneni - okuthiwa ukunciphisa umlenze.

Kubalulekile ukuqinisekisa ukuthi izimpande zokufaka esikhundleni se-hip zizinzile. Izimpande zokufaka esikhundleni se-Hip ezingazinzile zingahle zenzeke , ukuhlukumeza okungathí sina kwe-hip esikhundleni sokuhlinzwa .