Ukufakwa esikhundleni kwe-Hip kungenye yezinqubo ezivamile zomuthi wama-orthopedic. Lapho kusetshenziselwa ukuqhutshwa kwe- hip , i- arthritic , ukuhlanganiswa kwe-hip eyonakalisiwe isusiwe. I-ball-and-socket joint hip isetshenziselwa ukufakelwa okufakelwayo. Izinto ezisetshenziselwa ukutshala zixhomeke ezintweni ezihlukene, kubandakanya:
- Ubudala besiguli
- Izinga lomsebenzi wesiguli
- Okuthandwa ngu-odokotela
- Ukukhubazeka okukhethekile / okungavamile kwe-hip
Nazi izincazelo ezimfushane zezinye izimpande zokufaka esikhundleni se-hip ezivame ukusetshenziswa kakhulu. Akuwona wonke ama-implants ongakhetha kuzo zonke iziguli.
Imisindvo Yensimbi NePlastiki
I-prosthetic eyenziwe ngensimbi nepulasitiki yizimplantshi ezishintsha kakhulu zokusetshenziswa esikhundleni se-hip. Kokubili ibhola kanye nesixhumi sokuhlanganiswa kwe-hip kufakwe esikhundleni sokwethenjelwa kwensimbi, futhi i-spacer yeplastiki ifakwa phakathi. Izitsha ezisetshenziselwa ukusetshenziswa kakhulu zihlanganisa i-titanium nensimbi engagqwali. Ipulasitiki ibizwa ngokuthi i-polyethylene. Ukufakelwa kugcinwe ithambo ngenye yezindlela ezimbili; kungakhathaliseki ukuthi i-press-fit noma ifakwe endaweni. Ngendlela ehambelana nokucindezela, ukufakelwa kufanele kufinyelele esitokisini, futhi amathambo amasha afaka nxazonke ekufakeni ukusibeka esimweni. Uma ukufakelwa kuqinisekiswa, isamente esikhethekile samathambo lisetshenziselwa ukuvikela isisindo esimweni.
Izimpande ezintsha zithuthukiswa njalo emzamweni wokwenza lezi zimila zihlale isikhathi eside ngangokunokwenzeka.
Ukuthuthukiswa okukodwa okusheshayo kuthuthukisa ukuphila kwesikhathi eside kwe-polyethylene esetshenziselwa ukushintshwa. Lezi zinto ezibizwa nge 'plastiki ezixhunyiwe kakhulu' ziyenziwa ngendlela abagqoka ngayo ngokushesha kunama plastiki wendabuko.
Ukufakelwa kwe-Metal-on-Metal
Izimplantshi zensimbi-zensimbi zisebenzisa izinto ezifanayo, kodwa akukho nendawo yokupaka epulasitiki efakwe phakathi kwezimpande.
Izimila ze-Metal-on-metal zathandwa kakhulu ngoba zitholakala zibe nezici ezinhle kakhulu zokugqoka ebhodini. Kodwa-ke, naphezu kwamazinga aphansi okugqoka, kwakukhona izinkinga nge-implants metal-on-metal.
Ekuqaleni, kwakukhona ukukhathazeka mayelana nezidakamizwa ezigqoka ezivela ezifweni zensimbi-on-metal. Ama-ions we-metal akhishwa egazini, futhi lezi zinsimbi zensimbi zingatholakala kuwo wonke umzimba . Ukugxila kulezi zinsimbi zensimbi kwanda ngokuhamba kwesikhathi. Ayikho idatha yokubonisa ukuthi lezi zinyoni zensimbi ziholela ekwandeni kwamazinga omdlavuza noma izifo, kodwa izifundo zesikhathi eside zisadingeka zenziwe.
Ukwengeza, kwakukhona ukukhumbula okuphakanyisiwe kakhulu kwezitshalo zensimbi-on-metal ngoba baboniswe ukuthi badinga ukuhlinzwa kabusha (esikhundleni sokushintshwa) ngesilinganiso esiphezulu kunezilinganiso ezijwayelekile zokufaka esikhundleni se-hip. Ngenxa yalokhu, izimpande zensimbi-zensimbi ziye zavela ekubeni uhlobo oluthandwa kakhulu lokufakelwa ekufakweni kohlobo olusetshenziswa kakhulu.
Izimila ze-Ceramic
Izimplantshi ze-ceramic esikhundleni sokuthi ziphinde zisebenzise futhi zisebenzise izingxenye zensimbi ezihambisana ngaphakathi kwethambo, kodwa ukuphakama kwebhola (ibhola kanye nesokhethi) kungenziwa ngezinto ze-ceramic. Izimila ze-ceramic hip zenzelwe ukuthi zibe yinkinga kakhulu yokugqoka zonke izimpande zokufaka esikhundleni se-hip .
Bembatha ngisho nangaphansi kwezinsipho zensimbi-on-metal. I-Ceramics iyakwazi ukumelana nokumelana nokushelela kunanoma iyiphi yalezi ezinye izinto zokufakelwa. Izinguqulo ezindala ze-implants ze-ceramic zazinenkinga ngoba zazijwayele ukuhlukana, kodwa izinguqulo ezintsha azizange zibe nalezi zinkinga. Ngenxa yalesi sizathu, ukufakwa esikhundleni se-ceramic esikhundleni se-hip isba isitshalo esithandwa kakhulu.
Yikuphi Okuhle Kakhulu?
Akukho okufakelwa "okucacile" okucacile. Nakuba izimpande ezintsha zithuthukiswa ukuze zithuthukise emiklamo, ngezinye izikhathi izinkinga ezingaziwa ngokushesha lapho kushicilelwa ukufakwa okusha. Ngenxa yalesi sizathu, abanye odokotela abahlinzayo bakhetha ukufakelwa ngomlando omuhle, omude.
Udokotela wakho ohlinzayo kufanele akwazi ukuchaza ngokucacile ukuthi kungani batusa isitshalo esithile kuwe.