Ukuhlinzwa kwe-Hip esikhundleni sakhe kuyindlela yokwelashwa kwe-arthritis enkulu . Iningi leziguli ziqonda ukuthi ukufakwa esikhundleni se-hip kungaphelelwa yisikhathi, kodwa impela isikhathi esingakanani sokufakelwa kwe-hip kufanele kuphele?
Izindleko ze-Hip ekugcineni ziphela. Ngeshwa, i-hip yokufakelwa akuyona into eqinile njenge-hip yakho. Ngenxa yokuthi izimpande zokufaka esikhundleni se-hip zenziwe ngensimbi nangeplastiki, lezi zinto ziqala ukugqoka ngokuhamba kwesikhathi, njengenjoloba ematayini emoto.
Ngisho ukukhishwa esikhundleni sezinto ezenziwe ngezinto ezikhethekile oklanyelwe ukuhlala isikhathi eside akuhlali phakade.
Izindaba ezinhle ukuthi izifundo zibonisa ukuthi izinhlobo ezijwayelekile zokufakelwa kwe-hip zingadlula iminyaka engaphezu kwengu-20. Ngenkathi kunezinkulungwane zezifundo, zonke ziyahlukahluka kuhlobo lokutshala olusetshenzisiwe kanye nohlobo lwesiguli esine-hip. Ucwaningo oluthile olukhulu lwathola ukuthi ukushintshwa kwama-hip angu-80% kwasebenza kahle ngemva kweminyaka engu-15 ezigulini ezincane (ezingaphansi kwezingu-65), kanye neziguli ezingama-94 (abadala ezingaphezu kuka-65).
Kumele ukhumbule ukuthi nakuba ezinye iziguli zingase zithathe isikhundla sezinyosi ezedlule amashumi ambalwa eminyaka, ezinye iziguli zingase zidinge ukuphindaphinda esikhundleni se-hip eminyakeni embalwa emva kokuhlinzwa kwabo.
Ukubuyiselwa kabusha kwe-hip ( ukuphindaphinda kwesibili kwe-hip) kuyisenzo esiyinhloko esivame ukuba nemiphumela engaphumelelanga kakhulu kunomsebenzi wokuqala we-hip. Encwadini ekhanyayo, umbiko wathola ukuthi ukuhlinzwa okungu-2% kuphela kokuhlinzwa kwe-hip kwakudinga ukuhlinzekwa kwesibili kungakapheli iminyaka emihlanu yokuqashiswa kokuqala kwe-hip.
Izinto ezithinta ubude bezinguquko ze-Hip
Ucwaningo oluningi lwenzile ukunquma ukuthi ukuhlala esikhundleni se-hip kuzohlala isikhathi esingakanani. Ngamakhulu ezinhlobonhlobo ezahlukene zokufakelwa kwe-hip nezinhlobo ezingenakubalwa zeziguli, akukho mithetho ukuthi ukuhlala esikhundleni se-hip kuzohlala isikhathi esingakanani kumuntu othile.
Abakhiqizi abakhiqizelayo bazama njalo ukudala isilwane "esingcono" esizohlala isikhathi eside. Ezinye zalezi zimila zisetshenziswe kuphela iminyaka embalwa, futhi kunquma ukuthi zingabe zihlala isikhathi eside yini umbuzo kuphela isikhathi esingaphendula.
Ezinye zezici ezibonakala zithonya ukuhlala isikhathi eside kwezimpande zokufaka esikhundleni se-hip zihlanganisa:
- Ubudala Bomguli
Iziguli ezincane zidinga ukufakwa esikhundleni se-hip ukuze kuhlale isikhathi eside. Ngaphezulu kwalokho, iziguli ezincane zivame ukusebenza. Ngakho-ke, iziguli ezinezinyosi ezinama-50 noma ezincane zingalindela ukuthi zidingeke ukuba zibuyiselwe esikhundleni se-hip ngesikhathi sokuphila kwazo. - Imisebenzi yokubekezela
Iminye imisebenzi ingase ingafaneleki iziguli ezine-hip esikhundleni. Nakuba le misebenzi ingase ingabi buhlungu noma ilukhuni, ingafaka ukucindezeleka ngokweqile ekushintsheni kwe-hip, okwenza izingxenye zikwazi ukuphuma ngokushesha. - Isisindo sesineke
Uma umuntu engaphezu kwesisindo sibhekene nokucindezeleka okungaphezu kwalokho okufakwe ekufakweni okuhlanganyelwe esikhundleni. Ukugcina isisindo somzimba evamile kubaluleke kakhulu uma uzama ukwenza ukujoyina okuhlangene ukugcina. Ukuzivocavoca okufanele kungasiza ekulondolozeni indawo yokunyakaza enempilo. - Ukugwema Izinkinga
Lokhu kungase kuzwakale kusobala, kodwa kunezimo ezithile zezokwelapha ezingaqondile ezingabangela izinkinga ezithinta indawo yokujoyina. Iziguli ezinezinqubo zokwelashwa ezingenasidingo (kuhlanganise nomsebenzi wamazinyo ) zingadinga ukwelashwa kwama-antibiotic ukuvimbela amabhaktheriya ukuba angene endaweni yokujoyina. Iziguli ezine- osteoporosis kufanele ziqinisekise ukuthi ziphathwa ngendlela efanele, njengoba ukwephulwa kwithambo elizungeze ukushintshaniswa okuhlangene kungathinta ukusebenza komthelela.
I-Latest futhi Enkulu kunayo yonke
Isivivinyo esisodwa seziguli kanye nodokotela ohlinzayo ngokufanayo kufanele sithathwe esikhundleni sokushayeka kwe-hip emakethe. Ngokungangabazeki, lesi sitshalo sizobiza ukuthi sisebenze kangcono futhi sihlale isikhathi eside kunokunye ukufakwa esikhundleni se-hip. Ngenkathi lezi zimila ezintsha zingase zibe ngcono, kubalulekile futhi ukuqonda ukuthi ukuthi izindlela ezintsha azikho idatha yesikhathi eside ukuthi lezi zimplantshi zizosebenza kanjani ngokuhamba kwesikhathi.
Buza noma ngubani ohlinzayo odokotela wezinyosi mayelana nezimpembelelo abazibonayo eze bese ehamba phambili emisebenzini yabo. Kungenxa yokuthi ukufakelwa okusha kungasho ukuthi kungcono.
Ngikhuthaza njalo ukuthi iziguli kanye nodokotela abahlinzayo bazama ukuthola ibhalansi efanele phakathi komklamo wanamuhla futhi bengabi 'isiguli' sokuhlola.
Udokotela wakho ohlinzayo angakusiza ekuholeni endaweni efanelekile ye-hip engcono kuwe.
Imithombo:
Mäkelä KT, et al. "Ingqikithi ye-hip arthroplasty ye-primary osteoarthritis kwiziguli ezineminyaka engamashumi amahlanu nanhlanu ubudala noma ngaphezulu." I-Bone Joint Surg Am. 2008 Oct; 90 (10): 2160-70.
Mahomed NN, et al "Amanani kanye nemiphumela yokubuyiswa okuyisisekelo kanye nokubukezwa kwama-hip esikhundleni esiphezulu kubantu baseMelika." J Bone Joint Surg Am. 2003 Jan; 85-A (1): 27-32.