Okunye okunye okushiwo esikhundleni se-Hip

Ingabe kukhona okunye okukhethwa kukho iziguli ezine-arthritis ezinzima?

I-arthritis ephakeme ye-hip ingabangela ubuhlungu nokubunzima ukuhamba. Iziguli eziningi ezinalezi zimpawu ezikhungathekile ngenxa ye-arthritis ye-hip zizokhetha ukuhlinzwa okuphelele . Kodwa-ke, ukuguqulwa kwe-hip esiphelele akuyona ingozi kanye nokukhathazeka kwayo, ngakho-ke iziguli eziningi zibuza ukuthi zikhona yini ezinye izindlela zokweqa esikhundleni.

Ezinye izindlela zokufaka esikhundleni se-Hip ukucabangela

1. Ukwelashwa Okungavamile: Ukungabi nokuhlinzwa njalo kuyindlela yokukhetha. Ukuhlinzekwa kwama-Hip esikhundleni cishe akukaze kube khona ukwelashwa okuphoqelekile; kunalokho kuyisimo sokukhetha abantu abangakhetha ukukwenza uma isikhathi sabo sifanelekile. Iziguli ezine-arthritis enkulu ye-hip, kodwa zisebenza ngokufanele, zingakhetha ukuhlala nesimo sabo. Kukhona ukwelashwa okuphumelelayo kwe-hip arthritis engasiza iziguli ukuba zigweme isidingo sokuba indawo ephelele ye-hip. Phakathi kwazo kukhona ukwelashwa ngokomzimba, izinsiza zokuhamba, imithi elwa nokuvuvukala , izilonda ze-cortisone , nezithako ezihlangene . Ngokwejwayelekile, ukuhlinzwa okuqashiswayo kwe-hip akuyona inqubo ephuthumayo, futhi ngokuvamile kaningi akulimazi ekubambezelekeni ukuhlinzwa kuze kube yilapho uzwa ukuthi isikhathi silungile. Kukhona okunye okuhlukile kulokho, kepha kubantu abaningi, ukufakwa esikhundleni se-hip kuyindlela yokuhlinzeka okhethweni.

1. I-Hip Resurfacing : Ukuhlinzwa kwe-Hip resurfacing iyindlela ehlukile yokushintshwa okujwayelekile kwe-hip yeziguli ezine-arthritis enamandla. Ekuhlinzekeni kwe-hip ukuvuvukala, ukufakelwa okuncane kuncane, futhi amathambo angaphansi kancane asusiwe. Ukuvuselelwa kwe-Hip kuzuza isithakazelo, ikakhulukazi kwiziguli ezincane. Ngenkambiso yokuvuthwa kwe-hip, inani elincane lamathambo lisuswa ebhokisini le-hip elihlangene nebhola, futhi i-cap yensimbi ifakwa phezulu kwebhola. Isixhumi sensimbi sifakwa esikhwameni, esifana nenqubo yokufaka esikhundleni se-hip. Lokhu kuvuvuka kwe-hip kugcina amathambo amaningi avamile kunomshini ojwayelekile wokushintshwa kwe-hip. Ukuhlinzwa kwe-Hip resurfacing kuye kwaba yinto engavamile kakhulu eminyakeni yamuva ngenxa yezikhathazo mayelana nokusebenzisa okubizwa ngokuthi ukufakelwa okuhlanganisiwe kwensimbi . Lezi zindlela zokufaka esikhundleni sensimbi-zensimbi zihlanganisa konke okufakiwe okwenziwa manje kwe-hip. Ukufakwa esikhundleni sensimbi-on-metal kuye kwaba nokukhumbula okunzima futhi izinkinga ezibangela kokubili odokotela neziguli zabo ukuba baziqaphele ngalezi zinqubo kanye nalezi zimila.

1. I-Hip Replacement Eyingxenye (i-Hemiarthroplasty): Ukushintshwa kwe-hip okuyingxenye yindlela ejwayelekile eyenziwa ngokuhlinzwa, kodwa hhayi ngokuvamile eyenzelwa isifo samathambo. Phakathi nale nqubo yokuhlinza, ibhola kuphela le-ball-and-socket joint hip iyinhlangano yokushintshwa. Lena ukwelashwa okuphumelelayo kwezinhlobo ezithile ze-hip fractures uma ibhola kuphela le-hip lilimazekile. Inkinga kubantu abane-arthritis enamandla kakhulu yukuthi isisekelo saleli hip sinakele futhi, ngakho-ke sidinga ukubhekwa. Ngenxa yalesi sizathu, ukuchithwa kwe-hip okuyingxenye ngokuvamile akuyona into enhle yokuhlinzwa kwamathambo e-hip.

1. I-Hip Fusion (i-Arthrodesis): I- fusion ye-Hip iyindlela encane eyenziwa kaningi manje ukuthi ukukhishwa kwe-hip sekuphumelele kakhulu. Ukuhlinzwa kwe-Hip fusion kususa konke ukunyakaza emhlangothini we-hip ngokuba namathambo we-femur ne-pelvis aphulukise ndawonye. Babanjwe kule ndawo nge-plate enkulu yensimbi nezikuluzi. Izixuku ze-Hip ngokuvamile zenziwa ezigulini ezincane ezisebenza izisebenzi ezinzima. I-fusion ye-hip ayifuni njengama- hip esikhundleni salezi ziguli. I-fusion ye-hip ivumela isiguli ukuba senze imisebenzi edingekayo emzimbeni engaholela ekugqokeni kokuqala endaweni yokuqhaqha. Inkinga nge-hip fusion yilapho iziguli zingenaso ukunyakaza kwe-hip, zizohamba nge-limp, futhi ekugcineni zingadinga ukuhlinzekwa okuqhubekayo ukuze kuguqulwe esikhundleni se-hip.
2. Ukuhlaselwa kwe-Arthroplasty (Inqubo ye-Gridlestone): Ukwenziwa kabusha kwe-arthroplasty kuyinkqubo lapho ithambo elizungezile lihlanganiswa khona futhi isikhala esivumelwaneni sivunyelwe ukugcwalisa izicubu ezibomvu. Le nqubo ivame ukwenziwa ezigulini ezinesifo esithathelwanayo esingenakulawulwa, noma kuziguli ezinezimo ezibonakalayo ezingenalo ithuba lokuhamba ngokujwayelekile. Iziguli ezitholakalayo i-arthroplasty yokuthengiswa kwe-Girdlestone cishe zizodinga idivayisi ethile (imikhonto noma ihambahamba) yokuhamba.

1. I-Hip Osteotomy: I- osteotomy ye- Hip yinkqubo eyenziwa ukubuyisela amathambo we-joint hip. I-osteotomy ingenziwa esikhwameni sethanga (femur), i-pelvis, noma kokubili. Ngokuvamile ama-osteotomi ayenziwa ezigulini ezinenkinga ebangela ukuthi i-arthritis yasekuqaleni ihlangene. Isibonelo, izimo zentuthuko ezifana ne- hip dysplasia zingaholela ekudleni kwamathambo okuqala. I-Hip dysplasia ivela ezinsaneni futhi iholela emathanjeni angenasifo esizungezile. I-osteotomy iyasiza ukubuyisela amathambo kwangempela futhi unciphise izimpawu zesifo samathambo okuqala . Lezi zinqubo kumele zenziwe ngeziguli ezikhethiwe ngokucophelela.

Lezi ezinye zezinketho kubantu abanesifo samathambo esibi kakhulu abangase bafune enye indlela yokwelashwa esikhundleni. Yize akuzona zonke lezi zinto ongakhetha kuzo kungase kube ngokoqobo uma unesithakazelo kwenye yalezi zinketho kufanele uxoxe ngazo nodokotela wakho ohlinzayo.

> Imithombo: Nho SJ, Kymes SM, Callaghan JJ, Felson DT. "Umthwalo we-hip osteoarthritis e-United States: ukubhekwa kwe-epidemiologic kanye nezomnotho" UJ Am Acad Orthop Surg. 2013; 21 Ukusekela 1: S1-6.