Izinkinga Ngokuphindaphinda U-Hip esikhundleni se-Worn Out Implants
Ukuhlinzwa ukuvuselelwa kwe-hip yokuvuselela kuyindlela yokuhlinza ukufaka esikhundleni sokufakelwa esikhundleni sokuguqulwa kwe-hip . Ukufakwa esikhundleni kwe-Hip kuphakathi kwezinqubo ezivame kakhulu ezenziwe ngabahlinzayo bama-orthopedic . Lokhu kuvulwa kuphumelele kakhulu, futhi kuneziphumo ezinhle kakhulu eziningi zeziguli. Inkinga, ngeshwa, yukuthi ukuphinda esikhundleni se-hip esikhundleni siphelelwe yisikhathi .
Ukufakwa esikhundleni kwe-Hip ngokuvamile kuguga kancane kancane, kodwa inkinga iqhubeka phakathi neminyaka. Ngemuva kweminyaka eyishumi ngemuva kokufakwa esikhundleni se-hip , kunethuba elingamaphesenti angama-90 ukufakwa kwalo kuzosebenza kahle. Eminyakeni engu-20 emva kokuhlinzwa, ithuba liba ngu-80%. Ngemuva kweminyaka engu-25-30 emva kokuhlinzwa, cishe ama-50% we-hip esikhundleni sakhe asasebenza kahle. Iziguli ezigqoka izifo zazo zizodinga ukuhlinzwa ukuvuselelwa kwe-hip esikhundleni. Ukubuyiselwa esikhundleni se-hip kungenziwa futhi ukuphatha izinkinga ezifana nokutheleleka kwe-hip esikhundleni , ukususwa kwe-hip esikhundleni , noma ukwehlukana kwethambo eduze kwendawo yokunyakaza.
Inani lezingxoxo ze-hip ezenziwe ngabahlinzayo bamazinyo likhula ngokushesha, ngesilinganiso esilinganiselwe esingu-8-10% ngonyaka. Cishe kube ngu-70,000 ukulungiswa kabusha kwe-hip esikhundleni senziwa minyaka yonke e-United States. Njengoba abantu abaningi bekhetha ukushintshwa kwe-hip, ikakhulukazi eminyakeni encane, inani lokubuyiselwa kabusha kwe-hip likhula ngokushesha.
Okwenza ukushintshwa kwesi-Hip kugqoke
Ukufakwa esikhundleni kwe-Hip kungaphelela ngezizathu ezihlukahlukene. Isizathu esivamile kunazo zonke sokuqothulwa kwe-hip sigqamile kuthiwa i- aseptic ikhululeka . Ukukhishwa kwe-aseptic kwenzeka lapho izimpande ze-hip ziba yizilo ngaphakathi kwethambo. Ukufakelwa kwe- hip okuxekethile kuyabangela ubuhlungu, futhi ngokuvamile kudinga ukuguqulwa kabusha kwe-hip.
Ezinye izimbangela zokufakelwa kwe-hip ezigqamile zihlanganisa ukutheleleka, ukwephulwa kwe-prosthesis, ukwephulwa kwethambo eduze kwe-prosthesis, nezinye izinkinga. Kuncike ekubambeni kwe-implant failure, ukwelashwa ngaphandle kokuvuselelwa kwe-hip esikhundleni kungadingeka. Isibonelo, esimweni sokutheleleka, ukuguqulwa kwe-hip kungadingeka kususwe ukuphatha ukutheleleka, kulandelwa izinyanga zokuvuselela izinyosi kamuva.
Kungani Ukubuyekezwa Kunzima
Ukubuyiselwa esikhundleni se-hip yindlela yokuhlinzwa eyinkimbinkimbi futhi imiphumela ayihambisani nokushintshwa kwe-hip yokuqala. Izinkinga zobuchwepheshe zifaka ikhwalithi yethambo kanye nekhono lokuvikela ngokwanele ukufakwa esikhundleni se-hip esikhundleni. Ngaphezu kwalokho, ukususa esikhundleni esidala se-hip kungadinga ukuhlinzwa okubanzi. Ngokubambisana, lezi zinkinga zivame ukudingwa ukuthi ukuhlelwa kabusha kwe-hip kube yinkimbinkimbi kakhulu. Ukuhlela ngokucophelela udokotela ohlinzayo wamazinyo kuyadingeka ukuqinisekisa ukuthi uzokwazi ukwakha i-hip ezokuvumela ukuthi ululame ngokwanele.
Enye inkinga ngokushintshwa kwe-hip yokubuyekeza ukuthi ukuhlinzwa ngokwayo kungaba nzima nakakhulu. Iziguli zivame ukuba zikhulile, futhi zibekezelele kancane izinqubo zokuhlinzeka isikhathi eside.
Inqubo yinkimbinkimbi ngokwedlulele ukuthi ukushintshwa kwe-hip eyinhloko, futhi imiphumela emlonyeni ibaluleke kakhulu (ukuhlinzwa okude, ukulahleka kwegazi ngaphezulu). Ngenxa yalokhu, ukuguqulwa kabusha kwe-hip kufanele kucatshangelwe futhi kuhlelwe ngokucophelela. Ukubandakanya odokotela abavamile bezokwelapha, abahlengikazi be-anesthesiologists, kanye nodokotela ohlinzayo wamazinyo bonke kubalulekile.
Lapho Ukuthola Ukuhlinzwa Okubukeziwe
Nguwe kuphela nodokotela ohlinzayo wezinzwa onganquma ukuthi isikhathi siphila yini esikhundleni sokuvuselelwa kwe-hip. Ngezikhathi ezithile iziguli zizwa izimpawu ezimbalwa, kodwa ama-x-rays azobonisa isizathu sokucubungula ukubuyiswa kwe-hip.
Ngezinye izikhathi, naphezu kwezibonakaliso eziphawulekayo, udokotela ohlinzayo wamazinyo angase ancoma ngokumelene nokuhlelwa kabusha kwe-hip.
Angikwazi ukugcizelela ukuthi indlela yokwenza isinqumo esiyinkimbinkimbi yokubuyisela isinqumo esiyinkimbinkimbi ingaba kanjani. Akuzona zonke izinkinga zokufaka esikhundleni se-hip zixazululwa ngokuhlinzwa okubukeziwe . Isiguli ngasinye kufanele sicatshangwe ngesisekelo somuntu ngamunye - ukukhiqizwa okujwayelekile akukwazi ukukwenziwa uma kuhlolwa ukuhlinzwa okuqhubekayo kwe-hip. Uma une-hip esikhundleni futhi ucabanga ukuthi ungadinga ukuhlinzwa okubukeziwe, kumele uxoxe ngezinketho zakho nomhlinzeki wakho wezinyosi.
Izwi elivela
Ukwenza ukuhlinzekwa kokuvuselelwa kwe-hip kabusha kuyisenzo esikhulu. Ngenxa yokuhlinzwa kwangaphambilini, ukubuyekezwa okuhlanganyelwe ngokuphindaphindiwe cishe kuyindlela enzima yokuhlinzwa, ngokuvamile kuholela emiphumeleni encane engaphumelela, futhi inengozi enkulu yokuzibandakanya. Izizathu zokubuyiselwa kabusha okuhlanganyelwe kunzima kakhulu ukufaka izicubu ezibomvu, ubunzima bokukhipha izimila, kanye nesidingo sezimplomelo ezikhethekile ezisetshenziswa ngesikhathi sokuhlinzwa okubukeziwe. Lokho kusho ukuthi, lapho eqaqa esikhundleni sokuyeka ukuyeka ukusebenza ngendlela evamile, ukuhlinzwa okubukezwayo kungadingeka ukuze uzame futhi ubuyisele umsebenzi ojwayelekile ohlangene.
> Imithombo:
> Nho SJ, uKymes SM, uCallaghan JJ, uFelson DT. "Umthwalo we-hip osteoarthritis e-United States: ukubhekwa kwe-epidemiologic kanye nezomnotho" UJ Am Acad Orthop Surg. 2013; 21 Ukusekela 1: S1-6.