Uma uhlela ukuthola indawo ye- hip , wena nodokotela wakho kuzodingeka uthathe isinqumo sokuthi ungasebenzisa yini ukuhlanganiswa kwe-hip engasetshenziswa noma engakaqanjwanga.
Umehluko yilokho amagama ashoyo - ngokuhlanganyela okuhlangene okuhlanganiswa kwe-hip (eyaziwa ngemibandela yezokwelapha njenge-prosthesis), uhlobo lwamakhemikhali lisetshenziselwa ukuvikela ukuhlanganiswa kwe-hip yokufakelwa. Phakathi naleso sikhathi, ku-prosthesis engakaqanjwanga, i-hip yokufakelwa ekugcineni igcinwa ukukhula kwethambo lakho ekuhlanganyeleni kwe-hip yokufakelwa.
Kukhona izinzuzo nezindleko kuleyo ndlela ngayinye, futhi impendulo yakho kumbuzo othi "okungcono kakhulu?" kuzoxhomeka kuneminyaka yakho, izinga lakho lokuzivocavoca, nesimo sakho sezempilo jikelele. Njengoba uxoxa ngokuhlinzwa, kufanele ukhulume nodokotela wakho ngalokho akuphakamisayo kanye nezizathu ezenzelwe izincomo zakhe.
Umehluko
Ngokuvamile bakholelwa ukuthi nge-cemented prosthesis, ukuphuluka kuyashesha (ngoba umlenze uvikeleka ngokushesha), kukhona ubuhlungu obuncane bokuthunyelwe, futhi okubaluleke kakhulu, ukuvuselelwa kungaqaliswa cishe ngaso leso sikhathi. Noma kunjalo, i-cemented prosthesis, ekufundiseni, ingase ingapheli isikhathi eside nje uma ingaqanjwanga, kanti ukuphindwa kwesibili kwe-hip, uma kunesidingo, kungase kube nzima nakakhulu.
I-hipprose engakaqanjwanga kucatshangwa ukuthi ihlale isikhathi eside, futhi ukushintshwa kwe-hip okulandelayo kungase kube lula ukwenza kangcono kunokuthi esikhundleni se-prosthesis ye-cemented. Ukungahleleki okukhulu nge-hipprose engakaqanjwanga ukuthi ukulinda ukukhula kwethambo ukuze kutholakale ukuqina kwezinyosi (kuze kube izinyanga ezintathu) kuphuza inqubo yokuvuselela.
Ubuhlungu be-post-operative bunenkinga eningi nge-hip engakaqanjwanga.
Yiluphi uhlobo lwe-Hip Prosthesis oluhle kakhulu
Ngokuvamile, odokotela abahlinzayo baye bavame ukugcina iziguli ezincane ezincane, okungenzeka ukuthi zidinga ukwelashwa kwesibili emgwaqeni, futhi okungenzeka kube lula ukuthi isikhathi eside sibheke kalula.
Kwabaningi iziguli asebekhulile (nabaningi abancane), odokotela abahlinzayo bancoma ukuthi i-cemented prosthesis iphakanyiswe. Ama-joint amakhemikhali angasebenza futhi angasebenza kahle kubantu abane-osteoporosis noma amathambo abuthakathaka.
Ukuhlaziywa kwezifundo ezitholakalayo ngalesi sihloko, eshicilelwe ngo-2013, kuphelile ukuthi imiphumela yesikhathi eside yayifana kakhulu nezinyathelo zomzimba ezingenamakhemikhali nezingenamakha. Lokhu kungukuthi, idatha idlulisela kakhulu ukuthi ubude bokusinda (kokubili ezinkalweni kanye neziguli) empeleni kwakufana nalokho kokubili izinhlobo zokufakelwa kwe-hip.
Lolu cwaningo lubuye lwaqinisekisa ukuthi ukutakula kusuka ekuhlinzekeni kwakusheshayo nama-prostheses ama-cemented. Ngakho-ke, ngokusobala, izinzuzo ze-sementless prosthesis zingase zingabi ngokoqobo kunalokho okucatshangwa.
Kunoma yikuphi, isimo somuntu ngamunye sihlukile, futhi wena nodokotela wakho kufanele nilinganise izinzuzo nezinkinga esimweni ngasinye sokunquma ukuthi yiluphi uhlobo lwe-prosthesis olungcono esimweni sakho.
Imithombo:
Abdulkarim A, Ellanti P, Motterlini N, et al. Ukulungiswa okuqinisekisiwe okungaqinisekisiwe ekufakweni okuphelele kwe-hip: ukubuyekezwa okuhleliwe nokuhlaziywa kwe-meta kokuhlolwa okulawulwa ngokungahleliwe. I-Orthop Rev (i-Pavia). 2013 Feb 22; 5 (1): e8. Ishicilelwe ku-intanethi ngo-2013 Mar. 15. i: 10.4081 / noma.2013.e8 i-PMCID: PMC3662257
(Ehlelwe nguRichard N. Fogoros, MD)