Izixazululo zokukhipha izimpembelelo zokufaka esikhundleni se-hip ngokuhamba kwesikhathi
Ukuhlinzwa kwe-Hip esikhundleni senye yezinqubo ezivamile zomzimba wama-orthopedic. Lo msebenzi wenziwa cishe izikhathi ezingu-300 000 e-United States ngo-1997. Nakuba inqubo iye yaphumelela kakhulu futhi iphephile, ayizange igcwaliswe. Esinye sezikhathazo ezivame kakhulu zombili iziguli kanye nodokotela yinkinga yokufaka esikhundleni se-hip ibe yinto engavamile ngokuhamba kwesikhathi.
Kungani ama-hip esikhundleni sakhe aphela?
Ukufakwa esikhundleni kwe-Hip kungahamba kabi ngezizathu eziningi. Lokhu kufaka:
- Ukukhululeka kokushintshwa kwe-hip
- Ukutheleleka kokufakelwa kwe-hip
- Ukuqhekeka noma ukugqoka ukufakelwa
- Ukulimala kwithambo elizungeze ukufakwa
Inkinga evame kakhulu ngokufaka esikhundleni se-hip ukuthi iqala ukuyikhulula ngokuhamba kwesikhathi. Izifo nokuphulwa kwezimila akuvamile, kodwa izinkinga ezinzima kakhulu.
Iyini ukukhishwa kwe- hip kukhululeka ?
Ukukhishwa kwe-Hip esikhundleni kuhamba isikhathi eside, futhi kungabangela izinkinga ngomsebenzi ojwayelekile we-hip replacement prosthesis. Uma ukufakwa esikhundleni se-hip kufakwe emzimbeni, kungakhathaliseki ukuthi kufakazela-kufinyelele esitokisini, noma kumiswe endaweni. Kungakhathaliseki ukuthi yiyiphi indlela, ifanelana ngokuqinile emthanjeni wethanga (femur) kanye nesifuba ukuze implant ayikwazi ukuhambisa. Uma izimplantshi zithukulula, ukufakwa esikhundleni se-hip kungaqala ukuhambisa imali encane. Ngokujwayelekile, lokhu kuhlotshaniswa nobuhlungu obandayo nokulahlekelwa kwesimo esitholwa yisiguli.
Kuzoze kube nini ukufakwa esikhundleni kwe-hip okumele kuphele?
Iningi le-hip esikhundleni sokugcina lilinganiselwa eminyakeni engu-20-25. Ezinye izinguquko ze-hip zizohlala isikhathi eside, kanti ezinye izimpande zokufaka esikhundleni se-hip zingaphumeleka ngokushesha. Ngezikhathi ezithile izimpande zokufaka esikhundleni sokuqeda zizohluleka ngokushesha ngemuva kokuhlinzwa, kuyilapho ungase uzwe ngeziguli eziye zafakelwa amalunga iminyaka engama-30 noma ngaphezulu ngaphandle kwezinkinga.
Kungani ukushintshwa kwe-hip kususa ukukhathazeka okunjalo?
Bobabili odokotela neziguli bakhathazeke kakhulu ngenkinga yokuguqulwa kwe-hip ekhululekayo ngoba ukuhlinzwa okubuyiselwa esikhundleni sokuvuselela (ukushintshwa kokujoyina ) kuyinkimbinkimbi kakhulu. Ukubuyekezwa kwama-hi okuphindaphindiwe ngokuvamile akuphumelelanga njengokuqala kokusebenza. Ngemuva kokusebenza kabusha, iziguli zivame ukubuyisa ukunyakaza okuncane kokuhlanganyela. Futhi, isikhathi eside sokufakelwa kwehla sinciphisa ngokubuyekezwa ngalunye. Ngakho-ke, odokotela bavame ukugwema ukuhlinzwa okubambisene nabo kuze kube yilapho kudingeka khona, bese uzama ukuthola ama-mileage amaningi ukusuka endaweni ngayinye ngangokunokwenzeka.
Ukuze uthole ulwazi oluthe xaxa mayelana nezimbangela zokufaka esikhundleni se-hip, khubaza.
Kungani ukukhishwa kwe-hip kuhluleka futhi kudinga ukushintshwa ngokuhamba kwesikhathi?
Njengoba kushiwo ngaphambili kulesi sihloko, kunezimbangela eziningi zokufakelwa kwe-hip ukuhluleka, noma ukuhamba kabi. Eminyakeni eyizinkulungwane edlule, lapho ukuhlinzwa kokujoyina okuhlangene kwaba okusha, kunezici ezahlukene ezazimisela ukuthi ukufakelwa kabusha kwe-hip kuzothatha isikhathi eside kangakanani. Ezinye izimpande zakuqala zahluleka ngoba lezi zinyoni zazikwazi ukuphuka noma ama-plastiki asheshe ahlakazeka.
Ngenxa yokuthuthukiswa kwamandla we-hip replacement prosthesis kanye namandla okulungiswa kokufakelwa, ukushintshwa kwe-hip kuvame ukuhlala kahle kakhulu uma sekufakiwe.
Ngaphezu kwalokho, ngokuthuthukiswa kwezinqubo eziyinyumba kanye nokwelashwa kwezifo, isifo esibi kakhulu sokutheleleka kwesifo sofuba siye sancipha. Manje, imbangela evame kakhulu yokuxoshwa okuhlanganyelweyo ingenxa yokugqoka kwendawo yokufakelwa, kanye nokwehlisa amandla kwethambo elizungezile. Le nkinga ibizwa ngokuthi i- osteolysis , futhi ibangele ukuthi indawo yokunyakaza ikhululeke ngokuhamba kwesikhathi.
Kwenzekani lapho i-osteolysis ivela?
I-osteolysis yinkinga ebangela ukuba ithambo elizungeze ukutshala libonakala sengathi 'liyancibilika'. Ukubuthakathaka kwethambo elizungeze ukuqhutshwa kwe-hip kubonakala kuma-x-ray, futhi kubonakala sengathi kunezimbobo ezitheni nxazonke zokufakelwa okuhlangene. Ngenxa yethambo elibuthakathaka, ukuguqulwa kwe-hip kukhululekile, futhi kuqala ukuzulazula ngaphakathi kwethambo.
Iziguli zizwa izibonakaliso zobuhlungu nokulinganiselwa ekunyameni kwe-hip. Igama lobuchwepheshe lobuthakathaka bethambo luthiwa i-osteolysis.
Iyini 'isifo sosimende', futhi lokhu kuhluke kanjani nge-osteolysis?
Eminyakeni edlule, le nkinga yezimbobo ezitheni ezibonwe kwi-x-ray ibizwa ngokuthi 'isifo sesimiso'.
Leli gama livela eqinisweni lokuthi odokotela ekuqaleni babengazi imbangela yokwehliswa kwethambo. Ngenxa yokuthi amakhemikhali asetshenziselwa ukufaka esikhundleni se-hip, le nkinga yayicatshangwa ngokungalungile ngenxa yensimu, ngaleyo ndlela igama le-samente isifo. Leli gama linamathela, nakuba sekuyaziwa manje ukuthi isimiso akuyona inkinga.
I-osteolysis ivele kanjani?
I-osteolysis ivela ngenxa yokugqoka izingxenye ze- hip esikhundleni . Iminyaka eminingi yokusetshenziswa, izingcezu ezincane zokufakelwa kwe-hip kubangele ukucasula ama-tishu azungeze ukutshala, futhi ziqale ukubangela ukwehliswa kwethambo. Ngisho noma ukufakelwa kwe-hip esikhundleni samanje kwenziwa ngezinto ezikwazi ukumelana nokugqoka kahle kakhulu, ngisho nezinani ezincane zalezi zinhlayiya ezincane zingalimaza ithambo elizungeze ukufakwa esikhundleni se-hip.
I-osteolysis ingagwenywa kanjani?
Eminyakeni yamuva, ukuzamazama kuye kwaqala ukuphenya ukuthi ngabe ezinye izindlela zokufakelwa esikhundleni se- metal-on-plastic (polyethylene) esikhundleni sezintambo ngeke zinciphise. Izimplantshi ezintsha ezenziwe nge-ceramic-on-polyethylene , i- ceramic-on-ceramic , kanye nensimbi-on-metal zicutshungulwa ukuze zithole ukuthi ziphi isikhathi eside kangakanani uma ziqhathaniswa ne-metal-on-polyethylene yendabuko.
Izimplantshi ezintsha zicatshangelwa kanjani ukuthi zihlale isikhathi eside?
Amadivaysi asetshenzisiwe amasha avame ukuba nezinhlayiyana ezincane zokugqoka; lawa yizinhlayiya ezidonshulwa iminyaka edlule njengoba uhlangene ubopha, kufana ne-rabri igqoke amathayi emoto yakho.
Ngaphezu kokuba nezinhlayiyana ezincane zokugqoka, umthamo omkhulu wokugqoka kulezi zimila ungaphansi kokufakela kwe-metal-on-polyethylene. Kodwa-ke, awaziwa okwamanje uma lezi zinhlobo ezihlukene zezimila zizokwehlisa izinga lokukhishwa kwezimpembelelo ngokuhamba kwesikhathi. Ngaphezu kwalokho, kungase kube nezinye izinkinga ezihlobene nokusetshenziswa kwalezi zinhlobo ezihlukahlukene zokufakelwa kwe-hip esikhundleni .
Ngeshwa iziguli, ayikho impendulo ecacile ngokuthi yiluphi uhlobo lokufakelwa "oluhle kakhulu." Isizathu salokhu ukuhlolisisa ukuphumelela kwesikhathi eside salezi zinhlobo ezintsha zezimila, ukuhlolwa kudinga ukuqhubeka iminyaka eminingi futhi kufaka iziguli eziningi.
Abahlinza abaningi abahlinzayo bazimisele kakhulu ukufaka uhlobo olulodwa lokufakelwa kabusha kwe-hip, futhi bangasebenzisa lokhu kuzo zonke iziguli ngoba bazijwayele leso sitshalo esithile. Uma unemibuzo mayelana nokuthi yiluphi uhlobo lokufakelwa olusetshenziselwa esikhundleni sakho se-hip, kufanele uxoxe ngalokhu nodokotela wakho.