Ingabe Kunenkinga Nge Hip Yakho Yokufakelwa?
Ukuhlinzwa kwe-Hip esikhundleni sakhe kuyindlela yokwelashwa kwe-arthritis enkulu . Ngesikhathi sokuhlinzwa okuqhutshwa esikhundleni se-hip, ukuhlanganiswa kwebhola le-hip ephuthumayo kanye ne-socket ishintshwe ngokuhlanganyela okufakelwayo. Ngokuvamile, ukufakwa esikhundleni se-hip okufakelwayo kwenziwa nge-metal naseplastiki. Kuhlinzwa okujwayelekile okuqhutshwa esikhundleni se-hip, izingxenye zensimbi zihlelwe ethangeni le-femur (ithambo lesithambo) nesifuba.
Phakathi kwezingxenye zensimbi kukhona i-plastic liner esikhwameni sokufakelwa kwe-hip esikhundleni.
Ngeshwa, lezi zindawo zokufaka esikhundleni se-hip zingaphelelwa isikhathi. Ngomzamo wokunciphisa lokhu kugqoke izingxenyana zokufakelwa kwe-hip, kunezinye izinto ezisetshenziselwa ukuvuthwa ndawonye. Lezi zindawo ezibizwa ngezinye izindlela zokuhlala zingase zibe yinto yonke (akukho ipulasitiki) noma zibe nezingxenye ze-ceramic.
Nakuba lezi zindlela zokufaka esikhundleni se-hip esikhundleni singase zingapheli ngokushesha njengezinto ezijwayelekile zokwenziwa esikhundleni, kukhona nezinye izinto ezikhathazayo ngalezi zinhlobo zezimpande. Okunye okukhathazayo okukhethekile, ikakhulukazi ngokufaka esikhundleni se-hip cube , kungukuthi ukuhlanganiswa okufakelwayo kuyenzeka ukwenza umsindo ozwakalayo. I-squeak evela esikhundleni sokufakelwa kwe-hip ingase ibe yinkimbinkimbi, noma ingase ibe uphawu lwezinkinga ngombuthano wokufakelwa.
Izimbangela
Ukwehla okuvela endaweni yokuqhakaziza kungaba umphumela wezinkinga ezehlukene ezihlobene nokufakelwa, ukuhlinzwa noma isiguli.
Isinyathelo sokuqala ekuhloleni komsindo ongavamile we-hip esikhundleni sendawo ukucacisa imbangela. Ngaphandle kokwazi imbangela ethile, akunakwenzeka ukunquma ukwelashwa okungcono kakhulu kwenkinga.
- Izimpikiswano Zokutshala : Ukuphuza imfuyo cishe kuyinkinga kwiziguli ezifakelwe ukufakwa kwesinye isimo (okunye okungeyona insimbi nesiplastiki), futhi ngokuvamile kuvame ukufakwa esikhundleni se-ceramic hip. Ezinye izimpembelelo ezithile ziye zavame ukwedlula, futhi kwezinye izimo kubonakala sengathi zihlobene nobukhulu bokufakelwa, ngezimpande ezincane zinyuka ngokujwayelekile.
- Ukufakelwa kwe- Positioning: Uma ukufakelwa kwe-hip esikhundleni sakho kufakwe emzimbeni wakho, udokotela wakho ohlinzayo kumele aqinisekise ukuthi ihambelana kahle. Ucwaningo oluthile luye lwathola ukuthi ukuxazulula ukulungiswa kwempahla kungaholela ekuthambekeni kokuphuza.
- Izimbangela zesineke: Ezinye izici zesiguli ziye zahlotshaniswa nokuphuza, kuhlanganise nokuba mncane, kunzima, futhi kude. Iziguli ezithutha iminyango yazo ngokusebenzisa uhla olubanzi lokunyakaza nazo ziyakwazi ukuzwa ukuphindaphinda kwe-hip esikhundleni.
Ingabe i-Squeak iyinkinga?
Ngokuvamile, cha. I-hip eqaqayo ivame ukuphazamiseka, futhi udokotela wakho angakwazi ukukusiza ukuvimbela ukuyeka ngokukucebisa ngezikhundla ezithile nemisebenzi yokugwema. Kodwa-ke, noma yikuphi ukuphuza kufanele kubikwe, futhi kuhlolwe, udokotela wakho. Ikakhulukazi ngokufakwa esikhundleni se-hip ceramic, kukhona imibiko yezinkinga ezingavamile zokuqhaqhazela ukuthi kube uphawu oluqala lwenkinga yokufaka.
Uma i-squeaking inqunywa ukuba ingabi inkinga ngokufakelwa, futhi umsindo ubekezeleleke, inkinga ivame ukushiya yedwa. Uma ukufakelwa kuyinkinga, noma uma i-squeaking ingeke ibekezeleleke, ukuhlinzekwa kokuhlinzwa okuyisibili kwe-hip, okubizwa ngokuthi ukubuyiswa kwe-hip replacement kungenziwa. Ukuhlelwa kabusha kwe-hip esikhundleni kungaba yinselele, futhi izinqubo ezingavamile kakhulu.
Ngenkathi zingaba usizo olusebenzayo kakhulu zokwelapha ngezinkinga ezingase zibe yinselela, ukubuyiswa kwe-hip kabusha kufanele kwenziwe kuphela uma kunesidingo.
Okufanele ngikwenze
Uma ukufakelwa akuyona inkinga, kungcono ukuthi ungenzi lutho oluhlukile. Ngisho noma umsindo uphazamisa, ukwenza umsebenzi wokuvuselela ukuhlelwa kabusha kwe-hip kungumsebenzi omkhulu futhi kunezinkinga ezibalulekile ezingenzeka.
Lokho kusho ukuthi, uma kunenkinga yokungenisa, ukuhlonza kuqala inkinga nokulungiswa kokuhlinzeka kungenza ukuhlinzwa okubukeziwe kungabhubhise kakhulu futhi kuphumelele kakhulu. Lapho izinkinga zokufakelwa zingahambi kahle, umphumela wesikhathi eside ungaba nzima kakhulu ngenxa yomonakalo hhayi nje kuphela ekufakeni izimpande kodwa nangethambo elizungezile kanye nezicubu ezithambile.
Uma ukufakelwa kutholakala ukuthi kubangela inkinga nokuhlinzwa okubukezwayo, kunalokho ukuthola lokhu kunakekelwa ngokushesha kungakapheli kamuva kungasiza ekunciphiseni amathuba okucindezeleka.
Umthombo:
UWalter WL, et al. "Ukubuyekezwa kwe-Hipsaking Hips" J Am Acad Orthop Surg, Vol 18, No 6, Juni 2010, 319-326.