Ukuhlinzeka ngokuhlinzwa kwe-Hip kuyindlela ephumelelayo yokwelapha ubuhlungu be-hip obangelwa i-arthritis. Une-hip ye-arthritic, kodwa ngokuvamile kuvame ukukhanya kwe-cartilage ye-joint hip. Ukuhlinzwa okuqashisayo kwe-Hip kuthatha indawo ephazamisekile ngokudala kabusha ukuhlanganiswa okujwayelekile kwe-hip nokufakelwa okufakelwayo., Ukubonisana okubukeka phakathi kwethambo lethanga kukhanda, ukunyakaza okulula kufaka ukuhamba, ukugibela izitebhisi, nokuvuka endaweni ehlezi ungabe usenamahloni futhi.
Izimpande ezisetshenziselwa ukufaka esikhundleni se-hip zingenziwa ngenhlanganisela yensimbi, i-plastic, ne-ceramic.
Izinkinga zokuhlinzwa esikhundleni sokuqashwa akuvamile, kodwa zingenzeka. Uma kunenkinga, ukuphindaphindiwe kwe-hip esikhundleni, okuthiwa ukubuyiswa kabusha kwe-hip , kungase kudingekile ukulungisa inkinga ngokuhlanganyela okufakiwe. Isizathu esivame kakhulu sokudinga ukuhlinzwa ngokuphindaphindiwe kwe-hip ukuhlukaniswa kwe-hip esikhundleni . Ukuhlukaniswa kwenzeka lapho ibhola lihlukaniswa nesokhethini sokushintshwa kwe-hip. Ngenkathi ibhola kanye nesikhwama se-hip esikhundleni sisebenza ngokuqinile ngokuqinile, azixhunyiwe ngempela, futhi uma amandla asele asetshenziswa, angahlukaniswa. Ngenkathi isengozini sokuqothulwa kwe-hip esikhundleni sehla sehla eminyakeni eyishumi eyedlule, lesi yisona sizathu esivame kakhulu sokudinga ukubuyiswa kabusha kwe-hip.
Ukususwa kwe-Hip esikhundleni
Ukushintshwa kwe-Hip esikhundleni kuvela lapho ibhola lokushintshaniswa kwebhola ne-socket liphuma esikhwameni.
Ngenkathi ngokuvamile kuvame ukubeka esikhundleni sokufakwa esikhundleni se-hip ngaphandle kokungenwa kokuhlinzwa, ithuba lokungeniswa okungeziwe noma ukulimala kwezimpande ziphezulu. Ngakho-ke, ukuxoshwa kwe-hip esikhundleni sokususwa kwendawo kungesizathu esivamile kakhulu sokuthi indawo yokuvuselela i-hip isenziwa.
Ukunquma ukuthi kungani ukuhlanganiswa kwe-hip kuhlukanisiwe kubalulekile ukunquma ukwelashwa okufanele.
Izizathu ezenzekayo zokuhlukaniswa kwe-hip esikhundleni sokufaka indawo zihlanganisa uhlobo lokufakelwa okusetshenziselwa, ukumiswa kokufakelwa emzimbeni, ukulimala okubuhlungu, noma izimo zezokwelapha ezingezansi isiguli (isibonelo, isifo sikaParkinson ). Uma ngabe imbangela yokuhlukaniswa kwempahla isinqunyiwe, ukwelashwa okufanele kunganconywa, okungase kuhlanganise inqubo yesibili yokuhlinzwa ukuze ubuyiselwe esikhundleni sendawo ye-hip, futhi mhlawumbe usebenzise uhlobo oluthile olufakiwe.
Ukuvimbela ama-Hip Replacement Dislocations
Ucwaningo lwamuva luye lwaphenya ukuthi kungani isiguli esinikeziwe singase sikwazi ukuzwa ukuhlukaniswa kabusha kwe-hip esikhundleni. Akuzona zonke izici ezingalawulwa; isibonelo, isiguli esinesifo sikaParkinson asikwazi ukunciphisa ingozi yokuxoshwa ngokushintsha isimo sabo. Esinye isici esingakwazi ukulawulwa yisikhathi; iziguli ezingaphezu kweminyaka engu-85 zinekhono eliphakeme lokususwa kwe-hip esikhundleni. Kodwa-ke, kunezici eziye zaboniswa ukuthi zifaka isandla ekugodleni ukuhlukaniswa kabusha okungalawulwa:
- Usayizi Wokutshala
Ubukhulu bekhanda lesifazane, noma ubukhulu bebhola lebhola-nesikhwama, kungandiswa ukuze kusize ukuvimbela ukuhanjiswa kwe-hip esikhundleni. Amakhanda amancane amakhulu ase-femal angenasiphelo esincane sokungena emkhathini. Ukusebenzisa izimpande ezikhethekile, ezifana nokufakwa esikhundleni se-hip metal-on-metal , kuvumela ukuba udokotela wakho ohlinzayo asebenzise ikhanda elikhulu lezinsikazi , futhi ngaleyo ndlela ingozi yokunciphisa umzimba. Izinketho zezinsikazi zekhanda labesifazane ziye zanda ngokuphawulekayo kule minyaka eyishumi edlule.
- Ukuhlinzekwa kwezidakamizwa
Esinye isici sokulawula ukuchithwa kwe-hip esikhundleni sendawo yokuvuthwa yi-surgeon volume. Odokotela abahlinzayo abenza okungaphansi kwama-hip esikhundleni se-hip ngonyaka banethuba eliphakeme kakhulu lokuba nesiguli esinokuhlukaniswa kabusha kwe-hip esikhundleni. Ngakolunye uhlangothi, odokotela abahlinzayo benza okungcono ukuthi ama-hip replaces ngonyaka ngamunye banethuba eliphansi kakhulu lokuba nesiguli sokuhlukaniswa kabusha kwesinqindi.
Esinye isici esanda kuphenywa yiluhlobo lwenqubo yokuhlinzekwa esetshenziselwa ukufinyelela ohlangothini lwe-hip. Ukwenziwa kabusha kwe-hip ngokuphindaphindiwe kwenziwa ngezinqubo zokuhlinzwa zangaphakathi , kanti abanye odokotela abahlinzayo bazwa ukuthi amathuba okuhlukanisa aphansi kakhulu ngale ndlela.
Kukhona idatha ephikisanayo mayelana nokuthi kungakanani indlela yokuhlinzwa yokuhlinzwa okungaba khona, kodwa lokhu kungase kube esinye isinyathelo esiwusizo ekunciphiseni ithuba lokuhlukaniswa.
Ngezansi: Yini okufanele ngiyenze?
Iziguli ezithatha indawo ye-hip kufanele ziqaphele ukuthi ingozi engaba khona yokususwa kwe-hip . Ezigulini ezisengozini enkulu yokugcina ukuhlukaniswa, izimpendulo ezikhethekile zingase zikhethwe ukusiza ukuvimbela ithuba lenkinga. Uma ukuxoshwa kwe-hip esikhundleni, kuhlolwe ngokucophelela imbangela yale nkinga. Kubantu abathintekayo ikakhulukazi mayelana nokuhlukaniswa, bangaxoxa nodokotela wabo odokotela ukuthi izimpande ezithile noma izindlela zokuhlinza zinganciphisa kanjani ingozi yokuba nenkinga yokuhlukanisa.
Imithombo:
"Umthamo wokuhlinza udokotela, ubukhulu bekhanda besifazane yizici ekunciphiseni ingozi yokuhlukanisa" AAOS Now; February 2010.