Nigute wahitamo ikibuno cyiburyo

Ikibuno cya hip ni igikoresho cyubuvuzi kidasanzwe kigizwe nibice bitatu: uruti rwimyenda, umutwe wa femoral hamwe nigikombe cya acetabular. Ibi bice bitatu bisimbuza ibibuno byangiritse, kugarura kugenda no kugabanya ububabare kumurwayi.

01.Nibigize a HIP PROSHASIS?

Ikibuno cya hip kigizwe nibice bitatu byingenzi:

Uruti rw'umunyabwenge

Nyuma yo gukuraho umutwe wumurwayi wumurwayi, umubyimba wumurwayi wumurwayi urasubirwamo kandi uruti rwumuyoboro rwinjijwemo. Uruti rwumuyoboro rushobora guhanura cyangwa rutaramenyerewe (Tekinike yubuhanga) ukurikije imyaka yumurwayi, morphologiya, morphologiya, amagufwa, amagufwa asiosyncyckes hamwe ningeso zabaganga.

Umutwe wa femoral

Umutwe wa spherical ukozwe mubyuma, polymer cyangwa ceramic yashyizwe kumurongo wo hejuru wo gusimbuza femoral kugirango usimbuze imitwe ya kera yangiritse yakuweho.

Acetabular prosthos (cyangwa igikombe prosthos)

Cartilage yangiritse kuva hejuru ya Acetabulum, aho umutwe wa kera uherereye, uvanyweho. Mu mwanya wacyo ni prostrasi ya acetabulate. Imiyoboro cyangwa sima irashobora gukoreshwa mugufata mu mwanya. Imbere muriki gikombe ni plastike, ceramic cyangwa icyuma kizahura numutwe wa prosthetique.

02. Ni ibihe bikoresho nyamukuru bikoreshwa mu guhiga prostate?

Hip prostates irashobora gutandukanywa ukurikije ibikoresho bikoreshwa kugirango bibe. Kugeza ubu, ibyo bikoresho birashobora gushyirwa mubwoko butatu:

Ibyuma

Ibyuma bimwe, nka sit idafite ikibaho, codain-chromium thromium cyangwa titanium ikoreshwa mugukora ibiti bya femoral.

Polymers

Polyethylene, plastike ikomeye cyane nibikoresho bikoreshwa cyane kwisi. Nibintu bifatika kandi biocompdatible byatangijwe muri orthopedics mu myaka ya za 1960 nkigice cya protatike ihamye. Uyu munsi, ibi bikoresho biracyakoreshwa mubarwayi bamwe, ariko ibibi ni uko igihe kigeze, hari akaga ko prostrasi izashira muri plastiki, bityo ubuzima bwuzuye ni bwo bugabanywa. Ariko, iyi mbaraga irashobora gukomeza kugabanywa nkuko abarwayi bamwe bashobora kubika iyi prothèse imyaka 30 nabandi mumyaka mike gusa.

Ifoto: Procotyl® L Acetabular Cup (Ibicuruzwa bifite amagufwa bitera: Bihuye na Delta Ceramic Liners hamwe na Alta Ceramic Liners yambukiranya polyethylene)

Agace kagenda hagati yumutwe wumunya femoral hamwe nigikombe cya femoral kirerekana icyo twita mugihe cyo guterana amagambo. Ni igice kidakomeye cyuruhererekane, cyane cyane mubijyanye no kwambara no gutanyagura. Hariho ibice bine bishoboka:

-Reramic-polyethylene

-Reramic-ceramic

-Metal-polyethylene

-Tetal-icyuma

Buri mugabo, abaterankunga bafite ibyiza n'ibibi, kandi umuganga ubaga amagufwa azahitamo guhuza amakimbirane akwiriye gushingira ku bipimo byinshi, harimo n'imyaka y'umurwayi, imyitozo ngororamubiri, n'ububiko.

Ni ngombwa kumenya ko prostate yicyuma muri rusange idasabwa. Ibigo bimwe bitanga ibyo bidashidikanywaho kureka kubigurisha muri 2010-2011, kandi kubwinyungu zabarwayi, mfata icyemezo cyo kwibuka ibyo bitinginze bitakoreshejwe. Ikibazo kiva mu makimbirane hagati y'ibintu bitandukanye by'igituba, kandi ubu buryo burashobora guhungabanya uduce duto duto tuca arimbutsa amaraso. Mu kibuno, iyi ncts ntoya irashobora gutera allergic reaction, biganisha ku bubabare bwaho.

03. Nubuhe buryo nyamukuru bwo gukosora ikibuno?

Prosthas irashobora gukosorwa kuri femur cyangwa acetabulum by simatike yo kubaga cyangwa amagufwa yo kuvugurura amagufwa (itamenyerejwe cyangwa ibimenyerewe cyangwa gusoza). Mubisanzwe, igiti cyangijwe na femoral gifitanye isano nigikombe cya femorale kidasobanutse. Ibiranga ubu buhanga byasobanuwe hano hepfo:

Ububiko bwo kubaga amagufwa bukoreshwa

Amagufwa yakoreshejwe ni an Acryc . Byarumye muminota 15 mugihe cyinzira kandi bigashyiraho ako kanya nyuma yo gukosorwa.

Tekinike idasobanutse cyangwa itangazamakuru ikoreshwa

Prostate idasobanutse (inkoni ya prostatique cyangwa ibikombe) bidashoboka nyuma yibyumweru bitandatu kugeza kuri cumi na bibiri kubera ibintu byamagufwa. Guteza imbere igufwa ryamagufwa, ubuso bwa prosthos busanzwe butwikiriwe nigice gito cya hydrofasipatite, ibice byamabuye y'agaciro. Amagufwa yegeranye yemera Hydrofasite nkimwe mubigize hanyuma akakura vuba hanze ya bony of prostrasi. Hydrofasatite irashobora gukorwa kuri shimi.

04. Igihe cyaho cyaho cyanyuma kimara igihe kingana iki?

Ubuzima bwa serivisi bwiyongereye mumyaka yashize: Mu barwayi bari munsi yimyaka 50, ugereranije nabarwayi bafite prostèse baracyakora nyuma yimyaka icumi ikoreshwa hafi 99%.

Imibare nkiyi irashobora kugaragara kumusazi bityo abarwayi bashishikarizwa. Kubwibyo, kubaga amavuta yo gusimbuza birashobora gukorwa mubarwayi b'ingeri zose.

Ubuzima bwa serivisi bwurubanza bushingiye cyane cyane kubintu bikurikira:

-Umurwayi, Urutonde rwimibiri hamwe nurwego rwibikorwa

- diameter yumutwe wa prostate

-Ubwoko bwo guhagarika umutima

Mu rubanza rwa nyuma, ni ngombwa kumenya ko kuramba kwa prostèse biterwa cyane no ku rugero rufite ibigize prostrasi. Iyo umutwe wa femoral hamwe nigikombe cya prostheque gikozwe mubyuma cyangwa ceramic, inyungu nyamukuru ni igipimo gito cyane kandi gikwiye gukoresha umutwe wigitsina gabo, ugabanye ibyago byo kwimyambaga. Ni ngombwa kumenya ko hari ibyago byo gutatanya imyanda muri tissue ibikije prosthasi iyo ibyuma-to-charates na-ceramic-ceramic-ceramic-ceramic-ceramic-ceramic-ceramic-ceramic-ceramic-ceramic Nubwo ceramic-ceramic-ceramic yakubise munsi yicyuma-icyuma kandi irwanya cyane isuri yaka kuruta ibyuma-ibyuma, bigomba gukoreshwa byitondewe.

05. Ni izihe ngaruka ziterwa no gukubita hip?

Usibye ingaruka zisanzwe mu gutabara (Anesthesia ingaruka, indwara zabonye ibitaro), ingorane zirashobora kubaho:

Ibyago byo kwimyambaga

Nibibazo nyamukuru mubarwayi kandi ibyago biratandukanye mugihe. Ni hejuru cyane mumezi yambere nyuma yo kubagwa no kugabanuka nyuma yumwaka wambere. Hanyuma yongeye kwiyongera mugihe runaka. Hariho ibintu byinshi bishobora gutera kwigana, bishobora kuba bifitanye isano numurwayi, kubaga no kugandukira, cyangwa gukurikiranwa nyuma yo gukurikirana. Ibyago byo kwiyongera kwiyongera cyane nyuma yiki gice cya mbere cyo kwiba.

Ibyago byo kwandura

Uburyo ubwo aribwo bwose bwo kubaga butwara ibyago byo kwandura, kandi iyo prostrasi ikozwe, iyi ngaruka ziriyongera nkuko umubiri wabanyamahanga winjira mumubiri. Muri ubu buryo, sisitemu yumubiri iratandukanye hamwe nubuso bwaho bwimhinodeficiency. Bagiteri mubisanzwe nta mahirwe yo kurokoka irashobora gukura kuri uyu mubiri wamahanga. Izi ngaruka zo kwandura zishobora kurushaho kubakuze kuko zifite ubudahangarwa bukennye. Ibindi bintu, nkumubyibuho ukabije, bigora ibikorwa, cyangwa diyabete, bigabanya ubudahangarwa, no kunywa itabi, birashobora kongera ibyago byo kwandura.

Ibyago byo kubikorwa bya allergic

Bimwe mubikoresho bikoreshwa muri prostate bifite ubushobozi bwo gutera allergic reaction.

Ibyago byo kubaga

Gutsindwa, kwambara no gutanyagura, cyangwa guturika kwa prostèse birashobora gusaba kubaga.