Ungayikhetha njani i-hip efanelekileyo

I-hip ye-hip ye-hip sisixhobo esinokwenzeka sonyango esinamacandelo amathathu: isiqu senyama, intloko yenyama kunye nekomityi ye-acetable. La macandelo mathathu athatha indawo ye-HIP edibeneyo, ukubuyisela ukuhamba kunye nokukhulula intlungu kwisigulana.

I-01.Lithini izinto ze I-Hip Prosthesis?

I-hip ye-hip ye-hip inezinto ezintathu eziphambili:

Isiqu sentonga

Emva kokususa intloko yenyama yesigulana, i-canal yento yomzimba iphinde yahlaziywa kwaye isiqu senyama sifakwe. I-Stem Stem Stem inokuthi idimente okanye engafakwanga (i-cinezela i-rivege) kuxhomekeke kubudala boguli, i-morphology, i-gqirhaiosyysyyncrasies kunye nemikhwa yeGowuni.

Intloko ye-femoral

Intloko ye-ferical eyenziwe ngentsimbi, i-polymer okanye i-ceramic ifakwe kwisiphelo esiphezulu se-stemoluting stemoral ukuze ibuyisele intloko yenyama yakudala esuswe.

I-Acetabler Prosthesis (okanye indebe yekomityi)

I-cartilage eyonakeleyo ukusuka phezulu kwi-acetabulum, apho intloko yendoda endala yayikhona, iyasuswa. Endaweni yayo yi-prosthes ye-acetabler enamathele. Izikrelemnqa okanye isamente zinokusetyenziselwa ukubamba endaweni. Ngaphakathi kule ndebe yiplastiki, i-ceramic okanye i-iron yentsimbi eya kwenza ukunxibelelana nentloko yegorha.

02. Zeziphi izinto eziphambili ezisetyenziselwa ukugada?

I-hip supsheses inokwahlulwa ngokwezinto ezisetyenziswayo. Okwangoku, ezi zixhobo zinokuhlelwa zibe ziindidi ezintathu:

Izinyithi

Izinyithi ezithile, ezinje ngentsimbi engenasitayile, i-cobalt-chromium ye-chromium okanye i-titanium isetyenziselwa ukwenza iziqu zenyama.

I-polymers

I-Polythylene, iplastiki enzima kakhulu kwaye eyona nto isetyenziswayo emhlabeni. Yinto ye-Intert kunye nento ebonakalayo kakhulu eye yaziswa kwi-ortopedics kwi-1960s njengenxalenye ye-Acetabel Supertheses. Namhlanje, ezi zixhobo zisasetyenziswa kwezinye izigulana, kodwa ezantsi kukuhamba kwexesha, kukho umngcipheko wokuba i-Prosphesis iya kunxiba iplastiki, ngenxa yoko ubomi be-Prosphelis buya kunqunyulwa. Nangona kunjalo, lo mngcipheko usenokuncitshiswa njengoko ezinye izigulana zinokugcina le prostheis ukuya kuthi ga kwiminyaka engama-30 nangaphandle iminyaka embalwa kuphela.

Ifoto: I-Procotyl® indebe ye-acetable ye-ocetable (i-orthodic i-orthovic ye-orthovic: ihambelana ne-delta ceramic liners kunye ne-Polythylene Lines)

Indawo yokuhamba phakathi kwentloko yenyama kunye nekomityi yebhokhwe idala into esiyibiza ngokuba ngumzuzu onqabileyo. Yinxalenye ebuthathaka ye-Prosphes, ngakumbi ngokubhekisele kunxibe kunye nokukrakra. Zine izibini ezinokubakho:

-Geramic-Polythylene

-Cramic-ceramic

-Etal-Polythylene

-Imetal-intsimbi

Isibini ngasinye sembambano sinezibonelelo kwaye ezingalunganga, kwaye ugqirha wamathambo uza kukhetha eyona indibaniselwano efanelekileyo ngokusekwe kwiikhrayitheriya ezininzi, kubandakanya iminyaka yobudala, umsebenzi wokutya, kunye nokuqina komzimba.

Kubalulekile ukuba uqaphele ukuba i-Prostheses yentsimbi ayicetyiswa. Ezinye iinkampani ezivelisa i-apflints ezinjalo zithathe isigqibo sokuyeka ukuthengisa ngo-2010 ukuya ku-20, kwaye ukuze kuxhamle izigulana, zigqibe kwelokuba azisetyenziswanga. Ingxaki iphuma kwingqumbo phakathi kwezinto ezahlukileyo zezinto ezifakwe kuyo, kwaye le meko inokuphelisa amasuntswana amancinci amancinci emva koko angenise igazi. Kwi-hip edibeneyo, la masuntswana amancinci anokubangela ukuphendula okuqinisekileyo, okukhokelela kwintlungu yendawo kunye nezilonda.

03. Zeziphi iindlela eziphambili zokulungiswa kwe-hip superheses?

I-ProSTheses inokulungiswa kwi-femur okanye kwi-acetabulum ngokuhambisa i-sugecial okanye ithambo lethambo lesibini (i-ARTEAGE). Ngokuqhelekileyo, isiqu sethuluthukisi esinxulunyaniswa nekomityi engafakwanga. Iimpawu zeli ndlela zichazwe ngezantsi:

Indlela yokuQala yeXesha lokuThumela ithambo isetyenzisiwe

Isamente esetyenzisiweyo yi I-Acrylic Polymer . I-HORINES kwisithuba semizuzu eli-15 ngexesha lenkqubo kwaye icwangcise kwangoko emva kokulungiswa.

Iindlela ezingafakwanga okanye zokushicilela-ezifanelekileyo ziyasetyenziswa

I-ProstHists ezingafakwanga (iintambo ze-prosthetic okanye iikomityi) zizinza emva kweeveki ezintandathu ukuya kwezilishumi elinambini ngenxa ye-phenomenon yethambo. Ukukhuthaza ukuvuselelwa kwethambo, umphezulu we-prosthesis uhlala udityaniswa nomaleko omncinci we-hydroxyatite, icandelo lemikhosi lethambo. Ithambo elikufuphi liyayiqonda i-hydroxyapatite njengenye yezinto zayo kwaye emva koko ikhule ngokukhawuleza kwi-bony ye-prosthesis. I-Hydroxyapatite inokwenziwa ngokukhawuleza.

04. Ihlala ixesha elingakanani i-hip supsthesis?

Inkonzo yobomi be-Prostheses yenyukele kwiminyaka yakutshanje: Kwiminyaka engaphantsi kweminyaka engama-50, eyinxalenye yezigulana ezisasebenza emva kweminyaka elishumi yokusetyenziswa yi-99%.

Amanani afanayo anokubonwa kwizigulana ezindala kwaye ngenxa yoko. Ke ngoko, utyando olungena endaweni ye-hip unokwenziwa kwizigulana zayo yonke iminyaka.

Inkonzo yobomi be-Prosthesi buxhomekeke ikakhulu kwezi zinto zilandelayo:

-Iminyaka yesigulana, isalathiso somzimba kunye nenqanaba lomsebenzi

-Ikhitha yentloko ye-prosthetic

-Uhlobo lomzuzu otyhafileyo

Kwimeko yokugqibela, kubalulekile ukuba uqaphele ukuba ubomi obude be-Prostasis buxhomekeke kakhulu kubume be-Prosthesis. Xa zombini intloko yenyama kunye neNdebe yeProsthetic yenziwa ngentsimbi okanye i-ceramic, ezona zixhobo ziphantsi zezona zixabiso liphantsi kakhulu kunye nokuba kungenxa yentloko yenyamakazi, ukunciphisa umngcipheko wokufuduka. Kubalulekile ukuba uqaphele ukuba kukho umngcipheko wokusasazeka kwenkunkuma kwizicubu ezijikeleze i-Prosthesis xa intsimbi kunye ne-ceramic-ukuya kwi-ceramic-toramic-toramic ye-ceramic iboshwe. Nangona i-ceramic-ceramic ye-ceramic ikhefu ngaphantsi kwe-Prostheses yentsimbi kwaye ixhaphake kakhulu kwi-erosion ye-firiting ngaphezulu kunababini intsimbi, kufuneka basetyenziswe ngononophelo.

I-05. Yintoni umngcipheko ohambelana ne-hip superheses?

Ukongeza kumngcipheko wendalo kulo naluphi na ungenelelo lonyango (i-anesthesia umngcipheko, izifo ezifumeneyo esibhedlele), iingxaki zinokwenzeka:

Umngcipheko wokukhutshwa

Le yeyona ngxaki iphambili kwizigulana kwaye umngcipheko uyahluka ngokuhamba kwexesha. Kuselula kwiinyanga zokuqala emva kotyando kwaye kunciphe emva konyaka wokuqala. Isonyuka kancinci kancinci ixesha. Kukho izinto ezininzi ezinokukhokelela ekuchitheni, ezinokubakho kwisigulana, utyando kunye nokufakwa, okanye ukulandela iposti. Umngcipheko wokuphindaphinda unyuka kakhulu emva kwesiqendu sokuphinda senziwe.

Umngcipheko wokosuleleka

Nayiphi na inkqubo yoqhaqho ithwala umngcipheko wokosuleleka, kwaye xa i-Prosthes ifakwe, lo mngcipheko unyuka njengoko umzimba wasemzini ungena emzimbeni. Ngale ndlela, amajoni omzimba aphazanyiswa kwaye indawo yendawo ye-ugogodefice idalwe. Intsholongwane ebingabi nethuba lokukhula elinde elinokukhula kulo mzimba welinye ilizwe. Lo mngcipheko wokosuleleka usenokubakho ngakumbi kubantu abadala kuba banezikhuselo zomzimba. Ezinye izinto, ezinjengokudumba, ezihambelana nongenelelo, okanye isifo seswekile, ezithobekileyo, nokutshaya, zinokunyusa umngcipheko wokosulelo.

Umngcipheko wokuphendula ngendlela engeyiyo

Ezinye zezinto ezisetyenziswayo kwi-prostheses zinokubangela ukubangela izinto ezingalunganga.

Umngcipheko woNyango oluhlaziyiweyo

Ukusilela, ukunxiba kunye nokukrazula, okanye ukugqabhuka kwe-Prosthesis kunokufuna utyando.