Ukushintshwa kwe-Hip

An ilunga lokwenziwaiyisitho sokwenziwa esakhiwe abantu ukusindisa ilunga elilahlekelwe umsebenzi walo, ngaleyo ndlela kufezwe injongo yokukhulula izimpawu nokuthuthukisa umsebenzi. Abantu baye baklama amalunga okwenziwa ahlukahlukene amalunga amaningi ngokuya ngezici zelunga ngalinye emzimbeni. Amalunga okwenziwa yiwona aphumelela kakhulu phakathi kwezitho zokwenziwa.

Okwesimanjeukushintshwa kwe-hipukuhlinzwa kwaqala ngawo-1960. Ngemva kwengxenye yekhulu leminyaka yokuthuthukiswa okuqhubekayo, isibe indlela ephumelelayo yokwelapha izifo ezihlangene ezithuthukisiwe. Kuyaziwa njengengqophamlando ebalulekile emlandweni wamathambo ekhulwini lamashumi amabili.

Ukuhlinzwa kwe-hip esikhundleni sokwenziwamanje isiwubuchwepheshe obuvuthwe kakhulu. Kulabo abane-arthritis ethuthukisiwe engasebenzi noma engasebenzi kahle, ikakhulukazi i-hip osteoarthritis kubantu asebekhulile, ukuhlinzwa kungakhulula ngokuphumelelayo ubuhlungu nokuthuthukisa i-hip Umsebenzi wamalunga uyadingeka ngokuphelele ekuphileni kwansuku zonke. Ngokwezibalo ezingaphelele, njengamanje kuneziguli ezingaphezu kuka-20,000 ezithola i-artificial.ukushintshwa kwe-hipeShayina minyaka yonke, futhi isibalo sikhula kancane kancane, futhi isibe wukuhlinza okuvamile kwamathambo.

1. Izinkomba

I-Hip osteoarthritis, i-necrosis yekhanda lesifazane, ukuphuka kwentamo yesifazane, i-rheumatoid arthritis, isifo samathambo esibuhlungu, i-dysplasia ye-hip, izimila eziyingozi neziyingozi, i-ankylosing spondylitis, njll., inqobo nje uma kukhona ukucekelwa phansi kwe-articular surface izimpawu ze-X-ray ezihambisana nobuhlungu obuphakathi noma obungapheli obungapheli obungaphenduki. ukwelashwa.

2. Uhlobo

(1).I-Hemiarthroplasty(ukushintshwa kwekhanda le-femoral): ukushintshwa okulula kokuphela kwe-femoral ye-joint hip, ikakhulukazi efanelekile ukuhlukana kwentamo ye-femoral, i-avascular necrosis yekhanda lesifazane, akukho monakalo osobala endaweni ye-acetabular articular, futhi ukuguga akukwazi ukubekezelela ukushintshwa kwe-hip okuphelele kweziguli.

(2).Ukushintshwa kwe-hip okuphelele: ukufakwa esikhundleni sokwenziwa kwe-acetabulum kanye nekhanda lesifazane ngesikhathi esifanayo, ngokuyinhloko kulungele iziguli ezine-hip arthritis kanye ne-ankylosing spondylitis.

3. Ukuvuselelwa Kwangemuva Kokuhlinzwa

(1). Ngosuku lokuqala ngemva kokuhlinzwa: ukuvivinya amandla kwemisipha yesitho esithintekile

(2). Ngosuku lwesibili ngemva kokuhlinzwa: susa isilonda bese ukhipha isilonda, sebenzisa amandla emisipha yesitho esithintekile futhi usebenzise umsebenzi ohlangene ngesikhathi esifanayo, futhi uvimbele ngokuqinile ukufakwa kwe-hip joint and rotation yangaphakathi, i-hip flexion ngokweqile kanye nezinye izenzo zokuvimbela ukukhishwa kwe-prosthesis esikhundleni.

(3). Ngosuku lwesithathu ngemva kokuhlinzwa: sebenzisa amandla emisipha nokusebenza okuhlangene kwekhanda lombhede ngesikhathi esifanayo, futhi uvivinye umzimba ngokuthwala isisindo uhamba phansi. Iningi leziguli lifinyelela izinga lokukhishwa.

(4). Susa ama-sutures amasonto amabili ngemuva kokuhlinzwa futhi uqhubeke nokwenza izivivinyo ezisebenzayo. Ngokuvamile, izinga lokuphila kwansuku zonke lifinyelelwa phakathi nenyanga eyodwa.