I-Coxarthrosis yezinga lesi-3

I-Coxarthrosis i-arthrosis yokukhubazeka yokuhlanganiswa kwe-hip. I-coxarthrosis yesilinganiso sesithathu yisigaba sesimanje sokuthuthukiswa kwesifo, lapho kukhona cishe ukucwilisa okuphelele kwe-articular cartilage, ukungabi khona kwe-synovial fluid nokulimaza sonke isakhiwo sohlangene, esihambisana nobuhlungu obukhulu nokunciphisa okukhulu ukuhamba.

Ukwelashwa kwe-coxarthrosis yesilinganiso sesi-3 ngaphandle kokuhlinzwa

Imithi yokwelashwa yesikhumba (ngaphandle kokungenela okuhlinzekwayo) ihlanganisa isethi yezinyathelo zokunciphisa ukuvuvukala nokubuyisela izicubu zomzimba we-joint:

1. Ukwamukelwa kwezidakamizwa ezingekho-steroidal ezilwa nokuvuvukala kumaphilisi noma ngendlela yokujola.
2. Uma ucabangela ukuthi ubuhlungu obunama-coxarthrosis ama-degrees angu-3 ngokuvamile buhlala njalo futhi bunamandla ngokwanele, esiteji sokuqala sokwelashwa kwezidakamizwa ezingekho-steroidal eziphikisayo ze-anesthesia kungenzeka ukuthi akwanele. Kulesi simo, ama-painkillers engeziwe anqunywe noma ayenziwe ukwelashwa okuyinkimbinkimbi, kufaka phakathi kokubili umjovo kanye nokuthatha amaphilisi, kanye nokusetshenziswa kwamafutha akhethekile anomphumela wokulwa nokuvuvukala nomzimba.
3. Uma kwenzeka ukuvuvukala okukhulu okuthinta izigulane, imijovo ye-intra-articular ye-corticosteroids yenziwa.
4. Ukwamukelwa kwabasebenzi be- chondroprotectors .
5. Ukudla kwezidakamizwa zokuphumula nezidakamizwa ze-vasodilator.
6. Izikhathi ezivamile ze-physiotherapy ukuthuthukisa ukuhamba okuhlangene.

Ukwelashwa kokuhlinzwa kwe-coxarthrosis yezinga eli-3

Kule nkinga yesifo, ukwelashwa okulindelekile kuvame ukungasebenzi futhi ezimweni eziningi ukuhlinzwa kuyadingeka.

Ukusebenza, ngokuya ngesilinganiso sokulimala kwamalungu, kungaba nezinhlobo ezintathu:

1. I-Artoplasty. I-version yokuphazamisa kunazo zonke yokwelashwa kokuhlinzwa. Ukubuyiselwa kwemisebenzi ehlangene kwenziwa ngokubuyisela phezulu, ukubuyisela i-cartilage ne-pads engezansi, esikhundleni sabo noma amaphuzu avela kumzimba wesiguli, noma izimila ezivela kumsebenzi okhethekile wokufakelwa.
2. Endoprosthetics . I-radical version ye-artoplasty, efaka esikhundleni sokuhlanganiswa okonakalisiwe noma ingxenye yayo nge-prosthesis ekhethekile. I-prosthesis isetshenziselwa ithambo futhi iphinda iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde ibuyele emuva.
3. I-arthrodesis. Ukusebenza, lapho ukulungiswa okuhlangene nokulahlekelwa okuphelele kokuhamba kwawo. Isetshenziswa kuphela ezimweni lapho ezinye izindlela zokwelapha zingasebenzi, ngoba ukuvuselelwa okuphelele komsebenzi ngemuva kokusebenza okunjalo akunakwenzeka.