Elinye lamalungu amakhulu kunawo wonke omzimba womuntu yi-joint hip. Lokhu kuhlangene kufakwa ku-capsule, kuqiniswe ngemigqa, futhi igobolondo layo langaphakathi limbozwe ngekhanda elibizayo elikhiqiza ubisi lwe-articular cartilage. Emaphethelweni ohlangothini nxazonke kukhona izicubu zomzimba.
I-trauma kanye nezinqubo ezihlukahlukene zokwehlisa amandla kungahlanganiswa nezibonakaliso ezinjengezinhlungu ezinjalo, ukuhamba okunciphisa, ukuzinyuka, njll. Yiqiniso, lezi zenzakalo ezinzima zinciphisa kakhulu umsebenzi womuntu, amandla akhe omsebenzi, kanye nekhwalithi yokuphila. Cishe ngaso sonke isikhathi lapho kuhlangene ukuhlanganiswa kwe-hip, izindlela zokuzigcina zingasebenzi, futhi indlela kuphela yokuphinde usebenze isilungu sokufaka inhlanganisela ye-hip.
Izinkomba zokuhlinzwa ukuqhutshwa kwe-hip
Ukungenela okunjalo kungenziwa ngezifo ezilandelayo:
- ukuphuka kwentamo yesifazane ;
- Izinguquko ezithuthukisayo emva kwamathambo okugcoba kanye nezinyosi;
- ukubola kwe-osteoarthritis;
- i-arthritis;
- izimo ze-necrotic ekhanda le-femur;
- i-spondylitis e-ankylosing, njll.
Izindlela ze-Prosthetics ze-Hip Joint
Kuye ngohlobo nobuningi bokulimala kokujoyina, ukushintshwa kwalo ngezingxenye zokufakelwa kungenziwa ngamanani amaningi. Ingqikithi ye-prosthetics inikeza ukushintshwa okuphelele kwalokhu okuhlangene futhi kuboniswa izilonda ezinkulu. Ngesikhathi esifanayo, kwenziwa i-prosthetics yekhanda le-femal kanye ne-acetabulum ye-hip bone. Ezimweni ezinzima kakhulu, kungenzeka ukuthatha isisindo somzimba ohlangene ngaphandle kokuthinta amathambo.
Ukukhethwa kwe-prosthesis kwenziwa ngesisekelo somuntu ngamunye. Ukulungiswa kwezakhi zokufakelwa kungaba:
- isamente - isetshenziselwa kaningi iziguli ezikhulile lapho izicubu zethambo zibuthakathaka;
- isinamakhemikhali - isetshenziselwa iziguli ezincane ezinamathambo anamandla ngokwanele (kulokhu, emva kokusebenza kwesisu, ukulungiswa kwesigungu esisebenzayo isikhathi esingaphansi kwenyanga nesigamu kuyadingeka).
Izici zomsebenzi wokufaka esikhundleni sokujoyina i-hip
Ngaphambi kokuhlinzwa, udinga ukuhlolwa okuphelele kwezokwelapha ngokuhlolwa kwama laboratory kanye ne-radiography. Ngamaviki ambalwa noma izinyanga ezimbalwa, kunconywa ukuba uqale ukuqeqeshwa ukuqinisa imisipha, uyeke ukuthatha utshwala nokubhema, futhi wenze ukuphathwa kwesisindo. Ngaphambi kokuhlinzwa, inkambo yokuvimbela ukulwa nezifo kanye ne-thromboembolism inqunywe. Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele futhi kungadlulela kumaminithi angu-45 kuya kumahora amathathu.
Izinkinga ngemuva kokufakwa esikhundleni se-hip
Izinsuku ezingu-14 zokuqala emva kokuhlinzwa, isiguli sibophezelekile esibhedlela ngaphansi kokuqondiswa odokotela, tk. kukhona ingozi yezinkinga ezinjengalezi:
- i-thromboembolism;
- ukuhlukanisa;
- inqubo esithathelwanayo.
Ukuvuselelwa ngemuva kokufaka esikhundleni se-hip
Ubude bokubuyiselwa emva kokufaka esikhundleni sokuhlanganiswa kwe-hip kunqunywa, okokuqala, ukuthi isiguli sizokwenza kanjani ukuqashwa kwadokotela futhi sithuthuke kahle
Ukuze uvuke emilenzeni ngokusekelwa kumathanga, njengomthetho, kuvunyelwe ngosuku lwesibili. Ama-sutures asuswe ngemva kwamasonto amabili, amanzi - emva kwezinsuku ezintathu kuya kwezingu-4. Cishe esikhathini esingangenyanga nesigamu isiguli singase sithuthe ngaphandle kwamathanga. Buyela empilweni evamile egcwele emva kokufakwa kokuhlanganiswa kwe-hip ngonyaka.