Minidal Invidable Anterior Approach for Hip Replacement Surgery
Anterior hip kudzoreredzwa kushandiswa chikamu chemaitiro achangobva kushandiswa kushandisa zviduku, zvishoma-zvisingaiti zvokuvhiya nzira. Mhedziso yeyi nzira yekuvhiya ndeyekuita nenzira imwe chete nekusavhiringidzwa kuduku kumasumbu nemapfekete. Nokuita kuvhiyiwa kuburikidza nekufungidzirwa zviduku, uye kusagadzikana kwemaviri mashoma, zvinotarisirwa kuti varwere vachabva vaine marwadzo maduku uye vachikurumidza kudzoka.
Kunzwisisa Anterior Hip Kudzokorora
Anterior hip replacement haisi chirwere chitsva. Nyanzvi dzakawanda dzechiremba dzakagadziridza huputi kuburikidza nekushongedzwa kwekare kune makumi emakore. Ichokwadi, iyo inonyanya kutaurwa pamusoro pemhando iyi yakabudiswa muna 1980. Chii chiri chitsva pamusoro pekushandura kwekare kunonzi kuti kurapwa kuri kuitwa kuburikidza nekufungidzirwa zviduku nezvimwe zvinyorwa zvakakosha kuti zvibatsire kuita chirwere ichi chisishungurudzike kune murwere.
Nhengo yehuputi yakadzika mukati memuviri pakusangana kwemapapiro uye kumusoro kwetambo rehudyu. Zvose zvinoshandiswa pakuputika, zvisinei nokuti chii chinokanganisa, zvinoda chiremba wako kuti agadzire mberi kwepamusoro pechidya chebandauko uye nechekiti yemapanga. Pane nzira dzakasiyana-siyana dzekuti chiremba wako aite izvi, sezvo chiremba wako achigona kuswedera kuhudyu yako kubva kumashure kwekubatana (posterior approach), rutivi rwekubatana (lateral kana anterolateral approach), mberi kwekubatana (anterior kuswedera), kana kuburikidza nekubatanidzwa kwezvirevo ( maviri-incision approach ).
Zvakakosha kunzwisisa kuti zvose izvi zvinosvika pakuita chinangwa chimwechete chekutora bhora nechikanda chekubatanidzwa kwechiuno .
Zvinhu zvakasiyana-siyana zveAnterior Approach Hip Replacement
Nzira yekutarisa inoputika inoputika ndiyo nzira inoparadzanisa musimba, zvinoreva kuti chiremba anovhiya anokwira pakati pemisungo miviri, kwete nekubvisa uyezve kuisa musimba.
Iyo inofungidzirwa ndeyekuti kugadziriswa kunogona kuenderera mberi nekukurumidza nekusarega kubvumira mushure mutsva kuti upore.
Sezvo kune dzimwe nzira dzisingasviki dzisingaiti, huwandu hwekugadzirisa hunochengeterwa sehupfupi sezvinobvira mukuedza kubatsira kubvisa kusagadzikana kwemashure. Anterior hip shanduro dzinofungidzirwa nevamwe vanachiremba kuti vave nejasi shoma rekusununguka , kunyange neine mishonga yakawanda vamwe vanachiremba vanofunga kuti ichi hachisisiri ruzivo rwakakosha rwechimiro chekare chinoshandiswa.
Zvipingamupinyi zvakawanda zvinosangana ne anterior approach hip replacement zvakafanana nehuwandu hwehup replacement complications . Chimwe chinetso chinokonzerwa nekukuvadzwa kune ganda guru reganda riri pedyo nekukanganiswa kwemaitiro anterior hip replacement. Kukuvadza kune chirwere ichi, mushure mekudzivirira kwevakadzi, mushure mekuvhiyiwa kunogona kutungamirira mukurwadziwa kusingagumi uye kusanzwisisika kusinganzwisisiki mberi nechemberi kwehudyu.
Is Anterior Hip Kuchinja Kunobatsira Here?
Sezvimwe nehumwe humwe humwe humwe humwe humwe huri muhutano hwekushandura, hahuzivikanwe kana anterior hip replacement ndiyo kuvandudza pane dzimwe nzira dzekuvhiya kunoshandiswa kwekunyora. Pane zvakanakira uye zvisingabatsiri nenzira dzakasiyana-siyana dzekuropwa kwechikafu.
Nepo vamwe vachitaura kuti rehab ingave iri kukurumidza kana kurwadziwa kungave kuderera, kune dambudziko rinopesana kutsigira nharo iyi. Zvimwe zvidzidzo hazvina hutsananguro mukudzoka apo imwe nzira yekare inopindira hip inoenzaniswa nedzimwe nzira.
Chido chekudzikisa marwadzo nekukurumidza kupora kunonzwisisika. Zvisinei, chinhu chinonyanya kukosha chekuvhiya chikafu chekunyora ndekukupa hutano husina marwadzo uye huchakugumisa kwenguva yakareba . Izvo zvinangwa hazvikwanise kuregererwa kana kuchinja kunogadzirirwa kuvhara maitiro ekugadzirisa.
Nepo nzira yekutarisa inopisa inogona kupa zvimwe zvidzidzo kana ichienzaniswa nemamwe marudzi ekuputika kwechiuno , hazvizivikanwe kana izvi chaizvoizvo zvinomirira kuvandudzwa kwekurovedzwa kwechiputi.
Iwe unogona kukurukura nyaya idzi nechiremba wako apo iwe wakagadzirira kufunga nezvehup replacement.
Sources:
Klausmeier V, et al. "Pane kukurumidza kugadziriswa ne anterior kana anterolateral THA? Kudzidzira ndege." Clin Orthop Relat Res. 2010 Feb; 468 (2): 533-41.
Chiedza TR, Keggi KJ: Nzira yeAnterior yekuputika arthroplasty. Clin Orthop Relat Res 1980; 152: 255-260.
Vail TP, Callaghan JJ. "Minimal Incision Total Hip Arthroplasty" J. Am. Acad. Ortho. Kukura., December 2007; 15: 707 - 715.