Zvokuvhiya zvinosarudzwa zvinowedzera sezvo varwere vachiri vaduku
Kuvhiyiwa kwekushandiswa kwepabvu kune imwe yenzira dzakabudirira zvikuru dzakaitwa nevanovhiya vemajoka. Zvinopa zvose zororo nekukurumidza kwenguva refu kune vanhu vanotambura zvakanyanya hip arthritis , hip osteonecrosis , kana zvimwe zvinetso zvakakomba zvehup. Vanopfuura 90 muzana yevaya vakambonzwa chirwere chekuvhiya vanoridza kuponeswa kukuru kwekunzwa uye kuvandudzwa kwekuita mabasa echiitiko.
Uyezve, inenge makumi mapfumbamwe nezana makumi mapfumbamwe nezana (80%) ichava nemichina yakakwana yekushanda pashure pemakore makumi maviri.
Hip Inoshandiswa Kushandisa Inoshanduka Kuchinja
Nokuda kwekubudirira kwekurovedzwa kwechiputi chinoshandiswa , chiitiko ichi chiri kuitika ikozvino kuvarwere vaduku. Dambudziko neizvi, hongu, ndeyekuti hip inotsiva inopedza nguva. Pari zvino, muvharo wekudzidzira huripo unopera makore makumi maviri nemashanu. Mukuvaduku, vanhu vanoshanda zvakanyanya, kuora kunogona kunge kuri kukurumidza zvikuru.
Uye izvi zvinogona kuva dambudziko rechokwadi. Parizvino, kudzokorora hup replacement ndiyo yakaoma zvikuru, uye migumisiro haisi nguva yakawanda seyakanaka. Uchitarisana neizvi, vanyori vanowanzoita zvose zvavanoita kuti vanonoke kushandurwa kusvikira panguva iyo iyo inogadziriswa inowanzopedza nguva yakasara yehupenyu hwemunhu.
Asi dzimwe nguva kunonoka hazvibviri. Somugumisiro, vatsvakurudzi vari kugara vachitsvaga hutsva hwemhando dzepamusoro hunoita kuti huve nehutano humwechete hwekusununguka paunowedzera hupenyu hwehupenyu hwezvinhu izvi zvinokosha.
Kuuya kweCeramic Hip Implants
Ceramic hip implants iri pakati pezvitsva zvemafreeshe zvinoshandiswa pakugadzirisa huputi, zvichipa kukurira kukuru kwekukuvadzwa uye kufamba kwakanyatsobatanidzwa kwekubatana.
Vanachiremba vazhinji vanovhiya nhasi vanozviona seve kubudirira pane zvigadzirwa zvemidziyo-uye-plastiki umo kuora kwepurasitiki kunogona kutungamirira pakugadzirwa zvishoma nezvishoma kwezvakakomba zvakapoteredza musangano.
Izvi zvinogona kukonzera mhinduro yekuzvidzivirira pamuviri inotungamirira mukuvhiringidza uye nekuvandudzwa kwebenign cysts inozivikanwa sepseudotumors. Nokufamba kwenguva, zviitiko izvi zvinogona kusunungura zvishoma nezvishoma kuisa uye zvinokonzera kukanganisa kusati kwaitika.
Zvigadzirwa zveCeramic, zvakasiyana, zvinoita sokuti zvinokonzera kusuruvara kuduku uye vashomanana, kana varipo, pseudotumors. Izvi zvinoratidzika ndezvechokwadi kana chigadzirwa chacho zvose-ceramic, ceramic-uye-metal, kana ceramic-uye-plastiki.
Kunyange zvazvo zvingaita sezvine musoro kuratidza kuti zvikomborero izvi zvinoshandiswa kure, kusina matambudziko kushandiswa, tinogona kungofunga kuti panguva iyi. Nehuchapupu hushoma huri kwenguva refu huripo hwekutsigira izvi, zvose zvatinokwanisa kuita ndezvokuongorora zvatinoziva nokuda kwechokwadi.
Zvinotsvakurudzwa Nemazuva Ano
Tsvakurudzo yakaitwa muna 2015 yakarongedza shanu dzakakwirira-maitiro anoongorora kuongorora kwechipatara migumisiro yevanhu vanogamuchira zvose-ceramic hip implant. Pose, 897 varwere vaisanganiswa. Iko kureva kwenguva yezvidzidzo zvakabatana zvaive makore 8.4, asi nguva yevaya vaitora chikamu yaiva makore 54.5.
Kubva pakuongororwa, vatsvakurudzi vakakwanisa kugumisa kuti vanhu vakagadzirwa ne-ceramic implant vakange vane zvishoma zvishoma zvekuvhiyiwazve, kupera kwemapfupa, uye kusunungura uye / kana kuparadzaniswa kwechigadzirwa ichi kana zvichienzaniswa nesimbi-uye-plastiki implants.
Izvo zvipingamupinyi zviviri zvakakosha, nokuenzanisa, zvaive mukana wakawanda wekudzima uye yakaipisisa mungozi yekugadziriswa kwechigadzirwa munguva yekushanda (sekuputsanya kana chips zvakakonzerwa apo chipinhi chacho chakanga chadonhedzwa).
Mukuwedzera, kune ngozi shoma yezvinonzi "kukanganisa kunokonzera," umo kuwira kwakakomba kana kukanganisa kunogona kuparadza saramic. Nenzira yakanaka, maumbirwo matsva anoratidza kuti anogadzirisa zvakanyanya uye asingagoni kupindira kupfuura zvizvarwa zvekare zvekare.
Shoko Rinobva
Hazvina mhosva kuti yakagadzirisa sei kana yakakurumbira nzira yacho yave yashandurwa, kushandiswa kwemajeri kunofanira kugara kuchionekwa sekuvhiyiwa kukuru uye kunofanira kungotanga kuve nekunyatsonzwisisa kwezvose zvibatsiro zvekuvhiyiwa pamwe nemigumisiro inogoneka.
Kunyange zvazvo kuiswa kwechiramic hip kuchiratidzika sechisarudzo chinokwezva kune vechidiki, funga imwechete mushure mekunge uchitarisana kwenguva refu nemudzidzi wemasopa uye mushure mokunge mamwe maitiro ekurapa apera.
> Kwakabva:
> Hu, D ;; Tie, K .; Yang, X. et al. "Kufananidza kwe ceramic-on-ceramic kune-metal-on-polyethylene inobata nzvimbo munzvimbo yose yehap arthroplasty: meta-kuongororwa kwemiedzo yakasarudzwa yakaitwa." J Orthop Surg Res . 2015; 10:22.