Ndeipi Hip Resurfacing Process?
Hip inosimudza ndiyo imwe nzira yokuvhiya yakashandurwa inoshandiswa pakushandura yakashandiswa kurapwa kwakakura kwechirwere arthritis . Hip inomutsa haisi kuvhiyiwa mutsva. Hip inomutsa kuvhiyiwa yakaitwa kubvira kumavambo 1970. Zvisinei, kuchinja kwekupedzisira muhudyu kunounza kuiswa kwekugadzirwa kwakakonzera kufarira mutsva mune izvi.
Ndiani Anogona Kuva ne Hip Resurfacing Surgery?
Hip inoshandura kuvhiya inogona kuonekwa kune varwere vane maziso makuru ane hip arthritis .
Hip inosimudza yakakurudzirwa kuvarwere vari vaduku uye vangatarisana nekuvhiyiwa kakawanda pamusoro penzira yeupenyu hwavo hwose. Hapana zvidzidzo zvakaratidza kuti hip inowedzera zviri nani kuvarwere vaduku, asi kune zvakanakira zvidzidzo zvakatungamirira vamwe vanachiremba kuti vaite izvi.
Chii chakaita kuti Hip Resurfacing irege kubuda kunze kwekunaka muma 1970?
Hip inomutsa yakave nzira yakakurumbira makumi emakumi apfuura akapfuura. Zvisungo zvakashandiswa panguva iyoyo zvakagadzirwa nesimbi uye plastiki. Zvinosuruvarisa, zvipfeko izvi zvine matambudziko makuru uye kazhinji zvakakundikana mumakore mashoma apfuura mushure mekuvhiyiwa. Varwere ivavo vanowanzoda kuravhirwazve, kunyange munguva pfupi mushure mekunge vachisimuka.
Chii chakaita kuti kuwedzera kukurumidza muHur Resurfacing Surgeries?
Mumakore ekuma1990, hupva hutsva hukwakonzera kuumbwa kwekugadzirwa kwakaiswa. Kubvaruka kwechiuno kunogadziriswa ikozvino kwave kuitwa zvachose nesimbi, ine zvikamu zviviri zvakasiyana.
Chimwe chezvigadzirwa zvesimbi ndeye "kapu" yakaiswa pabhokisi rebhora-uye-rakasungirirwa hup joint, uye rumwe rutivi rwekusimbiswa iyo mukombe wesimbi inoumba chitsiko chekubatana. Izvi zvinenge zvisati zvaratidza huwandu hwakawanda hwekukundikana kwekutanga kuonekwa musimbi uye mapurisa epurasitiki yemakore makumi manomwe nema1980.
Vamwe vanachiremba vakatsigira hip kubvumira mapiritsi nekuda kwezviverengeka zvinogona kubatsira.
Izvi zvinobatsira zvinosanganisira:
- Kugadziriswa kwetachiona pfupa: Kuvhima kuvhara kweuro kunobvisa pfupa shoma kupfuura kumira kwechigadziri. Muchidimbu chechidimbu chechigadziro , bhora rose rebhora-uye-rakasungirirwa hup joint rinobviswa. Muchipupuriro chekunyanya kubuda, panzvimbo pokubvisa bhora, chigadziko chesimbi chinosungirirwa panopoteredzwa korotilage. Nemhaka yokuti pfupa rakapoteredza kubata iri kutsigira danda resimbi, iyi pfupa inowedzera kuramba iine utano uye yakasimba. Ifupa rakapoteredza chidimbu chechigadziro chinogona kuve chakaonda uye chisina simba kana hip replacement implant inotsigira mutoro wose. Dambudziko iri rinonzi "kushungurudzika kunodzivirira," uye rinowanzoonekwa zvisinganyanyi kuitika muchiputi.
- Dambudziko shomanana rekusimuka: Hip inoshandisa mapiritsi anonyatsodzokorora chimiro chakanaka chekubatanidzwa kwechiuno uye, saka, ine ngozi shoma yekuregererwa mushure mekuvhiyiwa. Kunyanya muvana vaduku, vanoshanda zvakanyanya, kushandiswa kunogona kuva dambudziko guru rekuvhiyiwa kunoshandiswa .
- Zvinyorwa zvekuvandudza: Kana kuputika kwekuputika kwekuputika kusingapfuuri upenyu hwose hwomurwere, kuongorora (kudzokorora) kushandura hakusi kwakaoma. Nguva dzose kana nzira yekudzokorora ichiitwa, kuvhiyiwa kukuru uye kuwedzera kukuru kunofanira kushandiswa. Nokudzikisa pfupa rakabviswa, uye kushandisa zviduku zvishoma, chirongwa chekudzokorora chinotevera chiuno chekumuka chirwere chinogona kunge chakaita sekuita chidimbu chechigadziriswa.
Ndiani Akanakisisa Mumiririri we Hip Kuvandudza Purogiramu?
Mutevedzeri akakodzera wekunyora kwekunyanya kunyura ndeyecheche (pasi pemakore makumi matanhatu) murwere ane pfupa rakasimba rakapoteredza musungo wekuputika. Vachiri vaduku vanonyanya kunetseka nekubatanidzwa kwevashandi vanogadziriswa nokuti vari mukana wokuti vatsvake kuwedzerwa kunatsiridza ( kugadziriswa kwechikafu chinotsiviwa ) pane imwe nguva gare gare muupenyu. Iko kunokwidziridzwa kwechiuno kunofungidzirwa kuchengetedza mamwe mapfupa uye kudzivirira zvinetso zvingangobatanidza nehuwandu hwezvekudzorera hup replacement chirurgical.
Ndiani Haasi Mwoyo Wakanaka Mune Hip Inonzi Resurfacing Surgery?
Varwere vane matambudziko mumapfupa akakomberedzwa musangano wekuputika havafaniri kuve nokuvhiyiwa kwechiuno.
Izvi zvinosanganisira varwere vane kurasikirwa kwemapfupa zvichibva pamarthritis avo, varwere vane osteoporosis, uye varwere vane cysts mukati mefupa. Chimwe chezviitiko izvi chinogona kuderedza pfupa rakapoteredza musungo wekuputika, uye zvinotungamirira kumatambudziko ekuputika kubvumira kuvhiyiwa.
Zvimwe zvinhu zvinogona kuvhiringidza varwere kubva pakufunga nezvekukwirirwa kwekuchira. Izvi zvinosanganisira:
- Zera: Varwere vanopfuura makore makumi matanhatu vanofanirwa kunyatsoongorora chirwere chekushandura. Kunyange zvazvo hip kuzaruka kunopa humwe hutano hwakanaka, tinoziva kuti varwere vazhinji vanopfuura makore makumi matanhatu vachaita zvakanaka kwazvo nekugadziriswa kwechimbichidzo. Kuvandudzwa kwekuvhiya (kudzokorora kubhadharidza) kunowedzera kudarika kunowanzodiwa muvarwere vanopfuura makore makumi matanhatu, uye naizvozvo, kugara kwemajinga kunowanzodiwa
- Vakadzi : Vakadzi vakaratidzirwa kuva nehupamhi hwezvinetso kubva pachiuno vachimuka kuvhiyiwa. Chikonzero chaiicho cheizvi hachizivikanwi, asi chinofungidzirwa kuti chinofanira kukonzerwa muchikamu chesimba remapfupa rinotsigira kubvaruka kwechiuno. Vakadzi vakaratidzirwa kuti vanokonzera kaviri kungozi yekuputsika kumativi ekuisa mukati mushure mekuputika kwekuvhiya.
- Kuwedzera muviri: Varwere vane uremu hwepamusoro vakawanawo huwandu hwakawanda hwehutsinye hunotevera huputi pakuberekwa. Zvimwe zvezvinetso izvi zvinofungidzirwa kuti ndezvikonzero nekuda kwekuwedzera simba pamapfupa anotsigira kuiswa, pamwe nehutano hwehutano mukuvhiya kune murwere mukuru.
- Inflammatory Arthritis & Osteonecrosis: Varwere vane arthritis inoputika, yakadai se rheumatoid arthritis , kana kuti osteonecrosis inokonzera zvinetso zvehudyu, inofanirwa kufunga nezvekugadziriswa kwechigadziro. Vaya varwere vanowanzove nefupa risina kunaka rinogona kutungamirira kumatambudziko ekutsigira kubwinya kwechiuno. Chiremba wako anogona kuraira miedzo yakasarudzwa kuti aone kana pane pfupa rakakwana kuti ritsigire kubuda kwekunyanya kunya.
Hip inoshandura kuvhiya inoitwa kuburikidza nekukanganiswa kwakafanana neyese yakasimudzwa. Chibatano cheArthritic chinobudiswa pachena, uye musara wakasara unobviswa, asi vazhinji vefupa vanogara munzvimbo. Chigadziko chesimbi chinowanzoiswa pabhola, uye chigadziko chesimbi chinowanikwa mumapanga.
Ndezvipi Zvinokonzera Kukanganiswa kweHur Resurfacing Surgery?
Kune humwe humwe hutano hukuru nehup resurfacing chirurgical, uye zvinosuruvarisa, hapana anoziva mhedziso dzenguva refu yezvinoshandiswa izvo zvino zviri kushandiswa. Nokudaro, hakuna munhu anogona kutaura zvakasimba kuti kuvhiyiwa uku kuri nani kana kuti kwakaipisisa kudarika kushandiswa kwemukoko. Izvo zvinoshandiswa zvekare zvinoshandiswa mukukwira kwechiuno zvinenge zvashandiswa kwemakore anenge gumi, uye iyo bedzi deta iripo iri pane izvo zvinonzi nguva pfupi (pasi pegore rimwe) uye pakati pemakore (makore 1 kusvika ku10) kutevera. Hapana nhepfenyuro yenguva yakareba inowanika ku hip kubviswa kwekuvhiya.
Zvinetso zvinogona kuitika zvinosanganisira:
- Kuputsika: Ngozi yokuputsika kwefupa inotsigira kuputika kwekunyora kunokonzera vamwe vanachiremba kuti vabvunze kana chirwere ichi chichifanira kuitwa kune vese varwere. Kunyange zvazvo zvidzidzo zvakasiyana-siyana, dambudziko rekuputsika kwefupa rinoratidzika kuva pakati pe1% ne20% yevarwere. Mitsetse inowanzoonekwa mune varwere vane varombo vane hutano hwakanaka, vanorwara zvikuru, uye vakadzi. Uyezve, kuputika kunowanzoonekwa kune vanovhiya vanoita chirwere ichi kashoma.
- Kusununguka: Kufanana nekugadzirwa kwechiuno chakakoshesa, hip kubvisa zvimiti zvinogona kusununguka munguva. Kana iyo inogadziriswa inosunungura, kushandiswa kwemajasi kunowanzofanira kuitwa.
- Ioni Ioni: Zvose zvinoiswa mumutumbi zvishoma nezvishoma zvinopedza nguva. Mishonga yemashonga inoshandiswa muhudyu inoshandiswa pakuvhiya yakaratidzwa kuti inopfeka zvishoma kudarika mapurisa epurasitiki, asi zvigadzirwa zvesimbi zvinosunungura ioni yesimbi mumuviri sezvavanopfeka. Ioni idzi dzesimbi dzinogona kuonekwa mumuviri wose mune varwere vakagadzirwa nesimbi-on-metal hip kushandiswa kana hip kuburitsa kuvhiyiwa.
Mhedziso yeiyoni idzi dzesimbi mumuviri hazvizivikanwi. Kune zvinetso pamusoro pekukonzera kugadziriswa kwepisensitivity uye zvinokonzerwa necarcinogenic (zvinokonzera kenza) migumisiro. Nenzira yakanaka, pane zvishoma zvingaratidze kuratidza iyi dambudziko, asi inofanirwa kunetseka.
Chii Chiri Kudzorerwa kubva Hip Resurfacing Surgery?
Kuwanazve mushure mekunyura kwechiuno kunosvika pakuvhiya kwakafanana neyo inotevera kuvhudzira kushandiswa kwechikafu. Varwere vane njodzi yakaderera yekudzikisa zvipembenene, saka nzira dzekuchengetedzwa dziripo kumurwere dzinogona kunge dzisinganyanyi kukosha.
Mugore rokutanga mushure mekuvhiyiwa, zvose zvinokonzera mabasa uye kusimudzira zvakasimba zvinofanira kudziviswa. Iyi ndiyo nguva iyo pfupa rinobata iyo inogadziriswa inonyanya kunetseka kuputsika. Saka, mazano aripozvino ndeyekuti arege kumhanya, kusvetuka, nekusimudza kwemwedzi gumi nemaviri mushure mekuvhiyiwa.
Ndichatsvaka Kuvhiyiwa Kwakawanda Pazuva Rakazotevera Here?
Izvo hazvizivikanwi kuti nguva yakareba sei kuve nokuputika kwekuputika kwemapiritsi kuchapedza. Nezvakagadzirirwa zvakagadzirwa zvakanaka, zvinoita sezviri kushanda zvakanaka pamakore gumi. Zvisinei, izvozvo hazvisati zvakanaka sezvinozivikanwa pamusoro pekugadziriswa kwechikafu.
Kana kukwidzika kwechiuno kuchigadzira zvinokonzera matambudziko, kana kana ikasakara, kuvhiyiwazve kunogona kukurudzirwa. Nemhaka yekuti hip yokutanga inobviswa kuvhiyiwa yakabvisa pfupa shoma shoma kudarika kushandiswa kwemajaya ekudzoka, kuongororwa (kudzokorora) kuvhiya kazhinji hakusi kuoma zvakaoma mushure mekunyura kwekunyanya kunyura. Iyo inowanzogadziriswa ndeyekushandura zvakasakara zvakasara zvekumuka patsva kunomira kusvika kumusana wakagadziriswa.
Ndekupi Kwandingawana Zvakawanda nezveHur Resurfacing Surgery?
Mushonga unowanzoshandiswa zvikuru pakuputika muUnited States unonzi Birmingham Hip Resurfacing kana kuti BHR Hip kubva Smith & Nephew. Zvimwe zvirongwa zvakagamuchirwa neStryker Corporation uye Conserve-Plus hip resurfacing system neWright Medical Technology. Iwe unogona kuwana ruzivo pamusoro pekugadza uku, uye vanachiremba vanoita izvi nenzira yekuenda kune webhusaiti yavo.
Mamwe makambani ari kuumba uye kuedza hup kuzarura zvirongwa, saka zvimwe zvingasarudzwa zvichawanikwa mumakore anotevera.
> Sources:
> Mont, MA, et al. "Hip Resurfacing Arthroplasty" J. Am. Acad. Ortho. Surgery., August 2006; 14: 454 - 463.
> Birmingham Hip Resurfacing System; Smith & Nephew