Hip inoshandiswa pakuvhiyiwa ndeyekuporesa zvakanyanya hip arthritis . Vakawanda vanorwara vanonzwisisa kuti kushandiswa kwechikafu kunogona kusakara kupfuura nguva, asi kunyatsoshandiswa kwekuputika kunofanirwa kuenderera mberi kwenguva yakareba sei?
Hip inotsiviwa inopedzisira yapera. Zvinosuruvarisa, chiuno chekugadzirira hachisi sechigarire sechiuno chako pachako. Nemhaka yekuti mikoko inogadziriswa yakagadzirwa nematare uye epurasitiki, zvinhu izvi zvinotanga kupfeka nguva, sezvinoita rubber pamatairi ako emotokari.
Kunyange hip inotsiviwa nezvinhu zvakagadzirirwa kugadziriswa kwenguva refu haigari nekusingaperi.
Nhau dzakanaka ndeyokuti zvidzidzo zvinoratidza kuti maitiro akafanana ekuputika kwechiuno anogona kudarika makore anopfuura makumi maviri. Nepo kune mazana ezvidzidzo, zvose zvinopesana nemhando yekupinza yakashandiswa uye rudzi rwevarwere vakange vane chiuno chavo chakatsiviwa. Chimwe chidzidzo chikuru kwazvo chakawana kuti makumi masere ezviuru zvekuputika kwemajaya zvakashanda zvakanaka mushure memakore gumi nemashanu vari vaduku (vasingapfuuri 65) varwere, uye 94% yevakuru (vanopfuura 65) varwere.
Unofanirwa kuyeuka kuti apo vamwe varwere vanogona kunge vakashandura huputi hwakapera makumi emakumi emakore, vamwe varwere vangada kudzokorora kushandiswa kwemajaya kwemakore mashomanana mushure mekuvhiyiwa kwavo.
Kudzokorora hup replacement (yechipiri hip replacement) chinhu chikuru chinowanzova nemigumisiro shoma shoma pane yekutanga hip replacement. Panyaya yakajeka, mushumo wakawana kuti inenge 2% yehup replacement surgeries inoda chirwere chechipiri mukati memakore mashanu ekutanga hip kudzokera.
Zvinokonzera Kukanganiswa Kwemakore akawanda eSu Replacements
Tsvakurudzo dzakawanda dzakaitwa kuti dzive kuti inguva yakareba sei yekugadziridza huchagara. Nemazana emhando dzakasiyana-siyana dzekuputika kwechikafu nemhando dzakasiyana-siyana dzakasiyana-siyana dzevarwere, hapana hutongi kune hurefu hupi huchagadzirisa huchagara mune mumwe munhu.
Kusimudzira vatadzi vari kuramba vachitsvaka kuita "zviri nani" kuisa iyo inogara kwenguva yakareba. Zvimwe zvezviputi izvi zvakangoshandiswa kwemakore mashomanana, uye kusarudza kuti kana kuti havasi kuzogara kwenguva refu mubvunzo chete nguva inogona kupindura.
Zvimwe zvezvinhu zvinoratidzika zvinoita kuti hupenyu hurefu huve humwe hunosanganisira:
- Zera revarwere
Vechidiki vaduku vanoda kubviswa kwechiuno kuti varambe kwenguva refu. Pamusoro pazvo, varwere vaduku vanowanzove vakashanda. Nokudaro, varwere vane hip replacement muvana vavo makumi mashanu kana vaduku vanogona kutarisira kuti vatsvake kudzokorora kunyoresa muhupenyu hwavo. - Mwoyo Murefu
Mamwe mabasa angave asina kukodzera kuvarwere vane hupano hunotsiviwa. Kunyange zvazvo zviitiko izvi zvingasava zvinorwadza kana zvakaoma, zvinogona kuisa kudzvinyirira zvakanyanya pakugadzika kwechiuno, zvichiita kuti zvikamu zvikurumidze kupera. - Patient Weight
Kunyanya munhu anorema kunyanya kunetseka kunowanikwa pajoina replacement kushandiswa. Kuchengeta chimiro chemuviri wepanyama chinonyanya kukosha paunenge uchiedza kuita sangano rekugadzirisa rekupedzisira. Kudzidzira kwakakodzera kunogona kubatsira pakuchengetedza hutano hwakanaka. - Kudzivisa Matambudziko
Izvi zvingaita sezviri pachena, asi pane zvimwe zvehutano zvinogona kutungamirira kumatambudziko anokonzera kubatanidza kushandiswa. Varwere vane maitiro ekurapa asina kuvhiringidza (kusanganisira mazino emabasa ) vangada kurapwa kwemishonga inorwisa mabhakitiriya kuti vasapinda mubatanidzwa. Varwere vane osteoporosis vanofanira kuve nechokwadi chokuti vari kunyatsorapwa, sekuputsika mune pfupa rakapoteredza sangano rinoshandiswa kunogona kukanganisa kushanda kwekuisa.
Vokupedzisira uye Vakakurumbira
Imwe miedzo yevarwere nevarapi vezvechiremba zvakafanana ndeyekukwezva kune imwe nzvimbo itsva yekupisa panzvimbo yemusika. Pasina mubvunzo, kupinza uku kuchareva kushanda zviri nani uye kupedzisa kwenguva yakareba kudarika dzimwe nzvimbo dzekuputika. Kunyange zvazvo izvi zvitsva zvitsva zvingave zviri nani, zvinokoshawo kunzwisisa kuti kuva itsva nzira dzisina nguva yakareba deta pamusoro pekuti zvakanaka izvi zvinoshanda sei munguva.
Bvunza chero chiremba wezvechiremba nezvemishonga yavakaona ichiuya uye inopfuurira mberi kwebasa ravo. Kungoita kuti kuiswa mutsva hakurevi kuti zviri nani.
Ndinogara ndichikurudzira varwere uye vanachiremba vanoedza kuwana kuenzanisa kwakakodzera pakati pekugadzirwa kwemazuva ano uye kwete kuva 'muedzo' murwere.
Chiremba wako anogona kukubatsira kuti uende kune imwe nzvimbo yakakodzera yekusimudza iyo yakakunakira iwe.
Sources:
Mäkelä KT, et al. "Yese hip arthroplasty yepamusoro-soro yemaostearthritis muvarwere makumi mashanu nemashanu yemakore kana kupfuura." J Bone Joint Surg Am. 2008 Oct; 90 (10): 2160-70.
Mahomed NN, uye al "Mitengo nemigumisiro yepamusoro uye yekudzokorora maitiro ekugadzirisa mishonga muhutano hweUnited States." J Bone Joint Surg Am. 2003 Jan; 85-A (1): 27-32.