Hip inoshandiswa pakuvhiyiwa ndiyo nzira yakagadzirirwa kurapwa kwakakura kwechirwere cheArthritis . Kune varwere vane hip arthritis iyo inopesana nemabasa avo ezvisikwa uye isina kuve yakakwana kurapwa nemishonga isingashandisirwi, chirwere chinoshandiswa pakupora chinogona kuva chakanaka.
Vose varwere vanoda kubviswa kwechiuno kuti vabvise zviratidzo zvavo.
Zvisinei, ivo vanodawo kuiswa kwavo kuti varambe kwenguva yakareba - vachitarisira, hupenyu hwavo hwose. Mumakumi emakore apfuura, mishonga yakashandiswa pakugadzirisa nzvimbo yakasvika uye yakabva yaenda, mune tariro yekuwana kuvandudzwa kwekugadzirisa zvinhu. Kunyange zvazvo zvipembenene zvave zvichivandudzika, zvichiri kusakara, zvichiita kuti vanachiremba uye varwere vane hanya nemishonga mitsva inogona kutungamirira kune zviri nani, zvakasara zvekare zvinoshandiswa kuiswa mukoko.
Hip Replacement Implants
Hip inotsiva inoshandiswa uchishandiswa nemaitiro ekugadzirwa kweprohetic implants. Kusimudza maumbirwo akadzoka shure kwema1960 asi akave nekufamba kwenguva. Vamwe kuisa maumbirwo ave achishandiswa kwemakumi emakore, ane zvinyorwa zvenguva refu, zvimwe zvitsva uye hazvina zvinyorwa.
Vakawanda varwere vane tsika yekuda rudzi rutsva rwekusimudzira , vachifunga kuti mutsva angangodaro ari nani. Zvisinei, rimwe ruzivo rwekushandisa kuiswa kwakange kwakapoteredza nderokuti mamwe anozivikanwa pamusoro pemigumisiro yenguva yakareba nekuisa.
Metal-on-Metal Hip Replacements
Tsvina-on-metal hip kushandiswa kwakaitwa kwemakore akawanda asi yakava yakakurumbira kupfuura iyi gumi yemakore apfuura. Tsvina-on-metal implants inoshandisa mhando yakafanana kuti igare yakatsiviwa , asi nzvimbo dzese ibhola uye zvigadziko zvakaitwa nesimbi. Iyi nzvimbo yesimbi yakakonzerwa zvikuru uye inotapira.
Mukuwedzera, nzvimbo yacho inonyanya kuoma kupfuura yakasara yepurasitiki yakagadzika shandi, ichiita kuti isanyanya kunetseka kupfeka. Mishonga-on-metal implants inoshandiswawo pakuputika kwemavara .
Kubatsirwa
Tsvina-on-metal hip kushandiswa kwakagadzirwa nemhando mbiri dzinogona kubatsira. Chokutanga, ukuru hwebhora rebhobho-uye-rakagadzika rinogona kuva rakakura. Muchigadzirwa chendarira-uye-plastiki chigadziriswa, chigadziko chakaitwa chepurasitiki inotora nzvimbo. Nesimbi-on-metal implants, hapana purasitiki inotora nzvimbo, uye bhora resimbi rinogona kuva rakakura. Iri bhora rakakura resimbi rakanyanyogadzikana uye risati rakanyanyogadziriswa kuita hip dislocation . Izvi zvinowanzotonyanya kukoshesa varwere vanoshanda.
Nyaya yechipiri inonetseka pamusoro pokupfeka mazinga. Zvinhu zvose zvinoshandiswa pakugadziriswa pamwe chete zvinopera kwenguva, vamwe vanokurumidza kupfuura vamwe. Chimwe chinetseka pamusoro pemazinga esimbi-uye-plastiki hip implants iri kupfeka kunze kwepurasitiki munguva. Zvitsva zvitsva zvakatsvakurudzwa kuti zviwane zvinhu zvisingashandisi nyore nyore. Mishonga epurasitiki, keramiki, uye simbi zvose zvinoshandiswa kugadzirisa izvi.
Matambudziko
Kunetseka pamusoro pezvimwe zvesimbi-on-metal hip kushandura, kunyanya kuiswa kunoitwa naJohnson & Johnson Company inonzi DePuy Orthopedics, ndiko kuti zvipembenene zvaive zvichikonzera matambudziko mumakore mashomanana apfuura mushure mekugadziriswa.
Dambudziko rakawanikwa nderokuti kunyange zvazvo zvinhu zvisingashanduki zvakakurumidza, zvinogadzira zvinyorwa zvinyorwa zvemarara. Muviri unoratidzika kunge unofanirwa nemasanganiswa aya ane michina yakawanda. Izvi zvinogona kutungamirira kumapfupa akanyorova uye mapfupa kumativi ose ehudyu. Mune vamwe varwere, kukanganisa uku kwemuviri kwave kuchikonzera kukuvadza nekusingaperi uye kuchida kuvhiyiwazve . Varwere vane izvi zvinogadziriswa vanonyanya kudiwa kuti mishonga yavo ishandiswe zvakare.
Varwere vane idzi-metal-on-metal implants vakawanikwa vakave nehupamhi hwesimbi dzematare muropa ravo, uchapupu hwokuti micheka yakawanda inopfeka zvikamu zvinopukunyuka mumuviri.
Mhedzisiro yemainoni esimbi iri muropa haina kunyatsonzwisiswa, kunyange pasina uchapupu hwezvinetso mune dzimwe nzvimbo dzomuviri, zvinongoguma pamusana pechiuno pachako.
Zvaunofanira Kuita Zvino
Kana iwe uine rudzi urwu rwesimbi-on-metal hip kudzorera kushandiswa, iwe unofanira kugara uchiona chiremba wako kuti ave nechiitiko chekuongorora chekubatanidzwa kwechiuno. Iko kune mazano akakurudzira kuvarwere vane izvi zvinogadzirisa pamusoro pekupi kuongororwa kwekuongorora kunofanira kuitwa, uye kana chirwere ichi chichifanira kuongororwa.
Varwere vane dzimwe mhando dzesimbi-on-metal hip zvinoshandiswa kuchinja zvinofanira kuonekwa nguva dzose nechiremba wavo chiremba kuti varambe vachiongororwa. Nhamba shoma chete yesimbi-on-metal implants yakarangarirwa, uye kunyange izvo zviyeuchidzo zvakakanganwa zvingasafanira kubviswa. Zvisinei, nekuda kwezvinetso izvi, izvi zvinogadziriswa zvinofanira kunyatsoongororwa kutarisa zvinetso zvingangodaro.
Nei Izvi Zvakaitika?
Zvingaitika sei kuti makumi ezviuru zvevarwere vakagamuchira kuiswa kwekupedzisira kwakagadzirirwa kuve kukundikana? Uyu mubvunzo wakanakisisa, uye nyaya iyi iri kupenya chiedza chakajeka pamusoro pekushandiswa kweizvipirwo zvehutano zvichiongororwa uye zvinogamuchirwa kuti zvigadziriswe.
Vanachiremba vanofanirwa kuyeuka makambani touting a new system iyo inogona kushaya chipatara data. Varwere vanoda kudzidziswa pamusoro pezvinetso zvingangove zvakasiyana-siyana zvezvipembenene. Zvakakosha kunzwisisa kuti zvose zvinogadzirwa zvinokonzera zvinetso, uye kusarudza kuti zvakanakisisa zvinogona kuva dambudziko kune vanachiremba nevarwere.
Sources:
Depuy Orthopediki: ASR Hip Replacement Chirangaridzo Gwaro rakapedzwa: April 2012.
Meier B "Chikumbiro cheDave yeDaid Chikutevera Dhavhidha Chikwata cheDAA" New York Times, March 22, 2012.
Smith AJ, et al. "Kusakwanika KweStemmed Metal-on-Metal Hip Kudzokorora Lancet, V. 379, Is. 9822, P. 1199 - 1204, 31 March 2012.