Fractures ye Hip-Ball-and-Socket Hip Joint
A femoral neck fracture imwe yerudzi rwekuputika . Apo kukanganiswa kwemutsipa wechechi kunowanzoitika, kukuvadza kunongova pasi pebhola rebhora-uye-rakanyatsobatana nhengo ye hip; iyi nharaunda yefupa rehudyu inonzi femal neck. Apo musikana wemutsipa kuputsika kunoitika, bhora rakabviswa kubva kune rumwe rutivi rwegumbo bone (iyo femur).
Nyaya inokosha nevakadzi vemutsipa fractures ndeyokuti ropa rinopa chikamu chinoputsika chepfupa rinowanzokuvara panguva yekukuvara.
Nokuti kubuda kweropa kunovhiringidzika, izvi zvinoputsika zviri pangozi yakakura yekusava nekurapa , kunyanya kana kuputsika kwacho kusina kusimba. Pamusana pechinetso chekupa ropa nevakadzi veutsipa fractures, vanhu vazhinji vachabatwa nechisarudzo chechikafu chinokonzerwa.
Mukadzikadzi Neck Kurambidzwa Mishonga
Kurapa kwevakadzikadzi mutsipa kuputsika kunoenderana nezvimwe zvinhu. Nzira inonyanya kukosha yekufungisisa inosanganisira:
- Kuwanda kwekuparara kwechikafu
- Zera remurwere
Muchirwere vaduku, avo vari pasi pemakore makumi matanhatu kusvika makumi matanhatu nemakore makumi matanhatu nemashanu, zvose zvinogona kuitwa kuti vasaita kusarudzwa kwechimbichimbi. Hip inotsiva inoshanda zvakanaka chaizvo kune varwere vashoma, asi vanowanzopererwa nevechidiki, vanoshanda zvakanyanya. Nokudaro, muvatachiri vaduku, mukana unogona kutorwa kuti urege kudzivirira huputi kunyange kana pane dambudziko guru rekushaya kuporesa kuputsika.
Zvokuvhiya
Hip Pinning (Fracture Repair)
Ikoko kunopera nzira inogadziriswa kuisa zvidzidzo zvakasiyana-siyana pamapfupa akaputsika.
Chimwe chinhu chinowanzoitwa muvarwere vane musikana wemutsipa kuputsika kwakanyatsorongeka uye zvishoma nezvishoma zvakasununguka. Muvatana vaduku, sezvinotsanangurwa pamusoro apa, hip pinning inogona kuedzwa kunyange kana mapfupa asina kunyatsoenderana. Zvisinei, kunyange mumamiriro ezvinhu aya, kushandiswa kwechikafu chinenge kuchida kunogona kudiwa.
Kana hop pinning ichiitwa, murwere anowanzotarisirwa pasi kana hupenzi anesthesia . Chinhu chiduku chiduku chinogadzirwa pane kunze kwehudyu. Uchishandisa x-ray kuti utungamirire chiremba wako, zvipembenene zvakasiyana-siyana zvinopfuura kudarika kuputsika kuitira kuti ugadzikane mapfupa akavhuniwa.
Varwere vanogona kuisa uremu hwakawanda pamucheka wakagadzirirwa sezvinoregererwa, asi izvi zvichatsauka pane dzimwe nguva. Tarisa nechiremba wako chiremba usati watanga chirwere chero chipi zvacho kana kuti kurovedza muviri. Sezvo mapfupa achirapa, marwadzo anowanzoperera. Iko kunonyanya kunetseka nevakadzikadzi mumutsipa fractures ndechokuti kukanganiswa kweropa kune pfupa kunotungamirira kune kusaporesa kana pfupa rufu ( hip osteonecrosis ) yemusoro wevakadzi. Muzviitiko izvi, varwere vangave vachida kurapwa kunobviswa mumugwagwa.
Hip Hemiarthroplasty (Yakasiyana Hip Replacement)
Muchiuno chinonzi hemiarthroplasty chinotsanangura hafu yehup replacement. Mune nzira iyi, bhora rebatanho bhora-ne-shandi rinobviswa, uye kusungirirwa kwesimbi kunowanikwa mujoka. Hip hemiarthroplasty inofarirwa nevarwere vane fractures dzakasununguka pamusana pezvinetso zvinotsanangurwa pamusoro apa nekuedza kugadzirisa zviputi izvi.
Muchiuno chinonzi hemiarthroplasty chinoitwa pasi pese anesthesia kana sepinal anesthesia.
An incision inogadzirwa pamusoro pekunze kwechiuno. Iyo yakakoromoka musoro wechikadzi inobviswa, uye inotsiviwa nemutsiro wesimbi. Mune chirongwa chinowanzoshandiswa pakugadziriswa kwechikafu, chikwata chemapapiro chichatsiviwawo. Izvi zvinogona kuitwa kuvarwere vane arthritis isati yavapo, asi mumatambudziko akawanda evakadzikadzi misoro inoputika, iyo yakasara iri yoga. Iyo tsvina yehupfeti inogona kusimbiswa mumapfupa mune varwere vane nhepfenyuro, mamwe osteoporotic bone, kana kushandiswa-kugadzirirwa kune varwere vane nani hutano hwakanaka.
Kuvandudza kunotangwa nokukurumidza uye varwere vanogona kufamba nehomwe yavo yakazara pazvinoshandiswa.
Varwere vanowanzonzwa zviri nani mushure mekuvhiyiwa, uye kazhinji vanodzoka vachifamba nokukurumidza.
Sources:
KJ Koval naJD Zuckerman; "Hip Fractures: I. Kuongorora uye Kuongorora uye Kuchengetedzwa Kwevakadzi-Neck Fractures" J. Am. Acad. Ortho. Surgery., May 1994; 2: 141 - 149.