Zvimwe zvinoshandiswa kuInjodzi ye Hip

Pane here zvimwe zvisarudzo kuvarwere vane arthritis yakaoma?

Hafu hip arthritis inogona kukonzera marwadzo uye kuoma kufamba. Varwere vazhinji vane zviratidzo izvi zvinopisa simba nekuda kwechiputi arthritis vachasarudza kuti vawane chirwere chakakwana chokugadziriswa . Zvisinei, kushandiswa kwechiuno chakakwana hakusi kunze kwezvinetso zvayo uye zvinetso, uye saka varwere vazhinji vanobvunza kana kune dzimwe nzira dzokugadzirisa hup.

Zvimwe zvinotsiviwa neHur Kudzokorora Kufunga

1. Nonsurgical Treatment: Kusava nekuvhiyiwa nguva dzose kunosarudza. Hip inoshandiswa pakuvhiyiwa inenge isisina kumbobvumirwa kurapwa; asi iyo ndiyo inosarudza vanhu vanogona kusarudza kuva nayo kana nguva yakakodzera kwavari. Varwere vane arthritis yakaoma yehudyu, asi vanoshanda zvakakwana, vanogona kusarudza kurarama nemamiriro avo. Ikoko kune kurapa kwakanaka kune hip arthritis iyo inogona kubatsira varwere kuti vasave nechokudiwa kwehuputi hwekugarisa. Pakati peizvi ndezvechirwere chepanyama, kufamba-famba, maitiro anorwa-kupisa simba , cortisone injections , uye masangano ekubatanidza . Muzvakawanda, kuvhiyiwa kushandiswa kwemajai hakusi nzira inokurumidza, uye kazhinji hapana chakaipa mukukurumidza kupererwa kusvikira iwe uchinzwa kuti nguva yakarurama. Kune zvimwe zvisizvo kune izvozvo, asi kune vanhu vazhinji, kushandiswa kwechiuno kune chirongwa chinosarudzwa.

1. Hip Resurfacing : Hip resurfacing chirurgic ndeimwe nzira yakasiyana yokugadziridza hup inotsiviwa nevarwere vane arthritis yakaoma. Muchiratidzo chekunyora kwekunyuka, kuiswa kwacho kwakaderera, uye pfupa rinowanzogara rakabviswa. Hip inosimudza inowedzera kufarira, zvikurukuru kuvarwere vaduku. Munguva yekunyora kwekunyora kwekunyora, pfupa shoma shoma rinobviswa kubva mubhoti-uye-zvigaro zvekubatanidza hip, uye tsvimbo yesimbi inoiswa pamusoro pebhola. Chigadziko chesimbi chinowanikwa mumapanga, zvakafanana neyokunyanya kunyura. Ichi chiuno chekukwira chichikwanisa kuchengetedza hupfumi hwakawanda kupfuura humwe hutsika huchigadziriswa. Hip inoshandura kuvhiya yave ishoma kudarika mumakore achangopfuura nekuda kwekunetseka pamusoro pekushandisa izvo zvinonzi chesimbi-on-metal joint replacement . Izvi zvishandiso-on-metal zvinotsiva zvinosanganisira zvose zviripo zvekuputira zvinoputika. Tsvina-on-metal kushandiswa kwakave nezvimwe zviyeuchidzo zvinozivikanwa uye zvinetso zvichiita kuti vanachiremba nevarwere vavo vanyatsocherechedza izvi uye nzira idzi.

1. Chikamu Chisingasaruri Hip Replacement (Hemiarthroplasty): Kushandurwa kwechikamu chechigadzirwa chinowanzoitwa chirwere chinowanzoitwa, asi chisingawanzoitwa ne hip arthritis. Munguva iyi yekuvhiya, bhora chete bhora-uye-zvigaro hip pamwe chete ndiro rinotsiviwa. Uyu ndiwo mushonga unobudirira kune mamwe marudzi ehup fractures apo bedzi bhora rehudyu rakaparadzwa. Dambudziko revanhu vane chiremera chakakura chechirwere ndechokuti chifukidzo chechiuno ichi chakakanganiswa, saka saka chinofanira kutariswa. Nokuda kwechikonzero ichi, kushandiswa kwechikafu chisina kukodzera hachisi chakanaka chakanaka chekuvhiya arthritis.

1. Hip Fusion (Arthrodesis): Hip fusion ndiyo inowanzoitwa nenzira yekuti huputi hwekuchinja huri kubudirira kwazvo. Kuvhiyiwa kwechi Hip fusion kunopedza zvose zvinenge zvichinyatsobatanidzwa pamusana wekuputika nekuita kuti mapfupa emadzimai nemapapu aporese pamwe chete. Ivo vanobatwa munzvimbo iyi neshongwe yakakura yesimbi uye zvigadzi. Hip fusions inowanzoitwa nevarwere vaduku vanoshanda zvakaoma. Hup fusion haisi kupfeka sekuchiisa panzvimbo yepachirwere ichi mune varwere. Iko kufunganya kwechiuno kunobvumira murwere kuita mabasa anorema mumuviri angaita kuti atange kupfeka paanenge aine hip replacement. Chinetso nehup fusion ndechokuti varwere havazovi nekufamba kwechiuno, vachafamba nechinokanganisa, uye vangazopedzisira vachida kuvhiyiwa kuti vashandure kunzvimbo yekugadzirisa.
2. Kugadziriswa Arthroplasty (Gridlestone Process): A resection arthroplasty inzira inoshandiswa pfupa rakapoteredza musangano wekuputika uye nzvimbo yakabatanidzwa inobvumirwa kuzadza nehutu hwemavara. Iyi nzira inowanzoitwa nevarwere vane chirwere chakakomba chisingagoni kutarisirwa, kana kune varwere vane hutano hwemamiriro ehupenyu hwakadaro zvokuti vane mukana muduku wekufamba zvakanaka. Varwere vanowanikwa muGrigdlestone resection arthroplasty vangave vachida chimwe chigadzirwa (tsvina kana kufamba) kuti vafambe.

1. Hip Osteotomy: Hip osteotomy ndiyo nzira inogadziriswa kugadzirisa mapfupa ejoka rehudyu. Iosteotomy inogona kuitwa pfupa rehudyu (femur), mapepa, kana maviri. Osteotomies inowanzoitwa kuvarwere vane dambudziko rekutanga rakakonzera kutanga kweArthritis yekubatanidzwa kwechiuno. Semuenzaniso, kubudirira kwemamiriro ezvinhu akadai sa hip dysplasia kunogona kutungamirira kumarara ekutanga arthritis. Hip dysplasia inowanikwa mucheche uye inotungamirira kumapfupa emarigoni zvakapoteredza chiuno. Irosteotomy inobatsira kugadzirisa mapfupa uye kubvisa zviratidzo zvekutanga kweArthritis . Aya maitiro anofanirwa kuitwa mumasarudzo akasarudzwa.

Izvi ndezvimwe zvezvingasarudzwa kune vanhu vane chirwere chakakura chechiputi chinogona kunge chiri kutsvaga kurapwa kwakasiyana kune imwe nzvimbo. Kunyange zvazvo zvisati zvese izvi zvingasarudzwa zvingave zvichinyatsoitika kana iwe uchifarira mune imwe yezviisarudzo iwe unofanira kuzvikurukura nechiremba wako.

> Sources: Nho SJ, Kymes SM, Callaghan JJ, Felson DT. "Mutoro we hip osteoarthritis muUnited States: epidemiologic uye mune zvehupfumi" J Am Acad Orthop Surg. 2013; 21 Suppl 1: S1-6.