Zvose Hip Kudzokorora Kudiwa Kunokura pamwe chete neUwandu hweArthritis Patients
Iko yekutanga yehup replacement yakagadzirirwa muna 1962 na Sir Sir Charnley weEngland. Dhaka rekutanga reDAA-rakagamuchirwa rejp replacement rakasimwa muna 1969. Kubatanidza pamwe chete kwaiva chimwe chezvinhu zvakakosha zvikuru zvekurapwa kwemapfupa ezana remakore rechi20. Gore roga rega muUnited States chete, zvinopfuura 285,000 kuputika kwechikafu zvinoshandiswa, uye nhamba inotarisirwa kudarika kusvika kune 573 000 mugore ra2030, maererano neChirungu yaMarch 6, 2008.
Nechembambo yakazara yekudzorera hutachiona, iyo inotora nzvimbo yako yakakanganiswa yehup, ine zvikamu zvitatu:
- kapu yepurasitiki inotsiva yako acetabulum (hip socket)
- bhora resimbi rinotsiva musoro wechikadzi
- iyo tsvina yesimbi yakabatanidzwa kune shaft yemukadzi
Iko kunewo ceramic hip inotsiva uye dzimwe nzira dzakasiyana-siyana kumusana wehup replacement - somuenzaniso, Birmingham Hip Resurfacing System .
Ndiani Anoda Hip Kuchinja?
Kazhinji hip basa inofanirwa kuti uende uye kuita zvese zvaunogara uchiita mabasa ose . Kana chiuno chako chakakuvadzwa kana kana chiri chirwere chinokonzera arthritis, ungawana zvakaoma kuita mabasa ezuva rega pasina hurumende . Osteoarthritis , rheumatoid arthritis , uye zvinokonzera arthritis ndiyo mitatu yakawanda inowanzoita arthritis inokonzera hup kurwadziwa.
Chisarudzo chekuvhiyiwa chikafu chinofanira kuitwa nevemhuri yako, chiremba wokutanga, uye chiremba wechiremba.
Chimbofunga zvinotevera. Une here:
- hup pain inopesana nezvinoitwa zviitiko zvinosanganisira kufamba nekukotama?
- hip marwadzo anoramba achizorora apo masikati kana usiku?
- kubatana kwakasimba muhudyu inobata kushambadza kana kusimudza gumbo rako?
- kusununguka kusinganzwisisiki kubva kuNSAIDs (nonsteroidal anti-inflammatory drugs)?
- kusununguka kusingagutsikana kubva pamishonga inorwadza ?
- kusakwanisa kugadziriswa mushure mokuedza kurapwa kwepanyama , kushandiswa kwezvigadzirwa zvekubatsira uye zvigadziriro zvekufamba?
Kana wakapindura hungu kune vakawanda kana mibvunzo yese, iwe unogona kunge uri mutsva wekushandiswa kwekushandurwa kwemashandi.
Munhu Akaremara Anomiridzirwa Sei Nenzira Yakachinja?
Kunyange zvazvo varwere vazhinji vanoita chirwere chakakwana chekuvhiyiwa chinenge chiri pakati pemakore makumi matanhatu nemakumi mapfumbamwe nemakore, pane varwere vaduku nevakuru vanobudirira kubudirira. Zera haisi iyo chete inoshandiswa apo varwere vanoongororwa nokuda kwekuropwa kunobatsira - hutano hwehutano nekuremara, uye hutano huzhinji hunofungawo.
Chirongwa chekuvhiyiwa kwechikafu chinosanganisira:
- nhoroondo yako yezvechiremba
- kuongororwa kwepanyama kuti uone hup urongwa hwekufambisa , hup alignment, uye hip kugadzikana uye simba
- x-rays kuti aone kusanganisa pamwe
Zvimwe zvidzidzo zvekufungidzira kana mapfupa emapfupa dzimwe nguva zvinoshandiswa kuongorora mamiriro emapfupa uye zvinyoro zvinyoro zvechiuno.
Iwe Zvaunotarisira Nezvekudzoka kweSwenta Zvakanaka Here?
Varwere avo vari kuronga kuvhiyiwa mushure mokuvhiya vanofanira kunzwisisa zvizere zvavanotarisira mberi, panguva, uye mushure mekuvhiyiwa. Pakutanga uye nekudzoka, murwere anofanirwa kuisa pfungwa pazvinangwa zvekuvhiya - kununurwa kwekunzwa uye kuvandudzwa kwechiuno (kuwanazve simba uye huri nani hwekufamba).
Munguva yemwedzi mitatu yekudzoka, pachava nemimwe mitemo yekudzivisa kuparadzaniswa kwemaitiro matsva. Iwe uchadzidziswa nzira yekufamba uye kuti haufaniri kufamba sei. Iwe unogona kutsvaga zvigadzirwa zvekugadzirisa zvakadai sechigaro chakasimudzwa chechimbudzi, zvigaro zvekusungirirwa kwenguva refu, tambo yokupfeka, sock-rubatsiro, uye zvikwata zvakasimba. Mimwe mitemo ichave kwenguva pfupi uye vamwe vacharamba varipo.
Zvimwe zviitiko, zvakadai sekukwira, kumhanya, kutamba mitambo, kutamba mitambo, uye kukwirira kweaerobics kuchava kure nemiganhu mushure mekuvhiyiwa uye kwehupenyu hwako hwose. Asi kunyange nekushandiswa kwemazuva ose, nekufamba kwenguva hup prosthesis inotanga kupfeka uye inogona kusunungura .
Kana izvozvo zvikaitika, iwe unoda chimwe chirwere, chinonzi revision hip replacement.
Wagadzirira Kuvhiya Here?
Chiremba wako wemapaupa uye vashandi vake vachakutungamirira kuburikidza nehupenyu hwavo hwekugadzirwa kwechirwere chekurovedza. Vachakupa zuva rokuvhiya uye kukupa purogiramu yezvinofanira kuitwa musati mavhiya - kubva kuongorora inshuwarisi yezvechiremba, kutangisa kutanga kuongorora, kusvika kuzvipira zvekuropa ropa kana zvichidikanwa.
Kana kamwe chete zvinhu zviripo kuitira nyaya dzisati dzagadzirwa, iwe uchapiwa ruzivo pamusoro pezvaunotarisira panguva yekuvhiyiwa. Iwe uchadzidza pamusoro pezvaunosarudza zveanesthesia, nguva yakareba sei kuvhiyiwa kuchazotora, nguva yakareba sei iwe unogona kutarisira kuva muchipatara, uye kubuda kwezvirongwa. Mushure mekuvhiyiwa, kana mushure-op, iwe uchapiwa mirairo yekuvandudza kana mirayiridzo yekuenda kumba.
Chii Chinokwanisika Matambudziko aSu Replacement?
Maererano neAmerican Academy of Orthopedic Surgeons, chiyero chepfungwa chekuvhiya kwechiremba chinoshandiswa chiri nani. Vashoma kupfuura 2% yevarwere zvinetso zvakakomba, zvakadai sokutapukirwa kwekubatana . Kutevera kurapwa kwechikafu, kuvhara ropa mukati memakumbo emakumbo kana mapapiro ndiyo inonyanya kuwirirana. Pane zvipatara chiremba wako anokwanisa kupa kuti udzivise ropa kana kuti uite navo kana vachiumba.
Vamwe varwere vanoona musara-kusagadzikana kwenguva refu mushure mekuvhiyiwa kwechiputi. Kuiswa kwechikafu kunogona kudiwa kuti kunyange kunze kwemakumbo. Zvimwe zvinetso zvinogona kusanganisira:
- dislocation
- nerve kana ropa mudzikukuvara
- kubuda ropa
- kuputsika
- humwe hukukutu kana kurwadziwa kwekugara
Zvimwe Zvinofanira Kuyeuka Nezvekushandura Hip
Mushure mokunge mushure mokunge musarudzwa, edzai zvimwe zvinhu zvinokosha zvekudzorera kwenyu:
- Ita yako post-op maitiro ekurayira sezvakarayirwa nemutano wako wepanyama.
- Kuchengetedza zororo uye basa, kunyanya kusvikira zvimwe zvipingamupinyi zvasimudzwa nachiremba wako.
- Tevera mirayiridzo kuti udzivise ropa rekuvhara - kana iwe uchiudzwa kuti ufukidze purogiramu yekubatsira, pfeka pasi rekutsigira.
- Ziva uye uone zviratidzo zvehutachiona.
- Bvisa kukanda mabheji kana tambo dzokuwedzera dzinogona kukuvadza kuwa.
- Kwete kubiridzira - tevera chiremba chirairo. Kana iwe uchiudzwa kuti uite chimwe chinhu, pane chikonzero chakanaka chaicho.
Kunobva:
Total Hip Replacement. American Academy of Orthopedic Surgeons. August 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377