Hip replacement

An artificial jointinhengo yakagadzirwa nevanhu kuti vachengetedze mubatanidzwa wakarasikirwa nebasa rayo, nokudaro kuzadzisa chinangwa chekubvisa zviratidzo nekuvandudza basa. Vanhu vakagadzira majoini akasiyana-siyana ekugadzira majoini mazhinji zvichienderana nehunhu hwejointi rega rega mumuviri. Majoini ekugadzira ndiwo anonyanya kushanda pakati penhengo dzekugadzira.

Mazuvanohudyu kutsivakuvhiyiwa kwakatanga kuma1960. Mushure mehafu yezana yemakore ekuenderera mberi kwekukura, yakave nzira inoshanda yekurapa kwepamusoro majoini zvirwere. Inozivikanwa sechiitiko chakakosha munhoroondo ye orthopedics muzana remakore rechimakumi maviri.

Artificial hip replacement surgeryikozvino tekinoroji yakakura kwazvo. Kune avo vane arthritis yepamusoro isingabatsiri kana kuti isingabatsiri kurapa kwekuchengetedza, kunyanya kune hip osteoarthritis kune vakwegura, kuvhiyiwa kunogona kunyatsogadzirisa marwadzo nekuvandudza hudyu Basa remajoini rinodiwa zvachose muupenyu hwezuva nezuva. Zvinoenderana nehuwandu husina kukwana, parizvino kune varwere vanopfuura zviuru makumi maviri vari kuwanahudyu kutsivamuChina gore rega rega, uye nhamba yacho iri kuwedzera zvishoma nezvishoma, uye yave imwe yeakajairika kuvhiyiwa kwemapfupa.

1. Zviratidzo

Hip osteoarthritis, necrosis yemusoro wemukadzi, kutsemuka kwemutsipa wemukadzi, rheumatoid arthritis, traumatic arthritis, kukura dysplasia yehudyu, benign uye inouraya mapfupa emapfupa, ankylosing spondylitis, nezvimwewo, chero paine kuparadzwa kweiyo articular pamusoro X-ray zviratidzo zvinoperekedzwa nepakati kusvika kune marwadzo akasimba anoramba akasimba uye anoramba akadzikama anoramba akasimba. marapirwo.

2. Type

(1).Hemiarthroplasty(femoral head replacement): nyore kuchinjwa kwekupedzisira kwechikadzi chekubatana kwehudyu, kunyanya kunokodzera kuparara kwemutsipa wevakadzi, avascular necrosis yemusoro wevakadzi, hapana kukuvadza kuri pachena kune acetabular articular surface, uye kukwegura hakugoni kushivirira zvachose hip kuchinjwa kwevarwere.

(2).Total hudyu kutsiva: kushandiswa kwekugadzira kweacetabulum uye musoro wechikadzi panguva imwe chete, kunyanya yakakodzera varwere vane hip arthritis uye ankylosing spondylitis.

3. Postoperative Rehabilitation

(1). Zuva rekutanga mushure mekuvhiyiwa: kurovedza simba remhasuru yenhengo yakabatwa

(2). Zuva rechipiri mushure mekuvhiyiwa: bvisa ronda uye bvisa ronda, shandisa simba remhasuru yegumbo rakakanganiswa uye shandisa basa rekubatana panguva imwe chete, uye unonyatsorambidza kubatanidzwa kwehudyu yekubatanidza uye kutenderera kwemukati, kunyanyisa kwehudyu uye zvimwe zviito kudzivirira kuparadzaniswa kweprosthesis inotsiva.

(3). Pazuva rechitatu mushure mekushanda: shandisa simba remhasuru uye basa rekubatana kwemusoro wemubhedha panguva imwe chete, uye kurovedza muviri nekurema-kutakura kufamba pasi. Vazhinji vevarwere vanosvika pakubuda mwero.

(4). Bvisa sutures mavhiki maviri mushure mekushanda uye ramba uchiita maitiro ekushanda. Kazhinji, hupenyu hwezuva nezuva hunosvika mukati memwedzi mumwe chete.