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.Iyo 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, pari zvino kune varwere vanopfuura zviuru makumi maviri vari kuwana zvekugadzira.hudyu kutsivamuChina gore rega rega, uye nhamba yacho iri kuwedzera zvishoma nezvishoma, uye yave imwe yeakajairika kuvhiyiwa kwemapfupa.

1. Zviratidzo

Hip osteoarthritis, necrosis yemusoro wechikadzi, kutsemuka kwechikadzi mutsipa, rheumatoid arthritis, traumatic arthritis, kukura dysplasia yehudyu, benign uye yakaipa mapfupa emamota, ankylosing spondylitis, nezvimwewo, chero paine kuparadzwa kweiyo articular surface X-ray. zviratidzo zvinoperekedzwa nekurwadziwa kuri pakati nepakati kusvika kwakasimba kunoramba kuripo kwemajoini uye kusashanda zvakanaka kusingagoni kupedzwa nekurapa kwakasiyana-siyana kusiri kwekuvhiya.

2. Type

(1).Hemiarthroplasty(femoral head replacement): nyore kuchinjwa kwekupedzisira kwechikadzi chejojo ​​yehudyu, inonyanya kukodzera kuputika kwemutsipa wevakadzi, avascular necrosis yemusoro wevakadzi, hapana kukuvadza kuri pachena kune acetabular articular surface, uye kukwegura hakugoni kushivirira kuchinjwa kwehudyu yose yevarwere. .

(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: kusimba kwemhasuru yemuviri wakabatwa

(2).Zuva rechipiri mushure mekuvhiyiwa: bvisa ronda uye bvisa ronda, shandisa simba remhasuru yegumbo rakakanganiswa uye shandisa basa rekubatana panguva imwe chete, uye unorambidza zvakasimba kubatanidzwa kwehudyu uye kutenderera kwemukati, kuwedzeredza hudyu uye zvimwe zviito. kudzivirira kubviswa kweiyo inotsiva prosthesis.

(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.