Mahi o te turi whakakapinga: arotake. turi arthroplasty: whakanohonoho

I roto i te orthopedics maha whakamahia tukanga mō te whakakapinga o te tahi pakaru. Heoi, i roto i te rerekē ki te tahi huha , haere koe pai i nohotahi kahore pōauautanga, Turi Whakakapinga haere uaua, me te kia meinga pōauautanga pērā i:

- tukanga hopuhopu i te pae o te tāutanga ētehi;

- displacement o te prosthesis;

- i roto i te nape popoki taea haehae wehe ranei;

- clots toto i roto i te waewae;

- he takahi o te tapatahi o te wheua femoral (whati).

Nā ki te aroaro o tenei ahua o pōauautanga waiho iwi taua whakautu Nä. Turi whakakapinga i roto i tenei take e taea te hanga kahore tetahi fifi i.

E tano ia tapao e 10 matahiti i teie nei i reira i atu tūroro ki ngā pōauautanga i muri i whakakapinga tahi o te tikanga. Neke atu i te wa, whakamohoatanga katoa - e tika te whakapai ake i te kounga o te prosthesis, me te te tukanga o te mahi. He āhuatanga nui i roto i te faaho'iraa mai mahi wā whakanohonoho me te huinga o mahi e hiahiatia ana mo te ora hohoro. Kua heke ēnei āhuatanga te tūponotanga o te rota o raruraru i roto i te wā postoperative.

A, no te mahi hiahia ahau katoa whakakapinga tahi?

Ko te tahi turi - tenei momo tahi condylar integrated, wahi a Ihakara o e kua pani ki te wheua ngohe arā, o muka o collagen me chondrocytes tupu kahu me te rauemi turanga. Nā ki te wheua ngohe articular me te whakarato ratou ki te taonga nekehanga e tika ana puta. hipokina kiriuhi Synovial te mata tahi katoa, e tika ana ki tona whakatairanga inu hua e tika ana, te ārai waku i roto i te tahi.

Nā ki timata tukanga degenerative o ngohe articular, i konei te huringa i roto i te āhua me te te takotoranga o te turi tini o nga mate. I roto i te aroaro o taua mate i roto i te wāhanga tuatahi ko te mea e tika ana ki te whakahaere i maimoatanga hauora e ka whakapai ake i te huru o te wheua ngohe, me te tango i te tukanga inflammatory.

I roto i te wāhanga i muri mai, ka mau te reira i te whakangaromanga o te wheua ngohe me te waku, i roto i tenei take reira te pokanga turi prosthetic tūtohutia e tikanga whakarewa rawatia ētehi kirihou ranei i te wahi o te tahi ngaro.

Tuhinga mō te implantation

1. deformation tahi ki tau.
2. deformation tahi, haere tahi i te mumura.
3. Whara.
4. dysplastic osteoarthritis.
5. Ko te aroaro o te rohe necrotic i roto i te tahi.

tūroro Potential - iwi e whai i te:

1. Te rāhui ta'etuku o te kaupapa ki te mamae kino.
2. He huringa nui i roto i te āhua o te tahi.

take Common

Ko āhuatanga o te mate take rasprostanenie o mate o te tahi turi o mahi noa -. rumati reira i muri i whētuki, whati, whaturama takokitanga ranei me etahi atu.

- A, no te kaikōiwi puta mumura me te hiri sinovilnoy membrane, ko te kupu tīmata te whanaketanga kaha o te wai tahi, e tika ana ki te whakangaromanga tahi.

- Ko te ahua o te osteoarthritis i te paari, āhuatanga nei i te te ino o te nekeneke tahi me te uara.

He aha e nga hua o tūhāhā te tahi horihori?

whakamana Operation o turi whakakapinga te ki te hiki i ranei tino tango i te mamae mo te wā o runga ki te tekau ma rima nga tau. Kei te whakaurua i wahi o te implants tahi horihori ngaro, a e tika ana anatomically rite.

I muri pokanga te tahi turi he angitu, tuhia nga tūroro he hua i roto i te whānuitanga o ngā nekehanga. Kei te huri tino Kounga o te ora. Na waiho maha iwi, me te urupare pai. Turi arthroplasty i roto i nuinga o te wā e wahi kahore pōauautanga, ārahi ki te ora ohorere, me te hoki ki te tangata ora maheni.

Fifi e pā ana ki te endoprosthesis

Kei te whai pānga hoki turi pokanga ki te putanga o te maha o tūponotanga, me te i roto i tetahi atu pokanga. Ēnei tūponotanga ngā mate toto i roto i te iwi pakeke exacerbation taea o mate ma'i, clots toto i roto i te topito o raro, tukanga hopuhopu i wahi o te whakataki o te rawatia ētehi me i roto i te ara mochevyvedeniya. Hou, Kei te hoko te reira onge.

Ko tētahi o te wheako kino rawa-take ko te hanganga o te mate ki te kia tukinotia haere rawa uaua, me te tino utu. E mea pinepine ki fifi o tenei ahua e taea te āwhina anake te tango i te tinana o te tinana ke, i roto i tenei take, te endoprosthesis. He he he ōrau o te iwi ake e pängia ana ki te ahua o te mate atu i etahi, i enei ngā he kaikōiwi, tūroro taumaha nei Me ki te tango i taero hormones.

ngā rā o te mahi

prosthesis whakapumautia taea muri ake ki te kotahi tekau ma rima nga tau, i roto i ētahi wā roa, engari ki te uara me te ka tangoro te rawatia ētehi te, ko reira reoperation taea i runga i te tahi turi, e ko, whakakapinga reendoprotezirovanie ranei. I roto i te take o te mamae i mua ki te paunga o nga tau kotahi tekau ranei te whakakaewa i te reira, ko te hoki tika ki te kawe i te mahi.

Ko te tukanga o te whakakapinga tahi

Roa o ngā mahi e taea te kaiwhakato o 2-3 haora. I mua i te pokanga whakamana te ārai whakahauanga o mate. I mua i te mahi i te manawanui ko te rehunga tuaiwi.

Hei tāuta he tika te endoprosthesis ki te tango i te wahi ngaro o te tahi, me te popoki, ano he rata hāngai kōpiko waewae tuaka whakahaere tuhonohono e whakaora, ki te tika.

prostheses Modern hanga i-te kounga tiketike, me te kore-ha'iriiri rauemi e tuku i te waewae ki te whakapiko ki runga ki te 150 nekehanga. He maha ngā kōrero whai hua postoperative. turi arthroplasty taea roa i mua fakahoko ki whakapiko i te turi ki 75 nekehanga. Heoi, e kore e taea e tetahi e wareware i te wā whakanohonoho, kahore nei he oti te maimoatanga.

He whakamaumahara nui ko e ko te mahi i roto i nuinga o te wā e wahi i raro i rehunga rohe, arā, i roto i te āhua oho. Heoi, ka taea e koe faaite i to outou hiahia ki te anesthesiologist te taote e kua hanga e koe ki ranei rehunga whānui, ki te taea. E koe ki te kia tino maia me te manawanui, ki te whakarongo marie ki te oro e haere tahi ngā tukanga enadoprotezirovaniya.

wā postoperative

I muri i te mahi me te mahi o te kore o te tūtohutanga o te wahi o raro whakaaro te te täkupu. I roto i te wawaotanga ngaro te manawanui he maha nui o e huhu toto o whakakapi toto, te whakataki o ngā rongoā e tika ana mō te mamae me te paturopi.

I roto i nga ra e rave rahi i muri i raro i te mātakitaki o te kāwanatanga o tohu faufaa o te manawanui (auau ngakau, pēhanga, ECG, huringa i roto i kaute toto).

I roto i te ngaro o te māori, me te āhua ino, whakawhitia te manawanui kei roto i te ra i te kuware tiaki paroita kaha.

Rehabilitation muri turi whakakapinga

I muri i te tāuta i te wā prosthesis whakanohonoho pumau te toharite o e pā ana ki te 3 marama, engari i ētahi wā roa, i runga i te huru o te manawanui rānei.

kupu whakahauanga Ko te ahotea rā me te mahi i muri i turi arthroplasty ki whakahokia tona mahi.

Nuinga o ngā wā, te wā whakanohonoho te manawanui noho i roto i te whare hauora motuhake (e pā ana ki te kotahi marama).

Mataora wā whakanohonoho

I muri i te mahi kia noho te manawanui e pā ana ki e rua nga marama i roto i te hōhipera, me te tākuta ki te mahi i te huinga i whakaritea o mahi. Ki te hua i roto i te auau o te whakapai ake i roto i te mahi nekeneke tahi te kitea, ārahi ki te hoki tere ki te ora noa. Ko reira taea hoki ki te tango i te whare hauora.

I muri i te noho i roto i te pokapū whakanohonoho (2-3 marama), kia haere tonu te manawanui ki te faaohipa i roto i te puka o te kauhoe, wā haere me te yoga. Ko reira utu te haamana'oraa e contraindicated mahi tinana nui te.

Mahi mō te whakaora

Rehabilitation muri turi arthroplasty ngā te huinga o mahi e te tauturu i ki hinga te pakeke, hanga uaua kaha i roto i te tahi, whakaiti mamae.

Tīmata ki reiti iti me kawenga, āta neke ki uaua atu ki te whakatika i te kairomiromi. E tūtohutia ana ki te karo i hākinakina kaha rawa, na e kore i reira ngaukino hoki te tahi hou.

Ko te matatini o te mahi e hiahiatia ana mō te mahi o ia rā (4-5 wā he ra):

1. Pona - flexion-toronga i te auau hua āta tīmata i 5 ki te 12, me te tae.
2. Ko te whakaiti o nga uaua huha mua mō te 5 hēkona.
3. Whakaiti i te uaua huha muri mō te 5 hēkona.
4. Te whakatairanga i te waewae tika huru.
5. Tuhinga papa uaua mō te 5 hēkona.
6. Toronga-flexion o te wahi o raro i roto i te tahi turi.
7. tangohia peka huha.
8. Te faaafaro i te anga waewae ki te taumata o 45 nga nekehanga, me te mau i roto i te tūnga Matiu ki te 5 hēkona.
9. Kapekape waewae i roto i te āhua hāngai ki te taumata o 45 nga nekehanga me te pupuri i roto i tenei ahua ki runga ki te 5 hēkona.
10. Ko te whakamahi o "Dikul" taputapu.

Contraindications ki te prosthetics tukanga

contraindications Pūmau:

• e kore e taea kaupapa Independent.
• mate Heart me CCC.
• Thrombosis ki mumura.
• disorders pathological o mahi romahā, ma'i momo kore romahā.
• tukanga hopuhopu.
• Sepsis.
• Allergy.
• māuiuitanga uauaio.
• Disorders hinengaro.

momo o implants

prostheses nāianei kawe te mahi tiaki a taea te roherohea e whai ake:

• katoa;
• tika prosthesis mata tahi;
• pourua;
• pou kotahi.

whakaritea te prosthesis te i roto i te maha ngā huarahi:

• sima;
• kākano;
• cementless.

I roto i te tikanga ki te rawatia ētehi te prosthesis mahi mo te wa roa, whakamahia i roto i te hanga o te anti-waikura-kounga tiketike, me te kakahu, a tino nui, rauemi biocompatible:

• okouku;
• polyethylene;
• alloys whakarewa;
• sima wheua.

He tokomaha ki te whakatau mo te pokanga, he mea e tika ana ki te tātari i te ngā arotake. arthroplasty turi puritia e te rata tango ki pūkete nga āhuatanga takitahi o whaiaroaro o te manawanui.

kaupapa here utu

Turi arthroplasty i Moscow, e Iharaira, Turkey, Lithuania, Germany, kawea atu e te tohunga tohu te hunga e mohio ana ratou mahi.

He tino he torutoru haumanu motuhake i tika i runga i te mahi o te whakakapinga tahi wahi ranei ona, tae atu ki arthroplasty turi mahinga tahi. Ko te utu o implants hāngai ki te kounga o te rauemi e tito i ai reira, me te kamupene e hua i te reira. Reviews o haumanu ke i maha te tikanga o te nui pai (rawa ki te whakaaro ki te wā whakanohonoho). Heoi, i roto i Russia kawea te wawaotanga i roto i te taumata tiketike.

Na roto i tau o te wheako me te rata tino tohu ka whiriwhiri i te prosthesis biocompatible tino tika, me te te hinaaro kahore pōauautanga turi arthroplasty. Ko te utu o te tukanga tei runga i te matatini o te mahi, me te utu o te prosthesis.