Te tahi hip: whakakapinga hip, me te ora atu

Hononga e kino ia, me te kore o te nekeneke e te arai i roto i te raveraa i ngā mahi o ia rā, kia reira taea ki te arahi i te ora tonu. Rawa pakeke ka patua e te tahi huha. tauturu arthroplasty ki whakahokia te mahi ngaro o wahi, ko maha rite te ara anake mo te manawanui. Tuhinga hoki tenei mahi e neke atu i te 300 mano iwi i te tau.

Ko te tohu tuatahi, me te matua o te mate tahi ko te mamae. I te tuatahi, te mamae i te kaha iti, engari i roto i te heke mai, me te ahunga whakamua o te mate, intensifies te mamae, hoko nga hoa tamau o te tangata.

Next mai te tahuri o pōrearea o te alangá pāngia. Ko te mate mea he ki te ahunga whakamua, ārahi ētahi wā ki te whakaoti i immobilization. e kore e taea e ki te āwhina i whakaora i te huha pānga taua tūroro maimoatanga momo.

Ko tēnei wā arthroplasty Hip tetahi o nga tikanga tino hou o te tiaki hāparapara i roto i ngā tūroro ki pāpaka o te hononga iho. I roto i taua mahi te kiko turoro putanga i roto i te pūhui hip ke ki niho more horihori.

Te hanganga me te mahi o nga hononga huha

Ko te tahi hope ko tetahi o te wheua nui o te hononga iho i roto i te tinana tangata. Ko te whakamātautau uta ratou tiketike rawa i roto i te tukanga o te ora tangata, kia rite ki te kaimahi i te reira ki te hono i te wahi o raro me papatoiake.

Composition hip:

• upoko femoral - te mutunga o runga o te pūkaka he āhua porohita;
• acetabulum - he hikinga kōrere-āhua o te papatoiake, i te mea i whakaritea upoko femoral;
• wheua ngohe tahi - te kikokiko e kua he hinu tiēre-rite e whakahaere te kaupapa o nga wahi tahi articular;
• synovial (kōtuitui) wai - he taimaha motuhake o te ōritetanga gelatinous, e whangainga ana te wheua ngohe me āwhina ki te faaiti i te waku o nga papa articular;
• capsule tahi me tuhonohono - kiko tūhonohono e te kaimahi rite te pupuri o te papa articular me whakarite te pūmautanga o te tahi.

Uaua ki tendons piri i roto i te rohe hip, ona contractions tukua kaupapa i roto i reira. I roto i te āhua hauora o te tahi huha he rawa pūkoro, te taea ki te neke i roto i tetahi manureva me te aronga. pakari a ia ki te mahi pūmanawa o haere me te tautoko.

He aha te mahi e hiahia ana tatou whakakapinga tahi?

hoatu te tākuta te manawanui i mua i te pātai o tona prosthesis whakakapinga hip hiahia take pai. Kei te whakaritea te mahi, ki te tae te mate kua tae te huinga he whānuitanga taua e te tangata ko te tonu mana'o mamae tino, e kore e taea ki te mahi i ara nga nekehanga tino taketake te alangá pāngia ranei. I roto i teie mau huru, ka patua e te tahi hip, Ka taea e hip whakakapi riro i te ara i roto i.

I roto i te mate e taea meinga mate tahi tono pokanga ko:

• deformans reversible i roto i te take 2 me te 3, pakeke o te mate osteoarthritis;
• deformans osteoarthritis 3 nekehanga i roto i deformation o tetahi o nga hononga;
• hip ankylosis tahi tupu i roto i te kaikōiwi, a e tika ana ki ankylosing spondylitis;
• necrosis iroiti o te matenga femoral rite ki te hua o whara me disorders circulatory;
• wharanga o te matenga, me te kaki o te pūkaka i te puka o te whati i roto i te paari;
• huamo i roto i te rohe pona i roto i te hiahia o te maimoatanga hāparapara.

whakakapinga Hip he tika anake i roto i te take o te mate katoa o te pea o te mahi tinana, me te haere. tangohia te whakatau whakamutunga kei i runga i te mahi, tango ki pūkete āhuatanga katoa.

Contraindications ki te pokanga

He take ka ara te iwi e whai he hiahia whakapeka mo te whakakapinga hip, e kore e taea te haere mo te pokanga hoki o contraindications.

Ko te here tino noa ngā:

• mau huru i reira e kore e waiho ahei o kaupapa motuhake te manawanui, ara i roto i te take o te raveraa i te mahi;
• mate tena i te taahiraa dekompensatsionnoy (kore ngakau, mate iaia roro, kore ate) raruraru ka he exacerbate ahei mahi ngā;
• mate pūkahukahu ma'i ai kore romahā me te ventilation (emphysema, huangō);
• mumura Various wheua, kiri ranei kiko ngohengohe i roto i te rohe o te tahi huha;
• osteoporosis, ārahi ki iti kaha o te wheua, me te mōrea o te break postoperative te wheua i roto i haere noa;
• pathologies i roto i nei kahore he awa medullary pūkaka.

whakarōpū o implants

I roto i te prosthesis ki te whakakapi i te tahi huha kua pā, kia kia rawaka kaha, me humarie whakaritea reira, ka whai he tūpuku ki nga kopa o te manawanui. implants nāianei, hanga o waerau, okouku me alloys whakarewa te whakatau i nga whakaritenga e tika ana katoa. Waho, he rite ki te tahi huha tangata te prosthesis.

Ko tōna kōrero:

• Cup endoprosthesis. Tenei wahi whakakapi te acetabulum o te tahi papatoiake. Material hoki whakangao he uku. Heoi, i reira he kapu i hanga o waerau.
• Ko te upoko o te prosthesis. Metal wahi puka porohita ki te paninga polymeric. Ka āta whakarite tēnei retireti whenu, ka koané te upoko i roto i te endoprosthesis kapu i roto i ngā nekehanga e alangá.
• Waewae prosthesis. Ite i te kawenga nui, pera tonu hanga o whakarewa. Ko reira te whakakapinga o te kaki me te tuatoru o runga o te pūkaka.

Ano e wehea implants ki kotahi-pou, me te pou-rua. Ko te prostheses manawanui kotahi-pou pupuri proteziruya ratou acetabular te matenga femoral me te kaki. Ko te putanga tawhito o te prosthesis, Kei te whānui i whakamahia i mua tenei. Mā te āhuatanga e ratou auau teitei o whati o te acetabulum, a mutu ratou te whakamahi i roto i te mahi orthopedic hou.

endoprosthesis pourua Ko te ingoa o te katoa. hua ratou katoa arthroplasty huha. Here i reira e toru katoa o nga wāhanga runga ake o te prosthesis.

whakaritea te wā ratonga endoprosthesis hip e te kounga o ngā rauemi e kua mahi ki te hanga a ratou. muri nga implants whakarewa kaha ake ki te 20 tau. Heoi, hua tino pai mo te huinga o te ora mahi o te mahi nekeneke me te huinga hua he whakarewa-polymer-uku.

preliminaries

nga tūroro katoa e hiahia prosthetics, me whakahaere rangahau, whakatau i te āhua o te tahi huha (ultrasound, MRI, X-hihi) ki te aukati contraindications pea katoa.

e kore e kore e mahi whakangungu motuhake rapu. I roto i te ngaro o contraindications puta kōwhiringa mahi taumahi. Ko te ata o te pokanga ki te heua te kiri i roto i te rohe hip. E rāhuitia kai me te inu.

taahiraa tukanga

whakanohoia ana te manawanui kei i runga i te tepu whakahaere, te wahi i mahi ai ia rehunga. tikanga ōrite o te rehunga anesthesiologist me manawanui. Ko te roanga o te mahi ka taea e tae i roto i te wā uaua 5 haora. Na reira, ko te kōwhiringa pai he rehunga filosilivá rehunga tonu ranei ranei. hopoi mai te tikanga tuatahi o te rehunga iti kino, na he pai ki te whakarite i te feia ruhiruhia.

Ki runga ki te otinga o te rehunga tākuta te whakamahi i tapahia ngā uru ki te tahi huha. Ko te tapahia e hiahiatia ana - e pā ana ki 20 cm He he he tuakitanga o te capsule tahi ka nekehia atu te matenga o te pūkaka, i te mea i raro ki te resection ..

mai wheua whakatauira i roto i te puka o te endoprosthesis. puta prosthesis warea tino maha e te tikanga o te sima. Next, te mata o te acetabulum nekehia drill wheua ngohe articular, kua ka whakatakotoria nei kapu endoprosthesis.

pōauautanga pea

whakaaro pokanga whakakapinga Hip te ki te waiho i te pokanga matatini.

Ka taea e arahi te reira ki pōauautanga:

• toto;
• clots toto i roto i te uaua o nga topito o raro;
• suppuration o prosthesis me patunga hāparapara;
• kanokanototo;
• makanga o endoprosthesis;
• fifi o te pūnaha Cardiovascular.

mahi faaineineraa tupato whakaiti te mōrea o pōauautanga.

Hua o ngā mahi

E ai ki ngā tatauranga, hip whakakapi mua manawanui hoki te wahi pai te nuinga. Tūroro e ite i te mauruuru ki te mahi. I roto i te mahi i roto i te hunga āhua taitamariki tau, kahore mate te rere o te mahi huha tahi faaho'ihia mai i roto i tonu. Ka taea e te tangata e haere me te ara ngā i roto i te mahi ā-tinana, i waho ngāwari te prosthesis. E contraindicated ngā mahi hākinakina.

He hua rawakore i muri i hip whakakapinga pokanga. Nuinga o te tupu pinepine ratou i roto i te tau tawhito, ki te whai koe i comorbidities. I roto i te 20% o tūroro pangia whakakapinga huha, whakaatu tūroro arotake matekiri hua o ngā mahi.

Whakaora i muri i te pokanga

kia tīmata Rehabilitation o tūroro tonu i muri i te pokanga. Tenei mahi i muri i hip whakakapinga pokanga, me mahi manawa. O te akoranga, me te pupuri i anake e prosthesis kua oti, engari kia tamata ki te whakatau hukihuki uaua iti i muri i hip whakakapinga mahi. kia Rehabilitation ngohengohe ki te ture matua - e hiahia ana koe ki te whakapiki ake i ngā wā katoa te kawenga.

Ko te ra tuatahi i muri i te pokanga

Te nuinga o tūroro i ki te noho ratou i roto i te kōwae tiaki kaha. He he pai ki te aroturuki tohu faufaa, te whakautu tonu ki nga huringa tōraro katoa. I muri i te tahi haora i muri i te pokanga, kia whai ki te noho te wā i roto i te tūranga e noho ana, iho ki raro, te tāhau he tangata.

riria te hip whakahaeretia te ki whakapiko nui atu i 90 °. Tenei taea whakapōrearea tona hanganga, me te warea i roto i te wheua. E mau ki te tūranga e noho ana kei te pai te mana whare hauora hauora utuafare ranei kaimahi. Ka āwhina i ratou ki te neke i te e alangá pangia, a ka whakarato āwhina tuatahi, ki te reira he whanoke.

Whiwhi i roto o te moenga

He torutoru nga ra ki te tiki i roto i o te moenga i runga i to ratou ake i muri i kore e waiho te pokanga. A ti'aturi i te alangá hauora, kahore te whakamahi i ngā pūrere pŭpŭ tauturu, kua rāhuitia te reira mo te maha wiki. pūrere Āwhina taea te mahi rite te kakaho tokowae ranei. A, no te he huru pai o te manawanui i muri i te mahi pērā i hip whakakapinga, taea whakanohonoho te whakamahi i te tauturu ki te tiki ake i te ra i muri mai, Heoi, e kore e ano rite ki te rave i te reira te nuinga o ngā tūroro.

e haere ana

Tukua te manawanui ki te haere i te toru o nga ra i muri i te mahi. I te wa ano me tautuku ki nga whakaritenga katoa mo te whakawhiti ki te tūranga tu. Kia tino ki te neke i te ringa pito whakahaeretia waewae pai ranei ki sveshivaniya moenga. Ka taea e koe te tiki ake i runga i turu tootoo, me te waewae hauora. rāhuitia Tetahi ngana ki te whakawhirinaki i runga i te huha kafó te i roto i te marama i muri i te pokanga, na kia waiho i roto i te whae. Whakamahia tokowae i haere ana, he reira ki kore iti iho i te toru marama pai.

I te rere haumaru o te wā whakanohonoho e taea te haere i runga i te kakaho mō tautoko. A ti'aturi i te waewae whara taea e i roto i te marama, engari e kore e neke tona taimaha katoa o te tinana. Tīmata mahi i muri i hip whakakapinga pokanga he tika ki te ruha nga waewae ki te taha ki te hoki mai o tona hoki, me te kohi, me te e tukupu ana i roto i te tūranga e tu ana. Te uta i te waewae e rua kawenga marama whakahaeretia, e kore rawa tetahi hawhe o te te manawanui taimaha tinana. A haamata ki te haere i waho tino improvised taea i muri i 4-6 marama o te mahi. kia nui haere kawenga āta, me te āta.

kai

Ko te wāhanga nui o te ora o te manawanui ko te kai tōtika tika. kia tiketike i roto i te pūmua, kohuke me ngā huaora te kai. Ehara i te mea e tika ana ki te piri ki te tino nui-pūngoi kai, no te mea e kore e taea e tūroro neke kaha. pūngao kïhei i roto i tenei take e taea te arahi ki taonga taimaha, e pai whakaroa whakaora. E kore e whakaaturia Ko te hua o te tunu, parai me kai fatty, he paowa kai. ika tukua, kai kikokore, huawhenua me hua, pata, hua. I roto i kore take e kore e taea te inu inu i te kava, kawhe, me te tea.

Te maimoatanga me te whakanohonoho

Treatment i te whare hauora pumau 2-3 wiki. aroturuki tukanga whakaora te kupu maru ia i te te. Tikanga, Kei te nekehia atu sutures i muri i te 12 nga ra. Ko te toenga o te noho i roto i te whare hauora i te manawanui me ana whanaunga e whakaako ngā pūkenga ohie whakanohonoho o te waewae whakahaeretia. 3 marama i muri i te mahi, he Radiography o te tahi huha. E tauturu te reira ki te aro mātai i te angitu o te mahi, me te warea o te ētehi.

Kia tukua te te manawanui i te institution hauora, he nui te awhina i roto i te whakanohonoho atu taea whai i te kōrero ki te rata-rehabilitator nei e te āwhina i roto i te mahere takitahi o te whakanohonoho. Te reira e tauturu hanga reira haumaru atu me iti roa wā whakaora. hoki te nuinga o tūroro ki te ora kaha e wahi e ono nga marama i muri i te mahi. e tūtohu ana ki te whakaiti i te kawenga ki te whakanohonoho e alangá whakamutunga e Nōna ka prosthetics. Te tahi hip, i i angitu whakakapinga tahi, e taea o te wa roa ki te mahi ki tona ariki.

te wahi whakahaeretia

E kawea Best o enei ngā mahi katoa i roto i ki waho. Kua meinga matou haumanu rawa hira o Iharaira me Germany, e faaaravihi i te whakatinanatanga o taua wawao. Heoi, he tiketike rawa te utu o te hip whakakapinga i taua haumanu. He rerekē whaitake, ki te hoki tetahi take ki te whai i te mahi ki waho e kore te mea taea, he whakakapinga hip i Moscow. Kua tutuki tākuta Russian i roto i nga tau tata nei i te rota o te ahunga whakamua i roto i te mara o te whakakapinga tahi, hanga hoki te tau i te iti rawa 20 mano ngā wā whakakapinga hip. Ko nui iti iho i te i roto i haumanu ke te utu o tenei mahi i roto i to tatou whenua, a ka he 38,000 moni.