Hip yekubatanidza kutsiva
Hip yekubatanidza kutsiva ndiko kuvhiya kutsiva zvese kana chikamu chemubatanidzwa wehudyu pamwe neyakagadzirwa nevanhu. Mubatanidzwa wekugadzira unonzi prosthesis.
Mubatanidzwa wako wehudyu unoumbwa nezvikamu zviviri zvikuru. Chimwe kana zvese zvikamu zvinogona kutsiviwa panguva yekuvhiyiwa:
- Chiuno chehudyu (chikamu chepfupa rechiuno chinonzi acetabulum)
- Kumucheto kwekumusoro kweruoko (kunonzi musoro wechikadzi)
Chiuno chitsva chinotsiva chekare chakaumbwa nezvikamu izvi:
- Sokisi, iro rinowanzo gadzirwa nesimbi yakasimba.
- Liner, inokwana mukati mehomwe. Kazhinji kazhinji ipurasitiki. Vamwe vanovhiya vava kuyedza zvimwe zvinhu, senge zvedongo kana simbi. Iyo liner inobvumira hudyu kufamba zvakanaka.
- Simbi kana zvedongo bhora rinotsiva rakatenderedza musoro (kumusoro) wechidya chako pfupa.
- Simbi yesimbi yakasungirirwa pachidya chechidya kuti isimbise kubatana.
Iwe hauzonzwa chero kurwadziwa panguva yekuvhiyiwa. Iwe unenge uine imwe yemhando mbiri dzeanesthesia:
- General kutindivadza. Izvi zvinoreva kuti unenge wakarara uye usingakwanise kunzwa kurwadziwa.
- Dunhu (musana kana musana) anesthesia. Mushonga unoiswa kumusana kuti uite chiveve pasi pechiuno chako. Iwe zvakare uchawana mushonga wekukotsira. Uye unogona kuwana mushonga unozoita kuti ukanganwe nezve maitiro, kunyangwe iwe usingave wakanyatsorara.
Mushure mokunge wagamuchira anesthesia, chiremba wako anovhiya achacheka kuvhiya kuti avhure muhudyu mako. Kucheka uku kunowanzo pamusoro pemagaro. Ipapo chiremba wako anovhiya acha:
- Cheka uye bvisa musoro wefupa rako pfupa.
- Shenesa chiuno chako chehudyu uye bvisa iyo yakasara yekatekete uye yakakuvadzwa kana bone yemajoini.
- Isa chigadziko chitsva muchiuno, liner rinobva raiswa muhomwe itsva.
- Pinza simbi mukati megumbo rako pfupa.
- Isai bhora rakaringana reiyo nyowani.
- Chengetedza ese matsva zvikamu munzvimbo, dzimwe nguva nesamende yakakosha.
- Gadzirisa tsandanyama uye tendon dzakakomberedza nyowani nyowani.
- Vhara ronda rekuvhiya.
Uku kuvhiya kunotora anenge 1 kusvika 3 maawa.
Chikonzero chakajairika chekuvhiyiwa ichi ndechekununura arthritis. Kutambudzika kwakanyanya kwearthritis kunogona kudzikamisa zviitwa zvako.
Kazhinji yenguva, kubatanidzwa kwehudyu kunoitwa muvanhu vane makore makumi matanhatu zvichikwira. Vanhu vazhinji vanovhiyiwa ava vadiki. Vechidiki vanhu vane chiuno chakatsiva vanogona kuisa kushushikana kwakanyanya pachiuno chekugadzira. Iko kushushikana kwekuwedzera kunogona kukonzera kuti ipere pamberi pekare pane vanhu vakuru. Chikamu kana chese chakabatana chingangoda kuchinjwazve kana izvozvo zvikaitika.
Chiremba wako anogona kukurudzira kutsiva hudyu kune aya matambudziko:
- Iwe haugone kurara kuburikidza nehusiku nekuda kwekurwadziwa kwechiuno.
- Huru yako yehudyu haina kuwana zvirinani nemamwe marapirwo.
- Kurwadziwa muhudyu kunogumira kana kukutadzisa kuita zviito zvako zvakajairwa, sekugeza, kugadzira chikafu, kuita mabasa epamba, uye kufamba.
- Une matambudziko ekufamba anoda kuti iwe ushandise tsvimbo kana kufamba.
Zvimwe zvikonzero zvekutsiva mubatanidzwa wechiuno ndeizvi:
- Kutsemuka mune chidya pfupa. Vakwegura vakuru vanowanzo kuve nechinotsiva chiuno nekuda kwechikonzero ichi.
- Hip majoini mamota.
Nguva dzose udza mupi wako wezvehutano kuti ndeapi madhiragi auri kutora, kunyangwe mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.
Pakati pevhiki mbiri usati wavhiyiwa:
- Gadzirira imba yako.
- Iwe unogona kukumbirwa kumira kutora mishonga inoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), vatete veropa vakaita sewarfarin (Coumadin), nemimwe mishonga.
- Iwe unogona zvakare kuda kurega kutora mushonga izvo zvinogona kukuita iwe mukana wekutapukirwa. Izvi zvinosanganisira methotrexate, Enbrel, uye mimwe mishonga inodzvinyirira immune system yako.
- Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
- Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe marapirwo, chiremba wako anovhiya anokukumbira kuti uone mupi anokubata iwe nekuda kwemamiriro aya.
- Udza mupiki wako kana wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
- Ukasvuta, unofanirwa kumira. Kumbira rubatsiro kana mukoti wako rubatsiro. Kusvuta kunoderedza maronda uye kupora kwemapfupa. Izvo zvakaratidzirwa kuti vanosvuta vane mhedzisiro yakaipa mushure mekuvhiyiwa.
- Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chauinacho usati wavhiyiwa.
- Iwe ungangoda kushanyira chiremba wepanyama kuti udzidze zvimwe zviitwa zvekuita usati wavhiyiwa uye kudzidzira kushandisa madondoro kana anofamba.
- Gadzira imba yako kuti zviite nyore mabasa ezuva nezuva.
- Kumbira mupiki wako kuti aone kana iwe uchida kuenda kunzvimbo inochengeterwa vakwegura kana yekuvandudza nzvimbo mushure mekuvhiyiwa. Kana iwe uchidaro, iwe unofanirwa kutarisa nzvimbo idzi pamberi penguva uye cherekedza zvaunofarira.
Dzidzira kushandisa tsvimbo, chinofamba, madondoro, kana wiricheya nemazvo ku:
- Pinda nekubuda mushower
- Kwira nekudzika masitepisi
- Gara pasi kushandisa chimbuzi uye simuka mushure mekushandisa chimbuzi
- Shandisa chigaro chekugezera
Pazuva rekuvhiyiwa kwako:
- Iwe unowanzo kubvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri maitiro acho asati aitwa.
- Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara.
Uchagara muchipatara kwemazuva matatu kusvika matatu. Munguva iyoyo, iwe uchapora kubva kune yako anesthesia uye kubva pakuvhiya pachako. Iwe unozobvunzwa kuti utange kufamba uye kufamba nekukurumidza sezuva rekutanga mushure mekuvhiyiwa.
Vamwe vanhu vanoda kugara kwenguva pfupi munzvimbo yekuvandudza mushure mekubva muchipatara uye vasati vaenda kumba. Pane rehab Center, iwe unozodzidza maitiro ekuchengetedza zviito zvako zvezuva nezuva uri wega. Hutano hwepamba mabasa aripo zvakare.
Hip kutsiva yekuvhiya mhedzisiro inowanzo kuve yakanakisa. Mazhinji kana ese ekurwadziwa kwako uye kuomarara kunofanira kuenda.
Vamwe vanhu vanogona kunge vaine matambudziko nehutachiona, kusunungura, kana kutobviswa kweiyo nyowani yehudyu.
Nokufamba kwenguva, mubatanidzwa wechiuno wechiuno unogona kusununguka. Izvi zvinogona kuitika mushure memakore gumi nemashanu kusvika makumi maviri. Ungangoda wechipiri kutsiva. Utachiona hunogona zvakare kuitika. Iwe unofanirwa kutarisa nachiremba wako nguva nenguva kuti uone kuti hudyu yako iri mumamiriro akanaka.
Vechidiki, vanhu vanoshingairira vanogona kushatisa zvikamu zvehudyu yavo nyowani. Ingangoda kutsiviwa chiuno chekugadzirira chisati chasununguka.
Hudyu arthroplasty; Yese hudyu kutsiva; Hudyu hemiarthroplasty; Arthritis - hudyu kutsiva; Osteoarthritis - hudyu kutsiva
- Kuchengetedzwa kwekugezera kwevakuru
- Kugadzirira imba yako - kuvhiya mabvi kana chiuno
- Hip kana mabvi kutsiva - mushure - chii chekubvunza chiremba wako
- Hip kana mabvi kutsiva - pamberi - chii chekubvunza chiremba wako
- Hip kutsiva - kubuda
- Kudzivirira kudonha
- Kudzivirira kudonha - chii chekubvunza chiremba wako
- Kuchengeta ronda rekuvhiya - rakavhurika
- Kuchengeta mubatanidzwa wako mutsva wechiuno
- Kuputsika kwehudyu
- Osteoarthritis vs. rheumatoid arthritis
- Hip yekubatanidza kutsiva - akateedzana
American Academy yeOrthopedic Surgeons webhusaiti. OrthoInfo. Yese yehudyu kutsiva. orthoinfo.aaos.org/en/treatment/total-hip-replacement. Yakagadziridzwa Nyamavhuvhu 2015. Yakasvika Nyamavhuvhu 11, 2019.
American Academy yeOrthopedic Surgeons webhusaiti. Kudzivirira hutachiona hwehutachiona hwehutachiona muvarwere vari kusarudzwa muhudyu uye mabvi arthroplasty: Uchapupu-hwakavakirwa nhungamiro uye humbowo mushumo. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Yakagadziridzwa Nyamavhuvhu 23, 2011. Yakasvika muna Kukadzi 25, 2020.
Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip kutsiva. Lancet. 2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.
Harkess JW, Crockarell JR. Arthroplasty yehudyu. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 3.
Rizzo TD. Yese yehudyu kutsiva. Muna: Frontera WR, Sirivha JK, Rizzo TD Jr, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chits. 61.