I-hip joint: eyaphukileyo kunye neziphumo zawo. hip replacement, kwimo yesiqhelo emva kotyando

Asiyiyo yonke Khawucinge nje ukuba joint hip. Zaguquka yale yinxalenye amathambo kubangela iingxaki ezininzi. Ngapha koko, abantu ngelo xesha abanye wambamba. Kwiimeko ezininzi, izicwili ingqibelelo ukungathobeli kwenzeka entanyeni femoral, nto leyo ifumaneka ngezantsi intloko ibekwe em- entlanganweni hip kwakunye mezhvertilnom isabelo - inxalenye ephezulu engaphandle yifemur. Xa oku ukwa inokuba ngokupheleleyo okanye ngokungaphelelanga.

ngezigaba

ukwa Hip zihlelwe ngolu hlobo:

1. Ukophulwa ingqibelelo entanyeni femoral.
2. Ukwaphuka kwethanga eliphezulu.

Kulo mzekelo, yaphula ingqibelelo esikule entanyeni femoral zihlukaniswe ngezigaba. Konke kuxhomekeke migca zaphuka:

1. ithambo Major - ukulimala entloko.
2. Subkopitalny. Kulo mzekelo, umgca ngokwaphulwa le idlula ngqo phantsi kwentloko ithambo kasikrobana.
3. Transcervical okanye chrezsheechny - ukwenzakala entanyeni femoral.
4. Bazistservikalny ukwa - an umgca kukwenzakala kucanda isiseko entanyeni kummandla wombane wayo nomzimba ithambo.

Ukuhlelwa Ukophuka ezilula nezixandileyo

Kukho kwakhona Ukophuka ilula kakhulu. Ezi ziquka:

1. ukwa udonga diff.
2. Ukwaphuka kumhlathi angasemva.
3. Phula ingqibelelo kodonga ngaphambili.
4. Ukwaphuka kumhlathi sobuKristu.
5. Zaphuka cross.

Kuba ngaphezulu ukulimala complex ziquka:

1. T-ezimile zaphuka.
2. Ukophulwa kumhlathi ngasemva kunye nemfezeko eludongeni angasemva.
3. Ukwaphuka udonga ngasemva kunye enqamlezileyo.
4. Ukophulwa ingqibelelo zombini iikholam.

zesifo zaphuka

Ukuba bahlole ukuba ngaba entlanganweni hip yonakele? Bone ukwa kule ndawo, ngokuqhelekileyo ekhatshwa iimpawu isici. Phakathi kwabo ivelele:

1. Intlungu kule ndawo ubudoda. Iiplastiki ngobulali kuphumla. Noko ke, kukho intlungu abukhali xa uzama ukuya umlenze wakhe owenzakeleyo.
2. Hematoma. Olu phawu ayikho kusasa, njengoko oko kunokuthi kwenzeke kwiintsuku nje ezimbalwa emva kokwenzakala.
3. Kwisikhululo ithuba ilele phezu ekupheleni engaphandle kwindawo othe tye.
4. Ukunqongophala i ujikelezo esebenzayo zangaphakathi esiphelweni asezantsi. Xa hip Ukophuka umntu akakwazi ukutshintsha umlenze owenzakeleyo luwuphendule unyawo. Kungenxa yesi sizathu ukuba unyawo usoloko kwi sikhundla ngaphandle.
5. omzimba Lower iba mfutshane malunga 3-4 cm.
6. Uphawu Girgolova. Xa kwenzeka into ziyanyuswa ukubetha kwemithambo femoral. Kulo ixhoba ukugoba futhi unbend nomlenze isithende kodwa uzofaka kwindawo othe tye. Ukongeza, isigulana lingenako ukukhetha up ubambe unyawo kwi sikhundla avuswe.

Kutheni kukho zaphuka

Ayizizo zonke inshorensi ngokonzakala kunye uyakwazi ukugcina ingqibelelo entlanganweni kasikrobana. Zaguquka kubantu abatsha - a ukuphazamiseka kwenzeka ngenxa yezizathu ezithile. Ezi kufuneka iquke:

1. Ubukho ezahlukeneyo kwezifo.
2. Trauma (kwingozi yemoto, a ukuwa).

Njengoko abantu abadala, ukongeza yezi zizathu zilapha ngentla ukuba hip ngokwaphulwa kunye ukubana ngaphandle oko kunokuthi kwenzeke kwisiqalo yokunciphisa amandla ijwabu ithambo. Oku, yenye neziphumo izifo ezifana kwamathambo. Esi sifo rhoqo emva ekuqaleni ukuya exesheni. Kwamathambo kudla eyenzeka amadoda ebudaleni ikwandim, kodwa isidanga engaphantsi.

Kubalulekile ukuphawula ukuba ezinjengokwaphuka hip kaninzi kwenzeka ngenxa yokuwa. Imiba yomngcipheko echaphazela ingqibelelo wayo kufuneka iquke umbono kahle, isifo luvo okanye oncological, ukuncipha umsebenzi ngokwasemzimbeni nezingafezekanga. Emva kokuba afike kwiminyaka ka-50 umngcipheko wokwenzakala linyuke kakhulu. Qho ngonyaka, ihlabathi lirekhode malunga nezigidi 1.6 kwamathambo ancedisana nyonga.

imiphumela

kwakhona ngokupheleleyo ukuba joint hip? Zaguquka yale yinxalenye amathambo umonakalo nokwenzakala kakhulu ukuba ixesha elithile lusizi umntu. Victim ne yamehlo ingqibelelo inyama kufuna esibhedlele ngoko nangoko. Izigulana labagula loo Ukophuka esongela Izilonda uxinzelelo. Amaninzi, nanzo kwakheka kwi ezinqeni sacrum. Oku kubangelwa ikakhulu ukuya ukunyhashwa inyama trophic.

Thrombosis and amile iinkqubo

Kuba impilo kunye nobomi usongo olukhulu yomguli kukuba thrombosis kweqondo asezantsi, kwakunye kwingxinano lwemithambo. Elide alale kudla ngokukhokelela iingxaki kwegazi. izigulane abadala Inokwenzeka Embolism miphungeni. Le ukuhlukunyezwa ivame ebulalayo. Ukongeza, kusenokubakho ukusilela yokuphefumla kunye nenyumoniya congestive.

Kufuneka kuqatshelwe ukuba alale elide kudla ngokuphumela ekubeni ukunyhashwa imisebenzi lokugaya. Oku kuboniswa ukunciphisa motility wamathumbu kwaye kukhokelela kuphuhliso kwesisu.

Ukungazilolongi kukhokelela izigulane kuxinezeleko. Kwiimeko ezifana oku inkxaso ebaluleke kakhulu nabantu ababathandayo. Ukongeza kule miba ingentla apha, xa izigulane trauma le acetabulum kuyenzeka necrosis avascular yentloko ngokwayo kunye lweHo- ithambo. Kwezinye iimeko, ukuphuhlisa coxarthrosis.

uncedo lokuqala

Njengoko kuvela kwi hip ngokwaphulwa zoncedo lokuqala? Xa zokulimala kufuneka benze ngenyameko. Maluqhutywe ngolu hlobo:

1. Ixhoba yokuqala waphula kasikrobana ingqibelelo ithambo kuyimfuneko ekuthobeni walala ngomqolo.
2. Ukususa iintlungu, laqalisa iintlungu non-ezidakumbisayo. Kulo mzekelo, i "Analgin". Ukuba buhlungu ngokukhawuleza, uvunyelwe ukusebenzisa iziyobisi ezidakumbisayo. Kunokuba nayiphi arhente iintlungu "Ketorol".
3. Ukuthuthwa ixhoba kule ukwenzakala kufuneka lwenziwe kuphela phezu lokukhwelisa.
4. Makungaze naphantsi kwazo naziphi na iimeko umntu uzame kwakhona kwesebe esezantsi zonakaliswe kwindawo yokuqala.
5. Kumlenze owenzakeleyo kufuneka ukunyanzelisa ibhasi okhethekileyo, nto leyo evumela ukuba icele joint hip.

Ngexesha ukuthuthwa ixhoba kuyimfuneko ukuba esweni imeko yakhe, ahlawule ingqalelo umbala inwebu yangaphakathi kunye nesikhumba.

Yintoni na enawe umonakalo olongezelelweyo

unyango Hip ukwa ekufuneka wenziwe esibhedlele - enzakele kakhulu ukuba kusenokuquka kophulwe soft ingqibelelo kwithishyu. Kufuneka wenze ntoni elimele ezinjalo?

1. Ukuba imithambo yegazi umonakalo, lo tourniquet kufuneka ibe ngaphezu indawo apho ukopha kuphawuliwe. kweeyure ezimbini kamva, kufuneka isuswe. Ekubeni isisulu esinjalo lokuthuthuzela amaxhoba ezilawulwa intramuscularly 12.5% "Etamsylate" 1% "Vikasol". Le bethwele akakwazi ukuvala walisusa igozi
2. Ukuba ulusu yonakele, kufuneka ziphathwe ayodini uze ukuwisa bandage aseptic.
3. Ukuba ixhoba kwaqala iintlungu okanye kukothuka post-traumatic, kuyimfuneko ukuba imilinganiselo resuscitative engxamisekileyo, ezijonge ukugcina imisebenzi esisiseko ye zeenkqubo ebalulekileyo.

Njani na ukwaphulwa okunjalo

Kwezinye iimeko, isinqe replacement. Njengoko kubonisiwe kwentlungu endibuthethileyo iintlungu, kaninzi ngenxa yokubulala ugqirha ukuqaleka ifaka kungena kwindawo eyonakeleyo intlungu. Ukongeza, isigulane emiselweyo ntlungu ezidakumbisayo and non-steroidal amachiza-ukudumba. therapy qhinga kulo mzekelo kuxhomekeke ekunyanisekeni i lolwabo sele engozini, nokuba iimpahla ezinkulu, izihlunu kunye nemisipha ukuba yonakele.

Achaphazelekayo kunye ukwaphuka amathambo hip ukwenza uthelekiso nxalenye koko kongezwe kulo imoto skeletal. Kwesi sikhundla, isigulane kufuneka ulale phakathi kweenyanga-1 no-2. Ekwenzeni le mali unyango lwe imithwalo ebegqwese lifinyele. Emva koko, lo abachaphazelekayo isicelo udaka bandage. It ikuvumela ukuba uzulazule ngoncedo ngeentonga. imo Motor isigulane ngokwenyusa kancinane. Noko ke, balelwa ngqo kugxininisa umlenze owenzakeleyo. Kwinkqubo kokuvuselelwa izigulane zokulimala amisele yokuthanjiswa kunye nonyango ngokwasemzimbeni. Ngaphandle kubonisa unyango wenyama hip zaphuka.

Kubalulekile ukuphawula ukuba umsebenzi yamanzi phezu kwesebe owenzakeleyo kuboniswa kwiinyanga kuphela emva kwe-3. Ukuba isigulana abadala alinayo nayiphi na izifo apho ayivumelekanga ukuqaliswa zomzimba jikelele, ugqirha ukuze enze uqhaqho. Eneneni, kwezinye iimeko zifuna hip replacement. Ukongeza, lo msebenzi ukunciphisa ixesha lokuphumla ebhedini, nto leyo ibaluleke kakhulu.

Kwiimeko ezithile, amisiweyo hip replacement. Kwimo yesiqhelo emva kotyando lwenzeka kakhulu ngokukhawuleza. Kubangel 'umdla ukwazi ukuba ukutshintshwa wethambo kule ndawo iphezulu-zobugcisa kunye nokusebenza ezintsonkothileyo.

Inkqubo yesiqhelo emva afakelweyo

Kulula yini kunyanyezelwa hip replacement? Kwimo yesiqhelo emva kotyando na yenziwe kunyango ofisi ngokwasemzimbeni okanye ukuyifundisa. Ukususela kwiintsuku zokuqala emva kotyando olwenziwa phantsi kolawulo olungqongqo kumfundisi unyango ngokwasemzimbeni okanye gqirha. Emva kweentsuku nje ezimbalwa isigulane avunyelwe ukuhamba ngeentonga. Ukongeza, unyango ngamachiza lwenziwa emva kotyando. Izigulane emva hip replacement, adla emiselweyo sosudoregulyatory ku / iimela, heparins sobunzima lwalusanda ephantsi ukuba prophylaxis of thrombosis, analgesics kunye antibiotics. Emva kotyando, isigulane kufuneka sihlale esibhedlele iintsuku ezi-5.

Rehabilitation emva zaphuka

Vula okanye closed ukwaphuka kasikrobana joint - wokwenzakala, emva koko kufuna ixesha elide yabo yesiqhelo. Kulo mzekelo, kwanonyango okhethekileyo. Yena yabelwa kwiintsuku zokuqala alale. main kwawo - luthintelo kunye nokupheliswa kweenkqubo elingakhuliyo, kwakunye kubunzima postoperative.

Ngaphezu esililini ogulayo iirholithi ezizodwa. Ngoncedo lwabo, akanako ngokuchanileyo ukutshintsha indawo emzimbeni. Oku kuthintela ukuyilwa izilonda uxinzelelo. Ukongeza, le rehabilitator kufuneka wenziwe rhoqo imithambo yokuphefumla nomonde, kunye nemithambo eyahlukileyo evumela inyama ukuba sifunxe oksijini iyaluthintela uphuhliso yinyumoniya congestive.

Ingaba kukho ukutya

Ngokubhekiselele isondlo, izigulane zokonzakala ezifanayo kufuneka unamathele ukutya ethile, equka ukutya ezinomthamo aphezulu iivithamini kunye calcium. Imifuno kunye neziqhamo bakwazi ukuphucula wokugaya, kwakunye ukuphepha kukuvela kwesisu ucingisise. Ukongeza, izigulane ukonzakala abanjalo kufuneka ukulibala unyango Spa.