Nokusebenza idolo replacement: ncomo. idolo arthroplasty: yesiqhelo

Xa amathambo ngokufuthi kusetyenziswa inkqubo ukutshintshwa entlanganweni yonakele. Nangona kunjalo, xa kuthelekiswa kwi joint womlenze , leyo uhamba ukunyamezeleka kakuhle ngaphandle iingxaki, Idolo yokuTshintsha phe kunzima kwaye kungabangela iingxaki ezifana:

- iinkqubo ezosulelayo kwisiza kolu fakelo uyofaka;

- ukubana le ngengqondo;

- kule lungu patellar zingabangela okanye lamabutho;

- igazi egazi emlenzeni;

- yaphula isidima ithambo femoral (zaphuka).

Ngenxa yobukho olu hlobo iingxaki abantu ashiye iimpendulo ezingafani ezinjalo. Idolo replacement kulo mzekelo kungenziwa ngaphandle ngxaki.

Kubalulekile ukuphawula ukuba kwiminyaka eli-10 eyadlulayo kukho izigulane ezininzi kunye iingxaki ezahlukeneyo emva athile omzimba le ndlela. Ekuhambeni kwexesha, onke uphuculo - aphucula ngqo nomgangatho afakelweyo, kwakunye nenkqubo yokusebenza. Into ebalulekileyo lokubuyiselwa owenza ixesha kwimeko yesiqhelo kunye iseti olulandelenayo ezifunekayo bachache ngokukhawuleza. Ezi zinto ziye zanciphisa amathuba ezininzi iingxaki kwixesha postoperative.

Xa Ngaba kusafuneka ndenze replacement iyonke omzimba?

Le edolweni joint - oku condylar hlobo joint ehlangeneyo, iindawo nangamathambo leyo isale intlala eyenziwa Imicu collagen kunye chondrocytes kuhluma maleko kunye nezinto esisiseko. Ngenxa intlala articular uze ubanike into iintshukumo kuyimfuneko kwenzeka. synovia lugubungela ubuso joint, ngenxa kukunyuswa fluid yenziwa kuyimfuneko, ukuvimbela zochuku kwi entlanganweni.

Ngenxa izifo ezahlukeneyo baqale iinkqubo sisiba mandundu of intlala articular, kungoko ke ukuguqulwa imilo kunye noqhelwaniso lomsebenzi kwamadolo. Xa ukubakhona kwezifo ezifana kwi isanda oko kuyimfuneko ukuqhuba unyango lwamayeza oluya kuphucula imeko intlala kwaye susa inkqubo arhabaxa.

Kumanqanaba kamva, xa ubambe ukutshatyalaliswa intlala kunye ukukhuhlana, kule meko kucetyiswa uqhaqho idolo prosthetic ngokufaka isinyithi okanye koko iye zeplastiki endaweni welungu kutshatyalaliswa.

Ubungqina obubonakalayo buxela ukuba umzila

1. deformation ezimanyene ubudala.
2. deformation joint, ekhatshwa ukudumba.
3. Ukwenzakala.
4. Ukudleka dysplastic.
5. Ubukho mmandla necrotic kwi entlanganweni.

izigulane ezinokubakho - kubantu:

1. Ukuphelisa bayifuna intshukumo kunye neentlungu kakhulu.
2. Ukutshintsha ebalulekileyo imilo welungu.

ngoonobangela

- iimeko rasprostanenie zokulahleka idolo odibeneyo eqhelekileyo yokusebenza ezenziwa esi sifo. It kwamalunga emva kokwenzakala, ngokwaphulwa, komsipha okanye enyelisa kunye nabanye.

- Xa isifo samathambo ukudumba kwenzeka kunye itywina sinovilnoy inwebu, ndlela uqala uphuhliso ebonakalayo ulwelo joint, nto leyo ekhokelela entshabalalweni ngokudibeneyo.

- Inkangeleko osteoarthritis kwi abadala, nto leyo lubonakala ngokuba ukonakala ukushukumiseka ngokudibeneyo kunye lokuyimfihlo.

Ziziphi iingenelo betyale joint ngumntu?

Nokusebenza idolo replacement yenzelwa ukunciphisa okanye ngokupheleleyo ukususa intlungu ixesha elifikelela kwiminyaka ukuya kwelishumi elinesihlanu. Lifakwa endaweni implants wabatshabalalisa edibeneyo ngumntu, simlungele anatomically efanayo.

Emva kotyando ilunga idolo kube yimpumelelo, izigulana kuphawula ukwanda kuluhlu sentshukumo. Umgangatho ubomi itshintsha kakhulu. Ngoko ke abantu abaninzi ashiye ingxelo eyakhayo. Idolo arthroplasty kwiimeko ezininzi lwenzeka ngaphandle iingxaki, ekhokelela bachache ngokukhawuleza abuyele umntu ebomini eziqhelekileyo.

Yeengxaki ezinxulumene ne endoprosthesis

utyando edolweni nayo enxulumene ne ukuvela eziliqela ubungozi, kwakunye nangexesha nayiphi na enye utyando. Ezi iingozi ziquka igazi ilahleko abantu exacerbation abadala kunokwenzeka sisifo esingapheliyo, egazi igazi eziphelweni asezantsi, iinkqubo ezosulelayo endaweni ukuqaliswa zikhule ezindleleni mochevyvedeniya. Mva nje, kuya kuba inqabile.

Enye kuphoxwa Ukwakheka losulelo ukuphathwa idlule kunzima yaye kuziindleko kakhulu. Amaninzi kunye iingxaki olu hlobo kuphela ukunceda kususwe emzimbeni yequmrhu langaphandle, kulo mzekelo, lo endoprosthesis. Kukho yipesenti yabantu lula ngakumbi yimbonakalo usulelo kunabanye, ezi ziquka ukuba isifo samathambo, izigulane abatyebe abafuna ukuthatha amachiza iihomoni.

imihla ukusebenza

sokwenziwa lwakhiwe elinokuthatha ukuya kuma kwiminyaka elishumi elinesihlanu, kwezinye iimeko ixesha elide, kodwa lokuyimfihlo kwaye xa koko iye na ozithukululeyo, oko reoperation kunokwenzeka kwi joint edolweni, oko kukuthi, ukutshintshwa okanye reendoprotezirovanie. Kwimeko intlungu phambi kokuphela kwiminyaka elishumi okanye bezikhulule kuyimfuneko kwakhona ukuphumeza lo msebenzi.

Inkqubo ye athile omzimba

Ubude imisebenzi na emzimbeni iiyure 2-3. Ngaphambi kokuba ahlinzwe lwenziwa mandatory kuthintelo losuleleko. Phambi kokuba umsebenzi isigulana Ukubulawa spinal.

Ukuze ufake endoprosthesis kuyimfuneko ukususa inxalenye kutshatyalaliswa welungu kunye patella, kananjalo gqirha silungelelanisa imilenze egosogoso axis uqhuba nemisipha recovery, xa kukho imfuneko.

zitho Modern ezenziwe ngezinto ezisemgangathweni kunye non-olubi avumele unyawo agobe ukuya degrees 150. Eziliqela izimvo postoperative emihle. idolo arthroplasty ikuvumela ixesha elide phambi kokuba kuchithwe amanzi sigobe kwedolo ukuya degrees 75. Noko ke, umntu kuzilibala ixesha kwimeko yesiqhelo, ngaphandle apho unyango lugqityiwe.

Isikhumbuzo ebalulekileyo kukuba lo msebenzi kukuba kwiimeko ezininzi lwenzeka phantsi zomzimba ekuhlaleni, oko kukuthi, sikarhulumente ukuvuka. Noko ke, unako ukuveza umnqweno yakho anesthesiologist okanye ugqirha ukuba ozenze zomzimba jikelele, ukuba kunokwenzeka. Kufuneka ube nesibindi kakhulu kunye nomonde, ukuze ngokuzola umamele izandi ezihamba iinkqubo enadoprotezirovaniya.

period postoperative

Emva kokuba ukusebenza kunye nokusebenza nokungabikho nobuntununtunu nemilenze uthathwa eqhelekileyo. Ngexesha ungenelelo isigulane ulahlekelwa inani elikhulu ukutofelwa igazi ababambeleyo igazi, intshayelelo kwamayeza ayimfuneko iintlungu kunye antibiotics.

Kwiintsuku ezilandelayo eziliqela phantsi koqwalaselo likarhulumente kwemiqondiso yomguli ebalulekileyo (umyinge intliziyo, uxinzelelo, ECG, utshintsho ukubalwa igazi).

Xa engekho ukuzinza kunye ukuvuthuluka karhulumente, isigulana ikhutshelwa imini ukusuka olunzulu ezilula care zeewadi.

Kwimo yesiqhelo emva edolweni replacement

Emva kokufaka ixesha kwimo afakelweyo ihlala umlinganiselo kweenyanga ezi-3, kodwa ngamanye amaxesha elide, kuxhomekeka imeko yesigulane.

Ingcebiso olugunyazisiweyo i stress umthambo imihla emva edolweni arthroplasty ukubuyisela nokusebenza kwayo.

Amaninzi, ixesha kwimo isigulane alichitha kwikliniki ezizodwa (malunga enye ngenyanga).

Izigaba period kwimo

Emva kotyando isigulane kufuneka uhlale malunga ezimbini iinyanga esibhedlele kunye ugqirha ukuba enze iseti ethile olulandelenayo. Ngenxa yokwanda izinga uphuculo kumsebenzi motor joint emsebenzini, ekhokelela ukubuyela okukhawulezileyo ubomi obuqhelekileyo. Kungenzeka kwakhona ukuba simunce ekliniki.

Emva kokuhlala kwiziko yesiqhelo (iinyanga 2-3), isigulane kufuneka baqhubeke ukulisebenzisa kwi ngohlobo lokudada, iiseshoni ehamba kunye yoga. Kubalulekile ukukhumbula ukuba umsebenzi ngokugqithiseleyo kwendawo contraindicated.

Uqheliso for recovery

Kwimo yesiqhelo emva idolo arthroplasty ibandakanya isethi olulandelenayo ezinceda ukoyisa ngumkhinkqi, ukwakha amandla kwezihlunu joint, ukunciphisa intlungu.

Qala nezinga eliphantsi imithwalo, ngokuthe ngcembe ukuya nzima ngakumbi ukunyenyisa umzimba. Kuyanconywa ukuba ukuphepha imidlalo kakhulu, ngoko zange kwakubuhlungu ehlanganyelwayo elitsha.

Zakhiwo loqheliso ezifunekayo ukuze uphumezo ngemihla (amaxesha 4-5 ngosuku):

1. Iqatha - flexion-ukwandiswa ukusuka kancinane izinga ukunyuka ukususela-5 ukuya ku-12 uze ulufikelele.
2. Ukuncipha izihlunu ethangeni ngaphambili imizuzwana-5.
3. Ukunciphisa izihlunu ethangeni ongasemva imizuzwana-5.
4. Ukuphakamisa imilenze ayinakolulwa imeko.
5. Ukuncipha ezinqeni izihlunu imizuzwana-5.
6. Ulwandiso-flexion le nemilenze kwi joint emadolweni.
7. Kwethanga eceleni.
8. Nokolula lift umlenze ukuya kwinqanaba degrees 45 ubambe kwindawo sekukudala ukuya kwimizuzwana eyi-5.
9. Andize unyawo urhulumente ezihambelana ukuya kwinqanaba degrees 45 nokugcinwa kule meko ukuya kwimizuzwana eyi-5.
10. Ukusetyenziswa "Dikul" izixhobo.

Izimo le zokwenziwa inkqubo

Izimo Kuphelele:

• intshukumo Independent akwenzeki.
• isifo sentliziyo kunye CCC.
• Thrombosis ngenxa yokukrala.
• izifo yezifo umsebenzi yokuphefumla, izifo uhlobo ukusilela.
• iinkqubo Infectious.
• Nokudumba.
• Umzimba.
• ngezifo Neuromuscular.
• Disorders Mental.

iintlobo nokufakelwa

zitho yangoku uphethe zikhusela kwaye yahlulwe ngolu hlobo lulandelayo:

• lilonke;
• sokwenziwa ngqo ubuso joint;
• eguquguqukayo;
• ipali eyodwa.

Le sokwenziwa Iqinisekile ngeendlela ezininzi:

• isamente;
• hybrid;
• cementless.

Ukuze ukutyala le afakelweyo bakhonza ixesha elide, ezisetyenziswa xa kusenziwa ezikumgangatho ophezulu anti-ngokudleka ukunxiba, kwaye okona kubaluleke kakhulu, izinto tests:

• ukubumba;
• polyethylene;
• aluminiyamu metal;
• isamente bone.

Abaninzi isigqibo kutyando, kuyimfuneko ukuba ukuhlalutya ezi ncomo ezahlukeneyo. arthroplasty idolo esezandleni ugqirha kuthathelwa ingqalelo iimpawu ngamnye amalungu yomguli.

nkqubo intengiso

Idolo arthroplasty e Moscow, kwaSirayeli, Turkey, Lithuania, eJamani, uqhutywe ziingcali abayaziyo ishishini labo.

Kukho kakhulu iikliniki ezimbalwa ngokukodwa ngqo kwi ukusebenza athile omzimba okanye inxalenye yayo, kubandakanywa ukwenza idolo arthroplasty ngokuhlangeneyo. Iindleko implants ingqinelana kumgangatho izinto nto ndiyibhalayo apho, yaye inkampani evelisa oko. Izimvo leekliniki amazwe ngelixa badla umyalelo ubukhulu ngcono (ingakumbi ngokumalunga nexesha kwisimo sangaphambili). Noko ke, eRussia ungenelelo ngoncedo lwenziwa kwinqanaba eliphezulu.

Ukutyhubela iminyaka yamava kunye ugqirha kakhulu aya kuyinyula afakelweyo tests ifanelekileyo kunye nentando ngaphandle kubunzima idolo arthroplasty. Ixabiso inkqubo kuxhomekeke kubunzima kwenu kukusebenza kunye iindleko sokwenziwa.