Kulowa m'malo mwa chiuno

Kuphatikizana kwa mchiuno ndi kuchitidwa opaleshoni kuti mutenge gawo lonse kapena gawo limodzi la cholumikizira chopangidwa ndi anthu. Mgwirizanowu umatchedwa prosthesis.

Mgwirizano wanu wamchiuno umapangidwa ndi magawo awiri akulu. Gawo limodzi kapena magawo onse awiriwa akhoza kusinthidwa nthawi ya opaleshoni:

• Chiuno cha m'chiuno (gawo la mafupa amchiuno otchedwa acetabulum)
• Mapeto kumtunda kwa ntchafu (yotchedwa mutu wachikazi)

Chiuno chatsopano chomwe chimalowetsa chakale chimapangidwa ndi izi:

• Sokosi, yomwe nthawi zambiri imapangidwa ndi chitsulo cholimba.
• Zomangira, zomwe zimakwanira mkati mwazitsulo. Nthawi zambiri zimakhala pulasitiki. Madokotala ena pano akuyesa zida zina, monga ceramic kapena chitsulo. Chovalacho chimalola kuti chiuno chiziyenda bwino.
• Chitsulo kapena ceramic mpira womwe udzalowe m'malo mwa mutu wozungulira (pamwamba) wa fupa lanu la ntchafu.
• Chitsulo chachitsulo chomwe chimalumikizidwa ndi fupa la ntchafu kuti chimangirire cholumikizacho.

Simudzamva kuwawa mukamachita opareshoni. Mudzakhala ndi mitundu iwiri yamankhwala ochititsa dzanzi:

• Anesthesia wamba. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka.
• Chigawo (msana kapena epidural) anesthesia. Mankhwala amaikidwa kumbuyo kwanu kuti musowe m'chiuno. Mupezanso mankhwala okuthandizani kugona. Ndipo mutha kupeza mankhwala omwe angakupangitseni kuiwala za njirayi, ngakhale simudzagona mokwanira.

Mukalandira mankhwala ochititsa dzanzi, dokotalayo adzadulidwa kuti atsegule chiuno chanu. Kudulidwa uku nthawi zambiri kumakhala pamapako. Kenako dokotalayo:

• Dulani ndikuchotsa mutu wa fupa lanu.
• Sambani socket yanu ndikuchotsa katsamba katsalira ndi fupa lowonongeka kapena la nyamakazi.
• Ikani zitsulo zatsopano m'chiuno mwake, kenaka imayikidwa muzitsulo zatsopano.
• Ikani chitsulo m'thambo lanu.
• Ikani mpira woyenera bwino wophatikizira watsopano.
• Tetezani magawo atsopano m'malo mwake, nthawi zina ndi simenti yapadera.
• Konzani minofu ndi ma tendon mozungulira cholumikizira chatsopano.
• Tsekani chilonda cha opaleshoni.

Kuchita opaleshoniyi kumatenga pafupifupi 1 mpaka 3 maola.

Chifukwa chofala kwambiri chochitidwira opaleshoniyi ndi kuchiritsa nyamakazi. Kupweteka kwambiri kwa nyamakazi kumatha kuchepetsa zochita zanu.

Nthawi zambiri, kulumikizana kwa chiuno kumachitika mwa anthu azaka 60 kapena kupitilira apo. Anthu ambiri omwe achita opaleshoniyi ndi achichepere. Achinyamata omwe alowetsedwa mchiuno amatha kupanikizika kwambiri m'chiuno. Kupsinjika kowonjezerako kumatha kuyambitsa kutha msanga kuposa anthu okalamba. Gawo kapena cholumikizira chonsecho chitha kufunikanso kusinthidwa ngati izi zichitika.

Dokotala wanu angakulimbikitseni kuti musinthe m'chiuno mavuto awa:

• Simungagone usiku wonse chifukwa cha kupweteka m'chiuno.
• Kupweteka kwanu m'chiuno sikunakhale bwino ndi mankhwala ena.
• Kupweteka kwa m'chiuno kumakulepheretsani kapena kukulepheretsani kuchita zinthu zanu zachizolowezi, monga kusamba, kuphika, kugwira ntchito zapakhomo, ndikuyenda.
• Mumakhala ndi zovuta kuyenda zomwe zimafuna kuti mugwiritse ntchito ndodo kapena choyenda.

Zifukwa zina zosinthira cholumikizira m'chiuno ndi izi:

• Kupasuka mu fupa la ntchafu. Akuluakulu achikulire nthawi zambiri amakhala ndi chiuno m'malo mwaichi.
• Zotupa za m'chiuno.

Nthawi zonse uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Konzani nyumba yanu.
• Mutha kufunsidwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), opopera magazi monga warfarin (Coumadin), ndi mankhwala ena.
• Muyeneranso kusiya kumwa mankhwala omwe angapangitse kuti mutenge matenda. Izi zimaphatikizapo methotrexate, Enbrel, ndi mankhwala ena omwe amalepheretsa chitetezo chanu chamthupi.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotala wanu akukufunsani kuti muwone omwe akukuthandizani chifukwa cha izi.
• Uzani wothandizira wanu ngati mumamwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku.
• Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kapena namwino kuti akuthandizeni. Kusuta kumachepetsa chilonda ndi mafupa. Zawonetsedwa kuti omwe amasuta amakhala ndi zotsatira zoyipa atachitidwa opaleshoni.
• Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe muli nawo musanachite opareshoni.
• Mungafune kupita kukaonana ndi dokotala kuti muphunzire zolimbitsa thupi zomwe muyenera kuchita musanachite opareshoni ndikugwiritsa ntchito ndodo kapena woyenda.
• Khazikitsani nyumba yanu kuti ntchito za tsiku ndi tsiku zizivuta.
• Funsani omwe akukuthandizani kuti awone ngati mukufuna kupita kumalo osungirako okalamba kapena kuchipatala mukatha opaleshoni. Ngati mutero, muyenera kuwona malowa pasadakhale ndikuwona zomwe mumakonda.

Yesetsani kugwiritsa ntchito ndodo, kuyenda, ndodo, kapena njinga ya olumala molondola kuti:

• Lowani ndikutuluka kusamba
• Kukwera ndi kutsika masitepe
• Khalani pansi kuti mugwiritse ntchito chimbudzi ndikuyimirira mukatha kugwiritsa ntchito chimbudzi
• Gwiritsani ntchito mpando wakusamba

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.

Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala.

Mudzakhala mchipatala kwa masiku 1 kapena 3. Munthawi imeneyi, mudzachira ku anesthesia komanso ku opaleshoni yomwe. Mudzafunsidwa kuti muyambe kusuntha ndikuyenda posachedwa tsiku loyamba mutachitidwa opaleshoni.

Anthu ena amafunika kukhala kanthawi kochepa kuchipatala atachoka kuchipatala komanso asanapite kwawo. Pachipatala, mudzaphunzira momwe mungachitire nokha zochita zanu za tsiku ndi tsiku. Ntchito zanyumba zapakhomo zimapezekanso.

Zotsatira zochitira opareshoni m'chiuno nthawi zambiri zimakhala zabwino kwambiri. Zambiri kapena zowawa zanu zonse ndi kuwuma kwanu ziyenera kutha.

Anthu ena atha kukhala ndi mavuto ndi matenda, kumasula, kapena kusunthika kwa chiuno chatsopano.

Popita nthawi, cholumikizira chopangira chiuno chimatha kumasuka. Izi zitha kuchitika patadutsa zaka 15 mpaka 20. Mungafunike m'malo ena achiwiri. Matenda amathanso kuchitika. Muyenera kukaonana ndi dokotala wanu wa opaleshoni nthawi ndi nthawi kuti muwonetsetse kuti chiuno chanu chili bwino.

Achichepere, otanganidwa kwambiri amatha kutulutsa mbali zina za mchiuno mwatsopano. Pamafunika kusintha m'malo mchiuno mwake usanamasuke.

M'chiuno arthroplasty; Chiuno chonse m'malo; M'chiuno hemiarthroplasty; Nyamakazi - m`chiuno m'malo; Osteoarthritis - mchiuno m'malo

• Chitetezo cha bafa cha akulu
• Kukonzekera nyumba yanu - opaleshoni ya mawondo kapena mchiuno
• M'chiuno kapena m'malo mwa bondo - pambuyo - zomwe mungafunse dokotala wanu
• M'chiuno kapena m'malo mwa bondo - musanayankhe - zomwe mungafunse dokotala wanu
• M'chiuno m'malo - kumaliseche
• Kupewa kugwa
• Kuteteza kugwa - zomwe mungafunse dokotala wanu
• Chisamaliro cha bala la opaleshoni - chotseguka
• Kusamalira cholowa chanu chatsopano

• Kuphulika m'chiuno
• Osteoarthritis vs. nyamakazi
• Kulowa m'malo mwa chiuno - mndandanda

American Academy of Orthopedic Surgeons tsamba lawebusayiti. OrthoInfo. Kusintha kwathunthu m'chiuno. orthoinfo.aaos.org/en/treatment/total-hip-replacement. Idasinthidwa mu Ogasiti 2015. Idapezeka pa Seputembara 11, 2019.

American Academy of Orthopedic Surgeons tsamba lawebusayiti. Kupewa matenda am'mimba mwa odwala omwe akudwala mchiuno ndi mawondo: Maupangiri owonetsa umboni komanso lipoti laumboni. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Idasinthidwa pa Seputembara 23, 2011. Idapezeka pa February 25, 2020.

Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip m'malo mwake. Lancet. 2018; 392 (10158): 1662-1671 (Adasankhidwa) PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

Harkess JW, Crockarell JR. Zojambulajambula m'chiuno. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 3.

Rizzo TD. Kusintha kwathunthu m'chiuno. Mu: Frontera WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 61.