Hip Arthroplasty: Mitundu, ikawonetsedwa, chisamaliro chofala komanso kukayika

Zamkati

• Nthawi yoyika chiuno
• Kodi opaleshoniyi yachitika bwanji
• Kusamalira pambuyo poyikapo ziwalo za m'chiuno
• Physiotherapy pambuyo pa chiuno
• Zovuta zotheka
• Mafunso ofala kwambiri okhudzana ndi chiuno
• Kodi ma prosthesis amchiuno samachoka?
• Kodi ma prosthesis a mchiuno amatenga nthawi yayitali bwanji?
• Ndiyambanso kuyendetsa galimoto liti?
• Nthawi yogonana?

Hip arthroplasty ndi opaleshoni ya mafupa yomwe imagwiritsidwa ntchito m'malo mwa chiuno ndi chitsulo, polyethylene kapena ceramic prosthesis.

Kuchita opaleshoniyi kumakhala kofala kwambiri komanso kukalamba, kuyambira zaka 68, ndipo kumatha kuchitidwa m'njira ziwiri: pang'ono kapena kwathunthu. Kuphatikiza apo, itha kupangidwa ndi zida zosiyanasiyana, monga chitsulo, polyethylene ndi ziwiya zadothi, ndipo zosankha zonsezi ziyenera kupangidwa ndi dokotala wa mafupa yemwe azichita opaleshoniyi.

Nthawi yoyika chiuno

Nthawi zambiri, ntchafu ya arthroplasty imagwiritsidwa ntchito kwa okalamba omwe amavala molumikizana mafupa chifukwa cha arthrosis, nyamakazi kapena ankylosing spondylitis, komabe, itha kugwiritsidwanso ntchito kwa odwala achichepere, mwina pakhosi la chikazi litaphulika. Kwenikweni pali chisonyezero cha kuchitidwa opareshoni ngati kuvala molumikizana, kupweteka kwakanthawi kapena kulephera kuyenda, kukwera kapena kutsika masitepe, kapena kulowa mgalimoto, mwachitsanzo.

Kodi opaleshoniyi yachitika bwanji

Hip arthroplasty imachitidwa pansi pa dzanzi m'chipinda chogwiritsira ntchito, chomwe chitha kukhala chodutsa m'chigawo kapena chodziwika bwino. Dokotalayo amadula kutsogolo kwa ntchafu, kumbuyo kapena mbali ya ntchafu, kutengera kusankha kwanu, ndikuchotsa ziwalo zomwe arthrosis imayika ndikuyika ziwalozo.

Kutalika kwa opareshoni kumakhala pafupifupi maola awiri ndi theka, koma kumatha kutalikirapo, kutengera momwe wodwalayo alili. Kutalika komwe amakhala kuchipatala kumatha kusiyanasiyana pakati pa masiku 3-5 ndipo physiotherapy iyenera kuyambitsidwa pambuyo poti achite opaleshoni.

Dokotalayo nthawi zambiri amapereka mankhwala opha ululu komanso mankhwala oletsa kutupa, monga Paracetamol kapena Ibuprofen, atachita opareshoni komanso pomwe wodwalayo akumva kuwawa, kufuna physiotherapy kwa miyezi 6 mpaka chaka chimodzi.

Kusamalira pambuyo poyikapo ziwalo za m'chiuno

Kuchira m'chiuno kumatenga miyezi isanu ndi umodzi ndipo munthawi imeneyi wodwala amayenera kusamala, monga:

• Ugone kumbuyo kwanu miyendo yanu itafalikira. Kungakhale kothandiza kuyika pilo pakati pa miyendo yanu;
• Osadutsa miyendo yanu kuti mupewe kutulutsa ziwalozo;
• Pewani kutembenuzira mwendo woyenda mkati kapena panokha pawokha;
• Osakhala m'malo otsika kwambiri: nthawi zonse ikani mipando yoti mukweze chimbudzi ndi mipando;
• Pewani kugona pambali pa mwendo opareshoni, makamaka mwezi woyamba mutachitidwa opaleshoni;
• Mukakwera masitepe, choyamba ikani mwendo wosagwirawo kenako mwendo. Kuti mupite pansi, choyamba mwendo wogwiritsidwa ntchito kenako mwendo wosagwira;
• Yesetsani kuchita zinthu zopepuka, monga kuyenda m'masabata oyamba, koma zochitika monga kuvina, pokhapokha pakatha miyezi iwiri ndikuchira ndikuwongoleredwa ndi dokotala kapena physiotherapist.

Pezani zambiri zamomwe mungapangire kuti muchepetse kuchira pambuyo pobayira m'chiuno.

Pambuyo paulendo woyamba wowunikiranso, wodwalayo ayenera kubwerera kwa dokotala zaka ziwiri zilizonse kuti akapange X-ray kuti akawone momwe alili komanso momwe amavalira.

Physiotherapy pambuyo pa chiuno

Physiotherapy ya m'chiuno arthroplasty iyenera kuyamba tsiku la 1 mutachitidwa opaleshoni, kukhala kofunikira kuti muchepetse ululu, kuchepetsa kutupa, kusintha kusunthika kwa m'chiuno ndikulimbitsa minofu.

Nthawi zambiri, pulogalamu ya physiotherapy imayenera kutsogozedwa ndi wochita masewera olimbitsa thupi ndipo imaphatikizaponso malangizo oyenda, kukhala, kudzuka, momwe mungagwiritsire ntchito choyenda, komanso zolimbitsa thupi kuti muphunzire kuyenda ndi ziwalozo, kulimbitsa minofu ndikukula bwino. Onani momwe mungachitire masewera olimbitsa thupi mu: Physiotherapy pambuyo pobayira m'chiuno.

Atatuluka mchipatala, wodwalayo amayenera kulandira chithandizo chamankhwala osachepera miyezi 6 kuchokera m'chiuno. Zomwe zikuwonetsedwanso ndi zida zamagetsi zolimbitsa minofu, komanso masewera olimbitsa thupi omwe amatha kuchitidwa m'madzi, padziwe. Chithandizo cha physiotherapeutic chimasiyanasiyana kutengera mtundu wa prosthesis ndi njira yochitira opareshoni, chifukwa chake, physiotherapist iyenera kuwonetsa chithandizo chabwino pazochitika zilizonse.

Zovuta zotheka

Zovuta za arthroplasty ndizochepa, makamaka ngati wodwalayo amatsatira malangizo ndi chisamaliro chokwanira munthawi ya opareshoni. Komabe, zovuta zina zitha kukhala:

• Thrombosis yakuya;
• Embolism m'mapapo mwanga;
• Kutulutsa kwapadera;
• Kuphulika kwa mafupa.

Nthawi zambiri, wodwalayo amayenera kupita kukakambirananso patatha masiku 7-10 atachitidwa opaleshoni kuti achotse zolumikizazo ndikupewa zovuta zina, monga kuchotsa ziwalo kapena matenda. Ngati mukukayikira zovuta, funsani a orthopedist kapena pitani kuchipatala kuti mukayambe mankhwala oyenera.

Mafunso ofala kwambiri okhudzana ndi chiuno

Kodi ma prosthesis amchiuno samachoka?

Inde.N'zotheka kuti ziwalozo zisunthe ngati wodwalayo akumva m'malo otsika kwambiri, awoloke miyendo yake kapena atulutse miyendo yake mkati kapena kunja, dokotala kapena physiotherapist asanaloledwe kuchita izi.

Kodi ma prosthesis a mchiuno amatenga nthawi yayitali bwanji?

Nthawi zambiri, chiuno chakumapazi chimakhala cha zaka 20-25, ndikofunikira kusinthidwa pambuyo pake.

Ndiyambanso kuyendetsa galimoto liti?

Nthawi zambiri, dokotalayo amatulutsa mayendedwe pambuyo pa masabata 6-8 a opaleshoniyi.

Nthawi yogonana?

Pali nthawi yocheperako yoyembekezera yamasabata 4, koma odwala ena amakhala ndi chidaliro chobwerera pambuyo pa miyezi 3-6.