Hip inotsiviwa ichakudzidzisa kuti uende zvakare

Kudzorerwa kwekuvhiringidzika kwakakonzerwa neanorighi yekugadzirira kunonzi endoprosthetics. Dzimwe nguva iyi ndiyo nzira chete inodzorera kukwanisa kwomunhu kufamba.

Kushandurwa kwekubatanidzwa kwechiuno ndiyo yakanakisisa sarudzo apo murwere ane chirwere chakaoma che coxarthrosis, iyo inoratidzirwa nekuparadza zvachose mhuka dzomukati.

Kuti unzwisise zvinoreva endoprosthetics yekubatanidzwa kwechiuno, zvakakosha kuziva chimiro uye chimiro.

Ichi chibatanidzi isangano re-globular. Inoumbwa nezvikamu zviviri: concave, iri munharaunda yapasi yemapanga, uye convex, iyo inoreva femur. Kubatana kwechiuno, kuburikidza nekuumbwa kwaro nekugadzirisa, kunokwanisa kumira mitoro inorema kana ichimhanya, ichikwira uye ichifamba.

Kuvhiya kunotsiva kubatana kwechiuno  

Pamberi pekushanda, murwere anofanirwa kubvunza chiremba uyo achaona kuwanda kwekukuvadza kune chibatanidzwa. Nyanzvi ichavewo pachavo inoratidza zviratidzo uye zvinopesana nezvayo. Zvadaro ndiko kusarudzwa kwehutano hunofanirwa. Mukukurukurirana nachiremba, murwere anodzidza pamusoro pezvipingamupinyi zvose uye zvinogona kuitika.

Pamusoro pezvinetso, zvinowanzowanana kune imwe nzira ipi zvayo yekuvhiya, iyo:

• Kurasi kweropa panguva kana mushure mekuvhiyiwa;
• Kuvhara ropa mumudziyo ne thrombus (thromboembolism);
• Utachiona hunotapukira;
• Kusiyana kweprosthesis;
• Pneumonia.

Gadziriro yekugadzirira kusati kwaitwa kushandiswa kwekubatanidzwa kwechiputi ndiko kuongorora kwakakwana kwomurwere. Mushure mokudaro, ari muchipatara 1-2 mazuva asati avhiyiwa.

Endoprosthetics yekubatanidzwa kwechiuno ndeyekushanda kwakaoma, izvo zvinoita kuti zvikumbiro zvakanyanya kune chiremba, kusanganisira chikoro chepamusoro uye ruzivo rwakawanda mukuita mabasa akadaro. Nguva yayo maawa 1.5-3. Basa racho rinosanganisira kubvisa zvakakanganiswa kana kuparara pamwe nekuisa endoprosthesis panzvimbo yayo.

Mushure mokunge endoprosthetics yekubatana kwechiuno, murwere anorayirwa nzira yemishonga inorwisa mabhakitiriya uye painkillers. Chiratidzo chekufananidzira kunoitwawo, kana zvichifanira. Mushure mokuvhiya, zvakakosha kuti chikwata chinoshandiswa chiri panzvimbo yakakodzera. Nokuda kweizvi, mupumburu unokosha unoiswa pakati pemakumbo omurwere.

Zuva rokutanga rakabvumira basa rinonongedza rechikwata chakakuvara mubhedha. Pazuva rechipiri, maitiro ekudzidzira anobvumirwa , akatarisa pamisungo yegumbo rinoshanda. Mushure memazuva matatu mushure mekuvhiya, murwere anogona kutora makanda kana dhidhi. Sutures inobviswa shure kwemazuva 10-12. Sezvo mutemo, panguva ino murwere anosunungurwa kumba, kwaanofanira kunyatsotevedzera mazano achiremba pamusoro pekugadzirisa. Kunyange zvakadaro, nzira yakanakisisa ndeyekudzorera nzvimbo inokosha yekuvandudza mumasvingo, apo nyanzvi dzepamusoro-nyanzvi-nyanzvi dzokugadzirisa hutori dzinotora murwere. Kuvhiya kunogadzirisa zvimwe zvipingamupinyi pamutoro pazvibato zvakashandiswa, izvo zvinofanirwa kutarisirwa kwevhiki 6-8 mushure mekushanda.

Zvinetso zvePostoperative izvo zvinoshandiswa mujinga zvinosanganiswa zvinoitika, maererano nekufungidzira kwakasiyana, mu5-15% emhosva. Izvi zvinosanganisira:

• Kuita zvechisimba kunokonzerwa nokusarudzwa kusina kusarudzwa;
• Aseptic instability;
• Kuputsika kwetsoka yeprosthetic;
• Infection;
• Hematomas;
• Kuwedzera kwezvirwere zvisingaperi.

Sezvo mutemo, endoprosthetics wekubatanidzwa kwechiuno ichibudirira chaizvo. Kushanda kwechimiro chakakanganiswa kunodzoserwa mumapoka 95 kubva kune zana.Mwedzi yakawanda inoshandiswa pakudzorera zvakakwana kwechimbwa, sechikonzero chekuti varwere vanodzokera kumararamiro avo evanhu uye vanogona kudzokerazve mune zvemitambo.

Mushure mokuvhiya kuti uite chimwe chinhu chekubatanidzwa kwechiuno, zvakakosha kuyeuka kuti nekufamba kwekupedzisira kuguma kunopera. Saizvozvowo, iyo yakakura mutoro waari kutarisana nayo, kukurumidza kuora kwekuita kunoitika. Kana murwere ane chirwere chakawandisa kana kutungamirira mararamiro anoshanda, hupenzi hwake hahuzoshandira basa refu. Pasi pemamiriro ezvinhu akadai, hupenyu hwake hwemakore makore 15-20.