The hudyu vagari: hudyu yokutsiva, uye zvakare kupora

Majoini anorwadza uye kushaya mufambo tiri chigumburiso mabasa mabasa ose, kuti hazviiti kuti kurarama sezvinongoita. Kunyanya kuoma kana akarova nokuda hudyu rwakashodoka. arthroplasty inobatsira kudzorera vakarasika mashandiro yayo, sezvo kazhinji chete nzira yokuti murwere. Zvairatidza kuti oparesheni ichi ndivo vanhu vanopfuura zviuru 300 pagore.

Wokutanga huru chiratidzo kwemajoini chirwere kurwadziwa. Pakutanga, marwadzo kuva pasi zvikuru, asi munguva yemberi, pamwe kuchiita hosha, kurwadziwa unokura, achiva kugara neshamwari wemunhu.

Next anouya dzoro dysfunction pakati njodzi richiripo. The chirwere ane tsika kunoita, zvichiita dzimwe nguva kupedza immobilization. Vanaamai vakadaro kuchinja mabatiro haisi kukwanisa kubatsira anonunura sei hudyu.

Hip arthroplasty pari chimwe chezvinhu ano nzira kuvhiya hanya varwere maronda ose mapfundo. Panguva mashandiro kwakadaro hosha zvinyama iri muhudyu mukomboni rakachinjwa chakagadzirwa dentures.

Marongerwo nokushanda hudyu mapfundo

The hudyu vadyi ndechimwe remasangano bvupa majoini mumuviri womunhu. The bvunzo Takudzai navo yakakwirira zvikuru nedanho upenyu hwevanhu, sezvo rinoshanda kubatanidza makumbo rezasi uye chiuno.

hudyu Zvinoumba:

• femoral musoro - yokumusoro kuguma femur ane idenderedzwa chimiro;
• acetabulum - mumwe rusesi of chiuno fanera serin'i, izvo wakasimba femoral musoro;
• kwemajoini shwashwa - the zvinyama kuti ane mafuta mondo-sezvizvi hwezvekukurukurirana sangano iri articular pamwe nenhengo;
• synovial (intra) mvura - rinokosha kurema gelatinous kusachinja-chinja, izvo zvinoita kuti shwashwa uye kunobatsira kuderedza mvongamupopoto iri articular hukawanika;
• vagari Kamudzira nemarunda - connective zvinyama kuti anoshumira chengetedzo pamusoro articular hukawanika uye nechokwadi kutsiga muhudyu.

Tsandanyama vane nemarunda zvakabatanidzwa ari muhudyu nharaunda, sunga ayo kubvumira kufamba mairi. In hwakanaka mamiriro pamagaro muhudyu riri Mobile chaizvo, kukwanisa kufamba chero mundege uye kutungamirirwa. Iye anokunda software mashandiro kufamba uye kutsigirwa.

Nei tichifanira kwemajoini yokutsiva kuitei?

Chiremba akaisa murwere mubvunzo ayo yokutsiva hudyu prosthesis asati inoda zvikonzero zvakanaka. Operation anogadzwa, kana utachiona zvasvika mhesano kwasvika pamwero wakadaro kuti munhu anogara anonzwa kurwadziwa zvakanyanyisa, kana njodzi muzvidimbu asingakwanisi kuita kunyange inokosha kufamba. Mumamiriro ezvinhu aya, kana akatema nokuda hudyu vadyi, hudyu yokutsiva kunogona kuva nzira yokubuda.

Pakati zvirwere zvinogona kukonzera kwemajoini chirwere yaida kuvhiyiwa vari:

• chemajoini deformans reversible kana 2 uye 3, kwokuomerwa chirwere;
• chemajoini deformans 3 madhigirii panguva deformation rimwe mapfundo;
• hudyu kwemajoini ankylosis zvichiitika dzinonzi rheumatoid arthritis, uye nemhaka ankylosing spondylitis;
• aseptic necrosis of femoral musoro somugumisiro akuvara uye kweropa zvirwere;
• kukuvara musoro uye pamitsipa femur muchimiro pakakuvara vakwegura;
• kuzvimba munzvimbo neketani nharaunda vachida kuvhiya kurapwa.

Hip yokutsiva zvakakodzera chete panyaya zvachose nokurasikirwa mukana kurovedza muviri uye kufamba. Chisarudzo chokupedzisira rakundwa kumativi pokuvhiyiwa, kufungisisa zvinhu zvose.

Contraindications kuti kuvhiyiwa

Pane zviitiko apo kunyange vanhu vane rikwanise kudiwa hudyu yokutsiva, havagoni kuenda kunorapwa nokuda contraindications.

Rakajairika kurambidzwa dzinosanganisira:

• mamiriro ezvinhu apo murwere hazvizovi vaikwanisa yakazvimirira kufamba, kunyange panyaya kuita oparesheni;
• chirwere mu dekompensatsionnoy danho (mwoyo kukundikana, cerebrovascular chirwere, hepatic kukundikana) apo kuvhiyiwa anokwanisa kuwedzera huripo matambudziko;
• chisingaperi zvirwere zvemapapu anokonzera kufema kukundikana uye kufefetedza (emphysema, asima);
• Various mapfupa kuzvimba, ganda kana achiitirwa moyo zvinyama munzvimbo yacho hudyu muhudyu;
• osteoporosis, zvichitungamirira simba kukwana pamusoro pfupa uye mukana postoperative pfupa panguva dzose kufamba;
• pathologies umo hapana femur medullary Canal.

kupatsanura pakati anodyara

Mune prosthesis kutsiva nedambudziko hudyu vadyi, zvinofanira kuva kwakakwana simba, inofanira vakachengetwa wakaiswa uye vane inertia kuti munyama murwere. Current anodyara, zvakaitwa Polymers, Ceramics uye simbi alloys kusangana zvakafanira zvose zvinodiwa. Externally, kuti prosthesis rakafanana hudyu dzevanhu rwakashodoka.

Its mashoko:

• Cup endoprosthesis. Chikamu ichi unotsiva acetabulum ari pelvic rwakashodoka. Material nokuti mukugadzira ndiko zvedongo. Zvisinei, pane nemikombe dzakagadzirwa Polymers.
• The musoro prosthesis. Metal chikamu idenderedzwa chimiro ane polymeric unhani. Izvi zvinoita zvishoma nezvishoma mumatope softness, kana musoro zvayaitenderera paguyo mumukombe endoprosthesis panguva dzakasiyana-siyana richiripo masangano.
• Gumbo prosthesis. Kuitirwa mukuru mutoro, saka nguva dzose zvakagadzirwa nesimbi. Ndicho yaitsiva nemutsipa uye yokumusoro nechetatu femur.

Uyewo anodyara vari rakakamurwa chete-danda uye kaviri-danda. The chete-danda murwere prostheses kuramba acetabular yavo proteziruya munhu femoral musoro uye mutsipa. Iyi inzira yechinyakare shanduro prosthesis, iro zvikuru kushandiswa kare. Kushandisa dzinoratidzwa dzavo dzakakwirira kakawanda pakakuvara ari acetabulum, uye akarega kushandisa yavo ano vachibatsira tsika.

Nechirwere endoprosthesis ndiwo zita zvachose. Ivo zvibereko zvachose hudyu arthroplasty. Apa pane zvose zvitatu pamusoro zvinoumba ari prosthesis.

hudyu nguva endoprosthesis basa iri pakutsvaga unhu zvinhu vakashumira kuti uzviite. Akasimba simbi anodyara kugara kusvika makore 20. Zvisinei, Zvakanyanya Kunaka Panguva Yepamuviri zvawanikwa wemishonga upenyu basa gwenya basa uye mubatanidzwa unobereka resimbi-polymer-zvedongo.

preliminaries

All varwere vanoda prosthetics, zvidzidzo zvinofanira kuitwa, kuziva mamiriro pamagaro muhudyu (Ultrasound, MRI, X-ray) kubvisa zvose zvinogona contraindications.

No dzidzo mashandiro chinokosha haatarisiri. Pasina contraindications kunoitika basa oparesheni yakasarurwa. The mangwanani wokuvhiya kuti vaveure ganda iri muhudyu nzvimbo. Nokunwa hazvibvumidzwe.

gadzira danho

Murwere anoiswa pamusoro uchishandisa patafura, apo akaita yokutindivadza. kupindirana nzira yokutindivadza anesthesiologist uye anoshivirira. Ya kushanda kunogona kusvika muna dzakaoma maawa 5. Saka, zvakanakisisa zvaungaita iri kana musana yokutindivadza kana zvizere yokutindivadza. The nzira yokutindivadza rokutanga anounza zvishoma zvakakanganisika, saka zviri nani kuti vagadze vakwegura.

Panopera yokutindivadza chiremba kushandisa chekawo anoronga kuwana hudyu rwakashodoka. The inodiwa vendu - masendimita anenge 20 Pane kwetsinga pakati mekamudzira aka uye akabvisa musoro femur, riri pasi resection ..

mapfupa Modelling unouya chimiro endoprosthesis. prosthesis Kuda kutamba kunoitika kakawanda achishandisa esimende. Next, pose ari acetabulum chibooreso akabvisa articular shwashwa, iyo zvino kuisa mukombe endoprosthesis.

fungidzira yematambudziko

Hip Kuvhiya yokutsiva anoonekwa kuti kunzwisisa kuvhiyiwa.

Kunogona kukonzera matambudziko:

• ropa;
• ropa clots ari mutsinga repasi wamativi;
• suppuration kuti prosthesis uye maronda zvomusejari;
• hematoma;
• kurambwa endoprosthesis;
• matambudziko anoitika kumwoyo.

Kunyatsogadzirira mashandiro waanodzikisira mukana yematambudziko.

Results remapazi

Maererano nenhamba, hudyu yokutsiva murefu uchapupu vakawanda zvakanaka. Varwere vane kugutsikana pamwe oparesheni. In kuvhiyiwa vaya mudiki pasina concomitant zvirwere pamagaro kwemajoini basa anodzorerwa zvakazara. Munhu anogona kufamba uye kunyange kuita muviri, pasina overloading ari prosthesis. Zvemitambo vari contraindicated.

Pane murombo zvabuda mushure hudyu yokutsiva kuvhiyiwa. Kakawanda zvaitika pakukwegura, kana une comorbidities. Muna 20% wevarwere achirapwa hudyu yokutsiva, varwere kuratidza wongororo kugumbura Zvakabuda remapazi.

Recovery pashure pokuvhiyiwa

Rehabilitation wevarwere vanofanira kutanga pakarepo pashure kuvhiyiwa. Izvi muviri mushure hudyu yokutsiva vavhiyiwa, uye kurovedza kufema. Chokwadi, kuti kwave kuchiita prosthesis inofanira kuchengetwa chete, asi vanofanira kuedza kusangana shoma tsandanyama marwadzo pashure hudyu yokutsiva aita. Rehabilitation chinofanira pasi huru mutemo - unofanira kuramba kuwedzera mutoro.

Zuva rokutanga pashure pokuvhiyiwa

Varwere vakawanda kupedza navo yevanenge. Pane zvakanaka kuongorora zviratidzo zvinokosha, pakarepo kuteerera ose akaipa kuchinja. Pashure pemaawa mashomanana pashure pokuvhiyiwa, munhu anogona kupedza nguva ari agere chinzvimbo, anodonha pasi Shin.

The kuvhiyiwa hudyu chinorambidzwa kufonyora kupfuura 90 °. Izvi zvinogona kukanganisa kwaro marongerwo uye Kuda kutamba ari mafupa. Tora agere munzvimbo yakanakisisa dzinodzorwa wezvokurapa kiriniki kana mhuri vashandi. Ivo kuchabatsira kufamba njodzi richiripo uye achapa rubatsiro rwekutanga, kana pane dzungu.

Kuwana pamubhedha

A Mazuva mashoma kubuda pamubhedha pachavo pashure pokuvhiyiwa hakufaniri kuva. Vimba rimwe gumbo utano, pasina kushandisa webetsero mano, izvozvo hakubvumidzwi kwevhiki dzinoverengeka. Assistive mano inogona nomudonzvo kana madondoro. Zvisinei, kana munhu inogutsa ezvinhu omurwere pashure kuvhiyiwa akadai hudyu yokutsiva, vapore anobvumira kushandisa rubatsiro kukwira rakatevera, varwere vakawanda havana kugadzirira kuita kudaro asi.

vachifamba

Bvumira murwere kufamba pazuva rechitatu pashure pokuvhiyiwa. Panguva iyoyowo vanofanira kutevedza zvinodiwa kuti yezwi akamiswa. Iva nechokwadi chokuti vakavhiyiwa kumugumo maoko kana gumbo zvakanaka sveshivaniya mubhedha. Unogona kusimuka pamusoro madondoro uye utano gumbo. kuedza Chero kuti kuvimba akuvara gumbo hakubvumidzwi mukati mwedzi pashure pokuvhiyiwa, saka zvinofanira kuva Limbo. Shandisa madondoro apo tichifamba, zvakanakisisa kwete mwedzi asingasviki matatu.

At yakachengeteka aibuda rokuchinjwa nguva vanogona kuenda nomudonzvo chinovatsigira. Vimba wakuvara gumbo kunogona kuva mwedzi, asi kwete kuchinja yake yose kurema muviri. Kutanga muviri mushure hudyu yokutsiva kuvhiyiwa zvakafanira vanonetesa makumbo kurutivi pamwe kudzoka kwake shure uye rinoti richikwidibira akamiswa. Vapinze vakavhiyiwa gumbo miviri mutoro, isingadariki imwe hafu murwere muviri uremu. Tanga kufamba pasina zvakazara kugadzirwa zvinogoneka pashure 4-6 mwedzi kushanda. Mitoro zvinofanira wakawedzera zvishoma nezvishoma uye zvishoma nezvishoma.

chikafu

Chikuru chezvinonhuwira yavaipora murwere ari kudya zvinovaka muviri. The Kudya inofanira kuva mukuru pakati mapuroteni, mamineral mavhitaminzi. Hazvina zvakafanira kuomerera kwazvo mukuru-mafuta zvokudya, nekuti varwere haagoni kufamba nokushingaira. Unspent simba muchiitiko ichi kunogona kukonzera kufuta, izvo zvaizoita zvokukurumidza kupora. Not kuratidzwa vari zvinobikwa kubika zvakakangwa uye mafuta zvokudya, aisvuta zvokudya. Achirega hove, wakawondereiko kudai nyama, muriwo nemichero, zviyo, mazai. Hapana nyaya haagoni kunwa doro, kofi netii.

Mishonga uye vapore

Treatment repakiriniki runogara vhiki 2-3. Saka muchikuvadza apore iri kuongororwa. Kazhinji, sutures vanobviswa pashure pemazuva 12. Vamwe mutsigiro mune zvokurapa Zvivako murwere nehama dzake vanodzidziswa unyanzvi nyore kunaya ari vakavhiyiwa gumbo. 3 months avhiyiwa, mumwe radiography ari muhudyu rwakashodoka. Zvinobatsira kuongorora kubudirira oparesheni uye Kuda kutamba ari kudyara.

Kana murwere asunungurwa kupfungwa zvokurapa, rubatsiro kukuru mberi vapore vanogona zano chiremba-rehabilitator achakubatsira chimwe chinhu munhu Zvokusunungurwa. Izvi zvichabatsira kuti akachengeteka zvikuru uye zvishoma dzakareba kupora nguva. Varwere vakawanda kudzokera chinoshingaira upenyu kunoitika mwedzi mitanhatu pashure pokuvhiyiwa. Zvinokurudzirwa kurerutsa mutoro kune wokupedzisira muzvidimbu vapore kuti akavhiyiwa prosthetics. The hudyu vadyi, izvo vadyi yokutsiva akabudirira, vaikwanisa refu nguva kushumira tenzi wake.

apo vakavhiyiwa

Best remapazi zvose izvi zviri kuitwa kwose. Takava mukurumbira chaizvo makiriniki vaIsraeri uye Germany, uyo dzidzira ari Implementation kuti kupindira kwakadaro. Zvisinei, mari hudyu pakutsiva mune makiriniki akadaro chaizvo. A anonzwisisa nzira, kana kuti chero chikonzero kuti kuvhiyiwa kunze kwenyika hazvibviri, hudyu yokutsiva muMoscow. Vanachiremba Russian hwapedza mumakore achangobva zvakawanda mberi mumunda kwemajoini yokutsiva, zvichiita kuti gore kanenge 20 zviuru nguva hudyu kutsiviwa. Mutengo kuvhiyiwa ichi munyika yedu shoma zvikuru pane dzimwe makiriniki, uye ndiyo 38,000 rubles.