Hana o ke kukuli hope: hōʻike manaʻo. kukuli arthroplasty: hoʻopulapula

Ma orthopedics pinepine hoʻohana kaʻina hana no ka hope o ka mea poino ami. Eia naʻe, ma ka Akä naÿe i ka Hip hui , i hele pono tolerated ole complications, kukuli hope ae paʻakikī, a hiki i complications e like me:

- infectious keʻano o ka hanaʻana ma ke kahua o ka e kanu pūʻia mea hoʻonoho;

- pohupani hale o ka prosthesis;

- ma ka patellar ligament hiki haehae paha poe;

- ke koko clots ma ka uha;

- he 'aʻe' ana i ka pono o ka femoral iwi (fracture).

Aie i ke alo o keia ano keia ano o complications kanaka haʻalele ia dissimilar pane. Kukuli hope ma keia hihia hiki ke i me kekahi pilikia lakou.

Ua mea waiwai 'ana i kumumanaʻo i 10 makahiki aku nei, ua nui nā mea maʻi me nā complications ma hope o olelo hope o ka hana. Over manawa, a pau hōʻano hou - i 'ana hoʻoikaika i ka mea e like ai o ka prosthesis, like hoʻi me ke kaʻina hana o ka hana. An pono i loko o ka hoihoi hou hanaʻia hoʻopulapula manawa, a me ka lākou o koi 'ia kino no ka māmā ke ola. ua hoemiia mau kumumea ka pahiki o ka hailonaʻana o nā pilikia i loko o ka postoperative wā.

I ka hana au Pono huina ami hope?

Ke kukuli ami - keia noniakahi condylar hui type, pokou loa o i i kapa komo iā ia me ka cartilage oia hoi o ka olona, o ka collagen a me chondrocytes kupu, ahu iho, a me ka waihona ipu mea. Aie i ka articular cartilage, a hoomakaukau ia me ka waiwai e pono ai ka neʻe 'ana ana. Synovialʻili lahilahi uhi ka holoʻokoʻa huiʻili, ma muli o ia kona paipai 'hua loli pono, hikiʻole i kū'ē i loko o ka ami.

Ma muli o ia mau maʻi hoʻomaka degenerative keʻano o ka hanaʻana o articular cartilage, ma keia hope aku i ka loli ma ka shape a me ka moe ana o ke kuli. Ma ke alo o ka maʻi i loko o ka loiloi mua ke kahua ia mea pono, e hoʻomaka 'inikua lapaʻau a e hoʻoikaika i ka ano o ka cartilage, a wehe i ka hoʻoʻino kaʻina.

Ma ka hope kahua o ka hoʻonaʻauao, ka wā e paʻa i ka make ana o ka cartilage, a kū'ē, ma keia hihia ka mea, ua ponoʻoki kino prosthetic kukuli ma ka pono metala paha ea e kanu pūʻia ma ka wahi o ka lukuia ami.

Nāʻikepili no ka implantation

1. olelo deformation me ka elemakule.
2. hui deformation, pu ma ka li nui.
3. Eha.
4. Osteoarthritis dysplastic.
5. Ke alo aku o ka necrotic wahi i loko o ka ami.

Loaʻaʻia nā mea maʻi - kanaka, ka poe i ka:

1. ? Aie? Aiiie i ka neʻeʻana i ka relentless me ka loaʻeha.
2. A nui loli i loko o ke kinona o ka ami.

Common kumu

- rasprostanenie hihia o ka lilo o ke kuli ami o ka maʻamau functioning e ano o ka maʻi. Ua arthritis ma hope o trauma, fracture, rupture a sprain a me na mea e ae.

- I arthritis rheumatoid li nui ia lŘlŘ a me ka sila sinovilnoyʻili lahilahi, pela i hoʻomaka i ka hana kūpono 'ana o ka hui loli, a hiki aku i ka ami loa ia'na.

- Keʻano o ka osteoarthritis i loko o ka kūpuna, a ua wehewehe aku ma ka mea hōʻemi o ka hui ka hoʻoneʻe a me ka amortization.

He aha e na pomaikai o kanu pūʻia ana i kaʻimi hoʻopunipuni ami?

Hana o ke kukuli hope ua hana e alleviate ole loa wehe i ka eha i ka wā o ka mai i ka umikumamalima makahiki. Ua hookomoia ma ka wahi o ka lukuiaʻimi hoʻopunipuni hui implants, a ua kupono anatomically like.

Ma hope oʻoki kino i ke kuli hui ka holomua, ka e hoomanawanui i kaulana i ka hua ma ka laulā o ka noi. Ka pono o ke ola ua hoʻololi dramatically. A he nui na kanaka, a haʻalele maikaʻi manaʻo. Kukuli arthroplasty i loko o ka hapanui o na hihia i wahi ole complications, e alakai ana i ka wawe koi a me ka hoi ana a hiki i ke kanaka kama'āina ola.

Complications pili me ka endoprosthesis

Kukuliʻoki kino ua hoi, e like me ka pono me i kekahi'ē aʻeʻoki kino pili i ka muli o ka helu o ka pilikia. Mau ka pilikia nā koko poho i loko o kanaka mua e hiki exacerbation o ka maʻi maʻi, ke koko clots ma ka laloʻaoʻao, infectious keʻano o ka hanaʻana i loko o kahi o ka hoʻokomo 'ia' ana o ke kanu pūʻia ana, a ma na aoao mochevyvedeniya. Ia wa mua, ka mea, ua lilo ana i pohihihi.

Kekahi o ka poʻe hewa nui-neo ha o ke kahua o ka maʻiʻaʻai ia e hana hele nō paʻakikī a me ka loa pipiʻi. Pinepine me complications o keia ano keia ano hiki wale kōkua i ka wehe 'ia mai ke kino o ka haole kino, ma keia hihia, ke endoprosthesis. Aia He He pakeneka o kanaka nui prone i keʻano o ka maʻiʻaʻai ma mua o na mea e ae, i kēia mau loaʻa ka rheumatoid arthritis, overweight e hoomanawanui i ka poe pono, e lawe ai 'hormones.

nā lā o ka hana

Kauia prosthesis hiki hope mai i ka umikumamalima makahiki, ma kekahi hihia hou, akā, me ka amortization a me ka wā i ke kanu pūʻia ana ka hemohemo, ka mea i hiki reoperation ma ke kuli hui, i mea, hope paha reendoprotezirovanie. Ma ka hihia o kaʻeha ma mua a hiki i ka pau ana o umi makahiki a hemohemo ia mea no hoi e pono ke lawe mai i ka hana.

Ke kaʻina hana o ka ami hope

Duration o ka hana hiki e kanu pū 2-3 hola. Ma mua oʻoki kino ua hana OAXA Kāohiʻana o ka maʻiʻaʻai. Ma mua o ka hana i ka hoʻomanawanui mea spinal anesthesia.

E hoʻouka i ke endoprosthesis mea pono e wehe i ka luku hapa o ka hui a me ka patella, no hoi he kahuna lapaau aligns uma wāwae (axis) e lawelawe ai ke ola ligaments, ina he pono.

Hoikehonua, prostheses i mai kiʻekiʻe-ka pono a me ka 'ole-corrosive mea e ae i ka wāwae, e lena i ka 150 degere. Kekahi mau postoperative maikaʻi manaʻo. kukuli arthroplasty E ho oku ui hou ma mua hookuuia, e lena i ke kuli i 75 degere. Eia naʻe, i kekahi hiki loa poina i ka hoʻopulapula au, me ka a ka iapaau ana ka piha.

An nui hoʻomanaʻo ia mea i ka hana i loko o ka hapanui o na hihia i wahi ma lalo o kaiakū anesthesia, 'o ia hoʻi, i loko o ke ana moku'āina. Eia naʻe, e hiki ke hōʻike aku i kou makemake i ka anesthesiologist ai ka surgeon mea au i hana i ka mau anesthesia, ina he mea hiki. Oe i ke e loa koa a me ka hoomanawanui, e malie hoolohe i ka leo e pili ana i enadoprotezirovaniya kaulike.

postoperative manawa

Ma hope o ka hana a me ka functioning o ka nele o ka pā lonoaʻili o ka lalo lala ua noʻonoʻo ke kūmau. I ka piʻiʻana o ka hoʻomanawanui nalowale he nui helu o ke koko transfusions o ke koko ae pani ai, i ka hoike o ke kupono lapaau no kaʻeha a me ka antibiotics.

Iloko o ka mea e hiki mai ana kekahi mau lā ma lalo o ke kilo o ka moku'āina o ka hoʻomanawanui ka nui hoailona (naau ana, puʻe, ECG, loli i loko o ke koko helu).

I ka wa e kaawale aku o normalization a me ka mea hōʻemi moku'āina, i ka hoʻomanawanui ua hoololiia ma o ka lā, mai ka mālama nui malama hanai poe noonoo ole.

Hoʻopulapula ma hope kukuli hope

Hope a hāpai i ka prosthesis hoʻopulapula au mau ka awelika o ma kahi o 3 mahina, akā, i kekahi manawa hou, ke kaumaha ma muli o ka hoʻomanawanui ka kulana.

OAXA hoike o ka kela la i keia stress a me ka hoʻokō ma hope o kukuli arthroplasty kona functioning e hoʻihoʻi aku.

Loa pinepine, i ka hoʻopulapula wā i ke ahonui ka hāhai i loko o ka hana kūikawā? Aaieou (ma kahi o hoʻokahi mahina).

Kahua o ka hoʻonaʻauao hoʻopulapula au

Ma hope o ka hana i ka hoʻomanawanui e noho ma kahi o elua mahina i loko o ka haukapila, a me ka kauka e hana i hoakaka ia 'ia paha o ke kino. Me ka ulu i loko o ka uku o ka hana ma ka olelo Hawaii aayoaeuiinoe ua malama, e alakai ana i ka kokololio e hoʻi i ka maʻamau ola. Ua mea i hiki ke extract mai ka? Aaieou.

Ma hope o ka noho i loko o ka hoʻopulapula oaio (2-3 mahina), i ka hoʻomanawanui e hoomau oe i ka hana i loko o ka palapala o ka 'auʻau' ana, me ka holoholo, a Yoga kau. He waiwai hoomanao ana excessive physical haʻawina ua contraindicated.

Kino no ka koi

Hoʻopulapula ma hope kukuli arthroplasty ka loaʻa o ka lākou o ka hoʻokō 'ana i kōkua no ka lanakila i ka oolea, kūkulu Muscle ikaika i loko o ke ami, ho'ēmi i ka eha.

E hoʻomaka me ka haʻahaʻa kumu a me ka wahie,, ke kiʻekiʻe o neʻe maila i ka oi ole, e hoʻomaʻa i ka physiotherapist. ? Aeiiaiaiaaia e pale aku, he hana haʻuki, no laila ka mea, ua i traumatic no ka mea hou ami.

Ka luna 'o ka hoʻokō' ana e pono ai no kela la i keia hooko (4-5 manawa i ka lā):

1. Na puupuu wawae - flexion-mailaila aku, mai ka gradual mahuahua ana e hoʻomaka ana mai ka 5 a hiki i 12 a me ka hiki.
2. Ke ka ho'ēmiʻana o ka mua uha nāʻiʻo no ka 5 kekona.
3. Hoemi i ka hope'ūhā nāʻiʻo no ka 5 kekona.
4. E hoohaunaele ana i ka wāwae straightened kulana.
5. Ka ho'ēmiʻana lākou kīkala nāʻiʻo no ka 5 kekona.
6. Ka Manaÿo Hou-flexion o ka lalo lala i loko o ke kuli ami.
7. 'ūhā ia ia.
8. Straightening ka uha ke eaʻe i ke kiʻekiʻe o ka 45 degere, a paʻa i loko o kulana stale i 5 kekona.
9. Flapping wāwae i loko o ka ua kūponoʻia moku'āina i ke kiʻekiʻe o ka 45 degere a me ka mālama i loko o kēia moku'āina i ka 5 kekona.
10. Ka hoʻohana o "Dikul" i hoʻomākaukauʻia.

Contraindications i ke kaʻina hana prosthetics

Loa contraindications:

• Kuokoa neʻe mea,ʻaʻole hiki.
• Ka maʻi puʻuwai a me ka CCC.
• Thrombosis me ka li nui.
• Pathological kāna hana o naehana hanu hana, maʻi naehana hanu ole type.
• Infectious keʻano o ka hanaʻana.
• Sepsis.
• Allergy.
• Neuromuscular pathology.
• Ka noʻonoʻo 'kāna hana.

'ano o nā implants

O kēia prostheses lawe i ka aiiay papa, a hiki ke subdivided like penei:

• huina;
• 'ana prosthesis ami ili;
• bipolar;
• hookahi pou.

Ke prosthesis Ua paa i loko o kekahi mau aoao:

• i ka lepo pipili;
• hapalua;
• cementless.

I mea e kanu pūʻia ana i ka prosthesis i malamaʻi, no ka lōʻihi manawa, hoʻohana 'ia i loko o ka? Iecaianoaaiiie o kiʻekiʻe-kbps Anati-ka popopo, a komo, a me ka hapanui importantly, biocompatible mau kumuhana:

• pālolo;
• polyethylene;
• mea hiki ke hooheheeia oka a;
• iwi lepo pipili no hoi.

He nui e hooholo no kaʻoki kino, ka mea, he pono ke kālailai i ka wahi nāʻana. kukuli arthroplasty mālama 'ia e kekahi kahuna lapaau e pono e lawe i ka mooolelo o ka ano kanaka o ka hoʻomanawanui ka physiology.

kumu kūʻai pilikino E pili

Kukuli arthroplasty ma Moscow, kaʻIseraʻela, Tureke, Lithuania, Germany, lawe mai ma ka palapala hōʻoia no hoʻomalu i ike i kā lākou hana.

Aia mau loa kekahi mau nā keʻena lāʻau lapaʻau hana kūikawā ana 'ana ma luna o ka hana o ka hui hope paha māhele a pau, a me nā hana kōkua kukuli arthroplasty ami. Ke kāki o implants hoʻopili like ai i ka pono o na mea mai i ka mea, ua haku, a me ka poʻe e produces ia. Reviews o na nā keʻena lāʻau lapaʻau ana pinepine i ka mea o ka nui maikaʻi (oi loa aku hoi me ka pili ana i ka hoʻopulapula wā). Eia naʻe, i loko o Rusia ke kākoʻo a ua lawe mai ma ka pae kiʻekiʻe.

Ma makahiki o ka hana a me ka nui palapala hōʻoia no kauka, e koho i ka loa kupono biocompatible prosthesis a me ka makemake ole complications kukuli arthroplasty. Ke kumukuai o ke kaʻina hana hilinaʻi nui ma luna o ka ka manaʻo pohihihi o ka hana, a me ka waiwai e lilo aku ana o ka prosthesis.