Ka Hip ke ami hoi: ke ki hope, a me ke ola hou

Ami i eha a me ka nele o ka hoʻoneʻe i ka hindrance i ka hoʻokō i maʻamau o hana, e ka mea hiki ole ke alakai i ka maʻamau ola. No ka hana pepehi ia ma ka hip-ami. arthroplasty kōkua i ka nalowale hana o ka lala, e hoʻihoʻi hou, e like me ka pinepine o ka wale ala no ka hoʻomanawanui. Nāʻikepili no keia hana, ua oi aku mamua o 300 tausani kanaka o ka makahiki.

Ka mua, a me ka papa kuhikuhiE hoailona o ka olelo mai ka eha. Ma mua, i ka eha i ka haʻahaʻa pinepine ', akā, i loko o ka wā e hiki mai, a me ka Holomua o ka maʻi, i ka eha intensifies, e lilo ana i ka ikaika o ka hoa kanaka.

Next hele mai i ka huli ana o dysfunction o ka loli ana o ka lala. I ka maʻi i ka welelau o ka Holomua, e alakai i kekahi manawa, e ke hoʻokō 'immobilization. Oia nā mea maʻi makeʻe kulana lapaʻau mea,ʻaʻole hiki ke kōkua hoʻopakele i ka loli ana i ke ki kala.

Hip arthroplasty mea a ianoiyuaa a kekahi o ka loa kēia ano oʻoki lāʻau lapaʻau malama i loko o nā mea maʻi i lesions o na ami. Iloko o ia hana i ka maÿi'aʻaʻa hōʻike 'ia ma ka Hip hui hoʻololi iʻimi hoʻopunipuni dentures.

Ke 'ole a me ka hana ana o ka hip-ami

Ke Hip ke ami hoi i kekahi o ka mea nui iwi o na ami o ka kanaka kino. I ka hōʻike ke kiʻi iā lākou loa kiʻekiʻe i loko o ke kaʻina hana o ke kanaka ola, e like me ka mea lawelawe iwaena o e hoʻohui i ka lalo lala a me pelvis.

hip-haku mele 'ana:

• femoral poo - ka peʻa'ākau o ka femur me he spherical shape;
• acetabulum - he funnel-hoʻokino recess o na pelvis, i mea paʻa femoral poo;
• olelo cartilage - ka'aʻaʻa e loaʻa i ka jelly-e like lubricant e kōkua ai i nā ka neʻeʻana o ka articular ami wahi;
• synovial (ke kūʻai ') wai a - he kūikawā kaumaha o gelatinous hana mau, a nourishes ka cartilage, a kōkua i ka mitigate i ke kū'ē o ka articular surfaces;
• hui mea hōʻikeʻikeʻuʻuku a me nā ligaments - connective'aʻaʻa e lawelawe 'ana me ka mālama o ka articular surfaces, a hōʻoia kumupaʻa o ka ami.

Nāʻiʻo a me tendons pili ma ka Hip wahi, kona contractions ae ana i loko o laila. Ma ke ola i ke kūlana o ka Hip ami ka loa mobile, i hiki ke neʻe i loko o kekahi pelane, a me ka ao ao. He Makuakane a me ka lako polokalamu mana o ka hele ana a me kākoʻo.

No ke aha la hana mākou Pono ami hope?

Ke Kauka i ka hoʻomanawanui ma mua o ka ninau o kona hope Hip prosthesis nele kumu maikaʻi, no. Ana ua kohoia, ina i ka maʻiʻaʻai kīnā i ka huina i hiki ia he nui i ke kanaka mea mau Kahalaopuna lōʻihiʻeha, a me ka loli ana o ka lala mea,ʻaʻole hiki ke hana i ka walaʻauʻana neʻe. Ma kēia mau wahi, i hiki, i ka wa a luku aku la ma ka Hip hui, Hip hope ke lilo i ala mai.

Mawaena o na maʻi e hiki i ke ami hoi maʻi e noi anaʻoki kino i:

• osteoarthritis deformans reversible ma ka hihia 2 a me 3, ka oolea o ka maʻi;
• osteoarthritis deformans 3 degere i deformation o kekahi o na ami;
• Hip ami ankylosis 'ia i loko o rheumatoid arthritis, a me ka hoʻopiʻi i ankylosing spondylitis;
• aseptic necrosis o ka femoral poo me ka hopena o nā palapū, a circulatory kāna hana;
• nā palapū o ke poo a me ka ai ana o ka femur i loko o ka palapala o ka fracture i loko o ka poʻeʻelemākule;
• haanou ana ma ke kuʻekuʻe wāwae kahi ma ka pono o kaʻoki lāʻau lapaʻau lapaau.

Hip hope mea kūpono wale nō i loko o ka hihia o ka huina lilo o ka manawa kūpono o physical haʻawina a me ka hele. Ka 'ōlelo hoʻoholo ua ia ma luna o ka hana, e lawe i no a pau kumumea.

Contraindications eʻoki kino

Aia mau hihia, i ka wa i kanaka, ka poe i he huʻi nele no i ke ki kala hope, hiki ole ke hele iʻoki kino no ka contraindications.

Ka loa, he pono ole kapu nā:

• wahi, i hiki ai ke hoʻomanawanui eʻaʻole e hiki ke kuokoa neʻeʻana, a hiki i ka hihia o ka lawelawe i ka hana;
• maʻi ahulau ma ka dekompensatsionnoyʻanuʻu (naau e hemahema, cerebrovascular maʻi, hepatic hoʻokō 'ole') ka wā i hana hiki ia oe exacerbate na pilikia;
• maʻi akemāmā maʻi ma o na la naehana ka hoʻokō 'ole a me ka hoʻokomo ea (emphysema, asthma);
• Ke Kula Kaiapuni 'iwi li nui,ʻili a pahee'aʻaʻa i loko o ka wahi o ka hip-ami;
• osteoporosis, e alakai i lawa ka ikaika o ka iwi, a me ka pilikia o postoperative wanaao ae i kekahi iwi iloko o maʻamau hele;
• pathologies ma a he mea ole femur medullary Canal.

Mea Maluna o implants

Ma ka prosthesis e puku i ka loli ana o ke ki hui, e ia makou i ka ikaika, ka mea pono e maluhia paa, a i ka 'oni' ana i nā nā'aʻaʻa o ka hoʻomanawanui. O kēia implants, i ka polymers, pālolo a me ka mea hiki ke hooheheeia oka a halawai a pau o ka mea koi. Externally, ka prosthesis mea i 'ano like me ke kanaka hip-ami.

Kona lāliʻi:

• Cup endoprosthesis. Keia hapa replaces ka acetabulum o ka pelvic ami. Material no ka manufacturing mea pālolo. Eia naʻe, he mau ipu i ka polymers.
• Ke poo o ka prosthesis. Metal hapa spherical ano me ka polymeric ka penaʻana. Kēia e hōʻoiaʻiʻo ka hāʻuleʻana palupalu, i ka wa a ke poo e ke ka ao ka i loko o ke kiaha endoprosthesis iloko o kekahi mau lala ka neʻe 'ana.
• Wawae prosthesis. Aʻike i ka nui haawe ana, no laila, mau i ka mea hiki ke hooheheeia. He ka hope o ka ai a me ka hoaka o hapakolu o ka femur.

No hoi implants e māheleʻia i loko o hookahi-laau a me ka papalua-pou. Ka hookahi-laau hoomanawanui prostheses noho ma kā lākou acetabular proteziruya ka femoral poo a me ka ai. Kēia mea he OOAOAaXUEIE hoʻokolohua o ka prosthesis, i ua hoʻomano i hoʻohana mua. E ho ohana i wehewehe aku ma kā lākou kiʻekiʻe alapine (frequency) o fracture o ka acetabulum, a papani iho la i ko lakou hoʻohana i ke kālā no orthopedic hana.

Bipolar endoprosthesis nō i ka inoa o ka huina. Ka mea, paka huina hip-arthroplasty. Eia loaʻa nō nā mea a pau ekolu o na luna eiiiiiaiou o ka prosthesis.

Hip endoprosthesis hana manawa ua nānā 'ia e ka mea e like ai o ka pono i ua mālama aku i ka hana ia. Ka ikaika loa metala implants mau mai i ka 20 makahiki. Eia naʻe, e pono ai i nā hualoaʻa no ka hui malu pu ana o ka hana ola o Hawaii hope a me ka hui pu ana, e haawi i ko ka mea hiki ke hooheheeia-pīlali-pālolo.

preliminaries

A pau i ka hoʻomanawanuiʻana, ka poe e pono ai prosthetics, pono e mālama 'haʻawina, i maopopo ai i ka noho ana o ka Hip hui (ultrasound, MRI, X-Ray) e hookaawale ia a pau Loaʻaʻia contraindications.

No kūikawā aʻo ana 'Aʻole e koi. I ka wa e kaawale aku o contraindications ia lŘlŘ paha hana i waeia. Ke kakahiaka o kaʻoki kino, e kahi me ka pahi i ka ili, i loko o ka hip-kahi. Ai ana, a me ka inu 'ana paha.

kaʻina ka anu u

Ke hoomanawanui ua kau ma luna o ka pae'ōnaehana papa, kahi ana i hana anesthesia. pahuhopu nei hana o ka anesthesia anesthesiologist a me ka hoomanawanui. Ka lōʻihi like 'ole o ka hana ke hiki aku i ka noho pilikia hihia 5 hola. No laila, i ka mea maikai koho mea a spinal anesthesia a piha anesthesia. Ka mua hana o ka anesthesia lawe emi poino, no laila ia mea maikaʻi, e koho i ka kūpuna.

Ma ka pau 'ana o anesthesia kauka hoʻohana oki o kāna mau hoʻolālā komo i ka hip-ami. Ke koi e oki ai - ma kahi o 20 knm Aia mea he dissection o na ami mea hōʻikeʻikeʻuʻuku, a lawe akula ia i ke poo o ka femur, i mea malalo o ke resection ..

iwi hōʻikeʻia nani hele mai i loko o ka palapala o ka endoprosthesis. prosthesis fixation ia lŘlŘ loa pinepine ma ka mea o ka lepo pipili. Next, o ka ili o ka acetabulum ʻepekema wehe articular cartilage, i ua laila, i ke kiaha endoprosthesis.

paha complications

Hip hopeʻoki kino ua manaoia e ia i ka luna 'ʻoki kino.

Ua hiki ke alakai i ka complications:

• kahe ana ke koko;
• koko clots i loko o na aa koko o ka laloʻaoʻao;
• suppuration o prosthesis, aʻoki lāʻau lapaʻau eha;
• hematoma;
• rejection o endoprosthesis;
• complications o ka mea'ōnaehana mānowai koko nenoaiu.

Akahele hoomakaukau ana minimizes ka pilikia o complications.

Hopena o ka hana

Wahi a ka 'ikepili helu, Hip hope ahonui e hoike no ka hapanui hapa maikai. E hoomanawanui i ka poe i ike 'imua me ka hana. Ma ka hana i loko o ka poʻe kŘpa opiopio makahiki me concomitant maʻi o ke ki kala ami kuleana pili i ua hoihoi hou ia i loko o piha. A kanaka ke hele, a hiki komo i loko o physical hoounauna, me overloading ka prosthesis. 'Âlapa hana i contraindicated.

Aia nāʻilihune hualoaʻa ma hope o ke ki kala hopeʻoki kino. Loa pinepine ka mea ana i loko o wa elemakule, ina oe i comorbidities. I ka 20% o nā mea maʻi undergoing Hip hope, e hoomanawanui i hōʻike hōʻike manaʻo loaa ole ia nā hualoaʻa o ka hana.

Loaa ma hope oʻoki kino

Hoʻopulapula o nā mea maʻi e hoʻomaka koke ma hope oʻoki kino. Ua hoʻokō 'ma hope o ke ki kala hopeʻoki kino, a me ka hanu kino. O ka holo ana, pono e mālama wale nō ia i undergone prosthesis, akā, e ho'āʻo e halawai palena iki Muscle contraction ma hope o ke ki kala hope i hana ai. Hoʻopulapula e noho malalo i ka papa kuhikuhiE rula - e pono e kūpono hoʻonui i ka haawe.

Ka mua ka lā ma hope oʻoki kino

Loa nā mea maʻi i e pana aku au i ia mau mea i loko o ka mālama nui malama pa alima. He mea pono i kanaka hoʻoponopono nui na hoailona, koke ke paneʻana i nā mea a pau i nā hoʻololi io. Ma hope o kekahi mau hola ma hope oʻoki kino, he kanaka i i ke kali manawa i loko o ka noho ana kulana, e kahe mai ana ia i ka pale.

Ke hoʻohana Hip ua papaia e lena i oi aku ia mamua o 90 °. Kēia hiki loko kona 'ole a me ka fixation i loko o ka iwi. E ka noho oihana ua maikaʻi loa lāʻau 'inikua? Aaieou a me ko ka hale poe hana. Ka mea, e kōkua i ka neʻeʻana i ka loli ana o ka lala, a, e hōʻike i mua kōkua, ina he mea pōniuniu.

Kaniak mai o ka wahi moe

A mau lā, e kiʻi mai o ka moe ma luna o lākou iho ma hope o kaʻoki kino e ole e. Hilinaʻi ma luna o ke olakino lala, me ka hoʻohana 'ana i kākoʻo manaʻo, ka mea, ua pāpā no kekahi mau pule. Assistive manao maalea ke malama me ke kō 'ole' oaʻiʻo. Ka wā he kupono ana o ka hoʻomanawanui ma hope o ka hana e like me ke ki kala hope, hoʻopulapula e leie aku hoʻohana 'kokua, e kiʻi mai i ka ia la ae, nae, loa nā mea maʻi e makaukau e hana ai i ole.

hele

E waiho i ka hoʻomanawanui, e hele i ke kolu o ka lā ma hope o ka hana. I ka Ia manawa e like me nā mea a pau i nā koi no ka hoʻololi i ke kū wahi. Mai poina e hoʻoneʻe i ka hoʻohana palena lima a maikai wāwae e sveshivaniya wahi moe. Oe ke kiʻi mai ma luna o 'oaʻiʻo a me ke ola i ke wāwae. E ho'āʻoʻia e hilinai aku ma luna o ka mea iki i wāwae ua papa ia i loko o ka mahina ma hope o kaʻoki kino, no laila ia e ia i loko o limbo. E hoʻohana i oaʻiʻo oiai e hele ana, ia mea e pono ai i ole e emi malalo o na malama ekolu.

Ma ka maluhia kahe ana o ka hoʻopulapula au ke hele aku ma luna o ke kō no kākoʻo. Hilinaʻi ma luna o ka mea iki i wāwae hiki ia i loko o ka mahina, akā,ʻaʻoleʻalo ana i kona loa ke kaupaonaʻana o ke kino. E hoʻomaka ana me ka hope o ke ki kala hopeʻoki kino mea pono e a no ka maluhiluhi i nā wāwae a hiki i kaʻaoʻao a me ka hoi ana mai o kona kua a me ka ala ana, a hakumakuma i loko o ke kū kūlana. Hana pēnēia, i ka hoʻohana wāwae mau mahina haawe, aole e oi aku kekahi hapalua o ka hoʻomanawanui ka kino ke kaumaha. Hoʻomaka e hele me ka maopopo improvised hiki ma hope 4-6 mahina o ka hana. e hookomo hou mai lohi, a i nā wahie, e.

ka ai

Ka nui ke keʻena o ka loaa ana o ka hoʻomanawanui mea pono no kou kino. Keʻai E e kiʻekiʻe ma ka kumuʻiʻo, nā minelala hao a me nā wikamina. Ia mea,ʻaʻole e pono ke hoopili aku i ka loa kiʻekiʻe-calorieʻai, no ka mea, hiki ole e hoomanawanui i neʻe 'Imi. Unspent ikehu ma keia hihia ke alakai i kau paona ana ka waiwai, a makemake e hookaulua ke ola. 'Aʻole e hōʻike' ia nō i ka huina hoonui o ka baking, palai a me ka momoma ai, paka ai. Aeia mai ka iʻa, wiwi ai, ka lau a me na huaai, kiliala, hua. I ole hihia hiki ole inu kanakaʻona mau nā mea inu, a me ka kope kī.

Ka lapaau a me ka hoʻopulapula

Lapaau i ka? Aaieou mau 2-3 pule. Pela'ōwili ho'ōla kaʻina ua ua hoʻonānā. Nō kāu, e wehe 'ia ma hope o 12 lā sutures. Ke koena o ka noho ana i loko o ka 'inikua hale mai ke ahonui, a me kona poe hoahanau i ao mai na mea mākau hoʻopulapula o ka hoʻohana'ūhā. 3 mahina ma hope o ka hana, he radiography o ka hip-ami. Ua kōkua e loiloi i ka pomaikai o ka hana, a me ka fixation o ke kanu pūʻia ana.

Once ka hoʻomanawanui ua hookuu mai i ka 'inikua kula, he kōkua nui i loko o ka hou hoʻopulapula hiki i ke kukakuka ana me ka lapaau-rehabilitator ka mea, e kōkua mai i ka kanaka kumumanao o ka hoʻopulapula. Kēia e kōkua e ia oi makaʻuʻole, a emi lengthy ke ola au. Loa nā mea maʻi e hoʻi i kaʻeleu ola i wahi eono mahina ma hope o ka hana. ka mea, ua pono e kń i ka haawe ana a hiki i ka hope lala hoʻopulapula i akaaka malu prosthetics. Ke Hip hui, a olelo hope ua holomua, hiki no lōʻihi manawa e malama aku ai i kona haku.

kahi hoʻohana

Best no a pau kēia mau hana i lawe mai i waho. Ua lilo mākou loa hanohano nā keʻena lāʻau lapaʻau o kaʻIseraʻela, a me Hawaii, e specialize i loko o ka manaʻo o ia mau uao ai '. Naʻe, i ka lilo ana o ke ki kala hope i loko o ia nā keʻena lāʻau lapaʻau ka loa kiʻekiʻe. A kupono makemake, ina no kekahi kumu e i ka hana ma kahi e mea,ʻaʻole e hiki, he Hip hope ma Moscow. Lūkini kauka i loaʻa i loko o nā makahiki he wahi lihi iki o ka holomua i loko o ka mahinaʻai o ka hui hope, e hoolilo ana no ka makahiki ma ka liʻiliʻi 20 tausani manawa hip-hope. Ke kumukuai o keia hana ma ko makou aina mea nui e emi ma mua o ka haole nā keʻena lāʻau lapaʻau, a me ka mea 38.000 rubles.