Hip ukwa ku abadala: imiphumo inokuba vuhlayiseki

Ukwaphuka entanyeni kasikrobana ibhekisela kakhulu kwaye kaninzi umonakalo inkqubo musculoskeletal. Eselula inqabile. Inyaniso yokuba kuthatha Punch pretty womelele - ukulahla okanye ukulimala kakhulu onesiphumo, umzekelo, kwingozi yemoto.

A umfanekiso ezahlukeneyo ngokupheleleyo liyasetyenziswa abantu abakhulileyo. Ukutyhubela iminyaka, amandla ithambo liyehla. Isizathu soku - IOsteoporosis, apho kukho olindelwe apho kunye nokudakumba. Amathambo zaqina-ethe.

ikliniki izifo

Ukungakwazi sihambisane hip ukwaphulwa ebantwini abadala. Iziphumo ukuze akucingeleki kakhulu - kukhokelela ekubeni ukukhubazeka okanye ude ubulale. Kwamathambo ziye zohlulwa ngokwendidi ezintathu:

• e entanyeni femoral;
• kummandla intloko femoral;
• kule ndawo trochanter enkulu.

Kwakhona, ukuba yahlulwe:

• medial (medial) - zaphuka intraarticular;
• icala (lateral) - Ukophuka extra-articular;
• ukwaphula kummandla trochanteric, ezo eziziimpawu abakhulileyo nditsho kukwenzakala ngomlinganiselo.

iimpawu

ukwa Hip kwi abadala - imiphumo unxinzelelo, usulelo esiqwini ithambo, nangezilonda linobuhlungu okanye ebubonisayo extramedullary. lahluleka abonisa zomlomo iimpawu:

• ukunyuka Moderate wagxila nasemiphakathweni ntlungu amaqhuma ezincinane isithende yi umonakalo kunokwenzeka.
• A nomlenze ngokuchasene nemvelo ejijekileyo kancinane ngaphandle.
• Ukuncitshiswa okuphawulekayo yomlenze eyaphukileyo - umonakalo ithambo ivumela izihlunu ukutsala umlenze kufutshane ephangweni.
• Uphawu "isithende ziyaxinga" - kunye iintshukumo flexion-ulwandiso ukuba ubunzima ukugcina ayikwazi ayinakolulwa imilenze.

Ukuba isigulane safunyanwa hip ukwaphulwa kwi abadala, imiphumo yalo kwindawo yokuqala ukuvela yingozi imeko yakhe yengqondo-iimvakalelo. Kukho uvalo, moodiness, zokulwa nale ngxaki rhoqo. Ngokuyintloko ngenxa nokungakwazi ngokunyanzelwa. Nje ukuba kukho iingxaki ezifuna ukunyamezela ninomonde.

unyango

Amathuba self-usifake of ithambo iphantsi kakhulu, ikakhulu ngenxa yobume lwesakhiwo inyonga nonikezelo yayo negazi. Ngoko ke, aphathe incurred ngokwaphulwa inyonga kwi abadala (neziphumo ingxaki enokwenzeka ayikwazi ukuqikelelwa) kunzima kakhulu. Kumazwe amaninzi, le ngxaki iya kusonjululwa ngokupheleleyo - ngokusebenzisa uqhaqho.

1. Ukulungisa ngamaqhekeza entanyeni femoral kunye ngezikhonkwane cannulated - osteosynthesis. Zalisa inkululeko intshukumo (self) emva kokuba usebenzo kunokwenzeka kwiinyanga ezine. Kodwa le ndlela kukho ndoyisiwe. Ngenxa nonunion ithambo kukho amathuba aphezulu sentlanganisela lobuxoki.

Indlela yokuphatha i zaphuka hip kuxhomekeke kwizinto ezininzi. Okona isigulane kunye elide ixesha ukususela wokwenzakala, kokukhona semngciphekweni nokungaphumeleli kwezi zixhobo. Iminyaka yobudala kangangoko nomonde, kule meko - ukuya kutsho kwiminyaka engama-60.

2. Ukufakwa welungu hip kunye joint ngumntu - athile omzimba.

yobudala nomonde Optimal kaThixo - ukusuka kwiminyaka engama-60 ukuya kuma-80. Emva kokuqinisekisa lokufunyaniswa 'hip ukwaphulwa ", unyango, utyando (indlela ukuphunyezwa kwayo) olumiselwe lo gqirha, kuthathelwa ngamnye akhawunti kunye nobudala iimpawu isigulane.

3. Izigulane comorbidities ezininzi Izimo (isifo sentliziyo, isifo seswekile), kunye nabo babe nethuba ukudlulisela ngokukhuselekileyo umsebenzi phantse akukho babelwa bezoperatsionnoe unyango endala.

Oku saxelelwa ukuba amaqela zaseburhulumenteni. Kodwa elide-emi indlela zokunyanga Ukophuka ezinjalo wabonisa ukuba akukho unyango endala swi nga pfuna xa kukho ngokwaphulwa inyonga kwi abadala, imiphumo uya kukhokelela ekufeni. Oogqirha kwanyanzeleka ukuba aye iqhinga kwaye asebenzise Amaqhinga 'ubuxoki emhlophe. " Izigulane ingxelo ukuba ngokwaphulwa akakho, kukho kuphela ukutyumka eyomeleleyo. ntlungu na elahliweyo, ngokuba ukulungisa le zeLayikhra unyawo engaphandle kongezwe kulo ukusuka udaka okanye ukuqalelisa ngokungafanelekanga wamathambo. Kodwa ke ugxininiso phezu imfuneko intshukumo esebenzayo, nto leyo iziphumo ezibalaseleyo ibalulekileyo lokunqanda:

• Ukwenziwa bedsores.
• Ukutyeshelwa yokumpompoza kwegazi yemiphunga, nto leyo nakanjani kubangela inyumoniya.
• yokungasebenzi ngokwasemzimbeni, nto leyo kabi izibilini, ikwabangela nokuqunjelwa.
• Ukungabikho xi caviar imisipha ebangela kuphazamisa ejikeleza lwemithambo, ekhokelela thrombosis kweqondo asezantsi.
• syndrome Asthenic. Emva kweenyanga ezimbini ebhedini buthathaka lokuphumla yesigulana gca okwekati emhlophe ehlungwini ukuba ayikwazi ngokwalo kuphela ukuhamba, kodwa ukuhlala phantsi.

Xa iintlungu kudambe kancinane, isigulane avunyelwe ukuba ahlale, imilenze yakhe alenga off ebhedini. Emva kweeveki ezimbini, u nga kuma ngoncedo lokuhamba okanye iintonga. Emva kweeveki ezintathu, kufuneka ibe kangangoko kunokwenzeka ukususa ngokusekelwe nantoni na.

le ndlela unyango asichasananga kukuqinisekisa zaphuka impiliso - ngeli Kwasephakadeni nje akunakwenzeka, uze emva koko ukuqhelana isigulane umfundise indlela yokuphila nale kugula.

Okumangalisayo kukuba, kuba le ndawo ukuba usindise nobomi kunye nomsebenzi izigulane ezininzi. Le Amaqhinga umsebenzi yokuqala izigulane ngoku yaziwa kakuhle.