Lidolo replacement: utyando, ukuvuselelwa, iimpendulo kunye neziphumo

Le ndibanisela inkulu emzimbeni womntu kwamadolo. Ukophulwa umsebenzi wakhe ekhatshwa intlungu kakhulu. Kwezinye iimeko, iingxaki edolweni ngokudibeneyo abakwazi yaye kungakhokelela nokukhubazeka. Ukubuyela ubomi obuqhelekileyo xa kuthe kwavela isifo uya arthroplasty. Ngoko wabiza ukusebenza athile omzimba kunye uyofaka ngumntu.

Zintoni ezibonisa

Wazithwala ngaphandle ungenelelo ngotyando, Kakade, kuphela njengecebo lokugqibela ukuba ezinye iindlela zokuphumeza uphuculo akwenzeki. Ngokuqhelekileyo, umzila ka lokwenziwa ezimanyene ebanjwe ne:

• dysplasia kwethambo;

• deformation enamandla idolo;

• necrosis Avascular;

• ukudleka;

• kubazali bakhe;

• sifo.

Njalo inkomba arthroplasty yaluphele ubudala. Inyaniso kukuba wonke ubomi iinyawo yabantu phantsi imithwalo rhoqo enzima. Ngoko ke, anxibe edolweni. Ukutshintshwa ivame kakhulu kuyimfuneko ngokunxulumene nophuhliso osteoarthritis.

Iintlobo zokwenziwa

Kuxhomekeka iqondo umonakalo joint ngexesha utyando iya kwenziwa khona:

• Kokufaka sokwenziwa sliding elinye macala. Le nkqubo kuboniswa xa umonakalo kuphela inxalenye engezantsi okanye engentla entlanganweni.

• Umzila we zokufakelwa rotary. Olo tyando wabelwe ukuba izigulane lungu xenga. sokwenziwa rotary lukhuselekile ngokusebenzisa indlela ekhethekileyo ductile Polymer lwesamente.

• Ukubeka umphezulu obambeleyo. Le sokwenziwa ezi zilwanyana ingenisa endaweni intlala articular xa kuthe ukuba yonakele.

• Ufakelo lomnyango sokwenziwa. Isigulane ezifakelwa Uyilo ezizodwa, senziwe kwifomu axis.

Ngomhla uhlobo afakelweyo ubukhulu becala uya kuxhomekeka impendulo yombuzo kangakanani kubiza edolweni replacement. Kakade ke, lofakelo koko iye ngomoya omnye na zitshiphu, umzekelo, uguqulelo ekhankanyiweyo. Kwezinye iimeko, athile omzimba inokwenziwa kusetyenziswa zitho ezizodwa wenza ngayinye iimvavanyo elebhu kunye nemilinganiselo.

Njani na ukulungiselela utyando

Endoprosthesis - Inkqubo kakhulu ngenkani ezintsonkothileyo. Isigulana kufuneka kuqala afumane axilongwe ngokupheleleyo. Okokuqala, kufuneka ugqirha. specialist ngokukhethekileyo uxilonga, Kakade ke, joint kwedolo. Ulibuyisele nangayiphi na indlela - eliqela yokungenelela kakhulu emzimbeni. Ngoko ke, ukulungiselela le nkqubo kufuneka kwenziwe ngocoselelo. Emva Ukuhlolisisa isigulana zithathwa zonke iimvavanyo eziyimfuneko. Kwimeko likaxakeka, izigulane ezininzi zibe abaxhasi ngokwabo. Oko kukuthi, igazi, leyo kufuneka ngexesha lokusebenza.

Kunyanzelekile kwixesha wokulungiselela yaye yabamba bebonke nokulungisa umzimba. Ukongeza, isigulane kuthunyelwa kugqirha wamazinyo. Inyaniso yokuba iintsholongwane abahlala emlonyeni ukungena egazini kwaye ukhululeke umzimba phambi uqhaqho. Kwaye kungakhokelela ekubeni zonke iintlobo iingxaki.

Ngosuku loviwo, ugqirha acele umguli mfuneko bonke bephela ukuthatha amayeza. Into yokuba amanye amachiza ingadala ukopha ngexesha utyando. Ukongeza, izigulane wambi bayacetyiswa ukuba unciphise umzimba baze bayeke ukutshaya.

Izimo

Kakade ke, ukuze ezase edolweni joint akwenzeki kuzo zonke izigulane. Izimo kukho kulo mzekelo:

• awachukumise;

• ezinye iintlobo zezifo ezingapheliyo somatic;

• Ezinye izifo zengqondo;

• isifo sesibindi;

• ngamathumba amabi.

Njengoko lo msebenzi wenziwa

Eneneni yena arthroplasty Inkqubo yile ilandelayo:

• Isigulane wenza zomzimba.

• joint eligugileyo, okanye inxalenye yayo isuswa ngokusebenzisa izixhobo zonyango ezizodwa.

• sokwenziwa olufakelweyo.

Iiyure ezimbini - malunga njengokuba kufuneka ixesha kakhulu iingcali ukuze ukubeka idolo joint lokwenziwa. Ukutshintshwa ithatha ixesha elide, kuba ugqirha kufuneka kakhulu ngononophelo kwaye kancinci, kancinci, kancinci ukuya ukususa ithambo. Emva kotyando ukuvalwa nomonde ibekwe ICU. Apha, isigulane kufuneka phambi kokuba alulame zomzimba. Lonke elo xesha uhlala phantsi kweliso zonyango. Ukuba akukho zingxaki hayi kuyagcinwa, isigulane idluliselwa ewadini jikelele.

Usulelo - enye yeengxaki ezinokwenzeka emva njengoko kuya kuba ukutshintshwa entlanganweni idolo. Emva kotyando, ukuze uphephe oku, izigulane alahlwa kunye antibiotics. Ngosuku lwesibini esebenza ukuyifundisa emiselweyo. Ukwenza umthambo elula, isigulana sakubanako ukunyusa isantya ngokubonakalayo kwimo yaso.

Ithuba postoperative

Ekhaya isigulane ngokuqhelekileyo lukhutshwa ngemini 7-14. inkqubo Further yesiqhelo ithatha malunga-10 iiveki. Ukuba umsebenzi yomguli akazalani umsebenzi emzimbeni, buyela kuwo, ngkunyelela ithile ngenyanga. Fumana emva isondo imoto evumelekileyo malunga 4-6 iiveki emva hip replacement. Kwimeko ukuba ukusebenza idolo replacement waba yimpumelelo yaye isigulane uziva ocoliweyo, akukho amanyathelo abucala athi athatyathwe ukubuyisela ayikho imfuneko. Noko ke, ingcebiso ethile kagqirha ukuthobela zonke izinto eziyimfuneko:

• Umlenze nayiphi na imeko ayikwazi isindwe. Kungenjalo, le afakelweyo seyonakele kwaye kufuneka ukuyitshintsha kwakhona. ukusebenza okuphindiweyo zokuqala ezinzima ngokubanzi.

• Awukwazi inxaxheba kwezemidlalo esebenzayo.

• Kufuneka ukuhlaziya ekudleni kwakho. Zokutya ngexesha kwimeko yesiqhelo kufuneka babe elungeleleneyo.

• Kwimo yesiqhelo emva edolweni athile omzimba lubandakanya kuquka kunye nemithambo kwisimo ekhaya.

Emva kwexesha emva kotyando, izigulane zifumana kabi kwi kwamadolo. Ngoko ke, ukuba anyulwe ntlungu, ekufuneka athathwe.

cost of operation

Kangakanani ukuba kufuneka uhlawule ukuze ufumane idolo joint entsha lokwenziwa? Ukutshintshwa yale yinxalenye yomzimba - inkqubo Kakade ke, imali eninzi. Okokuqala, ixabiso ichaphazela ukuntsonkotha lo msebenzi. Kwakhona, iindleko afakelweyo kuxhomekeke kuhlobo afakelweyo. Kakade ke, ukuze songe into ebalulekileyo kukuba alukho kuyimfuneko. Modern amadolo sokwenziwa ukuba ezenziwe ngezinto ezahlukeneyo: aluminium zonyango ezizodwa, iipholima, ngodongwe. Le ndlela yokugqibela yeyona eside kakhulu. joint bokusebenzisa ingahlala iminyaka engama-20. zitho eqhelekileyo kufuneka kufakwe emva kweminyaka 10-15.

Kuba uyofaka ngokwayo kuya kufuneka uhlawule malunga 140-150 amawaka. Engange. Malunga 350-400 amawaka. P. - yenani kangangoko eRashiya edolweni replacement. Ixabiso arthroplasty aphesheya, Kakade ke, ngaphezulu kakhulu. Ngokomzekelo, kwaSirayeli, ixabiso utyando enjalo iqala 25 000 zeerandi.

Idolo Ukufakelwa: ukubuyekeza isiguli

Abanye abantu babe nokholo kakhulu amathuba zezonyango namhlanje yaye boyika ukuba bangenele inkqubo ezifana arthroplasty ngokuhlangeneyo. Ke ngoko Ufuna ingxelo evela kubasebenzisi ucinga ukuba elele phantsi yokusebenza kwetafile. Kwiimeko ezininzi, abantu amalungu angengowamvelo ukwenza athile omzimba kululekwa. Ngaphezu koko, ngokutsho isininzi, musa ukulibala ukusebenza. Ukuba ugqirha wakho uncoma oko, kufuneka uqale ukuqokelela imali.

Ngokubhekiselele kwindawo yokusebenza, isininzi yangaphambili izigulane wasabela kakuhle, hayi nje kuphela kwi angaphandle eziklinikhi, kodwa kumalunga yethu Russian. Kwi web kukho izikhundla bazithandise ngokuzukisa naseNovosibirsk, eMoscow, Kurgan, njalo njalo. D. Surgery. care Post-operative, namagumbi karhulumente, lusidla kwizibhedlele Russian - konke oku kwiimeko ezininzi, ngokoko izigulane, kuba kwinqanaba elifanelekileyo. Ngokutsho abaninzi, elibi engundoqo yomgaqo-nkqubo efana edolweni replacement, - ixabiso. Kakade ke, 350 amawaka. Engange ukuba abaninzi abadinga sokwenziwa kakhulu kunene.

Indlela ukufumana daba kutyando

Kakade ke, ukuba ukunika uluvo malunga imfuneko kungenzeka ugqirha kuphela inkqubo athile omzimba. Loo imisebenzi kwenziwa kuzo zonke izixeko zeli lizwe. Clinic isigulane ukhetha ngokuzimeleyo. Ugqirha ukuya ubhala ulwalathiso kuphela. Kakade ke, ukuze kuncitshiswe iindleko ukuze ukhethe esibhedlele kufutshane nasekhaya. Kodwa uyakwazi ukufunda ukubuyekeza amaziko zonyango ezahlukeneyo ukunika imiyalelo ngcono.

Ziziphi iingxaki kwenzeka emva edolweni replacement

Ukuba uza athobele zonke iingcebiso gqirha ukuya, mhlawumbi emva kotyando akayi kuba naziphi na iingxaki. Kodwa ngamanye amaxesha zenzeka iingxaki. Njengoko sele kukhankanyiwe, uninzi izigulana Sekudlule inkqubo arthroplasty, kwenzeka izinto ezinjalo iimbandezelo njenge:

1. Ukuqala losulelo, nabanako etsolo okanye engapheliyo. Lula okanye stop zalo zophuhliso kunokwenzeka encediswa ntsholongwane. Amaninzi, le ngxaki kwenzeka abantu abanengxaki isifo samathambo kunye iihomoni uthatha. Kwezinye iimeko, ungayeka ukuqhubela usulelo kuphela emva kokuba ukususwa entlanganweni elimiselweyo kuni.

2. egazi. Le ingxaki enkulu kakhulu, ezisongela ubomi ogulayo ethole inkqubo ezifana edolweni replacement. Kwimo lwezigulane ngoko lukhatshwe ulwamkelo kuquka anticoagulants. Ethululwayo kufuneka kwiiveki 2-3 emva afakelweyo nakanjani. Kwecala le thrombus kungakhokelela wahlaselwa yintliziyo okanye Embolism miphungeni.

Kakade ke, kukho (nakuba kancinane) umngcipheko ukwaliwa sokwenziwa. Ngamanye amaxesha emva kotyando, izigulane sijamelene enjalo ingxaki, njengoko patellar imicu avulsion.

Endoprosthesis - ukubuyela ubomi obuqhelekileyo

Umsebenzi wokuqala edolweni replacement kwi afakelweyo senziwe phakathi kwinkulungwane yokugqibela. Ekuqaleni iingxaki e izigulane zaye waphawula impela njalo. Noko ke, kweli xesha lethu arthroplasty kwiiklinikhi ezininzi na umsebenzi ngokwesiqhelo kunye nobuchwepheshe wayo, kwakunye neendlela zokubuyisela postoperative lugqibelele kwinkcukacha wokugqibela. Ngoko ke, kanye nobunzima kwizigulana zinqabile. Yayisoyika ulale phantsi etafileni yokusebenza ayikho imfuneko.