Hip ukwa kwasebekhulile: imiphumela ingaba engelapheki

Ukwaphuka we entanyeni hip libhekisela ezinzima futhi kaningi kulimaze uhlelo zemisipha. Esemncane akuvamile. Iqiniso lokuthi kuthatha iyashaya kuhle eqinile - udedele nokulimala okuholela, isibonelo, engozini yemoto.

Isithombe ehluke ngokuphelele siyenzeka kubantu yokuguga. Kuyo yonke le minyaka, kuqinise amathambo ancipha kakhulu. Isizathu salokhu - Kwamathambo, lapho kukhona is thinning nokucindezeleka. Amathambo abe ziyaqothuka futhi ethambile.

izifo umtholampilo

Kahle ibekezelelwe hip ukwa kwasebekhulile. Imiphumela ingase ibe ezingalindelekile kakhulu - kuholele ukukhubazeka ngokomzimba noma kuholele ekufeni. Ngokuvamile abantu baphuka izinqulu zihlukaniswe izinhlobo ezintathu:

• entanyeni femoral;
• endaweni ikhanda femoral;
• endaweni ye trochanter okukhulu.

Futhi, bona zihlukaniswe zibe:

• medial (medial) - ukwa intraarticular;
• uhlangothi (lateral) - waphuka extra-articular;
• Ngokuvamile abantu baphuka izinqulu esifundeni trochanteric, okuyizinto eziyizici asebekhulile ngisho ukulimala ngokulinganisela.

izimpawu

ukwa Hip kwasebekhulile - ngemiphumela ezibuhlungu, izifo ithambo izicubu, abulalayo noma ingozi izimila extramedullary. ukunqotshwa kubonakala liphinyiselwe zimpawu:

• Lokulingene bagxila imbilapho ubuhlungu kwanda uhlevane ezincane esithendeni umonakalo ngangokunokwenzeka.
• A emlenzeni ngendlela ephambene neyemvelo basonta kancane ngaphandle.
• kokunciphisa emakiwe we emlenzeni - ukulimala ithambo ivumela imisipha ukudonsa esitho eduze hip.
• Uphawu "isithende ngci" - ne kungenzeka flexion-isandiso ukunyakaza sokulondoloza isisindo asinakuqondiswa imilenze.

Uma isiguli yatholwa hip ukwa kwasebekhulile, imiphumela yalokhu kwasekuqaleni avele umonakala isimo sakhe psycho-ngokomzwelo. Kukhona ukwethuka, moodiness, njalo lokhu kushintshashintsha kwemizwa. Ngokuyinhloko ngenxa baxhashazwe ophoqelelwe. Njengoba nje kukhona izinkinga ezidinga nokubheka kade.

ukwelashwa

Amathuba self-splicing kwethambo liphansi kakhulu, ikakhulukazi ngenxa ubunjalo hip isakhiwo futhi igazi lawo supply. Ngakho-ke, yokuphatha incurred ukwa hip kwasebekhulile (imiphumela yezinkinga kungenzeka asikwazi wabikezela) kunzima kakhulu. Emazweni amaningi, lokhu inkinga isixazululekile ngokuphelele - ngokusebenzisa ukuhlinzwa.

1. Ukubeka izingcezwana entanyeni femoral nge ngezikulufo cannulated - osteosynthesis. inkululeko ephelele ukunyakaza (self) ngemuva kokuhlinzwa kuyenzeka e izinyanga ezine. Kodwa ngale ndlela kukhona ukwehluleka. Ngenxa ithambo nonunion kukhona awokuthi ilunga zamanga.

Indlela esiphatha ngayo ophukayo hip kuxhomeke ezicini eziningi. Omdala isiguli isikhathi eside isikhathi kusukela ukulimala, aba maningi amathuba ukwehluleka. Umnyaka elikhulu isiguli, kuleli cala - up iminyaka engu-60.

2. Ukubuyiselwa joint hip nge ngokuhlanganyela yokufakelwa - Ukushintshwa kwamajoyinti omzimba.

yobudala kahle isiguli - kusukela eminyakeni engu-60 kuya ku-80. Ngemva kokuqinisekisa sitholakele "hip ukwa", ukwelashwa, ukuhlinzwa (indlela nokuqaliswa kwalo) kunqunywa udokotela, ikhumbula ngabanye kanye nobudala izici nesineke.

3. Iziguli comorbidities amaningi Izimo (senhliziyo, isifo sikashukela), kanye nalabo nethuba ukuze uthumele ngokuphepha ukusebenza nhlobo babelwe bezoperatsionnoe ukwelashwa olandelanayo.

Lokhu satshelwa ukuthi amaqembu olusemthethweni. Kodwa osekukade umkhuba kokuphatha waphuka enjalo wabonisa ukuthi akukho ukwelashwa ngoludala kungasizi uma kwakukhona ukwa hip kwasebekhulile, imiphumela isazoqhubeka ziholele ekufeni. Odokotela baphoqeleka ukuya Iqhinga kanye ukusebenzisa amaqhinga ka "amanga ezimhlophe." Iziguli libike ukuthi ukwa alikho, kukhona kuphela yayiyolimaza eqinile. amaphilisi ezinhlungu akhishwe, zokuthola imilenze unyawo yangaphandle esikhulu ngosimende noma ukuqalisa wamathambo. Kodwa into eyayenziwa kakhulu isidingo ukunyakaza esebenzayo, okuyinto imiphumela kakhulu nebaluleke kunazo zonke esingasebenzisa zokuvimbela:

• Ukwakheka bedsores.
• Ukuphulwa yamaphaphu ukugeleza kwegazi, okuyinto nakanjani kuholela nenyumoniya.
• Ukungawuvivinyi umzimba, okuyinto omubi kuthinta isisa kubangela ukuqunjelwa.
• Ukungabikho nezibiliboco imisipha ukucindezeleka kuphazamisa kwegazi emithambo yegazi, okuholela thrombosis wemikhawulo aphansi.
• syndrome Asthenic. Ngemva kwezinyanga ezimbili embhedeni buthaka lonke zomzimba zogulayo kusobala ukuze hhayi ngokwalo hhayi kuphela ukuhamba, kodwa futhi ukuba uhlale phansi.

Uma kokudamba kwezinhlungu kancane, isiguli ingavunyelwa ukuba ihlale, imilenze yakhe ensimbi alenga umbhede. Ngemva kwamasonto amabili, ungakwazi ukumelana ngosizo lokuhamba noma ngezinduku. Ngemva kwamasonto amathathu, kufanele kube ngangokunokwenzeka ukuhambisa ngesisekelo lutho.

le ndlela yokwelapha hhayi okuhloswe ngaso wukuqinisekisa ukwa ukuphulukiswa - ngalesi yobudala akunakwenzeka, bese ukuzivumelanisa isiguli umfundise nendlela ukuphila nalesi ukulimala.

Kuyamangalisa ukuthi lokhu isikhundla avunyelwe ofuna ukusindisa ipilwakhe nomsebenzi iziguli eziningi. Amaqhinga yomsebenzi ekuqaleni iziguli manje kuqashelwa kahle.