Bondo olowa m'malo: opaleshoni, konzanso, mayankho ndipo zotsatira

Olowa waukulu mu thupi bondo. Kulakwila ntchito yake limodzi ndi ululu. Nthawi zina, mavuto ndi bondo olowa ndi amene angathe kuyambitsa chilema. Back moyo wabwinobwino likhoza ngati matenda adzakhala arthroplasty. Chotero anaitana ntchito pa m'malo olowa ndi analili yokumba.

ndi zizindikiro zimene

Iwo anagwira alowererepo opaleshoni, ndithudi, monga yomalizira ngati njira zina kukwaniritsa patsogolo sizingatheke. Childs, implantation ya olowa yokumba umachitika ndi:

• dysplasia fupa;

• mapindikidwe amphamvu bondo;

• Avascular necrosis;

• nyamakazi;

• amapatsira mwana wake;

• gout.

Nthawi zambiri kumasonyeza kuti arthroplasty ndi ukalamba. mfundo ndi yakuti mu moyo mapazi a anthu pansi katundu zonse zolemera. Choncho, kuvala bondo. N'kubweretsa ndi zambiri zofunika mogwirizana ndi chitukuko cha nyamakazi.

Mitundu yopanga

Malinga mlingo wa kuwonongeka olowa pa opaleshoni angathe kuchitidwa:

• Khazikitsa amene amaganiza kutsetsereka prosthesis. njirayi kumaonekeranso pamene kuwonongeka okha kuti mmunsi kapena chapamwamba olowa.

• Implantation wa apulasitiki makina. opareshoni amenewa amagwira ntchito odwala ndi mitsempha Kusakhazikika. Makina prosthesis ndi wotetezedwa ntchito yapadera ductile polima simenti.

• Kupereka wogwirizira pamwamba. The prosthesis mitundu ili anapatsa malo chichereŵechereŵe articular kukachitika kuti chawonongeka.

• Unsembe hinge prosthesis. Wodwala anapatsa kapangidwe wapadera, wopangidwa mwa mawonekedwe olamulira.

Mtundu wa prosthesis Pamlingo waukulu kudzadalira yankho ku funso la mmene ndalama bondo m'malo. Kumene, unsembe wa analili unilateral ndi mtengo kuposa, mwachitsanzo, linanena Baibulo. Nthawi zina, olowa m'malo angathe kuchitidwa ntchito ziwalo apadera anapanga payekha mayesero zasayansi ndi miyezo.

Kodi pokonzekera opaleshoni

Endoprosthesis - wovuta kwambiri ndi zovuta ndondomeko. Wodwala ayenera choyamba kukumana ndi mankhwala Kupenda zonse. Choyamba, pamafunika dokotala. Makamaka chisamaliro katswiri amafufuza, ndithudi, bondo olowa. M'malo mwa njira iliyonse - ndithu alowererepo aakulu mu thupi. Choncho, pokonzekera ndondomeko izi ziyenera kuchitidwa mosamala kwambiri. Ndikatha kumfunsafunsa wodwalayo atengedwa mayesero zonse zofunikira. Mu vuto la mwadzidzidzi, odwala ambiri kukhala othandizira ndalama okha. Ndiko kuti, kupereka magazi, kumene kufunikira panthaŵi ntchito.

Ndi kuvomerezedwa mu nthawi kukonzekera nakhala kudzudzulidwa okwana thupi. Komanso, mtima wa imatumizidwa mano. chakuti mabakiteriya moyo mkamwa sakhoza kulowa m'magazi ndi kumasula thupi asanachite opareshoni. Ndipo zimene zingachititse kuti mitundu yonse ya mavuto.

Kuzionetsetsa, adokotala anafunsa mtima kwenikweni onsewo makhwalawa. chakuti mankhwala zingachititse magazi pa opaleshoni. Komanso, odwala zina analangiza kuonda ndi kusuta fodya.

contraindications

Kumene, kuti apulasitiki bondo olowa sizingatheke odwala onse. Contraindications pali Pankhaniyi:

• ndithu thupi;

• mitundu ina ya matenda aakulu somatic;

• Matenda ena maganizo

• chiwindi matenda;

• zilonda zotupa.

Monga opaleshoni ikuchitika

Ndipotu iye arthroplasty ndondomeko ili:

• Wodwalayo akuchita ochititsa dzanzi.

• Ankavala olowa kapena gawo kwake kuchotsedwa mwa zida wapadera mankhwala.

• Anaika prosthesis.

maola awiri - ngati nthawi zambiri chofunika kwa ogwira amunamizire yokumba bondo olowa. M'malo kumatenga ndithu nthawi yaitali, chifukwa dokotala amafunika kwambiri mosamala, ndipo pang'onopang'ono, pang'ono pang'ono kuchotsa fupa. Pambuyo pa opaleshoni ya kutsekedwa mtima anaikidwa ICU lapansi. Pano, wodwala ayenera kukhala patsogolo kumasuka ku ochititsa dzanzi. yonseyi iye moyang'aniridwa ndi achipatala. Ngati palibe mavuto si anati, wodwalayo ali umasamutsidwa ku kuchipatala ambiri.

Infection - limodzi mwa mavuto omwe angagwe pambuyo bondo m'malo imagwiridwa. Pambuyo opaleshoni, kupewa ichi, odwala akatulutsidwa ndi mankhwala. Pa tsiku lachiwiri opareshoni akuchipatala physiotherapy. Kuchita Zochita yosavuta, wodwala kwambiri imathandizira konzanso ake.

Nthawi postoperative

Home wodwala zambiri m'chipatala pa tsiku 7-14. Komanso kukhazikitsa ndondomeko limatenga 10 masabata. Ngati ntchito wodwalayo si zogwirizana ndi zolimbitsa thupi, bwererani kwa icho, akanatha mwezi umodzi. Pita kumbuyo gudumu la galimoto yokambirana za 4-6 masabata pambuyo m'chiuno m'malo. Kukachitika kuti ntchito bondo m'malo wopambana ndi wodwala akumva zabwino, palibe miyeso wapadera anatengedwa kubwezeretsa Sikuti. Komabe, pamawu ena dokotala kutsatira zofunika zonse:

• Mwendo Mulimonsemo sangathe lomwa. Apo ayi, prosthesis akhoza kuonongeka ndi kusintha izo kachiwiri. Mobwerezabwereza ntchito woyamba zambiri zovuta.

• Inu simungakhoze kuchita masewera yogwira.

• Muyenera kubwereza zakudya zanu. Zakudya panthawi konzanso ayenera kukhala moyenera.

• Konzanso pambuyo bondo olowa m'malo kumafuna kuphatikizapo ndi ntchito konzanso kunyumba.

Patapita nthawi kumupanga opaleshoni, odwala kuona kusapeza mu bondo. Choncho, iwo amaikidwa ndi mankhwala othetsa ululu, amene ayenera kumwedwa.

mtengo wa opareshoni

M'mene mukufunira kulipira kuti apeze latsopano yokumba bondo olowa? M'malo a chigawo ichi cha thupi - zimatenga, kumene wodula. Choyamba, mtengo amakhudza zovuta za ntchito. Komanso, mtengo wa prosthesis zimatengera mtundu wa prosthesis. Kumene, kupulumutsa pa amenewa chinthu chofunika si koyenera. Modern bondo prosthesis mukhoza kupanga zinthu zosiyanasiyana: wapadera mankhwala kasakaniza wazitsulo, ma polima, ziwiya zadothi. Njira otsiriza ndi cholimba kwambiri. Ceramic olowa ukhoza kwa zaka 20. ziwalo ochiritsira kuti m'malo patapita zaka 10-15.

Pakuti analili lenilenilo kulipira za 140-150 zikwi. Rubles. About 350-400 zikwi. P. - ofunika za mmene mu Russia bondo m'malo. Mtengo wa arthroplasty kunja kumene, apamwamba kwambiri. Mwachitsanzo, ku Isiraeli, mtengo wa totere opareshoni akuyamba ku madola 25 000.

Bondo M'malo: ndemanga mtima

Anthu ena alibe chikhulupiriro kwambiri mwayi wa mankhwala amakono ndi amaopa kukumana ndi ndondomeko monga arthroplasty olowa. Ndipo kotero kufunafuna mayankho ochokera owerenga amene asankha pogona pa tebulo ya opareshoni. Nthawi zambiri, anthu ndi zimfundo yokumba kuchita olowa m'malo akulangizidwa. Komanso, mogwirizana ndi ambiri, musazengereze ntchito. Ngati dokotala wanu akuonetsa kuti, muyenera kuyamba kusonkhanitsa ndalama.

Pankhani kudzachita ya opaleshoni, ambiri odwala wakale amalabadira, osati pa zipatala yachilendo, komanso za Russian wathu. Mu ukonde pali okweza udindo wa Novosibirsk, Moscow, Kurgan, ndi zina zotero. D. Opaleshoni. chisamaliro Post-ntchito, chikhalidwe zipinda, kudyetsa mu zipatala Russian - zonsezi nthawi zambiri, monga odwala, ndi pa mlingo woyenera. Malinga ambiri sangathe yaikulu ndondomeko monga bondo m'malo, - mtengo. Kumene, 350 zikwi. Rubles kwa ambiri amene amafunikira prosthesis, izo kwambiri.

Kodi kupeza chithandizo cha opaleshoni

Kumene, kupereka maganizo pa kufunika olowa m'malo ndondomeko mulole dokotala yekha. ntchito zoterezi zimagwiridwa ku mizinda yonse ya dziko. Clinic wodwala amasankha paokha. Dokotala kupezeka analemba malangizo chabe. Kumene, kuti kuchepetsa kusankha chipatala pafupi ndi kwawo. Koma mukhoza kuwerenga ndemanga za mabungwe osiyanasiyana mankhwala ndi kupereka mmalo bwino.

mavuto Kodi zimachitika pambuyo bondo m'malo

Ngati wodwalayo kutsatira malangizo onse a dokotala nawo, nthawi zambiri pambuyo opaleshoni iye sadzakhala ndi mavuto alionse. Koma nthawi zina mavuto zidzachitika. Monga tanenera kale, odwala ambiri ndi zapita arthroplasty ndondomeko, anakumana ndi mavuto monga:

1. Chiyambi cha matenda amene angathe yopweteka kwambiri kapena yokhalitsa. Mutsogolere kapena kusiya chitukuko ndi zotheka ndi thandizo la mankhwala. Nthawi zambiri, vuto limeneli akupezeka anthu odwala nyamakazi ndi kutenga mahomoni. Nthawi zina, mukhoza kusiya kupitirira kwa matenda a AIDS pokhapokha kuchotsa olowa ookedwa.

2. Magazi kuundana. Ichi ndi vuto lalikulu kwambiri, kusokoneza moyo wa wodwala amene akukonza ndondomeko monga bondo m'malo. Konzanso odwala Choncho limodzi ndi phwando la kuphatikizapo anticoagulants. Imwani ayenera kukhala masabata 2-3 pambuyo prosthesis ndithu. Detachment wa thrombus akhoza kukhala ndi vuto la mtima kapena embolism m'mapapo mwanga.

Kumene, pali (ngakhale pang'ono) chiopsezo kukana prosthesis lapansi. Nthawi zina pambuyo pa opaleshoni, odwala akukumana ndi vuto, monga patellar tendon avulsion.

Endoprosthesis - kubwerera ku moyo wabwinobwino

Opaleshoni yoyamba pa bondo m'malo pa prosthesis linapangidwa mu zaka za m'ma lomaliza. Poyamba mavuto odwala amene anati nthawi zambiri ndithu. Komabe, nthawi arthroplasty mu zipatala kwambiri ndi mwachizolowezi ntchito ndi luso lake, komanso njira konzanso postoperative angwiro tsatanetsatane lomaliza. Choncho ndi mavuto odwala ndi osowa. Mantha kuti agone pa tebulo ya opareshoni Sikuti.