Gyaran ƙashin ƙugu hanya ce mafi kyau ta tiyata don magance necrosis na kan cinyar femoral, osteoarthritis na haɗin hip, da karyewar ƙashin ƙugufemoralwuya a cikin tsufa. Aikin tiyatar hip arthroplasty yanzu hanya ce mai girma wacce ke samun karbuwa a hankali kuma ana iya kammala ta ko da a wasu asibitoci na karkara. Tare da ƙaruwar adadin marasa lafiya da ke maye gurbin hip, marasa lafiya galibi suna damuwa game da tsawon lokacin da aikin tiyatar zai ɗauka bayan tiyatar maye gurbin hip da kuma ko zai daɗe har abada. A gaskiya ma, tsawon lokacin da za a iya amfani da maye gurbin haɗin hip bayan tiyata ya dogara da manyan fannoni uku: 1, zaɓin kayan aiki: a halin yanzu akwai manyan kayayyaki guda uku don haɗin hip na wucin gadi: ① kan yumbu + kofin yumbu: farashin zai yi tsada sosai. Babban fa'idar wannan haɗin gwiwa shine cewa yana da juriya ga lalacewa. A cikin gogayya ta yumbu da yumbu, nauyin da ya wuce kima, lalacewa da tsagewa iri ɗaya idan aka kwatanta da haɗin ƙarfe ya fi ƙanƙanta, kuma ƙananan ƙwayoyin da aka bari a cikin ramin haɗin gwiwa saboda lalacewa da tsagewa suma ƙanana ne, a zahiri babu martanin ƙin yarda da jiki ga barbashi. Duk da haka, a yanayin aiki mai wahala ko rashin dacewa, akwai ƙaramin haɗarin fashewa na yumbu. Akwai kuma marasa lafiya kaɗan waɗanda ke fuskantar sautin "ƙara" wanda gogayya ta yumbu ke haifarwa yayin aiki.
②Kai na ƙarfe + kofin polyethylene: tarihin aikace-aikacen ya fi tsayi kuma haɗin gargajiya ne. Polyethylene na ƙarfe zuwa mai yawan polymer, gabaɗaya ba ya bayyana a cikin aikin yana da ƙarar da ba ta dace ba, kuma ba zai karye ba da sauransu. Duk da haka, idan aka kwatanta da haɗin gwiwar gogayya na yumbu da yumbu, yana sawa kaɗan a ƙarƙashin nauyi ɗaya na lokaci guda. Kuma a cikin ƙaramin adadin marasa lafiya masu hankali, zai mayar da martani ga tarkacen gogayya, yana haifar da kumburi a kusa da tarkacen gogayya, da kuma ciwo a hankali a kusa da aikin, sassauta aikin prosthesis, da sauransu. ③ Kan ƙarfe + ƙarfe bushing: haɗin gwiwar gogayya na ƙarfe zuwa ƙarfe (cobalt-chromium gami, wani lokacin bakin ƙarfe) An yi amfani da wannan haɗin gwiwar gogayya a cikin shekarun 1960. Duk da haka, wannan haɗin gwiwar na iya samar da adadi mai yawa na barbashi na gogayya na ƙarfe, waɗannan barbashi na iya zama phagocytose ta hanyar macrophages, suna haifar da amsawar jikin waje, ions na ƙarfe da aka samar suma na iya shiga cikin jini, suna haifar da rashin lafiyar jiki a jiki. A cikin 'yan shekarun nan, an daina amfani da wannan nau'in haɗin gwiwar gogayya. ④ Kan yumbu zuwa polyethylene: Kan yumbu sun fi ƙarfe tauri kuma su ne kayan dasawa mafi jure karce. Yumbu da ake amfani da shi a yanzu a tiyatar maye gurbin haɗin gwiwa yana da tauri, juriya ga karce, kuma mai santsi sosai wanda zai iya rage yawan lalacewa na haɗin gwiwar polyethylene. Yawan lalacewa na wannan dasawa bai kai ƙarfe zuwa polyethylene ba, a wata ma'anar, yumbu zuwa polyethylene a ka'ida ya fi juriya ga lalacewa fiye da ƙarfe zuwa polyethylene! Saboda haka, mafi kyawun haɗin gwiwar kugu, kawai dangane da kayan aiki, shine haɗin gwiwa tsakanin yumbu zuwa yumbu. Dalilin tsawon rayuwar wannan haɗin gwiwa shine cewa yawan lalacewa yana raguwa sau goma zuwa ɗaruruwan sau idan aka kwatanta da haɗin gwiwa na baya, yana tsawaita lokacin amfani da haɗin gwiwa sosai, kuma barbashi na lalacewa sune ma'adanai masu jituwa da ɗan adam waɗanda ba sa haifar da osteolysis da osteoporosis a kusa da aikin hannu, wanda ya fi dacewa da ƙananan marasa lafiya masu yawan aiki. 2. Daidaita wurin gyaran ƙugu: ta hanyar sanya wurin gyaran ƙugu daidai lokacin tiyata, acetabulum da kuma ƙwayar femoral. Daidaita wurin gyaran ƙugu da kuma kusurwar da ta dace yana sa aikin gyaran ƙugu ba ya taru ko ya lalace, don haka ba ya haifar da sassauta wurin gyaran ƙugu.
Kare haɗin gwiwar ƙugu: rage ɗaukar nauyi, ayyuka masu wahala (kamar hawa da ɗaukar nauyi na dogon lokaci, da sauransu) don rage lalacewa da tsagewar ƙugu. Bugu da ƙari, a hana raunuka, domin rauni na iya haifar da karyewa a kusa da ƙugu, wanda zai iya haifar da sassauta ƙugu.
Saboda haka, an yi wa ƙusoshin hip prostheses da kayan da ba su da ƙarfi sosai, an sanya su daidai a wurin da aka sanya su.haɗin hipkuma kariyar da ake buƙata ta haɗin gwiwa na iya sa aikin roba ya daɗe, har ma da tsawon rai.
Lokacin Saƙo: Janairu-11-2023
