Hip arthroplasty shine mafi kyawun aikin tiyata don maganin ciwon kai na femoral necrosis, osteoarthritis na hip haɗin gwiwa, da karaya daga cikin mahaifa.na matawuyansa a cikin tsufa.Ƙwaƙwalwar ƙwanƙwasa a yanzu ya zama hanya mafi girma wanda a hankali ke samun shahara kuma ana iya kammala shi har ma a wasu asibitocin karkara.Tare da karuwar yawan masu maye gurbin hip, marasa lafiya sukan damu game da tsawon lokacin da prosthesis zai kasance bayan aikin maye gurbin hip da kuma ko zai ci gaba da rayuwa.A gaskiya ma, tsawon lokacin da za a iya amfani da maye gurbin haɗin gwiwa na hip bayan tiyata ya dogara da manyan abubuwa guda uku: 1, zabin kayan aiki: a halin yanzu akwai manyan kayan aiki guda uku don haɗin gwiwar hip ɗin wucin gadi: ① yumbu head + kofin yumbu: farashin zai kasance mai gwadawa. babba.Babban fa'idar wannan haɗin gwiwa shine cewa yana da ɗan ƙaramin juriya.A cikin yumbu da yumbu gogayya, nau'in nauyi, lalacewa da tsagewa dangane da ƙirar ƙarfe ya fi ƙanƙanta, kuma ƙananan barbashi da aka bari a cikin rami na haɗin gwiwa saboda lalacewa da tsagewa shima ƙanana ne, a zahiri ba za a sami ƙin yarda da jiki ba. sanya barbashi.Duk da haka, a cikin yanayin aiki mai tsanani ko matsayi mara kyau, akwai ƙananan haɗari na fashewar yumbura.Har ila yau, akwai ƙananan marasa lafiya waɗanda suka fuskanci sautin "ƙara" wanda ya haifar da gogayya ta yumbu yayin aiki.
② Shugaban karfe + kofin polyethylene: tarihin aikace-aikacen ya fi tsayi kuma shine mafi kyawun haɗin gwiwa.Karfe zuwa ultra-high polymer polyethylene, gabaɗaya baya bayyana a cikin aikin yana da ɓarna mara kyau, kuma ba zai karye ba da sauransu.Duk da haka, idan aka kwatanta da yumbu zuwa yumbun juzu'i na juzu'in juzu'i, yana ɗaukar ɗan ƙaramin ƙarfi ƙarƙashin kaya iri ɗaya na lokaci guda.Kuma a cikin ƙananan ƙananan marasa lafiya, zai amsa ga tarkace, haifar da kumburi a kusa da tarkacen lalacewa don faruwa a cikin martani, kuma a hankali zafi a kusa da prosthesis, prosthesis loosening, da dai sauransu ③ Metal head + karfe bushing: karfe: karfe. zuwa karfen juzu'i (cobalt-chromium alloy, wani lokacin bakin karfe) An yi amfani da wannan juzu'i a cikin 1960s.Duk da haka, wannan haɗin gwiwar na iya samar da adadi mai yawa na ƙwayoyin lalacewa na ƙarfe, waɗannan ƙwayoyin za a iya phagocytosed ta macrophages, suna haifar da amsawar jikin waje, sawa ions ƙarfe da aka haifar zai iya shiga cikin jini, yana haifar da rashin lafiyan jiki a cikin jiki.A cikin 'yan shekarun nan, an dakatar da irin wannan nau'in haɗin gwiwa.④ Shugaban yumbura zuwa polyethylene: Kawukan yumbu sun fi ƙarfin ƙarfe kuma sune mafi yawan kayan dasa shuki.yumburan da ake amfani da shi a halin yanzu a aikin tiyata na maye gurbin haɗin gwiwa yana da wuya, mai jurewa, daɗaɗaɗɗen ƙasa wanda zai iya rage yawan lalacewa na mu'amalar haɗin gwiwar polyethylene.Matsakaicin yuwuwar lalacewa na wannan dasa bai kai karfe zuwa polyethylene ba, a takaice dai, yumbu zuwa polyethylene a ka'idar ya fi juriya fiye da karfe zuwa polyethylene!Sabili da haka, mafi kyawun haɗin gwiwa na wucin gadi na wucin gadi, kawai cikin sharuddan kayan, shine haɗin haɗin yumbu-zuwa-karami.Dalilin tsawon rayuwar wannan haɗin gwiwa shine saboda raguwar lalacewa da sau goma zuwa ɗaruruwan lokuta idan aka kwatanta da haɗin gwiwar da suka gabata, yana kara tsawon lokacin amfani da haɗin gwiwa, kuma ƙwayoyin lalacewa sune ma'adinan da suka dace da mutum wanda ba su dace da su ba. haifar da osteolysis da osteoporosis a kusa da prosthesis, wanda ya fi dacewa ga matasa marasa lafiya tare da babban aiki.2. Daidaitaccen wuri na gyaran gyare-gyare na hip: ta hanyar daidaitaccen wuri na prosthesis a lokacin tiyata, da acetabulum da femoral stalk Ƙarfafa gyaran kafa na prosthesis da kusurwar da ya dace ya sa prosthesis ba za a mayar da hankali ba kuma ya rabu da shi, don haka ba zai haifar da sassautawa ba. da prosthesis.
Kariyar haɗin gwiwar hip ɗin su: rage nauyin nauyi, ayyuka masu wuyar gaske (kamar hawan hawan da tsayi mai tsawo, da dai sauransu) don rage lalacewa da tsagewar prosthesis.Bugu da ƙari, hana raunin da ya faru, saboda raunin da ya faru na iya haifar da karaya a kusa da prosthesis na hip, wanda zai iya haifar da sassautawar prosthesis.
Saboda haka, hip prostheses sanya daga m abrasive kayan, daidai jeri nahip hadin gwiwakuma kariyar da ake bukata na haɗin gwiwa na hip zai iya sa prosthesis ya dade har tsawon rai.
Lokacin aikawa: Janairu-11-2023
