Ukutshintshwa kwe-Hip iyonke kwizibhedlele ze-Apollo, eLucknow

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo eLucknow Ukuze Zifakelwe Unyango Lokutshintshwa Kwesinqe Esipheleleyo

• Ilifa leqela le-Apollo ukususela ngo-1983: Izibhedlele zaseApollo zaba nguvulindlela ekunyamekelweni kwezibhedlele zabucala eIndiya kwaye zikhule zaba lelinye lamaqela amakhulu ezempilo eAsia, kunye neenkqubo zokutshintshwa ezidibeneyo ezisebenza kuthungelwano lwazo kangangeminyaka engaphezu kwamashumi amathathu.
• Iyunithi yokufakelwa kwamathambo kunye namalungu enikezelweyo eLucknow: Isibhedlele i-Apollomedics Super Specialty, eLucknow, siqhuba icandelo le-Orthopaedics, Joint Replacement kunye ne-Spine elinikezela ngeenkonzo ezipheleleyo zokutshintshwa kwe-hip yokuqala, utyando lwe-hip revision kunye nokwakhiwa kwakhona kwe-hip okunxulumene nokulimala. Inani elichanekileyo labacebisi abakwiphaneli nangaliphi na ixesha, kunye neminyaka yabo yamava, idweliswe kwincwadi yoogqirha besibhedlele kwaye inokuqinisekiswa nge-OPD desk.
• Oogqirha abaphezulu abaneminyaka emininzi besenza i-arthroplasty: Iqela lokutshintshwa kwesinqe likhokelwa ngabacebisi abanoqeqesho olukumgangatho wobudlelwane kwi-arthroplasty, oluxhaswa ziingcali ze-anaesthesiologists ezinamava kwi-anesthesia yengingqi (yomgogodla/ye-epidural) kwizigulane ezindala.
• Ukucoca kwangaphambi kotyando olunezifundo ezininzi phantsi kophahla olunye: i-cardiology, i-pulmonology, i-diabetology, i-nephrology kunye ne-internal medicine ziyafumaneka ngaphakathi, nto leyo ibalulekileyo kuba uninzi lwabantu baseIndiya abafaka isinqe endaweni ye-hip banesifo seswekile, uxinzelelo lwegazi oluphezulu okanye isifo sezintso esingapheliyo.
• Ubuchwepheshe kunye neziseko zophuhliso: Iithiyetha zotyando ze-laminar-flow modular, isikhokelo se-image intensifier (C-arm), i-digital radiography, i-CT kunye ne-MRI yetemplating, i-intensive care backup kunye ne-blood bank yangaphakathi kunye ne-physiotherapy gym.
• Ukukhetha i-implant, hayi into enye ezenzekelayo: ii-fixation ezifakwe isamente, ezingafakwanga isamente kunye ne-hybrid, kunye neebheringi ze-ceramic-on-polyethylene okanye ze-metal-on-polyethylene, zikhethwa ngomgangatho wethambo kunye nobudala endaweni yenkqubo emiselweyo.
• Ukuvuselelwa okucwangcisiweyo, okujoliswe eIndiya: Izicwangciso ze-physiotherapy zibhalwe malunga nobomi basekhaya baseNdiya bokwenyani - izindlu zangasese ezikumgangatho ophezulu, ukulala phantsi, ukuhlala ngeenyawo ezinqamlezileyo, izinyuko ezingenazo ii-handrails kunye nokunyamekela intsapho.
• Iindlela zokhathalelo ezahlukeneyo: Abantu abadala abaselula abane-avascular necrosis kunye ne-post-traumatic arthritis, izigulana ezisebenzayo ezifuna ukubuyela kwimidlalo, izigulana ezindala ezine-fragility fragility, kunye nesifo se-hip sabantwana okanye solutsha (esidla ngokulawulwa ngotyando lokukhusela i-hip endaweni yokutshintshwa) nganye ilandela icebo elahlukileyo.
• Ukhuseleko olungxamisekileyo nolweengozi olufumaneka iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngosuku, ifanelekile kwiingxaki zokuphuka kwethanga apho utyando luthatha ixesha elide.
• Idesika yeinshurensi kwindawo ukuphatha iimvume ezingenamali, amaphepha e-TPA, imibuzo ye-CGHS/ECHS/Ayushman kunye nogunyaziso lwangaphambi kwexesha lokwamkelwa okucwangcisiweyo.

isishwankathelo

Ukutshintshwa kweSinqe iTotal (THR) yinkqubo yotyando eguqulayo eyenzelwe ukunciphisa iintlungu nokubuyisela ukuhambahamba kubantu abanengxaki yokulimala kakhulu kwesinqe. Kwizibhedlele zaseApollo eLucknow, sizingca ngegama lethu lokugqwesa kunyango lwamathambo, sisebenzisa ubuchwepheshe obuphambili kunye neendlela zotyando ezisetyenzisiweyo ukuze sisebenzele iziphumo ezilungileyo kwizigulana zethu. Ngeqela elizinikeleyo loogqirha abanamava kunye nezibonelelo zanamhlanje, izibhedlele zaseApollo eLucknow ziphakathi kweziko eziphambili zokutshintshwa kweSinqe iTotal kulo mmandla. Ukuzinikela kwethu ekuthembekeni kwesigulana kunye nonyango olulungiselelwe umntu ngamnye kusenza sibe lukhetho olukhethwayo kwabo bafuna uncedo kwiintlungu zesinqe.

Kutheni i-Hip Replacement epheleleyo iyimfuneko

Ukutshintshwa kweSinqe esipheleleyo kudla ngokuba yimfuneko kwizigulana ezineengxaki ezifana ne-osteoarthritis, i-rheumatoid arthritis, i-avascular necrosis (i-osteonecrosis yentloko ye-femoral), okanye ukwaphuka kwesinqe. Ezi meko zinokukhokelela kwiintlungu ezibuthathaka, ukuqina kunye nokuncipha kokuhamba, okuchaphazela kakhulu umgangatho wobomi. Le nkqubo ibandakanya ukususa iindawo zelungu lesinqe ezonakeleyo kwaye zifakwe i-prosthetic implant, enokubuyisela ukusebenza kakuhle kwaye inciphise iintlungu.

Ukubaluleka kwe-THR kwezonyango akufanele kuthathwe lula. Ngokujongana nomonakalo osisiseko kwilungu lesinqe, uninzi lwezigulane lufumana uphuculo olubonakalayo kubuchule bazo bokwenza imisebenzi yemihla ngemihla, ukuthatha inxaxheba kumthambo womzimba kunye nokuphila ubomi obusebenzayo. Iingenelo zihlala zidlulela ngaphaya kwempilo yomzimba; uninzi lwezigulane luxela ukuba impilo-ntle yazo yeemvakalelo iphucukile kwaye zithatha inxaxheba engcono kuluntu emva kotyando, nangona iziphumo zomntu ngamnye zahlukile.

Imingcipheko yokuLibazisa

Ukulibazisa ukutshintshwa kweSinqe esipheleleyo kunokuvumela iingxaki ukuba ziqokeleleke ngokuhamba kwexesha. Njengoko ilungu lesinqe liwohloka, izigulana zinokuba neentlungu ezikhulayo, ukuncipha kokuhamba, kunye nomngcipheko ophezulu wokuwa kunye nokuqhekeka. Iintlungu ezingapheliyo zinokubangela imiba yezempilo yesibini efana nokungakhathali, ukuphazamiseka kokulala, ukungasebenzi kakuhle kunye nokuxhalaba, okunokwenza ukuba ukululama kube nzima.

I-arthritis enzima ixesha elide inokukhokelela ekukhubazekeni okusisigxina, ukufinyezwa kwamalungu, ukuphelelwa ngamandla kwemisipha yethanga kunye neempundu, kunye nokuqina kwamadolo kunye nomqolo osezantsi - konke oku kunokwenza utyando lube nzima ngakumbi kwaye ukuvuselelwa kucothe. Kubalulekile ukubonisana neengcali kwi-Apollo Hospitals Lucknow ukuze zihlole imeko yakho kwaye zigqibe ngexesha elifanelekileyo. Oko kuthethiweyo, ixesha sisigqibo esihlanganyelweyo: kwi-arthritis ye-hip ecwangcisiweyo (ekhethiweyo), ukulibaziseka lukhetho olufanelekileyo ngelixa unyango olungelulo utyando lusasebenza. Kwi-hip fracture ekhutshiweyo kumntu omdala, isikhundla sahlukile kwaye utyando lucetyiswa ngokubanzi ngaphandle kokulibaziseka okunokuthintelwa.

Izibonelelo ze-Hip Replacement epheleleyo

• Uncedo Lwezinhlungu: Eyona nzuzo ixhaphakileyo kukuncipha okukhulu, kwaye kwizigulana ezininzi eziphantse zaphela, iintlungu zesinqe, nto leyo evumela ukuba kubuyelwe kwimisebenzi yemihla ngemihla ngaphandle kokungonwabi kakhulu.
• Ukuhamba okuPhuculweyo: uninzi lwezigulane lufumana amandla okuhamba nokuhamba ahlukeneyo, nto leyo evumela imisebenzi ebeziyiphepha.
• Umgangatho woBomi owongeziweyo: Ngenxa yeentlungu ezincinci kunye nokuhamba ngcono, izigulane ezininzi zixela umgangatho wobomi ongcono kunye nokuthatha inxaxheba okukhulu kwimisebenzi yoluntu kunye nokuzonwabisa.
• Iziphumo ezihlala ixesha elide: Ii-implants zanamhlanje zenzelwe ukuqina. Idatha ye-Registry kwihlabathi liphela ibonisa ukuba uninzi lwee-hip replacement zisasebenza kakuhle kwiminyaka eli-15 ukuya kwengama-20, nangona ixesha elide lixhomekeke kubudala, ubunzima, inqanaba lomsebenzi, umgangatho wamathambo kunye nohlobo lwe-implant.
• Ukhathalelo Olulolwakho: Izicwangciso zonyango ezilungiselelwe umntu ngamnye zakhiwe ngokweminyaka yesigulana ngasinye, umsebenzi waso, imeko yasekhaya kunye nezinye iimeko zonyango.

Ukulungiselela kunye noBuyiselo

Iingcebiso zoLungiselelo

1. Ukubonisana: Cwangcisa intlanganiso eneenkcukacha neengcali zethu zamathambo ukuze nixoxe ngemeko yakho, iindlela zonyango kunye nezinto ezikuxhalabisayo.
2. UVavanyo lwangaphambili: kuvavanyo olufunekayo ngaphambi kotyando, kuquka uvavanyo lwegazi kunye nemifanekiso, ukuze kuhlolwe impilo iyonke kunye nokufaneleka kotyando.
3. Uphononongo lwamayeza: Xoxani ngazo zonke amayeza akhoyo, njengoko amanye - ingakumbi amayeza okunciphisa igazi, amayeza athile eswekile kunye namanye amayeza e-arthritis - anokufuna ukulungiswa okanye amiswe okwethutyana.
4. Ukuguqula indlela yokuphila: Landela i-physiotherapy kunye neengcebiso zokuzilolonga ezinikiweyo zokuqinisa izihlunu ezijikeleze isinqe kunye nokuphucula impilo-ntle ngokubanzi ngaphambi kotyando.
5. Isicwangciso soBuyiselo: lungiselela uncedo ekhaya emva kotyando, kuquka inkxaso ngemisebenzi yemihla ngemihla kunye nokuthuthwa ukuze kubuyelwe emva kotyando.

Iingcebiso zokuBuyisa kwakhona

1. Landela Imiyalelo yasemva kotyando: landela isikhokelo malunga nemiqathango yokusebenza, ukhathalelo lwamanxeba kunye namayeza.
2. Ulungiso lwenyama: bathathe inxaxheba kwinkqubo yokubuyisela amandla kunye nentshukumo ecwangcisiweyo.
3. UkuBuyela ngokuthe ngcembe kwiMisebenzi: Qhubeka nemisebenzi eqhelekileyo ngamanqanaba njengoko kucetyisiwe, umamele umzimba wakho kwaye uphephe ukuzilolonga ngokugqithisileyo.
4. Ukulandelelwa rhoqo: Yiya kuzo zonke iireviews ezicwangcisiweyo ukuze inkqubela ibekwe esweni kwaye iingxaki zibonwe kwangethuba.
5. Hlala ulungile: Ukuchacha kuthatha ixesha, kwaye iinjongo ezinokwenzeka kunye nendlela ezinzileyo ziyanceda kule nkqubo.

Isikhokelo Seklinikhi Sangoku Esisemva Kwengcebiso

Ukwenziwa kwezigqibo kwiZibhedlele zaseApollo eLucknow kulandela ulwalathiso lwanamhlanje lwamathambo kunokukhetha ugqirha wotyando kuphela. Izikhokelo zokusetyenziswa rhoqo ziquka:

• I-Indian Orthopedic Association (IOA) imfundo eqhubekayo kunye nezixhobo ezivumelanayo malunga nokusebenza kwe-arthroplasty, kunye Umbutho wamaIndiya wooGqirha beHip kunye namadolo (ISHKS), eqhuba i-ISHKS Joint Registry? Irejista yesizwe ye-arthroplasty yaseIndiya, eyasungulwa ngo-2006 kwaye inika ingxelo malunga neepateni zeziphumo ze-implant zaseIndiya kunye nezigulane. Idatha yerejista yaseIndiya ibaluleke ngokuthe ngqo kuba izigulane zaseIndiya zincinci ngokomndilili ngexesha lokutshintshwa kwesinqe kunamaqela aseNtshona, kwaye zihlala zine-avascular necrosis, i-ankylosing spondylitis, i-tuberculous arthritis sequelae okanye i-post-traumatic arthritis njengesifo esisisiseko endaweni ye-osteoarthritis yokuqala.
• Isikhokelo sokuSebenza kwezonyango se-American Academy of Orthopaedic Surgeons (AAOS), "Ulawulo lwe-Osteoarthritis ye-Hip" (uhlaziyo luka-2023), exhasa unyango lokuzilolonga, ukulawula ubunzima, kunye neenaliti ezikhethiweyo ngaphambi kotyando, kwaye icebisa i-total hip arthroplasty kwizigulana ezine-hip osteoarthritis ezineempawu ze-hip ezineempawu ezingalawulwa ngokwaneleyo ngonyango olungelulo utyando.
• Isikhokelo se-NICE NG157, "Ukutshintshwa kwamalungu (okuphambili): isinqe, idolo kunye negxalaba" (2020, kunye nokuhlolwa okulandelayo) Utshintsho oluphawulekayo lwakutshanje kukuba i-NG157 ithi ukudluliselwa kwelungu lokufakelwa kufuneka kunikezelwe ngokusekelwe kwindlela iimpawu ezichaphazela ngayo umgangatho wobomi kunye nomsebenzi wemihla ngemihla, kwaye kufuneka hayi kufuneka kuthintelwe yimilinganiselo yamanqaku engacwangciswanga, ubudala, isini, imeko yokutshaya, okanye isalathisi sobunzima bomzimba kuphela. Izigulane kufuneka zisaxhaswe ukuze zinciphise umzimba kwaye ziyeke ukutshaya, kodwa ezi azisetyenziswa njengemida yokugcina amasango.
• I-NICE NG89 (2018, ihlaziywe ngo-2019) malunga nokuthintela i-venous thromboembolism, exhasa ukusetyenziswa kothintelo lokuqhekeka kwemithambo yegazi kunye neyeza emva kwe-hip arthroplasty - ingongoma ebalulekileyo eIndiya, apho ixesha elide lothintelo lwe-prophylaxis lithathwa ngabanye.
• Ukuthintela i-antibiotic kunye nokuthintela usulelo kwindawo yotyando isekelwe kwi-WHO nakwinkqubo yokulawula usulelo yesizwe, apho iithiyetha ze-laminar-flow kunye nedosi enye ye-antibiotic ngaphambi kokusikwa ziqhelekile.

Iindlela ezimbini zokuziqhelanisa ekufuneka uzazi: okokuqala, iindlela zokuchacha eziphuculweyo ngoku zivumela ukuqalisa ukusebenza kwangethuba, rhoqo ngosuku olunye okanye ngosuku olulandelayo emva kotyando, endaweni yokuphumla ebhedini ixesha elide. Okwesibini, ukuphepha rhoqo ukhuseleko lwe-antibiotics kwinkqubo yamazinyo kwizigulana ezifakelwa amalungu endaweni yawo akuselulo icebiso lipheleleyo; kugqitywa macala onke. Ugqirha wakho uya kukunika ingcebiso malunga nokuba yintoni ekufanele uyenze.

Ixesha lotyando kunye neSigaba sangaphambi kwenkqubo

Ukutshintshwa kwesinqe ngokupheleleyo kwi-arthritis lutyando olukhethwayo, oko kuthetha ukuba umhla ukhethwa ukuze ulungele unyango lwakho kunye nelungiselelo losapho lwakho - awungxanyelwanga. Ulandelelwano oluqhelekileyo lubonakala ngolu hlobo:

Xa umntu omdala ephuke isinqe, eli xesha liyaphela: utyando ludla ngokucetyiswa kwangethuba xa isigulana siphilile ngokwezonyango, kuba ukuphumla ebhedini ixesha elide kuneengozi zako zosulelo esifubeni, izilonda zoxinzelelo kunye nokuqhekeka kwamalungu omzimba.

Ezinye iindlela kunye neenketho zobugcisa

Ukutshintshwa kwesinqe ngokupheleleyo akukuphela kwendlela, kwaye akulona ukhetho olufanelekileyo kuye wonke umntu. Itheyibhile engasezantsi ithelekisa oko kunokuxoxwa ngako nawe.

Iinkqubo Ngamanye amaxesha zenziwa ngaxeshanye

• Amathambo amiliselwa iziphene zesokhethi, ezixhaphakileyo kwisokhethi ezingasebenzi kakuhle (ezingenabunzulu) nasemva kokuqhekeka okudala - rhoqo kusetyenziswa intloko yefemoral yesigulana esusiweyo.
• Ukulungiswa kobude bemilenze, apho isinqe esinesifo samathambo sifinyeze umlenze; ​​ukulingana kucetywayo kodwa umahluko omncinci oseleyo usenokusala.
• Ukukhutshwa kwezicubu ezithambileyo ye-tight adductor okanye i-iliopsoas kwizinqe eziqinileyo okanye ezidibeneyo ezimi ixesha elide, ezixhaphakileyo kwi-ankylosing spondylitis.
• Ukususwa kwezinto zesinyithi zangaphambili (iipleyiti, izikrufu, isikrufu esiguqukayo sesinqe) esivela kutyando lwangaphambili lokuqhekeka kwamathambo.
• Ukutshintshwa kwemilenze emibini (zombini izinqe), nokuba kuhleli kanye okanye kushiyeke iiveki ezimbalwa? ukhetho lokwenyani kwi-ankylosing spondylitis kunye ne-bilateral avascular necrosis, oluxhomekeke kwimpilo yentliziyo kunye ne-hemoglobin.
• Ukuthathwa kweesampuli kunye nenkcubeko yezicubu ukuba kukho intsholongwane okanye isifo sephepha esirhanelwayo kwilungu, into engaqhelekanga eIndiya.
• Ukuhlala kwindawo enye ukutshintsha isinqe nedolo ngamanye amaxesha kuyaqwalaselwa, kodwa kuphela kwizigulana ezikhethiweyo ezilungeleyo emva kovavanyo olucokisekileyo lwe-anesthetic.

Isigaba-nge-Sigaba soBuyiselo lweXesha

Ezi ziindlela eziqhelekileyo. Isicwangciso sakho sinokuba sikhawulezileyo okanye sicothe ngokuxhomekeke kwiminyaka yakho, amandla ezihlunu, ezinye izifo kunye nobunzima botyando.

Ukubuyela kwimisebenzi eqhelekileyo, emsebenzini nakwimidlalo

Ukubuyela kusekelwe ekufezekiseni imigangatho ebalulekileyo, kungekuphela nje kwikhalenda. Iimfuno eziqhelekileyo ziquka inxeba elipholileyo, ukuhamba ngokukhululekileyo ngaphandle kokuqhwalela, amandla aneleyo okuthwala isinqe, ukukwazi ukunyuka izinyuko ngokulinganayo, kunye nokususwa kotyando.

Izikhundla zendlela yokuphila zaseIndiya? Impendulo enyanisekileyo

• Iindawo zangasese zokuzihlalela phantsi kunye nezindlu zangasese zesitayile samaNdiya: Ukuquleka nzulu kugoba isinqe ngaphaya kwemida ekhuselekileyo kwaye kudla ngokucetyiswa ukuba ungakwenzi oko ngokusisigxina emva kokutshintshwa kwesinqe ngokwesiqhelo. Uninzi lweentsapho luguqukela kwi-Western commode okanye lufake ifreyimu yesihlalo se-commode phezu kwepani yaseIndiya.
• Ukuhlala phantsi ngemilenze enqamlezileyo (sukhasana): idla ngokuthintelwa ubuncinane kwiinyanga ezi-3 zokuqala, kwaye emva koko kuphela ukuba ugqirha wakho uyisusile. Ezinye izigulana ziphinda zibuyele ekumitheni okulinganiselweyo; uninzi alwenzi njalo, kwaye ukuyinyanzela kuyingozi yokuphuma kwindawo ethile.
• Ukulala phantsi: Ukuvuka kumatrasi ophantsi kufuna ukujijeka nzulu kwesinqe kunye nokujikajika. Umntwana oleleyo ofikelela edolweni uyacetyiswa kakhulu ubuncinane iinyanga ezi-3, kwaye kungcono ukuba alale ixesha elide.
• Umsebenzi wekhitshi kunye nomsebenzi we-puja okumgangatho ophantsi, ukuhlamba impahla ngelixa ugobile, ukusula ngesandla: tshintshela esitulweni, eqongeni eliphakamileyo, kwimophu enomqheba omde kunye nomatshini wokuhlamba impahla.
• Ukuchukumisa iinyawo xa kubuliswa, ukuqubuda emthandazweni, amanyathelo etempileni: Xoxa ngezinye iindlela ezihlengahlengisiweyo kunye nogqirha wakho wemithambo-luvo; ukuthandaza phantsi yindlela efanelekileyo yokulungelelanisa.
• Ukulungiselela ekhaya ngaphambi kokungena: isihlalo esiphakamileyo sempahla yokuhlala, ibha yokubamba igumbi lokuhlambela, imathi engatyibilikiyo, isitulo esiqinileyo esiphakamileyo esineendawo zokubeka iingalo, i-shoehorn enemikhono emide kunye ne-reacher, kunye nokususwa kweekhaphethi ezikhululekileyo kunye nemigubasi yeengcango.

Ukukhusela iSinqe Esitsha kunye nokuthintela iingxaki

• Landela amanyathelo okhuseleko emathangeni njengoko kuyalelwe - ngokuqhelekileyo uphephe ukujija isinqe ngaphaya kwama-90 degrees, unqumle imilenze, kwaye ujike umlenze ngaphakathi - kangangexesha elichazwe ngugqirha wakho.
• Gcina ubunzima bomzimba bukwinqanaba elifanelekileyo; ubunzima obugqithisileyo buyandisa umthwalo kunye nokuguguleka kwe-implant.
• Gcina izihlunu ze-hip abductor kunye ne-gluteal zomelele ubomi bonke, ngenkqubo elula yasekhaya yemihla ngemihla.
• Nyanga izifo zamazinyo, zomchamo, zolusu nezesifuba ngokukhawuleza, njengoko iintsholongwane ezisegazini zinokuhlala kwi-implant. Xelela ugqirha ukuba unelungu eliza kutshintshwa.
• Lawula isifo seswekile kakuhle; ulawulo olungalunganga lunyusa umngcipheko wokosuleleka kunye nokuphiliswa.
• Ukuthintela ukuwa: ukukhanya okwaneleyo, ukungabikho komgangatho omanzi, izihlangu ezinengqondo ezinebhanti emqolo endaweni yezihlangu ezikhululekileyo, kunye nokulumka ngexesha lemvula.
• Nyanga i-osteoporosis nge-calcium, i-vitamin D kunye namayeza amiselweyo apho kubonisiwe khona, ukunciphisa umngcipheko wokuqhekeka okujikeleze i-implant.
• Yiya kuhlolo lwexesha elide nokuba isinqe sivakala siqhelekile - ukuguguleka okuthuleyo kunye nokukhululeka kufumaneka kwi-X-ray, kungekhona ngeempawu.
• Ziphephe zonke iintlobo zecuba, kuquka i-gutkha kunye ne-khaini; ukutshaya kuyayiphazamisa indlela amanxeba aphiliswa ngayo kunye namathambo.

Izinto Eziqwalaselwayo Kubantu Abaselula, Izigulana Ezikhulileyo Nabantwana

Abantu abadala abaselula (malunga neminyaka engama-25 ukuya kwengama-45 ubudala)

EIndiya, i-avascular necrosis, i-ankylosing spondylitis, i-post-traumatic arthritis kunye ne-rheumatoid arthritis zizisa izigulane ezininzi ekufakweni kwe-hip kwangethuba. Ingxaki ephambili kukuphila ubomi obutsha obusele butyalwe kwi-implant, oko kuthetha ukuba utyando lokuhlaziya kamva luyinto enokwenzeka. Iindlela zokugcina i-hip zithathwa kuqala, ukulungiswa okungafakwanga sinyithi kunye ne-hard-wear kudla ngokukhethwa, kwaye ingcebiso yokuzivocavoca ibaluleke kakhulu, hayi kancinci.

Izigulane ezindala (ezineminyaka engama-70 nangaphezulu)

Izinto ezibalulekileyo zitshintshela ekuchacheni okukhuselekileyo, okukhawulezayo nokuthembekileyo: uvavanyo olucokisekileyo lwentliziyo nemiphunga, i-anesthesia yomqolo apho kufanelekile, ukuqina kwethambo le-osteoporotic, ukulungiswa kwe-anemia, ukuthintela ukuphazamiseka kwengqondo, ukuhamba kwangethuba kunye nokuthintela ukuwa ekhaya. Ubuthathaka buhlolwa kunye nobudala - umntu oneminyaka engama-78 ubudala osempilweni unokwenza ngcono kunomntu oneminyaka engama-62 ubudala obuthathaka.

Abantwana kunye nentsha

Ukutshintshwa kwesinqe ngokupheleleyo akuvumelekanga kangako ngaphambi kokuba kukhule amathambo. Iingxaki zesinqe zabantwana ezifana ne-developmental dysplasia, isifo sePerthes, i-slipped capital femoral epiphysis, i-septic arthritis sequelae kunye ne-juvenile idiopathic arthritis zilawulwa ngotyando olugcina isinqe, i-osteotomy okanye unyango lwezonyango. Ukutshintshwa kwesinqe kugcinelwe iimeko ezikhethekileyo zokutshatyalaliswa okukhulu, okubuhlungu, kwinqanaba lokugqibela, kwaye usapho lucetyiswa ukuba uhlengahlengiso oluninzi ebomini lunokwenzeka.

Izigulane ezinesifo seswekile, izifo zezintso okanye ezinesifo sokuzikhusela komzimba

La maqela afuna ithuba elide lokuphucula imeko yawo, uhlolo losulelo, kunye nokubekwa esweni okusondeleyo emva kotyando. Amayeza e-biologic okanye aguqula izifo kwi-rheumatoid arthritis adla ngokuyekiswa ngexesha lotyando ngokucetyiswa yi-rheumatology.

Ukuba Ukhetha Ukungasebenzi

Ukwala okanye ukulibazisa utyando sisigqibo esisemthethweni, kwaye siyahlonitshwa. Oko kudla ngokuthetha kona xa kusenziwa:

• Intlungu eqhubekayo edla ngokuqhubeka kancinci kancinci kwiinyanga ukuya kwiminyaka, kunye neentlungu ezininzi ebusuku kunye nomgama omfutshane wokuhamba ngaphandle kweentlungu.
• Ukuxhomekeka kakhulu kwimithi yokuthomalalisa iintlungu, okubangela iingozi zesisu nezintso ixesha elide, nakwintonga okanye i-walker.
• Ukuqina okuqhubekayo, ukuqhwalela, ukufinyela komlenze kunye nokuphelelwa yimisipha; ngokuhamba kweminyaka ukukhubazeka kunokulungiswa.
• Uxinzelelo lwesibini kumqolo ongezantsi, isinqe esichaseneyo kunye namadolo omabini.
• Ukulahlekelwa kukuqina komzimba, ukutyeba, isifo seswekile esiphantsi kunye nolawulo oluphantsi loxinzelelo lwegazi, ukuphazamiseka kokulala kunye nokungonwabi kakuhle.
• Ukuzimela okunciphileyo kunye nomthwalo omkhulu wokunyamekela intsapho.
• Ukuba utyando lukhethwa kamva kakhulu, lunokuba nzima ngokwetekhnoloji, ludinga ukufakelwa amathambo okanye isiqu esinde, kwaye luthatha ixesha elide lokuphola.

Ukuba uyalibazisa, kusekho isicwangciso esicwangcisiweyo esingesotyando: i-physiotherapy, ulawulo lobunzima, uqeqesho lokuncedisa ukuhamba, uphononongo lwe-analgesic, i-vitamin D kunye ne-calcium, ukuthintela ukuwa, kunye nokuhlolwa kwakhona rhoqo ukuze ukwazi ukuphinda ujonge isigqibo nangaliphi na ixesha.

Yintoni etshintsha ixabiso lokutshintshwa kwe-Hip iyonke

Ukutshintshwa kwe-hip iyonke yinkqubo ebiza kakhulu kwaye inani lokugqibela liyahluka kakhulu kwisigulana ngasinye. Izibhedlele zase-Apollo eLucknow zibonelela ngoqikelelo olubhaliweyo ngaphambi kokungeniswa. Nceda ufumane amanani angoku kwidesika yokuhlawula okanye yeinshorensi yesibhedlele - akukho maxabiso akhankanyiweyo apha, kwaye uqikelelo lomntu wesithathu akufuneki luthembeke.

I-inshurensi, unyango olungenamali kunye nenkqubo ye-TPA eIndiya

Ukutshintshwa kwe-hip epheleleyo ye-arthritis okanye i-avascular necrosis kukwamkelwa okucwangcisiweyo kwaye kugutyungelwe ziipolisi ezininzi ze-inshorensi yezempilo yaseIndiya, ngokwemigaqo yepolisi yakho. Amanqaku adla ngokubangela umdla kwizigulana:

• Amaxesha okulinda: Uninzi lweepolisi zokhuseleko zisebenzisa ixesha elithile lokulinda - rhoqo iminyaka emi-2 ukuya kwemine kuxhomekeke kwimveliso - ukutshintshwa kwamalungu kunye neemeko eziwohlokayo esele zikhona. Funda amagama epolisi yakho okanye ubuze umshwalense wakho ngokubhaliweyo ngaphambi kokuba ubeke umhla.
• Ingozi xa ithelekiswa ne-inshorensi ecwangcisiweyo: Ukutshintshwa kwethanga emva kwengozi yendlela okanye ukwaphuka okunxulumene nokuwa kudla ngokuphathwa njengebango lengozi kwaye amaxesha okulinda isifo esiwohlokayo ngokubanzi awasebenzi. Ukutshintshwa okucwangcisiweyo kwesifo samathambo esihlala ixesha elide kuvavanywa ngokwexesha lokulinda isifo. Gcina irekhodi yengozi, ikopi ye-FIR okanye ye-MLC kunye namanqaku engxamiseko kukhuselekile, njengoko abanini-inshorensi becela.
• Imvume kwangaphambili yokuhlawula ngaphandle kwemali: Idesika yeinshorensi yesibhedlele ingenisa ifomu yokuqinisekisa kwangaphambili kunye nenqaku lezonyango likagqirha, ukuxilongwa, ii-X-ray, ukufakelwa okucetywayo kunye noqikelelo lweendleko. Imvume idla ngokuthatha iintsuku ezimbalwa zokusebenza kutyando olucwangcisiweyo kwaye ikhawuleziswa kwiimeko ezingxamisekileyo. Musa ukucinga ukuba imvume ide ikhutshwe ngokubhaliweyo.