Te pokanga whakakapi hononga

Whakaora Poto

Ko te whakaoranga poto ko ngā wāhanga tōmua o te whakaoranga, pērā i te kaha ki te puta i te moenga hōhipera me te tuku i te hōhipera. I ngā rā 1, 2 rānei, ka hoatu he hikoi ki te nuinga o ngā tūroro whakakapinga turi katoa hei whakau i a rātou. I te toru o ngā rā i muri i te pokanga, ka taea e te nuinga o ngā tūroro te hoki ki te kāinga. Ko te whakaoranga poto ko te whakamutu i ngā rongoā mamae nui me te moe roa i te pō me te kore pire. Kia kore te tūroro e hiahia ki ngā āwhina hikoi, ā, ka taea e ia te hikoi huri noa i te whare me te kore mamae – me te kaha ki te hikoi e rua poraka huri noa i te whare me te kore mamae, te kore okiokinga rānei – e kiia ana ēnei katoa he tohu o te whakaoranga poto. Ko te wā whakaora poto toharite mō te whakakapinga turi katoa he tata ki te 12 wiki.

Te Whakaora mō te Wā Roa

Ko te whakaoranga roa ko te whakaora katoa o ngā patunga pokanga me ngā kiko ngohengohe o roto. Ina taea e te tūroro te hoki ki te mahi me ngā mahi o ia rā, kei te ara rātou ki te whakatutuki i te wā whakaora katoa. Ko tētahi atu tohu ko te wā ka hoki anō te tūroro ki te noho noa. Ko te toharite o te whakaoranga roa mō ngā tūroro whakakapinga turi katoa kei waenganui i te 3 me te 6 marama. E tuhi ana a Tākuta Ian C. Clarke, he kairangahau hauora me te kaiwhakaū o Peterson Tribology Laboratory mō te whakakapinga hononga i Te Whare Wānanga o Loma Linda, "E whakaaro ana ā mātou taote pokanga kua 'ora' ngā tūroro i te wā kua pai ake tō rātou āhua o nāianei i tua atu i te taumata mamae me te kore mahi o te mate pukupuku i mua i te pokanga."

He maha ngā āhuatanga e whai pānga ana ki te wā whakaora. E ai ki a Josephine Fox, te Kaiwhakahaere Matua o te Huinga Whakakapinga Turi o BoneSmart.org me te nēhi mō ngā tau neke atu i te rima tekau, ko te waiaro pai te mea nui. Me rite ngā tūroro mō te mahi uaua, te mamae me te tumanako ka kanapa te heke mai. He mea nui anō hoki te whai wāhi atu ki ngā mōhiohio e pā ana ki te pokanga whakakapinga turi me te whatunga tautoko kaha mō te whakaora. E tuhituhi ana a Josephine, "He maha ngā take iti, nui rānei ka puta ake i te wā whakaora, mai i te whewhe tata ki te patunga ki te mamae ohorere me te rerekē. I ēnei wā he pai ki te whai whatunga tautoko hei tahuri atu me te whiwhi urupare i te wā tika. Tērā pea kua pāngia tētahi e te mea kotahi, ā, ka kōrero anō hoki te 'tohunga'."

III. Ko tēhea te pokanga whakakapinga hononga e tino whakamahia ana?

Mena he nui te mamae o ngā hononga, te kōpiko rānei - he pai pea te Pokanga Whakakapinga Hononga Katoa māu. Ka taea te whakakapi i ngā turi, ngā hope, ngā pona waewae, ngā pakihiwi, ngā ringaringa, me ngā tuke. Heoi, ko te whakakapinga hope me te turi te mea tino noa.

Whakakapinga Kōpae Horihori

Tata ki te waru ōrau o ngā pakeke ka pāngia e te mate pūmau, te mate rāneimamae tuara mau tonue whakawhāiti ana i tō rātou kaha ki te mahi i ngā mahi o ia rā. He kōwhiringa te whakakapinga kōpae horihori mō ngā tūroro e pāngia ana e te mate kōpae ngoikore o te hope (DDD) me te kōpae kua tino pakaru e meinga ana taua mamae. I roto i te pokanga whakakapinga kōpae, ka whakakapia ngā kōpae kua pakaru ki ngā kōpae horihori hei whakamama i te mamae me te whakapakari i te tuaiwi. I te nuinga o te wā, he anga whakarewa o waho me te roto kirihou kounga hauora.

Ko tētahi tēnei o ngā momo pokanga maha mō te hunga e pāngia ana e ngā raruraru nui o te tuaiwi. He tikanga hou tēnei, ā, he huarahi kē pea tēnei hei whakakapi i te pokanga whakakotahi, ā, he maha ngā wā ka whakaarohia ina kore e whai hua te rongoā me te whakaora tinana.

Pokanga Whakakapinga Hope

Mena kei te pāngia koe e te mamae nui o te hope, ā, kāore i angitu ngā tikanga kore-pokanga ki te whakahaere i ō tohumate, tera pea he kaitono koe mō te pokanga whakakapinga hope. He rite te hononga hope ki te porowhita-me-te-kōhao, arā, ko te pito porowhita o tētahi wheua kei roto i te kōhao o tētahi atu, e taea ai te nekeneke hurihuri. Ko te osteoarthritis, te rheumatoid arthritis, me te whara ohorere, te whara auau rānei, he tino take noa o te mamae tonu ka taea anake te whakakore mā te pokanga.

Hewhakakapinga hope("hip arthroplasty hope") ko te whakakapi i te femur (te pane o te wheua huha) me te acetabulum (te pūnga hope). Ko te tikanga, he mea hanga te pōro horihori me te kakau ki te konganuku kaha, ā, ko te pūnga horihori he polyethylene – he kirihou pakari, ātete ki te pakaru. Mō tēnei mahi, me wetewete e te taote pokanga te hope, ka tangohia te pane femur kua pakaru, ka whakakapi ki te kakau whakarewa.

Pokanga Whakakapinga Turi

He rite te hononga o te turi ki te hononga e āhei ai te waewae ki te piko me te whakatika. I ētahi wā ka whiriwhiri ngā tūroro kia whakakapia ō rātou turi i muri i te tino pakaru o te mate rumatiki, te whara rānei, ā, kāore e taea e rātou te mahi i ngā nekehanga taketake pērā i te hikoi me te noho.tēnei momo pokanga, ka whakamahia he hononga horihori i hangaia ki te konganuku me te polyethylene hei whakakapi i te mea mate. Ka taea te here i te hononga prosthesis ki tōna tūranga mā te sima wheua, ka hipokina rānei ki tētahi rauemi matatau e taea ai e te kiko wheua te tupu ki roto.

TeTe Whare Hauora Tahi KatoaHe tohunga a MidAmerica Orthopedics ki ēnei momo pokanga. Ka whakarite te tīma o waho kia maha ngā mahi ka mahia i mua i te whakahaerenga o tētahi tikanga nui pēnei. Ka whakahaerehia e te tohunga turi he tirotiro hōhonu, tae atu ki te aromatawai i ngā hononga o tō turi mā te whakamahi i ngā momo tātaritanga. Pērā i ngā pokanga whakakapinga hononga kē atu, me whakaae te tūroro me te tākuta ko tēnei tikanga te kōwhiringa pai rawa atu hei whakahoki mai i te mahi pai o te turi.

Pokanga Whakakapinga Pakihiwi

Pērā i te hononga hope, hewhakakapinga pakihiwihe hononga pōro-me-pūnga. E rua, e toru rānei ngā wāhanga o te hononga pakihiwi horihori. Nā te mea he rerekē ngā huarahi hei whakakapi i ngā hononga pakihiwi, i runga i te wāhanga o te pakihiwi me whakaora:

1. Kua whakatōkia he wāhanga whakarewa o te humerus ki roto i te humerus (he wheua i waenganui i tō pakihiwi me tō tuke).

2. Ka whakakapia te pane o te humerus i te tihi o te humerus e te wāhanga pane humerus whakarewa.

3. Ka whakakapia te mata o te pūwero glenoid e te wāhanga kirihou glenoid.

Ko ngā tikanga whakakapinga he mea nui ki te whakaora i te mahi a ngā hononga, ā, ka whakaiti i te mamae o te nuinga o ngā tūroro. Ahakoa he uaua ki te whakatau tata i te roa o te oranga e tumanakohia ana mō ngā whakakapinga hononga tuku iho, ehara i te mea mutunga kore. Tērā pea ka whai hua ētahi tūroro i ngā whanaketanga tonu e whakanui ake ana i te roa o te oranga o ngā prostheses.

Kaua tetahi e whakaaro kia hohoro te whakatau i tētahi whakatau hauora nui pērā i te pokanga whakakapinga hononga. Ko ngā tākuta me ngā tohunga whakakapinga hononga toa i MidAmerica'sTe Whare Hauora Tahi Katoaka taea e ia te whakamōhio atu ki a koe mō ngā momo maimoatanga rerekē e wātea ana ki a koe.Tirohia mātou i te ipurangiwaea atu rānei ki (708) 237-7200 ki te whakarite i tētahi wā hui ki tētahi o ā mātou tohunga hei tīmata i tō huarahi ki tētahi oranga hihiko, kore mamae.