Hip whakakapinga honohono

Ko te whakakapi o te hononga o te hip te taahiraa hei whakakapi i te waahanga waahanga ranei o te hononga o te huha me te hononga i hangaia e te tangata. Ko te hononga taangata e kiia ana he prostesis.

Ko to hononga huha e 2 nga waahanga nui. Kotahi, ko nga waahanga ranei e rua ka taea te whakakapi i te wa o te pokanga.

• Te papa o te huha (he waahanga o te wheua papatoiake e kiia ana ko te acetabulum)
• Te pito o runga o te huha (e kiia ana ko te upoko wahine)

Ko te huha hou hei whakakapi i te mea tawhito ko enei waahanga:

• He turanga, he mea hanga ki te maitai kaha.
• He raina, ka uru ki roto i te turanga. Ko te nuinga o te waa he kirihou. Kei te tarai etahi taakuta tipua i etahi atu taonga, penei i te uku ki te whakarewa ranei. Ma te raina e neke pai ai te hope.
• He poi whakarewa he uku ranei hei whakakapi i te mahunga porohita (runga) o to wheua huha.
• He kakau whakarewa kua piri ki te wheua huha hei punga i te hononga.

Kaore koe e mamae i nga mamae o te pokanga. Ka whiwhi koe i tetahi o nga momo rongoa e rua:

• Anesthesia whanui. Ko te tikanga ka moe koe ka kore e kite i te mamae.
• Anesthesia rohe (tuaiwi epidural ranei). Ka hoatu he rongoa ki to tua ka tuuri koe i raro o to hope. Ka whiwhi rongoa hoki koe kia hiamoe ai koe. Akene ka whiwhi koe i te rongoa ka wareware koe ki nga tikanga, ahakoa kaore koe e tino moe.

Whai muri i te whakawateatanga o to kiri, ka tapahia e to taakuta te tapahi kia tuwhera ai to hononga. Ko tenei tapahanga he maha kei runga o te papa. Ana ko to taakuta te:

• Tapahia ka tango i te mahunga o to wheua huha.
• Whakapai i to turanga o to hope ka tango i te toenga o te kaareti ka pakaru te wheua wheua ranei.
• Whakanohoia te papa o te hope hou, ka whakauruhia he raina ki te turanga hou.
• Whakauruhia te kakau maitai ki to wheua huha.
• Whakanohia te poari tika-rahi mo te hononga hou.
• Whakatikahia nga waahanga hou kia tika, i etahi wa me te raima motuhake.
• Whakapaihia nga uaua me nga uaua huri noa i te hononga hou.
• Katia te patunga o te pokanga.

Kotahi pea ki te 3 haora te roa o tenei pokanga.

Ko te take nui i puta ai tenei taatai ​​ko te whakaora i te mate rumati. Ko te mamae o te kawa rumaki ka taea te whakaiti i o mahi.

I te nuinga o nga waa, ko nga hononga honohono o te hope ka mahia i nga taangata 60 me te pakeke ake. He tamariki ake te nuinga o nga tangata kei a ratou tenei pokanga. Ko nga taiohi kua whai hope te hope, ka nui ake pea te awangawanga ki te hope o te taha. Na tera taawewe taumaha ka mate ia i mua atu i nga taipakeke. Ko te waahanga, o te hononga ranei, me whakakapi ano mena ka tutuki.

Ka taunaki pea to taakuta kia whakakapihia te hope mo enei raru:

• Kaore e taea e koe te moe i te po na te mamae o te hope.
• Kaore i pai te mamae o to huha me etahi atu maimoatanga.
• Ko te mamae o te huha he aukati, he aukati ranei i a koe ki te mahi i o mahi ngoikore, penei i te kaukau, te whakarite kai, te mahi i nga mahi o te whare, me te hikoi.
• He raru koe e hikoi ana me whakamahi koe i te tokotoko, i te hikoi ranei.

Ko etahi atu take mo te whakakapi i te hononga o te hope ko:

• He whati i te wheua huha. Ko nga pakeke ake he maha nga wa ka whakakapihia te hope mo tenei take.
• Nga pukupuku pukupuku hip

Me korero tonu ki to kaiwhakarato hauora he aha nga raau taero e inu ana koe, tae atu ki te rongoa, nga taapiringa, nga otaota ranei i hokona e koe me te kore he whakahaunga.

I roto i nga wiki e 2 i mua o to pokanga:

• Whakapaia to kaainga.
• Ka tonoa pea koe kia mutu te inu i nga rongoa ka uaua ake te heke o to toto. Kei roto i enei ko te aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nga whakaheke toto penei i te warfarin (Coumadin), me era atu rongoa.
• Akene me mutu te inu i nga rongoa ka kaha pea koe ki te pangia e te mate. Kei roto i tenei ko te methotrexate, Enbrel, me etahi atu rongoa e pehi ana i to punaha aarai mate.
• Patai ki to kaiwhakarato ko tehea nga rongoa me kai e koe i te ra o to pokanga.
• Mena he mate huka koe, he mate ngakau, etahi atu mate hauora ranei, ka tono atu to taakuta ki a koe kia kite i te kaiwhakarato e manaaki ana ia koe mo enei ahuatanga.
• Korero atu ki to kaiwhakarato mena kua inu koe i te nui o te waipiro, neke atu i te 1, te 2 inu ranei i te ra.
• Mena ka paowa koe, me mutu koe. Patai ki to kaiwhakarato, ki to tapuhi ranei mo te awhina. Ma te momi hikareti e whakaheke te patunga me te whakaora wheua. Kua whakaatuhia he kino ake nga hua kaimomi i muri o te pokanga.
• Me korero tonu ki to kaiwhakarato mo tetahi makariri, rewharewha, kirika, whati herpes, me etahi atu mate ranei kei a koe i mua o to pokanga.
• Akene ka hiahia koe ki te toro atu ki tetahi kaiwhakawhana tinana ki te ako i etahi mahi hei mahi i mua o te pokanga, me te whakaharatau ma te whakamahi i nga toki, i te hikoi ranei.
• Whakaritehia to kaainga kia maama ai nga mahi o ia ra.
• Patai ki to kaiwhakarato kia kite koe mena e haere ana koe ki tetahi whare atawhai, ki tetahi whare whakanohonoho ranei i muri o te pokanga. Ki te peera koe, me tirotiro e koe enei waahi i mua atu ka tohu i to hiahia.

Whakamahia kia tika te whakamahi i te kakaho, te hikoi, nga toro tuutuu, tuuru wira ranei ki:

• Haere ki waho o te ua
• Haere ki runga, heke iho hoki i te pikitanga
• Noho iho ki te whakamahi i te wharepaku ka tu ki muri i te whakamahinga o te wharepaku
• Whakamahia te nohoanga ua

I te ra o to pokanga:

• Te tikanga ka tonoa koe kia kaua e inu, kia kai ranei i tetahi mea mo te 6 ki te 12 haora i mua o te tikanga.
• Tangohia nga raau taero a to kaiwhakarato i mea ai koe ki te inu me te iti o te wai.

Ma to kaiwhakarato e whakaatu ki a koe ahea tae atu koe ki te hohipera.

Ka noho koe ki te hohipera mo te 1 ki te 3 ra. I roto i taua wa, ka ora koe i to rongoa mate me to taatai ​​ano. Ka tonoa koe kia tiimata te neke me te hikoi i te ra tuatahi i muri o te pokanga.

Ko etahi taangata he wa poto ki te noho ki tetahi whare whakaora i muri i to raatau wehenga mai i te hohipera ana i mua i to ratau haerenga ki te kaainga. I te whare rehab, ka ako koe me pehea te mahi humarie i o mahi ia ra, ko koe anake. Kei te waatea hoki nga ratonga hauora kaainga.

He pai tonu nga hua o te pokanga whakakapi hip. Ko te nuinga o te nuinga o to mamae me to kuia me haere.

Ka raru pea etahi taangata ki te pangia o te mate, te wewete, te wehe ranei o te hononga hou.

Ka haere te waa, ka taea te wewete i te hononga o te huha hanga. Ka puta tenei i muri o te 15 ki te 20 tau. Akene me mate tuarua koe. Ka pa ano he mate. Me tirotiro e koe ki to taakuta i tera wa, kia pai to ahua o to huha.

Ko nga tamariki nohinohi, kaha tonu te mahi, ka pau i a raatau nga waahanga o o raatau hope. Akene me whakakapihia i mua i te whakakahoretanga o te huha horihori.

Te papa o te hope; Tapeke whakakapi hope; Hip hemiarthroplasty; Arereti - whakakapinga hope; Osteoarthritis - whakakapinga hope

• Te haumaru o te Kaukau mo nga pakeke
• Te whakarite i to kaainga - te pokanga o te turi, o te huha ranei
• Te whakakapi o te turi, o te turi ranei - i muri iho - he aha te paatai ​​ki to taakuta
• Te whakakapi o te turi, o te turi ranei - i mua atu - he aha te paatai ​​ki to taakuta
• Whakakapinga Hip - tuku
• Ārai hinga
• Te aukati i te hinga - he aha te paatai ​​ki to taakuta
• Tiaki patunga whara - tuwhera
• Te tiaki i to hononga hononga hou

• Whati whati
• Osteoarthritis vs. rumati rumati
• Whakakapinga honohono Hip - raupapa

Paetukutuku American Academy of Orthopedic Surgeons. OrthoInfo. Tapeke whakakapi hope. orthoinfo.aaos.org/en/treatment/total-hip-replacement. Whakahoutia Akuhata 2015. Kua uru atu ki te Mahuru 11, 2019.

Paetukutuku American Academy of Orthopedic Surgeons. Te aukati i te mate pukupuku thromboembolic venous i nga tuuroro e whai waahi ana ki te hope me te puri o te turi: Nga tohu aratohu me te purongo taunakitanga. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Whakahoutia Mahuru 23, 2011. Kua uru atu ki te Hui-tanguru 25, 2020.

Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip whakakapi. Lancet. 2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

Harkess JW, Crockarell JR. Te mate pukupuku o te hope. I roto i: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopedics. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 3.

Rizzo TD. Tapeke whakakapi hope. I roto i: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nga Mea Nui o te Whakaoranga Tinana me te Whakaora. 4th ed. Philadelphia, PA: Elsevier; 2019: chap 61.