Coxarthrosis grade 3: hip iphathwa surgically futhi ngaphandle kokuphazanyiswa

Coxarthrosis 3 degrees - esigabeni yokugcina deforming osteoarthritis we-hip. Ukubambezeleka ekwelapheni lesi sifo kungaholela izicubu necrosis. Iningi odokotela cabanga kufaneleka kulesigaba yokunika iziguli ekwelashweni kuphela ngesimo ukuhlinzwa, kodwa abanye odokotela ekujaheni isebenze bese uzama ukusebenzisa yokwelapha. Kunoma ikuphi, ekwelapheni coxarthrosis grade 3 - kuyinqubo nzima futhi isikhathi esiningi.

Izimpawu eyinhloko lesi sifo

Izimpawu zesifo avele evelele kakhulu. Coxarthrosis hip Ibanga 3 libhekene izici ezilandelayo:

• ubuhlungu ebusuku;
• ukuphazamiseka amaphethini evamile ubuthongo;
• engaphathekile noma ucindezelekile kwemizwa;
• rigidity, amalunga esintamo (immobilization ikakhulukazi ngemva nokunwetshiwe);
• zihibe nokunyakaza;
• claudication (ihlukanisa emaceleni hip coxarthrosis 3 degrees).

kungenzeka ukukhubazeka

In izifo ezifana hip coxarthrosis 3 degrees, ukwelashwa kufanele kube esiphuthumayo. Kubalulekile nokukhumbula ukuthi kulesi sigaba yokwelapha kuyingozi kakhulu. Ukunganakwa lesi sifo kuholela ukukhubazeka. Kusukela izinhlobo ezithile zomsebenzi umuntu kuzofuneka ukuthi bathathe isinyathelo esiwujuqu sokuzenqaba: kungenzeka ukuthi kuphela inkathi yokutakula, futhi mhlawumbe kuze kube phakade. Okokuqala, ukuze kukhawulwe umsebenzi abayohlanganiswa umzamo obukhulu emzimbeni, futhi okwesibili, umsebenzi sedentary nakho kungaba nokuvivinywa okukhulu.

Isiguli, ngubani ezikhonjwe coxarthrosis 3 degrees, odokotela bavame setha iqembu ukukhubazeka yesibili. Leli qembu kuhlanganisa iziguli abathuthela ngokuzimela futhi bakhonze bona ekhaya, kodwa bakwazi kuphela enze izinhlobo ezithile zomsebenzi. Lokhu iqembu ukukhubazeka Kumiswa isikhathi esithile, ngemva kwalokho kumelwe zidlule kabusha luhlolo.

ukuphathwa oqabulayo coxarthrosis

ukwelapha ngokwendabuko kuhloswe nokunciphisa ukulimala kwamathambo kanye ukuvuselelwa kwe-ezilimele evele ngokuhlanganyela. Njengomthetho, kulesi simo, udokotela ekunika iqoqo izidakamizwa eqeda ukuvuvukala, njengokuthi "Nimesulide", "i-ibuprofen" futhi "Voltaren".

Endabeni izimpawu liphinyiselwe umjovo ngama-corticosteroid zisetshenziswa. Lokhu kuyadingeka ukuze ayeke yisishiso. Ukuze uthuthukise izinga lokugayeka kokudla emzimbeni, ukuqinisa futhi ubuyisele usebenzisa izidakamizwa kanye izakhiwo vasodilating. Eminyakeni yamuva, futhi kusetshenziswa kakhulu okuthiwa hondroprotektory, sandla ukubuyiselwa uqwanga, ukuvumela zokumisa ukuqhubeka kwesifo.

A niche ahlukene ekwelapheni olandelanayo of Physiotherapy ithatha. Ingcweti onekhono ayoyikhetha labo umzimba ukuthi ngeke ubuhlungu futhi ngaleyo ndlela asize ukuthuthukisa futhi iphimbo imisipha ethangeni.

kokungenela kuhlinzwa

Ngokuvamile, bonke izinyathelo zokwelapha ziyasebenza kuphela kusaqalwa futhi unikeze usizo lwesikhashana. In izifo ezifana coxarthrosis 3 degrees, ukusebenza kungenzeka ezimbili zama:

• ngaphandle sokwenziwa;
• nge esikhundleni olulinganiselwe ngokuhlanganyela.

Empeleni, bonke imisebenzi nemiphumela lemihle, lefaka ekhatsi emibi, ungakwazi uhlu kuphela izingozi ezihambisana ukuvuvukala. Ngo isifo esinjengo coxarthrosis, hip 3 degrees, ukuhlinzwa iyona ukwelashwa okuphumelelayo kakhulu.

Ukulungiselela ukuhlinzwa

Okwesikhathi esithile ngaphambi kokuhlinzwa, isiguli kumele ahlolwe wezokwelapha. Siqukethe-X ray, electrocardiograms, laboratory ihlaziya wegazi kanye nomchamo.

Kufanele banakekele ukuthi okokuqala ngemva ubani ukusebenza nokusiza iziguli ekhaya.

Ijubane ukuphulukiswa futhi alulame kubuye sincike isimo bokuphila imisipha. Yingakho odokotela batusa hhayi okukhulu kakhulu, kodwa noma kunjalo umdlalo. Kungcono ukubhukuda, ukuhamba futhi bahlanganyele ngilulekela.

Kukhethwa sokwenziwa ukuhlinzwa

Ukusebenza wenziwa ngaphansi izinzwa jikelele. Udokotela ohlinzayo kususa ngokuhlanganyela kanye endaweni yayo ifake sokwenziwa kokuba simise eyindilinga nge sebuningini izimbobo ezincane lapho ithambo izicubu ihlumela esikhathini esizayo. Lokhu kuholela isikhundla Ilunga kulapho eziqinile. Abanikazi of the imilenze futhi nosimende okunamathiselwe we acrylic. Induku wenziwe titanium, ibhola uqobo - kusuka molybdenum, i-chromium noma ayibe, nezinye izinto - metal, epulasitiki, Ceramic.

Lapho ekhetha odokotela sokwenziwa ngokuvamile sinake indlela yokuphila isiguli, ubudala, isigaba sesifo. It inikeza iningi inketho eziyohlala okungenani iminyaka eyishumi. Kunezinhlobo ezingaba ngu-amahlanu izinhlobo lokufakelwa kwezitho, kodwa njengoba umthetho, kufanele ukhethe phakathi ezine noma ezinhlanu.

Imiphumela engemihle lokuhlinzwa

Nakuba lolu hlobo lokuhlinzwa oluphakeme yimpumelelo ezimweni eziningi, ukuxakeka basengaba. Izingozi ezihlobene ukuhlinzwa zihlanganisa:

1. Gqoka we sokwenziwa. ngokuhlanganyela Artificial unokuphila lalo. Bone izicubu, okuyinto ziqhume futhi kugxilise kuzo sokwenziwa emva kokuhlinzwa, ngokuhamba kwesikhathi, kuqala sokudiliza, okuholela buthakathaka Ukukhweza sokwenziwa. Lesi sakamuva kufaka ubuhlungu eqolo futhi imbilapho.
2. Ukuwohloka kuyaqina. Inqubo ngenxa yokuthi ukuthi izicubu zomzimba ezithambile emhlabeni ngokuhlanganyela lokwenziwa izakhiwo uphawu. Ungase uphawule rigidity ukuwohloka ku izinga lokuzivivinya.
3. Ukubuthelela amahlule. Izibonakaliso ezinye izinkinga kuthiwa ukuvuvukala endaweni ka yenzeka, kanye nemfiva. Kubantu, kukhona iphika, ukukhwehlela, ubuhlungu besifuba, okungase kuholele ekubeni uthunyelelwe embolism yamaphaphu noma deep vein thrombosis. Ngakho, ukubukeka noma iyiphi yalezi imiphumela akufanele imisiwe, futhi kungcono ukuya esibhedlela.
4. Fever, Ukugodola, zichithe endaweni lapho Wahlinzwa ubuhlungu. Zonke lezi zimpawu abonisa kuphela ukuthi kufanele axhumane ngokushesha ne udokotela.

isikhathi ekululameni

Ngo amahora okuqala angu-ngemuva kokuhlinzwa isiguli iqinile ngendlela umile hip amalunga omzimba (anatomically lesifanele) isikhundla. Ngenxa yalesi owambeka emhlane wakhe, futhi umcamelo ekhethekile phakathi kwemilenze yakho.

Ukuze joint waqala ukusebenza ngokushesha, indoda kumelwe ifunde ukuzibheka ume uhambe bebodwa ngokushesha ngangokunokwenzeka. Ekuqaleni kuyasiza ukuba babhekane nezimo abasebenzi ke izinduku nangezinduku. Ukungakhululeki Angabi isithiyo endleleni eya ekululameni.

Esikhathini esiyiminyaka nasezinkingeni ezilandela ngemva kokuhlinzwa, imilenze angase zigcwala kakhulu. Ukuze kulesetayelekile umjikelezo igazi nekugwema edema, odokotela linqume uchungechunge imijovo anticoagulants. Ukuvimbela ukuthuthukiswa ukuvuvukala nesineke kufanele uthathe imithi elwa namagciwane.

Cishe kuzo zonke icala kungcono uthintane phambili udokotela-physiotherapist. Lo chwepheshe uzokutshela umsebenzi ikhuthaza vosstanovleinyu okusheshayo kanye nokuqinisa umzimba, ukunikeza ezinye izincomo. Ngokwesibonelo, iziguli othola ukuhlinzwa, angeke ahlale, imilenze yakhe sawela, ukwenza flexion ukunyakaza degrees ezingaphezu kuka ayisishiyagalolunye, ukugwema ukuzungeza isiqu. Ochwepheshe ukweluleka ukuya ngezinyathelo amancane, ukuvimbela ukucindezeleka futhi ingcindezi kusayithi yenzeka. Ukuphakama kwesitulo kufanele kube ukhululekile, akuyona iphansi kakhulu. Akubalulekile ukuba wenza leyo misebenzi ukuthi kumkhathaze ubuhlungu noma ukungaphatheki endaweni hip.

Timing yokutakula emva kokuhlinzwa

Ngokuvamile, iziguli ngemva kokuhlinzwa wenziwa esibhedlela cishe isonto, bese wahlanganyela ukubuyiselwa ekhaya. okunye ukwelashwa kuhlanganisa ukuthatha imithi futhi ngokwenza izivivinyo. Ngokokuqala ngqá abantu bazizwe ukukhathala ehlotshaniswa ne umthwalo njalo phezu emisipheni nasemalungeni, kodwa lokhu sihamba ngokushesha.

Ubuhlungu buvame kuhlobane ngokuqondile nge zokwakha. Iningi leziguli zibhekane ngokuphumelelayo ukungakhululeki, kungenjalo odokotela linqume analgesics. ubuhlungu obukhulu ngesikhathi esifanayo noma kunjalo akudingeki ahlupheke. Uma kukhona omunye, kubalulekile ukuya esibhedlela ngaphandle kokulibala (ikakhulukazi uma ubuhlungu kuhambisana ububomvu noma ukwakheka uketshezi kusayithi kuhlinzwa).

Okuphindaphindayo ngihlolwa noma kunjalo akudingekile ekupumeni udokotela kufanele aqiniseke ukuthi akukho izinkinga. Yebo futhi ngokwalo kufanele kusiqinisekise ukuthi konke ukuze.

Ngaphandle ngaphandle usizo ngabantu abaye coxarthrosis 3 degrees, baqala ukuthuthela e-avareji ngenyanga. Kodwa ukuba sibuyele endleleni yakhe yokuphila yangaphambili isiguli bungatholakala kuphela ngemva izinyanga ezimbili kuya kwezine. Zonke amaphuzu impikiswano futhi usithe ngokuphathelene nokuzilimaza-yokutakula kumele kuqala uthole ukuthi udokotela, ukuze kamuva musa uzilimaze.

Alternative zokwelapha koksartroza

Abanye ochwepheshe manje ukunikela ukwelashwa coxarthrosis 3 degrees ngaphandle kokuhlinzwa: ekulweni nalesi sifo asetshenziswa stem cells, ukwethulwa okuyinto enomthelela kumiswa imikhumbi igazi, uqinise uqwanga kanye ngokuhlanganyela uqobo ngqo. Ngaphezu kwalokho, ukwenza ngcono ukugeleza kwegazi futhi izinqubo umzimba. Ngenxa yalokho, umthelela Endaweni ethintekile stem cells encipha ubuhlungu, ngcono kuyaqina. It akufaki kungenzeka edema nokuvuvukala.

Ezenye ukwelapha isifo

Coxarthrosis 3 degrees - ukugula okungathí sina kakhulu ukuthi ebambezela futhi kuvimbela ukuhamba khulula ayikuvumeli phambili ekuphileni okuvamile. Kodwa ngisho ngaleso ngxenye yokugcina zokugula ukuba aphathe, siqala at izindleko ukuhlinzwa. lokufakelwa kwezitho Modern, okuyinto efakwe ngokuhamba ukusebenza, Nokho, futhi kudingeka ukushintshwa ngezikhathi ezithile, kodwa kakhulu ngcono izinga lesiguli zokuphila.