Ƙasashe na Abun Hanya-Ball da-Socket
Harsashin wucin gadi na ƙwarar fata shine nau'i ɗaya na raunin hanji . Lokacin da ƙullun wucin gadi na ƙwararren mata ke faruwa, raunin yana a kasa da ball na hadin gwiwa na ball-and-socket; wannan yankin na cinya kashi ake kira ƙirar mata. Lokacin da ƙuƙwalwar ƙuƙwalwar ƙwararre ta mace ta auku, an cire ball daga sauran yatsun cinya (femur).
Babban mahimmanci tare da fractures wucin gadi na mata shine cewa jinin jiki zuwa kashi ɓarke na kashi yana lalace a lokacin rauni.
Saboda jinin jini yana rushewa, waɗannan ɓarna suna cikin haɗari mai tsanani ba a warkar da su ba , musamman ma lokacin da fashewar ya ɓace. Saboda matsalar matsalar jini tare da fractures wucin gadi na mata, mutane da yawa za a bi da su tare da sauya maye gurbin.
Abun Cutar Abun Cutar Abun Ciki
Jiyya na ƙuƙwalwar ƙuƙwalwar ƙwararrun mata yana dogara da dalilai da dama. Ka'idoji mafi muhimmanci don la'akari sun haɗa da:
- Adadin sauyawa na rarraba
- Shekaru na haƙuri
A cikin ƙananan marasa lafiya, waɗanda shekarunsu su kai 60 zuwa 65, duk ƙoƙari za a yi don kauce wa maye gurbin maye gurbin. Sauye-sauye na Hip yana aiki sosai don marasa lafiya marasa lafiya, amma suna nuna rashin lafiya a cikin ƙananan marasa lafiya. Sabili da haka, a cikin marasa lafiya, ana iya samun damar yin watsi da maye gurbin kodayake idan akwai mummunar haɗari na raguwa.
Zaɓuka Zɓk
Nau'in Hanya (Gyara Gyara)
Hanya ta hanyo shine hanya da aka yi don sanya sukurori da dama a fadin kasusuwa.
An yi amfani da shi ne kawai a cikin marasa lafiya tare da fracture wucin gadi na mata wanda yake da kyau da kuma haɗuwa da kadan. A cikin ƙananan marasa lafiya, kamar yadda aka bayyana a sama, za a iya ƙoƙarin yin amfani da hanzarin koda kuwa kasusuwa ba daidai ba ne. Duk da haka, ko da a wannan wuri, yiwuwar maye gurbin canji na iya zama dole.
A lokacin da ake yin raunin hanzari, mai haƙuri yana kasancewa a cikin magunguna ko ƙwayar cuta . An sanya kananan ƙwayar a waje na cinya. Ta amfani da x-ray don jagorancin likitanka, an yi amfani da suturar dama a fadin raguwa domin ya tabbatar da ƙashi kasusuwa.
Magunguna zasu iya sanya nauyin nauyi a kan gyaran da aka gyara kamar yadda aka yi haƙuri, amma wannan zai bambanta a wasu lokuta. Duba tare da likitan likitanka kafin a fara wani magani ko motsa jiki. Yayinda kasusuwa ke warkarwa, zamu ci gaba da ciwo. Babban damuwa tare da fractures a cikin ƙananan mata shine cewa cutar lalacewa zuwa kasusuwan zai haifar da rashin warkewa ko kashi na mutuwa ( hip osteonecrosis ) na shugaban mace. A cikin waɗannan lokuta, marasa lafiya na iya buƙatar yin gyare- gyaren gyare-gyare na hanji a hanya.
Hip Hemiarthroplasty (Sauye-sauye Saurin Sauyawa)
Hakanan bayanan hanzari ya bayyana rabi na sauyawa. A cikin wannan hanya, an cire ball of ball-and-socket, kuma an shigar da implant karfe a cikin haɗin gwiwa. An yi amfani da maganin kwantar da hankula a cikin marasa lafiya a cikin marasa lafiya tare da raunin da aka yi wa gudun hijira saboda matsalolin da aka bayyana a sama tare da ƙoƙarin gyara waɗannan fractures.
Hakanan ana haifar da maganin maganin ƙuƙwalwar hanzari a ƙarƙashin ƙwayar rigakafi ko ƙwayar cuta.
An sanya incision a waje na hip. An kawar da kawuncin mata na fractured, kuma an maye gurbinsu tare da ginin karfe. A cikin gyare-gyaren al'ada na al'ada, za a maye gurbin sashin ƙashin ƙugu. Ana iya yin hakan a marasa lafiya da ciwon arthritis na rigakafi , amma a mafi yawan lokuta na furucin ƙaryar mata, ana barin sutura kadai. Hakan za a iya ƙaddamar da ƙwayar motsa jiki a cikin kashi a cikin marasa lafiya da ƙananan ƙwayar cuta, ƙananan ƙwayar osteoporotic, ko kuma latsa-shiga cikin marasa lafiya tare da ƙwarewar ƙasƙanci.
An fara gyarawa a nan da nan kuma marasa lafiya na iya tafiya tare da cikakken nauyin akan implant.
Marasa lafiya suna jin daɗin jin dadi bayan tiyata, kuma yawanci sukan dawo tafiya sauri.
Sources:
KJ Koval da JD Zuckerman; "Hip Fractures: I. Bayani da Bincike da Kula da Dabbobi na Abun Ciki" J. Am. Acad. Ortho. Surg., Mayu 1994; 2: 141 - 149.