Tsarin gyaran tiyata

1 -

Binciken asali na maganin ƙwayar cutar

Maganin ƙwayar cutar ta hanji shine maganganun cutar zafi. Idan harkar yaduwar cutar ta zama mai tsanani, za a iya bada shawarar da za a iya sauya hanyar gyaran hanji. Magungunan hanji na linzami yakan sa al'amuran sutura masu dacewa ta haɗin gwiwa su yi yawa a cikin lokaci. Yayinda wannan gwangwani ya ɓace, kashi yana fallasa kuma al'amuran al'ada na hanji suna da wuya. Wannan zai iya haifar da wahala tare da ayyukan ciki har da tafiya, tashi daga kujera, ko ma barci da dare.

Haɗin gwiwa ta kwakwalwa shine haɗin kwando-da-socket - ball yana juya a cikin soket don ba da damar motsa jiki. Kwallon da soket suna rufe dashi mai laushi. Wannan guringuntsi yana ba da damar haɗin gwiwa na hip don motsawa yardar kaina. Lokacin da yatsun motsi na haɗin gwiwa ya fita , ɓangaren murya sun zama mummunan rauni .

2 -

Ana cire Bikin Jiki na Ɗaukar Maɓallin Ɗaukar Wuta

Mataki na farko na aikin tiyata maye gurbin shine ya cire laminin gurasa da kashi. Haɗin gwiwa na kwakwalwa yana da bangarorin biyu, da kwallon (shugaban mace), da kuma soket (acetabulum). Lokacin da haɗin gwiwa ta rufe ya zama arthritic , tofaccen suturar ƙwayar mota yana dagewa.

Don cire kullun da aka yi amfani da shi na ball-da-socket, an yanke kashi don cire shugaban femoral. Don saka sabon haɗin gwiwa, dole ne a cire farko da lalacewa da lalacewa.

Za a iya samun hanyoyi a hanyoyi daban-daban. Wasu likitoci sun shiga hip ta hanyar baya (haɗin gwiwa) yayin da wasu suka zo a cikin hip ta hanyar gaban haɗin gwiwa (hanyar da ta dace ). Wannan tsarin na gaba ya zama mafi shahara kamar yadda marasa lafiya zasu iya farkawa kuma su bar asibitin da sauri bayan wannan tiyata.

3 -

Ana cire Wurin Jigon Wuta na Ɗaukar Wuta

Da zarar an cire bakar arthritic, za a iya magance soket da aka sawa. Ba kamar ball ɗin ba, ba za'a iya yanke wannan kashin ba - kwamin kwatangwalo na ɓangare na ɓangare ne na ƙashin ƙashi.

Domin kawar da ciwon maganin ƙwaƙwalwar hanji na hip, kayan aiki na musamman wanda ake kira reamer yana amfani da shi don kawar da gurasar lalacewa da kashi. Wannan ya zama mai sassauka, wanda ya dace ya karɓa don karɓar sabon maye gurbin maye gurbin.

4 -

Matsayi na Acetabular Component

Da zarar an cire raunin lalacewa daga acetabulum, za'a iya saka sabbin sutura na maye gurbin hip. An sanya kwasfa na ƙashin kwaskwarima acetabulum, kuma ɓangaren maye gurbin maye gurbin a cikin soket an kira shi acetabular component. Wasu mutane suna kiran wannan bangaren "kofin."

An kafa maɗaurar acetabular a cikin ƙashin ƙugu ta hanyar yin safar dan kadan kadan fiye da bangaren acetabular, da kuma kwantar da implant cikin kashi. Mai gina jiki yana da mummunan tasiri don ba da damar kashi don yayi girma a cikin farfajiyar lokaci.

5 -

Ana shirya mace

Yanzu da aka yi amfani da soket, hankali zai iya juya zuwa ball na haɗin gwiwa na ball da-socket. Kwallon yana goyan baya tare da wani abun da aka sanya a cikin ɓangaren ƙananan cinya (femur). Ana kiran wannan abun da ake kira steam femoral.

Kamar sutabular sutabular sutabular, dole ne a riƙe da femoral stem a cikin kashi. Ana amfani da kayan aikin musamman don siffar tsakiyar yatsin cinya don saukar da sashin femoral.

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Matsayi na kara

Tare da kashi da aka shirya don karɓar maɓallin ɓangaren maye gurbin hip, an saka ma'anar femoral. Za a iya amfani da kara a cikin kashi tare da ko ba tare da ciminti ba.

Lokacin da aka yi kashi tare da ciminti, an saka simintin a cikin ruwa, sannan an sanya sifa. A cikin 'yan mintoci kaɗan, simintin yana da wuya a rike da implant kafa cikin kashi.

Idan ba a yi amfani da ciminti ba, ana kira implant "latsa-Fit". Wannan yana nufin cewa implant yana danne sosai cikin kashi. Tsuntsaye mai tsabta wanda yake rufe dabbar ta ba da damar kasusuwan girma a cikin implant a tsawon lokaci.

7 -

Ƙaddamar da Ball

Tare da kara da aka sanya a tsakiya tsakanin cinya cinya, za'a iya saka ball na kwakwalwa na ball-da-socket a kan karar. Kwallon karfe yana daɗaɗawa a saman tudu. Yawancin zane-zane na maye gurbin ragowar hanji na zamani shine kawai hanyar da za ta rike kwallon kafa na kwakwalwa a matsayin dama. Akwai salon salon maye gurbin inda aka sake dawo da ball maimakon maye gurbin, ma'ana akwai kananan kayan da aka gina a cikin jikin - wannan salon maye gurbin ana kiransa aikin tiyata .

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Kuskuren Sauyawa na Ƙarshe na karshe

Tare da soket, kara, da kuma ball duk an saka, za a iya sanya maye gurbin a matsayi na karshe. Tare da sassa a wurin, an mayar da ball a cikin soket - da ake kira rage hip.

Yana da mahimmanci don tabbatar da cewa maye gurbin maye gurbin ya zama barga. Abubuwan da suke maye gurbin hanji na kwantar da hankulansu ba su da kullun , suna da mawuyacin ƙwayar maye gurbin hip .