Isingeniso
Ipuleti lekholomu elingemuva liwuhlobo lokufakelwa kwamathambo okusetshenziselwa ukwelapha ukuphuka kwe-acetabulum, okuyisokhethi ku-pelvis lapho i-femur (ithambo lethanga) lihlangana khona ne-hip joint. Ikholomu engemuva iwumugqa oqondile wethambo osuka emngceleni ophakeme (ongenhla) we-acetabulum ukuya emngceleni ongaphansi (ophansi) wenotshi ye-sciatic. Ukuphuka kwekholomu yangemuva kungaba yinkimbinkimbi futhi kudinga ukungenelela kokuhlinzwa ukuze kubuyiselwe ukuzinza ku-pelvis.
I-Anatomy ye-Acetabulum
I-acetabulum ukudangala okumise okwenkomishi ethanjeni lika-pelvic elakha isokhethi yekhanda le-femur. Yakhiwe izingxenye ezintathu: ikholomu yangaphambili, ikholomu engemuva, nophahla. Ikholomu yangaphambili ingumugqa oqondile wethambo ogijima usuka emngceleni ophakeme we-acetabulum uye ethanjeni le-pubic. Ikholomu yangemuva ingumugqa oqondile wethambo ogijima usuka emngceleni ophakeme we-acetabulum uye emngceleni ophansi wenotshi ye-sciatic. Uphahla indawo egobile evala i-acetabulum.
Izinkomba ze-Posterior Column Plate
Ukuphuka kwekholomu yangemuva kungabangelwa ukuhlukumezeka kwamandla aphezulu njengezingozi zemoto, ukuwa kusuka ezindaweni eziphakeme, noma ukulimala kwezemidlalo. Lezi zinhlobo zokuphuka zingabangela umonakalo omkhulu ku-pelvis futhi zingahlotshaniswa nokunye ukulimala okufana nokukhishwa kwe-hip, ukulimala kwesinye noma urethral, noma ukulimala kwezinzwa. Izinkomba zokuhlinzwa kwepuleti lekholomu yangemuva zihlanganisa:
Ukususwa kokuhlukana kwekholomu yangemuva okukhulu kuno-2mm
Isandiso se-intra-articular sokuphuka kwekholomu yangemuva
Ukuphuka okuhlobene kwekholomu noma uphahla lwangaphambili
Ukulahlekelwa ukuhambisana kwe-hip joint
Inqubo
Inqubo yokuhlinzwa kwepuleti lekholomu yangemuva ihilela ukusika isinqe ukuze ufinyelele isici esingemuva se-pelvis. Ukuphuka kuyancishiswa, noma kubuyiselwe endaweni, kusetshenziswa amathuluzi okuhlinza akhethekile. Ipuleti lekholomu elingemuva libe selibekwa eduze kwekholomu yangemuva ye-acetabulum futhi livikelwe ngezikulufu. Izikulufu zibekwe ngendlela yokugwema ukulimala ezakhiweni ezibalulekile ze-neurovascular ezifana ne-sciatic nerve noma umthambo ophezulu we-gluteal.
Ukunakekelwa Kwangemva Kokuhlinzwa Nokuvuselelwa
Ngemuva kokuhlinzwa kwepuleti lekholomu yangemuva, iziguli zivame ukugcinwa zingenasisindo amasonto ambalwa ukuze kuvunyelwe ukuphuka ukuthi kuphole. Ukwelashwa ngokomzimba nokuvuselela kubalulekile ukuze ubuyise amandla nokuhamba ekuhlanganyeleni kwe-hip. Kungase kuthathe izinyanga ezimbalwa ukuthi iziguli zibuyele ezingeni lazo lomsebenzi wangaphambi kokulimala.
Izingozi Nezinkinga
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi kanye nezinkinga ezihlobene nokuhlinzwa kwepuleti lekholomu elingemuva. Lokhu kubandakanya:
Ukutheleleka
Ukulimala kwezinzwa
Ukopha
Ukuhluleka kwezingxenyekazi zekhompuyutha
Ukungabi yingxenye noma i-malunion yokuphuka
I-Deep vein thrombosis noma i-pulmonary embolism
Isiphetho
Ukuhlinzwa kwepuleti lekholomu yangemuva kuyithuluzi elibalulekile lokwelapha ukuphuka okuyinkimbinkimbi kwe-acetabulum. Inikeza ukuzinza ku-pelvis, ikhuthaza ukuphulukiswa, futhi ingaholela esikhathini sokululama ngokushesha. Nakuba kunezingozi nezinkinga ezihlobene nokusetshenziswa kwayo, izinzuzo zidlula ubungozi ezimweni eziningi.
Imibuzo Evame Ukubuzwa
Ingabe ukuhlinzwa kwepuleti lekholomu yangemuva ukuphela kwendlela yokwelapha yokuphuka kwe-acetabular? Cha, kukhona ezinye izindlela zokwelapha ezitholakalayo, njengokuphatha okungahlinzeki noma ukufakwa kwekholomu yangaphambili. Kodwa-ke, ukuhlinzwa kwepuleti lekholomu yangemuva ngokuvamile kuyindlela ekhethwayo yokuphuka okukhulu noma okuyinkimbinkimbi.
Kuthatha isikhathi esingakanani ukululama ekuhlinzweni ngepuleti lekholomu elingemuva? Isikhathi sokululama singahluka ngokuya ngobunzima bokuphuka kanye nempilo yomuntu iyonke. Kodwa-ke, iziguli eziningi zingalindela ukubuyela emisebenzini evamile phakathi nezinyanga ezingu-3-6.
