Uburyo bwo guhitamo Non-Simented cyangwa Simented mu kubaga Total hip prosthesis

Ubushakashatsi bwatanzwe mu nama ngarukamwaka ya 38 y’Ishuri Rikuru ry’Abanyamerika ryita ku ndwara z’amagufwa (OTA 2022) buherutse kugaragaza ko kubaga ibyuma bitagira sima bifite ibyago byinshi byo kuvunika no kugira ibibazo nubwo igihe cyo kubaga cyagabanutse ugereranije no kubaga ibyuma bikozwe muri sima.

Incamake y'ubushakashatsi

Dr.Castaneda na bagenzi be basesenguye abarwayi 3.820 (imyaka 81 y'amavuko) babazwe ibyuma bikozwe mu kibuno (abantu 382) cyangwa abakorewe ibyuma bikozwe mu kibuno bitakozwe mu kibuno (abantu 3.438) kugira ngo barebe niba hari ikibazo.igitsina gorekuvunika kw'ijosi hagati ya 2009 na 2017.

Ingaruka z’umurwayi zari ukuvunika mu gihe cyo kubagwa no nyuma yo kubagwa, igihe cyo kubagwa, kwandura indwara, gucika kw’aho yari ari, kongera kubagwa no gupfa.

Ibisubizo by'ubushakashatsi

Ubushakashatsi bwagaragaje ko abarwayi bo muriInsimburangingo y'ikibuno idafite simaItsinda ry’ababaga ryari rifite igipimo cy’imvune cya 11.7%, igipimo cy’imvune mu gihe cyo kubagwa cya 2.8% n’igipimo cy’imvune nyuma yo kubagwa cya 8.9%.

Abarwayi bo mu itsinda ry’ababaga amenyo yo mu kibuno ya Cemented bari bafite igipimo cyo hasi cy’imvune cya 6.5%, 0.8% mu gihe cyo kubagwa na 5.8% nyuma yo kubagwa.

Abarwayi bo mu itsinda ry’ababaga insinga zo mu kibuno zitari zikozwe muri sima bari bafite ibibazo byinshi muri rusange no kongera kubagwa ugereranije n’itsinda ry’ababaga insinga zo mu kibuno zitakozwe muri sima.

Igitekerezo cy'umushakashatsi

Mu kiganiro cye, umushakashatsi mukuru, Dr.Paulo Castaneda, yavuze ko nubwo hari inama zumvikanyweho ku kuvura imvune zo mu ijosi ry’impyiko ku barwayi bakuze, haracyari impaka ku bijyanye no kuzishimangira. Hashingiwe ku byavuye muri ubu bushakashatsi, abaganga bagomba gukora uburyo bwo gusimbuza ikibuno gikozwe muri sima ku barwayi bakuze.

Izindi nyigo zifatika nazo zishyigikira guhitamo uburyo bwo kubaga amenyo y’ikibuno hakoreshejwe Cemented total.

Ubushakashatsi bwashyizwe ahagaragara na Porofeseri Tanzer n'abandi, bwakozwe mu gihe cy'imyaka 13, bwagaragaje ko ku barwayi bafite imyaka iri hejuru ya 75 bafite imvune zo mu ijosi ry'impyiko cyangwa rubagimpande, igipimo cyo gusubiramo nyuma yo kubagwa (amezi 3 nyuma yo kubagwa) cyari gito ku barwayi bafite ubwiyongere bw'ubudahangarwa bw'ubudahangarwa ugereranyije n'itsinda ritari rifite sima.

Ubushakashatsi bwakozwe na Porofeseri Jason H bwagaragaje ko abarwayi bo mu itsinda rikora sima y'amagufwa batsinze kurusha itsinda ridafite sima mu gihe bamaze bamara, ikiguzi cyo kuvurwa, kongera kwemererwa no kongera kubagwa.

Ubushakashatsi bwakozwe na Porofeseri Dale bwagaragaje ko igipimo cyo kuvugurura cyari kinini mu itsinda ridafite sima kurusha mu itsindaigiti gikozwe muri sima.