{"id":84805,"date":"2023-04-18T20:00:07","date_gmt":"2023-04-18T17:00:07","guid":{"rendered":"https:\/\/avicennaint.com\/?p=84805"},"modified":"2023-11-28T15:32:37","modified_gmt":"2023-11-28T12:32:37","slug":"chirurgia-soldului","status":"publish","type":"post","link":"https:\/\/avicennaint.com\/ro\/chirurgia-soldului\/","title":{"rendered":"Chirurgia Soldului"},"content":{"rendered":"

Chirurgia de inlocuire a soldului,cunoscut\u0103 \u0219i sub numele de protezarea total\u0103 a soldului implica inlocuirea unei articulatii deteriorate de sold , pelvis\u00a0 sau femur cu un implant artificial.<\/span>O bil\u0103\u00a0 metalic\u0103 sau din\u00a0 ceramic\u0103\u00a0 este fixat\u0103 in\u00a0 partea superioar\u0103 a femurului\u00a0 si prin intermediul unei tije se face conexiune cu\u00a0 pelvisul<\/span><\/p>\n

Prin aceasta procedura pacientul isi recapata abilitatea de a se deplasa\u00a0 si de a reveni la\u00a0 anumite activit\u0103\u021bi cotidiene\u00a0\u00a0<\/span><\/p>\n

Tipurile de Chirurgie \u00een Protezarea Soldului:<\/span><\/h2>\n

\u0130nlocuirea totala de sold<\/span><\/h3>\n

In aceasta procedura ,pentru a \u00eenlocui sec\u021biunile deteriorate din zona soldului se vor folosi proteze\u00a0 artificiale.<\/span><\/p>\n

\u0130nlocuire partiala\u00a0 de sold\u00a0<\/span><\/h3>\n

\u0130nlocuirea partiala de sold include inlocuirea doar a unei articulatii la sold.Majoritatea pacien\u021bilor cu fracturi de sold li se aplica acesata metoda\u00a0 .<\/span><\/p>\n

De obicei la pacientii tineri ,sau persoanele mai active sunt pacientii carora li se aplica aceasta interventie<\/span><\/p>\n

Cauzele durerii Soldului\u00a0<\/span><\/h2>\n

Artrita este cel mai frecvent motiv al\u00a0 durerii\u00a0 soldului.pe langa acest motiv clasic, osteoartrita,artrita reumatoida si artrita traumatica sunt cauze des intalnite<\/span><\/p>\n

Osteoartrita<\/span><\/h3>\n

Acest tip de artrita este cauzat de varsta.Afecteaz\u0103 \u00een principal pacien\u021bii cu v\u00e2rsta de peste 50 de ani \u0219i mai frecvent\u0103 la persoanele care au si cauze ereditare .Cartilajul care sus\u021bine oasele soldului se uzeaz\u0103 aceasta ducand la\u00a0 frictiune oaselor ceea ce\u00a0 produce disconfort \u00een zona soldului.<\/span><\/p>\n

Osteonecroza\u00a0<\/span><\/h3>\n

Dac\u0103 exista o problema in irigarea sanguina in zona soldului sau a\u00a0 articulatie soldului din cauza unei deplasari de sold sau fractura\u00a0 ,osul se poate disloca sau fractura.<\/span><\/p>\n

Artrita reumatoida\u00a0<\/span><\/h3>\n

Aceasta afectiune este o stare autoimuna ce provoac\u0103 inrosirea si inflamarea membranei sinoviala .\u00cen aceasta inflamatie cronica durerea \u0219i rigiditatea pot rezulta din deteriorarea cartilajului.<\/span><\/p>\n

Candida\u021bii Potrivi\u021bi Pentru\u00a0 Opera\u021bia de Protezare a Soldului\u00a0<\/span><\/h2>\n

Protezarea totala de sold nu este neaparat conditionata de factori precum varsta sau greutatea pacientului .Drept urmare ea poate fi recomandata daca:<\/span><\/p>\n

Disconfortul este at\u00e2t de mare incat va afecteaz\u0103 somnul \u0219i calitatea vie\u021bii<\/span><\/p>\n

Aveti dificultati in a va desfasura activitatea zilnica,sau la serviciu<\/span><\/p>\n

Ave\u021bi dureri severe de sold,edem \u0219i disconfort iar mobilitatea dumneavoastra este limitata<\/span><\/p>\n

Alte tratamente nu au func\u021bionat.<\/span><\/p>\n

Pregatirea Preoperatorie\u00a0 \u00een Interven\u021bia de Protezarea Soldului<\/span><\/h2>\n

Chirurgul ortoped va va examina \u00eenainte de procedura .Doctorul va poate intreba de starea dumneavoastra medicala si despre medicatia folosita curent,va va examina soldul,dar si\u00a0 starea si conditia\u00a0 masei musculare ,va solicita o radiografie \u0219i anumite analize de sange.\u00cen unele cazuri,,va fi necesar si un\u00a0 RMN(rezonanta magnetica).<\/span><\/p>\n

Cum este Efectuat\u0103 Opera\u021bia de \u0130nlocuire a Soldului ?<\/span><\/h2>\n

Chirurgul va indeparta capul femural lezat , \u0219i \u00eel va \u00eenlocui cu o tija metalica montand-o la baza femurului.Apoi,pe jum\u0103tatea superioar\u0103 a trunchiului,se va plasa o proteza speciala din metal sau ceramica, sub forma unei bile.Aceasta bila va \u00eenlocui capul femural lezat.Suprafata deteriorata a cartilajului soclului va fi \u0219i ea \u00eendep\u0103rtat\u0103 si inlocuita cu o priza metalica.<\/span><\/p>\n

Dupa Operatie:<\/span><\/h2>\n

Dupa operatie,veti ramane in reanimare si dupa\u00a0 in postoperatoriu o\u00a0 durata stabilita de medic.Personalul medical va\u00a0 verifica tensiunea arteriala,pulsul,gradul de con\u0219tienta, nivelul de durere sau confort \u0219i reactiile la\u00a0 medicatia prescrisa.Durata spitalizarii dup\u0103 aceasta interventie chirurgicala poate varia in functie de\u00a0 conditia medicala\u00a0 specifica a fiec\u0103rui pacient.\u00cen general, majoritatea pacien\u021bilor sunt externa\u021bi dupa o perioada relativ scurta dupa operatie,timp\u00a0 de 1 zi sau 2\u00a0 pentru mobilitate,este posibil ca pacientul s\u0103 aib\u0103 nevoie de un baston ,carje sau premergator.\u00cen general pansamentul \u0219i tubul de drenaj folosit la sold sunt scoase a doua zi dup\u0103 opera\u021bie.<\/span><\/p>\n

\u0130n urmatoarele 6-8 saptamani postoperatoriu,pacientii vor urma \u0219edin\u021be de kinetoterapie ambulatoriu.Dup\u0103 aceasta perioada,majoritatea pacien\u021bilor, \u00ee\u0219i vor putea relua viata normala\u00a0 si activitatea sportiva.<\/span><\/p>\n

Riscuri Posibile in Operatia de \u0130nlocuire(Protezare) a Soldului<\/span><\/h2>\n
    \n
  • Infectarea zonei opera\u021biei\u00a0<\/span><\/li>\n
  • Cheagurile de sange<\/span><\/li>\n
  • Dislocarea soldului<\/span><\/li>\n
  • \u00cen zona opera\u021biei mici fracturari osoase<\/span><\/li>\n
  • Inegalit\u0103\u021bi \u00een lungimea picioarelor<\/span><\/li>\n
  • Slabirea \u0130mplantului<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Chirurgia de inlocuire a soldului,cunoscut\u0103 \u0219i sub numele de protezarea total\u0103 a soldului implica inlocuirea unei articulatii deteriorate de sold , pelvis\u00a0 sau femur cu un implant artificial.O bil\u0103\u00a0 metalic\u0103 sau din\u00a0 ceramic\u0103\u00a0 este fixat\u0103 in\u00a0 partea superioar\u0103 a femurului\u00a0 si prin intermediul unei tije se face conexiune cu\u00a0 pelvisul Prin aceasta procedura pacientul isi…<\/p>\n","protected":false},"author":32,"featured_media":57805,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66],"tags":[],"class_list":["post-84805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-ro"],"yoast_head":"\nChirurgia Soldului | Spitalul International Avicenna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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