{"id":24844905,"date":"2024-09-24T15:30:53","date_gmt":"2024-09-24T15:30:53","guid":{"rendered":"https:\/\/drmielcarek.live-website.com\/?page_id=24844905"},"modified":"2024-11-28T14:16:28","modified_gmt":"2024-11-28T14:16:28","slug":"hanche","status":"publish","type":"page","link":"https:\/\/www.docteur-mielcarek.com\/pl\/hanche","title":{"rendered":"Biodro"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbHeader\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.5) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/mael-balland-mB9eues4BKo-unsplash-scaled-e1725902090643.webp\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Interwencje<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"c16985e1-e0d6-4022-964d-e2bfc04fa633\u2033 text_font=\"Inter|700||||||| \" text_text_color=\"#FFFF \" text_font_size=\"2.25rem \" text_line_height=\"120% \" header_font=\"-et_global_heading_font||on|||||| \" header_text_align=\"left \" header_text_color=\"#FFFF \" header_font_size=\"70px \" header_2_font=\"-et_global_heading_font||on|||||| \" header_2_text_color=\"#FFFF \" header_2_font_size=\"70px \" header_2_line_height=\"120% \" text_orientation=\"center \" custom_margin=\"||0px||false|false \" animation_style=\"slide \" animation_delay=\"250ms \" text_font_size_tablet=\"1.75rem \" text_font_size_phone=\"1.25rem \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"50px \" header_font_size_phone=\"40px \" header_font_size_last_edited=\"on|phone \" header_2_font_size_tablet=\"1.75rem \" header_2_font_size_phone=\"1.88rem \" header_2_font_size_last_edited=\"on|desktop \" global_colors_info=\"{}\"]<\/p>\n<h1>Endoproteza Ca\u0142kowita Biodra<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" custom_padding=\"40px|40px|40px|40px|true|true \" custom_padding_tablet=\"30px|30px|30px|30px|true|true \" custom_padding_phone=\"20px|20px|20px|20px|true|true\" custom_padding_last_edited=\"on|tablet\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"-et_global_body_font|||||||| \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p class=\" translation-block\"><span>Zu\u017cycie <strong>BIODRA<\/strong> cz\u0119sto wi\u0105\u017ce si\u0119 ze zmniejszeniem zakresu ruchu (<strong>sztywno\u015b\u0107<\/strong>) i, co najwa\u017cniejsze, z b\u00f3lem. Klinicznie objawia si\u0119 to utykaniem, trudno\u015bciami w zak\u0142adaniu but\u00f3w oraz w utrzymaniu higieny osobistej.\u00a0<\/span><\/p>\n<p>[et_pb_text][et_pb_button button_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@ \" button_text=\"Um\u00f3w si\u0119 na spotkanie \" button_alignment=\"left \" button_alignment_tablet=\"left \" button_alignment_phone=\"left \" button_alignment_last_edited=\"on|tablet \" _builder_version=\"4.27.4\u2033 _dynamic_attributes=\"button_url \" _module_preset= \u00bb31b4f027-aaa0-4f2f-ae02-959764e19e4f \" custom_button=\"on \" button_text_size=\"14px \" button_text_color=\"#FFFFFF \" button_bg_color=\"#000000\u2033 button_border_color=\"#000000\u2033 button_border_radius=\"0px \" button_font= \"-et_global_body_font|700||on||||| \" custom_padding=\"16px|24px|16px|24px|true|true \" global_colors_info=\"{}\"][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\u2033 admin_label=\"Product \" _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" collapsed=\"on \" global_colors_info=\"{} \"][et_pb_row column_structure=\"1_3,1_3,1_3\u2033 _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][dipi_image_hotspot img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" max_width=\"500px \" module_alignment=\"center \" locked=\"off \" global_colors_info=\"{} \"][dipi_image_hotspot_child title=\"hallux rigidus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color= \"#FFFFFF\" hotspot_icon_padding=\"10px|10px|10px|10px|false|false\" hotspot_circle_icon=\"on\" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"92.8%\" hotspot_position_horizontal=\"85.5%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/DRHOSSENBACCUS-pied-HalluxRigidus-247\u00d7300-1.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Hallux Rigidus\" tooltip_desc=\"\"<\/p>\n<p><span>Hallux rigidus to nazwa nadana pierwotnemu zapaleniu ko\u015bci i staw\u00f3w pierwszego stawu \u015br\u00f3dstopno-paliczkowego, a tak\u017ce mi\u0119dzy g\u0142ow\u0105 1\u1d49\u02b3 \u015br\u00f3dstopia a jego sezamoidami.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-rigidus \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Hallux Valgus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"69.1%\" hotspot_position_horizontal=\"0%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/valgus.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Hallux Valgus\" tooltip_desc=\"\"<\/p>\n<p class=\" translation-block\"><span>Najcz\u0119stsz\u0105 deformacj\u0105 jest <\/span><strong>HALUKS<\/strong><span> (powszechnie nazywany \u201ebunionem\u201d). Dotyczy pierwszej ko\u015bci \u015br\u00f3dstopia, gdzie paliczki odchylaj\u0105 si\u0119 na zewn\u0105trz, a pierwsza ko\u015b\u0107 \u015br\u00f3dstopia (d\u0142uga ko\u015b\u0107 na wewn\u0119trznej kraw\u0119dzi stopy) odchyla si\u0119 do wewn\u0105trz.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on\" tooltip_button_text=\"View More\" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-valgus\" tooltip_position=\"right\" tooltip_width=\"240px\" tooltip_content_align=\"center\" use_tooltip_arrow=\"on\" arrow_color=\"#FFFFFF\" tooltip_padding=\"20px|20px|10px|20px|false|false\" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Hip \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"#E02B20\u2033 hotspot_ripple_effect_size=\"152px \" hotspot_ripple_effect_speed=\"4.6\u2033 hotspot_position_vertical=\"43.2% \" hotspot_position_horizontal=\"36.3% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-hanche-innervation.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Hip \" tooltip_desc=\"<\/p>\n<p><span>Zu\u017cyciu stawu biodrowego cz\u0119sto towarzyszy zmniejszenie zakresu stawu (sztywno\u015b\u0107), a przede wszystkim b\u00f3l.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hanche \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Kolano \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"67%\" hotspot_position_horizontal=\"59.8%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-genou-tendons-extenseurs.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Knee\" tooltip_desc=\"\"<\/p>\n<p>Your content goes here. Edit or remove this text inline or in the module Content settings. 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tooltip_button_bg_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb tooltip_button_border_width=\u00a0\u00bb0px\u00a0\u00bb tooltip_button_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb box_shadow_style_tooltip_box=\u00a0\u00bbpreset3&Prime; box_shadow_color_tooltip_box=\u00a0\u00bbrgba(0,149,198,0.06)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_image_hotspot_child][\/dipi_image_hotspot][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Endoproteza Ca\u0142kowita Biodra<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"b327cbe4-b1d5-4b66-ad37-40c8f2f061ba \" header_2_font=\"-et_global_heading_font|700|on|||||| \" header_2_text_color=\"#0000\u2033 header_2_font_size=\"55px \" header_2_line_height=\"1.2em \" header_2_font_size_tablet=\"50px \" header_2_font_size_phone=\"40px \" header_2_font_size_last_edited=\"on|phone \" global_colors_info=\"{}\"]<\/p>\n<h2>W skr\u00f3cie<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"518880c8-46c7-4ffa-b5a6-93ffa99dcc17\u2033 text_font=\"-et_global_body_font|||||||| \" text_font_size=\"18px \" text_line_height=\"1.55em \" text_font_size_tablet=\"16px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" global_colors_info=\"{}\"]<\/p>\n<p>Operacja stawu biodrowego polega na zast\u0105pieniu zu\u017cytego stawu protez\u0105 ca\u0142kowit\u0105 w celu z\u0142agodzenia b\u00f3lu zwi\u0105zanego z koksartroz\u0105 i przywr\u00f3cenia normalnej ruchomo\u015bci.<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb button_text=\u00a0\u00bbEn Savoir Plus\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb button_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb button_alignment_phone=\u00a0\u00bbleft\u00a0\u00bb button_alignment_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb _module_preset=\u00a0\u00bb31b4f027-aaa0-4f2f-ae02-959764e19e4f\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb14px\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bb#000000&Prime; button_border_color=\u00a0\u00bb#000000&Prime; button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_font=\u00a0\u00bb&#8211;et_global_body_font|700||on|||||\u00a0\u00bb custom_padding=\u00a0\u00bb16px|24px|16px|24px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbCauses\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Naturalne zu\u017cycie stawu (choroba zwyrodnieniowa staw\u00f3w), uraz lub wrodzone nieprawid\u0142owo\u015bci mog\u0105 prowadzi\u0107 do znacznej sztywno\u015bci i b\u00f3lu, co wymaga operacji.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbIntervention\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Operacja przeprowadzana jest w znieczuleniu, a proteza zast\u0119puje cz\u0119\u015b\u0107 udow\u0105 i panewkow\u0105 stawu biodrowego. Wyb\u00f3r protezy zale\u017cy od jako\u015bci ko\u015bci i stopnia zu\u017cycia.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbR\u00e9cup\u00e9ration\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Od dnia operacji pacjent b\u0119dzie m\u00f3g\u0142 chodzi\u0107 przy pomocy lasek. 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_builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbDe quoi s\u2019agit-il ?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf059;||fa||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb35px\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb35px\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|on||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||60px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_line_height_phone=\u00a0\u00bb\u00a0\u00bb header_line_height_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb]<\/p>\n<p>Biodro jest zdeformowane lub zu\u017cyte (tzw. koksartroza) i wymaga wymiany. Biodro jest wymieniane w ca\u0142o\u015bci, tj. zar\u00f3wno cz\u0119\u015b\u0107 udowa, jak i panewkowa (cz\u0119\u015b\u0107 miednicy, kt\u00f3ra \u0142\u0105czy si\u0119 z ko\u015bci\u0105 udow\u0105).<\/p>\n<p>Zu\u017cyciu stawu biodrowego cz\u0119sto towarzyszy ograniczenie zakresu ruchu stawu (sztywno\u015b\u0107), a przede wszystkim b\u00f3l. Klinicznie objawia si\u0119 to utykaniem, trudno\u015bciami z zak\u0142adaniem but\u00f3w i toalet\u0105. Czasami konieczne jest u\u017cycie laski, aby z\u0142agodzi\u0107 b\u00f3l i utrzyma\u0107 niezale\u017cno\u015b\u0107 chodzenia.<\/p>\n<p>W przypadku tak zwanego zu\u017cycia infra-radiologicznego, tj. zu\u017cycia, kt\u00f3re nie jest widoczne lub jest tylko nieznacznie widoczne na zdj\u0119ciach rentgenowskich, operacja mo\u017ce by\u0107 wskazana po niepowodzeniu r\u00f3\u017cnych metod leczenia, w tym pr\u00f3by czasu, \u015brodk\u00f3w przeciwb\u00f3lowych lub infiltracji. Rezonans magnetyczny lub tomografia komputerowa potwierdzaj\u0105 diagnoz\u0119 choroby zwyrodnieniowej staw\u00f3w.<\/p>\n<p>Celem operacji jest zatem zatrzymanie zjawiska usztywnienia i deformacji, a nawet przywr\u00f3cenie osi funkcjonalnej kolana. Zmniejszenie, a nawet zanik b\u00f3lu jest cz\u0119sto g\u0142\u00f3wnym celem motywuj\u0105cym pacjent\u00f3w do poddania si\u0119 operacji.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"L'Intervention \" use_icon=\"on \" font_icon=\"\uf7e6||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|24px|20px|24px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Operacja przeprowadzana jest w szpitalu, na sali operacyjnej, w znieczuleniu og\u00f3lnym lub rdzeniowym, tj. zastrzyku w plecy, kt\u00f3ry usypia tylko ko\u0144czyny dolne. Zalet\u0105 znieczulenia rdzeniowego jest to, \u017ce pacjent pozostaje przytomny, a zatem jest mniej nara\u017cony na konsekwencje znieczulenia og\u00f3lnego, kt\u00f3re czasami mog\u0105 prowadzi\u0107 do nudno\u015bci, wymiot\u00f3w lub spowolnienia wy\u017cszych funkcji przez kilka godzin. Wad\u0105 znieczulenia rdzeniowego jest to, \u017ce pacjent musi bra\u0107 bierny udzia\u0142 w operacji, co niekt\u00f3rym mo\u017ce wydawa\u0107 si\u0119 ha\u0142a\u015bliwe.<\/p>\n<p>Pacjent uk\u0142adany jest po stronie przeciwnej do operowanego biodra. Wykonywane jest naci\u0119cie przednio-boczne, umo\u017cliwiaj\u0105ce dost\u0119p do stawu biodrowego. U\u017cywaj\u0105c narz\u0119dzi do ods\u0142oni\u0119cia operowanego stawu, dokonuje si\u0119 resekcji g\u0142owy ko\u015bci udowej i przygotowuje wn\u0119trze ko\u015bci, aby nada\u0107 jej kszta\u0142t protezy. Panewka jest przygotowywana przy u\u017cyciu zmotoryzowanych wierte\u0142 okr\u0105g\u0142ych, aby zachowa\u0107 naturaln\u0105 kulisto\u015b\u0107 tej wyj\u0105tkowej ko\u015bci.<\/p>\n<p>Zasad\u0105 operacji jest wyci\u0119cie zu\u017cytej chrz\u0105stki pokrywaj\u0105cej ko\u015b\u0107 udow\u0105 i panewkow\u0105 i zast\u0105pienie jej solidnymi powierzchniami, z poszanowaniem lokalnej anatomii.<\/p>\n<p>Istniej\u0105 protezy cementowane, bezcementowe lub mieszane, kt\u00f3rych wyb\u00f3r zale\u017cy od jako\u015bci ko\u015bci, jej kszta\u0142tu i stopnia zu\u017cycia. Moment tarcia (to, co porusza si\u0119 w protezie) r\u00f3wnie\u017c r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od przyzwyczaje\u0144 chirurga, ale tak\u017ce od rozwoju wiedzy naukowej. Podsumowuj\u0105c, istniej\u0105 tak zwane pary twarde (metal przeciwko metalowi, porzucone lub ceramiczne przeciwko ceramice) lub tak zwane pary twardo-mi\u0119kkie (metal lub ceramika przeciwko polietylenowi).<\/p>\n<p>Tkanki mi\u0119kkie, tj. naczynia, nerwy, wi\u0119zad\u0142a, mi\u0119\u015bnie i \u015bci\u0119gna otaczaj\u0105ce staw biodrowy, pozostaj\u0105 nienaruszone podczas ca\u0142ej operacji; zmianie ulega jedynie staw.<\/p>\n<p>Pod koniec operacji do tkanek maziowych i torebkowych wstrzykiwany jest \u015brodek znieczulaj\u0105cy, aby zoptymalizowa\u0107 natychmiastowe u\u015bmierzenie b\u00f3lu pooperacyjnego. Sk\u00f3r\u0119 zamyka si\u0119 zszywkami i nak\u0142ada opatrunek uciskowy na 24 godziny.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"l'Hospitalisation \" use_icon=\"on \" font_icon=\"\uf0f8||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>W dniu operacji, kt\u00f3ra zazwyczaj odbywa si\u0119 rano, pacjent b\u0119dzie m\u00f3g\u0142 po raz pierwszy wsta\u0107 z \u0142\u00f3\u017cka po po\u0142udniu. Przez wi\u0119kszo\u015b\u0107 czasu pacjent b\u0119dzie w stanie chodzi\u0107 samodzielnie, z pomoc\u0105 lasek i w towarzystwie opiekuna.<\/p>\n<p>Pierwszego dnia znieczulenie og\u00f3lne (przez \u017cy\u0142y) i znieczulenie miejscowe (\u015brodek znieczulaj\u0105cy wstrzykiwany w biodro pod koniec operacji) pozwalaj\u0105 sp\u0119dzi\u0107 pierwsze 24 godziny niemal ca\u0142kowicie bez b\u00f3lu. Po tym czasie stopniowo pojawia si\u0119 krwiak pooperacyjny, a napi\u0119cie w operowanej ko\u0144czynie dolnej przyczynia si\u0119 do b\u00f3lu, kt\u00f3ry jednak powinien pozosta\u0107 umiarkowany. Kontrola b\u00f3lu jest jednym z kryteri\u00f3w wypisu.<\/p>\n<p>Dzie\u0144 po operacji samodzielno\u015b\u0107 pacjenta zostanie oceniona przez fizjoterapeut\u0119 i piel\u0119gniarki z oddzia\u0142u. Do zatwierdzenia powrotu do domu wykorzystane zostan\u0105 r\u00f3\u017cne kryteria. G\u0142\u00f3wnymi kryteriami s\u0105 kontrola b\u00f3lu i krwawienia, samodzielno\u015b\u0107 w myciu i ubieraniu si\u0119 oraz zdolno\u015b\u0107 do korzystania ze schod\u00f3w. Pacjent mo\u017ce zosta\u0107 wypisany do domu w 1. dniu po operacji, ale \u015brednio w ci\u0105gu 48 godzin. Pacjent mo\u017ce zosta\u0107 d\u0142u\u017cej, je\u015bli nie czuje si\u0119 gotowy do powrotu do domu. D\u0142ugo\u015b\u0107 pobytu w szpitalu jest omawiana indywidualnie przez pacjenta i chirurga, ale wykazano, \u017ce im kr\u00f3tszy pobyt, tym mniejsze ryzyko powik\u0142a\u0144.<\/p>\n<p>Podczas ca\u0142ego pobytu w szpitalu pacjent b\u0119dzie post\u0119powa\u0142 zgodnie z protoko\u0142em o nazwie Rapid Recovery, ustanowionym w ramach oddzia\u0142u, kt\u00f3rego celem jest umo\u017cliwienie pacjentowi powrotu do samodzielno\u015bci w spos\u00f3b partycypacyjny. Powr\u00f3t do zdrowia opiera si\u0119 na motywacji, kt\u00f3ra rozpoczyna si\u0119 w fazie przedoperacyjnej i prowadzi do dobrowolnego powrotu do zdrowia bez powik\u0142a\u0144. Natychmiastowa pionizacja pooperacyjna zmniejsza powik\u0142ania zwi\u0105zane z le\u017ceniem w \u0142\u00f3\u017cku, w tym zaburzenia trawienia, oddawania moczu, apetytu i snu, a tak\u017ce ryzyko zapalenia \u017cy\u0142. Wykazano, \u017ce szybki powr\u00f3t do codziennego \u017cycia prowadzi do statystycznie udowodnionego zmniejszenia powik\u0142a\u0144 medycznych, w szczeg\u00f3lno\u015bci tych zwi\u0105zanych z zapaleniem \u017cy\u0142, a tym samym do wyst\u0105pienia zatorowo\u015bci p\u0142ucnej, kt\u00f3ra jest najbardziej obawiaj\u0105cym si\u0119 powik\u0142aniem po ka\u017cdej operacji na ko\u0144czynach dolnych.<\/p>\n<p><strong>Powr\u00f3t do domu ma zasadnicze znaczenie dla zmniejszenia liczby powik\u0142a\u0144. Wykazano, \u017ce im starszy pacjent, tym wcze\u015bniej mo\u017ce wr\u00f3ci\u0107 do domu. Pooperacyjna hospitalizacja jako lekarstwo staje si\u0119 raczej wyj\u0105tkiem ni\u017c regu\u0142\u0105 i powinna by\u0107 proponowana tylko w sytuacjach, w kt\u00f3rych autonomia pacjenta by\u0142a ju\u017c bardzo ograniczona przed operacj\u0105, u osoby mieszkaj\u0105cej samotnie, z niewielkim wsparciem i z powi\u0105zanymi wadami lub chorobami.<\/strong><\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"Po hospitalizacji \" use_icon=\"on \" font_icon=\"\uf70c||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Po powrocie do domu pacjent zostanie nauczony samodzielnej zmiany opatrunku. Opatrunek ten jest wodoodporny i umo\u017cliwia mycie si\u0119 bez dodatkowej ochrony. Zszywki s\u0105 usuwane w 18. dniu po operacji przez piel\u0119gniark\u0119 domow\u0105 lub lekarza rodzinnego. Krwiaki pooperacyjne utrwalaj\u0105 si\u0119 oko\u0142o 8. dnia po operacji. Czasami mog\u0105 by\u0107 imponuj\u0105ce, sprawiaj\u0105c, \u017ce tkanki sk\u00f3ry s\u0105 bardzo napi\u0119te, a w skrajnych przypadkach powoduj\u0105c pojawienie si\u0119 na sk\u00f3rze phlyctenes (du\u017cych p\u0119cherzy). Ten krwiak nie powinien Ci\u0119 martwi\u0107; jest normalny i niezb\u0119dny do gojenia. Dop\u00f3ki nie towarzyszy mu b\u00f3l nie do zniesienia, pomimo stosowania \u015brodk\u00f3w przeciwb\u00f3lowych, lub parali\u017c ko\u0144czyny, nale\u017cy kontynuowa\u0107 samokszta\u0142cenie i chodzenie. Je\u015bli tak nie jest, nale\u017cy skontaktowa\u0107 si\u0119 z chirurgiem lub lekarzem rodzinnym, aby om\u00f3wi\u0107 swoje obawy.<\/p>\n<p>B\u0119dziesz mie\u0107 prawo do pe\u0142nego wsparcia natychmiast, pod os\u0142on\u0105 pary lasek przez pierwszy miesi\u0105c. Codzienne czynno\u015bci musz\u0105 by\u0107 mo\u017cliwe do wykonania zaraz po powrocie do domu. Mo\u017cliwe jest opuszczenie domu.<\/p>\n<p>Zaleca si\u0119, aby nie prowadzi\u0107 samochodu przez pierwszy miesi\u0105c, jak wyja\u015bniono powy\u017cej.<\/p>\n<p>Zabiegi medyczne musz\u0105 by\u0107 wykonywane zgodnie z zaleceniami na receptach wypisowych. Pierwsza kontrola pooperacyjna odbywa si\u0119 mi\u0119dzy drugim a trzecim miesi\u0105cem, ale b\u0119dzie dostosowana do indywidualnych potrzeb.<\/p>\n<p>Powr\u00f3t do aktywno\u015bci rekreacyjnej jest mo\u017cliwy mi\u0119dzy 2. a 3. miesi\u0105cem, a do aktywno\u015bci sportowej po 3. miesi\u0105cu, chocia\u017c powr\u00f3t ten musi by\u0107 stopniowy, a poziom sprzed operacji nie zostanie natychmiast przywr\u00f3cony.<\/p>\n<p>Powr\u00f3t do pracy trwa od 1 do 4 miesi\u0119cy, w zale\u017cno\u015bci od tego, czy praca jest siedz\u0105ca i wymaga niewielu podr\u00f3\u017cy samochodem, czy te\u017c wi\u0105\u017ce si\u0119 z intensywn\u0105, stoj\u0105c\u0105 prac\u0105 fizyczn\u0105.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"D\u0142ugoterminowa ewolucja \" use_icon=\"on \" font_icon=\"$||divi||400\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>W idealnej sytuacji ca\u0142kowita proteza stawu biodrowego oznacza, \u017ce pacjent nie musi ju\u017c nigdy przechodzi\u0107 operacji.<\/p>\n<p>Proteza mo\u017ce trwa\u0107 tak d\u0142ugo, jak pacjent, je\u015bli biodro jest u\u017cywane racjonalnie. S\u0105 to cz\u0119\u015bci zu\u017cywaj\u0105ce si\u0119, podobnie jak w in\u017cynierii mechanicznej. W rezultacie nadwaga (oty\u0142o\u015b\u0107), noszenie du\u017cych ci\u0119\u017car\u00f3w i intensywna aktywno\u015b\u0107 sportowa mog\u0105 przyczyni\u0107 si\u0119 do skr\u00f3cenia \u017cywotno\u015bci implantu. Og\u00f3lnie przyjmuje si\u0119, \u017ce \u015brednia d\u0142ugo\u015b\u0107 \u017cycia wynosi 15 lat. Jednak \u015brednia ta wzrasta, je\u015bli nie wyst\u0105pi\u0105 wy\u017cej wymienione komplikacje.<\/p>\n<p>Zdrowy styl \u017cycia ma zasadnicze znaczenie dla d\u0142ugowieczno\u015bci implant\u00f3w.<\/p>\n<p>Chirurg przeprowadzi radiokliniczn\u0105 kontrol\u0119, pocz\u0105tkowo raz w roku, a nast\u0119pnie cz\u0119\u015bciej. Poza tymi zaplanowanymi okresami nale\u017cy skonsultowa\u0107 si\u0119 z chirurgiem w przypadku zauwa\u017cenia jakichkolwiek zmian w odczuwaniu lub funkcjonowaniu biodra.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbPossibles Complications\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbInfection \u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-2\" aria-labelledby=\"ui-id-1\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Ryzyko jego wyst\u0105pienia jest statystycznie szacowane na 2 %, ale wzrasta w przypadku chor\u00f3b towarzysz\u0105cych, z kt\u00f3rych najcz\u0119stsze to oty\u0142o\u015b\u0107 i cukrzyca, a tak\u017ce s\u0142aba jako\u015b\u0107 sieci \u017cylnej lub sk\u00f3ry. Czynnikami ryzyka s\u0105 r\u00f3wnie\u017c palenie tytoniu i spo\u017cywanie alkoholu. Z drugiej strony, je\u015bli jeste\u015b wolny od wad, masz regularn\u0105 aktywno\u015b\u0107 fizyczn\u0105 przed operacj\u0105 i stosujesz zbilansowan\u0105 diet\u0119, ryzyko powik\u0142a\u0144 jest ni\u017csze ni\u017c dane statystyczne. W przypadku infekcji mo\u017ce by\u0107 konieczna wt\u00f3rna operacja w po\u0142\u0105czeniu z leczeniem antybiotykami.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[et_pb_accordion_item][et_pb_accordion_item title=\"Zapalenie \u017cy\u0142\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-4\" aria-labelledby=\"ui-id-3\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Zwi\u0105zane z le\u017ceniem w \u0142\u00f3\u017cku i ograniczon\u0105 mobilno\u015bci\u0105, w po\u0142\u0105czeniu z krwiakiem pooperacyjnym, wyst\u0119puje w wyniku s\u0142abego kr\u0105\u017cenia. Zapalenie \u017cy\u0142 w wywiadzie zwi\u0119ksza ryzyko tego powik\u0142ania. Pacjent otrzyma profilaktyczne leczenie przeciwzakrzepowe, kt\u00f3rego dawka i czas trwania zostan\u0105 dostosowane do historii choroby. Zapalenie \u017cy\u0142 objawia si\u0119 b\u00f3lem, najcz\u0119\u015bciej w \u0142ydce, pochodzenia wt\u00f3rnego, kt\u00f3ry nale\u017cy zawsze podejrzewa\u0107 i w razie potrzeby zbada\u0107 za pomoc\u0105 ultrasonografii \u017cy\u0142 ko\u0144czyn dolnych.<\/p>\n<p>Nieleczone zapalenie \u017cy\u0142 mo\u017ce prowadzi\u0107 do zatorowo\u015bci p\u0142ucnej, tj. migracji skrzep\u00f3w krwi z \u017cy\u0142 do p\u0142uc, co w wyj\u0105tkowych przypadkach mo\u017ce by\u0107 \u015bmiertelne.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Fracture \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-6\" aria-labelledby=\"ui-id-5\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Po operacji ko\u015b\u0107 jest os\u0142abiona, po pierwsze z powodu niedostatecznego u\u017cywania ko\u0144czyny z powodu przedoperacyjnej choroby zwyrodnieniowej staw\u00f3w, a po drugie z powodu samej operacji. W rezultacie, w razie upadku, uderzenie w operowan\u0105 ko\u015b\u0107 mo\u017ce doprowadzi\u0107 do z\u0142amania wok\u00f3\u0142 protezy, a nawet jej obluzowania (oderwania protezy od ko\u015bci). Konieczna mo\u017ce by\u0107 w\u00f3wczas ponowna interwencja w celu naprawy ko\u015bci lub nawet wymiany protezy.<\/p>\n<p>W ci\u0105gu pierwszego miesi\u0105ca po operacji istnieje ryzyko, \u017ce implant zapadnie si\u0119 w ko\u015b\u0107. Pacjent zostanie poproszony o noszenie laski przez pierwszy miesi\u0105c, aby kontrolowa\u0107 to ryzyko. Laski powinny by\u0107 u\u017cywane jako zabezpieczenie na wypadek potkni\u0119cia si\u0119 lub bliskiego upadku, podobnie jak ma\u0142e k\u00f3\u0142ka w rowerze dzieci\u0119cym.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Luxation \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>W ci\u0105gu pierwszych dw\u00f3ch miesi\u0119cy krwiak pooperacyjny i zast\u00f3j mi\u0119\u015bni mog\u0105 prowadzi\u0107 do zwichni\u0119cia protezy. Je\u015bli tak si\u0119 stanie, nie b\u0119dziesz ju\u017c w stanie chodzi\u0107, a b\u00f3l zwykle prowadzi do wizyty na pogotowiu. Nast\u0119pnie trzeba zasn\u0105\u0107, aby umie\u015bci\u0107 protez\u0119 z powrotem na miejscu.<\/p>\n<p>Ryzyko to jest rz\u0119du 1 %, ale aby utrzyma\u0107 je jak najbli\u017cej zera, zostaniesz nauczony unikania lub dostosowywania niekt\u00f3rych codziennych ruch\u00f3w. Zostaniesz r\u00f3wnie\u017c poproszony o nieprowadzenie samochodu przez pierwszy miesi\u0105c, poniewa\u017c zwichni\u0119cie za kierownic\u0105 mo\u017ce doprowadzi\u0107 do wypadku. Mo\u017cesz jednak podr\u00f3\u017cowa\u0107 samochodem jako pasa\u017cer, ale powiniene\u015b wybra\u0107 wysokie siedzenie i unika\u0107 podr\u00f3\u017cy trwaj\u0105cych d\u0142u\u017cej ni\u017c godzin\u0119 bez przerwy.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"nier\u00f3wno\u015b\u0107 cz\u0142onk\u00f3w\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-10\" aria-labelledby=\"ui-id-9\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Po operacji mo\u017ce pojawi\u0107 si\u0119 nier\u00f3wno\u015b\u0107 ko\u0144czyn. Wysoko\u015b\u0107 protezy jest dostosowywana do d\u0142ugo\u015bci ko\u0144czyn, a w niekt\u00f3rych przypadkach mo\u017cna j\u0105 nawet przywr\u00f3ci\u0107, je\u015bli przed operacj\u0105 wyst\u0119powa\u0142a nier\u00f3wno\u015b\u0107. Jednak stabilno\u015b\u0107 implant\u00f3w wzgl\u0119dem siebie lub w ko\u015bci jest wa\u017cniejsza ni\u017c identyczna d\u0142ugo\u015b\u0107 ko\u0144czyn. Dlatego chirurg nie zawsze kontroluje ten parametr, daj\u0105c pierwsze\u0144stwo stabilno\u015bci protezy. Nier\u00f3wno\u015b\u0107 do 2 cm nie jest na og\u00f3\u0142 odczuwalna, ale mo\u017ce by\u0107 widoczna na zdj\u0119ciach rentgenowskich. W razie potrzeby pacjentowi zostanie zaproponowana kompensacja w postaci podeszwy lub nak\u0142adki na pi\u0119t\u0119.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[et_pb_accordion_item][et_pb_accordion_item title=\"Sztywno\u015b\u0107 staw\u00f3w\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Sztywno\u015b\u0107 stawu mo\u017ce by\u0107 konsekwencj\u0105 sztywno\u015bci przedoperacyjnej. W rzeczywisto\u015bci, gdy zu\u017cycie jest d\u0142ugotrwa\u0142e, a biodro nie mia\u0142o naturalnego zakresu ruchu przez kilka lat, odzyskanie pe\u0142nej ruchomo\u015bci jest czasami trudne, je\u015bli nie niemo\u017cliwe. W takich przypadkach b\u0119dziesz musia\u0142 zaakceptowa\u0107 pewn\u0105 sztywno\u015b\u0107 nast\u0119pcz\u0105.<\/p>\n<p>Z wyj\u0105tkiem szczeg\u00f3lnych przypadk\u00f3w, po wypisaniu ze szpitala nie b\u0119dzie zalecana fizjoterapia. Pacjent otrzyma seri\u0119 \u0107wicze\u0144 do samodzielnego wykonywania. Chodzenie uelastycznia biodro.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Inne \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Przebieg pooperacyjny mo\u017ce by\u0107 naznaczony zaburzeniami, kt\u00f3re nie s\u0105 klasyfikowane jako powik\u0142ania, ale jako incydenty pooperacyjne. Nale\u017c\u0105 do nich obrz\u0119k operowanej ko\u0144czyny dolnej, kt\u00f3ry mo\u017ce utrzymywa\u0107 si\u0119 do roku oraz wysi\u0119k stawowy (p\u0142yn w stawie biodrowym), kt\u00f3ry mo\u017ce utrzymywa\u0107 si\u0119 kilka lat w wyniku miejscowych reakcji zapalnych.<\/p>\n<p>Nadal mo\u017ce wyst\u0119powa\u0107 b\u00f3l t\u0142a, kt\u00f3ry b\u0119dzie mniejszy ni\u017c przed operacj\u0105, bez \u017cadnego defektu lub komplikacji. B\u00f3l ten jest oceniany przez chirurga i leczony zgodnie z jego intensywno\u015bci\u0105. Je\u015bli jest on \u017ale tolerowany, w skrajnych przypadkach mo\u017ce to prowadzi\u0107 do powt\u00f3rnej operacji, je\u015bli wykryte zostan\u0105 nieprawid\u0142owo\u015bci, kt\u00f3re mog\u0142yby go wyja\u015bni\u0107.<\/p>\n<p>W kr\u00f3tszej perspektywie czasowej incydenty bliznowacenia z op\u00f3\u017anionym gojeniem, a nawet zrostem blizny, mog\u0105 utrudnia\u0107 powr\u00f3t do zdrowia, chocia\u017c przy braku zespo\u0142u zaka\u017anego ostatecznie dochodzi do wygojenia.<\/p>\n<p>Wreszcie, ka\u017cda procedura znieczulenia mo\u017ce teoretycznie prowadzi\u0107 do masywnej reakcji alergicznej zwanej wstrz\u0105sem anafilaktycznym, z zatrzymaniem kr\u0105\u017cenia i oddechu oraz \u015bmierci\u0105. Jednak pacjent b\u0119dzie stale monitorowany przez anestezjolog\u00f3w podczas zabiegu, a nawet po nim, wi\u0119c to \u015bmiertelne ryzyko pozostaje czysto teoretyczne i sta\u0142o si\u0119 niezwykle rzadkie.<\/p>\n<p>Powik\u0142ania te nie powinny jednak przera\u017ca\u0107. Istniej\u0105 i nale\u017cy by\u0107 ich \u015bwiadomym, ale s\u0105 rzadkie, a chirurg z przyjemno\u015bci\u0105 om\u00f3wi je z pacjentem, uspokoi go i wesprze, je\u015bli wyst\u0105pi\u0105.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][dipi_before_after_slider _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_before_after_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbProduct\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb0deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.18) 100%\u00a0\u00bb 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si\u0119 na spotkanie z<br \/>Dr Pawe\u0142 MIELCAREK<\/span><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb button_text=\u00a0\u00bbPrendre RDV \u00a0\u00bb button_alignment=\u00a0\u00bbright\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb1rem\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_border_color=\u00a0\u00bb#ffffff\u00a0\u00bb button_border_radius=\u00a0\u00bb0px\u00a0\u00bb 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button_border_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb button_border_color__hover=\u00a0\u00bb#b6b187&Prime; custom_css_main_element_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bb width:100%;||text-align:center\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbfloat:left;||margin-right:24px\u00a0\u00bb _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bb4827deed-2a92-4d97-a22f-f01067ae6873&Prime; header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_4_font=\u00a0\u00bbPoppins|600|||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_font_size=\u00a0\u00bb20px\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_4_font_size_tablet=\u00a0\u00bb16px\u00a0\u00bb header_4_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb header_4_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Um\u00f3w Wizyt\u0119<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>Mo\u017cesz um\u00f3wi\u0107 si\u0119 na spotkanie z lekarzem bezpo\u015brednio na Docolib poprzez stron\u0119 Kontakt.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>Telekonsultacje<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>Odwied\u017a Consulib, aby um\u00f3wi\u0107 si\u0119 na telekonsultacj\u0119 z dr Paulem Mielcarkiem.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>W Gabinecie<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, zaprasza od poniedzia\u0142ku do pi\u0105tku w godzinach od 8:00 do 12:00 i od 14:00 do 18:00 .<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>InterwencjeCa\u0142kowita wymiana stawu biodrowegoZu\u017cyciu stawu biodrowego cz\u0119sto towarzyszy zmniejszenie amplitudy stawu (sztywno\u015b\u0107), a przede wszystkim b\u00f3l. 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