Konke Odinga Ukukwazi Ngokushintshwa Kwedolo Eliyingxenye

Ukushintshwa Kwedolo Ngokwengxenye - Isinyathelo Ngesinyathelo Incazelo:

Eyaziwa nangokuthi i-arthroplasty ye-knee arthroplasty noma i-unicompartmental knee replacement, ukuguqulwa kwamadolo okuyingxenye ukuhlinzwa, ikakhulukazi okwenziwa esibhedlela sokushintshwa kwamadolo eNdiya, lapho kuphela ingxenye eyonakele ye-cartilage endaweni ehambisanayo yokuhlangana ishintshwa.

Le nqubo inezinzuzo eziningi ngaphezu kokushintshwa kwamadolo okuphelele ngokwesikhathi esifushane sokubuyisela, ukulondolozwa kwamathambo, kanye nokulondolozwa kwemigqa. Lokhu kunika amandla uhla olungcono lokunyakaza kanye nephethini engcono yokuhamba. Kodwa-ke, kungenziwa kuphela kubantu abanokulimala kwamadolo okubandakanya kuphela ingxenye ye-cartilage noma i-medial compartment noma i-lateral compartment. Iziguli ezinezifo ezithe xaxa ezibandakanya idolo lonke azifaneleki ukhetho lwalokhu kuhlinzwa.

Kungani kwenziwa Ukuhlinzwa Kokubuyisela Idolo?

Ukulimala kwamadolo okuyingxenye eyodwa okubangelwa i-osteoarthritis ethuthukisiwe yisizathu esivame kakhulu sokuthi kungani udokotela wakho angase ancome ukushintshwa kwedolo okuyingxenye. I-osteoarthritis kungaholela ekugugeni okuphawulekayo ekuhlanganyeleni kwedolo lakho. Amagama ezokwelapha ezingxenyeni ezihlukene zamadolo aphakathi (uhlangothi lwangaphakathi), i-lateral (uhlangothi lwangaphandle), ne-patellofemoral (indawo lapho ithambo lethanga libheke khona i-kneecap).

Uma isifo sokuqaqamba kwamalunga silimaza uqwanga, ilunga lakho lingakwazi ukumunca ukushaqeka, okuholela ebuhlungu bemishini obubhebhezelwa umsebenzi. Ezifweni ezithuthuke kakhulu ngokuguga okuphelele kwe-cartilage, kukhona ukuxhumana kwethambo okuholela ebuhlungu obukhulu, ukuhamba okulinganiselwe, nokuqina. Uma kunjalo ngawe, udokotela wakho uzoqala ukwelashwa kwakho ngenkambo yezinketho ezingakuhlinzeki. Kodwa-ke, uma lokhu kungaphumeleli ekukunikezeni impumuzo ezimpawini zakho ezinjengobuhlungu nokungaphatheki kahle okuphazamisa imisebenzi yakho yansuku zonke, inketho yakho elandelayo ukubuyisela amadolo.

Umgomo wale nqubo ukuqinisekisa ukuthi ukunyakaza kwakho kwamadolo akunabuhlungu futhi ukuhamba kwakho akuphazamiseki, okukuvumela ukuba wenze yonke imisebenzi yokuphila kwansuku zonke. Lokhu kungabandakanya ukubuyela emidlalweni efana negalofu, ukubhukuda, i-Trekking, njll.

Nakuba ingqikithi ukuguqula amadolo kuvamile, uma kukhona umonakalo endaweni kuphela yedolo lakho, khona-ke ungumuntu olungile wokushintsha ingxenye. Enye yezinzuzo eziyinhloko zokuhlinzwa okuyingxenye yokuguqulwa kwamadolo eNdiya ukuthi igcina ithambo elinempilo, imigqa, kanye ne-cartilage ekhona ezindaweni ezingazange zithinteke umonakalo. Kuyinqubo ehlasela kancane lapho esikhundleni sokusikeka okukhulu okwenzelwe ukushintshwa kwamadolo avulekile, kwenziwa ukusika okuncane. Uma udokotela wakho etusa ukushintshwa kwamadolo ngokwengxenye, kufanele ubuze udokotela wakho mayelana nezinzuzo zokushintshwa kwamadolo kancane kanye nezingozi zale nqubo uma kuqhathaniswa nokuhlinzwa okuphelele kokubuyisela amadolo.

Ubani ongakwazi ukwenza Ukuhlinzwa Kokubuyisela Idolo?

Udokotela ohlinzayo wamathambo uzokwenza ukuhlinzwa okuyingxenye yedolo. Zikhethekile ekubhekaneni nezifo nokulimala kwesistimu yakho ye-musculoskeletal kuhlanganise namathambo akho, imigqa, namalunga. Udokotela ohlinzayo wamathambo uzokwazi ukwelapha izinkinga zakho zamadolo kusukela ekuxilongweni kuya ekuvuselelweni.

Ngaphandle kokuqeqeshwa okujwayelekile kanye nobuchwepheshe emkhakheni wezokwelashwa kwamathambo, abanye odokotela abahlinzayo basebenza ngokukhethekile endaweni ethile yesistimu ye-musculoskeletal njengomgogodla, amadolo, ama-hips, noma izingalo. Ngakho-ke, nakuba wonke udokotela ohlinzayo wamathambo ezokwazi ukunquma ukuthi udinga ukushintshwa kwamadolo noma cha, udinga udokotela ohlinzayo onguchwepheshe bokushintshwa kwamadolo ngenqubo yakho. Uma uhlela ukufaka esikhundleni samadolo ingxenye ethile, kufanele uthole udokotela ohlinzayo onokuhlangenwe nakho okwenza inqubo ngemiphumela emihle, okusho imiphumela ephumelelayo kanye nengozi ephansi yezinkinga.

Kwenziwa kanjani Ukuhlinzwa Kokubuyisela Idolo?

Ngaphambi kokuhlinzwa kwakho, kufanele uxoxe ngezinketho zakho ze-anesthesia. Ungase ufune ukuthola i-anesthesia yendawo ekwenza ndikindiki kusukela okhalweni kuya phansi. Ngale ndlela, uphapheme phakathi nenqubo. I-sedative izokwenza ukuthi ukhululeke futhi ube ne-groggy ngesikhathi senqubo. Enye inketho yakho i-anesthesia evamile ezokwenza ulale ngesikhathi senqubo. Udokotela angase futhi acele ukuthwebula isithombe samadolo ngaphambi kwenqubo ukuze anqume ubukhulu bomonakalo. Uma kunomonakalo owengeziwe wamadolo kunokulindelekile, ungase udinge ukushintshwa kwamadolo ngokuphelele. Kufanele uxoxe ngala mathuba kusenesikhathi.

Ngesikhathi sokushintshwa kwamadolo ngokwengxenye, udokotela ohlinzayo ususa ithambo nezicubu ezilimele emadolweni bese efaka izingxenye zepulasitiki noma zensimbi esikhundleni salo. Kwenziwa kuphela lapho isifo samathambo sithinte ingxenye ethile kuphela yedolo. Le ndawo izothathelwa indawo i-prosthetic, implantation yokwenziwa, futhi lonke idolo lizogcinwa. Yonke inqubo yenziwa ngokusebenzisa izimbobo ezincane ukuze ukwazi ukululama ngesikhathi esifushane. Nazi izinyathelo ezihilelekile kunqubo yokushintsha idolo ingxenye.

• Kuzoqala ngokuthi umhlengikazi ngaphambi kokuhlinzwa akulungiselele inqubo ngokuqala umugqa wokungena emthanjeni woketshezi kanye nemithi. Ngemva kwalokho, uzoyiswa egunjini lokuhlinzela lapho uzolandwa khona nge-anesthesia yendawo noma evamile.
• Khona-ke, udokotela ohlinzayo uzobe esika idolo lakho. Lokhu kungaba phakathi kwamayintshi angu-3 no-5 (amasentimitha angu-7.5 no-13) ubude. Bazohlola ilunga ledolo ukuze babheke kangcono ilunga elimele.
• Uma sebekwazi ukufinyelela endaweni ethintekile yamadolo, bazosusa isakhiwo esisekelayo kancane endleleni.
• Okulandelayo, bazosusa ithambo elonakele kanye ne-cartilage endaweni ethintekile.
• Lokhu kulandelwa ngokulungiselela lezi zindawo zokufakelwa okunosayizi oqondile welunga lakho. I-spacer yepulasitiki ifakwa phakathi kwezingcezu zensimbi ukuqinisekisa ukuthi ziyakwazi ukushelela kahle ngenkathi zihamba.
• Uma ukufakelwa sekuqinisekisiwe kusetshenziswa usimende, zonke izicubu ezizungezile nezakhiwo ziyabuyiselwa futhi ukusika kuyavalwa.
• Othile ovela ezisebenzini zasesibhedlela uzokusa ekamelweni lokululama ngemva kwenqubo. Uzobekwa ngaphansi kokuqapha okuqhubekayo kuze kube yilapho imiphumela ye-anesthesia iphela.
• Kuzodingeka ukuthi uhlale esibhedlela kuze kube yilapho udokotela ekutshela ukuthi uzinzile.

Inqubo yokushintsha idolo ngokwengxenye ayihlaseleki futhi ilulama kalula futhi ngokushesha. Uzokwazi ukunyakaza futhi cishe ngokushesha. Kuya ngokuthi ukuhlinzwa kuhambe kanjani kanye nempilo yakho iyonke, kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa.

Yiziphi izinkinga kanye nezingozi Zokuhlinza I-Partial Knee Replacement?

Njenganoma yikuphi okunye ukuhlinzwa, ukushintshwa kwamadolo okuyingxenye nakho kunezingozi ezihlobene:

Izingozi ezihlobene nokushintshwa kwamadolo ngokwengxenye-

• Ukusabela ku-anesthesia
• Ukulimala kwemithambo yegazi eseduze noma izinzwa (lokhu akuvamile kakhulu)
• Ukunqwabelana koketshezi endaweni ehlangene yamadolo
• Ukwakheka kwamahlule egazi (kuvame kakhulu ku-pelvis noma emaphashini futhi uma eya ebuchosheni noma enhliziyweni, kungabangela isifo sohlangothi noma isifo senhliziyo)
• Ukutheleleka (kungenzeka ekujuleni kwesayithi lokuhlinza noma endaweni yesikhumba)

Izinkinga ezihlobene nokushintshwa kwedolo ngokwengxenye

Ezimweni eziningi, inqubo yokuguqula idolo ingxenye iphumelele. Nokho, kungase kube nezinkinga ezithile ezinjengalezi:

• Ukuhluleka kwe-Prosthesis lapho izingxenye ezihlangene ezishintshiwe zingaxhunywanga kahle edolweni
• Ukuxegisa noma ukugudluzwa okungase kudinge ukuhlinzwa okwengeziwe ukuze kuvikeleke ilunga elisha
• Ukulimala kwamadolo, ikakhulukazi uma wenza imisebenzi enomthelela omkhulu njengokugijima. Lokhu kungase ekugcineni kudinge ukuthi uhlinzwe ngokuphelele esikhundleni samadolo.
• Ukuqhubeka kokuqina nobuhlungu.

Yehlisa ubungozi bezinkinga

Nansi indlela ongayinciphisa ngayo ingozi yezinkinga zokuhlinzwa:

• Qala ukwelashwa ngokomzimba ngokushesha
• Qalisa kabusha umsebenzi wokukhanya
• Uma kudingeka, sebenzisa insiza yokuhamba njengezinduku noma induku
• Thatha imithi enciphisa igazi ukuze uvimbele ukwakheka kwehlule legazi
• Thatha i-antibiotic ukuze uvimbele ukutheleleka
• Yazisa udokotela wakho nganoma yikuphi ukukhathazeka okufana nomkhuhlane, ubuhlungu obuningi, noma ukopha
• Qiniseka ukuthi utshela udokotela wakho nganoma ikuphi ukungezwani komzimba nakho.

Kufanele ululungiselele kanjani Ukuhlinzwa kwakho Okushintshwa Kwedolo?

Nakhu ongakwenza ukuze ulungiselele ukushintshwa kwedolo lakho ngokwengxenye:

• Yenza amalungiselelo athile ekhaya lakho ukuze ukwazi ukuhamba nezinkinga ezimbalwa ngangokunokwenzeka.
• Khuluma neyakho udokotela mayelana nemithi oyiphuzayo. Kungase kudingeke uyeke ukuthatha imithi ethile engandisa amathuba okwakheka kwehlule legazi.
• Yeka ukuphuza noma yimiphi imithi engase yenze amasosha omzimba wakho abe buthakathaka ngokwezincomo zikadokotela wakho.
• Yeka ukubhema.

Ezimweni eziningi, abantu bayalulama kalula, ngokushesha, futhi bezwa ubuhlungu obuncane ngenqubo yokubuyisela ingxenye. Uzolulama ngokushesha kunalabo abafake idolo ngokuphelele. Ungase ukwazi ukuqala ukuhamba ngaphandle komhambi noma umoba phakathi nenyanga ngemva kwenqubo. Kodwa-ke, kufanele uqhubeke nokwelashwa ngokomzimba okungenani izinyanga ezi-3. Izivivinyo eziningi zilungile ukuthi zenziwe ngemuva kokuhlinzwa njengokubhukuda, ukuhamba, igalofu, ukuhamba ngebhayisikili, kanye nethenisi. Kodwa-ke, kungcono kakhulu ukugwema noma yimuphi umsebenzi onomthelela omkhulu njengokugijima.

Ukushintshwa kwedolo kancane kunikeza imiphumela emihle kwabanye. Kodwa-ke, kubalulekile ukuqaphela ukuthi izingxenye ezingashintshiwe zedolo lakho zingase ziwohloke futhi kungase kudingeke ukuthi ekugcineni uthole ukushintshwa kwedolo eligcwele. Inqubo izobonisa imiphumela emihle cishe iminyaka eyi-10 ngemva kokuhlinzwa. Kodwa-ke, ukushintshwa kwe-patellofemoral noma okuyingxenye ye-patella akunayo imiphumela yesikhathi eside njengengxenye yangaphandle noma yangaphakathi esikhundleni. Khuluma nodokotela wakho ukuze unqume ukuthi ukushintshwa kwamadolo okuyingxenye kuyinqubo efanelekile kuwe noma cha nokuthi iyini impumelelo yabo.

Yini okufanele uyibuze udokotela wakho ngaphambi kokuthatha Ingxenye Yedolo Lokubuyisela Idolo?

Ngaphambi kokuthi uthi yebo enqubweni yokushintsha idolo ngokwengxenye, kufanele ubuze udokotela wakho imibuzo ethile ukuze ulungiselele kahle ukuhlinzwa njengokuthi yimiphi imithi ozoyidinga ngemva kokuhlinzwa, yimiphi imithi edingekayo ukuze uyiphuze phakathi nenqubo, futhi yiziphi izivivinyo ezizokusebenzela kangcono.

Nansi eminye imibuzo engase ibe khona:

Yini okufanele ngiyilindele ngemva kokuhlinzwa kwami ​​​​kokushintshwa kwedolo?

Uma wazi ukuthi yini ongayilindela ngemva kwenqubo, ungathola ukululama kahle. Nakhu ongakwenza.

Ukuhlinzwa kuzothatha endaweni ethile phakathi kwehora elingu-1 nele-2. Ngemva kwalokho, isikhathi sakho sokutakula sizoqala. Uzovunyelwa ukuthi uye ekhaya ngosuku olufanayo nokuhlinzwa, kodwa ngezinye izikhathi, ukuhlinzwa kungasho ukuthi kuzodingeka uhlale izinsuku ezi-2 esibhedlela. Uzokwazi ukuqala ukuhamba ngokushesha. Uma bekungekho izinkinga ngesikhathi sokuhlinzwa, ukululama ngokuvamile kuyashesha kakhulu.

Isikhathi esivamile sokululama ngemva kokushintshwa kwedolo kancane cishe amasonto ayisithupha kuya kwayisishiyagalombili. Ngemva kwalokho, ungaqalisa kabusha imisebenzi yakho evamile. Qhubeka nokwelashwa kwakho ngokomzimba ukuze uthuthukise uhla lwakho lokunyakaza.

Ingabe ngizozwa ubuhlungu ngemva Kokuhlinzwa Okushintshiwe Kwedolo?

Ungase uzwe ubuhlungu ngemva kokuhlinzwa. Ungathatha amaphilisi okunciphisa ubuhlungu ukuze ulawule izimpawu. Lokhu kungaba imithi etholakala ekhawuntaleni noma ebhalwe udokotela njengoba kunconywe udokotela wakho.

Uzothola ubuhlungu obuncane ngemva kwenqubo kunabantu abashintsha idolo ngokuphelele. Lokhu kungenxa yokuthi eyokuqala ihlanganisa ukusika okuncane futhi ivikela izicubu ezithambile ezihlanganisa imisipha.

Kufanele ngibonane nini nodokotela wami?

Ngemuva kwenqubo, udinga ukukhuluma nodokotela wakho mayelana nokunakekelwa kokulandelela futhi uhlele ama-aphoyintimenti avamile. Nazi ezinye izizathu zokuthi kungani ungadinga ukuxhumana nodokotela wakho:

• ukopha
• Ubuhlungu obungeke buqedwe emithini
• Izimpawu zokutheleleka njengobomvu, imfiva, noma iphunga elibi elisuka endaweni okusikwe kuyo

Ingabe Ukuhlinzwa Kokubuyisela Idolo Ngokwengxenye kuyithinta kanjani impilo yansuku zonke?

Uma isikhathi sakho sokululama sesiphelile, uzozwa ubuhlungu obuncane kakhulu kunabo ngaphambi kwenqubo yakho yokushintsha idolo. Ungenza izivivinyo ezinomthelela omncane kanye nemidlalo efana nokuhamba ngebhayisikili, ukubhukuda noma ukuhamba ngezinyawo. Ungazibandakanyi emisebenzini enomthelela omkhulu njengokugijima njengoba bengagqoka ilunga lakho elisha.

CARE Hospitals yiyona isibhedlela esingcono kakhulu sokushintshwa kwamadolo eNdiya, nodokotela abahlinzayo abashintsha amadolo abaqeqesheke kakhulu nabanolwazi.