Ukwelashwa Kwe-Hip Replacement eBhubaneswar

Ukushintshwa kwe-Hip eBhubaneswar

Ukwelashwa esikhundleni se-Hip kuyisinyathelo sokuhlinzwa esihlose ukukhulula ubuhlungu nokuthuthukisa ukuhamba kwabantu abahlushwa izinkinga ze-hip joint. 
Kule bhulogi, sizoxoxa ngezivivinyo zokuxilonga, izingozi ezihlobene nokuhlinzwa esikhundleni se-hip, kanye nenqubo yokutakula kanye nekheli lemibuzo evame ukubuzwa mayelana nalolu khetho lokwelashwa, ikakhulukazi egxile ekwelashweni kwe-hip esikhundleni e-Bhubaneswar. CARE Izibhedlela yisibhedlela sokuqala ukwethula umnyango we-Sports Injury & rehabilitation e-Odisha futhi ifakwe odokotela bemithi yezemidlalo abahamba phambili eBhubaneswar. 

Iyini i-Hip Replacement?

I-hip arthroplasty ephelele, eyaziwa nangokuthi i-hip arthroplasty ephelele, inqubo yokuhlinzwa ehlanganisa ukususa izindawo ezilimele noma ezigulayo zelunga le-hip futhi esikhundleni sazo kufakwe izimila zokwenziwa ezenziwe ngensimbi, ipulasitiki, noma izinto zobumba. Odokotela batusa le nqubo kubantu abanobuhlungu obukhulu be-hip kanye nokunciphisa ukuhamba okubangelwa izimo ezihlukahlukene, okuhlanganisa i-osteoarthritis, i-hip fractures, noma i-avascular necrosis. Ukuhlinza esikhundleni se-Hip kuhloswe ukudambisa ubuhlungu noma ukungakhululeki, ukubuyisela ukusebenza kwamalunga, futhi kuthuthukise ikhwalithi yokuphila yonke ngokushintsha ilunga elimele.

Izizathu Zokushintshwa Kwe-Hip

Kunezizathu eziningana zokuthi kungani umuntu angadinga ukuhlinzwa esikhundleni se-hip, njenge: 

• I-osteoarthritis yisifo samalunga esiwohlokayo esidala ukuthi uqwanga oselungeni le-hip luguge, okuholela ebuhlungu, ukuqina, nokunyakaza okulinganiselwe. 
• I-Rheumatoid arthritis, isimo esingapheli sokuvuvukala, singalimaza amalunga e-hip futhi sidinga ukushintshwa kwe-hip. 
• Izimo ze-hip ezizalwa nazo njenge-developmental dysplasia of the hip (DDH) zingase zidinge ukuhlinzwa kwe-hip ukuze kulungiswe ukungahambi kahle kwamalunga.
• Ezinye izimo ezinjengokuphuka kwe-hip, izimila zethambo, ne-avascular necrosis (isimo lapho ukunikezwa kwegazi ekuhlanganyeleni kwe-hip kuvinjelwe)

Izinhlobo Zokushintshwa Kwe-Hip

Izinhlobo zokuhlinza esikhundleni se-hip zincike ezingeni lomonakalo kanye nezidingo eziqondile zesiguli. 

• Ukushintshwa kwe-hip okuphelele: Lapha, udokotela ohlinzayo uzothatha indawo yebhola le-hip joint kanye nesokhethi ngokufakelwa kokwenziwa. 
• Ukushintshwa kwe-hip okuyingxenye: Lokhu kuhlinzwa kuhilela ukufaka esikhundleni kuphela ibhola elihlangene le-hip. 
• I-Hip resurfacing: Ilungisa kabusha ithambo elilimele futhi ivale ngokufakelwa kwensimbi. 
• Inqubo yokubukeza yokushintshwa kwe-hip: Le ndlela yokuhlinza ihilela ukubuyisela izimila ezindala ngezingxenye ezintsha. 
• Ukushintshwa kwe-hip ye-Bilateral: Le nqubo yokuhlinzwa ihilela ukubuyisela kokubili amalunga e-hip ngesikhathi sokuhlinzwa okukodwa. 

Kudingeka Nini Ukushintshwa Kwe-Hip Noma Kunconywa?

Odokotela batusa ukuhlinzwa esikhundleni se-hip lapho izindlela zokwelapha ezingahlinzeki, njengemithi, i-physiotherapy, nokuguqulwa kwendlela yokuphila, zihluleka ukunikeza ukukhululeka ebuhlungu be-hip futhi zithuthukise ukuhamba. Kucatshangelwa izici ezifana nezinga lezinhlungu zesiguli, ikhono laso lokwenza imisebenzi yansuku zonke, kanye nomthelela wesimo se-hip kukhwalithi yazo yonke yokuphila. Uma izindlela ezilondolozayo zingasebenzi ekulawuleni ukubonakaliswa futhi umonakalo ohlangene we-hip ubalulekile, ukuhlinzwa esikhundleni se-hip kungase kube inketho yokwelashwa efanelekile kakhulu.

Izivivinyo zokuxilonga

Ngaphambi kokuhlinzwa esikhundleni se-hip, izivivinyo eziningana zokuxilonga zingenziwa ukuze kuhlolwe isimo esihlangene se-hip yesiguli, okuhlanganisa: 

• X-ray ukuze ubone ngeso lengqondo amathambo namalunga
• Izikena ze-MRI zisiza ukuthola izithombe ezinemininingwane ye-hip joint kanye nezakhiwo ezizungezile
• Ukuhlolwa kwegazi ukuhlola impilo yesiguli iyonke futhi kuhlonzwe noma yiziphi izimo zezempilo ezicashile 
• Iskena sokuminyana kwamathambo (i-DEXA Scan) ukuze kulinganise ukuminyana kwamathambo nokuhlola ukuthi kungenzeka yini ukuba ne-osteoporosis noma ukuphuka kwamathambo, okungase kuthinte impumelelo yokuhlinzwa kokubuyisela inqulu.

Inqubo Yokubuyisela I-Hip: Ngaphambi, Phakathi, Nangemuva

Ngaphambi Kwenqubo

Ngaphambi kokuhlinzwa esikhundleni se-hip, isiguli sizodlula izinyathelo eziningana zokulungiselela. Lokhu kungase kuhlanganise ukuhlolwa kwangaphambi kokuhlinzwa ukuze kuhlaziywe impilo yonke yesiguli kanye nokulungela ukuhlinzwa. I udokotela ohlinzayo ingase ihlele ukuhlolwa okuhlukahlukene kokuxilonga, njengokuhlola ngokomzimba, ama-X-ray, ama-MRI scan, noma ukuhlolwa kwegazi, ukuze kuhlolwe izinga lomonakalo ohlangene we-hip nokukhomba izinkinga ezingase zibe khona. Ngaphambi kokuhlinzwa, udokotela ohlinzayo uzoyala isiguli ukuba siyeke imithi ethile, njengemithi enciphisa igazi. 

Ngesikhathi Senqubo

• Phakathi nenqubo yokubuyisela i-hip, udokotela ohlinzayo wenza i-anesthesia ejwayelekile ukuze aqinisekise ukuthi isiguli silele futhi asinabuhlungu phakathi nokuhlinzwa. 
• Udokotela ohlinzayo uzokwenza i-incision phezu kwendawo ye-hip, eveza ukujoyina ukuze kufinyelele indawo eyonakele. 
• Ngemva kwalokho bazothatha indawo yethambo noqwanga olulimele, kuhlanganise nesokhethi yenyonga, ibhola nesiqu, bafake izinto zokufakelwa. 
•  Okokugcina, udokotela ohlinzayo uzovikela isigxivizo sokwenziwa endaweni esebenzisa usimende wokuhlinza noma amasu okulinganisa ukucindezela. 

Ngemuva kohlelo

Ngemuva kokuhlinzwa esikhundleni se-hip, abasebenzi bezokwelapha bazoshintsha futhi baqaphe isiguli egumbini lokutakula nganoma yiziphi izimpawu zezinkinga. Ithimba lizohlinzeka ngeziqondiso mayelana nemikhawulo yokuthwala isisindo, ukunakekelwa kwesilonda, kanye nezinyathelo zokuphepha zangemva kokuhlinzwa. 

Izingozi Zokuhlinza I-Hip Replacement

Nakuba ukuhlinzwa esikhundleni se-hip ngokuvamile kubhekwa njengokuphephile, iziguli kufanele ziqaphele izingozi ezingenzeka. Lezi zingozi zingase zihlanganise ukutheleleka, amahlule egazi, ukulimala emithanjeni yegazi noma ezinzwa, ukugudluka kwelunga lokwenziwa, nokwehluleka kokufakelwa. Iziguli kufanele zilandele imiyalelo yangemva kokuhlinzwa ngokucophelela, zihambele izikhathi zokulandelela, futhi zibike noma yiziphi izimpawu nezimpawu ezingavamile noma ukukhathazeka kudokotela wazo.

Ukubuyiselwa ngemva kokushintshwa kwe-Hip

Inqubo yokutakula ngemva kokuhlinzwa esikhundleni se-hip ingahluka kumuntu nomuntu. Amasonto okuqala azogxila ekulawuleni ubuhlungu, ukuphulukiswa kwesilonda, nokwandisa kancane kancane ukuhamba. Ukwelashwa ngokomzimba kuzodlala indima ebalulekile ekuqiniseni ukuhlangana kwe-hip nasekuthuthukiseni uhla lokunyakaza. Isiguli singase sidinge izinto zokusiza njengezinduku zokudondolozela noma umuntu ohamba ngezinyawo ukuze zisize ekuhambeni phakathi nezigaba zokuqala zokululama. Ngokuhamba kwesikhathi, njengoba i-hip iphulukisa futhi imisipha iphinda ithole amandla, isiguli sizokwandisa kancane kancane izinga labo lomsebenzi futhi sikwazi ukuqhubeka nemisebenzi yansuku zonke. 

Kungani ukhethe Izibhedlela ze-CARE ngenqubo yokushintsha inqulu?

Izibhedlela ze-CARE zifakwe izinsiza ezisezingeni eliphezulu ezisekelwa ithimba lodokotela bamathambo abahamba phambili eBhubaneswar. Isibhedlela sibeka phambili ukunakekelwa komuntu siqu, siqinisekisa ukuthi zonke izidingo zesiguli ziyabhekwana kuyilapho siletha imiphumela emihle yomtholampilo. Umlando wesibhedlela ukhuluma kakhulu, njengoba usize ngempumelelo iziguli eziningi ukuthi ziphinde zikwazi ukuhamba futhi zithuthukise izinga lempilo yazo ngokuhlinza inqulu.

FAQ sika

1. Ingabe bukhona ubuhlungu obuningi ngemva kokushintshwa kwe-Hip?

Izinga lobuhlungu elitholwa ngemva kokuhlinzwa esikhundleni se-hip liyahlukahluka kumuntu nomuntu. Nakuba kuvamile ukuzwa ukungakhululeki ngesikhathi sokululama, ubuhlungu kufanele buphele kancane kancane ngokuhamba kwesikhathi. 

2. Ungakanani umkhawulo weminyaka wokushintsha inqulu?

Awukho umkhawulo weminyaka ethile wokuhlinzwa esikhundleni se-hip. Isinqumo sokwenza le nqubo sincike empilweni yomuntu jikelele, izinga lobuhlungu, kanye nomthelela wesimo esihlangene se-hip kukhwalithi yabo yokuphila. Iziguli ezisencane zingase zikhethe ukuguqulwa kwe-hip noma ukushintshwa kwe-hip ingxenye, kuyilapho izinqubo eziphelele zokushintshwa kwe-hip zivame kakhulu kubantu abadala.

3. Yikuphi ukuhlinza esikhundleni se-hip okungcono kakhulu?

Ukukhethwa kokuhlinzwa kokubuyisela inqulu kuncike ezicini ezihlukahlukene, njengobukhulu bokulimala kwamalunga, ubudala besiguli, kanye nesincomo sikadokotela ohlinzayo. Ukushintshwa kwe-hip okuphelele kuyindlela evamile kakhulu, kodwa ukushintshwa kwe-hip ingxenye kanye nokuphinda kufakwe inqulu kungase kulungele kwezinye izimo. Udokotela ohlinzayo wamathambo uzohlola isimo sesiguli ngasinye futhi anqume indlela yokuhlinzwa efanelekile kakhulu.

4. Kuthatha isikhathi esingakanani ukuphumula embhedeni ngemva kokushintshwa kwe-hip?

Isikhathi sokuphumula kombhede ngemva kokuhlinzwa esikhundleni se-hip ngokuvamile sifushane. Iziguli zikhuthazwa ukuba ziqale ukuhamba ngezinduku noma nge-walker ngokushesha ngangokunokwenzeka, ngokuvamile ngosuku noma ngosuku ngemva kokuhlinzwa. Ukuhlanganisa kusenesikhathi kunenzuzo ekuvimbeleni izinkinga ezinjengamahlule egazi kanye nokukhuthaza ukululama ngokushesha.

5. Ngingakwazi ukugibela izitebhisi ngemva kokushintsha inqulu?

Iziguli eziningi zingakhuphuka izitebhisi ngemva kokuhlinzwa esikhundleni se-hip, kodwa ekuqaleni, kungase kuthathe isikhathi nosizo. Ukwelapha ngokomzimba kuzogxila kuphela ekubuyiseleni amandla kanye nokuguquguquka ekuhlanganyeleni kwe-hip, kancane kancane kuthuthukise ikhono lesiguli lokukhuphuka izitebhisi.

6. Yini engenziwa ngemva kokushintshwa kwe-hip?

Nakuba ukuhlinzwa esikhundleni se-hip kuthuthukisa kakhulu ukuhamba kanye nekhwalithi yokuphila, imisebenzi ethile kufanele igwenywe ngokucophelela noma isondele. Iziguli kufanele zigweme imisebenzi enomthelela omkhulu njengokugijima, ukugxuma, noma ukuphakamisa okunzima, njengoba zingabeka ukucindezeleka ngokweqile ekuhlanganyeleni kwe-hip. 

7. Kuthatha isikhathi esingakanani ukuhamba ngokujwayelekile ngemva kokushintshwa kwe-hip?

Nakuba kuhluka kumuntu ngamunye, iziguli eziningi zingakwazi ukuhamba ngosizo, njengezinduku zokudondolozela noma umuntu ohamba ngezinyawo, phakathi nosuku noma ezimbili ngemva kokuhlinzwa. Kancane kancane, njengoba i-hip joint ilulama futhi imisipha iqina, isiguli singakwazi ukuhamba ngaphandle kosizo. Ukululama ngokugcwele kungathatha amasonto noma izinyanga ezimbalwa, kuye ngezici ngazinye.

8. Ungakwazi yini ukuhamba ngokujwayelekile ngemva kokushintshwa kwe-hip?

Ukuhlinzwa esikhundleni se-hip kuhloswe ngakho ukuthi abantu bakwazi ukuhamba ngendlela evamile futhi ngaphandle kobuhlungu. Nakuba kungase kuthathe isikhathi esithile ukuze ukuhlanganiswa kwe-hip kuphole ngokugcwele futhi ukuze imisipha iphinde ithole amandla, iziguli eziningi zingaphinde ziqale ukuhamba ngaphandle kwemingcele noma ubuhlungu obukhulu ngemva kwesikhathi sokululama. 

9. Yini engavunyelwe ngemva kokushintshwa kwe-hip?

Ngemuva kokuhlinzwa esikhundleni se-hip, kufanele ugweme imisebenzi ethile engafaka ingcindezi ngokweqile ekuhlanganyeleni kwe-hip noma ukwandisa ingozi yezinkinga. Le misebenzi ingase ihlanganise imidlalo enomthelela omkhulu, ukugijima, ukugxuma, ukuphakamisa izinto ezisindayo, nokunyakaza kwama-hip okwedlulele. 

10. Ingabe ubuhlungu be-hip bungelapheka ngaphandle kokuhlinzwa?

Kwezinye izimo, ubuhlungu be-hip bungaphathwa ngaphandle kokuhlinzwa kusetshenziswa izindlela zokwelapha ezilondolozayo ezifana nemithi, ukwelapha ngokomzimba, ukuguqulwa kwendlela yokuphila, kanye namadivayisi okusiza. Kodwa-ke, uma lezi zinyathelo zihluleka ukunikeza impumuzo futhi umonakalo ohlangene we-hip unzima, ukuhlinzwa esikhundleni se-hip kungase kwelulekwe.