Ukushintshwa Kwamadolo eBhubaneswar

Ukushintshwa Kwamadolo eBhubaneswar

Ukuhlinza idolo esikhundleni, okwaziwa nangokuthi i-knee arthroplasty, kufaka phakathi ukushintsha ilunga elilimele noma eligugile ngelunga lokwenziwa. Le nqubo iye yanda kakhulu eminyakeni yamuva, ihlinzeka ngokukhululeka kubantu abahlushwa ubuhlungu obungapheli bamadolo kanye nokuhamba okulinganiselwe. Ukushintsha Idolo eBhubaneswar kwenziwa izibhedlela ezimbalwa ezaziwayo kanye nodokotela abahlinzayo abanolwazi olunzulu ngokuhlinzwa okushintshwa kwamadolo, okwenza kube indawo ekahle yabantu abafuna le nqubo. CARE Izibhedlela yisibhedlela sokuqala ukwethula umnyango we-Sports Injury & rehabilitation e-Odisha futhi ifakwe odokotela bemithi yezemidlalo abahamba phambili eBhubaneswar. 

Kuyini Ukushintshwa Kwedolo?

Ukushintshwa kwamadolo kuyindlela yokuhlinzwa lapho udokotela ohlinzayo wamathambo edolo eshintsha izingxenye zamadolo ezilimele noma ezigulayo ngezingxenye zokwenziwa. Umgomo oyinhloko walokhu kuhlinzwa ukunciphisa ubuhlungu, ukuthuthukisa ukuhamba kwamalunga, kanye nokuthuthukisa ikhwalithi yokuphila iyonke yabantu abanenkinga enkulu yamadolo njenge-osteoarthritis, i-rheumatoid arthritis, noma ukulimala okubuhlungu. 

Izingxenye zokwenziwa ezisetshenziswa ekushintshweni kwamadolo ngokuvamile zenziwe ngama-alloys ensimbi, amapulasitiki ezinga eliphezulu, nama-polymers aklanyelwe ukulingisa ukunyakaza nokusebenza kwemvelo kwelunga elinempilo.

Izizathu Zokushintshwa Kwedolo

Abantu ababhekene nobuhlungu obungapheli bamadolo obuthinta kakhulu imisebenzi yabo yansuku zonke kanye nekhwalithi yokuphila bangase babe abantu abazohlinzwa esikhundleni samadolo. 
I-osteoarthritis enzima yisimo sokuhlangana esiwohlokayo esibangela ukugqokwa kwe-cartilage ehlangene yamadolo ngokuhamba kwesikhathi, okuholela ebuhlungu, ukuqina kwemisipha, nokuhamba okulinganiselwe. Kudinga ukuphathwa kokuhlinzwa lapho ukwelashwa okudala kungasebenzi. 

Isifo samathambo esithuthukile singaholela ekulimaleni kwamalunga kanye nokukhubazeka, okudinga ukuhlinzwa esikhundleni samadolo.

Ezinye izimbangela zifaka: 

• I-avascular necrosis (ukunqamuka okungazelelwe kokunikezwa kwegazi emathanjeni amathambo kungase kubangele ukulimala kwezicubu)
• I-post-traumatic arthritis (ukulimala kwamadolo kwangaphambili, njengezinyembezi ze-ligament noma ukuphuka kwamathambo)
• Ukukhubazeka kwamathambo okuzalwa njengemilenze yomnsalo (i-genu varum) noma ukugoqa amadolo (i-valgum ye-genu)
• Izimila zethambo ezizungeze amalunga amadolo

Izinhlobo Zokushintshwa Kwamadolo

Ukuhlukaniswa kwedolo esikhundleni kuncike ezingeni lomonakalo kanye nezidingo eziqondile zesiguli. Izinhlobo eziyinhloko zokuhlinzwa kwamadolo yilezi: 

• Ukushintshwa kwamadolo okuphelele: Ngokushintshwa kwamadolo okuphelele, owaziwa nangokuthi i-knee arthroplasty, odokotela bazoshintsha lonke idolo elihlangene nezingxenye zokwenziwa. Kuwuhlobo oluvame kakhulu lokuhlinza esikhundleni samadolo. Ikhulula ubuhlungu, ibuyisela ukusebenza, futhi ithuthukise ukuhamba kwabantu abanesifo samathambo esibi kakhulu noma ukulimala kwamalunga.
• Ukushintshwa kwamadolo okuyingxenye: Ngakolunye uhlangothi, ukuguqulwa kwamadolo okuyingxenye noma i-unicompartmental knee arthroplasty ihlanganisa ukufaka esikhundleni kuphela ingxenye eyonakele noma eyonakele yejoyinti lamadolo ngenkathi igcina izingxenye ezisele ezinempilo. Lolu hlobo lokuhlinzwa lufanele iziguli ezinokulimala okulinganiselwe kwamadolo, ukuhlinzeka ngokukhululeka kobuhlungu obuhlosiwe nokugcina izicubu ezinempilo.
• Ukushintshwa kwamadolo okusizwa ngerobhothi: Indlela entsha isebenzisa ingalo yerobhothi ukusiza udokotela ohlinzayo ngesikhathi sokuhlinzwa. Ukushintshwa kwamadolo erobhothi kuyindlela ethuthukisiwe engenelela kancane yokuhlinzwa okushintshwa kwamadolo futhi kunikeza izinzuzo eziningi njengobuhlungu obuncane, ukuncipha kokulahlekelwa kwegazi kanye nokululama ngokushesha uma kuqhathaniswa nokuhlinzwa okuvamile okushintshwa kwamadolo. Ukushintshwa kwamadolo eRobhothi eBhubaneswar kuyatholakala ezibhedlela ze-CARE, eBhubaneswar. 

Kudingeka nini Ukushintshwa Kwedolo Kudingeka Noma Kunconywe?

Odokotela abahamba phambili bamadolo e-Bhubaneswar ngokuvamile batusa ukuhlinzwa esikhundleni samadolo lapho ukwelashwa okungezona ukuhlinzwa okufana nemithi, ukwelapha ngokomzimba, nokuguqulwa kwendlela yokuphila kuhluleka ukunikeza ukukhululeka okwanele. Kucatshangelwa lapho ubuhlungu bedolo bomuntu buba nzima, bukhawulela imisebenzi yabo yansuku zonke, futhi buthinta kakhulu izinga lempilo yabo. Isinqumo sokuhlinzwa kokuguqulwa kwamadolo sihlanganisa ukubonisana nodokotela ohlinzayo wamathambo eBhubaneswar ohlaziya umlando wezokwelapha wesiguli, ohlola umzimba wonke, futhi abukeze imiphumela yokuhlolwa kokuxilonga.

Izivivinyo zokuxilonga

Ngaphambi kokuhlinzwa kokuguqulwa kwamadolo, udokotela uzoqhuba izivivinyo eziningana zokuxilonga ukuze ahlole isimo sokuhlangana kwamadolo. Lezi zivivinyo zihlanganisa: 

• Ukuhlolwa kwegazi ukuze kuhlaziye impilo yesiguli iyonke futhi kuhlonzwe noma yiziphi izimo ezingase zithinte ukuhlinzwa noma inqubo yokutakula.
• Ama-X-ray ukusiza ukuhlola izinga lokulimala kwamalunga, ukuhleleka kwamathambo, kanye nokuba khona kwanoma yikuphi ukukhubazeka 
• I-MRI ihlola ukusiza ukuthola izithombe ezinemininingwane yezicubu ezithambile (imigqa nama-tendon) ezizungeze idolo elihlangene. 
• Iskena sokuminyana kwamathambo ukuhlola ikhwalithi yamathambo nokuminyana, ikakhulukazi kubantu abadala asebekhulile noma labo abanezici eziyingozi ze-osteoporosis.
• Ngezinye izikhathi, udokotela angase atuse i-joint aspiration noma i-arthrocentesis (ukususwa koketshezi emadolweni) ukuze ahlole izimo ezingaphansi ezifana nokutheleleka noma ukuvuvukala.

Inqubo Yokushintsha Idolo

Ngaphambi Kwenqubo

Ngaphambi kokuhlinzwa esikhundleni samadolo, isiguli sizohlolwa uchungechunge lokuxilonga, okuhlanganisa ama-X ray, ama-MRI scan, nokuhlolwa kwegazi. Lezi zivivinyo zisiza udokotela ohlinzayo ukuthi anqume izinga lokulimala kwamadolo futhi ahlele inqubo ngokufanele. Udokotela ohlinzayo uzophinde acebise isiguli ukuthi siyeke ukusebenzisa izidakamizwa ezithile, njengamaphilisi okunciphisa igazi, ezinsukwini ezingaphambi kokuhlinzwa. Ukwengeza, udokotela ohlinzayo angase anikeze iziyalezo ngaphambi kokuhlinzwa ngokuphathelene nokuzila ukudla, inhlanzeko, namanye amalungiselelo adingekayo.

Ngesikhathi Senqubo

• Ukungeniswa kwe-anesthesia: Ukuhlinzwa kokubuyisela idolo kwenziwa ngaphansi kwe-anesthesia ejwayelekile (GA), okusho ukuthi isiguli sizobe siqulekile kuyo yonke inqubo. 
• I-Incision: Udokotela ohlinzayo wamathambo uzokwenza i-incision endaweni yamadolo, eveza idolo elihlangene ukuze lifinyelele endaweni eyonakele. 
• Ukukhishwa kabusha: Udokotela ohlinzayo uzosusa ngokucophelela izingxenye ezilimele zedolo elihlangene, kuhlanganise ne-cartilage nethambo. 
• Faka okunamathiselwe kwi-imeyili: The udokotela ohlinzayo izobe isinamathisela izingxenye zokwenziwa, ezingase zihlanganise ingxenye yensimbi ye-femoral, ingxenye ye-plastic tibial, noma ingxenye ye-patellar ukuze ithathe indawo yezingxenye ezisusiwe zedolo elihlangene. 
• Ukuqondanisa: Uma izingxenye sezisendaweni ngokuphephile, udokotela ohlinzayo uqinisekisa ukuqondanisa okufanele kanye nokuma kwezimila. Ngemva kwalokho, udokotela ohlinzayo uvala indawo yokusikwa ngemithungo noma ngokuyisisekelo.

Ngemuva kohlelo

Ngemva kokuhlinzwa esikhundleni samadolo, imithi yobuhlungu inganikezwa ukuphatha noma yikuphi ukungakhululeki. Ukwelapha ngokomzimba ngokuvamile kuzoqala phakathi namahora angu-24 okuhlinzwa ukuze kusize isiguli siphinde sithole amandla nokuhamba ejoyintini lamadolo. Ekuqaleni, isiguli singase sidinge izinduku noma umuntu ohamba ngezinyawo, kancane kancane sishintshele ekuhambeni ngaphandle kosizo. Ubude besikhathi sokuhlala esibhedlela buyahlukahluka futhi buncike ekuqhubekeleni phambili komuntu ngamunye, kodwa iziguli eziningi zingabuyela ekhaya phakathi nezinsuku ezimbalwa ukuze ziqhubeke nokululama kwazo.

Izingozi Ezihambisana Nokushintshwa Kwedolo

Njenganoma iyiphi enye inqubo yokuhlinzwa, ukuhlinzwa esikhundleni samadolo nakho kunezingozi ezithile. Lezi zingozi zihlanganisa ukutheleleka, amahlule egazi, ukopha, ukulimala kwezinzwa, kanye nokungezwani nokubulala izinzwa noma izingxenye zokwenziwa zamalunga. Kodwa-ke, amathuba okuba nezinkinga aphansi uma kuqhathaniswa. Ukulungiselela kahle ngaphambi kokuhlinzwa, ukunamathela eziqondisweni zokunakekelwa kwangemva kokuhlinzwa, nokulandelela okuvamile kwandisa kakhulu amathuba omphumela ophumelelayo. 

Ukubuyiselwa ngemva kokushintshwa kwedolo

Ukwelashwa ngokomzimba kudlala indima ebalulekile ekululameni ngemva kokuhlinzwa, ukuqinisa imisipha ezungeze idolo kanye nokubuyisela uhla olujwayelekile lokunyakaza. Ekuqaleni, isiguli singase sibe nokuvuvukala, ubuhlungu, nokuqina kwedolo elihlinziwe. Kodwa-ke, ngokuqondisa komelaphi womzimba, isiguli kancane kancane sizothola ukuhamba nokuzimela. Ukulandela imihlahlandlela kadokotela ohlinzayo ngemva kokuhlinzwa kuyadingeka ukuze kusizwe ekululameni okubushelelezi futhi ngempumelelo.

Isiphetho

Ukuhlinza esikhundleni samadolo kuyindlela yokuhlinzwa ephumelela kakhulu enikeza impumuzo kubantu abahlushwa ubuhlungu obungapheli bamadolo kanye nokuhamba okulinganiselwe. E-Bhubaneswar, odokotela abahlinza amathambo abanolwazi abaningana abasebenza ngokuhlinzwa okushintshwa kwamadolo, beqinisekisa ukuthi iziguli zithola ukunakekelwa okungcono kakhulu. Ngokuqonda inqubo, izinzuzo zayo, kanye nohambo lokululama, abantu ngabanye bangenza izinqumo ezinolwazi futhi bathathe izinyathelo ezidingekayo ukuze bathole kabusha izinga labo lempilo.

Kungani ukhethe izibhedlela ze-CARE ukuze uthole inqubo yokushintsha amadolo?

Ukushintsha idolo kuyinkambiso eyinkimbinkimbi impumelelo yayo incike ezintweni ezihlukahlukene, njengobuchwepheshe bomtholampilo bodokotela kanye nengqalasizinda yesimanje. Uchwepheshe kanye nokuphathwa okukhethekile, izinhlelo zokwelashwa ezizimele, ukunakekelwa okuphelele, kanye nobuchwepheshe obuthuthukisiwe njengokuhlinzwa kwerobhothi kwamadolo kwenza izibhedlela ze-CARE zibe yisinqumo esinokwethenjelwa sezinqubo zokushintshwa kwamadolo.

FAQ sika

1. Ingabe kukhona ubuhlungu obuningi ngemva kokushintshwa kwamadolo?

Ubuhlungu ngemva kokuhlinzwa esikhundleni samadolo abugwemeki. Nokho, izinga lobuhlungu liyahlukahluka kumuntu nomuntu. Udokotela ohlinzayo uzonikeza imithi yobuhlungu ukuze ulawule ukungakhululeki ngesikhathi sokuqala sokululama. Ngokuhamba kwesikhathi, njengoba idolo liphulukisa futhi ukuvuselelwa kuqhubeka, ubuhlungu buzoncipha kancane kancane.

2. Kudingeka isikhathi esingakanani ukuphumula kombhede ngemva kokushintshwa kwamadolo?

Ukuphumula kombhede ngemva kokuhlinzwa esikhundleni samadolo ngokuvamile akudingekile isikhathi eside. Iziguli eziningi zikhuthazwa ukuba zivuke futhi zinyakaze ngokushesha ngangokunokwenzeka ukuze zivikele amahlule egazi futhi zikhuthaze ukuphulukiswa. Nokho, ukugwema ukukhandleka ngokweqile nokulandela iziqondiso zikadokotela ohlinzayo mayelana nemingcele yokuthwala isisindo nokunyakaza kubalulekile.

3. Ingabe ukugibela izitebhisi kuhle ukushintshwa kwamadolo?

Ukwenyuka izitebhisi kungaba yingxenye yenqubo yokuvuselela ngemva kokuhlinzwa esikhundleni samadolo. Nokho, kubalulekile ukuya kuso kancane kancane nangokuqapha. Ekuqaleni, kungase kudingeke usizo oluvela ku-railing noma i-handrail. Abelaphi bomzimba bazoqondisa iziguli ngendlela efanele futhi banikeze izivivinyo zokuqinisa imisipha yamadolo yokukhuphuka izitebhisi.

4. Yini ongeke uyenze ngemva kokushintshwa kwamadolo?

Ngemuva kokuhlinzwa esikhundleni samadolo, kubalulekile ukugwema imisebenzi ebeka ukucindezeleka okungadingekile emadolweni, njengokugijima, ukugxuma, nemidlalo enomthelela omkhulu. Odokotela abahle kakhulu bamadolo e-Bhubaneswar futhi bayeluleka ngokumelene nokuguqa edolweni elishintshiwe futhi baxwayise lapho benza imisebenzi edinga ukunyakaza okusontekile noma okujikelezayo. Ukulandela izincomo zikadokotela ohlinzayo nokuzibandakanya ekuzilolongeni okunomthelela omncane kungasiza ukugcina ubude besikhathi sokuhlangana sokwenziwa.

5. Kuthatha isikhathi esingakanani ukuthi ukwazi ukuhamba ngendlela evamile ngemva kokushintshwa kwamadolo?

Isikhathi esithathwayo sokuhamba ngokujwayelekile ngemva kokushintshwa kwamadolo siyahlukahluka kumuntu nomuntu. Ngokuvamile, iziguli zingaqala ukuhamba ngezinduku noma ngosizo lwabahamba ngezinyawo phakathi nosuku noma ezimbili ngemva kokuhlinzwa. Njengoba ukuvuselelwa kuqhubeka, iziguli kancane kancane zishintshela ekuhambeni ngaphandle kosizo, ngokuvamile phakathi namaviki ambalwa kuya ezinyangeni ezimbalwa.

6. Ukuhamba kakhulu kungalimaza ukushintshwa kwedolo?

Ukuhamba kuyingxenye ebalulekile yenqubo yokutakula ngemva kokuhlinzwa esikhundleni samadolo. Kuyasiza ukuqinisa imisipha nezinye izicubu ezithambile ezizungeze idolo elihlangene futhi kukhuthaze ukuhamba jikelele. Nokho, ukugwema ukucindezeleka ngokweqile ejoyintini lokwenziwa kubalulekile. Ukulandela isiqondiso sikadokotela ohlinzayo kanye nomelaphi womzimba mayelana nobude nokuqina kokuhamba kubalulekile ukuze kuvinjelwe noma yimuphi umonakalo ongase ube khona.