Udiniwe ziintlungu zamalungu? Masifunde ngotyando lokutshintshwa kwamalungu (i-Arthroplasty / i-Joint Replacement)!

Ngaba unomakhulu, utatomkhulu, okanye umama okanye utata osele ekhulile ekhayeni lakho ogcuma ziintlungu xa ephakama esitulweni okanye enyuka izinyuko? Ngaba ubamba amadolo akhe aze ahambe kancinci? Mhlawumbi nawe uyayiva le ntlungu. Kusenokwenzeka ukuba ubusoloko uva le ntlungu yamalungu ixesha elide, nto leyo eyenza kube nzima ukwenza nemisebenzi yemihla ngemihla. Ukuba intlungu ayipheli nangona usela amayeza kwaye wenza izinto ezahlukeneyo, ugqirha wakho usenokuba ukuxelele "ngotyando lokutshintshwa kwamalungu." Yiloo nto siza kuthetha ngayo namhlanje.

Yintoni le ngtyando yokutshintshwa kwamalungu (i-Arthroplasty)?

Ngamafutshane, i-arthroplasty yinkqubo yotyando equka ukususa inxalenye okanye lonke ilungu eligugileyo nelonakeleyo emzimbeni wakho uze ulifake ilungu elenziweyo. Kwizonyango, eli lungu elenziweyo libizwa ngokuba yi-prosthesis . Ezi zenziwe ngezinto ezimelana nomzimba, ezifana nesinyithi, iplastiki, okanye i-ceramic.

Khawucinge ukuba ihinji yocango endlwini yakho ingumhlwa kangangokuba inamathele kakhulu kangangokuba awukwazi ukuyivula okanye ukuyivala. Senza ntoni? Sikhupha ihinji endala size sifake entsha, akunjalo? Yile ndlela olu tyando lusebenza ngayo. Sikhupha ijoyinti egugileyo emzimbeni wethu size sifake entsha. Emva koko singayisebenzisa kwakhona loo joyinti ngaphandle kwentlungu.

Kukho iintlobo ezimbini eziphambili zale tyando.

Ngokuxhomekeke kubungakanani bomonakalo kwilungu lakho, ugqirha wakho uya kugqiba ukuba loluphi uhlobo kwezi zimbini olulungele wena.

1. Ukutshintshwa kweJoint iyonke: Oku kuquka ukususa zonke iindawo ezonakeleyo zejoint uze ufake ijoint eyenziweyo ngokupheleleyo. Umzekelo, kwimeko yedolo, zombini i-femur kunye ne-tibia ziyatshintshwa.

2. Ukutshintshwa kweJoint engaphelelanga: Njengoko igama lisitsho, oku akutshintshi ngokupheleleyo ijoint. Yinxalenye eyonakeleyo kuphela esuswayo kwaye kufakwa inxalenye yokwenziwa kuloo nxalenye. Oku ngamanye amaxesha kubizwa ngokuba yi-joint resurfacing .

Ngubani odinga olu tyando?

Ngokwesiqhelo, ugqirha akakuthumeli kwangoko ukuba uye kutyando olukhulu olufana nolu. Okokuqala, bazama ukukunyanga ngezinto ezifana neepilisi zokudambisa iintlungu, unyango lomzimba, kunye nokuzilolonga. Kodwa ukuba akukho nanye kwezi zinto ikunceda ukulawula iimpawu zakho, kwaye ukuba kunzima kakhulu kuwe ukwenza ubomi bakho bemihla ngemihla, ugqirha wakho unokucebisa ukuba ucinge ngotyando.

Utyando lunokufuneka ukuba unezi mpawu:

• Intlungu ebuhlungu yamalungu: Ukuba kukho intlungu kungekuphela nje xa uhamba okanye umi, kodwa naxa umi nje.
• Ukuqina kwamalungu: Ubunzima bokugoba okanye ukolula ilungu. Njengokungakwazi ukuhlala esitulweni ugobile amadolo okanye uhleli phantsi.
• Ubunzima bokuhamba: Ukungakwazi ukuhamba ngenxa yentlungu okanye ukungahlali kakuhle kwamalungu, nto leyo edinga ukuba kusetyenziswe intonga.
• Ukudumba kwamalungu: Ukubakho kokudumba okungapheliyo.

Kwakhona, ukuba ilungu liqhekekile ngenxa yengozi, ukuwa, ukwenzakala kwezemidlalo, okanye ingozi yemoto, olu tyando lunokufuneka lwenziwe kamva.

Uzilungiselela njani ngaphambi kotyando?

Ekubeni olu lutyando olucwangcisiweyo, uya kuba nexesha lokulungiselela kakuhle. Ugqirha wakho kunye nogqirha wakho baya kukunika lonke icebiso olifunayo.

• Uvavanyo olupheleleyo lwezonyango: Jonga ukuba impilo yakho yomzimba ilungile na ukuba inganyamezela utyando.
• Uvavanyo lwegazi: Jonga iimeko ezifana ne-anemia.
• Uvavanyo lwentliziyo (ECG): Qinisekisa ukuba intliziyo isebenza kakuhle.
• Uvavanyo lwamazinyo: Musa ukumangaliswa kukuba usulelo lwamazinyo lunokuhamba ngegazi luye kwilungu elitsha emva kotyando luze lubangele usulelo. Ke ngoko, kubalulekile ukusombulula iingxaki zamazinyo ngaphambi kotyando.
• Uvavanyo lweMifanekiso: Ngokuqinisekileyo kuya kuthathwa i-X-ray. Ngamanye amaxesha kuya kufuneka kwenziwe i -MRI okanye i-CT scan .

Ufanele uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka neevithamini. Amanye amayeza (ingakumbi amayeza okunciphisa igazi) anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando. Ugqirha wakho uya kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngosuku olungaphambi kotyando.

Kwenzeka ntoni ngexesha lotyando?

Ngomhla wotyando, uza kunikwa i-anesthesia ukuze ungeva ntlungu. Oku kungaba yi-anesthesia eqhelekileyo , oko kuthetha ukuba uza kube ulele ngokupheleleyo, okanye i-anesthesia yengingqi , oko kuthetha ukuba yindawo yomzimba wakho kuphela eza kuhlinzwa kuyo eya kuba ne-numbness.

Ugqirha uza kwenza oku kulandelayo:

1. Isusa iziqwenga ze-cartilage kunye namathambo ezonakeleyo.

2. I-prosthesis ibekwe ngokuchanekileyo kwaye ifakelwe.

3. Elinye ithambo elijikelezileyo linokulungiswa ukuze lilingane nelungu elitsha.

Ukutshintshwa kweJoint encediswa yiRobhothi

Ngenxa yokuqhubela phambili kwezobuchwepheshe, ezinye iindlela zotyando lokutshintsha amalungu ngoku zenziwa ngoncedo lweerobhothi. Oku akuthethi ukuba irobhothi yenza utyando yodwa. Ugqirha usayenza utyando, kodwa ingalo yerobhothi elawulwa yikhompyutha isetyenziselwa ukumnceda ekufakeni ilungu elenziweyo ngokuchanekileyo okukhulu. Le ndlela yonyusa amathuba okuba utyando luphumelele.

Ziziphi iingenelo kunye neengozi ezinokubakho zotyando?

Njengalo naluphi na utyando, kukho iingozi ezithile. Nangona kunjalo, kubantu abaninzi, iingenelo zolu tyando zingaphezulu kakhulu kuneengozi. Kumntu obebandezeleka iminyaka emininzi, ukukwazi ukuhamba nokwenza umsebenzi wakhe ngaphandle kwentlungu yinto entle kakhulu.

Ukuba unezinye izifo ezifana nesifo seswekile okanye i-hemophilia , ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaloo nto. Uza kukunceda ulawule iingozi zakho ngokufanelekileyo.

Linjani ixesha lokuchacha emva kotyando?

Ixesha lokuchacha liyahluka kumntu nomntu. Kuxhomekeke kwiminyaka yakho, impilo yakho yangaphambi kotyando, kunye nelungu elatyandwa kulo. Kudla ngokuthatha iinyanga ezininzi ukuphiliswa ngokupheleleyo.

Ezi zinto zibaluleke kakhulu ngexesha lokuchacha:

• Umkhenkce: Faka umkhenkce kwilungu elihlinzweyo malunga nemizuzu engama-20 izihlandlo ezininzi ngemini. Oku kuya kunciphisa iintlungu nokudumba.
• Ukuphakamisa ilungu: Nanini na xa kunokwenzeka, gcina ilungu lingaphezulu kwenqanaba lentliziyo ngokulibeka kwimiqamelo.
• Ukugcina inxeba licocekile: Gcina inxeba licocekile kwaye ligqunyiwe njengoko kuyalelwe ngugqirha wakho. Landela nemiyalelo kagqirha wakho malunga namaxesha okuhlamba.
• Unyango Lomzimba: Oku kubaluleke kakhulu . Kufuneka wenze imithambo njengoko uyalelwe yingcali yonyango lomzimba. Oku kuya kuqinisa izihlunu ezijikeleze ilungu kwaye kuvumele ilungu ukuba lishukume ngcono.
• Ukuphepha iindlela zokuxhuzula amalungu: Ugqirha wakho uza kukucebisa ukuba uphephe iindlela ezithile ezinokubangela ukuxhuzula amalungu, ingakumbi kwiinyanga ezimbalwa zokuqala emva kotyando lwe-hip ne-shoulder. Landela la macebiso ngokuchanekileyo.

Ulawulo lweentlungu

Kuqhelekile ukuba uzive iintlungu emva kotyando, ingakumbi kwiiveki zokuqala ezimbalwa. Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu. Zithathe ngexesha elifanelekileyo nangedosi efanelekileyo. Ukuba iintlungu azinyamezeleki, yazisa ugqirha wakho.

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!

Kubaluleke kakhulu ukunyamekela umzimba wakho xa ufika ekhaya emva kotyando. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho okanye isibhedlele ngoko nangoko.

• Iintlungu zesifuba
• Ubunzima bokuphefumla (ukuphelelwa ngamandla)
• Umkhuhlane ongaphezulu kwama-39 Celsius (101 Fahrenheit)
• Ukopha, ubomvu, ivumba elibi, ukubomvu, okanye ukudumba okugqithisileyo okuvela kwinxeba lotyando.
• Intlungu entsha okanye eyandayo ethangeni, eqatheni, okanye ezinyaweni.
• Intlungu inzima kangangokuba ayinakulawulwa nokuba kusetyenziswe amayeza okudambisa iintlungu.

Utyando lokutshintshwa kwamalungu sisigqibo esikhulu. Kodwa ukuba lwenziwe ngendlela eyiyo, lunokwenza umahluko omkhulu ebomini bakho. Akukho nto ingcono kunokukwazi ukuhamba ngokukhululekileyo nokwenza umsebenzi wakho ngaphandle kwentlungu.