Ngaba ubusoloko ukhathazwa ziintlungu ezinganyamezelekiyo kwingqiniba yakho ixesha elide? Ugqirha wakho usenokuba uthethe nawe ngotyando lokutshintsha ingqiniba. Kuqhelekile ukuba uzive usoyika kwaye unomdla xa usiva ngolu hlobo lotyando. Luyintoni kanye kanye olu tyando? Masithethe ngalo ngokulula, ngendlela wonke umntu anokuqonda ngayo.
Kuthetha ukuthini oku, ukutshintsha i-elbow joint?
Ngamafutshane, utyando lokutshintsha i-elbow joint lubandakanya ukususa i-elbow joint yakho uze uyitshintshe nge-artificial joint. Oku kwaziwa ngokwezonyango njengokutshintshwa kwe-joint (arthroplasty).
Cinga ngale ndlela: ilungu lethu lengqiniba lifana ne-hinge yocango. Ekuhambeni kwexesha, eli hinge linokuguga, ligrule, kwaye liyeke ukusebenza kakuhle. Amalungu ethu nawo anjalo. Nokuba kungenxa yeemeko ezifana ne-arthritis okanye ingozi enkulu, xa i-cartilage ekwilungu iguga kwaye amathambo eqala ukukhuhlana, kunokubangela iintlungu ezinkulu kunye nokuqina.
Oku kwenzeka xa ugqirha esusa iindawo ezigugileyo, ezonakeleyo zelungu lakho lendalo aze azifake indawo yelungu elenziwe ngentsimbi neplastiki. Emva koko, uya kukwazi ukugoba nokwandisa ingalo yakho ngokulula ngaphandle kwentlungu.
Ziziphi iintlobo eziphambili zolu tyando?
Kukho iintlobo ezininzi eziphambili zotyando lokutshintshwa kwengqiniba. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena. Masiziqonde kakuhle ezi ntlobo.
| Uhlobo lotyando | Inkcazo elula |
|---|---|
| Ukutshintshwa kwe-Elbow iyonke | Olu lolona hlobo luxhaphakileyo. Apha, iindawo ezonakeleyo zethambo lengalo ephezulu (ihumerus) kunye namathambo engalo (i-ulna kunye ne-radius) zisuswa ngokupheleleyo kwaye kufakwa ijoyinti yokwenziwa. |
| Ukutshintshwa kwe-Elbow engaphelelanga | Yile nto kanye ethethwa ligama. Yinxalenye eyonakeleyo yelungu kuphela etshintshwayo. Oku akuqhelekanga kangako. Kwenziwa xa konakala inxalenye enye yelungu, njengakwingozi embi kakhulu. |
| Iindlela zokufakelwa amalungu angengowokwenziwa | |
| Ukutshintshwa okudibeneyo | Kule ndlela, ijoyinti yokwenziwa ifana nehinge edityaniswe kunye. Amacandelo ayo amabini anamathele kwithambo lengalo ephezulu kunye nethambo lengalo ngeentonga zesinyithi. Le yeyona ndlela izinzileyo nesetyenziswa kakhulu . |
| Ukutshintshwa okungaxhunywanga | Apha, iindawo zelungu elenziweyo azidibani. Endaweni yoko, zidibene nemisipha kunye nezicubu ezizivelela ngokwendalo. Kodwa ukuze oku kwenzeke, loo misipha kunye nezicubu kufuneka zibe namandla kakhulu. Xa ilungu likhulile ngokwaneleyo ukuba lifune ukutshintshwa, imisipha idla ngokuba buthathaka kakhulu, ngoko ke le ndlela ayisetyenziswa rhoqo. |
Ngubani omele enze olu tyando?
Ugqirha angacebisa olu tyando kubantu abaneempawu ezinzima abangakhange baphendule kwezinye iindlela zonyango (ezifana neentlungu zokuphelisa iintlungu kunye nonyango lomzimba). Iimpawu eziphambili zezi:
- Intlungu yamalungu enganyamezelekiyo.
- Ukuqina kwengqiniba.
- Ukungakwazi ukugoba okanye ukolula ingqiniba ngokufanelekileyo (ukuhamba okuncinci).
- Ukudumba kwamalungu.
Eyona nto ibangela ezi mpawu yi-arthritis.
- I-Osteoarthritis: Imeko ebangelwa kukuguguleka kwamalungu njengoko sikhula.
- I-Rheumatoid Arthritis: Isifo esibangelwa yinkqubo yomzimba yokuzikhusela ehlasela amalungu.
- I-Post-traumatic arthritis: I-arthritis eyenzeka kwiminyaka emva kokuba ingqiniba yaphukile okanye yaphuma kwindawo yayo.
Ukongeza, olu tyando lunokufuneka nakwezinye iindawo ezaphukileyo kakhulu engqinibeni.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho kunye nogqirha baza kukuchazela into ekufuneka uyenze ngaphambi kotyando. Nazi izinto ekufuneka uzenze rhoqo:
- Uvavanyo lomzimba: Ukubona ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Uvavanyo lwegazi.
- Uvavanyo lwe-ECG: Jonga ukusebenza kwentliziyo.
- Uvavanyo lwamazinyo:Oku kungabonakala kumangalisa kancinci, kodwa kubaluleke kakhulu. Iintsholongwane ezikwizinyo zinokuhamba ngegazi zize zosulele ilungu elitsha elifakwe kulo. Oku kwenzelwa ukunciphisa loo mngcipheko.
- Uvavanyo lwemifanekiso: I-X-ray yengqiniba ngokuqinisekileyo iya kuthathwa. Ungacelwa ukuba wenze i-MRI okanye i-CT scan.
Qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini, kunye nezongezo ozithathayo. Kusenokufuneka uyeke ukusebenzisa amanye amayeza ngaphambi kotyando.
Icebiso elibalulekileyo: Ekubeni ungayi kukwazi ukusebenzisa ingqiniba yakho kangangeeveki ezimbalwa emva kotyando, licebo elihle ukugcina ezinye zezinto ozidingayo ekhaya (umz. iikomityi, iikama, iincwadi) kufutshane nesandla sakho.
Uza kwaziswa ngexesha lokuyeka ukutya nokusela ngosuku olungaphambi kotyando. Ngokwesiqhelo, kuya kufuneka uyeke ukutya nokusela iiyure ezili-12 ngaphambi kotyando.
Utyando kunye noko kwenzekayo emva koko
Ngomhla wotyando, ingcali yokubulala iintlungu iya kuyityumza ingalo yakho ukuze ungabi nantlungu. Ukongeza, uya kunikwa i-anesthesia eqhelekileyo ukukunceda ulale kamnandi ngexesha lotyando.
Ngugqirha wotyando:
1. Kwenziwa isikere ngasemva kwengqiniba.
2. Iziqwenga ze-cartilage kunye namathambo ezonakeleyo ziyasuswa.
3. Iziphelo zamathambo zilungelelaniswe ukuze zilingane nelungu elenziweyo.
4. I-prosthesis ifakiwe.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini. Emva kotyando, uza kuthathwa uye kwigumbi lokuchacha apho iqela lezonyango liza kujonga imeko yakho. Kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini.
Iingxaki ezinokubakho kunye nezinto ekufuneka uzilumkele ngakumbi
Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci weengxaki.
- Ukwaphuka kwethambo elijikeleze i-graft.
- Usulelo kwindawo yotyando okanye ngaphakathi kwilungu.
- Ukonakala kwemithambo-luvo okanye imithambo yegazi.
- Ukuguguleka okanye ukukhululeka kwamalungu angengowokwenziwa kwangaphambi kwexesha.
- Ukushukuma okulinganiselweyo kwesandla ngenxa yokwakheka kwezicubu ezibomvu.
Ukuba unezinye izifo ezifana nesifo seswekile okanye i-osteoporosis, qiniseka ukuba uthetha nogqirha wakho ngayo.
Eyona nto ibalulekileyo: imiqathango yokuphakamisa iintsimbi!
Le yeyona nto ibalulekileyo ekufuneka uyazi malunga nolu tyando.
Ngokungafaniyo nezinye izinto zokutshintshwa kwamalungu (idolo, isinqe), iindawo zokufakelwa ezifakwe kwi-elbow joint zinokuba buthathaka kancinci. Oku kungenxa yokuba amathambo asezandleni zethu mancinci kwaye mancinci kunamathambo kwiindawo ezifana ne-hip okanye idolo.
Ngenxa yesi sizathu, abantu abaninzi abenza olu tyando banomngcipheko wobomi bonke wokuphakamisa iintsimbi engalweni etyandiweyo.Akukhuthazwa ukuba uphakamise ngaphezu kweekhilogram eziyi-2.5 (iikhilogram ezi-5) ngaloo sandla. Kubaluleke kakhulu ukulandela lo mda ngokuchanekileyo. Ukungaphumeleli ukwenza njalo kunokubangela ukuba i-prosthesis ikhululeke okanye iqhekeke.
Ixesha lokuchacha kunye nexesha lokufowunela ugqirha
Ngokwesiqhelo kunokuthatha malunga nonyaka ukuze uphile ngokupheleleyo. Kusenokufuneka unxibe i-splint okanye i-brace ukuze ugcine isandla sakho singashukumi kwiiveki ezimbalwa zokuqala. Emva kweeveki ezili-12, kufuneka uqale ukuzilolonga phantsi kweliso lengcali yezonyango. Ezi zilolonga ziya kunceda ukuqinisa izihlunu ezisesandleni sakho nokubuyisela intshukumo.
Kuqhelekile ukuba nentlungu kwiiveki ezimbalwa zokuqala emva kotyando. Sebenzisa amayeza okudambisa iintlungu achazwe ngugqirha wakho ngqo.
Funa ingcebiso yezonyango ngoko nangoko!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yiya kugqirha wakho okanye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
| Iimpawu ekufuneka uziqaphele |
|---|
| • Iintlungu zesifuba |
| • Ubunzima bokuphefumla (ukuphelelwa ngamandla) |
| • Umkhuhlane ongaphezulu kwe-101°F (39°C) |
| • Ukopha kakhulu kwinxeba lotyando |
| • Iimpawu zosulelo: ulwelo olufana nobovu oluphuma enxebeni, ukudumba okugqithisileyo, ukutshintsha kombala, ivumba, okanye ukufudumala okujikeleze inxeba. |
| • Intlungu ebuhlungu engalawulekiyo, nokuba usebenzisa amayeza okudambisa iintlungu. |
Nangona lutshintsho olukhulu ukungakwazi ukuphakamisa iintsimbi ngengalo enye ubomi bakho bonke, olu tyando lufanelekile ukuze kususwe iintlungu ezingapheliyo kwaye kuphuculwe umgangatho wobomi bakho. Ngoko ke, thetha nogqirha wakho ngale nto ngononophelo kwaye wenze isigqibo esifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Utyando lokutshintsha amalungu engqiniba lwenziwa njengesisombululo seentlungu ezinzima kunye nokuqina okungakhange kuncitshiswe zezinye iindlela zonyango.
- Kuthatha malunga nonyaka ukuze umntu aphile ngokupheleleyo, kwaye ukuzilolonga ngomzimba kuyimfuneko.
- Umthetho obaluleke kakhulu: Kuphephe ukuphakamisa izinto ezinzima (ngesiqhelo zingaphezulu kwe-2.5 kg) ngesandla esisetyenziswayo ubomi bakho bonke.
- Ngaphambi kotyando, xoxa ngononophelo ngeenzuzo kunye neengozi nogqirha wakho.
- Ukuba ubona iimpawu ezilumkisayo ezinje ngomkhuhlane ophezulu, iintlungu ezinganyamezelekiyo, okanye iimpawu zosulelo enxebeni, funa ingcebiso kagqirha ngokukhawuleza.
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