Ngaba uphuke isinqe? Okanye kukho umntu owileyo? Masifunde ngqo ngokuqhekeka kwesinqe!

Ukuba omnye wabadala bethu, mhlawumbi umakhulu okanye utatomkhulu, uyatyibilika aze awe, kunokuba yinto eyoyikisayo, akunjalo? Sihlala sicinga, 'Owu, andazi ukuba ndaphuka isinqe sam na.' Enyanisweni, ukwaphuka kwesi sinqe, oko kukuthi, '(Ukwaphuka Kwesinqe)', akuyonto yokudlala. Yimeko enzima enokuchaphazela ubomi bakho. Ngoko ke, masithethe ngale nto ngokuchanekileyo nangokulula namhlanje.

Kuthetha ukuthini ukuphuka nje isinqe?

Kulungile, ngoku makhe sijonge ukuba yintoni ukwaphuka kwesinqe. Umlenze wakho unethambo lethanga, elilelona thambo lide nelinamandla ukusuka esinqeni ukuya edolweni. Oogqirha nabo balibiza ngokuba yi-femur. Leyo yinxalenye ephezulu yethambo lethanga, ngakumbi inxalenye ekufutshane nelungu lesinqe, nto leyo esiyibiza ngokuba kukuqhekeka kwesinqe.

Ithambo lesinqe lelona thambo lide nelinamandla emzimbeni. Ngoko ke, ngesiqhelo, kufuneka uwe kakhulu okanye wenze ingozi enkulu, njengengozi yemoto, ukuze liphuke. Ukuba waphuke isinqe, uninzi lwexesha, oko kuthetha ukuba kuya kufuneka utyando ukuze lilungiswe.

Ngamanye amaxesha sihlekisa nabahlobo bethu ngezinto ezinje, 'Ndaphuka isinqe sam kuba ndikhulile.' Nangona kuyinto nje yokuhlekisa, kubalulekile ukukhumbula ukuba isinqe esaphukileyo yingozi enkulu kakhulu, etshintsha ubomi . Ukuba awuyinaki, inokukhokelela kwiingxaki ezinkulu kamva.

Zeziphi iindlela apho isinqe sinokuphulwa khona?

Ngoku, khangela, ilungu lethu lesinqe lilungu elifana nebhola nesokhethi. Inxalenye yethambo lesinqe efana nebhola (intloko yesinqe) ingena kwisokhethi efana nekomityi (i-acetabulum) kwi-pelvis yethu. Ngoko ke xa sisithi 'isinqe esiphukileyo', oko kuthetha ukuba ithambo linokwaphuka naphi na phezulu kwethambo lesinqe.

Oogqirha bahlulahlula la maqhuqhuva esinqeni ngokusekwe kwindawo apho i-femur iphuka khona. Makhe sijonge ukuba zeziphi:

• Ukuqhekeka kwentloko ye-femoral: Oku kukwaphuka kwenxalenye efana nebhola ye-femur, inxalenye engqukuva ephezulu kwethambo lethanga. Oku kuyinto engaqhelekanga kakhulu.
• Ukuqhekeka kwentamo ye-femoral: Ngamanye amaxesha kuthiwa kukuqhekeka kwe-subcapital okanye ukuqhekeka kwe-intracapsular, le yinxalenye efana nebhulorho ye-femur ephakathi kwentloko ejikelezileyo kunye nomgodi omde ohamba ecaleni. Olu lolona hlobo luqhelekileyo lokuqhekeka kwe-hip. Lufana nentamo yebhotile, ngoko ke lunokonakala lula.
• Ukuqhekeka kwemisipha phakathi kwethambo: Kukho ii-trochanters ezimbini zamathambo kumacala omabini e-femur. Ezi ziindawo apho izihlunu zinamathela khona. Oku kubizwa ngokuba kukuqhekeka kwindawo ephakathi kwezi thambo.

Oogqirha bakwabiza amagama okuqhekeka ngokusekelwe kuhlobo lokuqhekeka (oko kukuthi, indlela okwaphukile ngayo, imilo). Nazi imizekelo embalwa:

• Ukuqhekeka okujijekileyo
• Ukuqhekeka kwe-Oblique
• Ukuqhekeka kwe-spiral
• Ukuqhekeka kwemithambo-luvo – Oku kufana neqhekeza leglasi eliwela phantsi lize liqhekeke.

Zithini iimpawu zoku?

Ezi ziimpawu eziqhelekileyo zesinqe esaphukileyo. Ukuba unesinye okanye ngaphezulu kwezi, ngokuqinisekileyo kufuneka ukhathazeke.

• Ndinentlungu enkulu kakhulu yesinqe . Le ntlungu ingasasazeka nasesinqeni.
• Awunakukwazi ukushukumisa isinqe okanye imilenze yakho, nto leyo ethetha ukuba ukuhambahamba kwakho kuthintelwe kakhulu. Awunakukwazi nokuthwala ubunzima okanye ukuma.
• Kusenokubakho iqhuma elinokuvakala esandleni, okanye iqhuma elibonakala ngaphandle.
• Kuvela ukudumba.
• Ukudumba, oko kuthetha ukujika kube luhlaza okwesibhakabhaka.
• Ilungu lesinqe lisenokubonakala likhubazekile kwaye limile kakubi xa ulijonga ngaphandle . Umlenze usenokubonakala umfutshane kancinci kwaye ujike ngaphandle.

Zithini izizathu zokuqhekeka kwesinqe?

Ngamafutshane, ukwaphuka kwesinqe kufuna ingozi enkulu kakhulu . Kuba, njengoko besitshilo ngaphambili, lithambo eliqinileyo. Izizathu eziphambili zezi:

• Ukuwa: Ingakumbi ukuba uwa kwindawo ephakamileyo (njengeleli, uphahla, umthi). Nangona kunjalo, kwimeko yomntu omdala, kusenokwenzeka nokuba utyibilika uze uwe umi nje.
• Iingozi zezithuthi: Iingozi zeemoto, iibhayisekile, kunye neemoto ezinamavili amathathu zinokubangela ukwenzakala okukhulu ngolu hlobo.
• Ukulimala kwezemidlalo: Ingakumbi kwimidlalo echaphazela kakhulu efana neragbi nebhola ekhatywayo.

Ngubani osengozini enkulu?

Nabani na unokufumana ingozi aze aphuke isinqe. Kodwa abanye abantu basengozini enkulu. Nazi:

• Abantu abadala abangaphezu kweminyaka engama-65 ubudala: Njengoko sikhula, amathambo ethu aba buthathaka kwaye ukulinganisela kwethu kuncipha, nto leyo esenza ukuba siwe.
• Abantu abanezifo eziwenza buthathaka amathambo abo. Umzekelo, ukuba bane- "Osteoporosis" (ukulahlekelwa ngamathambo) okanye i-"Osteopenia" (ukuncipha kwamathambo). Kwezi meko, amathambo aba buthathaka njengeebhisikithi.
• Abafazi basengozini enkulu kancinci kunamadoda, ingakumbi emva kokuya exesheni kuba banamathuba amaninzi okufumana i-osteoporosis.
• Abadlali abadlala imidlalo yokudibanisa.

Ngokwesiqhelo, ukwaphuka kwesinqe kwenzeka xa umntu ewa ukusuka kwindawo ephakamileyo. Nangona kunjalo, kumntu oneminyaka engaphezu kwama-65 ubudala okanye umntu onamathambo abuthathaka, amathuba okuphuka kwesinqe aphezulu kakhulu nokuba uyatyibilika okanye uyawa ngelixa esenza imisebenzi yasekhaya okanye esenza imisebenzi yemihla ngemihla. Khawuthelekelele, ukuba umakhulu endlwini yethu uyatyibilika aze awe kwigumbi lokuhlambela... Ekubeni amathambo eba buthathaka kancinci xa ekhula, amathuba okuphuka kwesinqe aphezulu nokuba ayawa. Oku kunokwenzeka nakumntu one-`(Osteoporosis)`.

Kwakhona, nayiphi na imeko yempilo echaphazela ibhalansi yakho, ukuzinza, okanye ukuhambahamba kwakho inokunyusa umngcipheko wokuphuka kwesinqe. Ezinye iimeko ezinokunciphisa ibhalansi ziquka:

• (Isifo sikaParkinson)` (Isifo sikaParkinson)
• ` (Isiyezi)` (Isiyezi)
• Ukungahambelani kakuhle kwendlela yokuhamba
• Izifo ezibangela ukuxhuzula, ezifana nokuxhuzula.

Ugqirha uyibona njani le nto?

Ugqirha angakuxelela ngokuqinisekileyo ukuba ithanga lakho liphukile ngenxa yovavanyo lomzimba kunye novavanyo olukhethekileyo lwemifanekiso . Ukuba uya kwigumbi likaxakeka (ER) emva kokuwa kakubi okanye enye ingozi, oogqirha balapho banokukufumanisa ukuba kukho ukwaphuka.

Ugqirha uza kuqala akubuze ukuba ingozi yenzeke njani, ajonge iindawo ezibuhlungu, aze abone ukuba ungakwazi na ukuhambisa umlenze wakho. Emva koko, baza kuthatha imifanekiso yesinqe sakho nendawo engqongileyo, baze basebenzise olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• I-X-ray yesinqe: Oku kunokubona ukwaphuka kwesinqe rhoqo.
• Uvavanyo lwe-MRI (Magnetic Resonance Imaging): Ukuba i-X-ray ayicacanga, okanye kukho ukurhanelwa kokuba kukho ukwaphuka okuncinci, olu vavanyo lunokusetyenziswa ukuze lubone ngokucacileyo.
• `I-CT scan (i-Computed Tomography scan):` Olu vavanyo lungathatha nemifanekiso eneenkcukacha zamathambo. Oku kuluncedo kakhulu xa uceba utyando.

Zithini iindlela zonyango?

Phantse wonke umntu ophuke isinqe uya kufuna utyando. Oku kungenxa yokuba alunyangeki kakuhle ngaphandle kotyando. Uhlobo lotyando oludingayo luya kuxhomekeka kubukhali bokwaphuka kwesinqe, uhlobo lwaso, ubudala bakho, impilo yakho ngokubanzi, nokuba unezinye izinto ezenzekileyo okanye iingxaki zempilo. Kukho iintlobo ezimbini eziphambili zotyando lokwaphuka kwesinqe:

• Ukutshintshwa kwesinqe (okanye i-hip arthroplasty): Ukuba umntu omdala oneminyaka engaphezu kwama-65 ubudala unesinqe esaphukileyo, kuya kufuneka afakelwe isinqe esitsha. Oku kuquka ukususa inxalenye eyonakeleyo yesinqe aze afake i-joint eyenziweyo eyenziwe ngesinyithi, iplastiki, okanye i-ceramic. Isenokuba yi-insert epheleleyo okanye i-partial replacement.
• Ukunciphisa Okuvulekileyo Nokulungiswa Kwangaphakathi (i-ORIF): Kule nkqubo, ugqirha wakho ufaka izikrufu, iiphini, iipleyiti, okanye intonga yesinyithi kwithambo lakho lesinqe ukuze abambe ithambo elaphukileyo. Kulapho iziqwenga zethambo eziphukileyo ziphiliswa kakuhle kwaye zingashukumi. Abanye abantu kufuneka banxibe ezi implants ubomi babo bonke. Abanye banokuzisusa emva kokuba isinqe sabo sipholile.

Ziziphi iingxaki ezinokwenzeka emva kotyando?

Njengakwezinye iintlobo zotyando, kukho iingxaki ezithile ezinokwenzeka emva kotyando lwe-hip. Kulungile ukuzazi ezi zinto:

• Ukufa kwamathambo ngenxa yokulahlekelwa ligazi eliya emathanjeni (`(Avascular necrosis)`):Ingakumbi xa intamo ye-femoral yaphuka, ukuhanjiswa kwegazi entlokweni yethambo kuyaphazamiseka, kwaye loo nxalenye ingafa.
• Ukungadibani: Ithambo eliphukileyo lisenokungapholi ngokupheleleyo okanye kancinci, kwaye lisenokufuna utyando olongezelelweyo.
• I-Malunion: Oku kwenzeka xa ithambo elaphukileyo lingaphili kakuhle kwaye liphazamiseka. Oku kunokubangela intlungu kunye nobunzima bokuhamba okwethutyana.
• Usulelo lwamathambo (i-Osteomyelitis): Ukuba uphuke ithambo (lapho ithambo liphuke khona eluswini), usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya. Usulelo lunokwenzeka nakwindawo yotyando.
• Amahlwili egazi: Amahlwili egazi anokubakho emva kotyando, ingakumbi kwimithambo emikhulu yemilenze. La mahlwili ayingozi kakhulu kuba anokuba yingozi ebomini xa ehamba aye emiphungeni.
• Eminye imiba enxulumene noko: Kwabantu abadala, izinto ezifana nosulelo lwemiphunga kunye nosulelo lwendlela yomchamo nazo zinokwenzeka emva kotyando.

Usinda njani kule nto?

Ngamanye amaxesha akulula ukuthintela ukwaphuka kwesinqe, njengoko kudla ngokwenzeka ngokungalindelekanga, ngenxa yokuwa ngequbuliso okanye enye ingozi. Nangona kunjalo, landela la macebiso okhuseleko ukuze unciphise umngcipheko wokuwa neengozi. Ezi azibalulekanga kuwe kuphela, kodwa nakusapho lwakho:

• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile kwaye ingenazinto zingabalulekanga. Susa iingcingo nezinto ezikhululekileyo phantsi. Oku kuya kunciphisa amathuba okukhubeka kuwe okanye kwabanye.
• Faka i-grab bar kwigumbi lokuhlambela ukuze ubambe iithayile ezingatyibilikiyo kunye neshawa.
• Ukuba uneminyaka engaphezu kwama-65 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, cinga ngokuthetha nogqirha wakho malunga nokwenza uvavanyo lobunzima bamathambo . Oku kuya kukunceda ukuba ubone amathambo abuthathaka kwangethuba kwaye ufumane unyango.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esinceda ukugcina amathambo esempilweni . Yitya ukutya okutyebileyo kwi-calcium kunye ne-vitamin D. Izinto ezifana nokuhamba kunye nokuzilolonga kancinci ziyawomeleza amathambo.
• Soloko usebenzisa isixhobo esifanelekileyo (njengeleli) xa ufikelela kwinto ephezulu ekhayeni lakho. Ungaze ukhwele ezitulweni okanye etafileni.
• Soloko unxibe ibhanti yakho xa uqhuba.
• Nxiba izixhobo zokhuseleko ezifanelekileyo kuyo nayiphi na imisebenzi okanye imidlalo.

Kuthatha ixesha elingakanani ukuphiliswa?

Inyonga ephukileyo ithatha ubuncinane iinyanga ezimbalwa ukuze iphole. Ungaziva ungcono kwaye ubone ukuphucuka ngokuhamba kwexesha, kwaye kungathatha unyaka wonke wonyango. Kufana nokwakha indlu, yakhiwe kancinci kancinci. Ixesha elithatha wena ukuze uphole lixhomekeke kwezinye izinto ezimbalwa:

• Uhlobo lotyando obekufuneka ulwenze.
• Ndiyazibuza ukuba ngaba kukho ezinye izinto ozenzakeleyo kuzo.
• Ubudala bakho (kuthatha ixesha elide ukuba umntu omdala aphile kunomntu omncinci).
• Impilo yakho iyonke (umzekelo, ukuba unesifo seswekile, ukuchacha kusenokulibaziseka).
• Isizathu sokuqhekeka kunye nobunzima bokuqhekeka.

Ugqirha wakho uza kukuxelela into omawuyilindele kunye nexesha lokuchacha elifanelekileyo kwimeko yakho.

Kuya kufuneka uqalise unyango lomzimba (PT) emva nje kotyando. Oku kungaqala ngelixa usesesibhedlele. Kuya kufuneka wenze i-PT kangangeenyanga eziliqela ngaphambi kokuba ukwazi ukushukuma nokuhamba kakuhle kwakhona. Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokolula ukuze uqinise izihlunu ezijikeleze isinqe sakho kwaye wonyuse uluhlu lokushukuma kwamalungu akho. Ukwenza olu qheliselo ngokuchanekileyo kubaluleke kakhulu kwinkqubo yakho yokuphiliswa.

Emva kotyando, kunokufuneka usebenzise isixhobo sokuhamba, umsimelelo, okanye iintonga ngelixa uphola. Abanye abantu kufuneka bazisebenzise ixesha elide. Buza ugqirha wakho okanye ingcali yezonyango ukuba kufuneka uzisebenzise ixesha elingakanani ezi zixhobo zokuhamba.

Kutheni isinqe esiphukileyo siyingozi?

Ukuphuka kwesinqe akusiyo nje ilungu elaphukileyo. Oku kuyingozi ngaphezu koko.

Khumbula, isinqe esaphukileyo asingomdlalo, yimeko enzima kakhulu efuna unyango olungxamisekileyo!

Ukongeza kumonakalo kwilungu lakho le-femur kunye ne-hip, ukwaphuka kwe-hip kunokubangela nezinye iingozi ezinkulu. Oku kunokwenzeka ngakumbi ukuba uwe kakhulu okanye usengozini yemoto.

Nayiphi na ingozi enkulu ngokwaneleyo ukuba yaphule ithambo lethanga lakho inokonakalisa umthambo wakho wethambo lethanga. Ukuba oku kuyenzeka, ukopha kakhulu kunokuba yingozi ebomini ukuba akunyangwa ngokukhawuleza ngugqirha. Kwakhona, isinqe esaphukileyo kunye nesidingo sokuhlala singashukumi emva kotyando kunokunyusa umngcipheko wokuqhekeka kwegazi.

Ukulimala okukhulu okubangela ukwaphuka kwesinqe kuyingozi kakhulu kubantu abadala abangaphezu kweminyaka engama-65 ubudala. Njengoko ukhula, kuthatha ixesha elide ukuba umzimba wakho uphiliswe kuyo nayiphi na ingozi. Oku kwenzeka ngakumbi kwingozi enkulu efana nokuqhekeka kwesinqe. Utyando lokutshintshwa kwesinqe (kunye nexesha lokuchacha) lunokuba nzima ngakumbi kumntu omdala. Ukuba banezinye izifo, imeko inokuba nzima nangakumbi.

Izifundo zifumanise ukuba abantu abadala abangaphezu kweminyaka engama-65 ubudala abaphuke isinqe banamathuba amaninzi okunciphisa okanye ukuyeka imisebenzi yomzimba efana nokuhamba emva kokuphola, kwaye bayeke imisebenzi yoluntu kunye nezinto abazithandayo. Olu lodwa lunokuchaphazela impilo yakho iyonke kunye nempilo-ntle yengqondo. Thetha nogqirha wakho malunga nendlela yokuhlala usebenza emva kokuphuka kwesinqe. Banokucebisa iindlela ezikhuselekileyo zokuhlala unxibelelene nabantu obathandayo kunye nezinto ozithandayo.

Kufuneka uye nini esibhedlele ngokukhawuleza?

Yonke into eyaphukileyo esinqeni yimeko engxamisekileyo yezonyango. Ukuba ucinga ukuba unesinqe esaphukileyo, fowunela ku-1990 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko. Fowunela iinkonzo zongxamiseko ukuba ukhe wawela, wawa kwingozi yemoto, okanye wawa kwenye ingozi enkulu kwaye unenye okanye ngaphezulu kwezi mpawu:

• Awunakukwazi ukushukumisa izinqe okanye imilenze yakho.
• Kukho intlungu enganyamezelekiyo.
• Isinqe okanye umlenze wakho ubonakala wahlukile, awubonakali apho wawukhona ngaphambili, ubonakala ngathi woluliwe.
• Ngamanye amaxesha ulusu luyahlatywa kwaye amathambo ayabonakala (oku kuyingozi kakhulu).
• Ithanga lakho lidumbile kakhulu.
• Kunye nezinye iimpawu, kuvela imivumbo enzima ngequbuliso (ubuluhlaza okwesibhakabhaka).

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa unyanga wena okanye umntu omaziyo ophuke isinqe, kungcono ukubuza ugqirha wakho imibuzo efana nale ukuze uqonde kakuhle imeko.

• Luhlobo luni lokuphuka kwesinqe endinalo? Lungakanani ubungozi balo?
• Luhlobo luni lotyando endiza kulufumana? Yintoni endinokuyilindela kulo?
• Ziziphi iingozi ezinokubakho emva kotyando?
• Ndingaqalisa nini unyango lomzimba (`PT`)?
• Kuza kuthatha ixesha elingakanani ukuba ndiphile ngokupheleleyo? Ngaba ndiza kukwazi ukusebenza kwakhona?
• Yintoni onokuyenza ukulawula intlungu?

Ngaba ungahamba unesinqe esaphukileyo?

Hayi. Awunakukwazi ukuma, ukuhamba, okanye ukubeka ubunzima kwi-hip ephukileyo. Ukubeka uxinzelelo kwi-hip kunokwenza ukwaphuka kube kubi, kukhuphe ithambo ephukileyo, konakalise imithambo yegazi ejikelezileyo kunye nemithambo-luvo, kwaye kubangele ezinye iingxaki kunye nokwenzakala.

Ugqirha wakho okanye umboneleli wakho wezempilo uza kukubonisa indlela yokuma, ukuhamba, nokuhamba ngokukhuselekileyo emva kotyando nangexesha lokuchacha kwakho. Landela imiyalelo yabo ngononophelo.

Ingaba kulungile ukushukumisa umntu ophuke isinqe?

Ukuba ucinga ukuba umntu unesinqe esaphukileyo, fowunela u-1990 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko. Iingcali zempilo eziqeqeshiweyo kuphela ezifanele zishukumise, ziphakamise, okanye zishukumise umntu onesinqe esaphukileyo. Zama ukugcina umntu elele phantsi ezolile kangangoko kunokwenzeka, ngaphandle kokumshukumisa. Musa ukucinezela umlenze wakhe okanye uzame ukumenza ame okanye ahambe. Ukwenza njalo kunokwenza ukwenzakala kube kubi ngakumbi.

Xa ufowunela iinkonzo zongxamiseko, cela umntu ophendula umnxeba ukuba akunike imiyalelo yendlela yokugcina loo mntu ekhuselekile kwaye ezinzile de kufike uncedo.

Ukuphuka kwesinqe sisiganeko esoyikekayo nesibuhlungu. Ingakumbi kuba sinokwenzeka kwimizuzwana embalwa, ukusuka ekuweni ngequbuliso okanye kwingozi yemoto. Ukuchacha emva kotyando lwesinqe kunokuba yinkqubo ende nenzima. Bhiyozela yonke inkqubela encinci oyenzileyo kuhambo lwakho lokuchacha. Ukuba unengxaki yokushukuma okanye ukuzilolonga, xelela ugqirha wakho okanye ingcali yezonyango. Banokukunceda woyise nayiphi na imingeni onokuba ujongene nayo.

Okokugqibela, izinto ekufuneka uzikhumbule

Akunyanzelekanga ukuba uhlale uloyiko lokuphuka isinqe. Kodwa kubalulekile ukwazi ukuba zeziphi izinto ezinokubangela oko kunye nendlela yokunciphisa umngcipheko wakho. Thetha nogqirha wakho malunga nokuhlolwa rhoqo okunokubona utshintsho kubunzima bamathambo akho okanye impilo yakho iyonke ngaphambi kokuba kwenzeke ingozi. Zikhusele ekuweni kwaye ugcine amathambo akho omelele. Kuba isinqe esisempilweni sisitshixo sobomi obukhululekileyo nobonwabisayo! Ngomonde nokulandela iingcebiso zikagqirha wakho, ungaphila kakuhle kule meko.

Ukuqhekeka kwethanga , Ukuqhekeka kwethanga, Ukuqhekeka kwethanga, I-Femur, Ukuwa kwabantu abadala, I-Osteoporosis, Utyando lwethanga