Nawe usenokungakwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo ngenxa yentlungu yedolo, akunjalo? Usenokuziva ngathi udiniwe bubomi ngenxa yentlungu enzima ebakho xa uvuka esitulweni, unyuka izinyuko, okanye uhamba umgama omfutshane. Ukuba le ntlungu ayipheli nangona usela amayeza kwaye ufumana unyango olwahlukeneyo, ugqirha wakho usenokuba ukuxelele ngotyando lokutshintshwa kwedolo. Kuqhelekile ukuba uzive usoyika kancinci xa usiva eli gama. Nangona kunjalo, masithethe ngayo yonke into ngokulula namhlanje.
Yintoni utyando lokutshintshwa kwedolo?
Ngamafutshane, utyando lokutshintshwa kwedolo, okanye i-knee arthroplasty ngokwezonyango, kukususwa kweendawo ezigugileyo nezinakeleyo zedolo lakho uze ufake ijoyinti yokwenziwa (i-prosthesis) eyenziwe ngesinyithi neplastiki.
Cinga ngale ndlela: amadolo ethu afana neehinges zocango. Ekuhambeni kwexesha, le hinge iba ngumhlwa kwaye iguge, nto leyo eyenza kube nzima ukuvula nokuvala ucango. Xa i-cartilage edolweni iguga, kuba nzima ngathi ukuhamba okanye ukugoba amadolo ethu. Olu tyando lufana nokususa loo hinge indala, enomhlwa size siyitshintshe ngentsha.
Ziziphi iintlobo eziphambili zotyando?
Utyando lokutshintshwa kwedolo lunokwahlulwa lube ziintlobo ezimbini eziphambili. Ugqirha wakho uya kukhetha uhlobo olufanelekileyo kuwe ngokuxhomekeke kubungakanani bomonakalo edolweni lakho.
| Uhlobo lotyando | Inkcazo |
|---|---|
| Ukutshintshwa kweDolo lilonke | Olu lolona hlobo luxhaphakileyo. Apha, zonke iindawo ezintathu eziphambili zedolo (icala langaphakathi, icala langaphandle, kunye nenxalenye engaphantsi kwentloko yedolo) ziyasuswa kwaye kufakwa ilungu elenziweyo. |
| Ukutshintshwa kweDolo Elingaphelelanga | Njengoko igama lisitsho, oku kuquka ukususa inxalenye enye okanye ezimbini ezonakeleyo zedolo uze uzifake ezinye izinto ezenziweyo endaweni yazo. Olu tyando luqhelekile kubantu abaselula abaye bachaphazeleka kukulimala kwedolo ngenxa yengozi okanye ukwenzakala ngequbuliso. |
Ngabantu abanjani abafuna ukutshintshwa kwamadolo?
Ugqirha angacebisa olu tyando ukuba uneempawu ezinzima ezingenakulawulwa ngonyango olungelulo utyando (umz., amayeza, umthambo). Ezi mpawu ziquka:
- Intlungu yamalungu enganyamezelekiyo.
- Ukuqina , ukungakwazi ukugoba okanye ukolula idolo.
- Ukuhamba kancinci, okufana nobunzima bokuhamba.
- Ukudumba kwamadolo.
Eyona nto ibangela le meko yi -arthritis . Ukutshintshwa kwamadolo kuxhaphake kakhulu kubantu abane-osteoarthritis . Abantu abanezinye iintlobo ze-arthritis, ezifana ne -rheumatoid arthritis, nabo banokufuna olu tyando.
Amaxesha amaninzi, olu tyando lunokufuneka ngenxa yesifo samathambo (i-post-traumatic arthritis) esenzeka emva kokuphuka kwedolo ngenxa yengozi yemoto, ukuwa, okanye ukwenzakala kwezemidlalo.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho kunye nogqirha baza kukunika imiyalelo eneenkcukacha malunga nento omawuyenze ngaphambi kotyando. Ngokwesiqhelo, kuya kufuneka wenze oku kulandelayo:
- Uvavanyo olupheleleyo lomzimba ukuze kubonwe ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Uvavanyo lwegazi oluninzi.
- Uvavanyo lwe-ECG (i-Electrocardiogram) ukujonga ukusebenza kwentliziyo.
- Uvavanyo lwamazinyo ukunciphisa umngcipheko wokosuleleka emva kotyando.
- I -X-ray yedolo. Ungacelwa ukuba wenze i-MRI okanye i-CT scan .
Okubaluleke kakhulu, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Ungacetyiswa ukuba uyeke ukusebenzisa amanye amayeza kwiintsuku ezimbalwa ngaphambi kotyando lwakho.
Ugqirha wakho uza kukuxelela nokuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngosuku olungaphambi kotyando lwakho. Ngokuqhelekileyo, kufuneka uphephe ukutya nokusela iiyure ezili-12 ngaphambi kotyando lwakho.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando, uza kunikwa i-anesthesia ukuze ungeva ntlungu. Ingcali ye-anesthesia iza kukunika i-anesthesia eqhelekileyo , ekwenza ulale ngokupheleleyo, okanye i-anesthesia yengingqi, evala kuphela indawo engaphantsi kwesinqe.
Ngexesha lotyando, ugqirha uza kwenza oku kulandelayo:
1. Iziqwenga ze-cartilage kunye namathambo ezonakeleyo nezigugileyo ziyasuswa.
2. Endaweni yoko, kufakwa ijoyinti yokufakelwa.
3. Kufakwa i-spacer yeplastiki ukuze isebenze njengomqamelo othambileyo endaweni ye-cartilage esusiweyo.
4. Ukuba kuyimfuneko, idolo lakho (ipatella) liya kutshintshwa ukuze lilingane nelungu elitsha elenziweyo.
Olu tyando ludla ngokuthatha malunga neyure okanye ezimbini.
Indlela yokuphola ngokukhawuleza emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Iqela lezonyango liza kukujonga ude uphile ngokupheleleyo kwi-anesthesia. Abanye abantu banokuya ekhaya ngaloo mini inye, kodwa uninzi lwabantu kuya kufuneka bahlale esibhedlele usuku olunye okanye ezimbini.
Kungathatha unyaka wonke ukuze uphile ngokupheleleyo. Kodwa ungakhathazeki , ungaqhubeka nemisebenzi yakho yemihla ngemihla emva kweeveki ezintandathu. Nazi ezinye zezinto onokuzenza ukuze uphile ngokukhawuleza:
- Faka umkhenkce: Ukuwufaka umkhenkce edolweni lakho malunga nemizuzu engama-20 izihlandlo ezininzi ngemini kunokunceda ukunciphisa iintlungu nokudumba.
- Gcina umlenze wakho uphakanyisiwe: Nanini na xa kunokwenzeka, gcina umlenze wakho uphakanyisiwe ngaphezu kwenqanaba lentliziyo yakho ngokuwubeka kwimiqamelo.
- Gcina inxeba licocekile: Landela imiyalelo kagqirha wakho ngokuchanekileyo. Buza malunga nendlela yokutshintsha ibhandeji yenxeba kunye nexesha onokuhlamba ngalo.
- Imithambo yasekhaya: Yenza imithambo echazwe ngugqirha wakho ngokuchanekileyo. Le mithambo iya kunceda ukuqinisa izihlunu ezijikeleze idolo lakho kwaye ithintele ukuqina kwedolo lakho.
- Unyango Lomzimba: Kuya kufuneka usebenze nogqirha wengqondo kangangeenyanga ezimbalwa emva kotyando. Baza kukunceda ugobe idolo lakho ngokukhuselekileyo kwaye uqale ukuhamba.
Ungayilawula njani intlungu?
Kuqhelekile ukuba uzive iintlungu emva kotyando, ingakumbi kwiiveki zokuqala ezimbalwa. Sela amayeza okudambisa iintlungu, ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal), kunye ne-paracetamol njengoko ugqirha wakho ekuyalele. Ukuba iintlungu azinyamezeleki okanye unemibuzo malunga namayeza, thetha nogqirha wakho.
Ziziphi iingxaki ezinokubakho ngenxa yolu tyando?
Nangona utyando lokutshintshwa kwedolo luyinkqubo ephumelele kakhulu, njengalo naluphi na utyando, kukho iingozi ezithile. Nangona kunjalo, ezi azixhaphakanga kakhulu.
- Amahlwili egazi
- Usulelo ngaphakathi kwinxeba okanye edolweni
- Ukonakala kwemithambo-luvo okanye imithambo yegazi
- Iingxaki ngelungu elenziweyo (ukuguguleka ngokukhawuleza, ukukhululeka)
- Ukuqina ngenxa yesikhumba esingaphakathi edolweni
Ukuba unezinye izifo ezifana nesifo seswekile , i-hemophilia , okanye i-lupus , qiniseka ukuba uxelele ugqirha wakho ngaloo nto ngaphambi kotyando.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu emva kokubuya ekhaya emva kotyando, fowunela ugqirha wakho ngaphandle kokulibazisa.
- Iintlungu zesifuba
- Ubunzima bokuphefumla (i-Dyspnea)
- Umkhuhlane ongaphezulu kwe-101 Fahrenheit (39 Celsius)
- Ukopha kakhulu okanye ulwelo olufana nobovu oluphuma enxebeni
- Ukudumba, ukuba bomvu, ubushushu, okanye ivumba kwindawo yenxeba
- Intlungu entsha okanye eyandayo esinqeni, eqakaleni, okanye ezinyaweni
- Intlungu ebuhlungu engapheziyo nangona usela iintlungu zokuphelisa iintlungu
Ukuba uneentlungu zesifuba ngequbuliso okanye ubunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Utyando lokutshintsha idolo sisisombululo esiphumelele kakhulu kwiintlungu eziqatha zedolo ezingancediyo ngezinye iindlela zonyango.
- Iziphumo zolu tyando zihlala iminyaka eli-10-15 okanye nangaphezulu kubantu abaninzi.
- Ukuze uphile ngokukhawuleza, kubalulekile ukwenza unyango lomzimba kunye nokuzilolonga njengoko ugqirha wakho ekucebisile.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye uloyiko onokuba nalo ngaphambi nasemva kotyando.
- Ukulandela imiyalelo emva kotyando ngqo kunokunciphisa kakhulu umngcipheko weengxaki.
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