Ngaba nawe uneentlungu zedolo? Ngaba udiniwe ziintlungu eziza nokuma, ukuhamba, okanye ukunyuka izinyuko? Ugqirha wakho usenokuba uthethe ngotyando lokutshintshwa kwedolo ngokupheleleyo. Kodwa ngaba ukhe weva ngotyando oluthatha indawo yenxalenye eyonakeleyo yedolo, oko kukuthi, malunga nesiqingatha sedolo? Namhlanje siza kuthetha ngokulula nangobuhlobo ngolu tyando 'lokutshintshwa kwedolo okuncinci' abantu abaninzi abangalwaziyo.
Kuthetha ukuthini oku, isiqingatha sedolo siyatshintshwa?
Ngamafutshane, olu lutyando olususa kuphela inxalenye eyonakeleyo, egugileyo yedolo kwaye luthathe indawo yelungu lokufakelwa. Kwizonyango, oku sikubiza ngokuba yi-"Arthroplasty" okanye ukutshintshwa kwelungu. Eli lungu lokufakelwa lidla ngokwenziwa ngesinyithi kunye nohlobo olukhethekileyo lweplastiki.
Cinga ngedolo lethu njengendlu enamagumbi amathathu. Ineendawo ezintathu eziphambili:
- Igumbi Eliphakathi: Eli licala elingaphakathi ledolo.
- Igumbi elisecaleni: Eli licala elingaphandle ledolo.
- Igumbi lePatellofemoral: Eli liphantsi kwedolo lakho.
Kwindawo yokutshintshwa kwedolo engaphelelanga, oogqirha botyando batshintsha kuphela inxalenye yangaphakathi okanye yangaphandle eyonakeleyo yezi ndawo zintathu. Ezinye iindawo eziphilileyo zihlala zifana.
Ngubani odinga olu tyando?
Olu tyando ludla ngokufuneka ngenxa yentlungu yamalungu, okanye "iArthritis." Olu tyando ludla ngokucetyiswa kubantu abanesigulo esixhaphakileyo, "i-Osteoarthritis," esibangelwa kukuguguleka kwamalungu ngokuhamba kwexesha.
Ukuba uneempawu ezinzima ezingezantsi, kwaye aziphucuki ngonyango olungelulo utyando olufana namayeza kunye nokuzilolonga, ugqirha wakho angathetha nawe ngolu tyando.
- Intlungu yamalungu enganyamezelekiyo.
- Ukuqina kwamalungu kusasa.
- Ukungakwazi ukugoba okanye ukolula idolo ngokufanelekileyo (Limited Mobility).
- Ukudumba kwamadolo.
Eyona nto ibalulekileyo kukuba olu tyando lufaneleke kakhulu kwabo banenxalenye enye kuphela yedolo egugileyo, ngaphandle kokuba zonke iindawo ezintathu zonakaliswe.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho kunye nogqirha baza kukuchazela yonke into ekufuneka uyenze ngaphambi kotyando. Ngokwesiqhelo, kuya kufuneka wenze ezi zinto.
| Kwenziwe ntoni | Kutheni kunjalo? |
|---|---|
| Uvavanyo olupheleleyo lomzimba | Qiniseka ukuba usempilweni ngokwaneleyo ukuba unganyamezela utyando. |
| Uvavanyo lwegazi | Qinisekisa ukuba izinto ezifana noxinzelelo lwegazi kunye nokusebenza kwezintso ziqhelekile. |
| Uvavanyo lwe-ECG | Yazi impilo yentliziyo yakho. |
| Ukucoca nokuhlola amazinyo | Nangona oku kungabonakala kumangalisa kancinci, kubaluleke kakhulu ukuthintela iintsholongwane emlonyeni ukuba zingangeni egazini zize zibangele usulelo emva kotyando. |
| I-X-ray, i-MRI okanye i-CT scan | Jonga iindawo ezigugileyo zedolo. Ngokwesiqhelo i-X-ray yanele, kodwa ngamanye amaxesha i -MRI okanye i-CT scan inokufuneka. |
Qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini, okanye amayeza esintu owasebenzisayo. Amanye amayeza (ingakumbi amayeza okunciphisa igazi) anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando. Kusenokufuneka uyeke ukutya okanye ukusela malunga neeyure ezili-12 ngaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Ingcali yokubulala iintlungu iza kukunika i-anesthesia ukuze ungeva ntlungu. Oku kungenziwa ngeendlela ezimbini. Nokuba uza kube ulele ngokupheleleyo (i-General Anesthesia), okanye kuphela indawo engaphantsi kwesinqe eya kuba ne-numbness (i-Regional Anesthesia). Iqela lezonyango liza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Ngexesha lotyando, ugqirha wotyando:
1. Iziqwenga ze-cartilage ezigugileyo kunye namathambo edolweni zisuswa ngononophelo.
2. Endaweni yoko, kufakwa izinto zesinyithi ezenziweyo ezilinganisiweyo kwangaphambili nezilungisiweyo.
3. Inxalenye ekhethekileyo yeplastiki (i-spacer) esebenza njenge-cartilage yethu enempilo ifakwa phakathi kwala macandelo mabini esinyithi.
Olu tyando luphela ludla ngokuthatha malunga neyure.
Kwenzeka ntoni emva kotyando kwaye ixesha lokuchacha lihamba njani?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Iqela lezonyango liza kukunyamekela kakuhle ude uvuke emva kotyando lokubulala iintlungu. Kwiimeko ezininzi, ungaya ekhaya ngokuhlwa okufanayo notyando. Elo lithuba elikhulu lotyando. Nangona kunjalo, ngamanye amaxesha kusenokufuneka uhlale esibhedlele usuku lonke.
Kungathatha iinyanga ezininzi ukuze uphile ngokupheleleyo. Kodwa kufuneka ukwazi ukuqhubeka nemisebenzi yakho yesiqhelo emva kweeveki ezintandathu . Ukuba uphila ngokukhawuleza kangakanani kuxhomekeke kwizinto ezifana nobudala bakho kunye nempilo yomzimba wakho ngaphambi kotyando.
Izinto onokuzenza ekhaya ukuze uphile ngokukhawuleza
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho. Ngokuqhelekileyo baya kukuxelela ukuba wenze ezi zinto:
- Faka umkhenkce edolweni lakho: Ukugalela umkhenkce edolweni lakho malunga nemizuzu engama-20 izihlandlo ezininzi ngemini kunokunciphisa kakhulu iintlungu nokudumba.
- Phakamisa idolo lakho: Gcina idolo lakho liphezulu ngaphezu kwenqanaba lentliziyo yakho nanini na kunokwenzeka. Phakamisa umlenze wakho ngeemiqamelo ezimbalwa xa usebhedini, okanye isitulo xa usesitulweni.
- Gcina inxeba licocekile: Landela imiyalelo kagqirha wakho ngokuchanekileyo malunga nendlela yokutshintsha ibhandeji kunye nexesha onokuhlamba ngalo.
- Imithambo yasekhaya: Ugqirha wakho uza kukufundisa imithambo elula yokuqinisa izihlunu ezijikeleze idolo lakho kunye nokunciphisa ukuqina kwedolo. Yenza kanye kanye loo mithambo.
- Unyango Lomzimba: Kuya kufuneka usebenze nogqirha wengqondo iiveki ezimbalwa emva kotyando. Oku kuya kukunceda ukuba ugobe idolo lakho ngokufanelekileyo, uqale ukuhamba ngomthwalo wobunzima, kwaye ubuyele ekuhambeni.
Ulawulo lweentlungu
Kuqhelekile ukuba uzive iintlungu emva kotyando, ingakumbi kwiiveki zokuqala ezimbalwa. Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu, anjengee-nonsteroidal anti-inflammatory drugs (NSAIDs), kunye ne-paracetamol, ukunceda ukulawula iintlungu. Ungaze uthathe okungaphezulu koko ugqirha akuxelele kona. Ukuba awukwazi ukunyamezela iintlungu okanye unemibuzo malunga namayeza, thetha nogqirha wakho ngoko nangoko.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo lonke utyando, olu luneengenelo kunye neengozi ezincinci.
| Iinzuzo | Iingxaki ezinokubakho |
|---|---|
| Ukuchacha ngokukhawuleza kunokutshintshwa ngokupheleleyo kwedolo. | Amahlwili egazi. |
| Ixesha lokuhlala esibhedlele lifutshane kakhulu (ungaya ekhaya rhoqo ngaloo mini inye). | Usulelo ngaphakathi kwenxeba okanye edolweni. |
| Idolo livakala lingokwemvelo emva kotyando. | Ukonakala kwemithambo-luvo okanye imithambo yegazi. |
| Intlungu nokuqina kwexesha elide kuyasuswa kwaye umgangatho wobomi uyaphucuka. | Ilungu elenziweyo liyakhululeka okanye liguge ngokukhawuleza. |
| Ilungu elenziweyo lihlala ixesha elide kangangeminyaka eli-10 nangaphezulu . | Ukwakheka kwezicwili ngaphakathi edolweni. |
Abanye abantu banokufuna ukufakelwa idolo ngokupheleleyo ukuba ezinye iindawo zedolo ziyaguga emva kweminyaka emininzi yolu tyando. Kwakhona, ukuba unezinye iimeko zempilo, ezifana `(Isifo seswekile)`, `(Isifo segazi)` okanye `(I-Lupus),` thetha nogqirha wakho ngaloo nto, kuba inokuchaphazela ukuchacha kwakho.
Xa kufuneka uthethe nogqirha!
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kotyando, yiya kwangoko kugqirha wakho okanye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba unentlungu esifubeni .
- Ukuba uziva kunzima ukuphefumla .
- Ukuba umkhuhlane unyuka ngaphezu kwama-degrees F angama-101 (39 C).
- Ukuba inxeba liphuma igazi elininzi.
- Ukuba inxeba lidumbile, libomvu, livakala lishushu, okanye linevumba elibi (ezi ziimpawu zosulelo).
- Ukuba unentlungu entsha esinqeni sakho, eqatheni, okanye ezinyaweni (oku kungaba luphawu lokuqhekeka kwegazi).
- Ukuba unentlungu ebuhlungu engapheliyo nokuba sele usele amayeza.
Ukutshintshwa kwedolo elipheleleyo okanye isiqingatha - leliphi elingcono?
Le yingxaki abantu abaninzi abanayo. Khawuthelekelele ukuba itayara enye kuphela kwezine emotweni yakho igugile. Ngaba siyawatshintsha onke amane kunye namanye amatayara amathathu amahle, okanye siyawatshintsha kuphela amatayara agugileyo? Kunjalo ke ngale.
Ukuba zonke iindawo ezintathu zedolo zigugile, ngoko ke kufuneka kutshintshwe idolo lonke. Nangona kunjalo, ukuba linye kuphela inxalenye egugileyo, uya kuzuza kakhulu ngokutshintsha indawo egugileyo kuphela, ushiye iindawo eziphilileyo ziphilile.
Ngoko ke, akunakwenzeka ukuthi enye indlela "ingcono" kunenye. Okukulungeleyo kuxhomekeke kwimeko yedolo lakho. Ugqirha wakho ngumntu ofanelekileyo ukwenza eso sigqibo.
Ukuphila neentlungu zedolo kunokuba yinto ecaphukisayo kakhulu. Kunokuphazamisa nemisebenzi yakho yemihla ngemihla. Ukuba unengxaki le, thetha nogqirha wakho malunga notyando lokutshintsha idolo ngokungaphelelanga. Kungakunika isiqabu esikhulu ebomini bakho.
Umyalezo Wokuya Ekhaya
- Ukutshintshwa kweDolo Elingaphelelanga lutyando olususa kuphela inxalenye egugileyo yedolo luze lufake indawo yenxalenye yokwenziwa.
- Oku kulungele abo bagugile inxalenye enye kuphela yedolo labo, ngaphandle kokonakalisa zonke iindawo ezintathu.
- Akukho xesha lininzi lokuchacha, akukho xesha lininzi lokuhlala esibhedlele, kwaye idolo livakala lingokwemvelo kunokutshintshwa ngokupheleleyo kwedolo.
- Ukuze uphile ngokukhawuleza emva kotyando, kubalulekile ukulandela umthambo kunye nemiyalelo enikwe ngugqirha ngokuchanekileyo.
- Ukuba ufumana iimpawu ezilumkisayo ezifana neentlungu zesifuba, ubunzima bokuphefumla, okanye umkhuhlane ophezulu, funa ingcebiso kagqirha ngokukhawuleza.
- Ugqirha wakho uya kuba ngumntu ofanelekileyo wokugqiba ukuba ukutshintshwa kwedolo okungaphelelanga okanye okupheleleyo kukulungele na, ngoko ungoyiki ukumbuza.
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