Intlungu yedolo yinto ecaphukisayo kakhulu, akunjalo? Intlungu nokuqina okuzivayo xa uhamba, ugoba, okanye unyuka izinyuko kunokwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla. Mhlawumbi nawe unengxaki yolu ngxaki. Ukuba intlungu ayikapheli nangona usela amayeza kwaye ufumana unyango olwahlukeneyo, ugqirha wakho usenokuba ukuxelele ngotyando lokutshintsha inxalenye yedolo lakho. Namhlanje, siza kuthetha ngolu tyando, oko kukuthi, 'ukutshintshwa kwedolo okuyingxenye', ngendlela elula enokuqondwa ngumntu wonke.
Yintoni 'ukutshintshwa kwedolo elingaphantsi'?
Ngamafutshane, olu lutyando oluthatha indawo yenxalenye eyonakeleyo yedolo lakho, hayi lonke ilungu. Oku kubizwa ngokuba yi-joint replacement (i-Arthroplasty) ngokwezonyango.
Kolu tyando, ugqirha ususa ithambo elidala nelonakeleyo kunye ne-cartilage edolweni lakho aze alifake endaweni yalo ijoyinti yokwenziwa (i-prosthesis) eyenziwe ngesinyithi neplastiki.
Cinga ngedolo lethu njengendlu enamagumbi amathathu. Ineendawo ezintathu eziphambili:
- Inxalenye ephakathi: Icala elingaphakathi ledolo.
- Inxalenye esecaleni: Umva wedolo.
- Icandelo lePatellofemoral: Indawo engaphantsi kwedolo lakho.
Utyando lokutshintshwa kwedolo elingaphelelanga ludla ngokwenziwa xa inxalenye engaphakathi okanye engaphandle yedolo yonakele. Ukuba idolo aligugi ngokupheleleyo, olu tyando lubandakanya ukutshintshwa kwenxalenye eyonakeleyo kuphela, kushiyeke iindawo eziphilileyo ziphelele.
Zeziphi iintlobo zeemeko ezisetyenziswayo olu tyando?
Isizathu esiphambili solu tyando sidla ngokuba yi-arthritis. Nangona kunjalo, olu tyando lucetyiswa ngokukodwa kubantu abane-osteoarthritis.
Ukuba uneempawu eziqatha kwaye awukakhululeki ngonyango olungelulo utyando olufana namayeza kunye nokuzilolonga, ugqirha wakho unokuqwalasela olu tyando.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yamalungu | Intlungu yexesha elide eyenzeka xa uhamba, umi, okanye uphumle. |
| Ukuqina | Ukuziva ukuqina kwedolo okulithintela ukuba lingagobi okanye linwebeke xa uvuka kusasa okanye emva kokuhlala ixesha elithile. |
| Ubunzima bokuhamba | Ukungakwazi ukugoba okanye ukolula idolo ngokupheleleyo, ubunzima bokuhamba, ubunzima bokunyuka izinyuko. |
| Ukudumba | Ukudumba okungapheliyo edolweni. |
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho kunye nogqirha baza kukuchazela ngokucacileyo into ekufuneka uyenze ngaphambi kotyando. Ngokwesiqhelo, kuya kufuneka wenze oku kulandelayo:
- Uvavanyo olupheleleyo lomzimba: Jonga ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Uvavanyo lwegazi: Jonga amanqanaba egazi kunye nezinye iingxaki.
- Uvavanyo lwe-ECG: Ukuqinisekisa ukuba intliziyo isebenza kakuhle.
- Ukuhlolwa kwamazinyo: Oku kubaluleke kakhulu. Ukuba unentsholongwane emazinyweni okanye kwiintsini zakho, ezo ntsholongwane zinokuhamba egazini lakho emva kotyando zize zibangele isifo edolweni lakho. Ngoko ke kubalulekile ukuba amazinyo akho acocwe kwaye naziphi na iingxaki zilungiswe ngaphambi kotyando.
- Uvavanyo lokufota: I-X-ray yedolo idla ngokwenziwa. Ngamanye amaxesha, kunqabile kakhulu, i-MRI okanye i-CT scan nayo inokwenziwa.
Okubaluleke kakhulu: Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza (kuquka lawo eezinye iimeko), iivithamini, izongezo zemifuno, okanye nawaphi na amayeza athengiswa ngaphandle kwe-odolo (OTC). Ungacetyiswa ukuba uyeke ukusebenzisa amanye amayeza kwiintsuku ezimbalwa ngaphambi kotyando lwakho.
Uza kunikwa nemiyalelo yokuba kufuneka uyeke nini ukutya nokusela ngosuku olungaphambi kotyando. Ngokwesiqhelo, kuya kufuneka uyeke ukutya nokusela iiyure ezili-12 ngaphambi kotyando.
Kwenzeka ntoni ngexesha nasemva kotyando?
Ngomhla wotyando, uza kunikwa i-anesthesia ukuze ungeva ntlungu. Ingcali ye-anesthesia ingakunika i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo, okanye i-anesthesia yengingqi, evala kuphela indawo engaphantsi kwesinqe.
Ngexesha lotyando, ugqirha ususa i-cartilage kunye nethambo elonakeleyo aze alifake ijoyinti elenziweyo. Kufakwa ne-plastic spacer ukwenza umsebenzi owawusenziwa yi-cartilage. Utyando ludla ngokuthatha malunga neyure .
Emva kotyando, uza kusiwa kwigumbi lokuchacha apho iqela lezonyango liza kujonga khona iimpawu zakho ezibalulekileyo kunye neentlungu. Uninzi lwabantu lunokubuyela ekhaya ngosuku olunye notyando. Nangona kunjalo, kunokufuneka uhlale esibhedlele ubusuku bonke ukuba kuyimfuneko.
Iingenelo kunye neengxaki ezinokubakho zolu tyando
Eyona nzuzo iphambili yolu tyando kukuba iintlungu nokuqina kwexesha elide azisekho, kwaye ungahamba kwaye usebenze ngokukhululeka. Ikwaphucula umgangatho wobomi bakho.
Eyona nto ibalulekileyo kukuba ixesha lokuchacha emva kolu tyando likhawuleza kakhulu kunasemva kokutshintshwa kwedolo ngokupheleleyo.
Eli lungu lokwenziwa lihlala iminyaka eli-10 nangaphezulu , kodwa abanye abantu banokufuna ukufakelwa idolo ukuba bafumana isifo samathambo kwezinye iindawo zedolo kwixesha elizayo.
Iingxaki azixhaphakanga, kodwa kubalulekile ukuba uzazi.
- Amahlwili egazi
- Usulelo enxebeni okanye ngaphakathi edolweni
- Ukonakala kwemithambo-luvo okanye imithambo yegazi
- Ukonakala okanye ukukhululeka kwamalungu enziwe ngeprosthetiki
- Ukunciphisa amandla okugoba/ukwandisa idolo
Ukuba unezinye izifo, ezifana ne-hemophilia, isifo seswekile, okanye i-lupus, xelela ugqirha wakho ngazo.
Ixesha lokuchacha kunye nezinto ekufuneka zenziwe
Kungathatha iinyanga ezininzi ukuze uphile ngokupheleleyo. Kodwa kufuneka ukwazi ukuqhubeka nemisebenzi eqhelekileyo emva kweeveki ezi-6 . Ukuchacha kwakho kuya kuxhomekeka kwiminyaka yakho, impilo yakho ngaphambi kotyando, kunye nezinye iimeko zempilo.
Ungenza ezi zinto ukuze uphile ngokukhawuleza:
| Kwenziwe ntoni | Kutheni oko kubalulekile? |
|---|---|
| Ukubeka umkhenkce | Faka umkhenkce edolweni lakho malunga nemizuzu engama-20 izihlandlo ezininzi ngemini. Oku kuya kunciphisa iintlungu nokudumba. |
| Ukugcina idolo liphezulu | Gcina amadolo akho ephezu kwenqanaba lentliziyo yakho nanini na xa kunokwenzeka. Lala phantsi ubeke imiqamelo phezulu. |
| Ukugcina inxeba licocekile | Landela imiyalelo kagqirha. Buza ngokuchanekileyo indlela yokutshintsha ibhandeji enxebeni kunye nokuba ungahlamba nini. |
| Ukuzilolonga onokukwenza ekhaya | Yenza imithambo njengoko ugqirha wakho ekuyalele. Oku kuya kunceda ukuqinisa izihlunu ezijikeleze idolo lakho kwaye kunciphise ukuqina kwamalungu. |
| Ulungiso lwenyama | Kuya kufuneka usebenze nogqirha wezonyango kangangeeveki ezimbalwa. Baza kukufundisa indlela yokugoba idolo lakho ngokukhuselekileyo kunye nendlela yokufaka ubunzima kulo. |
Iimpawu ezifuna unyango olukhawulezileyo
Ngexesha lokuchacha kwakho emva kotyando, ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Iintlungu zesifuba
- Ubunzima bokuphefumla (ukuphelelwa ngamandla)
- Umkhuhlane ongaphezulu kwe-101 Fahrenheit (39 Celsius)
- Ukopha kakhulu enxebeni
- Iimpawu zosulelo lwenxeba (ukukhupha ubovu, ukudumba okugqithisileyo, ivumba elibi, ukubomvu, ubushushu xa uchukumisa)
- Intlungu entsha okanye eyandayo ethangeni, eqakaleni, okanye ezinyaweni
- Intlungu ebuhlungu engapheziyo nangona usela iintlungu zokuphelisa iintlungu
Ekugqibeleni, akusekho mfuneko yokuba ukhathazeke ngenxa yeentlungu zamadolo nokuqina kwawo. Ukuba ezinye iindlela zonyango azisebenzi, utyando lunokuba lukhetho olufanelekileyo ukuze uphile ubomi obutofotofo. Thetha nogqirha wakho malunga nonyango olungcono kuwe.
Umyalezo Wokuya Ekhaya
- Ukutshintshwa kweDolo Elingaphelelanga lutyando oluthatha indawo yedolo elonakeleyo ngenxa yesifo samathambo.
- Ixesha lokuchacha lidla ngokuba likhawuleza kunotyando lokutshintshwa kwedolo lonke.
- Ukuze uphile ngokukhawuleza nangokuphumelelayo, kubalulekile ukulandela imiyalelo kagqirha wakho kunye nogqirha wezonyango ngokuchanekileyo.
- Qaphela naziphi na iimpawu ezilumkisayo ezinokubakho emva kotyando (umz. iintlungu zesifuba, umkhuhlane ophezulu, usulelo lwenxeba), kwaye funa ingcebiso kagqirha ngokukhawuleza ukuba kukho nayiphi na kwezi.
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