Ngaba unentlungu engapheliyo emagxeni? Mhlawumbi unengxaki yokwenza imisebenzi elula efana nokuphakamisa ingalo yakho, ukukama iinwele zakho, okanye ukuphakamisa into ethile phezulu. Ukuba intlungu ayipheli ngonyango oluqhelekileyo, ugqirha wakho usenokuba ucebise utyando lokutshintshwa kwamagxa. Namhlanje, sithetha ngotyando olufanayo, kodwa olwahlukileyo kancinci. Lubizwa ngokuba 'luTshintsho lwamagxa olubuyela umva'.
Yintoni le 'Reverse Shoulder Replacement'?
Ngamafutshane, olu lutyando lokutshintsha amalungu. Oogqirha ngamanye amaxesha balubiza ngokuba yi-"Reverse Total Shoulder Arthroplasty." Kolu tyando, ugqirha ususa ilungu lakho legxalaba lendalo, elonakeleyo aze alitshintshe nge-"prosthesis" yokwenziwa eyenziwe ngesinyithi neplastiki.
Ngoku makhe sibone ukuba kutheni oku kubizwa ngokuba yi-'Reverse'.
Cinga ngelungu lethu legxalaba njengekomityi enebhola. Ilungu legxalaba lidla ngokwenziwa yinxalenye efana nekomityi yethambo lakho legxalaba (scapula) (i-glenoid) kunye nenxalenye efana nebhola yethambo lakho elingaphezulu lengalo (i-humerus) (intloko).
Kwi-'reverse' tyando, okuchaseneyo kuyinyaniso. Ugqirha utshintsha indawo yebhola kunye nendebe. Emva kotyando, ibhola yenziwa ukuba iphume kwithambo legxalaba (scapula) kwaye indebe yenziwe ukuba ilingane nethambo lengalo ephezulu (humerus). Ngamanye amazwi, ulwakhiwo oluqhelekileyo luguqulwa ngokupheleleyo.
Kutheni utyando 'olubuyela umva' lwenziwa ngolu hlobo? Lufanelekela bani?
Olu tyando 'olubuyela umva' lucetyiswa kubantu abaneengxaki zempilo ezikhethekileyo abangakwaziyo ukwenza utyando lokutshintshwa kwamagxa rhoqo. Ukuba unentlungu eqatha egxalabeni lakho okanye ubunzima bokuhambisa ingalo yakho, ugqirha wakho uya kuqala azame izinto ezifana namayeza kunye nonyango lomzimba. Utyando luya kuqwalaselwa kuphela xa ezi zinto zingasebenzi.
Ngokukodwa, ukuba une-arthritis yegxalaba kunye nenye okanye ezingaphezulu kwezi meko zilandelayo, ugqirha wakho angacebisa olu tyando 'lokubuyisela umva'.
| Imeko yempilo | Ingcaciso elula |
|---|---|
| Ithishu ekrazukileyo kakhulu ye-`(Rotator Cuff)` | Umonakalo omkhulu kwizihlunu kunye nezicubu ezijikeleze igxalaba ezinceda ekuphakamiseni ingalo. Lo monakalo wenza kube nzima ukugcina uzinzo ukuba ilungu eliqhelekileyo liyatshintshwa. |
| Ukuqhekeka kwegxalaba | Ukuphuka okukhulu kwegxalaba. |
| Ukususwa Kwendawo Engapheliyo | Ukuba igxalaba lihlala likhubeka, izicwili ezijikelezileyo ziba buthathaka kwaye utyando oluqhelekileyo aluyi kuphumelela. |
| Umonakalo omkhulu emathanjeni | Ukuba amathambo akwilungu agugile kwaye onakele kakhulu ngenxa yesifo samathambo okanye esinye isifo. |
| Umhlaza okanye ezinye iithumba kwilungu | Ukuba amathambo onzakele ngenxa yeethumba ezijikeleze igxalaba. |
Kwiimeko ezinje, izihlunu kunye nezicubu ezijikeleze igxalaba zibuthathaka, ngoko ke ukutshintshwa kwegxalaba lendabuko akunakubonelela ngozinzo olufunekayo. Nangona kunjalo, ngokutshintsha ibhola kunye nesokhethi ngendlela ethi 'Reverse', iqela elahlukileyo lezihlunu (umzekelo, izihlunu ze-deltoid) lingasetyenziswa ukuphakamisa ingalo. Oku kubonelela ngozinzo olungcono kwilungu kwaye kunciphisa umngcipheko weengxaki.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukulungiselela kakuhle ngaphambi kotyando. Oku kungabandakanya:
- Ukuhlolwa kwamazinyo: Oku kubalulekile ukunciphisa umngcipheko wokosuleleka emva kotyando.
- Uvavanyo olupheleleyo lomzimba: Jonga ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Uvavanyo lwe-ECG: Jonga impilo yentliziyo yakho.
- Uvavanyo lwegazi: Yazi imeko yegazi lakho nezinye izinto.
- Uvavanyo lwemifanekiso: I-X-ray yegxalaba, i-MRI, okanye i-CT scan inokunceda ukuvavanya ngcono imeko yelungu.
Okubaluleke kakhulu, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (oogqirha kunye namayeza okunciphisa iintlungu kunye neevithamini). Amanye amayeza anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kotyando.
Ugqirha wakho uza kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngosuku olungaphambi kotyando. Ngokwesiqhelo, kuya kufuneka uyeke ukutya nokusela iiyure ezisi-8 ngaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando, uza kunikwa i-anesthesia ukuze ungeva ntlungu. Ingcali ye-anesthesia iza kukunika amayeza okukulalisa ngokupheleleyo (i-anesthesia eqhelekileyo) okanye ukuthoba kuphela indawo ejikeleze igxalaba lakho (i-anesthesia yengingqi).
Ngexesha lotyando, ugqirha otyandayo ulandela la manyathelo:
1. Kuza kwenziwa umngxuma omncinci eluswini olukufutshane negxalaba lakho.
2. Iziqwenga ze-cartilage kunye namathambo ezonakeleyo ziyasuswa kwilungu.
3. I-prosthesis ifakiwe.
4. Ibhola yesinyithi ifakwa kwithambo legxalaba (scapula). Isokhethi ifakwa kwithambo lengalo ephezulu (ihumerus).
5. Ilungu elitsha lilungiswe kakuhle, kwaye inxeba livalwa ngezititshi.
Olu tyando ludla ngokuthatha malunga neyure okanye ezimbini, kodwa ngeli xesha lunokwahluka ngokuxhomekeke kubungakanani bomonakalo kwilungu lakho.
Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?
Eyona nzuzo inkulu yolu tyando kukuba iintlungu ezinzima kunye nokuqina kwegxalaba kuncitshisiwe kakhulu. Ungasebenzisa kwaye uphakamise ingalo yakho ngcono kunangaphambi kotyando. Kwakhona, esi sisisombululo esilungileyo kwabo bangenakukwazi ukwenza utyando lwegxalaba rhoqo.
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa ezi azixhaphakanga kakhulu.
- Amahlwili egazi
- Ukonakala kwemithambo yegazi
- Ukuqhekeka kwethambo elijikeleze i-implant
- Usulelo kwindawo yotyando okanye ngaphakathi kwilungu
- Umonakalo wemithambo-luvo
- Ukukhululeka okanye ukuguguleka kwangaphambi kwexesha kwelungu elenziweyo elifakelweyo
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kusiwa kwigumbi lokuchacha, apho abasebenzi bezonyango baza kukunyamekela kakuhle de imiphumo ye-anesthesia iphele. Usenokukwazi ukuya ekhaya ngaloo mini inye. Okanye usenokufuna ukuhlala esibhedlele usuku olunye okanye ezimbini.
Kungathatha malunga neenyanga ezi-6 ukuze umntu aphile ngokupheleleyo.
- Iiveki ezimbalwa zokuqala: Kuya kufuneka unxibe isilingi.
- Ulawulo lweentlungu: Ufanele usebenzise amayeza okudambisa iintlungu kunye namanye amayeza (ii-NSAID) njengoko ugqirha wakho ekuyalele, ukuba kuyimfuneko.
- Unyango Lomzimba: Emva kweeveki ezimbalwa, uza kubonana nogqirha wengqondo. Uza kukufundisa imithambo yokuqinisa izihlunu zakho zamagxa nokwandisa uluhlu lwakho lokushukuma. Ukwenza le mithambo ngokuchanekileyo kubalulekile ukuze uphile ngokukhawuleza.
- Imiqathango:Kuya kufuneka uphephe ukuphakamisa iintsimbi nokudlala imidlalo kangangeenyanga ezimbalwa. Emva kokuba ugqirha wakho ekunike imvume, ungaqhubeka kancinci kancinci nemisebenzi yakho yesiqhelo.
Olu tyando luhlala ixesha elingakanani?
La malungu okwenziwa ahlala ixesha elide, amaxesha amaninzi iminyaka eli-15 nangaphezulu ngaphandle kweengxaki. Abantu abaninzi banokulisebenzisa eli lungu lifakwe ubomi babo bonke.
Ufanele ubone ugqirha nini emva kotyando
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho ngokukhawuleza. Ukuba ufumana iintlungu eziqatha esifubeni okanye ubunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| • Ukopha ngenxa yokusikwa | • Iintlungu zesifuba |
| • Umkhuhlane ongaphezulu kwe-101 Fahrenheit (39 Celsius) | • Ubunzima bokuphefumla (ukuphelelwa ngamandla) |
| • Intlungu ebuhlungu engapheziyo nangona usela iintlungu zokuphelisa iintlungu | • Intlungu entsha okanye eyandayo esandleni okanye esihlahleni |
| • Iimpawu zosulelo: ulwelo olufana nobovu oluphuma kwindawo etyumkileyo, ukudumba, ukutshintsha kombala, ivumba, okanye ubushushu obungaqhelekanga. | |
Umyalezo Wokuya Ekhaya
- 'Ukutshintshwa kweGxalaba elingasemva' lutyando olukhethekileyo olwenziwa kubantu abangakwaziyo ukwenza utyando lwegxalaba rhoqo ngenxa yomonakalo omkhulu we-rotator cuff okanye ezinye izizathu ezikhethekileyo.
- Kolu tyando, ibhola kunye nesokhethi yelungu legxalaba ziyabekwa kwakhona, nto leyo evumela ingalo ukuba ishukume kusetyenziswa izihlunu ezahlukeneyo.
- Oku kuya kunciphisa iintlungu zakho ezinzima kwaye kukuncede wenze imisebenzi yakho yemihla ngemihla ngaphandle kwentlungu.
- Kuthatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo, kwaye kubaluleke kakhulu ukulandela unyango lomzimba kunye neengcebiso zonyango.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ingakumbi iimpawu zosulelo, iintlungu eziqatha) emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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