Oko kufuneka ukwazi malunga notyando lokutshintshwa kwamagxa

Mhlawumbi nawe awukwazanga ukulala ebusuku ngenxa yentlungu eqatha egxalabeni lakho. Usenokuziva iintlungu ezinganyamezelekiyo nokuba uphakamisa ingalo yakho, utshintsha impahla yakho, okanye ude wolule isandla sakho uthathe into encinci eshelufini yasekhitshini. Kwimeko efana nale, ukuba ezinye iindlela zonyango azincedi, ugqirha wakho usenokuba uthethe nawe ngotyando 'lokutshintsha amagxa'. Ukuva eli gama kunokoyikisa. Kodwa masithethe ngayo yonke into ngokulula nangokucacileyo.

Yintoni utyando lokutshintshwa kwamagxa?

Ngamafutshane, oku kuquka ukususa ilungu lakho legxalaba eligugileyo nelonakeleyo ngokwendalo uze ulifake ilungu lokufakelwa (i-prosthesis). Oogqirha bakwabiza oku ngokuthi "yi-total shoulder arthroplasty." La malungu okufakelwa enziwe ngesinyithi kunye nohlobo olukhethekileyo lweplastiki.

Ilungu legxalaba lakho "liyi-ball and socket joint." Inxalenye efana nebhola yethambo lakho lengalo ephezulu (i-humerus) ingena kwinxalenye efana nekomityi (i-glenoid) yethambo lakho legxalaba (i-scapula). Kolu tyando, la malungu onakeleyo atshintshwa ngamatsha.

Utyando olupheleleyo nolungenanxalenye

Abantu abaninzi kufuneka bafakelwe igxalaba elipheleleyo , oko kuthetha ukuba ibhola kunye nesokhethi ziyatshintshwa.

Kodwa ngamanye amaxesha, ukuba inxalenye enye kuphela yelungu yonakele, ugqirha unokwenza utshintsho lwegxalaba elingaphelelanga (okanye i-hemiarthroplasty). Umzekelo, ukuba ibhola yonakele kwaye isokhethi iphelele, ibhola kuphela etshintshwayo. Kodwa oku akwenzeki rhoqo. Xa ilungu lonakele ngenxa yemeko efana ne-arthritis, zombini iindawo zihlala zonakele.

Kuxa kutheni apho olu tyando lucetyiswa khona?

Ukuba iimpawu zakho zegxalaba aziphucuki nangona kukho ezinye iindlela zonyango, ezinje ngamayeza kunye ne-physiotherapy, ugqirha wakho unokuqwalasela utyando:

• Iintlungu zamagxa ezinganyamezelekiyo , ingakumbi ebusuku.
• Ukungakwazi ukuphakamisa okanye ukujikeleza ingalo ngokufanelekileyo kuthetha ukuba intshukumo yelungu ilinganiselwe .
• Ukuqina nokuqina kwamalungu.
• Ukudumba kwamalungu.

Eyona nto ibangela le meko kukudumba kwelungu legxalaba, elibizwa ngokuba yi-arthritis. Ezona ntlobo zixhaphakileyo yi-osteoarthritis (ebangelwa kukuguguleka kwamathambo) okanye i-rheumatoid arthritis (ebangelwa yingxaki yenkqubo yomzimba yokuzikhusela). Ukongeza, olu tyando lukwacetyiswa kwiimeko zomonakalo omkhulu kwimisipha kunye nemisipha yegxalaba ebizwa ngokuba yi-rotator cuff okanye i-avascular necrosis (ukungabikho kwegazi emathanjeni).

Uzilungiselela njani ngaphambi kotyando?

Musa ukoyika oku, ugqirha wakho kunye neqela lakhe baya kukulungiselela ngqo oku. Kuya kufuneka wenze uvavanyo oluninzi ngaphambi kotyando.

• Ukutyelela ugqirha wamazinyo: Amazinyo akho aza kuhlolwa aze acocwe ukunciphisa umngcipheko wokosuleleka emva kotyando.
• Uvavanyo lomzimba: Fumanisa ngempilo yakho iyonke.
• Uvavanyo lwe-X-ray, i-CT okanye i-MRI: Jonga kakuhle ukuba umonakalo owenzeka kwilungu legxalaba ubonakala njani.
• Uvavanyo lwe-ECG (`i-Electrocardiogram`): Jonga ukusebenza kwentliziyo.
• Uvavanyo lwegazi oluninzi.

Ngokuqinisekileyo kufuneka uxelele ugqirha wakho malunga nayo nayiphi na imithi (kuquka leyo yezinye iimeko) kunye neevithamini ozisebenzisayo ngoku. Amanye amayeza anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando. Amanye anokufuna ukuba uzile ukutya malunga neeyure ezisi-8 ngaphambi kotyando. Iqela lakho lezonyango liya kukunika imiyalelo ecacileyo ngayo yonke le nto.

Lwenziwa njani utyando?

Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia ukuze ungaziva iintlungu. Usenokunikwa i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo, okanye i-anesthesia yengingqi, evala igxalaba kuphela kunye nendawo engqongileyo.

Ngexesha lotyando, ugqirha wotyando:

1. Kwenziwa umngxuma omncinci eluswini olujikeleze igxalaba.

2. Ithambo kunye ne-cartilage eyonakeleyo zisuswa ngononophelo olukhulu.

3. Endaweni yoko, kufakelwa ilungu elenziweyo elilinganisiweyo neliyilwe kwangaphambili (i-prosthesis).

4. Ingalo negxalaba zibekwe ngokuchanekileyo kwaye isilonda sithungwe.

Olu tyando ludla ngokuthatha malunga neeyure ezimbini , kodwa eli xesha linokwahluka ngokuxhomekeke kubungakanani bomonakalo kwilungu lakho.

Kwenzeka ntoni emva kotyando kwaye kuthatha ixesha elingakanani ukuba umntu aphile?

Emva kotyando, uza kusiwa kwigumbi lokuchacha apho uza kubekwa esweni khona. Abanye abantu banokuya ekhaya ngaloo mini (`isigulane esingalaliyo`), ngelixa abanye kuya kufuneka bahlale esibhedlele usuku olunye okanye ezimbini (`isigulane esingaphakathi`).

Emva kotyando, uza kufakwa kwisling. Kuya kufuneka uyinxibe kangangeeveki ezimbalwa. Ugqirha wakho uza kukunika nemithambo elula yokukunceda uphinde ushukume kwaye uqinise igxalaba lakho. Kubaluleke kakhulu ukuyenza ngokuchanekileyo.

Kuya kufuneka uqalise unyango lomzimba kwiiveki ezimbalwa ezizayo. Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokolula umzimba ukuze yonyuse umgama wamagxa akho kunye nokuqinisa izihlunu zakho.

Kuqhelekile ukuba neentlungu kwiiveki zokuqala ezimbalwa. Ugqirha uza kukunika amayeza okuthomalalisa iintlungu. Kubalulekile nokuthatha amayeza ngomlinganiselo ochanekileyo nangexesha elifanelekileyo. Kuya kufuneka uphephe ukuphakamisa iintsimbi nokudlala imidlalo kangangeenyanga ezimbalwa. Nangona kunjalo, emva kweeveki ezimbini ukuya kwezintathu, uya kukwazi ukuqala ukwenza imisebenzi emincinci efana nokunxiba impahla nokulungisa ukutya.

Kuqhelekile ukuziva usoyika kwaye unexhala malunga nolu hlobo lotyando. Kodwa khumbula, isiqabu oza kuyifumana emva koku kunye nobomi obungenazintlungu zifanelekile. Nangona ixesha lokuchacha liza kuba nzima, njengoko usiya uqina kancinci, uya kuziva unebhongo. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.