Ngaba awukwazi ukuphakamisa igxalaba lakho, awukwazi ukulala ebusuku, okanye ufumana iintlungu eziqatha ngalo lonke ixesha usebenzisa ingalo yakho? Ngaba igxalaba lakho liziva libambekile? Ngenxa yezizathu ezinje, ugqirha wakho usenokuba uthethe nawe ngotyando lokutshintshwa kwegxalaba. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva into efana nale. Yiyo loo nto siza kuthetha ngale nto ngokulula namhlanje, ngendlela onokuyiqonda.

Yintoni le ngcibi yokutshintshwa kwamalungu egxalabeni?

Ngamafutshane, oku kuquka ukususa iindawo ezigugileyo nezinakeleyo zelungu lakho lendalo legxalaba uze uzifake ilungu elenziwe ngentsimbi neplastiki. Oogqirha babiza oku ngokuthi yi-total shoulder arthroplasty.

Igxalaba lethu liyibhola kunye nesokhethi. Khawuthelekelele, inxalenye efana nebhola yethambo lethu elingaphezulu lengalo (ihumerus) inamathele kwinxalenye efana nekomityi yethambo lethu legxalaba (i-scapula). Xa eli lungu liguga, kuvela iintlungu eziqatha. Ngexesha lotyando, zombini iindawo ezonakeleyo ziyasuswa kwaye kufakwa iindawo ezintsha zokwenziwa.

Ngaba utshintsha yonke ijoyinti ukuze wonke umntu ayifumane?

Ixesha elininzi, olu tyando lubandakanya ukutshintshwa kwelungu lonke. Oko kuthetha ukuba ibhola kunye nesokhethi. Kodwa khawucinge ukuba yinxalenye enye kuphela yelungu lakho eyonakeleyo. Umzekelo, ukuba ibhola kuphela yonakeleyo, ugqirha wakho unokugqiba ekubeni atshintshe loo nxalenye. Oku kubizwa ngokuba yi-partial shoulder replacement okanye i-hemiarthroplasty. Nangona kunjalo, uninzi lwabantu ludinga olu tyando kuba lonke ilungu ligugile, ngoko ke utyando olupheleleyo ludla ngokwenziwa.

Ngabantu abanjani abadinga olu tyando?

Ngokwesiqhelo, ugqirha wakho uya kuqwalasela utyando xa unyango olungelulo utyando olufana namayeza kunye ne-physiotherapy lungaphumeleli ukulawula iintlungu zakho. Olu tyando lunokucetyiswa kubantu abanezi meko zilandelayo:

Uzilungiselela njani ngaphambi kotyando?

Ugqirha wakho uza kukulungiselela kakuhle utyando. Oku kuya kufuna iimvavanyo ezininzi.

• Ukuhlolwa kwamazinyo nokucoca: Oku kubaluleke kakhulu kuba kunceda ekuthinteleni iintsholongwane emlonyeni ukuba zingangeni egazini emva kotyando zize zibangele usulelo kwilungu elitsha.
• Uvavanyo olupheleleyo lomzimba: Fumanisa ngempilo yakho iyonke.
• I-X-reyi yamagxa: Ungacelwa ukuba wenze i-CT scan okanye i-MRI.
• Uvavanyo lwe-EKG ukujonga ukusebenza kwentliziyo.
• Uvavanyo lwegazi oluninzi.

Kwakhona, uza kucelwa ukuba uyeke ukutya okanye ukusela kangangeeyure ezisi-8 ngaphambi kotyando (ukuzila ukutya). Kufuneka uxelele ugqirha wakho ngawo onke amayeza kunye neevithamini ozisebenzisayo. Amanye amayeza (ingakumbi amayeza okunciphisa igazi ) anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kotyando.

Kwenzeka ntoni ngexesha nasemva kotyando?

Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia ukuze ungeva ntlungu. Le inokuba yi-anesthesia eqhelekileyo ekwenza ulale ngokupheleleyo, okanye i-anesthesia yengingqi evala igxalaba lakho kunye nendawo engqongileyo kuphela.

Ngexesha lotyando, ugqirha ohlinzayo ususa ithambo kunye ne-cartilage eyonakeleyo, afake ilungu elitsha elenziweyo, aze athunge i-incision. Oku kudla ngokuthatha malunga neeyure ezimbini.

Emva kotyando, uza kusiwa kwigumbi lokuchacha kwaye ujongwe ngononophelo de uvuke emva kotyando lokubulala iintlungu. Abanye abantu banokuya ekhaya ngaloo mini inye, ngelixa abanye kuya kufuneka bahlale esibhedlele usuku olunye okanye ezimbini. Emva kokuba ubuyele ekhaya , ingalo yakho kuya kufuneka ibe kwisling iiveki ezimbalwa. Kuya kufuneka uqale ukwenza imithambo elula njengoko ugqirha wakho ekuxelela. Uza kuqala ukwenza imithambo kunye nogqirha wezonyango kwiintsuku ezimbalwa. Le yeyona nxalenye ibalulekileyo yenkqubo yokuchacha. Musa ukuyiphosa.

Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?

Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci kakhulu.

• Inzuzo ephambili kukuba iintlungu ezinzima ezazikukhathaza ziphantse zaphela ngokupheleleyo kwaye intshukumo kunye nokusebenza kwesandla sakho kuyanda.
• Iingozi ziquka ukuqhekeka kwegazi, umonakalo wemithambo-luvo, usulelo, kunye nokukhululeka kwe-prosthesis. Nangona kunjalo, ezi azixhaphakanga kakhulu .

Xa kufuneka uthethe nogqirha ngokukhawuleza

Ukuba ufumana naziphi na kwezi mpawu ngelixa usekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.

• Ukopha okuqhubekayo kwindawo yokusikwa.
• Intlungu esifubeni okanye ukuphefumla kancinci.
• Umkhuhlane ongaphezulu kwama-39 degrees Celsius (101 Fahrenheit).
• Intlungu ebuhlungu engapheziyo nokuba sele usele amayeza okudambisa iintlungu.
• Ukudumba, ukuba bomvu, ivumba, okanye ukukhupha okufana nobomvu kwindawo etyumkileyo (ezi ziimpawu zosulelo).

Kuqhelekile ukoyika utyando. Kodwa le yinto eza kuzisa isiqabu esikhulu ebomini bakho. Ixesha lokuchacha linzima kancinci. Kodwa isiphumo saloo msebenzi unzima sibaluleke kakhulu. Thetha nogqirha ngazo zonke iingxaki kunye noloyiko onalo engqondweni yakho.