I-Wrist Arthroplasty: Ngaba le yeyona ndlela ilungileyo yokuvalelisa iintlungu?

Ngaba ubusoloko uneentlungu esihlahleni ixesha elide? Ngaba iintlungu zinzima kangangokuba awukwazi ukuhambisa isandla sakho, ukuphakamisa into ethile, okanye ukwenza imisebenzi yemihla ngemihla? Mhlawumbi awukwazi nokwenza imisebenzi elula efana nokukama iinwele zakho, ukuphakamisa ikomityi, okanye ukubhala. Ukuba iintlungu azikapheli nangona usele amayeza kwaye unyangwa ngeendlela ezahlukeneyo, ugqirha wakho usenokuba ukuxelele "ngotyando lokutshintshwa kwesihlahleni." Ukuva eli gama kunokoyikisa kancinci. Kodwa namhlanje, masithethe ngayo yonke into ngokulula nangokucacileyo.

Kuthetha ukuthini oku, ukutshintsha isihlanganisi sesandla?

Ngamafutshane, utyando lokutshintsha amalungu esihlathi, okanye ngokwezonyango , i-wrist arthroplasty , kukususwa kwesihlunu sakho esonakeleyo nesigugileyo kunye nokutshintshwa kwesihlunu esenziwe ngokwenziwa.

Cinga ngokususa ihinji yocango endala, ephukileyo uze uyifake entsha. Le ngxube yokwenziwa siyibiza ngokuba yi-prosthesis . Idla ngokwenziwa ngesinyithi kunye nohlobo olukhethekileyo lweplastiki (i-polyethylene). Yenzelwe ukusebenza kanye njengengxube yesandla ephilileyo.

Isandla sethu asilothambo elinye nje kuphela. Lilungu elintsonkothileyo kakhulu elenziwe ngamathambo amaninzi amancinci. Kulapho isandla sethu kunye nengalo (inxalenye eqala engqinibeni ukuya esandleni) zidibene khona. Xa ushukumisa isandla sakho, uhlamba iinwele zakho, uchwetheza kwikhompyutha, uthatha into ethile phantsi, ilungu lesandla lelona liphambili kuzo zonke ezi zinto. Ngoko ke xa eli lungu lonakele kakhulu okanye lixinene, kwanale misebenzi yemihla ngemihla ibangela intlungu enkulu.

Yintoni umahluko phakathi kokutshintshwa kwamalungu kunye nokuhlanganiswa kwamalungu?

Ugqirha wakho usenokuba ukuxelele nangotyando lokudibanisa izihlunu, olwaziwa ngokuba yi -arthrodesis . Kukho umahluko omkhulu phakathi kwezi zimbini. Kubalulekile ukuba ucacelwe koku.

Masiwuqonde ngcono lo mahluko kwitheyibhile engezantsi.

Kutheni kufuneka wenze olu hlobo lotyando?

Olu tyando alulokhetho lokuqala kwiintlungu zesandla. Oogqirha bacebisa ukuba lube yindlela yokugqibela emva kokuba zonke ezinye iindlela zonyango zisilele ukulawula iintlungu. Ngokwesiqhelo, into yokuqala abayizamayo yile:

• Ukutshintsha umsebenzi owenzayo (ukunika izandla zakho ikhefu).
• Iipilisi zokunciphisa iintlungu, umzekelo, ezilwa nokudumba.
• Ukunxiba i-splint (inkxaso) yesandla.
• Unyango lwe-physiotherapy.
• Ukunika inaliti ye-steroid.

Ukuba akukho nanye kwezi zinto isebenzayo, kuya kuqwalaselwa utyando. Kukho izizathu ezininzi eziphambili zentlungu yesandla:

• Ukwenzakala: Into efana nethambo elaphukileyo esihlahleni (ukuqhekeka kwethambo).
• Isifo samathambo:
• I-Osteoarthritis: Imeko ebangelwa kukuguguleka kwamalungu. Oku kuqheleka ngakumbi xa ukhula.
• I-Rheumatoid Arthritis: Isifo esibangela ukudumba kunye nentlungu emalungeni ngenxa yengxaki kwinkqubo yomzimba yokuzikhusela.
• I-Osteonecrosis: Ukufa kwezicubu zethambo ngenxa yokuncipha kokunikezelwa kwegazi emathanjeni.

Olu tyando lunokuba sisisombululo esihle kwizinto ezifana neentlungu ezinganyamezelekiyo, ukuqina kwamalungu, kunye nesandi "esiqhekekayo" xa ushukumisa isandla sakho.

Kwenzeka ntoni ngaphambi kotyando?

Oku kufanele kwenziwe yingcali yamathambo namalungu, ingakumbi umntu onamava otyando lwesandla. Ngaphambi kokuba acebise utyando, ugqirha wakho uza ku:

• Baza kukubuza ngempilo yakho ngokubanzi kunye nezinye izifo.
• Buza ukuba unexesha elingakanani unentlungu esihlahleni kwaye ibuchaphazela njani ubomi bakho.
• Isandla sakho siza kuhlolwa, kujongwe amandla aso kunye nomgama wokuhamba kwaso.
• Uvavanyo lwe-X-ray ngokuqinisekileyo lwenziwa ukujonga imeko yamathambo.
• Ezinye iimvavanyo, ezifana novavanyo lwegazi, zingenziwa ukuze kubonwe ukuba ufanelekile na utyando.
• Baza kuqinisekisa ukuba zonke ezinye iindlela zonyango zizanyiwe kwaye baxoxe nawe ngezinye iindlela zotyando.

Lwenziwa njani utyando?

Olu tyando ludla ngokwenziwa esibhedlele. Luthatha ngaphantsi kweeyure ezimbini. Kulandelwa la manyathelo alandelayo ngexesha lotyando:

1. Uza kunikwa i-anesthetic general ukuze ulale ngokupheleleyo. Ukongeza, unganikwa inaliti eyahlukileyo ye-anesthetic (umgca ophezulu) ukuze ingalo yakho incede ekunciphiseni iintlungu emva kotyando.

2. Kwenziwa umsikelo omncinci ngaphezulu kwesandla.

3. Ilungu elonakeleyo kunye ne-cartilage egugileyo kunye neziqwenga zamathambo zisuswa ngononophelo.

4. Ijoyinti yokwenziwa (prosthesis) eyenziwe ngaphambili ifakwa kwaye iqiniswe ethanjeni ngezikhonkwane ezincinci, izikrufu, okanye uhlobo oluthile lwesamente (isamente yamathambo).

5. Qinisekisa ukuba ijoyinti yokwenziwa ikwindawo eyiyo kwaye iqinile ngokufanelekileyo.

6. Jonga ukuba ilungu lihamba kakuhle na.

7. Izicubu ezijikelezileyo, imithambo-luvo, kunye nemisipha ziyahlelwa ngokutsha.

8. Ekugqibeleni, inxeba livalwa ngezititshi lize ligqunywe ngebhandishi yokubulala iintsholongwane kunye ne-splint.

Kuthatha ixesha elingakanani ukuchacha? Ndingazinyamekela njani ekhaya?

Kudla ngokuthatha malunga neeveki ezi-6 ukuya kwezili-12 ukuze uphile ngokupheleleyo. Emva kokuba i-cast yokuqala isusiwe, kuya kufuneka unxibe i-splint okwethutyana.

Nangona kusenokuba buhlungu kancinci xa uzilolonga ekuqaleni, ekuhambeni kwexesha iintlungu ziya kuncipha kwaye ukusebenza kwesandla sakho kuya kuphucuka. Ugqirha wakho angakuthumela kwingcali yonyango lomzimba.

Zikhathalele ngokukodwa ezi zinto ekhaya:

• Umntu onokunceda: Kulula kakhulu ukuba nomntu okunceda ngemisebenzi yemihla ngemihla kwiintsuku zokuqala emva kotyando.
• Kuphephe ukuphakamisa izinto ezinzima: Oku kubaluleke kakhulu. Musa ukuphakamisa ubunzima obungaphezulu kobo bucetyiswa ngugqirha wakho (ngesiqhelo yi-2-3 kg), kuba oku kunokonakalisa ilungu elenziweyo. Ukuba ulandela oku ngokuchanekileyo, ungasebenzisa ilungu lakho elenziweyo ixesha elide.
• Zikhusele ekuweni: Lumka kwiindawo ekhayeni lakho apho unokutyibilika uze uwe khona (igumbi lokuhlambela, izinyuko). Ziphephe imidlalo enokubangela ukuba uwe okwethutyana.
• Umsebenzi obangela uxinzelelo ezandleni zakho: Kuphephe umsebenzi obangela uxinzelelo ezandleni zakho, njengokusebenzisa isando.

Ilungu elenziweyo lihlala ixesha elingakanani? Ndingambona nini ugqirha?

Ukuba ikhathalelwe kakuhle, le ngxube yokwenziwa idla ngokuhlala iminyaka eli-10 ukuya kweli-15 .

Emva kotyando, ukuba unezinye zezi mpawu zilandelayo, bonana nogqirha wakho ngoko nangoko. Ezi zisenokuba ziimpawu zosulelo:

• Umkhuhlane okanye ukubanda.
• Ububomvu okanye ukudumba okujikeleze inxeba.
• Ubomvu okanye ulwelo olunuka kakubi oluphuma kwinxeba.
• Intlungu engapheliyo okanye eyandayo.

Ekuhambeni kwexesha, njengoko i-prosthesis iphela okanye ezinye iingxaki zikhula, ezi mpawu zinokubakho. Ukuba oku kuyenzeka, xelela ugqirha wakho:

• Ukuncipha komsebenzi okanye amandla elungu.
• Ukuphinda-phinda kwentlungu, ukuqina, okanye ukudumba.
• Ukuziva ngathi ilungu alizinzanga (ngokungathi "liyatsiba").