Ingabe ubulokhu uzwa ubuhlungu emalungeni akho, njengamadolo akho, izinqe, noma amahlombe, isikhathi eside? Ingabe uzizwa sengathi awukwazi ukuvuka esihlalweni, ukukhuphuka izitebhisi, noma ukuhamba ibanga elifushane? Ngezinye izikhathi, lobu buhlungu nokuqina kwamalunga akho kwenza kube nzima ukwenza imisebenzi yansuku zonke. Ngakho-ke, ukuhlinzwa kokufaka amalunga esikhuluma ngakho namuhla kuyindlela yokwelapha la malunga agugile.
Kalula nje, kuyini ukuhlinzwa kokufakelwa kwamalunga (i-Arthroplasty)?
Kulula kakhulu. Cabanga ngakho njengokufaka ithayi elisha emotweni yakho uma seligugile. I-Arthroplasty inqubo yokuhlinzwa esusa ingxenye egugile, eyonakele yelunga emzimbeni wakho bese ifaka ilunga lokwenziwa eliqinile (i-prosthesis) elenziwe ngensimbi, ipulasitiki, noma i-ceramic . Lokhu kuvame ukubizwa ngokuthi ukushintshwa kwelunga.
Lokhu kuhlinzwa kungenziwa emalungeni amaningana amakhulu emzimbeni.
- Izinqe
- Amadolo
- Amahlombe
- Amaqakala
- Izindololwane
- Izingalo
Kunezinhlobo ezimbili zokuhlinzwa.
Lokhu kuhlinzwa kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukufanele.
| Uhlobo lokuhlinzwa | Kuchazwe kalula |
|---|---|
| Ukufakelwa Kwamalunga Okuphelele (i-Total Arthroplasty) | Lokhu kuhilela ukususa ngokuphelele zonke izingxenye ezigugile zejoyinti bese kufakwa ijoyinti elisha ngokuphelele lokwenziwa. |
| I-Partial Arthroplasty | Njengoba igama lisho, lokhu akukuthathi indawo ngokuphelele kwejoyinti. Kususwa ingxenye eyonakele negugile kuphela bese kufakwa ingxenye yokwenziwa esikhundleni saleyo ngxenye. |
Ubani ongathanda ukwenza lokhu kuhlinzwa?
Udokotela uvame ukuncoma lokhu kuhlinzwa uma ezinye izindlela zokwelapha zingakasizi. Uma unezinye zalezi zimpawu, udokotela wakho angase acabangele lokhu:
- Ubuhlungu obukhulu bamalunga:Ubuhlungu obungapheli ngisho nangemithi noma ukuphumula.
- Ukuqina kwamalunga: Ukungakwazi ukugoba nokwelula ilunga kahle (ukwehla kwebanga lokunyakaza).
- Ubunzima bokuhamba: Ukulinganiselwa kwemisebenzi efana nokuhamba nokuvuka ngenxa yobuhlungu.
- Ukuvuvukala kwamalunga kanye nokungazinzi kwawo.
Khumbula, lokhu kuhlinzwa kuvame ukunconywa kubantu abanezimpawu ezinzima abangazange basabele kwezinye izindlela zokwelapha, njenge-physiotherapy kanye nemithi.
Isizathu esiyinhloko salokhu yi -arthritis . Lokhu kuhlinzwa kuvame ukudingeka, ikakhulukazi kubantu abane -osteoarthritis, isimo esibangelwa ukuguguleka kwamalunga njengoba ekhula. Futhi, abanye abantu abane- rheumatoid arthritis nabo kufanele benze lokhu kuhlinzwa.
Ngaphezu kwalokho, lokhu kuhlinzwa kungadingeka uma ilunga liphukile (ukuphuka kwethambo) ngenxa yengozi noma uma i-arthritis ikhula ngemva kwengozi (i-post-traumatic arthritis). Isibonelo:
- Ukuwa noma okunye ukulimala okukhulu.
- Izingozi zezimoto.
- Izingozi zezemidlalo.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokulungisela kahle ngaphambi kokuhlinzwa. Lokhu kungafaka:
- Ukuhlolwa okuphelele komzimba: Qiniseka ukuthi uphilile ngokwanele ukuze uhlinzwe.
- Ukuhlolwa kwegazi.
- Ukuhlolwa kwe-EKG (i-Electrocardiogram) ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo: Nakuba lokhu kungase kubonakale kumangalisa kancane, kubalulekile ukuvimbela izifo emlonyeni ukuthi zingahambi egazini futhi zithinte ilunga elisha.
- Ukuhlolwa kwe-X-ray: Ungadinga futhi i -MRI noma i-CT scan .
Into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo) . Eminye imithi ingadinga ukuthi uyeke ukuyithatha ngaphambi kokuhlinzwa.
Udokotela wakho uzokutshela ukuthi kufanele uyeke nini ukudla nokuphuza ngosuku olwandulela ukuhlinzwa. Ngokuvamile, kuzodingeka uyeke ukudla nokuphuza amahora angu-8 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa kwakho, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ukuze ungezwa ubuhlungu. Lokhu kungaba umuthi wokubulala izinzwa ojwayelekile, okwenza umzimba wakho wonke ulale, noma umuthi wokubulala izinzwa wesifunda, oqeda kuphela indawo ehlinzwayo.
Ngesikhathi sokuhlinzwa, udokotela:
1. Izingcezu ze-cartilage namathambo ezilimele ziyasuswa.
2. Ukufakelwa ijoyinti lokufakelwa.
3. Uma kudingeka, amanye amathambo azungeze ilunga ayalungiswa ukuze alingane kahle nelunga elisha.
Kulezi zinsuku, ezinye izindlela zokuhlinzwa zenziwa ngosizo lobuchwepheshe berobhothi (ukufakwa esikhundleni kwamalunga okusiza ngerobhothi) . Lokhu akusho ukuthi irobhothi lenza ukuhlinzwa. Kusho ukuthi udokotela usizwa ubuchwepheshe bekhompyutha ukwenza ukuhlinzwa ngokunembe nangokuphephile.
Isikhathi sokululama nezinto okufanele uziqaphele
Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Kuya ngeminyaka yakho, ilunga elahlinzwa kulo, kanye nempilo yakho iyonke. Ngokuvamile kuthatha izinyanga eziningana ukululama ngokuphelele.
Nakekela ngokukhethekile lezi zinto ngesikhathi sokululama kwakho:
- Iqhwa: Faka iqhwa endaweni yokuhlinzwa cishe imizuzu engama-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
- Ukuphakamisa Ilunga: Noma nini lapho kungenzeka, gcina ilunga liphakeme ngaphezu kwezinga lenhliziyo ngokulibeka emicamelweni.
- Ukugcina imbobo ihlanzekile: Landela imiyalelo kadokotela wakho ngqo ukuze uvimbele ukutheleleka.
- Ukuzivocavoca kwasekhaya: Qiniseka ukuthi wenza izivivinyo udokotela noma uchwepheshe wezokwelapha ozincomayo. Lokhu kuzoqinisa imisipha ezungeze ilunga futhi kunciphise ukuqina kwamalunga.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu . Kuzodingeka uvivinye umzimba ngaphansi kokuqondisa kochwepheshe bezokwelapha umzimba izinyanga eziningana.
- Ukuvimbela ukuhlukana: Udokotela wakho noma uchwepheshe wezokwelapha angase akucebise ukuthi ugweme izikhundla ezithile izinyanga ezimbalwa ukuze uvimbele ukuhlukana, ikakhulukazi ngemva kokuhlinzwa kwe-hip kanye nehlombe.
Uzobona nini udokotela
Kubalulekile ukuqaphela noma yiziphi izinkinga ezingase zivele ngemva kokuhlinzwa. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye esibhedlela esiseduze.
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Ubuhlungu besifuba noma ubunzima bokuphefumula (ukuphelelwa umoya) | Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. |
| Umkhuhlane ongaphezu kuka-101° Fahrenheit (39° Celsius). | Yazisa udokotela wakho ngokushesha. |
| Ukopha, ubomvu, ukuvuvukala okukhulu, iphunga, noma ukubomvu endaweni yokuhlinzwa. | Lezi zingase zibe izimpawu zokutheleleka. Tshela udokotela wakho ngokushesha. |
| Ubuhlungu obusha noma obuya buba bubi esinqeni, eqakaleni, noma onyaweni. | Lokhu kungaba uphawu lokuqhekeka kwegazi. Tshela udokotela wakho ngokushesha. |
| Ubuhlungu obukhulu obungapheli ngisho nangemithi yobuhlungu. | Yazisa udokotela wakho ngokushesha. |
Ukuhlinzwa kokufakelwa amalunga kuyisinqumo esikhulu. Kodwa kubantu abaningi asebehlushwa ubuhlungu isikhathi eside, kungaba impumuzo enkulu. Kungathuthukisa ikhwalithi yempilo yakho futhi kukusize ubuyele emisebenzini yakho evamile ngaphandle kobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokufakelwa kwamalunga (i-Arthroplasty) kuyisisombululo esisebenza kahle kakhulu sobuhlungu obukhulu bamalunga kanye nokuguguleka kwawo okungakaqedwa ngezinye izindlela zokwelapha.
- Lokhu kuhlinzwa ngokuvamile kuphephile kakhulu. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Khuluma nodokotela wakho ngalokhu.
- Kubaluleke kakhulu ukulungiselela kahle ngaphambi kokuhlinzwa nokulandela imiyalelo enikezwe udokotela kanye nochwepheshe wezokwelapha ngokomzimba ngemva kokuhlinzwa.
- Kuthatha isikhathi ukululama. Ngokubekezela nokuzivocavoca, ungabuyela empilweni engenabuhlungu nesebenzayo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho.
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