Ingabe ubulokhu uhlushwa ubuhlungu obungabekezeleleki endololwaneni yakho isikhathi eside? Udokotela wakho kungenzeka ukuthi ukhulume nawe ngokuhlinzwa kokushintsha indololwane. Kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa ngalolu hlobo lokuhlinzwa. Kuyini ngempela lokhu kuhlinzwa? Ake sixoxe ngakho kalula, ngendlela wonke umuntu angayiqonda.
Kusho ukuthini lokhu, ukufaka esikhundleni sejoyinti lendololwane?
Kalula nje, ukuhlinzwa kokushintsha ijoyinti lendololwane kuhilela ukususa ijoyinti lakho lendololwane bese ulifaka ijoyinti lokwenziwa. Lokhu kwaziwa ngokwezokwelapha ngokuthi ukushintshwa kwamalunga (i-arthroplasty).
Cabanga ngale ndlela: ilunga lethu lendololwane lifana ne-hinge emnyango. Ngokuhamba kwesikhathi, le hinge ingaguga, igqwale, futhi iyeke ukusebenza kahle. Amalunga ethu nawo anjalo. Kungakhathaliseki ukuthi kungenxa yezimo ezifana ne-arthritis noma ingozi enkulu, lapho i-cartilage elunganeni iguga futhi amathambo eqala ukukhuhlana, kungabangela ubuhlungu obukhulu nokuqina.
Lokhu kwenzeka lapho udokotela ohlinzayo esusa izingxenye ezigugile, ezonakele zelungu lakho lemvelo bese ezishintsha ngelungu lokufakelwa elenziwe ngensimbi nepulasitiki. Ngemva kwalokhu, uzokwazi ukugoba nokwelula ingalo yakho kalula ngaphandle kobuhlungu.
Yiziphi izinhlobo eziyinhloko zalokhu kuhlinzwa?
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa kokufakelwa indololwane. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukulungele. Ake siqonde lezi zinhlobo ngokucacile.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Ukufakwa Esikhundleni Kwe-Elbow Ephelele | Lolu uhlobo oluvame kakhulu. Lapha, izingxenye ezonakele zethambo lengalo engenhla (i-humerus) kanye namathambo engalo (i-ulna kanye ne-radius) zisuswa ngokuphelele bese kufakwa ijoyinti lokwenziwa. |
| Ukufakwa Esikhundleni Kwendololwane Engxenyeni | Yilokho kanye okusikiselwa yigama. Ingxenye eyonakele yelunga kuphela eshintshwayo. Lokhu akuvamile kakhulu. Ngokuvamile kwenziwa lapho ingxenye eyodwa kuphela yelunga yonakele, njengasengozini enkulu. |
| Izindlela zokufaka amalunga okwenziwa | |
| Ukufakwa esikhundleni okuxhunyiwe | Kule ndlela, ijoyinti lokwenziwa lifana nehinji elixhunywe ndawonye. Izingxenye zalo ezimbili zixhunywe ethanjeni lengalo engenhla kanye nethambo lengalo ngezinduku zensimbi. Lena yindlela ezinzile kakhulu futhi esetshenziswa kakhulu . |
| Ukushintshana okungaxhunyiwe | Lapha, izingxenye zelunga lokwenziwa azixhunyanisiwe. Kunalokho, zixhunyaniswe nemisipha nezicubu ezitholakala ngokwemvelo. Kodwa ukuze kwenziwe lokhu, lezo misipha nezicubu kudingeka zibe namandla kakhulu. Ngesikhathi ilunga selikhulile ngokwanele ukuba lidinge ukushintshwa, imisipha ivame ukuba buthakathaka kakhulu, ngakho-ke le ndlela ayisetshenziswa kakhulu. |
Ubani okufanele ahlinzwe?
Udokotela angase atuse lokhu kuhlinzwa kubantu abanezimpawu ezinzima abangazange basabele kwezinye izindlela zokwelapha (ezifana nokwelapha izinhlungu kanye nokwelashwa ngokomzimba). Izimpawu eziyinhloko yilezi:
- Ubuhlungu bamalunga obungabekezeleleki.
- Ukuqina endololwaneni.
- Ukungakwazi ukugoba noma ukuqondisa indololwane kahle (ukunyakaza okulinganiselwe).
- Ukuvuvukala kwamalunga.
Imbangela eyinhloko yalezi zimpawu yi-arthritis.
- I-Osteoarthritis: Isimo esibangelwa ukuguguleka kwamalunga njengoba siguga.
- I-Rheumatoid Arthritis: Isifo esibangelwa amasosha omzimba ahlasela amalunga.
- I-arthritis yangemva kwenhlekelele: I-arthritis eyenzeka eminyakeni eminingi ngemva kokuphuka noma ukuhlukana kwendololwane kwangaphambilini.
Ngaphezu kwalokho, lokhu kuhlinzwa kungadingeka nakwezinye izindawo lapho indololwane iphuka khona kakhulu.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho kanye nodokotela ohlinzayo bazochaza ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa. Lezi yizinto okuzodingeka uzenze ngokuvamile:
- Ukuhlolwa komzimba: Ukubona ukuthi uphilile ngokwanele yini ukuze uhlinzwe.
- Ukuhlolwa kwegazi.
- Ukuhlolwa kwe-ECG: Hlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo:Lokhu kungase kubonakale kumangalisa kancane, kodwa kubaluleke kakhulu. Ukutheleleka emazinyweni kungahamba egazini futhi kuthelele ilunga elisanda kufakwa. Lokhu kwenzelwa ukunciphisa leyo ngozi.
- Ukuhlolwa kwezithombe: I-X-ray yendololwane izothathwa nakanjani. Ungase ucelwe futhi ukuthi wenze i-MRI noma i-CT scan.
Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, kanye nezithasiselo ozithathayo. Kungase kudingeke uyeke ukuthatha eminye imithi ngaphambi kokuhlinzwa.
Icebiso elibalulekile: Njengoba ungeke ukwazi ukusebenzisa indololwane yakho amasonto ambalwa ngemva kokuhlinzwa, kuwumqondo omuhle ukugcina ezinye zezinto ozidinga kakhulu ekhaya (isib. izinkomishi, amakamu, izincwadi) ziseduze nesinye isandla sakho.
Uzokwaziswa ngesikhathi sokuyeka ukudla nokuphuza ngosuku olwandulela ukuhlinzwa. Ngokuvamile, kuzodingeka uyeke ukudla nokuphuza amahora ayi-12 ngaphambi kokuhlinzwa.
Ukuhlinzwa kanye nalokho okwenzekayo ngemva kwalokho
Ngosuku lokuhlinzwa, udokotela wezinzwa uzoyiqeda ingalo yakho ukuze ungezwa ubuhlungu. Ngaphezu kwalokho, uzonikezwa i-anesthesia ejwayelekile ukuze ikusize ulale kahle ngesikhathi sokuhlinzwa.
Ngudokotela ohlinzayo:
1. Kwenziwa i-incision ngemuva kwendololwane.
2. Izingcezu ze-cartilage namathambo ezilimele ziyasuswa.
3. Iziphetho zamathambo zilungiswa ukuze zivumelane nejoyinti lokwenziwa.
4. I-prosthesis ifakiwe.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili. Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama lapho ithimba lezokwelapha lizoqapha khona isimo sakho. Ngokuvamile kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili.
Izinkinga ezingaba khona nokuthi yini okufanele uyiqaphele kakhulu
Njenganoma yikuphi ukuhlinzwa, kunengozi encane yezinkinga.
- Ukuphuka kwethambo elizungeze i-graft.
- Ukutheleleka endaweni yokuhlinzwa noma ngaphakathi kwejoyinti.
- Ukulimala kwemizwa noma imithambo yegazi.
- Ukuguguleka noma ukuxega kwamalunga okwenziwa kungakabi yisikhathi.
- Ukunyakaza okulinganiselwe kwesandla ngenxa yokwakheka kwezicubu zesibazi.
Uma unezinye izimo zezokwelapha ezifana nesifo sikashukela noma i-osteoporosis, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
Into ebaluleke kakhulu: imikhawulo yokuphakamisa izinsimbi!
Lena yinto ebaluleke kakhulu okufanele uyazi ngalokhu kuhlinzwa.
Ngokungafani nezinye izinto zokufaka esikhundleni samalunga (idolo, isinqe), izingxenye zokufakelwa ezifakwa esibayeni sendololwane zingaba buthakathaka kancane. Lokhu kungenxa yokuthi amathambo asezandleni zethu mancane futhi mancane kunamathambo ezindaweni ezifana nesinqe noma idolo.
Ngenxa yalokhu, abantu abaningi abenza lokhu kuhlinzwa banomkhawulo wokuphila kwabo konke ekuphakamiseni izinsimbi engalweni ehlinzwe.Ngokuvamile akukhuthazwa ukuphakamisa amakhilogremu angaphezu kuka-2.5 (amakhilogremu ama-5) ngaleso sandla. Kubaluleke kakhulu ukulandela lo mkhawulo ngqo. Ukwehluleka ukwenza kanjalo kungabangela ukuthi i-prosthesis ikhululeke noma iphuke.
Isikhathi sokululama kanye nesikhathi sokufonela udokotela
Ngokuvamile kungathatha cishe unyaka ukuze ululame ngokugcwele. Kungase kudingeke ugqoke i-splint noma i-brace ukuze ugcine isandla sakho singanyakazi emasontweni ambalwa okuqala. Ngemva kwamasonto angaba ngu-12, kufanele uqale ukuzivocavoca ngaphansi kokuqondisa kochwepheshe bezokwelapha ngokomzimba. Lokhu kuzivocavoca kuzosiza ukuqinisa imisipha esandleni sakho nokubuyisela ukunyakaza.
Kuvamile ukuba nobuhlungu emavikini ambalwa okuqala ngemva kokuhlinzwa. Sebenzisa imithi yobuhlungu enqunywe udokotela wakho ngqo.
Funa iseluleko sezokwelapha ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, iya kudokotela wakho noma eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha.
| Izimpawu okufanele uziqaphele |
|---|
| • Ubuhlungu besifuba |
| • Ubunzima bokuphefumula (ukuphelelwa umoya) |
| • Umkhuhlane ongaphezu kuka-101°F (39°C) |
| • Ukopha ngokweqile okuvela enxebeni lokuhlinzwa |
| • Izimpawu zokutheleleka: uketshezi olufana nobovu oluphuma enxebeni, ukuvuvukala ngokweqile, ukushintsha kombala, iphunga, noma umuzwa ofudumele ozungeze inxeba. |
| • Ubuhlungu obukhulu obungalawulwa, ngisho noma kusetshenziswa imithi yobuhlungu. |
Nakuba kuyinguquko enkulu ukungakwazi ukuphakamisa izinsimbi ngengalo eyodwa impilo yakho yonke, lokhu kuhlinzwa kuyakufanelekela ukususa ubuhlungu obuqhubekayo nokuthuthukisa ikhwalithi yempilo yakho. Ngakho-ke, khuluma nodokotela wakho ngalokhu ngokucophelela bese wenza isinqumo esifanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokufaka esikhundleni samalunga endololwane kwenziwa njengesixazululo sobuhlungu obukhulu nokuqina okungakaqedwa ngezinye izindlela zokwelapha.
- Kuthatha cishe unyaka wonke ukululama ngokuphelele, futhi ukuzivocavoca umzimba kuyadingeka.
- Umthetho obaluleke kakhulu: Gwema ukuphakamisa izinto ezisindayo (ngokuvamile ezingaphezu kuka-2.5 kg) ngesandla esisetshenziswayo impilo yakho yonke.
- Ngaphambi kokuhlinzwa, xoxa ngokucophelela ngezinzuzo nezingozi nodokotela wakho.
- Uma ubona izimpawu eziyisixwayiso ezifana nomkhuhlane ophakeme, ubuhlungu obungabekezeleleki, noma izimpawu zokutheleleka esilondeni, funa iseluleko sezokwelapha ngokushesha.
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