Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukuqina esinqeni sakho? Ingabe kunzima ukuhamba, ukuma uhleli, noma ukugoba? Uma lobu buhlungu bungakapheli naphezu kokuthatha imithi nokwelashwa ngokomzimba, namuhla sikhuluma ngendlela entsha yokwelapha engase ikusize. Lokhu kubizwa ngokuthi i-Hip Arthroscopy.
Kalula nje, iyini i-Hip Arthroscopy?
Lokhu kulula kakhulu. Cabanga nje, esikhundleni sokwenza i-incision enkulu, ukwenza nje izimbobo ezincane esikhumbeni, ukufaka ikhamera kuzo, ukubheka ukuthi yini engalungile ngaphakathi kwe-hip joint, bese ukwelapha khona lapho. Yilokho okushiwo yilokhu.
Odokotela basebenzisa ithuluzi elikhethekile elibizwa ngokuthi i-arthroscope kulokhu. Liyipayipi elincane elingangepensela. Linekhamera encane kanye nokukhanya ekugcineni. Uma lokhu kufakwa esilungwini, konke okungaphakathi kwesilung kungabonakala esikrinini esikhulu. Ngemuva kwalokho, ezinye izinto ezincane zifakwa ngezimbobo ezifanayo ezincane ukulungisa ithambo elonakele, i-cartilage, noma ezinye izicubu.
Ukusikwa kuncane kakhulu kunasekuhlinzweni okukhulu. Ngakho-ke, umzimba awuzizwa ukhathele kakhulu. Kodwa-ke, ngemva kokuhlinzwa, ukwelashwa ngokomzimba kuyadingeka ngempela ukuze kubuyiselwe amandla nokunyakaza enqulwini. Kuthatha cishe izinyanga ezimbalwa ukuphulukiswa ngokuphelele.
Ubani ngempela odinga lokhu kuhlinzwa?
Odokotela bavame ukuncoma lokhu kuhlinzwa kubantu abanobuhlungu benqulu kanye nezinye izindlela zokwelapha (ezifana nokujova ngama-steroid kanye nokwelashwa ngokomzimba) ezingasebenzanga. Lokhu kusho ukuthi bazokucabangela kuphela ngemva kokuba sebethole imbangela eqondile yobuhlungu bakho futhi bazame konke okusemandleni ukubelapha ngaphandle kokuhlinzwa.
Lokhu kuhlinzwa kunganikeza impumuzo enkulu kulabo abanezinkinga ezifana nokungakwazi ukuhambisa izinqe zabo kahle noma ukubhajwa.
Umehluko phakathi kwe-Hip Arthroscopy kanye ne-Total Hip Replacement
Lokhu kuyinto edida abantu abaningi. Lokhu kuhlinzwa okubili kuhluke ngokuphelele.
- I-Hip Arthroscopy: Lokhu kuhilela ukulondoloza amalunga akho nokulungisa izinkinga ezikuwo kuphela. Lokhu kuyindlela yokuhlinzwa engadingi ukungenelela okuningi .
- Ukufakelwa Kwesinqe Okuphelele (i-Hip Arthroplasty): Lokhu kuyindlela enkulu yokuhlinzwa . Kuhilela ukususa lonke ilunga lesinqe elonakele bese ulifaka ilunga lokwenziwa elenziwe ngensimbi nepulasitiki.
Ukufakelwa kwe-hip kuvame ukwenziwa kubantu abagugile kakhulu futhi abane-arthritis enzima. Kwabanye abaningi, i-hip arthroscopy yanele.
Yiziphi izimo eziyinhloko ezelashwa nge-Hip Arthroscopy?
Lokhu kuhlinzwa kungaxazulula izinkinga ezahlukahlukene zenqulu. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| I-Femoroacetabular Impingement (FAI) | Lokhu kungenxa yokungajwayelekile kwesimo samathambo amabili akha ilunga lesinqe, okubangela ukuthi akhuhlane ngesikhathi sokunyakaza. Lokhu kungabangela ubuhlungu futhi kunciphise ukunyakaza. |
| Izinyembezi zeLabral | Ukulimala kwezicubu ezithambile ezizungeze isokhethi lejoyinti lesinqe elibizwa ngokuthi i-labrum. Lokhu kungenzeka ngenxa yengozi noma ukukhubazeka kwesakhiwo sejoyinti. |
| Ukususa izingcezu zamathambo noma ze-cartilage ezikhululekile | Uma ubuhlungu bubangelwa izingcezu ezincane zethambo noma i-cartilage ephukile noma ephumile ngaphakathi kwejoyinti, zingasuswa ngalokhu kuhlinzwa. |
| I-Dysplasia Yesinqe | Lesi yisimo lapho ithambo lethanga (i-femur) lingafakwanga kahle engosini yesinqe. Lokhu kungalungiswa ngezinga elithile ngokuhlinzwa. |
| Ukudabuka noma ukucindezeleka kwemisipha | Le ndlela isetshenziselwa ukubopha kabusha imisipha exhumanisa imisipha namathambo uma idabukile, kanye nokuyikhulula uma isiqine. |
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ethile ngaphambi kokuhlinzwa, futhi kubaluleke kakhulu ukuyilandela ngqo.
- Ukuyeka imithi ethile: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Ikakhulukazi uma uthatha imithi yokunciphisa igazi, uzocelwa ukuthi uyeke ukuyithatha ngaphambi kokuhlinzwa.
- Ukuyeka ukubhema: Uma ubhema, ukuyeka ngaphambi kokuhlinzwa kuzosiza kakhulu inqubo yokuphulukisa. Ukubhema kubambezela ukuphola kwenxeba.
- Nciphisa utshwala: Utshwala bunganciphisa igazi, okuyinto eyingozi ngaphambi nangemva kokuhlinzwa.
- Ukuzila Ukudla: Udokotela wakho uzokutshela ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa. Landela leyo miyalelo ngokucophelela.
Kwenzekani ngemva kokuhlinzwa?
Lokhu kuvame ukuba ukuhlinzwa kwangaphandle , okusho ukuthi ungaya ekhaya ngalolo suku ngaphandle uma kunezinkinga ezikhethekile.
Ngemva kokuhlinzwa,
- Kuzodingeka ugqoke i -brace ekhethekile ezungeze inqulu yakho cishe amasonto amathathu.
- Kuzodingeka usebenzise izinduku zokusibekela amasonto ambalwa. Phakathi nesonto lokuqala, ungase ungakwazi ukubeka phansi umlenze wakho ohlinzwe.
- Bakutshela ukuthi ubeke iqhwa endaweni lapho uhlinzwe khona futhi ugcine umlenze wakho uphakeme.
- Inxeba kufanele ligcinwe lihlanzekile futhi limboziwe.
- Bakutshela ukuthi uphuze ama-painkiller (njenge-'NSAID') ngenxa yobuhlungu.
- Kuze kube yilapho inxeba selipholile, sebenzisa ishawa esikhundleni sokucwilisa emanzini.
Udokotela wakho uzokunikeza uhlelo oluthile lokululama.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yiluphi uhlobo lokwelashwa, lokhu kunezinzuzo kanye nezingozi ezincane.
Izinzuzo
- Ukuphulukiswa okusheshayo: Ungalulama ngokushesha kunangemva kokuhlinzwa okukhulu.
- Ubuhlungu obuncane: Ubuhlungu obuzwakalayo ngemva kokuhlinzwa buncane kakhulu.
- Izibazi ezincane: Ukubhoboza okuncane kuphela okungashiyi zibazi ezinkulu.
- Izinkinga ezimbalwa: Ingozi yezinkinga iphansi kunangesikhathi sokuhlinzwa okukhulu.
Izingozi
- Ukungezwani komzimba ne-anesthesia.
- Amahlule egazi (isib. i-Deep Vein Thrombosis (DVT)).
- Ukulimala kwezicubu noma imizwa ezungezile.
- Ukopha ngokweqile noma ukuvuvukala.
- Ukutheleleka.
- Ukuba ndikindiki ethangeni, esinqeni, noma onyaweni.
- Mhlawumbe, kungase kudingeke olunye ukuhlinzwa uma inkinga ingaxazululwa ngokuphelele.
Lezi zingozi azivamile. Khuluma nodokotela wakho ngazo.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngokuvamile kuthatha cishe amasonto ayisithupha ukuthi inxeba liphole ngokuphelele, kodwa kulokhu kungahluka kuye ngesizathu sokuhlinzwa kwakho.
- Izinduku Zokuqhumisa: Kuzodingeka uzisebenzise isonto elilodwa noma amabili.
- Ukwelashwa Komzimba: Lena yingxenye ebalulekile yenqubo yokuphulukiswa. Lokhu kwelashwa kungase kuthathe amasonto ambalwa kuya ezinyangeni ezimbalwa.
- Ukuzivocavoca kanye nezemidlalo: Kuzodingeka ulinde cishe amasonto ayi-12 ngaphambi kokuthi uqale kabusha ukuzivocavoca okunzima noma ezemidlalo.
Buza udokotela wakho ukuthi akunike isikhathi esiqondile sokululama kwakho.
Kufanele ukhulume nini nodokotela?
Uma ubuyela ekhaya ngemva kokuhlinzwa, kufanele uqaphele noma yiziphi izinkinga eziphakamayo. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Ubuhlungu obukhulu noma ukuphuma kwegazi | Uma amanxeba ephuma igazi ngokungalawuleki noma ubuhlungu bukhulu. |
| Isicanucanu nokuhlanza | Uma isicanucanu nokuhlanza kuqhubeka. |
| Izimpawu zokutheleleka | Uma unomkhuhlane, ukubomvu, ukuvuvukala, noma uketshezi olufana nobovu oluphuma esilondeni. |
I-Hip Arthroscopy iyindlela yokuhlinzwa ethandwa kakhulu engakwazi ukwelapha izinkinga eziningi ze-hip ngempumelelo. Ivumela ukululama okusheshayo nokubuyela ngokushesha empilweni evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-arthroscopy ye-hip uhlobo "lokuhlinzwa kwe-keyhole" okwelapha izinkinga esihlanganyelweni se-hip.
- Lokhu kungaba yisisombululo esisebenza kahle kakhulu sobuhlungu benqulu obungazange buqedwe ngezinye izindlela zokwelapha.
- Lena indlela elula kakhulu, engebuhlungu kakhulu, futhi elula yokululama kunokuhlinzwa kokufakelwa inqulu ngokuphelele.
- Ukwelashwa nge-physiotherapy kubalulekile ukuze umuntu alulame ngokuphelele ngemva kokuhlinzwa.
- Khuluma nodokotela wakho ngokucophelela ngaphambi kokunquma ukuthi lokhu kuhlinzwa kukufanele yini.
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