Ingabe nawe unesihlungu senqulu? Ingabe ukuthola kunzima ukwenza imisebenzi yakho yansuku zonke ngenxa yobuhlungu obuvela enqulwini yakho, noma uhamba kancane, ukhuphuka izitebhisi, noma umane ume? Mhlawumbe udokotela wakho ukutshelile ngokuhlinzwa okubizwa ngokuthi 'i-Hip Resurfacing' esikhundleni sokufaka esikhundleni senqulu ngokuphelele. Ngakho-ke namuhla, ake sixoxe ngalokhu, kalula nje, njengokungathi ukhuluma nomngane.
Kalula nje, kuyini ukuvuselelwa kwe-Hip?
Ukulungiswa Kwezinqe nakho kuyindlela yokuhlinzwa yokulungisa umonakalo we-hip joint. Kufana kancane ne-Total Hip Replacement. Umehluko omkhulu ukuthi ingxenye encane ye-hip joint yakho yemvelo ayisuswa.
Cabanga nge-hip joint yakho njengebhola kanye ne-socket joint.
- I-Acetabulum: Lena indebe.
- Ikhanda Lesifazane: Leli ibhola.
Uma kufakwa i-hip replacement ephelele, kokubili ibhola kanye nendebe kuyasuswa bese kufakwa okwenziwayo. Kodwa-ke, ekuhlinzeni kwe-Hip Resurfacing, nakhu okwenzekayo:
1. Udokotela ususa kuphela isokhethi lesinqe esonakele (indebe) bese efaka eyokwenziwa esikhundleni sayo.
2. Ngemuva kwalokho , ikhanda (ibhola) le-femur yakho alisuswa ngokuphelele. Esikhundleni salokho, yingxenye eyonakele kuphela yobuso ekhuhlwayo futhi ibunjwe ngendlela yokuthi ilingane nendebe entsha yokwenziwa. Yilokho okubizwa ngokuthi 'Ukwenza Ubuso Bube Busha.'
3. Ekugcineni, kubekwa isivalo sensimbi phezu kwekhanda le-femur edaliwe.
Kalula nje, umgomo walokhu kuhlinzwa ukusindisa ithambo lakho eliningi ngangokunokwenzeka.
Yiziphi izimpawu eziholela kulokhu kuhlinzwa?
Uma inkinga yakho yenqulu ingakathuthuki naphezu kokuthatha imithi, ukwenza ukwelashwa ngokomzimba, nokwenza izinguquko endleleni yakho yansuku zonke, udokotela wakho angase akuncome lokhu kuhlinzwa. Nazi izimpawu ezivame ukuholela kulokhu kuhlinzwa:
- Ubuhlungu obukhulu benqulu: Ubuhlungu obuvela uma umi noma uhamba nje.
- Ukuqina kwamalunga: ukungakwazi ukugoba noma ukuqondisa isinqe kalula.
- Ubunzima bokuhamba: Ubunzima bokuhamba, ukuxhuga.
- Ukuvuvukala: Ukuvuvukala kwesihlanganisi sesinqe.
- Ukulahlekelwa ukuzinza: Ukuzizwa ungazinzile lapho uthwele isisindo ezinqeni.
Imbangela enkulu yalezi zimo yi-arthritis. Lokhu kuhlinzwa kuvame ukwenziwa kubantu abane -osteoarthritis, okuyisifo samalunga esiwohlokayo . Kungadingeka nakwabanye abantu abane- rheumatoid arthritis .
Ubani lo kuhlinzwa ofaneleka kakhulu?
Ukuhlinzwa kokulungisa izinqe akuwona owawo wonke umuntu. Ngenxa yokuthi akususi ngokuphelele ikhanda lethambo lakho lethanga, ithambo kudingeka liqine futhi liphile kahle ukuze likwazi ukubamba ipuleti lensimbi phezu kwalo.
Hlola ulwazi olungezansi bese uzokwazi ukuziqonda ukuthi lo kuhlinzwa ufanelekela bani kangcono.
| Ukufaneleka | Incazelo |
|---|---|
| Ubudala | Lokhu kuvame ukunconywa kubantu abangaphansi kweminyaka engama-60 ngoba intsha inamathambo aqinile. |
| Ukusebenza Okusheshayo | Lokhu kufaneleka kakhulu kulabo abadlala imidlalo, abavocavoca umzimba, futhi abaphila impilo esebenzayo ngokomzimba . |
| Impilo yamathambo | Kubalulekile ukuba namathambo aqinile futhi anempilo . Lokhu akufaneleki kubantu abanezimo ezifana ne-osteoporosis. |
| Usayizi wamathambo | Usayizi wethambo lakho lesinqe ubalulekile nalapha. Amathambo amadoda ngokuvamile makhulu kunawabesifazane. Ngakho-ke, lokhu kuhlinzwa kufaneleka kakhulu kwabesilisa. Kodwa ubukhulu namandla ethambo kubaluleke kakhulu kunobulili bakho. |
Into ebaluleke kakhulu ukuthi udokotela okuxilongayo uzonquma ukuthi yikuphi ukuhlinzwa okulungele isimo sakho. Ngakho khuluma naye ngalokhu ngokucophelela.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokulungisela kahle ngaphambi kokuhlinzwa. Lokhu kungafaka:
- Ukuhlolwa okuphelele ngokomzimba:Bheka ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa kwegazi.
- Ukuhlolwa kwe-ECG: Hlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo: Hlola noma yiziphi izinkinga zamazinyo ukuze unciphise ingozi yokutheleleka ngemva kokuhlinzwa.
- Ukuhlolwa kwezithombe: I-X-ray yesinqe izokwenziwa nakanjani. I-MRI noma i-CT scan nayo ingayalwa.
Tshela udokotela wakho nganoma yimiphi imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo) . Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlinzwa. Udokotela wakho uzokweluleka nangokuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngosuku olwandulela ukuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Ngosuku lokuhlinzwa kwakho, uzonikezwa i-anesthesia ukuze uvikeleke ekuzweleni ubuhlungu. Ungase unikezwe i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda kuphela indawo ezungeze inqulu yakho.
Ngesikhathi sokuhlinzwa, udokotela uzolandela lezi zinyathelo:
1. Kwenziwa isilonda esizungeze inqulu.
2. Izingcezu ze-cartilage nethambo ezonakele e-socket yesinqe ziyasuswa.
3. Esikhundleni salokho, kufakwa ijoyinti lesinqe lokwenziwa.
4. Okulandelayo, ikhanda lethanga lakho (ikhanda lesifazane) liyaklwejwa, libunjwe kabusha, bese liphinde libekwe ukuze lilingane nokufakelwa okusha.
5. Isivalo sensimbi sibekwa phezu kwekhanda le-femur elungisiwe.
6. Ekugcineni, i-hip joint ibuyiselwa endaweni yayo bese ikhanda lethambo lakho lethanga lifakwa ngaphakathi kwesokhethi elisha.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili noma amathathu .
Ziyini izinzuzo zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi ikhwalithi yempilo yakho ithuthuka kangakanani. Ngemva kokuhlinzwa okuphumelelayo, ubuhlungu buyancishiswa kakhulu, ukuhamba nokusebenza kuba lula, futhi amandla ayanda. Ngemva kokululama ngokuphelele, ungenza noma yimuphi umsebenzi womzimba owuthandayo.
| Inzuzo | Incazelo |
|---|---|
| Ukunyakaza okwengeziwe | Uma kuqhathaniswa nokufakelwa isinqe okuphelele, ungagijima, ugxume, futhi udlale noma yimuphi umdlalo ngemuva kwalokhu kuhlinzwa.Yebo. Kulabo asebefakelwe ukufakelwa okuphelele, ukuvivinya umzimba okulula njengokuhamba nokubhukuda kuvame ukunconywa. |
| Ingozi yokuqhekeka kwamalunga iphansi. | Ngenxa yokuthi ingxenye yelungu lakho lemvelo iyasala, ayiphumi kalula njengelungu lokwenziwa ngokuphelele. |
| Ukusebenza okungcono | Ngemva kwalokhu, uzokwazi ukuhamba kangcono nangokuphepha. Uma ushintshe indlela ohamba ngayo ngenxa yobuhlungu, lokho kuzobuyela esimweni esijwayelekile. |
| Ukwelashwa kwesikhathi eside | Ukuhlinzwa kokulungisa izinqe kuthatha isikhathi eside kakhulu. Abantu abaningi bangakwenza impilo yabo yonke ngaphandle kwezinkinga. |
Ingabe zikhona izingozi nezinkinga?
Ukulungisa izinqe ngokuvamile kuyindlela yokuhlinzwa ephephile kakhulu futhi ephumelelayo. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Ukuphuka kwentamo ye-femoral: Njengoba ikhanda le-femur lilungiswa, ingxenye engaphansi kwalo (intamo) ingaba buthakathaka. Lokhu kungaholela engcupheni encane yokuphuka. Uma lokhu kwenzeka, kungadingeka ukuthi kufakwe i-hip esikhundleni sayo yonke.
- Ukufakwa kwe-ion kwensimbi: Uma isivalo sekhanda le-femoral kanye nesokhethi le-hip kokubili kuyinsimbi, ngokuhamba kwesikhathi, izingxenye ezimbili zensimbi zingathintana futhi zikhiphe izinhlayiya ezincane zensimbi (ama-ion). Lezi zinhlayiya zingalimaza izicubu ezizungeze inqulu futhi zenze ithambo libe buthaka. Lokhu kuyinto engavamile kakhulu.
Ngaphezu kwalokhu, kunezingozi ezithile ezivamile ezingase zenzeke nganoma yikuphi ukuhlinzwa.
- Ukujiya kwegazi.
- Ukutheleleka endaweni yokuhlinzwa noma ngaphakathi kwejoyinti.
- Ukulimala kwemizwa.
- Izinkinga ngezingxenye zokufakelwa ezifakiwe.
Udokotela wakho uzochaza ngokuningiliziwe ukuthi ungazinciphisa kanjani lezi zingozi.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngokuvamile kuthatha izinyanga eziningana ukululama ngokuphelele. Udokotela wakho uzokutshela ukuthi uhambise inqulu yakho kancane bese uyibeka isisindo kusukela ngosuku olulandela ukuhlinzwa. Kungase kudingeke usebenzise izinduku zokusibekela noma i-walker emasontweni ambalwa okuqala.
Abantu abaningi kuzodingeka benze ukwelashwa ngokomzimba amasonto amaningana. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuqinisa imisipha yakho yesinqe nokubuyisela ukunyakaza kwamalunga.
Ngokuvamile uzokwazi ukuqhubeka nemisebenzi yakho yansuku zonke ngemva kwamasonto ayisithupha. Udokotela wakho uzokutshela ukuthi ungaqhubeka nini nemisebenzi enzima njengokugijima, ukugxuma, nokudlala imidlalo.
Noma nini lapho udinga ukukhuluma nodokotela!
Uma ufika ekhaya ngemva kokuhlinzwa, kunezinto okufanele uziqaphele. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Ubuhlungu besifuba.
- Ubunzima bokuphefumula (ukuphelelwa umoya).
- Umkhuhlane uphakeme ngaphezu kwama-Fahrenheit angu-101 (39 Celsius).
- Ukopha ngokweqile okuvela enxebeni lokuhlinzwa.
- Izimpawu zokutheleleka kwenxeba (ukuphuma kwegazi, ukuvuvukala, ukushintsha kombala, iphunga, ukufudumala).
- Ubuhlungu obusha noma obuya buba bubi emlenzeni, onyaweni, eqakaleni, noma onyaweni.
- Ubuhlungu obukhulu obungapheli ngisho nangemithi yobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuselelwa Kwezinqe kuyindlela yokuhlinzwa egcina ithambo lakho eliningi ngangokunokwenzeka ngaphandle kokufaka esikhundleni sethambo lesinqe ngokuphelele.
- Lokhu kufaneleka kakhulu kulabo abasebasha, abakhuthele ngokomzimba, futhi abanamathambo aqinile.
- Ukululama ngemva kokuhlinzwa kuhle kakhulu. Ubuhlungu bunciphile futhi sengiyakwazi ukubhekana nokuphila okuvamile ngenkuthalo.
- Kubaluleke kakhulu ukuba nesineke ngesikhathi sokululama futhi ulandele imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngqo.
- Udokotela wakho ungumuntu ongcono kakhulu ukunquma ukuthi yikuphi ukuhlinzwa okufanele wena, ngakho qiniseka ukuthi umbuza noma yimiphi imibuzo ongase ube nayo.
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