Ingabe nawe uzwa ubuhlungu obukhulu enqulwini yakho? Ingabe uzwa ubuhlungu obukhulu uma uhamba, ugoba, noma ukhuphuka izitebhisi? Udokotela wakho kungenzeka ukuthi ukutshelile ngokufakwa esikhundleni senqulwini ngokuphelele. Kodwa namuhla sizokhuluma ngendlela ehlukile kancane engavikela inqulwini yakho yemvelo kakhudlwana.
Kuyini lokhu kulungiswa kwe-Hip?
Kalula nje, lokhu futhi kuyindlela yokuhlinzwa yokushintsha i-hip. Odokotela ngezinye izikhathi bakubiza ngokuthi i-Hip Resurfacing Arthroplasty. Kufana kancane nokufakelwa i-hip ngokuphelele. Kodwa umehluko omkhulu nobaluleke kakhulu ukuthi i-hip yakho yemvelo ayisuswanga ngokuphelele bese ithathelwa indawo ngeyokwenziwa.
Cabanga nge-hip joint yethu njengebhola kanye ne-socket joint. Ingxenye efana nebhola ephezu kwethambo lethanga (i-femur) ijikeleza ngaphakathi kwengxenye efana nendebe yethambo le-hip ebizwa ngokuthi i-acetabulum.
Nakhu okwenzekayo ngesikhathi sokuhlinzwa kwe-Hip Resurfacing:
1. Isokhethi/i-acetabulum yesinqe: Udokotela ohlinzayo ususa i-cartilage nethambo elonakele kusokhethi yakho yesinqe bese efaka indebe yensimbi yokufakelwa (i-acetabulum).
2. Ikhanda Le-Femoral: Ingxenye efana nebhola ye-femur ayisuswa ngokuphelele. Kunalokho, ingxenye eyonakele kuphela ebusweni ekhuhlwayo, iphinde ibekwe, bese kubekwa isivalo sensimbi phezu kwayo.
Kufana nokwakha uhlaka olusha lomnyango olusesesimweni esihle kakade, kodwa kuzodingeka wenze umnyango uqine kancane. Ngale ndlela, uzosindisa ithambo lakho lemvelo eliningi.
Yiziphi izimpawu ezenziwayo kulokhu kuhlinzwa?
Uma ubuhlungu benqulu yakho bungalawulwa ngemithi, ukwelashwa ngokomzimba, kanye nezinguquko emisebenzini yansuku zonke, udokotela wakho angase akuncome lokhu kuhlinzwa. Ezimweni eziningi, imbangela eyinhloko yi-arthritis. Lokhu kuvame kakhulu kubantu abane-osteoarthritis.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu benqulu | Ubuhlungu obukhulu lapho uhamba, uhleli, noma ebusuku. |
| Ukuqina kwamalunga | Ubunzima bokugoba noma ukwelula i-hip joint. Ubunzima bokugqoka izicathulo namasokisi. |
| Ubunzima bokuhamba | Ukuhamba ukhubazekile noma ukungakwazi ukuhamba ibanga elide. |
| Ukuvuvukala nokungazinzi | Ukuvuvukala endaweni yesinqe kanye nomuzwa wokungalingani lapho umile. |
Ubani ngempela ofanelekela ukuhlinzwa kwe-Hip Resurfacing?
Into ebalulekile ukuthi, lokhu kuhlinzwa akulona olwawo wonke umuntu. Njengoba inqulu yakho ingashintshwa ngokuphelele, impilo yamathambo akho ibaluleke kakhulu lapha.
Kalula nje, ithambo lakho lethanga (i-femur) lidinga ukuba liqine futhi liphile kahle ngokwanele ukuze liphinde libunjwe. Abantu abavame ukufanelana kahle nalokhu kuhlinzwa yilaba:
- Abantu abangaphansi kweminyaka engama-60 ubudala
- Abantu abaphila impilo esebenzayo ngokomzimba (isib. labo abadlala imidlalo, ukuzivocavoca umzimba)
- Abantu abanesimiso samathambo esiqinile nesinempilo
Ngaphezu kwalokho, ubukhulu bamathambo akho enqulwini nakho kuyisici esibalulekile. Ngokuvamile amadoda abhekwa njengafaneleka kakhulu kulokhu kuhlinzwa ngoba amathambo awo makhulu kancane kunawabesifazane. Kodwa-ke, ubukhulu namandla amathambo akho kubaluleke kakhulu kunobulili bakho. Udokotela wakho uzohlola umzimba wakho, izidingo zakho, kanye nesimo sakho sezokwelapha ukuze anqume ukuthi yikuphi ukuhlinzwa okukulungele.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho ohlinzayo uzokulungisela ukuhlinzwa. Lokhu kungafaka okulandelayo:
- Ukuhlolwa okuphelele ngokomzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa kwegazi okuningana.
- Ukuhlolwa kwe-ECG ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo ukuze kuncishiswe ingozi yokutheleleka ngemva kokuhlinzwa.
- I-X-ray yesinqe. Kungadingeka ne-MRI noma i-CT scan .
Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyithathayo, kanye nanoma yimaphi amavithamini noma izithasiselo ozithathayo. Eminye imithi kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Udokotela wakho uzokweluleka nangokuthi kufanele uyeke nini ukudla nokuphuza ngosuku olwandulela ukuhlinzwa.
Yiziphi izinzuzo zalokhu kuhlinzwa?
Inzuzo enkulu ukuthi izinga lakho lempilo lizothuthuka kangakanani uma lokhu kuhlinzwa kuphumelele. Uzoqala ukuzwa ukwehla okukhulu kobuhlungu, ikhono lokuhamba elithuthukisiwe, kanye namandla akhuphukile. Uma usuphulukisiwe ngokuphelele, ungabuyela emisebenzini yomzimba oyithandayo.
Ezinye izinzuzo:
- Ukunyakaza okwengeziwe kanye nomsebenzi: Uma unokufakelwa i-hip okuphelele, uzovame ukukhawulelwa ekuzivocavoceni okulula njengokuhamba nokubhukuda. Kodwa-ke, ngemva kwalokhu kuhlinzwa kwe-Hip Resurfacing, ungase ukwazi ukugijima, ukugxuma, nokudlala imidlalo uma usululame ngokugcwele.
- Ingozi encishisiwe yokuphuma kwethambo: Njengoba ingxenye yethambo lakho lemvelo isasele, lokhu cishe akukwazi ukuphuma kwethambo njengokufakwa kwethambo lonke lethanga.
- I-biomechanics ethuthukisiwe: Uma indlela ohamba ngayo, ogijima ngayo, noma ogxuma ngayo ishintshile ngenxa yobuhlungu, uzokwazi ukwenza lezo zinto ngokunemba nangokuphepha ngemva kokuhlinzwa.
- Ukululama kwesikhathi eside: Lokhu kuhlinzwa kuthatha isikhathi eside. Abantu abaningi bangaphila impilo yabo yonke ngaphandle kwezinkinga.
Azikho yini izingozi nezinkinga?
Ukulungisa izinqe ngokuvamile kuyinqubo ephephile nephumelelayo, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
| Ingozi/Inkinga | Incazelo elula |
|---|---|
| Izingozi eziqondene nokuhlinzwa | |
| Ukuphuka kwentamo yesifazane | Ngenxa yokuthi ikhanda le-femur limile, kunengozi encane yokuthi 'intamo' engaphansi kwalo izobuthakathaka futhi iphuke. Uma lokhu kwenzeka, kungadingeka ukuthi kufakwe isinqe esiphelele. |
| Ukwenziwa kwe-ionization yensimbi phezu kwensimbi | Uma isivalo sensimbi kanye nephini lensimbi kushayisana, ngokuhamba kwesikhathi, izinhlayiya ezincane zensimbi (ama-ion) zingakhishwa. Lokhu kungalimaza izicubu ezizungeze ilunga lesinqe futhi kwenze amathambo abe buthaka. |
| Izingozi ezivamile zanoma yikuphi ukuhlinzwa | |
| Izingozi ezijwayelekile | Amahlule egazi, izifo, umonakalo emithanjeni noma emithanjeni yegazi, ukuguguleka kwezingxenye ezitshaliwe, kanye nokwakheka kwezicubu zesilonda. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungathatha izinyanga eziningana ukululama ngokuphelele. Kodwa-ke, udokotela wakho uzokutshela ukuthi ubeke isisindo kancane kancane ethangeni lakho bese ulihambisa kusukela ngosuku olulandela ukuhlinzwa. Kungase kudingeke usebenzise izinduku zokusibekela noma i-walker emasontweni ambalwa okuqala.
Abantu abaningi bazodinga amasonto amaningana okwelashwa ngokomzimba . Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise imisipha yakho yesinqe futhi ubuyisele ukunyakaza okulahlekile.
Uzokwazi ukuqhubeka nemisebenzi yakho yansuku zonke ngemva kwamasonto ayisithupha . Udokotela wakho ohlinzayo uzokutshela ukuthi kuphephile nini ukuqala imisebenzi enzima yomzimba njengokugijima, ukugxuma nokudlala imidlalo.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ohlinzayo noma omunye udokotela ngokushesha.
- Ubuhlungu besifuba
- Ubunzima bokuphefumula (ukuphelelwa umoya) (Uma lokhu kwenzeka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.)
- Umkhuhlane uphakeme ngaphezu kwama-Fahrenheit angu-101 (39 Celsius).
- Ukopha ngokweqile noma uketshezi olufana nobovu oluphuma enxebeni lokuhlinzwa.
- Izimpawu zokutheleleka, njengokuvuvukala, ukushintsha kombala, iphunga, noma ukufudumala okungavamile esilondeni.
- Ubuhlungu obusha noma obuya buba bubi ethangeni, esinqeni, eqakaleni, noma onyaweni.
- Ubuhlungu bukhulu kangangokuthi abulawuleki, ngisho noma kusetshenziswa imithi yobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuselelwa Kwezinqe kuyindlela ehlukile yokuhlinzwa eshiya ingxenye enkulu yethambo lakho lemvelo, kunokuba ithathe indawo yethambo lesinqe ngokuphelele.
- Lokhu kufaneleka kakhulu kulabo abasebasha, abakhuthele, futhi abanamathambo aqinile.
- Lokhu kuvumela ukuhamba nokusebenza okukhulu kunokushintsha isinqe ngokuphelele.
- Kodwa-ke, kunezingozi ezingokwemvelo , njengokuphuka kwentamo ye-femoral.
- Udokotela wakho ungumuntu ongcono kakhulu ukunquma ukuthi lokhu kuhlinzwa kulungile yini kuwe, ngakho khuluma naye ngokukhululekile ngakho.
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