Ingabe nawe unenkinga yokuvuka esihlalweni, ukukhuphuka izitebhisi, noma ukuhamba ibanga elifushane ngenxa yobuhlungu bedolo? Ingabe uzizwa uqinile futhi ungakwazi ukugoba noma ukuqondisa amadolo akho uma uvuka ekuseni? Ingabe lobu buhlungu buyanda usuku nosuku, abunciphi? Esikhathini esiningi, izinkinga ezinjengalezi zenzeka lapho i-cartilage edolweni iphela. Uma uke wazama izindlela ezahlukene zokwelapha lokhu, kodwa ubuhlungu buya buqhubeka buba bubi, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa kokushintsha idolo. Ukuzwa leli gama kungase kukwethuse. Kodwa ungesabi. Namuhla, sizoxoxa ngakho konke ngalokhu, kalula, ngendlela ongayiqonda.
Kuyini lokhu kuhlinzwa kokufakelwa idolo?
Kalula nje, ukuhlinzwa kokushintsha idolo kuhilela ukususa izingxenye ezigugile, ezonakele zedolo lakho bese uzishintsha ngejoyinti yokwenziwa (i-prosthesis) eyenziwe ngensimbi nepulasitiki. Kufana nokukhipha ithayi emotweni endala ufake elisha. Ngokwezokwelapha, lokhu kuhlinzwa sikubiza ngokuthi 'i-Arthroplasty'. Lokhu kwenziwa nguDokotela Wezamathambo, uchwepheshe wamathambo namalunga.
Ubani odinga ukuhlinzwa esikhundleni sedolo?
Ngokuvamile, udokotela uzoqala ngokukunikeza imithi yokwelapha izinhlungu kanye ne-physiotherapy yobuhlungu bedolo. Kodwa-ke, uma kungekho kulokhu kwelashwa okunciphisa ubuhlungu, ukuqina, nokuvuvukala, futhi uma isimo sibi kakhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa.
Isizathu esiyinhloko sokuthi kungani abantu abaningi bedinga lokhu kuhlinzwa yi- knee arthritis . Lokhu kwenzeka lapho i-cartilage ethambile phakathi kwamalunga iguga futhi amathambo egudlana. Lesi simo sivame ukwenzeka ngokukhula. Ngaphezu kwalokho, uma idolo lilimele kakhulu engozini futhi libe ne-arthritis yangemva kwenhlekelele, ngisho nomuntu osemusha angadinga lokhu kuhlinzwa.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa?
Kuye ngokuthi idolo lakho lilimele kangakanani, udokotela wakho uzokhetha uhlobo lokuhlinzwa olukufanele kakhulu. Kunezinhlobo ezimbili eziyinhloko.
| Uhlobo lokuhlinzwa | Incazelo |
|---|---|
| Ukubuyiselwa Kwedolo Eliphelele (TKR) | Lolu uhlobo oluvame kakhulu. Lapha, zonke izingxenye ezintathu ezinkulu ezilimele zejoyinti lakho ledolo (uhlangothi lwangaphakathi, uhlangothi lwangaphandle, kanye nengxenye engaphansi kwe-kneecap) ziyasuswa bese kufakwa ijoyinti elenziwe ngokuphelele. Lokhu kubizwa nangokuthi i-Total Knee Arthroplasty (TKA). |
| Ukufakwa Kwedolo Elingaphelele (PKR) | Njengoba igama lisho, lolu hlobo lokuhlinzwa aluthathi indawo yejoyinti lonke ledolo. Uma kulimala ingxenye eyodwa noma ezimbili kuphela zejoyinti, kususwa lezo zingxenye kuphela bese kufakwa izingxenye zokwenziwa. Lolu hlobo lokuhlinzwa luvame ukwenziwa kubantu abasha abalimele amadolo abo engozini. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, uzonikezwa izivivinyo eziningana kusengaphambili ukuze kubonakale ukuthi umzimba wakho usukulungele yini. Udokotela wakho uzokuchazela konke lokhu.
Into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izifo, amavithamini, imithi yendabuko) kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho , ngaphandle kokufihla lutho .
Nazi ezinye zezivivinyo ezivame ukudingeka:
- Ukuhlolwa kwamazinyo: Ungase uzibuze ukuthi kungani lokhu kwenziwa. Cabanga ngakho, amagciwane avela emlonyeni wakho angangena egazini lakho ngemva kokuhlinzwa futhi abangele ukutheleleka edolweni lakho elisha. Lokhu kwenzelwa ukunciphisa leyo ngozi.
- Ukuhlolwa okuphelele komzimba: Hlola ukuthi umzimba wakho usesimweni esifanele yini sokuhlinzwa.
- Ukuhlolwa kwe-ECG (i-Electrocardiogram): Kuhlola ukusebenza kwenhliziyo yakho.
- Ukuhlolwa kwegazi: Hlola izinto ezifana noshukela egazini kanye nokusebenza kwezinso.
- Ukuhlolwa kwezithombe: I-X-ray yedolo izokwenziwa nakanjani. Ungase ucelwe futhi ukuthi wenze i-MRI noma i-CT scan.
Futhi, ngosuku olungaphambi kokuhlinzwa, kungcono ukungadli noma ukuphuza noma yini kusukela ngesikhathi udokotela ekutshela sona. Ngokuvamile, ucelwa ukuba uzile ukudla amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Nakuba kunomehluko omncane kuye ngokuthi uhlinzwa nge-TKR noma i-PKR, lezi yizinyathelo ezijwayelekile ezihilelekile:
1. I-Anesthesia: Okokuqala, udokotela wezinzwa uzokunikeza umuthi wokukwenza ungabi namizwa. Ungase ulale ngokuphelele (i-General Anesthesia) , noma ungase ungabi namizwa kusukela okhalweni kuye ezansi (i-Regional Anesthesia).Awuzwa ubuhlungu.
2. Ukususa izingxenye ezonakele: Okulandelayo, udokotela ohlinzayo uvula idolo bese esusa ngokucophelela izingcezu ze-cartilage nethambo ezigugile.
3. Ukufakelwa kwejoyinti lokwenziwa: Endaweni yengxenye esusiwe, kufakwa izingxenye zokwenziwa zensimbi (izitho zokwenziwa) ezenzelwe ukulingana kahle nejoyinti lakho.
4. Isikhala sepulasitiki: Bese kufakwa isikhala sepulasitiki esikhethekile phakathi kwezingxenye ezimbili zensimbi, esisebenza njenge-cartilage yethu. Yilokhu okuvumela ilunga elisha ukuthi lihambe kahle futhi ngaphandle kobuhlungu.
5. Ukulungiswa Kwe-Kneecap: Uma kudingeka, i-kneecap yakho (i-patella) izoshintshwa ukuze ilingane nejoyinti elisha.
Lonke lolu hlinzo luvame ukuthatha cishe ihora noma amabili .
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu. Kubalulekile ukuqaphela lokho.
| Izinzuzo | Izingozi - (Lokhu kwenzeka kaningi kakhulu) |
|---|---|
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Ungakhathazeki, lezi zingozi azivamile, futhi ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukuzivimbela.
Kwenzekani ngemva kokuhlinzwa? Isikhathi sokululama singakanani?
Ngemva kokuhlinzwa, uzothuthelwa ekamelweni lokululama. Ithimba lezokwelapha lizoqapha izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi uze ululame ngokuphelele ekuhlinzweni kwe-anesthesia. Abanye abantu bangaya ekhaya ngalolo suku, kodwa iningi labantu kuzodingeka lihlale esibhedlela usuku olulodwa noma ezimbili.
Kungathatha izinyanga eziningana kuya onyakeni ukululama ngokuphelele. Kodwa-ke, kufanele ukwazi ukwenza imisebenzi eminingi yansuku zonke cishe emavikini ayisithupha . Lesi sikhathi sincike eminyakeni yakho, ukuthi wawusebenza kangakanani ngaphambi kokuhlinzwa, kanye nezinye izimo zezokwelapha.
Izinto okufanele uzilandele ngesikhathi sokululama
Lesi sikhathi sinzima kancane, kodwa intshiseko nokuzinikela kwakho kuzosheshisa ukululama kwakho.
- Ukuzivocavoca: Kufanele wenze izivivinyo njengoba nje uqondiswe udokotela wakho kanye nodokotela we-physiotherapist. Kufanele uqale ukwenza lokhu kusukela ekuqaleni.
- Phakamisa amadolo akho: Noma nini lapho kungenzeka, gcina amadolo akho ephakeme ngaphezu kwenhliziyo yakho ngokuwabeka emicamelweni. Lokhu kuzonciphisa ukuvuvukala.
- Iqhwa: Faka iphakethe leqhwa enxebeni cishe imizuzu engama-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa kakhulu ubuhlungu nokuvuvukala.
- Ukugcina inxeba lihlanzekile: Gcina inxeba lihlanzekile futhi lomile. Shintsha ibhandeji kuphela njengoba kuyalelwe udokotela wakho. Buza nokuthi ungageza nini.
- Ukwelashwa nge-physiotherapy: Lokhu kubaluleke kakhulu . Ngosizo lodokotela we-physiotherapist, udinga ukufunda ukugoba idolo lakho kahle nokuhamba. Lokhu kuzothatha izinyanga eziningana.
Ukulungisa indawo yasekhaya
Ngaphambi kokuba uye ekhaya, kubaluleke kakhulu ukwenza indawo yasekhaya lakho ibe ntofontofo kuwe.
- Faka imigoqo yokubamba endlini yangasese nasendlini yokugezela ukuze ukwazi ukuyibamba bese uvuka.
- Susa noma yini engashelela futhi iwe, njengokhaphethi nezintambo ezishiywe phansi.
- Hlola ukuthi izibambo ezitebhisini ziqinile yini.
Isikhathi sokubona udokotela ngokushesha okukhulu
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
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Ukuhlinzwa kokufakelwa idolo kuyisinqumo esikhulu. Kuvamile ukuba nemibuzo nokukhathazeka ngakho. Xoxa nganoma yiziphi izinkinga noma ukwesaba onakho nodokotela wakho. Isikhathi sokululama singaba nzima kancane, kodwa imivuzo iyakufanelekela. Akukho okungcono kunokukwazi ukujabulela umsebenzi wakho futhi ngemva kweminyaka eminingi yobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokushintsha idolo kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yobuhlungu obukhulu bedolo.
- Kuthatha isikhathi ukululama ngokugcwele ngemva kokuhlinzwa, futhi ukuzinikela kwakho kanye nomdlandla wakho kubalulekile.
- Ukwelashwa nge-physiotherapy kuyingxenye ebaluleke kakhulu yenqubo yokululama futhi akufanele kweqiwe.
- Landela imiyalelo kadokotela ngqo, ikakhulukazi mayelana nokuthatha imithi nokunakekela inxeba.
- Uma kuvela noma yiziphi izimpawu eziyisixwayiso (umkhuhlane, ubuhlungu obukhulu, ukutheleleka kwenxeba), funa iseluleko sezokwelapha ngokushesha.
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