Nawe ungase ungakwazi ukwenza imisebenzi yakho yansuku zonke ngendlela efanele ngenxa yobuhlungu bedolo, akunjalo? Ungase uzizwe sengathi ukhathele ukuphila ngenxa yobuhlungu obukhulu obuvela lapho uvuka esihlalweni, ukhuphuka izitebhisi, noma uhamba ibanga elifushane. Uma lobu buhlungu bungapheli naphezu kokuthatha imithi futhi welashwa ngezindlela ezahlukene, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa kokushintsha idolo. Kuvamile ukuzizwa wesaba kancane uma uzwa leli gama. Kodwa-ke, ake sixoxe ngakho konke ngamagama alula namuhla.
Kuyini ukuhlinzwa kokushintsha idolo?
Kalula nje, ukuhlinzwa kokushintsha idolo, noma i-knee arthroplasty ngokwezokwelapha, ukususwa ngokuhlinzwa kwezingxenye ezigugile nezilimele zejoyinti lakho ledolo bese kufakwa ijoyinti lokwenziwa (i-prosthesis) elenziwe ngensimbi nepulasitiki.
Cabanga ngalokhu: amadolo ethu afana nezihinji zomnyango. Ngokuhamba kwesikhathi, lesi hinji siyagqwala futhi siguge, okwenza kube nzima ukuvula nokuvala umnyango. Lapho i-cartilage edolweni iguga, kuba nzima ngathi ukuhamba noma ukugoba amadolo ethu. Lokhu kuhlinzwa kufana nokususa leso hinji esidala, esigqwalile bese usifaka esisha sha.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa?
Ukuhlinzwa kokushintsha idolo kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Udokotela wakho uzokhetha uhlobo olufanele kakhulu kuwe ngokusekelwe ezingeni lomonakalo edolweni lakho.
| Uhlobo lokuhlinzwa | Incazelo |
|---|---|
| Ukufakwa Kwedolo Okuphelele | Lolu uhlobo oluvame kakhulu. Lapha, zonke izingxenye ezintathu eziyinhloko zejoyinti ledolo (uhlangothi lwangaphakathi, uhlangothi lwangaphandle, kanye nengxenye engaphansi kwe-kneecap) ziyasuswa bese kufakwa ijoyinti lokwenziwa. |
| Ukufakwa Kwedolo Elingaphelele | Njengoba igama lisho, lokhu kuhilela ukususa ingxenye eyodwa noma ezimbili kuphela ezilimele zedolo bese kufakwa ezinye izingxenye zokwenziwa esikhundleni sazo. Lokhu kuhlinzwa kuvamile kubantu abasha abaye balimala edolweni ngenxa yengozi noma ukulimala okungazelelwe. |
Hlobo luni lwabantu oludinga ukushintshwa kwedolo?
Udokotela angase akuncome lokhu kuhlinzwa uma unezimpawu ezinzima ezingenakukwazi ukulawulwa ngezinye izindlela zokwelapha ezingezona ezokuhlinzwa (isb., imithi, ukuvivinya umzimba). Izimpawu ezinjalo zifaka:
- Ubuhlungu bamalunga obungabekezeleleki.
- Ukuqina , ukungakwazi ukugoba noma ukuqondisa idolo.
- Ukuhamba okulinganiselwe, njengobunzima bokuhamba.
- Ukuvuvukala kwamadolo.
Imbangela eyinhloko yalesi simo yi -arthritis . Ukufakelwa kwamadolo kuvame kakhulu kubantu abane-osteoarthritis . Abantu abanezinye izinhlobo ze-arthritis, njenge -rheumatoid arthritis, nabo bangadinga lolu kuhlinzwa.
Akuvamile ukuthi lokhu kuhlinzwa kudingeke ngenxa yesifo samathambo (i-post-traumatic arthritis) esenzeka ngemva kokuphuka kwedolo ngenxa yengozi yemoto, ukuwa, noma ukulimala kwezemidlalo.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho kanye nodokotela ohlinzayo bazokunikeza imiyalelo eningiliziwe yokuthi yini okufanele uyenze ngaphambi kokuhlinzwa. Ngokuvamile, kuzodingeka wenze okulandelayo:
- Ukuhlolwa okuphelele ngokomzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa kwegazi okuningana.
- Ukuhlolwa kwe-ECG (i-Electrocardiogram) ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo ukuze kuncishiswe ingozi yokutheleleka ngemva kokuhlinzwa.
- I- X-ray yedolo. Ungase ucelwe futhi ukuthi wenze i-MRI noma i-CT scan .
Okubaluleke kakhulu, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Ungase welulekwe ukuthi uyeke ukuthatha eminye imithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho.
Udokotela wakho uzokutshela nokuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngosuku olwandulela ukuhlinzwa kwakho. Ngokuvamile, kufanele ugweme ukudla nokuphuza amahora ayi-12 ngaphambi kokuhlinzwa kwakho.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Udokotela we-anesthesia uzokunikeza i-anesthesia ejwayelekile , ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda kuphela indawo engaphansi kwesinqe.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzokwenza okulandelayo:
1. Izingcezu ze-cartilage namathambo ezilimele nezigugile ziyasuswa.
2. Esikhundleni salokho, kufakwa ijoyinti lokufakelwa.
3. Kufakwa i-spacer yepulasitiki ukuze isebenze njengomcamelo othambile esikhundleni se-cartilage esusiwe.
4. Uma kudingeka, i-kneecap yakho (i-patella) izoshintshwa ukuze ilingane nejoyinti elisha lokwenziwa.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora noma amabili.
Ungalulama kanjani ngokushesha ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzothuthelwa ekamelweni lokululama. Ithimba lezokwelapha lizokuqapha uze ululame ngokuphelele ekubulaweni yizinzwa. Abanye abantu bangaya ekhaya ngalolo suku, kodwa iningi labantu kuzodingeka lihlale esibhedlela usuku olulodwa noma ezimbili.
Kungathatha isikhathi esingangonyaka ukululama ngokuphelele. Kodwa ungakhathazeki , ngokuvamile ungaqhubeka nemisebenzi yakho eminingi yansuku zonke ngemva kwamasonto ayisithupha. Nazi ezinye izinto ongazenza ukuze zikusize ululame ngokushesha:
- Faka iqhwa: Ukufaka iqhwa edolweni lakho cishe imizuzu engama-20 izikhathi eziningana ngosuku kungasiza ekunciphiseni ubuhlungu nokuvuvukala.
- Gcina umlenze wakho uphakeme: Noma nini lapho kungenzeka, gcina umlenze wakho uphakeme ngaphezu kwezinga lenhliziyo yakho ngokuwubeka emicamelweni.
- Gcina inxeba lihlanzekile: Landela imiyalelo kadokotela wakho ngqo. Buza ukuthi ungayishintsha kanjani ibhandishi lenxeba nokuthi ungageza nini.
- Ukuzivocavoca kwasekhaya: Yenza izivivinyo udokotela wakho azinikezayo ngqo. Lokhu kuzosiza ekuqiniseni imisipha ezungeze idolo lakho futhi kuvimbele ukuqina kwedolo lakho.
- Ukwelashwa Komzimba: Kuzodingeka usebenze nodokotela wezokwelapha ngokomzimba izinyanga eziningana ngemva kokuhlinzwa. Bazokusiza ukuthi ugobe idolo lakho ngokuphephile bese uqala ukuhamba.
Ungalawula kanjani ubuhlungu?
Kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa, ikakhulukazi emasontweni ambalwa okuqala. Thatha imithi yokubulala izinhlungu, ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal), kanye ne-paracetamol njengoba udokotela wakho ekuyalele. Uma ubuhlungu bungabekezeleleki noma unemibuzo mayelana nomuthi, khuluma nodokotela wakho.
Yiziphi izinkinga ezingaba khona ngenxa yalokhu kuhlinzwa?
Nakuba ukuhlinzwa kokushintsha idolo kuyinqubo ephumelela kakhulu, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kodwa-ke, lezi azivamile.
- Amahlule egazi
- Ukutheleleka ngaphakathi kwesilonda noma edolweni
- Ukulimala kwemizwa noma imithambo yegazi
- Izinkinga ngelunga lokwenziwa (ukuguguleka okusheshayo, ukukhululeka)
- Ukuqina ngenxa yezicubu zesilonda ngaphakathi kwedolo
Uma unezinye izimo zezokwelapha ezifana nesifo sikashukela , i-hemophilia , noma i-lupus , qiniseka ukuthi utshela udokotela wakho ngakho ngaphambi kokuhlinzwa.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha!
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuya ekhaya evela ekuhlinzweni, shayela udokotela wakho ngokushesha.
- Ubuhlungu besifuba
- Ubunzima bokuphefumula (i-Dyspnea)
- Umkhuhlane ongaphezu kuka-101 Fahrenheit (39 Celsius)
- Ukopha ngokweqile noma uketshezi olufana nobovu oluphuma esilondeni
- Ukuvuvukala, ukubomvu, ukufudumala, noma iphunga endaweni yenxeba
- Ubuhlungu obusha noma obubi kakhulu esinqeni, eqakaleni, noma onyaweni
- Ubuhlungu obukhulu obungapheli naphezu kokuthatha imithi yokubulala izinhlungu
Uma kwenzeka ubuhlungu besifuba obungazelelwe noma ubunzima bokuphefumula, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokushintsha idolo kuyisisombululo esiphumelela kakhulu sobuhlungu obukhulu bedolo obungaqedwa ngezinye izindlela zokwelapha.
- Imiphumela yalokhu kuhlinzwa ihlala iminyaka eyi-10-15 noma ngaphezulu kubantu abaningi.
- Ukuze ululame ngokushesha, kubalulekile ukulandela ukwelashwa ngokomzimba kanye nokuzivocavoca njengoba kunconywe udokotela wakho.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba ongase ube nakho ngaphambi nangemva kokuhlinzwa.
- Ukulandela imiyalelo yangemva kokuhlinzwa kunganciphisa kakhulu ingozi yezinkinga.
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