Ingabe nawe unesihlungu sedolo? Ingabe ukhathele ubuhlungu obuhambisana nokuma, ukuhamba, noma ukukhwela izitebhisi? Udokotela wakho kungenzeka ukuthi ukhulume ngokuhlinzwa kokushintsha idolo ngokuphelele. Kodwa ingabe uke wezwa ngokuhlinzwa okuthatha indawo yengxenye yedolo eyonakele kuphela, okungukuthi, cishe ingxenye yedolo? Namuhla sizokhuluma kalula futhi ngobungane ngalokhu kuhlinzwa 'kokushintsha idolo okuyingxenye' abantu abaningi abangakwazi.
Kusho ukuthini lokhu, ingxenye yedolo iyashintshwa?
Kalula nje, lokhu kuyindlela yokuhlinzwa esusa kuphela ingxenye eyonakele, egugile yedolo bese ifakwa endaweni yayo ngejoyinti yokwenziwa. Kwezokwelapha, lokhu sikubiza ngokuthi "i-Arthroplasty" noma indawo yejoyinti. Leli joyinti lokwenziwa livame ukwenziwa ngensimbi kanye nohlobo olukhethekile lwepulasitiki.
Cabanga ngedolo lethu njengendlu enamakamelo amathathu. Inezingxenye ezintathu eziyinhloko:
- Igumbi Eliphakathi: Lolu uhlangothi lwangaphakathi lwedolo.
- Igumbi Eliseceleni: Lolu uhlangothi lwangaphandle lwedolo.
- Igumbi le-Patellofemoral: Leli litholakala ngaphansi kwe-kneecap yakho.
Ekufakweni kwedolo okungaphelele, odokotela abahlinzayo bafaka kuphela ingxenye yangaphakathi noma yangaphandle eyonakele yalezi zingxenye ezintathu. Ezinye izingxenye eziphilile zihlala zinjalo.
Ubani odinga lokhu kuhlinzwa?
Lokhu kuhlinzwa kuvame ukudingwa ngenxa yobuhlungu bamalunga, noma "i-Arthritis." Lokhu kuhlinzwa kuvame ukunconywa kubantu abanesimo esivame kakhulu, "i-Osteoarthritis," esibangelwa ukuguguleka kwamalunga ngokuhamba kwesikhathi.
Uma unezimpawu ezinzima ngezansi, futhi zingathuthuki ngokwelashwa okungadingi ukuhlinzwa njengemithi nokuzivocavoca, udokotela wakho angakhuluma nawe ngalokhu kuhlinzwa.
- Ubuhlungu bamalunga obungabekezeleleki.
- Ukuqina kwamalunga ekuseni.
- Ukungakwazi ukugoba noma ukuqondisa idolo kahle (Limited Mobility).
- Ukuvuvukala kwamadolo.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kufaneleka kakhulu kulabo abanengxenye eyodwa kuphela yedolo egugile, ngaphandle kokuba zonke izingxenye ezintathu zonakele.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho kanye nodokotela ohlinzayo bazochaza konke okudingeka ukwenze ngaphambi kokuhlinzwa. Ngokuvamile, kuzodingeka wenze lezi zinto.
| Okufanele ngikwenze | Kungani kunjalo? |
|---|---|
| Ukuhlolwa okuphelele ngokomzimba | Qiniseka ukuthi uphilile ngokwanele ukuze ukwazi ukubekezelela ukuhlinzwa. |
| Ukuhlolwa kwegazi | Qiniseka ukuthi izinto ezifana nomfutho wegazi kanye nokusebenza kwezinso kujwayelekile. |
| Ukuhlolwa kwe-ECG | Yazi impilo yenhliziyo yakho. |
| Ukuhlanza nokuhlola amazinyo | Nakuba lokhu kungase kubonakale kumangalisa kancane, kubaluleke kakhulu ukuvimbela amagciwane emlonyeni ukuthi angangeni egazini futhi abangele izifo ngemva kokuhlinzwa. |
| I-X-ray, i-MRI noma i-CT scan | Bheka ngokucophelela izingxenye ezigugile zedolo. Ngokuvamile i-X-ray yanele, kodwa ngezinye izikhathi kungadingeka i -MRI noma i-CT scan. |
Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma imithi yamakhambi oyithathayo. Eminye imithi (ikakhulukazi imithi yokunciphisa igazi) ingadinga ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Kungase kudingeke futhi ukuthi uyeke ukudla noma ukuphuza cishe amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Udokotela wezinzwa uzokunikeza i-anesthesia ukuze ungezwa ubuhlungu. Lokhu kungenziwa ngezindlela ezimbili. Kuphakathi kokuthi uzobe ulele ngokuphelele (i-General Anesthesia), noma indawo engaphansi kwesinqe kuphela ezophelelwa amandla (i-Regional Anesthesia). Ithimba lezokwelapha lizonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo:
1. Izingcezu ze-cartilage nethambo ezigugile edolweni zisuswa ngokucophelela.
2. Esikhundleni salokho, izingxenye zensimbi zokwenziwa ezilinganiswe kusengaphambili futhi ezenziwe ziyafakwa.
3. Ingxenye ekhethekile yepulasitiki (i-spacer) esebenza njenge-cartilage yethu enempilo ifakwa phakathi kwezingxenye ezimbili zensimbi.
Lokhu kuhlinzwa konke kuvame ukuthatha cishe ihora.
Kwenzekani ngemva kokuhlinzwa futhi isikhathi sokululama sinjani?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Ithimba lezokwelapha lizokunakekela kahle uze uvuke ekuhlinzweni kwe-anesthesia. Ezimweni eziningi, ungaya ekhaya kusihlwa esifanayo nokuhlinzwa. Lokho kuyinzuzo enkulu yalokhu kuhlinzwa. Kodwa-ke, ngezinye izikhathi kungadingeka uhlale esibhedlela usuku lonke.
Kungathatha izinyanga eziningana ukululama ngokuphelele. Kodwa kufanele ukwazi ukuqhubeka nemisebenzi yakho eminingi evamile ngemva kwamasonto ayisithupha . Ukuthi ukululama kwakho ngokushesha kangakanani kuncike ezintweni ezifana nobudala bakho kanye nempilo yomzimba wakho ngaphambi kokuhlinzwa.
Izinto ongazenza ekhaya ukuze ululame ngokushesha
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho. Ngokuvamile bazokutshela ukuthi wenze lezi zinto:
- Faka iqhwa edolweni lakho: Ukusebenzisa iqhwa edolweni lakho cishe imizuzu engama-20 izikhathi eziningana ngosuku kunganciphisa kakhulu ubuhlungu nokuvuvukala.
- Phakamisa idolo lakho: Gcina idolo lakho liphakeme ngaphezu kwenhliziyo yakho noma nini lapho kungenzeka. Phakamisa umlenze wakho ngemicamelo embalwa uma usembhedeni, noma isihlalo uma usesihlalweni.
- Gcina inxeba lihlanzekile: Landela imiyalelo kadokotela wakho ngqo mayelana nendlela yokushintsha ibhandishi nokuthi ungageza nini.
- Ukuzivocavoca kwasekhaya: Udokotela wakho uzokufundisa ukuzivocavoca okulula ukuqinisa imisipha ezungeze idolo lakho nokunciphisa ukuqina kwedolo. Kwenze kahle.
- Ukwelashwa Komzimba: Kuzodingeka usebenze nodokotela wezokwelapha umzimba amasonto ambalwa ngemva kokuhlinzwa. Lokhu kuzokusiza ukuthi ugobe idolo lakho kahle, uqale ukuhamba ngesisindo, bese uqala ukuhamba.
Ukuphathwa kobuhlungu
Kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa, ikakhulukazi emasontweni ambalwa okuqala. Udokotela wakho uzokunikeza imithi yokwelapha izinhlungu, njengemithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID), kanye ne-paracetamol, ukusiza ukulawula ubuhlungu. Ungalokothi uthathe okungaphezu kwalokho udokotela akutshele kona. Uma ungakwazi ukubekezelela ubuhlungu noma unemibuzo mayelana nomuthi, khuluma nodokotela wakho ngokushesha.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izinkinga Ezingaba Khona |
|---|---|
| Ukululama okusheshayo kunokushintsha idolo ngokuphelele. | Amahlule egazi. |
| Isikhathi sokuhlala esibhedlela sifushane kakhulu (ungaya ekhaya ngalolo suku). | Ukutheleleka ngaphakathi kwesilonda noma edolweni. |
| Idolo lizwakala lingokwemvelo ngemva kokuhlinzwa. | Ukulimala kwemizwa noma imithambo yegazi. |
| Ubuhlungu nokuqina kwesikhathi eside kuyasuswa futhi ikhwalithi yokuphila iyathuthuka. | Ilunga lokwenziwa liyakhululeka noma liguge ngokushesha. |
| Ijoyinti lokwenziwa livame ukuhlala kahle iminyaka eyi-10 noma ngaphezulu . | Ukwakheka kwezicubu zezibazi ngaphakathi kwedolo. |
Abanye abantu kungadingeka bafakelwe idolo eliphelele uma ezinye izingxenye zedolo ziguga eminyakeni eminingi ngemva kwalokhu kuhlinzwa. Futhi, uma unezinye izimo zezokwelapha, njenge-`(Isifo Sikashukela)`, `(I-Hemophilia)` noma `(I-Lupus),` khuluma nodokotela wakho ngalokho futhi, njengoba kungathinta ukululama kwakho.
Uma udinga ukukhuluma nodokotela!
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlinzwa, shesha uye kudokotela wakho ohlinzayo noma eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma unezinhlungu esifubeni .
- Uma uzizwa unenkinga yokuphefumula .
- Uma umkhuhlane ukhuphuka ngaphezu kwama-degrees F angu-101 (39 C).
- Uma inxeba liphuma igazi kakhulu.
- Uma inxeba livuvukile, libomvu, lizizwa lifudumele, noma linephunga elibi (lezi yizimpawu zokutheleleka).
- Uma unezinhlungu ezintsha esinqeni sakho, eqakaleni, noma onyaweni (lokhu kungaba uphawu lokuqhekeka kwegazi).
- Uma ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi.
Ukufakwa esikhundleni kwedolo eligcwele noma elihafu - yikuphi okungcono?
Lena inkinga abantu abaningi abanayo. Cabanga ukuthi ithayi elilodwa kuphela kwamane emotweni yakho seligugile. Ingabe siwashintsha wonke amane kanye namanye amathayi amathathu amahle, noma siwashintsha kuphela ithayi eligugile? Kunjalo ngaleli.
Uma zonke izingxenye ezintathu zedolo sezigugile, khona-ke ukushintshwa kwedolo ngokuphelele kuyindlela okufanele uyenze. Kodwa-ke, uma ingxenye eyodwa kuphela igugile, uzozuza kakhulu ngokushintshwa kwengxenye egugile kuphela, ushiye izingxenye eziphilile zingagugile.
Ngakho-ke, akunakwenzeka ukuthi enye indlela "ingcono" kunenye. Okukulungele kuncike esimweni sedolo lakho. Udokotela wakho ungumuntu ongcono kakhulu ukwenza leso sinqumo.
Ukuphila nobuhlungu edolweni kungaba yinto ekhungathekisayo kakhulu. Kungaphazamisa nemisebenzi yakho yansuku zonke. Uma ubhekene nale nkinga, khuluma nodokotela wakho mayelana nokuhlinzwa kokushintsha idolo okungaphelele. Kungaletha impumuzo enkulu empilweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa Kwedolo Elingaphelele kuyindlela yokuhlinzwa esusa kuphela ingxenye egugile yedolo bese ifakwa ingxenye yokwenziwa esikhundleni sayo.
- Lokhu kungcono kakhulu kulabo abagugile ingxenye eyodwa kuphela yedolo labo, ngaphandle kokulimaza zonke izingxenye ezintathu.
- Isikhathi sokululama sincane, ukuhlala esibhedlela kuncane, futhi idolo lizwakala lingokwemvelo kakhulu kunokufakwa esikhundleni sedolo ngokuphelele.
- Ukuze ululame ngokushesha ngemva kokuhlinzwa, kubalulekile ukulandela izivivinyo nemiyalelo enikezwe udokotela ngqo.
- Uma uhlangabezana nezimpawu eziyisixwayiso njengobuhlungu besifuba, ubunzima bokuphefumula, noma umkhuhlane ophakeme, funa iseluleko sezokwelapha ngokushesha.
- Udokotela wakho uzoba umuntu ongcono kakhulu wokunquma ukuthi ukufaka idolo eliyingxenye noma eliphelele kukulungele yini, ngakho ungesabi ukumbuza.
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