Ubuhlungu bedolo buyinto ecasulayo kakhulu, akunjalo? Ubuhlungu nokuqina ozizwayo lapho uhamba, ugoba, noma ukhuphuka izitebhisi kungenza kube nzima ukwenza imisebenzi yakho yansuku zonke. Mhlawumbe nawe ubhekene nale nkinga. Uma ubuhlungu bungakapheli naphezu kokuthatha imithi nokwelashwa okuhlukahlukene, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa kokufaka esikhundleni sengxenye yedolo lakho. Namuhla, sizokhuluma ngalokhu kuhlinzwa, okungukuthi, 'Ukufakwa Kwedolo Okuyingxenye', ngendlela elula wonke umuntu angayiqonda.
Kuyini 'Ukufakwa Kwedolo Eliyingxenye'?
Kalula nje, lokhu kuyindlela yokuhlinzwa ethatha indawo yengxenye eyonakele yedolo lakho, hhayi lonke ilunga. Lokhu kubizwa ngokuthi ukushintshwa kwelunga (i-Arthroplasty) ngokwezokwelapha.
Kulokhu kuhlinzwa, udokotela ohlinzayo ususa ithambo eligugile nelilimele kanye ne-cartilage edolweni lakho bese elifaka esikhundleni salo ijoyinti lokwenziwa (i-prosthesis) elenziwe ngensimbi nepulasitiki.
Cabanga ngedolo lethu njengendlu enamakamelo amathathu. Inezingxenye ezintathu eziyinhloko:
- Isigaba esiphakathi: Uhlangothi lwangaphakathi lwedolo.
- Isikhala esiseceleni: Ingemuva ledolo.
- I-Patellofemoral compartment: Indawo engaphansi kwe-kneecap yakho.
Ukuhlinzwa kokushintsha idolo ngokwengxenye kuvame ukwenziwa lapho ingxenye yangaphakathi noma yangaphandle yedolo yonakele. Uma idolo lingagugile ngokuphelele, lokhu kuhlinzwa kuhilela ukufaka esikhundleni sengxenye eyonakele kuphela, kushiye izingxenye eziphilile zingagugile.
Yiziphi izinhlobo zezimo lokhu kuhlinzwa okwenziwa ngazo?
Isizathu esiyinhloko salokhu kuhlinzwa ngokuvamile yi-arthritis. Kodwa-ke, lokhu kuhlinzwa kunconywa kakhulu kubantu abane-osteoarthritis.
Uma unezimpawu ezinzima futhi ungazange ukhululeke ngokwelashwa okungadingi ukuhlinzwa njengemithi nokuzivocavoca, udokotela wakho angase acabangele lokhu kuhlinzwa.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bamalunga | Ubuhlungu besikhathi eside obuvela lapho uhamba, umi, noma ngisho uphumule. |
| Ukuqina | Ukuzwa ukuqina kwedolo okulivimbela ukuthi ligobe noma linwebeke lapho uvuka ekuseni noma ngemuva kokuhlala isikhashana. |
| Ubunzima bokuhamba | Ukungakwazi ukugoba noma ukuqondisa idolo ngokuphelele, ubunzima bokuhamba, ubunzima bokukhuphuka izitebhisi. |
| Ukuvuvukala | Ukuvuvukala okungapheli edolweni. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho kanye nodokotela ohlinzayo bazochaza ngokucacile ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa. Ngokuvamile, kuzodingeka wenze okulandelayo:
- Ukuhlolwa okuphelele komzimba: Bheka ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa kwegazi: Hlola amazinga egazi nezinye izinkinga.
- Ukuhlolwa kwe-ECG: Ukuqinisekisa ukuthi inhliziyo isebenza kahle.
- Ukuhlolwa kwamazinyo: Lokhu kubaluleke kakhulu. Uma unegciwane emazinyweni noma ezinsinini zakho, lawo magciwane angahamba egazini lakho ngemva kokuhlinzwa futhi abangele ukutheleleka edolweni lakho. Ngakho-ke kubalulekile ukuthi amazinyo akho ahlanzwe futhi kulungiswe noma yiziphi izinkinga ngaphambi kokuhlinzwa.
- Ukuhlolwa kwezithombe: Ngokuvamile kwenziwa i-X-ray yedolo. Ngezinye izikhathi, okungajwayelekile kakhulu, i-MRI noma i-CT scan nayo ingenziwa.
Okubaluleke kakhulu: Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi (kufaka phakathi leyo yezinye izimo), amavithamini, izithasiselo zamakhambi, noma yimiphi imithi ongayithatha ngaphandle kwemithi kadokotela (OTC). Ungase welulekwe ukuthi uyeke ukuthatha eminye imithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho.
Uzonikezwa nemiyalelo yokuthi kufanele uyeke nini ukudla nokuphuza ngosuku olwandulela ukuhlinzwa. Ngokuvamile, kuzodingeka uyeke ukudla nokuphuza amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Udokotela we-anesthesia angakunikeza i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda kuphela indawo engaphansi kwesinqe.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ususa i-cartilage nethambo elonakele bese elifaka ijoyinti lokwenziwa. Kufakwa ne-plastic spacer ukuze yenze umsebenzi owawusenziwa yi-cartilage. Ukuhlinzwa kuvame ukuthatha cishe ihora .
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama lapho ithimba lezokwelapha lizoqapha khona izimpawu zakho ezibalulekile kanye nobuhlungu. Iningi labantu lingaya ekhaya ngosuku olufanayo nokuhlinzwa. Kodwa-ke, kungadingeka ukuthi uhlale esibhedlela ubusuku bonke uma kudingeka.
Izinzuzo kanye nezinkinga ezingaba khona zalokhu kuhlinzwa
Inzuzo eyinhloko yalokhu kuhlinzwa ukuthi ubuhlungu besikhathi eside nokuqina komzimba sekuphelile, futhi ungakwazi ukuhamba nokusebenza ngokukhululeka. Kuphinde kuthuthukise ikhwalithi yokuphila kwakho.
Into ebaluleke kakhulu ukuthi isikhathi sokululama ngemva kwalokhu kuhlinzwa sishesha kakhulu kunesokushintshwa kwedolo ngokuphelele.
Leli lunga lokwenziwa livame ukuhlala iminyaka eyi-10 noma ngaphezulu , kodwa abanye abantu kungadingeka bathathelwe indawo idolo ngokuphelele uma beba nesifo samathambo kwezinye izingxenye zedolo esikhathini esizayo.
Izinkinga azivamile, kodwa kubalulekile ukuziqaphela.
- Amahlule egazi
- Ukutheleleka enxebeni noma ngaphakathi edolweni
- Ukulimala kwemizwa noma imithambo yegazi
- Ukuguga noma ukuxega kwamalunga okufakelwa
- Ukwehla kwamandla okugoba/ukwelula idolo
Uma unezinye izimo zezokwelapha, njenge-hemophilia, isifo sikashukela, noma i-lupus, tshela udokotela wakho ngazo futhi.
Isikhathi sokululama nezinto okufanele zenziwe
Kungathatha izinyanga eziningana ukululama ngokuphelele. Kodwa kufanele ukwazi ukuqhubeka nemisebenzi eminingi evamile ngemva kwamasonto ayisithupha . Ukululama kwakho kuzoncika eminyakeni yakho, impilo yakho ngaphambi kokuhlinzwa, kanye nezinye izimo zezokwelapha.
Ungenza lezi zinto ukuze ululame ngokushesha:
| Okufanele ngikwenze | Kungani lokho kubalulekile? |
|---|---|
| Ukubeka iqhwa | Faka iqhwa edolweni lakho cishe imizuzu engama-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala. |
| Ukugcina idolo liphakeme | Gcina amadolo akho ephezu kwenhliziyo yakho noma nini lapho kungenzeka. Lala phansi ubeke imicamelo phezulu. |
| Ukugcina inxeba lihlanzekile | Landela imiyalelo kadokotela. Buza ukuthi ungayishintsha kanjani ibhandeji enxebeni nokuthi ungageza nini. |
| Ukuzivocavoca okufanele ukwenze ekhaya | Yenza izivivinyo njengoba nje udokotela wakho ekuyalele. Lokhu kuzosiza ekuqiniseni imisipha ezungeze idolo futhi kunciphise ukuqina kwamalunga. |
| Ukwelashwa Komzimba | Kuzodingeka usebenze nodokotela wezokwelapha umzimba amasonto ambalwa. Bazokufundisa ukuthi ungaligoba kanjani idolo lakho ngokuphephile nokuthi ungalibeka kanjani isisindo. |
Izimpawu ezidinga usizo lwezokwelapha ngokushesha
Ngesikhathi sokululama kwakho ngemva kokuhlinzwa, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu besifuba
- Ubunzima bokuphefumula (ukuphelelwa umoya)
- Umkhuhlane ongaphezu kuka-101 Fahrenheit (39 Celsius)
- Ukopha ngokweqile okuvela enxebeni
- Izimpawu zokutheleleka kwenxeba (ukuphuma kobomvu, ukuvuvukala okukhulu, iphunga elibi, ukubomvu, ukufudumala uma kuthintwa)
- Ubuhlungu obusha noma obubi kakhulu ethangeni, eqakaleni, noma onyaweni
- Ubuhlungu obukhulu obungapheli naphezu kokuthatha imithi yokubulala izinhlungu
Ekugcineni, awusadingi ukuhlushwa ubuhlungu bedolo nokuqina. Uma ezinye izindlela zokwelapha zingasebenzi, ukuhlinzwa kungaba yindlela enhle yokuthi uphile impilo ekhululekile. Khuluma nodokotela wakho mayelana nenketho yokwelashwa engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa Kwedolo Elingaphelele kuyindlela yokuhlinzwa ethatha indawo yengxenye yedolo elimele ngenxa yesifo samathambo.
- Isikhathi sokululama sivame ukushesha kunokuhlinzwa kokufakelwa idolo ngokuphelele.
- Ukuze ululame ngokushesha nangokuphumelelayo, kubalulekile ukulandela imiyalelo kadokotela wakho kanye nodokotela wezokwelapha ngokomzimba ngqo.
- Qaphela noma yiziphi izimpawu eziyisixwayiso ezingase zivele ngemva kokuhlinzwa (isib. ubuhlungu besifuba, umkhuhlane omkhulu, ukutheleleka kwenxeba), bese ucela iseluleko sezokwelapha ngokushesha uma kwenzeka noma yikuphi kwalokhu.
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