Ingabe unezinhlungu zamahlombe ezingabekezeleleki? Mhlawumbe unenkinga yokwenza imisebenzi elula njengokuphakamisa ingalo yakho, ukukama izinwele zakho, noma ukucosha okuthile phezulu. Uma ubuhlungu bungapheli ngokwelashwa okujwayelekile, udokotela wakho kungenzeka ukuthi uncome ukuhlinzwa kokufakelwa amahlombe. Namuhla, sikhuluma ngokuhlinzwa okufanayo, kodwa okuhlukile kancane. Kubizwa ngokuthi 'Ukufakwa Kwehlombe Elingemuva'.
Kuyini lokhu 'Ukufakwa Kwehlombe Elingemuva'?
Kalula nje, lokhu futhi kuyindlela yokuhlinzwa yokushintsha amalunga. Odokotela ngezinye izikhathi bakubiza ngokuthi "i-Reverse Total Shoulder Arthroplasty." Kulokhu kuhlinzwa, udokotela ohlinzayo ususa ihlombe lakho lemvelo, elonakele bese elifaka i-"prosthesis" yokufakelwa eyenziwe ngensimbi nepulasitiki.
Manje ake sibone ukuthi kungani lokhu kubizwa ngokuthi 'Reverse'.
Cabanga ngelungu lethu lamahlombe njengendebe enebhola. Ilungu lamahlombe livame ukwakheka yingxenye efana nendebe yethambo lakho lamahlombe (scapula) (i-glenoid) kanye nengxenye efana nebhola yethambo lakho elingenhla lengalo (i-humerus) (ikhanda).
Ekuhlinzeni 'okuphambene', okuphambene nalokho kuyiqiniso. Udokotela ohlinzayo ushintsha izindawo zebhola kanye nendebe. Ngemva kokuhlinzwa, ibhola lenziwa liphume ethanjeni lehlombe (scapula) bese indebe lenziwa lilingane nethambo lengalo engenhla (humerus). Ngamanye amazwi, ukwakheka okuvamile kuphenduka ngokuphelele.
Kungani ukuhlinzwa 'okuphambene' kwenziwa ngale ndlela? Kufanelekela bani?
Lokhu kuhlinzwa 'okuphambene' kunconywa kubantu abanezimo zempilo ezikhethekile abangakwazi ukuhlinzwa okuvamile kokufakwa esikhundleni sehlombe. Uma unesihlungu esinzima ehlombe lakho noma ubunzima bokuhambisa ingalo yakho, udokotela wakho uzoqala azame izinto ezifana nemithi kanye nokwelashwa ngokomzimba. Ukuhlinzwa kuzocatshangelwa kuphela uma lokhu kungasebenzi.
Ikakhulukazi, uma une-arthritis yehlombe kanye nesinye noma ngaphezulu kwezimo ezilandelayo, udokotela wakho angase asikisele lokhu kuhlinzwa 'okubuyela emuva'.
| Isimo sempilo | Incazelo elula |
|---|---|
| Izicubu ezidabukile kakhulu ze-`(Rotator Cuff)` | Umonakalo omkhulu emisipheni nasezicutshini ezizungeze ihlombe okusiza ekuphakamiseni ingalo. Lo monakalo wenza kube nzima ukugcina ukuqina uma kufakwa elinye ilungu elivamile esikhundleni salo. |
| Ukuphuka Kwehlombe | Ukuphuka okukhulu kwehlombe. |
| Ukususwa Okungapheli Kwesisu | Uma ihlombe livame ukukhumuka, izicubu ezizungezile ziba buthakathaka futhi ukuhlinzwa okuvamile ngeke kuphumelele. |
| Umonakalo omkhulu emathanjeni | Uma amathambo asemalungeni esegugile futhi onakele kakhulu ngenxa yesifo samathambo noma esinye isifo. |
| Umdlavuza noma ezinye izimila emalungeni | Uma amathambo onakele ngenxa yezimila ezizungeze ihlombe. |
Ezimweni ezinjengalezi, imisipha nezicubu ezizungeze ihlombe zibuthakathaka, ngakho-ke ukushintshwa kwehlombe lendabuko akukwazi ukunikeza ukuqina okudingekayo. Kodwa-ke, ngokushintsha ibhola kanye nesokhethi ngendlela ethi 'Reverse', iqembu elihlukile lemisipha (isibonelo, imisipha ye-deltoid) lingasetshenziswa ukuphakamisa ingalo. Lokhu kunikeza ukuqina okungcono kwejoyinti futhi kunciphisa ingozi yezinkinga.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho ohlinzayo uzokulungisela kahle ngaphambi kokuhlinzwa. Lokhu kungafaka:
- Ukuhlolwa kwamazinyo: Lokhu kubalulekile ukunciphisa ingozi yokutheleleka ngemva kokuhlinzwa.
- Ukuhlolwa okuphelele komzimba: Bheka ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa kwe-ECG: Hlola impilo yenhliziyo yakho.
- Ukuhlolwa kwegazi: Yazi isimo segazi lakho nezinye izinto.
- Ukuhlolwa kwezithombe: I-X-ray yehlombe, i-MRI, noma i-CT scan ingasiza ekuhloleni kangcono isimo samalunga.
Okubaluleke kakhulu, tshela udokotela wakho ngayo yonke imithi oyithathayo (yomibili imithi kadokotela kanye nemithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela kanye namavithamini). Eminye imithi kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Udokotela wakho uzokweluleka nangokuthi kufanele uyeke nini ukudla nokuphuza ngosuku olwandulela ukuhlinzwa. Ngokuvamile, kuzodingeka uyeke ukudla nokuphuza amahora angu-8 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Udokotela we-anesthesia uzokunikeza umuthi wokukulalisa ngokuphelele (i-anesthesia ejwayelekile) noma wokukwenza uzizwe ungenamizwa kuphela endaweni ezungeze ihlombe lakho (i-anesthesia yesifunda).
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ulandela lezi zinyathelo:
1. Kuzokwenziwa ukusika okuncane esikhumbeni esiseduze nehlombe lakho.
2. Izingcezu ze-cartilage namathambo ezilimele ziyasuswa esibayeni.
3. Kufakwa i-prosthesis.
4. Ibhola lensimbi lifakwe ngesikulufu ethanjeni lehlombe (scapula). Isokhethi lifakwa ethanjeni lengalo engenhla (ihumerus).
5. Ilunga elisha lilungiswe kahle, futhi ukusikwa kuvaliwe ngezitishi.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora noma amabili, kodwa lesi sikhathi singahluka kuye ngokuthi umonakalo ungakanani esilungwini sakho.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi ubuhlungu obukhulu nokuqina kwehlombe kunciphisa kakhulu. Ungasebenzisa futhi uphakamise ingalo yakho kangcono kunangaphambi kokuhlinzwa. Futhi, lesi yisisombululo esihle kulabo abangakwazi ukuhlinzwa njalo kwehlombe.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa lezi azivamile.
- Amahlule egazi
- Ukulimala kwemithambo yegazi
- Ukuphuka kwethambo eduze kwesitho esifakelwe
- Ukutheleleka endaweni yokuhlinzwa noma ngaphakathi kwejoyinti
- Ukulimala kwemizwa
- Ukukhululeka noma ukuguguleka kwamalunga okwenziwa afakwe ngaphambi kwesikhathi
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama, lapho abasebenzi bezokwelapha bezokunakekela kahle kuze kube yilapho imiphumela yomuthi wokubulala izinzwa iphela. Ungase ukwazi ukuya ekhaya ngalolo suku. Noma kungase kudingeke uhlale esibhedlela usuku olulodwa noma ezimbili.
Kungathatha cishe izinyanga eziyisithupha ukululama ngokuphelele.
- Amaviki ambalwa okuqala: Kuzodingeka ugqoke isilingi.
- Ukulawula ubuhlungu: Kufanele usebenzise imithi yobuhlungu neminye imithi (ama-NSAID) njengoba kunqunywe udokotela wakho, uma kudingeka.
- Ukwelashwa Komzimba: Ngemva kwamasonto ambalwa, uzobonana nodokotela wezokwelapha ngokomzimba. Uzokufundisa ukuzivocavoca ukuze uqinise imisipha yakho yamahlombe futhi wandise ububanzi bokunyakaza kwakho. Ukwenza lokhu kuzivocavoca ngendlela efanele kubalulekile ukuze ululame ngokushesha.
- Imikhawulo:Kuzodingeka ugweme ukuphakamisa izinsimbi nokudlala imidlalo izinyanga ezimbalwa. Ngemva kokuba udokotela wakho ekunike imvume, ungaqhubeka kancane kancane nemisebenzi yakho evamile.
Kuthatha isikhathi esingakanani lokhu kuhlinzwa?
La malungu okwenziwa ahlala isikhathi eside, ngokuvamile iminyaka eyi-15 noma ngaphezulu ngaphandle kwezinkinga. Abantu abaningi bangasebenzisa leli lungu elifakwe impilo yabo yonke.
Nini ukubona udokotela ngemva kokuhlinzwa
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha. Uma uzwa ubuhlungu obukhulu esifubeni noma ubunzima bokuphefumula, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| • Ukopha ngenxa yokusikwa | • Ubuhlungu besifuba |
| • Umkhuhlane ongaphezu kuka-101 Fahrenheit (39 Celsius) | • Ubunzima bokuphefumula (ukuphelelwa umoya) |
| • Ubuhlungu obukhulu obungapheli naphezu kokuthatha imithi yokwelapha izinhlungu | • Ubuhlungu obusha noma obukhulayo esandleni noma esihlakaleni |
| • Izimpawu zokutheleleka: uketshezi olufana nobovu oluphuma embotsheni, ukuvuvukala, ukushintsha kombala, iphunga, noma umuzwa ofudumele ngendlela engavamile. | |
Umlayezo Wokuya Nawe Ekhaya
- 'Ukufakwa Kwehlombe Elingemuva' kuyindlela ekhethekile yokuhlinzwa eyenziwa kubantu abangakwazi ukuhlinzwa kwehlombe njalo ngenxa yokulimala okukhulu kwe-rotator cuff noma ezinye izizathu ezikhethekile.
- Kulokhu kuhlinzwa, ibhola kanye nesokhethi lejoyinti lehlombe kuyabekwa kabusha, okuvumela ingalo ukuthi inyakaze kusetshenziswa imisipha ehlukene.
- Lokhu kuzonciphisa ubuhlungu bakho obukhulu futhi kukusize wenze imisebenzi yakho yansuku zonke ngaphandle kobuhlungu.
- Kuthatha izinyanga eziningana ukululama ngokuphelele, futhi kubaluleke kakhulu ukulandela ukwelashwa ngokomzimba kanye neseluleko sezokwelapha.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ikakhulukazi izimpawu zokutheleleka, ubuhlungu obukhulu) ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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