Okudingeka ukwazi ngokuhlinzwa kokufakelwa kwamahlombe

Mhlawumbe nawe awukwazanga ukulala ebusuku ngenxa yobuhlungu obukhulu ehlombe lakho. Ungase uzizwe ubuhlungu obungabekezeleleki ngisho nalapho uphakamisa ingalo yakho, ushintsha izingubo zakho, noma ufinyelela into encane eshalofini lasekhishini. Esimweni esinjengalesi, uma ezinye izindlela zokwelapha zingasizi, udokotela wakho kungenzeka ukuthi ukhulume nawe ngokuhlinzwa 'kokufaka esikhundleni samahlombe'. Ukuzwa leli gama kungase kwesabise. Kodwa ake sixoxe ngakho konke kalula nangokucacile.

Kuyini ukuhlinzwa kokufakelwa ihlombe?

Kalula nje, lokhu kuhilela ukususa ijoyinti lakho lehlombe eligugile, elonakele ngokwemvelo bese ulifaka ijoyinti lokwenziwa (prosthesis). Odokotela babiza lokhu ngokuthi "i-total shoulder arthroplasty." La majoyinti okwenziwa enziwa ngensimbi kanye nohlobo olukhethekile lwepulasitiki.

Ilungu lakho lehlombe "liyi-ball and socket joint." Ingxenye efana nebhola yethambo lakho lengalo elingenhla (i-humerus) ingena engxenyeni efana nendebe (i-glenoid) yethambo lakho lehlombe (i-scapula). Kulokhu kuhlinzwa, lezi zingxenye ezonakele zithathelwa indawo yizintsha.

Ukuhlinzwa okuphelele nokungaphelele

Abantu abaningi kufanele bafakelwe indawo yamahlombe aphelele , okusho ukuthi kokubili ibhola kanye nesokhethi kuyashintshwa.

Kodwa ngezinye izikhathi, uma ingxenye eyodwa kuphela yelunga yonakele, udokotela angenza ukushintshwa kwehlombe okungaphelele (noma i-hemiarthroplasty). Isibonelo, uma ibhola kuphela lonakele futhi isokhethi liphelele, ibhola kuphela elishintshwayo. Kodwa lokhu akuvamile. Uma ilunga lonakele ngenxa yesimo esifana nesifo samathambo, zombili izingxenye zivame ukulimala.

Kukuziphi izimo lapho lokhu kuhlinzwa kunconywa khona?

Uma izimpawu zakho zehlombe zingathuthuki naphezu kwezinye izindlela zokwelapha, njengemithi kanye ne-physiotherapy, udokotela wakho angase acabangele ukuhlinzwa:

• Ubuhlungu obungabekezeleleki emahlombe , ikakhulukazi ebusuku.
• Ukungakwazi ukuphakamisa noma ukuzungezisa ingalo kahle kusho ukuthi ukunyakaza kwelunga kunqunyelwe .
• Ukuqina nokuqina kwamalunga.
• Ukuvuvukala kwamalunga.

Imbangela eyinhloko yalesi simo ukuvuvukala kwejoyinti lamahlombe, okubizwa ngokuthi i-arthritis. Izinhlobo ezivame kakhulu i-osteoarthritis (ebangelwa ukuguguleka kwamathambo) noma i-rheumatoid arthritis (ebangelwa inkinga ngesimiso somzimba sokuzivikela). Ngaphezu kwalokho, lokhu kuhlinzwa kuyanconywa futhi ezimweni zomonakalo omkhulu emisipheni nasemisipha yehlombe ebizwa ngokuthi i-rotator cuff noma i-avascular necrosis (ukuntuleka kwegazi emathanjeni).

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Ungesabi lokhu, udokotela wakho kanye nethimba lakhe bazokulungiselela kahle lokhu. Kuzodingeka wenze izivivinyo eziningana ngaphambi kokuhlinzwa.

• Ukuvakashela udokotela wamazinyo: Amazinyo akho azohlolwa futhi ahlanzwe ukuze kuncishiswe ingozi yokutheleleka ngemva kokuhlinzwa.
• Ukuhlolwa komzimba: Thola ulwazi ngempilo yakho iyonke.
• Ukuhlolwa kwe-X-ray, i-CT noma i-MRI: Bona kahle ukuthi umonakalo ohlangene nehlombe ubukeka kanjani.
• Ukuhlolwa kwe-ECG (`I-Electrocardiogram`): Hlola ukusebenza kwenhliziyo.
• Ukuhlolwa kwegazi okuningana.

Kufanele nakanjani utshele udokotela wakho nganoma yimiphi imithi (kufaka phakathi leyo yezinye izimo) namavithamini owasebenzisayo njengamanje. Eminye imithi ingadinga ukuthi uyeke ukuyithatha izinsuku ezimbalwa ngaphambi kokuhlinzwa. Eminye ingadinga nokuthi uzile ukudla cishe amahora angu-8 ngaphambi kokuhlinzwa. Ithimba lakho lezokwelapha lizokunikeza imiyalelo ecacile ngakho konke lokhu.

Kwenziwa kanjani ukuhlinzwa?

Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza i-anesthesia ukuze ungezwa ubuhlungu. Ungase unikezwe i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda ihlombe nendawo ezungezile kuphela.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo:

1. Kwenziwa ukusikwa okuncane esikhumbeni ngaphesheya kwehlombe.

2. Ithambo ne-cartilage ezonakele kususwa ngokucophelela okukhulu.

3. Esikhundleni salokho, kufakwa ijoyinti lokwenziwa elilinganisiwe futhi elenziwe kusengaphambili (i-prosthesis).

4. Ingalo nehlombe kubekwe kabusha ngendlela efanele bese kuthi ukunqunywa kuthungwe.

Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili , kodwa lesi sikhathi singahluka kuye ngokuthi umonakalo ungakanani esilungwini sakho.

Kwenzekani ngemva kokuhlinzwa futhi kuthatha isikhathi esingakanani ukululama?

Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama lapho uzoqashwa khona. Abanye abantu bangaya ekhaya ngalolo suku (`isiguli esingalaliswa esibhedlela`), kanti abanye kuzodingeka bahlale esibhedlela usuku olulodwa noma ezimbili (`isiguli esingalaliswa esibhedlela`).

Ngemva kokuhlinzwa, uzofakwa endwangwini. Kuzodingeka uyigqoke amasonto ambalwa. Udokotela wakho uzokunikeza nokuzivocavoca okulula ukukusiza ukuthi uphinde ushukume futhi uqinise ihlombe lakho. Kubaluleke kakhulu ukukwenza ngendlela efanele.

Kuzodingeka uqale ukwelashwa ngokomzimba emavikini ambalwa. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula umzimba ukuze andise ukunyakaza kwamahlombe akho futhi aqinise imisipha yakho.

Kuvamile ukuba nobuhlungu emavikini ambalwa okuqala. Udokotela uzokunikeza imithi yokwelapha izinhlungu yalokhu. Kubalulekile futhi ukuthatha umuthi ngomthamo ofanele nangesikhathi esifanele. Kuzodingeka ugweme ukuphakamisa izinsimbi nokudlala imidlalo izinyanga ezimbalwa. Kodwa-ke, ngemva kwamasonto amabili kuya kwamathathu, uzokwazi ukuqala ukwenza imisebenzi emincane njengokugqoka izingubo nokulungisa ukudla.

Kujwayelekile ukuzizwa wesaba futhi ukhathazekile kancane ngalolu hlobo lokuhlinzwa. Kodwa khumbula, impumuzo ozoyithola ngemva kwalokhu kanye nokuphila okungenabuhlungu kuyakufanelekela. Ngisho noma isikhathi sokululama sizoba nzima, njengoba kancane kancane uqina, uzoziqhenya ngawe. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.