Awukwazi yini ukuphakamisa ihlombe lakho, awukwazi ukulala ebusuku, noma uzwa ubuhlungu obukhulu njalo uma usebenzisa ingalo yakho? Ingabe ihlombe lakho lizizwa libambekile? Ngenxa yezizathu ezinjengalezi, udokotela wakho kungenzeka ukuthi ukhulume nawe ngokuhlinzwa kokushintsha ihlombe. Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uzwa into efana nale. Yingakho sizokhuluma ngalokhu kalula namuhla, ngendlela ongayiqonda.
Kuyini lokhu kuhlinzwa kokufakelwa ijoyinti lehlombe?
Kalula nje, lokhu kuhilela ukususa izingxenye ezigugile nezilimele zehlombe lakho lemvelo bese uzishintsha ngejoyinti lokwenziwa (i-prosthesis) elenziwe ngensimbi nepulasitiki. Odokotela babiza lokhu ngokuthi i-total shoulder arthroplasty.
Ihlombe lethu liyi-ball kanye ne-socket joint. Cabanga nje, ingxenye efana nebhola yethambo lethu elingenhla lengalo (i-humerus) inamathele engxenyeni efana nendebe yethambo lethu lehlombe (i-scapula). Uma leli lunga liguga, kuvela ubuhlungu obukhulu. Ngesikhathi sokuhlinzwa, zombili izingxenye ezonakele ziyasuswa bese kufakwa izingxenye ezintsha zokwenziwa.
Ingabe ushintsha lonke ijoyinti ukuze wonke umuntu alisebenzise?
Esikhathini esiningi, lokhu kuhlinzwa kuhilela ukufaka esikhundleni sejoyinti lonke. Lokho kusho ukuthi ibhola kanye nesokhethi. Kodwa ake sithi ingxenye eyodwa kuphela yejoyinti lakho yonakele. Isibonelo, uma ibhola lonakele kuphela, udokotela wakho angase anqume ukufaka esikhundleni saleyo ngxenye. Lokhu kubizwa ngokuthi ukushintshwa kwehlombe elingaphelele noma i-hemiarthroplasty. Kodwa-ke, abantu abaningi badinga lokhu kuhlinzwa ngoba lonke ijoyinti ligugile, ngakho-ke ukuhlinzwa okuphelele kuvame ukwenziwa.
Hlobo luni lwabantu oludinga lokhu kuhlinzwa?
Ngokuvamile, udokotela wakho uzocabangela ukuhlinzwa lapho ukwelashwa okungeyona imithi kanye ne-physiotherapy kwehluleka ukulawula ubuhlungu bakho. Lokhu kuhlinzwa kunganconywa kubantu abanezimo ezilandelayo:
| Isimo/Imbangela | Izimpawu ezivamile |
|---|---|
| I-Arthritis Yamahlombe: Ukuguga nokuguga kwamalunga, ikakhulukazi ngenxa ye-osteoarthritis kanye ne-rheumatoid arthritis. |
|
| Ukudabuka okukhulu kwe-rotator cuff: Umonakalo omkhulu emisipheni nasemisipha esiza ekunyakaziseni ihlombe. | Ngaphezu kwezimpawu ezingenhla, ubuthakathaka obukhulu esandleni. |
| I-Avascular Necrosis: Ukufa kwamathambo ngenxa yokulahlekelwa igazi emathanjeni esihlanganisi sehlombe. | Ubuhlungu obukhulu kanye nokulahlekelwa ukusebenza kahle. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokulungisela kahle ukuhlinzwa. Lokhu kuzodinga ukuhlolwa okuningana.
- Ukuhlolwa nokuhlanzwa kwamazinyo: Lokhu kubaluleke kakhulu ngoba kusiza ukuvimbela amagciwane emlonyeni ukuthi angangeni egazini ngemva kokuhlinzwa futhi kubangele ukutheleleka esilungwini esisha.
- Ukuhlolwa okuphelele komzimba: Thola ulwazi ngempilo yakho iyonke.
- I-X-ray yehlombe: Ungase ucelwe futhi ukuthi wenze i-CT scan noma i-MRI.
- Ukuhlolwa kwe-EKG ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwegazi okuningana.
Futhi, uzocelwa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kokuhlinzwa (ukuzila ukudla). Kufanele utshele udokotela wakho ngayo yonke imithi namavithamini owaphuzayo. Eminye imithi (ikakhulukazi imithi yokunciphisa igazi ) kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza isibulala-zinhlungu ukuze ungezwa ubuhlungu. Lokhu kungaba isibulala-zinhlungu esijwayelekile esikwenza ulale ngokuphelele, noma isibulala-zinhlungu sesifunda esiqeda ihlombe lakho nendawo ezungezile kuphela.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ususa ithambo ne-cartilage ezonakele, afake ijoyinti elisha lokwenziwa, bese ethunga i-incision. Lokhu kuvame ukuthatha cishe amahora amabili.
Ngemva kokuhlinzwa, uzoyiswa egumbini lokululama futhi uqashwe ngokucophelela uze uvuke ekuhlinzweni kwe-anesthesia. Abanye abantu bangaya ekhaya ngalolo suku, kanti abanye kuzodingeka bahlale esibhedlela usuku olulodwa noma ezimbili. Ngemva kokubuyela ekhaya , ingalo yakho kuzodingeka ibe se-sling amasonto ambalwa. Kufanele uqale ukwenza izivivinyo ezilula njengoba udokotela wakho ekutshela. Uzoqala ukwenza izivivinyo nodokotela wezokwelapha ngokomzimba ezinsukwini ezimbalwa. Lena yingxenye ebaluleke kakhulu yenqubo yokululama. Ungayidluli.
Kuvamile ukuba nobuhlungu ngemva kokuhlinzwa. Sebenzisa imithi yobuhlungu njengoba nje udokotela wakho ekuyalele.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
- Inzuzo eyinhloko ukuthi ubuhlungu obukhulu obukukhathazayo bucishe buphele ngokuphelele futhi ukunyakaza nokusebenza kwesandla sakho kuyanda.
- Izingozi zifaka phakathi ukujiya kwegazi, ukulimala kwemizwa, ukutheleleka, kanye nokuxega kwe-prosthesis. Kodwa-ke, lokhu akuvamile kakhulu .
Uma udinga ukukhuluma nodokotela ngokushesha
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukopha okuqhubekayo okuvela endaweni yokusikwa.
- Ubuhlungu esifubeni noma ukuphelelwa umoya.
- Umkhuhlane ongaphezu kwama-degree Celsius angu-39 (101 Fahrenheit).
- Ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi yobuhlungu.
- Ukuvuvukala, ukubomvu, iphunga, noma uketshezi olufana nobomvu oluvela endaweni yokusikwa (lezi yizimpawu zokutheleleka).
Kuvamile ukwesaba ukuhlinzwa. Kodwa lokhu kuyinto ezoletha impumuzo enkulu empilweni yakho. Isikhathi sokululama sinzima kancane. Kodwa umphumela walowo msebenzi onzima uyakufanelekela kakhulu. Khuluma nodokotela ngazo zonke izinkinga nokwesaba onakho engqondweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokushintsha ihlombe kuyindlela yokwelapha ephumelela kakhulu yelungu lehlombe eligugile. Kunciphisa ubuhlungu futhi kwenza kube lula ukwenza imisebenzi yansuku zonke.
- Uma unokwesaba noma ukungabaza ngokuhlinzwa, khuluma nodokotela wakho ngakho ngokukhululekile. Kuyimandla amakhulu kuwe ukukwazi ukuchaza konke.
- Kubaluleke kakhulu ukulandela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngesikhathi sokululama. Ungayeki ukuzivocavoca.
- Ngemva kokuhlinzwa, kungase kube nemingcele yokuphila konke emisebenzini efana nokuphakamisa izinsimbi. Buza udokotela wakho ngalokho futhi.
- Uma kuvela izimpawu ezisolisayo, funa iseluleko sezokwelapha ngokushesha.
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