Ukhathele ubuhlungu besandla? Ake sifunde ngokuhlinzwa kokushintsha isihlakala!

Ingabe uzwa ubuhlungu obungabekezeleleki uma ugoba noma uphendula isihlakala sakho? Mhlawumbe uzwa umsindo wokuchofoza ngobunzima? Ingabe lobu buhlungu sebukhathaza kangangokuthi awukwazi ukwenza ngisho nemisebenzi elula yansuku zonke, njengokukama izinwele zakho, ukuphakamisa indebe, noma ukubhala? Uma kunjalo, namuhla sikhuluma ngokwelashwa okungaba kubaluleke kakhulu kuwe. Lokho ukuhlinzwa kokufaka isihlakala esikhundleni saso.

Kuyini lokhu kufakwa esikhundleni sesihlakala? (Ukufakwa esikhundleni sesihlakala)

Kalula nje, lena inqubo yokuhlinzwa. Lokhu kuhilela ukususa ilunga lesihlakala sakho esonakele, esigugile bese usifaka ilunga lokwenziwa. Sibiza leli lunga lokwenziwa ngokuthi `(prosthesis)`. Ngokuvamile lenziwe ngensimbi kanye nohlobo olukhethekile lwepulasitiki `(polyethylene)`. Lenzelwe ukusebenza njengesihlakala esinempilo. Kwezokwelapha, ukuhlinzwa kokufakwa esikhundleni samalunga kuvame ukubizwa ngokuthi `(Arthroplasty)`.

Ingalo yethu empeleni iyilunga eliyinkimbinkimbi elenziwe ngamathambo amaningi amancane. Lixhumanisa isandla sethu nengalo (kusukela endololwaneni kuya esandleni). Uma sishukumisa izingalo zethu, sibhala, futhi siphakamisa okuthile, ingalo iyanyakaza. Ngakho-ke uma lelilunga lonakele kakhulu noma ligugile, ngisho nokwenza imisebenzi yansuku zonke kuba umthombo wobuhlungu obukhulu.

Ingabe ukufakwa kwesihlakala kanye nokuhlanganiswa kwamalunga kuyinto efanayo?

Yebo, lezi yizinhlobo ezimbili zokwelapha. Udokotela wakho cishe uzochaza zombili izinketho kuwe. Kubaluleke kakhulu ukuqonda umehluko phakathi kwalezi ezimbili.

• Ukuhlanganiswa Kwesihlakala / I-Arthrodesis: Lokhu kuhilela ukuhlanganisa amathambo akha ilunga ndawonye nokwenza lihlangane unomphela. Ngemva kwalokhu, ilunga alikwazi ukunyakaza. Kodwa-ke, ubuhlungu busuke sebuphelile ngokuphelele. Akukho sithiyo ekuphakamiseni izinsimbi noma ekusebenziseni amathuluzi anjengesando. Lesi yisisombululo esihle kumuntu ofuna ukususa ubuhlungu futhi enze umsebenzi oqinile.

• Ukufakelwa Kwesandla/Ukufakelwa Kwemisipha: Lona ukuhlinzwa esikhuluma ngakho. Njengoba kufakwa ijoyinti lokwenziwa kulokhu, usazokwazi ukuhambisa isihlakala sakho ngemva kokuhlinzwa. Lokhu kusho ukuthi uzokwazi ukugoba nokujika isandla sakho ngezinga elithile. Kodwa-ke, kuzoba nemikhawulo ekuphakamiseni izinsimbi nokwenza umsebenzi onzima.

Leli thebula lizokwenza umehluko phakathi kwalokhu okubili ucace kuwe.

Kungani udinga lokhu kuhlinzwa?

Ukuhlinzwa kokushintsha isihlakala ngokuvamile kuyindlela yokugcina . Odokotela basebenzisa lokhu kuphela uma zonke ezinye izindlela zokwelapha zehluleka ukulawula ubuhlungu. Lokhu okulandelayo ukwelashwa okungezona ukuhlinzwa okuzanywa kuqala:

• Shintsha imisebenzi yakho (gwema imisebenzi ekhulisa ubuhlungu).
• Iziqeda-buhlungu (imithi yokulwa nokuvuvukala, i-acetaminophen)
• Izinsila zesihlakala kanye namafutha okugcoba.
• Ukwelashwa ngokomzimba.
• Imijovo ye-steroid.

Uma kungekho kulezi zinto ezisebenzayo, kungadingeka ucabangele ukuhlinzwa. Izizathu eziyinhloko zalokhu kuhlinzwa yilezi ezilandelayo:

• I-Arthritis: Ikakhulukazi i-osteoarthritis kanye ne-rheumatoid arthritis.
• Ukulimala: Ukulimala kwelunga ngenxa yokulimala okukhulu, njengokuphuka kwesandla.
• Ukuhlinzwa kokuhlanganiswa kwengalo okuhlulekile: Uma ukuhlinzwa kokuhlanganiswa kwengalo kwangaphambilini kwehluleka.
• I-Osteonecrosis: Isimo lapho ukuphakelwa kwegazi emathanjeni esihlanganisi kuphazamiseka, okubangela ukuba izicubu zamathambo zife.

Kwenzekani ngaphambi kokuhlinzwa?

Ngaphambi kokuncoma lolu hlobo lokuhlinzwa, udokotela wakho wamathambo uzohlola ngokucophelela izici eziningana.

• Bazokubuza ngempilo yakho iyonke kanye nezinye izimo zezokwelapha.
• Bayabuza ukuthi ubuhlungu besandla buqale nini nokuthi buthinta kanjani impilo yakho.
• Amandla kanye nobubanzi bokunyakaza kwesihlakala kuyahlolwa.
• Kwenziwa i-X-ray ukuhlola isimo samathambo.
• Benza izinto ezifana nokuhlolwa kwegazi ukuze babone ukuthi bangakulungisela yini ukuhlinzwa.
• Sizoqinisekisa ukuthi ezinye izindlela zokwelapha ziye zazanywa nokuthi ezinye izindlela zokuhlinzwa ziye zaxoxwa nawe.

Kwenzekani ngesikhathi sokuhlinzwa?

Lokhu kuhlinzwa kuvame ukwenziwa esibhedlela. Kuthatha isikhathi esingaphansi kwamahora amabili. Nakhu okwenzekayo ngesikhathi sokuhlinzwa:

1. I-Anesthesia: I-Anesthesia inikezwa nge-IV (efakwa emthanjeni) engalweni yakho ukuze ikulale ngokuphelele. Ngaphezu kwalokho, kuvame ukunikezwa i-block engenhla ukuze kuncishiswe ubuhlungu ngemva kokuhlinzwa.

2. Ukusikwa: Kwenziwa ukusikwa okuncane (ukusikwa) ngaphezu kwesihlakala.

3. Ukususwa kwamalunga: Ilunga elonakele, i-cartilage egugile, kanye nezingcezu zamathambo ziyasuswa.

4. Ukufakelwa kwejoyinti yokwenziwa: Ijoyinti entsha yokwenziwa (i-prosthesis) inamathele emathanjeni athintekile ngezikhonkwane, izikulufo, noma uhlobo olukhethekile lwesimende (isimende samathambo).

5. Ukuhlolwa: Hlola ukuthi ijoyinti elisha likhona yini futhi lihamba kahle.

6. Ukuthungwa: Izicubu ezizungezile, imizwa, kanye nemisipha kuyabuyiselwa, bese kuthi ukusikwa kuvalwe futhi kuthungwe.

7. Ibhandeji kanye ne-splint: Ekugcineni, inxeba limbozwa ngamabhandeji ahlanzekile bese kufakwa i-splint ukuze isandla singanyakazi.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezinzuzo kanye nezingozi ezingavamile kakhulu. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.

Izinto ongazenza ekhaya ukuze uphile kahle

Kunezinto eziningana ongazenza ukuze usize ululame ngokushesha nangokuphephile ngemva kokuhlinzwa. Ukulandela lezi zinyathelo kuzosiza futhi ilungu lakho elisha lihlale isikhathi eside.

• Umuntu ongamsiza: Kulula kakhulu ukuba nomuntu ozokusiza ngemisebenzi yansuku zonke ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Izinto ezifana nezingubo ezinemikhono emikhulu namapuleti ephepha zingaba usizo phakathi nalesi sikhathi.
• Ungaphakamisi izinsimbi: Ungaphakamisi okungaphezu kwalokho okunconywa udokotela. Lokhu kuvame ukuba cishe amakhilogremu angu-2-5. Gwema ukusebenzisa noma yini efana nesando noma ukugoba ingalo yakho ngokweqile.
• Zivikele ekuweni: Ukuwa kungalimaza isihlakala sakho. Qaphela ngokususa izindawo ezishelelayo nezinto ongazikhuba ekhaya. Gwema imidlalo enobungozi obukhulu bokuwa phakathi nalesi sikhathi.
• Ukuzivocavoca: Yenza izivivinyo njengoba nje udokotela wakho kanye nochwepheshe wezokwelapha umzimba bekunikeza. Kungase kube nobuhlungu ekuqaleni, kodwa buzoncipha kancane kancane futhi ingalo yakho izoqina.

Uzobona nini udokotela

Uma kuvela izinkinga ngemva kokuhlinzwa, kubaluleke kakhulu ukuzibona ngokushesha bese ucela ukwelashwa.

Uma unalezi zimpawu ezinsukwini ezimbalwa ngemva kokuhlinzwa, tshela udokotela wakho ngokushesha:

Lezi kungaba izimpawu zokutheleleka.

• Uma uzizwa ushisa noma unesifo somkhuhlane.
• Uma kukhona ukubomvu nokuvuvukala okuzungeze indawo yokusikwa.
• Uma isilonda sikhipha ubomvu noma sinephunga elibi.
• Uma ubuhlungu buba bubi kakhulu esikhundleni sokuncipha.

Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo ngemva kwesikhathi esithile, bona udokotela:

Lokhu kungaba izimpawu zokwehluleka kwamalunga.

• Ukuphindaphinda kobuhlungu.
• Ukuqina noma ukuvuvukala kwamalunga.
• Uma ilunga lizizwa likhululekile futhi lingalawuleki, libizwa ngokuthi `(Ukungazinzi)`.
• Ukuncipha kwamandla noma ukusebenza kwesandla.

Uma unesihlungu esiqhubekayo esihlakaleni sakho ngenxa yokulimala noma isifo samathambo, udokotela wakho angase akuncomele ukuhlinzwa esikhundleni sesihlakala. Lokhu kunganciphisa ubuhlungu bakho futhi kukuvumele ukuthi wenze imisebenzi yansuku zonke kalula.