I-Arthroplasty iyinqubo yokuhlinzwa yokushintsha elinye noma lonke ilungu. Abahlinzeki bezempilo baphinde bakubize ngokuhlinzwa ngokuhlanganyela esikhundleni noma ukushintshwa kwamalungu. Udokotela ohlinzayo uzosusa izingxenye ezigugile noma ezilimele zelunga lakho lemvelo futhi esikhundleni sazo afake ilunga lokwenziwa (i-prosthesis) elenziwe ngensimbi, ipulasitiki noma i-ceramic.
I.ls joint replacement ukuhlinzwa okukhulu?
I-Arthroplasty, eyaziwa nangokuthi i-joint replacement, iwukuhlinzwa okukhulu lapho kufakwa khona ilunga lokwenziwa ukuze kuthathelwe indawo ilungu elilimele elikhona. I-prosthesis yenziwe ngenhlanganisela yensimbi, i-ceramic, nepulasitiki. Ngokuvamile, udokotela ohlinzayo wamathambo uzothatha indawo yelunga lonke, elibizwa ngokuthi i- total joint replacement.
Uma idolo lakho lilimele kakhulu ngenxa yesifo sokuqaqamba kwamalunga noma ukulimala, kungase kube nzima kuwe ukwenza izinto ezilula, njengokuhamba noma ukugibela izitebhisi. Ungase uqale ukuzwa ubuhlungu lapho uhlezi noma ulele.
Uma ukwelashwa okungahlinzeki njengemithi nokusebenzisa izisekelo zokuhamba kungasasizi, ungase uthande ukucabangela ukuhlinzwa okuphelele kokushintsha idolo. Ukuhlinza ngokuhlanganyela kuyindlela ephephile nesebenzayo yokudambisa izinhlungu, ukulungisa ukukhubazeka komlenze, nokukusiza ukuthi uqalise kabusha imisebenzi evamile.
Ukuhlinzwa okuphelele kokushintshwa kwamadolo kwenziwa okokuqala ngo-1968. Kusukela ngaleso sikhathi, ukuthuthukiswa kwezinto zokuhlinza kanye namasu kuye kwanda kakhulu ukusebenza kwayo. Ukushintshwa kwamadolo okuphelele kungenye yezinqubo eziphumelela kakhulu kuyo yonke imithi. Ngokusho kwe-American Academy of Orthopedic Surgeons, ngaphezu kwe-700,000 ukuguqulwa kwamadolo okuphelele kwenziwa minyaka yonke e-US.
Kungakhathaliseki ukuthi usanda kuqala ukuhlola izinketho zokwelapha noma usunqume ukuhlinzwa ngokuphelele esikhundleni samadolo, lesi sihloko sizokusiza uqonde kabanzi ngale nqubo ebalulekile.
II.Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kokushintshwa kwamalunga?
Ngokuvamile kuthatha unyaka ukululama ngokugcwele ngemva kokushintshwa kwamadolo. Kodwa kufanele ukwazi ukuqalisa kabusha imisebenzi yakho eminingi evamile emasontweni ayisithupha ngemva kokuhlinzwa. Isikhathi sakho sokululama sizoncika ezintweni ezimbalwa, okuhlanganisa kwakho: Izinga lomsebenzi ngaphambi kokuhlinzwa
Ukubuyiselwa Kwesikhathi Esifushane
Ukululama okwesikhashana kuhilela izigaba zokuqala zokululama, njengokukwazi ukuphuma embhedeni wasesibhedlela futhi ukhishwe esibhedlela. Ngezinsuku ezi-1 noma ezi-2, iziguli eziningi ezishintsha amadolo zinikezwa umuntu ohamba ngezinyawo ukuze azinzise. Ngosuku lwesithathu ngemva kokuhlinzwa, iziguli eziningi zingabuyela ekhaya. Ukululama kwesikhashana kuhlanganisa nokuphuma ezibulali-zinhlungwini ezinkulu kanye nokulala ubusuku bonke ngaphandle kwamaphilisi. Uma isiguli singasazidingi izinsiza zokuhamba futhi sesingakwazi ukuhambahamba endlini ngaphandle kobuhlungu—ngaphezu kokukwazi ukuhamba amabhlogo amabili endlini ngaphandle kobuhlungu noma ukuphumula—konke lokhu kubhekwa njengezimpawu zokululama kwesikhashana. Isilinganiso sesikhathi sokululama sesikhathi esifushane sokushintshwa okuphelele kwamadolo cishe amasonto angu-12.
Ukubuyiselwa Kwesikhathi Eside
Ukululama isikhathi eside kuhilela ukuphulukiswa okuphelele kwamanxeba okuhlinzwa kanye nezicubu ezithambile zangaphakathi. Lapho isiguli singabuyela emsebenzini kanye nemisebenzi yokuphila kwansuku zonke, sisendleleni yokufinyelela isikhathi esigcwele sokululama. Enye inkomba yilapho isiguli ekugcineni sizizwa sijwayelekile futhi. Isilinganiso sokululama isikhathi eside kweziguli ezishintsha amadolo ziphelele phakathi kwezinyanga ezi-3 neziyisi-6. UDkt. Ian C. Clarke, umcwaningi wezokwelapha kanye nomsunguli we-Peterson Tribology Laboratory yokushintshwa okuhlangene e-Loma Linda University, uyabhala, “Odokotela bethu abahlinzayo bacabangela ukuthi iziguli ‘ziyalulama’ lapho isimo sazo samanje sesithuthuke kakhulu ngaphezu kwezinga lazo lobuhlungu be-arthritis ngaphambi kokuhlinzwa kanye nokungasebenzi kahle.”
Kunenombolo yezinto ezinomthelela ezithonya isikhathi sokutakula. U-Josephine Fox, u-BoneSmart.org onguMqondisi Oholayo wamadolo esikhundleni kanye nomhlengikazi oneminyaka engaphezu kwamashumi amahlanu, uthi isimo sengqondo esihle siyikho konke. Iziguli kufanele zilungele umsebenzi wenkuthalo, ubuhlungu obuthile kanye nokulindela ukuthi ikusasa lizoqhakaza. Ukuthola ulwazi mayelana nokuhlinzwa okushintshwa kwamadolo kanye nenethiwekhi eqinile yokusekela kubalulekile futhi ekululameni. UJosephine uyabhala, “Izinkinga eziningi ezincane noma ezinkulu zivela lapho umuntu elulama, kusukela eqhumeni eliseduze nenxeba kuya ebuhlungu obungalindelekile nobungajwayelekile. Kulezi zikhathi kuhle ukuba nenethiwekhi yokusekela ukuze uphendukele kuyo futhi uthole impendulo efike ngesikhathi. Othile laphaya cishe uye wabhekana okufanayo noma okufanayo futhi ‘uchwepheshe’ naye uzoba nezwi.”
III.Ikuphi ukuhlinzwa okuvame kakhulu ukushintshwa kwamalunga?
Uma unezinhlungu ezinzima noma ukuqina kwamalunga - Ukuhlinzwa Okuphelele Kokubuyiselwa Kwamalungu kungase kube okwakho. Amadolo, izinqe, amaqakala, amahlombe, izihlakala, nezindololwane konke kungashintshwa. Kodwa-ke, ukushintshwa kwe-hip namadolo kubhekwa njengento evamile.
Ukushintshwa Kwediski Lokwenziwa
Cishe amaphesenti ayisishiyagalombili abantu abadala bathola ukuphikelela nomaubuhlungu obungapheli bokubuyela emuvalokho kunciphisa ikhono labo lokwenza imisebenzi yansuku zonke. Ukushintshwa kwe-disc yokufakelwa kuvame ukukhetha iziguli ezine-lumbar degenerative disc disease (DDD) noma i-disc eyonakele kakhulu ebangela lobo buhlungu. Ekuhlinzeni i-disc replacement, ama-disc awonakele athathelwa indawo yokwenziwa ukuze kuncishiswe ubuhlungu nokuqinisa umgogodla. Ngokuvamile, zenziwe ngegobolondo langaphandle lensimbi elinepulasitiki yezinga lezokwelapha.
Lokhu kungenye yezinketho zokuhlinzwa eziningana zabantu abanenkinga enzima yomgogodla. Inqubo entsha, ukushintshwa kwe-lumbar disc kungase kube enye indlela yokuhlinzwa kwe-fusion futhi kuvame ukucatshangelwa lapho imithi nokwelashwa ngokomzimba kungazange kusebenze.
I-Hip Replacement Surgery
Uma uhlushwa ubuhlungu obukhulu be-hip kanye nezindlela ezingezona zokuhlinza aziphumelelanga ekulawuleni izimpawu zakho, ungase ube yikhandidethi lokuhlinzwa esikhundleni se-hip. I-hip joint ifana nebhola-ne-socket, ngoba isiphetho esiyindilinga sethambo elilodwa sihlala emgodini welinye, okuvumela ukunyakaza kokujikeleza. I-osteoarthritis, i-rheumatoid arthritis, nokulimala okungazelelwe noma okuphindaphindayo konke kuyizimbangela ezivamile zobuhlungu obungapheli obungaqedwa kuphela ngokuhlinzwa.
Aukushintshwa kwe-hip(“i-hip arthroplasty”) ihlanganisa ukufaka esikhundleni se-femur (ikhanda lethanga) kanye ne-acetabulum (isokhethi le-hip). Ngokuvamile, ibhola lokufakelwa kanye nesiqu zenziwe ngensimbi eqinile kanye nesokhethi yokwenziwa ye-polyethylene - ipulasitiki eqinile, eqinile. Lokhu kuhlinza kudinga udokotela ohlinzayo ukuba akhiphe inqulu futhi asuse ikhanda elimele lesifazane, esikhundleni salo ngesiqu sensimbi.
Ukuhlinzwa Kokushintsha Idolo
Ilunga ledolo lifana nehinji eyenza umlenze ukwazi ukugoba futhi uqonde. Iziguli ngezinye izikhathi zikhetha ukushintshwa idolo ngemva kokuba lilinyazwe kakhulu yi-arthritis noma ukulimala kangangokuthi azikwazi ukwenza ukunyakaza okuyisisekelo njengokuhamba nokuhlala. Kulolu hlobo lokuhlinzwa, ilunga lokwenziwa elakhiwe ngensimbi ne-polyethylene lisetshenziselwa ukuvala isikhala sesiguli. I-prosthesis ingaqiniswa endaweni ngosimende wethambo noma imbozwe ngezinto ezithuthukisiwe ezivumela izicubu zethambo ukuthi zikhule zibe kuyo.
IUmtholampilo Ohlangene OphelelekwaMidAmerica Orthopedics igxile kakhulu kulezi zinhlobo zokuhlinza. Ithimba langaphandle liqinisekisa ukuthi izinyathelo eziningana zenzeka ngaphambi kokuba inqubo enzima kangaka yenzeke. Uchwepheshe wamadolo uzoqala ukuhlola ngokucophelela okubandakanya ukuhlola imisipha yakho yamadolo ngokusebenzisa izifo ezihlukahlukene zokuxilonga. Njengokunye okunye ukuhlinzwa okuhlanganyelwe, isiguli kanye nodokotela kufanele bavumelane ngokuthi le nqubo iyindlela engcono kakhulu yokubuyisela ukusebenza okuningi kwamadolo ngangokunokwenzeka.
Ukuhlinzwa Kokushintsha Amahlombe
Njengejoyinti lenyonga, aesikhundleni sehlombeihlanganisa ibhola nesokhethi. Ijoyinti yehlombe yokwenziwa ingaba nezingxenye ezimbili noma ezintathu. Lokhu kungenxa yokuthi kunezindlela ezahlukene zokushintshwa okuhlangene kwamahlombe, kuye ngokuthi iyiphi ingxenye yehlombe edinga ukugcinwa:
1.Ingxenye ye-metal humeral ifakwe ku-humerus (ithambo phakathi kwehlombe lakho nendololwane).
2.Ingxenye yekhanda le-humeral yensimbi ithatha indawo yekhanda le-humeral phezulu kwe-humer.
3.Ingxenye yepulasitiki ye-glenoid ingena esikhundleni sesokhethi ye-glenoid.
Izinqubo zokubuyisela zivame ukubuyisela umsebenzi ohlangene ngokuphawulekayo futhi zinciphise ubuhlungu ezigulini eziningi. Nakuba ukuphila okulindelekile kokushintshwa kwamalungu avamile kunzima ukulinganisa, akunamkhawulo, nokho. Ezinye iziguli zingazuza ekuthuthukisweni okuqhubekayo okwandisa impilo yonke yezitho zokwenziwa.
Akekho okufanele azizwe ephuthuma esinqumweni sezokwelapha esingathi sína njengokuhlinzwa ngokuhlanganyela. Odokotela abawine imiklomelo kanye nongoti bokuchibiyela ngokuhlanganyela eMidAmerica'sUmtholampilo Ohlangene Opheleleingakwazisa ngezinketho ezahlukene zokwelapha ezitholakalayo kuwe.Sivakashele ku-inthanethinoma ushayele (708) 237-7200 ukuze wenze i-aphoyintimenti nomunye wochwepheshe bethu ukuze uqalise umgwaqo wakho oya ekuphileni okumatasa, okungenabuhlungu.
VI. Kuthatha isikhathi esingakanani ukuhamba ngokujwayelekile ngemva kokushintshwa kwamadolo?
Iziguli eziningi zingaqala ukuhamba zisesibhedlela. Ukuhamba kusiza ukuletha imisoco ebalulekile edolweni lakho ukukusiza uphulukise futhi ululame. Ungalindela ukusebenzisa i-walker emasontweni ambalwa okuqala. Iziguli eziningi zingakwazi ukuzihambela zodwa cishe amasonto amane kuya kwayisishiyagalombili ngemva kokushintshwa kwamadolo.
Isikhathi sokuthumela: Nov-08-2024
