isibhengeya

Ukuhlinzwa okuhlangene

I-ArthroPlasty iyinqubo yokuhlinzwa yokubuyisela okunye noma konke okuhlanganisiwe. Abahlinzeki bezokunakekelwa kwezempilo futhi bakubiza ngokuthi ukuhlinzwa okuhlanganyelwe noma ukufakwa okuhlangene. Udokotela ohlinzayo uzosusa izingxenye ezigugile noma ezilimele zokuhlanganisa okungokwemvelo futhi uzibuyise ngokuhlangana (i-prosthesis) eyenziwe ngensimbi, ipulasitiki noma i-ceramic.

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I.LS ngokuhlanganyela esikhundleni sokuhlinzwa okukhulu?

I-Arthroplasty, eyaziwa nangokuthi esikhundleni sokuhlangana, ukuhlinzwa okukhulu lapho kuhlanganiswa khona okuhlanganiswe esikhundleni sokubuyisela okuhlangene okulimele. I-prosthesis yenziwa ngenhlanganisela yensimbi, i-ceramic, nepulasitiki. Imvamisa, udokotela ohlinzayo wamathambo uzothatha indawo yonke ehlanganisiwe, ebizwa ngokuthi yi-Contrance ehlanganisiwe.

Uma idolo lakho lilinyazwa kanzima nge-arthritis noma ukulimala, kungaba nzima ukuthi wenze imisebenzi elula, njengokuhamba ngezinyawo noma ukukhwela izitebhisi. Ungase uqale ukuzwa izinhlungu ngenkathi uhleli noma ulele phansi.

Uma izindlela zokwelashwa ezingezinhle zinjengemithi nokusebenzisa izixhaso zokuhamba akusasizi, ungahle ufune ukubheka ukuhlinzwa kwe-Knee Replacement. Ukuhlinzwa okuhlanganisiwe kwenqubo kuyindlela ephephile nesebenzayo yokudambisa izinhlungu, ukulimala komlenze ofanele, futhi kukusize uqale kabusha imisebenzi ejwayelekile.

Ukuhlinzwa okuhlinzayo kwe-Knee kwaqala kwenziwa ngo-1968. Kusukela lapho, ukuthuthuka kwezinto zokwakha kanye namasu kukhuphule ukusebenza kwayo kwayo. Inani eliphelele le-Knee kungenye yezinqubo eziphumelela kakhulu kuyo yonke imithi. Ngokusho kwe-American Academy of Orthopedic Surgeons, kwaphela imali engaphezu kuka-700,000 ephelele yamadolo e-US

Ukuthi usanda kuqalwa ukuhlola izinketho zokwelashwa noma usunqume ukuba nokuhlinzwa kwe-Knee Poseepment, le ndatshana izokusiza uqonde kabanzi ngale nqubo ebalulekile.

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I-II.Isikhathi eside kuthatha isikhathi eside ukululama ekuhlinzelweni kokunye okubuyiselwe esikhundleni?

Imvamisa kuthatha unyaka ukululama ngokuphelele ngemuva kokubuyiselwa kwedolo. Kepha kufanele ukwazi ukuqhubeka nemisebenzi yakho evamile evamile emavikini ayisithupha ngemuva kokuhlinzwa. Isikhathi sakho sokutakula sizoncika ezicini eziningana, kufaka phakathi kwakho: Izinga lomsebenzi ngaphambi kokuhlinzwa

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Ukubuyiselwa Kwesikhathi Esifushane

Ukululama okufushane kuhilela izigaba zokuqala zokululama, njengekhono lokuphuma embhedeni wesibhedlela futhi zikhishwe esibhedlela. Ezinsukwini 1 noma 2, iziguli eziningi ze-knee zinikezela nge-Walker ukuze azinze. Ngosuku lwesithathu ngemuva kokuhlinzwa, iningi leziguli lingaya ekhaya. Ukubuyiselwa kwesikhashana esifushane kuhilela nokungenisa ababulali abakhulu lobuhlungu nokulala okugcwele ngaphandle kwamaphilisi. Lapho isiguli asisadingi izinsiza zokuhamba futhi singahamba indlu ngaphandle kobuhlungu - ngaphezu kobuhlungu ekubeni ukukwazi ukuhamba amabhlogo amabili endlini ngaphandle kobuhlungu noma ukuphumula - konke lokhu kubhekwa njengezimpawu zokubuyisa isikhathi esifushane. Isikhathi esijwayelekile sokubuyiselwa kwesikhashana sokubuyiselwa okuphelele kwamadolo cishe amasonto ayi-12.

Ukubuyiselwa Kwesikhathi Eside

Ukubuyiselwa kwesikhathi eside kubandakanya ukwelashwa okuphelele kwamanxeba okuhlinza nezicubu zangaphakathi ezithambile. Lapho isiguli singabuyela emsebenzini kanye nemisebenzi yokuphila kwansuku zonke, basendleleni yokuthola isikhathi esigcwele sokululama. Enye inkomba yilapho isiguli ekugcineni sizizwa sijwayelekile futhi. Isilinganiso sokululama isikhathi eside kweziguli ze-Knee Eplacement ziphakathi kwezinyanga ezi-3 nezingu-6. UDkt Ian C. Clarke, umcwaningi wezokwelapha kanye nomsunguli wePeterson Tribology Laborator yokubuyiselwa okuhlangene eLoma Linda University, ubhala, "

Kunenqwaba yezinto ezinikelayo ezithonya isikhathi sokuthola kabusha. I-Josephine Fox, i-BonesMart.org Knee Replacement Forum Administrator kanye nomhlengikazi weminyaka engaphezu kwamashumi amahlanu, uthi isimo esihle sengqondo siyikho konke. Iziguli kufanele zilungiselelwe umsebenzi wokukhuthala, izinhlungu ezithile nokulindela ukuthi ikusasa lizokhanya. Ukuthola ulwazi ngokuhlinzwa okuhlinzayo kwaseKnee kanye nenethiwekhi yokusekelwa eqinile nakho kubalulekile ukululama. UJosephine ubhala, "Izingqinamba eziningi ezincane noma ezinkulu noma zilibhekile ngesikhathi sokubuyisa, kusukela esibayeni esiseduze nobuhlungu obungalindelekile futhi obungajwayelekile. Omunye lapho kungenzeka ukuthi athole impendulo efanayo."

I-III.Yini ukuhlinzwa okuvame ukuhlinzwa okujwayelekile?

Uma unobuhlungu obukhulu obuhlangene noma ukuqina - ukuhlinzwa okuhlanganisiwe okuphelele kungaba kuwe. Amadolo, okhalweni, ama-ankle, amahlombe, amahlombe, kanye ne-elbows bonke bangathathelwa indawo. Kodwa-ke, ukugcwaliswa kwe-hip kanye ne-knee kubhekwa njengokuvame kakhulu.

Ukubuyiselwa Kwe-Disc Disc

Cishe amaphesenti ayisishiyagalombili abantu abadala abahlangabezana nakho nomaUbuhlungu Basemuva Bubuyela emuvalokho kubeka amandla abo okwenza imisebenzi yansuku zonke. Ukubuyiselwa kwe-Disc Disc imvamisa kuvame ukukhethwa kweziguli ezine-disc disc degregerative (DDD) noma i-disc elimele kakhulu ebangela lokho kubuhlungu. Ku-Disc Supportment Surgery, ama-disc alimele athathelwa indawo okufakwayo ukunciphisa izinhlungu futhi aqinise umgogodla. Imvamisa, zenziwa ngegobolondo elingaphandle lensimbi elinendawo yepulasitiki lezokwelapha.

Lesi ngesinye sezinketho eziningana zokuhlinza abantu abahlushwa izingqinamba ezinzima zomgogodla. Inqubo entsha, indawo ye-Lumbar disc Eplacement ingahle ibe ngenye indlela yokuhlinzwa kwe-fusion futhi kuvame ukucatshangelwa lapho umuthi kanye nokwelashwa ngokomzimba akukaze kusebenze.

Ukuhlinzwa kwe-hip esikhundleni

Uma uhlushwa ubuhlungu obukhulu be-hip nezindlela ezingaphuzi ezingaphumelelanga ekuphatheni izimpawu zakho, ungaba ngumuntu ozohlinzwa ngokuhlinzwa kwe-hip. I-Hip Joint ifana nebhola kanye nesokhethi, kulelo ngxenye eyindilinga yethambo elilodwa ihlala emgodini wenye, ivumela ukunyakaza okujikelezayo. I-OsteoArthritis, i-rheumatoid arthritis, nokulimala okungazelelwe noma okuphindaphindwayo kuyona zonke izimbangela ezijwayelekile zobuhlungu obuphikelelayo obungasuswa kuphela ngokuhlinzwa.

AUkushintshwa Kwe-Hip. Imvamisa, ibhola lokufakelwa kanye nesiqu senziwe ngensimbi eqinile kanye nesokisi lokufakelwa se-polyethylene - ipulasitiki ehlala isikhathi eside, evimbela. Lokhu kusebenza kudinga ukuthi udokotela ohlinzayo akhiphe okhalweni futhi asuse ikhanda lowesifazane elimele, alingenise ngesiqu sensimbi.

Ukuhlinzwa Kwezilungiselelo Zamadolo

I-Knee Joint ifana ne-hinge eyenza umlenze ugobe futhi uqonde. Iziguli kwesinye isikhathi zikhetha ukuthi i-knee yazo ingene esikhundleni se-arththritis noma ukulimala kangangokuba ayikwazi ukwenza ukunyakaza okuyisisekelo njengokuhamba nokuhlala. Phakathi kwa-lolu hlobo lokuhlinzwa, okuhlangene okwenziwe ngensimbi ne-polyethylene kusetshenziselwa ukufaka esikhundleni esigulayo. I-prosthesis ingafakwa inyumbazane ibe yikhonkolo yamathambo noma imbozwe ngezinto ezithuthukisiwe ezivumela izicubu zamathambo zikhule zibe zingene.

Le khasiUmtholampilo ohlanganyelwe wonkeE-Midame America Orthopedics ngokukhethekile kulezi zinhlobo zokuhlinzwa. Iqembu eliphuma liqinisekisa ukuthi kuzokwenzeka izinyathelo eziningana ngaphambi kokuba inqubo enjalo ebaluleke kakhulu izokwenzeka. Uchwepheshe we-Knee uzokuqala aqhube ukuhlolwa okuphelele okubandakanya ukuhlola amadolo akho ama-ligaments akho ngokuxilonga okuhlukahlukene. Ngokuhambisana nokunye ukuhlinzwa okuhlangene okuhlangene, bobabili isiguli nodokotela kufanele babe sesivumelwaneni ukuthi le nqubo iyindlela engcono kakhulu yokuthola ukusebenza okuningana kwedolo ngangokunokwenzeka.

Ukuhlinzwa esikhundleni sehlombe

Njenge-hip ehlanganisiwe, aUkushintshwa Kwehlombekubandakanya ukuhlangana kwebhola nesocket. Ukuhlangana kwehlombe lokufakelwa kungaba nezingxenye ezimbili noma ezintathu. Lokhu kungenxa yokuthi kunezindlela ezihlukile zokubuyiselwa emuva okuhlangene, kuya ngokuthi iyiphi ingxenye yehlombe elidinga ukusindiswa:

Ingxenye yensimbi yensimbi ifakwe ku-humerus (ithambo phakathi kwehlombe lakho ne-elbow).

Ingxenye yekhanda lensimbi yensimbi ingena esikhundleni sekhanda elithonyiwe phezulu kwe-humerus.

3. Ingxenye yepulasitiki ye-glenoid ingena esikhundleni se-glenoid socket.

Izinqubo zokubuyisela emuva zivame ukubuyisela ukusebenza okuhlanganyelwe kakhulu futhi zinciphise izinhlungu kuningi leziguli. Ngenkathi impilo elindelekile yokubuyiselwa kwezimali okuhlangene okujwayelekile kunzima ukulinganisa, akunamkhawulo, noma kunjalo. Ezinye iziguli zingazuza ekuthuthukisweni okuqhubekayo okukhulisa impilo yempilo yonke.

Akekho umuntu okufanele azizwe ephuthunyiswe esinqumweni esingathi sína sezokwelapha njengokuhlinzwa okuhlangene. Odokotela abawina umklomelo kanye nochwepheshe bokubuyiselwa okuhlangene eMidamelika'sUmtholampilo ohlanganyelwe wonkeUngakwazisa ngezinketho zokwelashwa ezahlukahlukene ezitholakalayo kuwe.Sivakashele ku-inthanethiNoma shayela (708) 237-7200 ukwenza isikhathi sokubonana nomunye wochwepheshe bethu ukuze uqale endleleni yakho eya empilweni esebenzayo, engenazinhlungu.

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VI. Kuthatha isikhathi esingakanani ukuhamba ngokujwayelekile ngemuva kokushintshwa kwedolo?

Iningi leziguli lingaqala ukuhamba ngenkathi kusesibhedlela. Ukuhamba kusiza ukuletha izakhi ezibalulekile edolweni lakho ukukusiza uphilise futhi ululame. Ungalindela ukusebenzisa i-Walker ngamasonto ambalwa okuqala. Iningi leziguli lingahamba ngezinyawo zalo cishe amasonto amane kuya kwayisishiyagalombili ngemuva kokushintshwa kwedolo.


Isikhathi sePosi: Nov-08-2024