I-arthroplasty inqubo yokuhlinzwa yokufaka esikhundleni selungu elithile noma lonke. Abahlinzeki bezempilo baphinde bakubize ngokuthi ukuhlinzwa kokufaka esikhundleni selungu noma ukufaka esikhundleni selungu. Udokotela ohlinzayo uzosusa izingxenye ezigugile noma ezonakele zelungu lakho lemvelo bese ezifaka esikhundleni selungu lokwenziwa (i-prosthesis) elenziwe ngensimbi, ipulasitiki noma i-ceramic.
Ingabe ukushintshwa kwamalunga kungukuhlinzwa okukhulu?
I-Arthroplasty, eyaziwa nangokuthi ukushintshwa kwamalunga, iwukuhlinzwa okukhulu lapho kufakwa khona ijoyinti lokwenziwa ukuze kushintshwa ijoyinti eselivele lilimele. I-prosthesis yenziwe ngenhlanganisela yensimbi, i-ceramic, nepulasitiki. Ngokuvamile, udokotela ohlinzayo wamathambo uzothatha indawo yamalunga onke, okubizwa ngokuthi ukushintshwa kwamalunga okuphelele.
Uma idolo lakho lilimele kakhulu ngenxa yamathambo noma ukulimala, kungaba nzima ngawe ukwenza imisebenzi elula, njengokuhamba noma ukukhuphuka izitebhisi. Ungase uqale nokuzwa ubuhlungu ngenkathi uhleli noma ulele phansi.
Uma ukwelashwa okungenalo ukuhlinzwa njengemithi nokusebenzisa izisekeli zokuhamba kungasasizi, ungase uthande ukucabangela ukuhlinzwa kokushintsha idolo ngokuphelele. Ukuhlinzwa kokushintsha amalunga kuyinqubo ephephile nephumelelayo yokuqeda ubuhlungu, ukulungisa ukukhubazeka kwemilenze, nokukusiza ukuthi uqalise imisebenzi evamile.
Ukuhlinzwa kokushintsha idolo ngokuphelele kwenziwa okokuqala ngo-1968. Kusukela ngaleso sikhathi, ukuthuthuka ezintweni zokuhlinzwa kanye namasu kuye kwandisa kakhulu ukusebenza kwalo. Ukushintsha idolo ngokuphelele kungenye yezinqubo eziphumelela kakhulu kuzo zonke izinhlobo zokwelapha. Ngokusho kwe-American Academy of Orthopaedic Surgeons, kwenziwa ukushintshwa kwedolo okuphelele okungaphezu kuka-700,000 minyaka yonke e-US.
Kungakhathaliseki ukuthi usanda kuqala ukuhlola izinketho zokwelapha noma usuvele unqume ukuhlinzwa ngokuphelele esikhundleni sedolo, lesi sihloko sizokusiza uqonde kabanzi ngale nqubo ewusizo.
II. Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kokufakelwa amalunga?
Ngokuvamile kuthatha cishe unyaka ukululama ngokuphelele ngemva kokufakelwa idolo. Kodwa kufanele ukwazi ukuqhubeka nemisebenzi yakho eminingi evamile emavikini ayisithupha ngemva kokuhlinzwa. Isikhathi sakho sokululama sizoncika ezintweni eziningana, okuhlanganisa: Izinga lomsebenzi ngaphambi kokuhlinzwa
Ukululama Kwesikhashana
Ukululama kwesikhashana kuhilela izigaba zokuqala zokululama, njengokukwazi ukuphuma embhedeni wesibhedlela bese ukhishwa esibhedlela. Ngosuku lokuqala noma lwesibili, iziguli eziningi ezifakwe amadolo zinikezwa i-walker ukuze zizinzise. Ngosuku lwesithathu ngemva kokuhlinzwa, iziguli eziningi zingaya ekhaya. Ukululama kwesikhashana kuhilela nokuyeka izibulali-zinhlungu ezinkulu kanye nokulala ubusuku bonke ngaphandle kwamaphilisi. Uma isiguli singasadingi izinsiza-kuhamba futhi singahambahamba endlini ngaphandle kobuhlungu–ngaphezu kokukwazi ukuhamba amabhlogo amabili endlini ngaphandle kobuhlungu noma ukuphumula–konke lokhu kubhekwa njengezimpawu zokululama kwesikhashana. Isikhathi esimaphakathi sokululama kwesikhashana sokufakwa amadolo okuphelele singamaviki ayi-12.
Ukululama Kwesikhathi Eside
Ukululama kwesikhathi eside kuhilela ukuphulukiswa okuphelele kwamanxeba okuhlinzwa kanye nezicubu ezithambile zangaphakathi. Lapho isiguli singabuyela emsebenzini kanye nemisebenzi yansuku zonke, sisendleleni yokufinyelela isikhathi esiphelele sokululama. Esinye isibonakaliso yilapho isiguli ekugcineni sizizwa sijwayelekile futhi. Ukululama okumaphakathi kwesikhathi eside kweziguli ezifakwe esikhundleni sedolo kuphakathi kwezinyanga ezi-3 nezi-6. UDkt. Ian C. Clarke, umcwaningi wezokwelapha kanye nomsunguli wePeterson Tribology Laboratory yokufakelwa amalunga eLoma Linda University, uyabhala, “Odokotela bethu abahlinzayo bacabanga ukuthi iziguli ‘zilulame’ lapho isimo sazo samanje sesithuthuke kakhulu ngale kwezinga lazo lobuhlungu bangaphambi kokuhlinzwa kanye nokungasebenzi kahle kwazo.”
Kunezici eziningana ezibangela ukuthambekela kwesikhathi sokululama. UJosephine Fox, uMqondisi Oyinhloko weForamu yokushintsha idolo yeBoneSmart.org kanye nomhlengikazi oneminyaka engaphezu kwamashumi amahlanu, uthi isimo sengqondo esihle siyikho konke. Iziguli kufanele zilungele umsebenzi okhuthele, ubuhlungu obuthile kanye nokulindela ukuthi ikusasa lizokhanya. Ukufinyelela ulwazi mayelana nokuhlinzwa kokushintsha idolo kanye nenethiwekhi yokusekela eqinile nakho kubalulekile ekululameni. UJosephine ubhala athi, “Izinkinga eziningi ezincane noma ezinkulu zivela ngesikhathi sokululama, kusukela endukwini eduze kwesilonda kuya ebuhlungwini obungalindelekile nobungavamile. Kulezi zikhathi kuhle ukuba nenethiwekhi yokusekela ongaphendukela kuyo futhi uthole impendulo ngesikhathi esifanele. Kungenzeka ukuthi othile uke wabhekana nesimo esifanayo noma esifanayo futhi ‘uchwepheshe’ naye uzoba nezwi.”
III. Yikuphi ukuhlinzwa okuvamile kokufakelwa amalunga?
Uma unesihlungu esinzima samalunga noma ukuqina kwawo - Ukuhlinzwa Kokufaka Ilungu Eliphelele kungaba okwakho. Amadolo, izinqe, amaqakala, amahlombe, izihlakala, kanye nezindololwane konke kungashintshwa. Kodwa-ke, ukufaka esikhundleni sezinqe nedolo kubhekwa njengokuvame kakhulu.
Ukufakwa Kwediski Yokwenziwa
Cishe amaphesenti ayisishiyagalombili abantu abadala babhekana nokuphikelela nomaubuhlungu obungapheli emhlanelokho kunciphisa ikhono labo lokwenza imisebenzi yansuku zonke. Ukufakwa esikhundleni sediski yokwenziwa kuvame ukuba yindlela yokukhetha iziguli ezinesifo sediski esiwohlokayo se-lumbar (DDD) noma idiski eyonakele kakhulu ebangela lobo buhlungu. Ekuhlinzeni kokufakwa esikhundleni sediski, amadiski alimele ashintshwa afakwe awenziwe ukuze kuncishiswe ubuhlungu futhi kuqiniswe umgogodla. Ngokuvamile, enziwe ngegobolondo langaphandle lensimbi elingaphakathi kwepulasitiki yezinga lezokwelapha.
Lena enye yezinketho eziningana zokuhlinzwa zabantu abahlushwa izinkinga ezinkulu zomgogodla. Inqubo entsha, ukushintshwa kwe-lumbar disc kungaba yindlela ehlukile yokuhlinzwa kwe-fusion futhi ivame ukucatshangelwa lapho imithi kanye nokwelashwa ngokomzimba kungazange kusebenze.
Ukuhlinzwa Kokubuyiselwa Kwezinqe
Uma uhlushwa ubuhlungu obukhulu benqulu futhi izindlela ezingadingi ukuhlinzwa zingaphumelelanga ekuphatheni izimpawu zakho, ungase ube umuntu ofanelekela ukuhlinzwa esikhundleni senqulu. Ilunga lenqulu lifana nebhola nesokhethi, ngokuthi ingxenye eyindilinga yethambo elilodwa ihlala embotsheni yelinye, okuvumela ukunyakaza kokujikeleza. I-Osteoarthritis, i-rheumatoid arthritis, kanye nokulimala okungazelelwe noma okuphindaphindiwe konke kuyizimbangela ezivamile zobuhlungu obuqhubekayo ezingasuswa kuphela ngokuhlinzwa.
Aukufaka esikhundleni senqulu(“i-hip arthroplasty”) ihilela ukufaka esikhundleni se-femur (ikhanda lethanga) kanye ne-acetabulum (isokhethi lesinqe). Ngokuvamile, ibhola lokwenziwa kanye nesiqu kwenziwa ngensimbi eqinile kanye nesokhethi lokwenziwa le-polyethylene - ipulasitiki eqinile, engagugi. Lokhu kuhlinzwa kudinga ukuthi udokotela ohlinzayo ahlukanise isinqe futhi asuse ikhanda lesinqe elonakele, alifake esikhundleni se-stem yensimbi.
Ukuhlinzwa Kokufaka Idolo Esikhundleni
Ijoyinti ledolo lifana ne-hinge evumela umlenze ukuthi ugobe futhi uqonde. Iziguli ngezinye izikhathi zikhetha ukushintshwa kwedolo lazo ngemva kokuba lilimele kakhulu yi-arthritis noma ukulimala kangangokuthi azikwazi ukwenza ukunyakaza okuyisisekelo njengokuhamba nokuhlala.lolu hlobo lokuhlinzwa, kusetshenziswa ijoyinti lokwenziwa elenziwe ngensimbi ne-polyethylene ukufaka esikhundleni seligulayo. Ijoyinti lokufakelwa lingafakwa endaweni yalo ngesamente yamathambo noma limbozwe ngezinto ezithuthukisiwe ezivumela izicubu zamathambo ukuba zikhulele kulo.
IUmtholampilo Ohlanganisiwe OpheleleKwaMidAmerica Orthopaedics bagxile kulezi zinhlobo zokuhlinzwa. Ithimba elingaphandle liqinisekisa ukuthi izinyathelo eziningana zenzeka ngaphambi kokuba kwenziwe inqubo enzima kangaka. Uchwepheshe wedolo uzoqala enze ukuhlolwa okuphelele okuhlanganisa nokuhlola imisipha yedolo lakho ngokusebenzisa izindlela ezahlukene zokuxilonga. Njengakwezinye izindlela zokuhlinzwa ezithathelwa indawo yijoyinti, isiguli nodokotela kumele bavumelane ngokuthi le nqubo iyindlela engcono kakhulu yokubuyisela ukusebenza kwedolo ngangokunokwenzeka.
Ukuhlinzwa Kokufaka Emahlombe
Njenge-hip joint,ukufaka esikhundleni sehlombekuhilela ijoyinti elinombobo kanye nesokhethi. Ijoyinti lehlombe lokwenziwa lingaba nezingxenye ezimbili noma ezintathu. Lokhu kungenxa yokuthi kunezindlela ezahlukene zokufaka esikhundleni ijoyinti lehlombe, kuye ngokuthi iyiphi ingxenye yehlombe okudingeka ilondolozwe:
1. Ingxenye ye-humeral yensimbi ifakwa ku-humerus (ithambo eliphakathi kwehlombe lakho nendololwane).
2. Ingxenye yekhanda le-humeral yensimbi ithatha indawo yekhanda le-humeral phezulu kwe-humerus.
3. Ingxenye yepulasitiki ye-glenoid ithatha indawo yobuso besokhethi ye-glenoid.
Izinqubo zokufaka esikhundleni zivame ukubuyisela ukusebenza kwamalunga kakhulu futhi zinciphise ubuhlungu ezigulini eziningi. Nakuba ukuphila okulindelekile kokufakwa esikhundleni kwamalunga okuvamile kunzima ukukuqagela, nokho akunamkhawulo. Ezinye iziguli zingazuza ekuthuthukisweni okuqhubekayo okwandisa isikhathi sokuphila sokufakelwa kwamalunga.
Akekho okufanele azizwe ephuthunyiswa esinqumweni sezokwelapha esingathi sína njengokuhlinzwa kokufakelwa amalunga. Odokotela abawine imiklomelo kanye nochwepheshe bokufakelwa amalunga kwaMidAmerica'sUmtholampilo Ohlanganisiwe Opheleleingakwazisa ngezinketho ezahlukene zokwelapha ezitholakalayo kuwe.Sivakashele ku-inthanethinoma ushayele ku-(708) 237-7200 ukuze wenze i-aphoyintimenti nomunye wochwepheshe bethu ukuze uqalise indlela yakho eya empilweni esebenzayo nengenabuhlungu.
VI. Kuthatha isikhathi esingakanani ukuhamba ngendlela evamile ngemva kokufakelwa idolo?
Iningi leziguli lingaqala ukuhamba ngenkathi lisesesibhedlela. Ukuhamba kusiza ukuletha izakhamzimba ezibalulekile edolweni lakho ukuze kukusize ululame futhi ululame. Ungalindela ukusebenzisa i-walker emasontweni ambalwa okuqala. Iningi leziguli lingazihambela zodwa cishe amasonto amane kuya kwayisishiyagalombili ngemva kokufakwa esikhundleni sedolo.
Isikhathi sokuthunyelwe: Novemba-08-2024
