I-Arthroplasty yinkqubo yotyando yokutshintsha inxalenye okanye yonke ilungu. Ababoneleli ngeenkonzo zonyango bakwabiza ngokuba lutyando lokutshintsha ilungu okanye ukutshintshwa kwamalungu. Ugqirha uza kususa iindawo ezigugileyo okanye ezonakeleyo zelungu lakho lendalo aze azitshintshe ngelungu elenziweyo (i-prosthesis) elenziwe ngesinyithi, iplastiki okanye i-ceramic.
Ukutshintshwa kwamalungu e-I.S. lutyando olukhulu?
I-Arthroplasty, eyaziwa ngokuba kukutshintshwa kwamalungu, lutyando olukhulu apho kufakelwa khona ijoyinti yokwenziwa ukuze kufakwe ijoyinti elonakeleyo esele ikho. I-prosthesis yenziwe ngomxube wesinyithi, i-ceramic, kunye neplastiki. Ngokwesiqhelo, ugqirha wamathambo uya kuthatha indawo yejoyinti yonke, ebizwa ngokuba yi-total joint replacement.
Ukuba idolo lakho lonakele kakhulu yi-arthritis okanye ukwenzakala, kunokuba nzima kuwe ukwenza imisebenzi elula, njengokuhamba okanye ukunyuka izinyuko. Usenokuqala nokuva iintlungu ngelixa uhleli okanye ulele phantsi.
Ukuba unyango olungelulo utyando olufana namayeza kunye nokusebenzisa izixhobo zokuhamba alusancedi, ungacinga ngotyando lokutshintshwa kwedolo ngokupheleleyo. Utyando lokutshintshwa kwamalungu luyinkqubo ekhuselekileyo nesebenzayo yokunciphisa iintlungu, ukulungisa ukukhubazeka kwemilenze, kunye nokukunceda uqalise imisebenzi eqhelekileyo.
Utyando lokutshintshwa kwedolo lonke lwenziwa okokuqala ngo-1968. Ukususela ngoko, ukuphuculwa kwezixhobo zotyando kunye neendlela zokwenza utyando kuye kwandisa kakhulu ukusebenza kwalo. Ukutshintshwa kwedolo lonke yenye yezona nkqubo ziphumelele kakhulu kuzo zonke iindlela zonyango. Ngokutsho kwe-American Academy of Orthopaedic Surgeons, kwenziwa ukutshintshwa kwedolo lilonke okungaphezulu kwama-700,000 minyaka le e-US.
Nokuba usandul’ ukuqala ukuphonononga iindlela zonyango okanye sele ugqibe ekubeni wenze utyando lokutshintsha idolo ngokupheleleyo, eli nqaku liza kukunceda uqonde ngakumbi ngale nkqubo ixabisekileyo.
II. Kuthatha ixesha elingakanani ukuchacha emva kotyando lokutshintshwa kwamalungu?
Ngokwesiqhelo kuthatha malunga nonyaka ukuchacha ngokupheleleyo emva kokufakelwa idolo. Kodwa kufuneka ukwazi ukuqhubeka nemisebenzi yakho eqhelekileyo emva kweeveki ezintandathu emva kotyando. Ixesha lakho lokuchacha liya kuxhomekeka kwizinto ezininzi, kuquka: Inqanaba lomsebenzi wakho ngaphambi kotyando
Ukubuyela esiqhelweni kwexesha elifutshane
Ukuchacha okwethutyana kubandakanya amanqanaba okuqala okuchacha, njengokukwazi ukuphuma ebhedini yesibhedlele uze ukhutshwe esibhedlele. Ngosuku loku-1 okanye lwesibini, uninzi lwezigulane ezifakelwe amadolo zinikwa isixhobo sokuhamba ukuze sizinzise. Ngosuku lwesithathu emva kotyando, uninzi lwezigulane lunokubuyela ekhaya. Ukuchacha okwethutyana kuquka ukuphuma kwiintlungu ezinkulu kunye nokulala ubusuku bonke ngaphandle kweepilisi. Xa isigulane singasadingi zixhobo zokuncedisa ukuhamba kwaye sinokuhambahamba endlwini ngaphandle kweentlungu-ukongeza ekubeni sikwazi ukuhamba iibhloko ezimbini sijikeleza indlu ngaphandle kweentlungu okanye ukuphumla-zonke ezi zinto zithathwa njengeempawu zokuchacha okwethutyana. Ixesha eliqhelekileyo lokuchacha okwethutyana lokutshintshwa kwamadolo limalunga neeveki ezili-12.
Ukubuyela esiqhelweni ixesha elide
Ukuchacha ixesha elide kubandakanya ukuphiliswa ngokupheleleyo kwamanxeba otyando kunye nezicubu ezithambileyo zangaphakathi. Xa isigulana sinokubuyela emsebenzini kunye nemisebenzi yemihla ngemihla, sisendleleni eya ekufezekiseni ixesha elipheleleyo lokuchacha. Esinye isibonakaliso kukuba xa isigulana ekugqibeleni siziva siphilile kwakhona. Ukuchacha okuqhelekileyo kwexesha elide kwizigulane ezitshintshiweyo ngamadolo zizonke kuphakathi kweenyanga ezi-3 nezi-6. UGqr. Ian C. Clarke, umphandi wezonyango kunye nomsunguli wePeterson Tribology Laboratory yokutshintshwa kwamalungu kwiYunivesithi yaseLoma Linda, ubhala athi, “Oogqirha bethu bacinga ukuba izigulana ‘zichacha’ xa imeko yazo yangoku iphucukile kakhulu ngaphaya kwenqanaba lentlungu yazo yangaphambi kotyando kunye nokungasebenzi kakuhle kwazo.”
Kukho izinto ezininzi ezinegalelo kwixesha lokuchacha. UJosephine Fox, uMlawuli oPhambili weForam yokutshintshwa kwamadolo eBoneSmart.org kunye nomongikazi oneminyaka engaphezu kwamashumi amahlanu, uthi isimo sengqondo esihle yinto yonke. Izigulana kufuneka zilungele umsebenzi okhutheleyo, iintlungu ezithile kunye nolindelo lokuba ikamva liza kuba lihle. Ukufikelela kulwazi malunga notyando lokutshintshwa kwamadolo kunye nenethiwekhi yenkxaso eqinileyo nako kubalulekile ekuchacheni. UJosephine ubhala athi, "Iingxaki ezininzi ezincinci okanye ezinkulu zivela ngexesha lokuchacha, ukusuka kwiqhubu elikufutshane nenxeba ukuya kwintlungu engalindelekanga nengaqhelekanga. Kule mihla kulungile ukuba nenethiwekhi yenkxaso onokuya kuyo kwaye ufumane ingxelo ngexesha elifanelekileyo. Kusenokwenzeka ukuba kukho umntu oye wahlangabezana nemeko efanayo okanye efanayo kwaye 'ingcali' nayo iya kuba nelizwi."
III. Yeyiphi indlela yokufakelwa amalungu ejoyinti eqhelekileyo?
Ukuba unentlungu enkulu okanye ukuqina kwamalungu - Utyando Lokutshintshwa Kwamalungu Apheleleyo lunokuba lolwakho. Amadolo, izinqe, amaqatha, amagxa, izihlakala, kunye neengqiniba zonke zinokutshintshwa. Nangona kunjalo, ukutshintshwa kwesinqe nedolo kuthathwa njengezona zixhaphakileyo.
Ukutshintshwa kweDiski yokwenziwa
Malunga nesibhozo ekhulwini labantu abadala banesifo sokuqhubeka okanyeintlungu engapheliyo yomqolooko kuthintela amandla abo okwenza imisebenzi yemihla ngemihla. Ukutshintshwa kweediski zokwenziwa kudla ngokuba lukhetho kwizigulana ezinesifo sediski esonzakalayo esisemqolo (DDD) okanye idiski eyonakeleyo kakhulu ebangela loo ntlungu. Kutyando lokutshintshwa kweediski, iidiski ezonakeleyo zitshintshwa zezokwenziwa ukuze kuncitshiswe iintlungu kwaye kuqiniswe umqolo. Ngokwesiqhelo, zenziwe ngeqokobhe langaphandle lesinyithi elingaphakathi kweplastiki yodidi lwezonyango.
Le yenye yeendlela ezininzi zotyando kubantu abaneengxaki ezinkulu zomqolo. Inkqubo entsha, ukutshintshwa kwediski ye-lumbar isenokuba yindlela eyahlukileyo kunotyando lwe-fusion kwaye idla ngokuqwalaselwa xa amayeza kunye nonyango lomzimba lungasebenzi.
Utyando Lokutshintshwa Kwesinqe
Ukuba uneentlungu eziqatha zesinqe kwaye iindlela ezingasebenzisi utyando aziphumelelanga ekulawuleni iimpawu zakho, usenokuba ngumntu oza kufakelwa isinqe endaweni yaso. Isinqe sifana nebhola kunye nesokhethi, kuba isiphelo esijikelezileyo sethambo elinye sihlala emngxunyeni welinye, nto leyo evumela intshukumo yokujikeleza. I-Osteoarthritis, i-rheumatoid arthritis, kunye nokwenzakala ngequbuliso okanye okuphindaphindiweyo zonke zizizathu eziqhelekileyo zentlungu engapheliyo enokupheliswa kuphela ngotyando.
Aukutshintsha isinqe(“i-hip arthroplasty”) ibandakanya ukutshintsha i-femur (intloko yethambo lethanga) kunye ne-acetabulum (isokhethi yesinqe). Ngokwesiqhelo, ibhola yokwenziwa kunye nesiqu zenziwe ngesinyithi esomeleleyo kunye nesokhethi yokwenziwa eyenziwe nge-polyethylene - iplastiki eqinileyo, engagugiyo. Olu tyando lufuna ukuba ugqirha otyandayo akhuphe isinqe aze asuse intloko ye-femoral eyonakeleyo, ayitshintshe nge-stem yesinyithi.
Utyando Lokutshintsha Idolo
Idolo lifana ne-hinge evumela umlenze ukuba ugobe kwaye uqonde. Izigulana ngamanye amaxesha zikhetha ukutshintshwa kwedolo lazo emva kokuba lonakaliswe kakhulu yi-arthritis okanye ukwenzakala kangangokuba azikwazi ukwenza iintshukumo eziqhelekileyo njengokuhamba nokuhlala.olu hlobo lotyando, kusetyenziswa ijoyinti eyenziweyo eyenziwe ngesinyithi kunye ne-polyethylene ukuthatha indawo yeyogulayo. Ijoyinti yokufakelwa ingaqhotyoshelwa endaweni yayo ngesamente yethambo okanye igqunywe ngezinto eziphucukileyo ezivumela izicubu zethambo ukuba zikhulele kuyo.
IIkliniki Edibeneyo EpheleleyoKwi-MidAmerica Orthopaedics, ingcali kwezi ntlobo zotyando. Iqela langaphandle liqinisekisa ukuba kukho amanyathelo aliqela ayenzekayo ngaphambi kokuba kwenziwe inkqubo enzima kangaka. Ingcali yedolo iya kuqala yenze uvavanyo olucokisekileyo oluquka ukuvavanya imisipha yedolo lakho ngeendlela ezahlukeneyo zokuxilonga. Njengakwezinye iindlela zotyando zokutshintshwa kwamalungu, isigulana kunye nogqirha kufuneka bavumelane ukuba le nkqubo yeyona ndlela ilungileyo yokubuyisela ukusebenza kwedolo kangangoko kunokwenzeka.
Utyando Lokutshintshwa Kwamagxa
Njengelungu lesinqe,ukutshintshwa kwegxalabaibandakanya i-ball-and-socket joint. I-automatic shoulder joint inokuba namacandelo amabini okanye amathathu. Oku kungenxa yokuba kukho iindlela ezahlukeneyo zokutshintshwa kwe-shoulder joint, kuxhomekeke ekubeni leliphi i-shoulder part ekufuneka igcinwe:
1. Inxalenye ye-humeral yesinyithi ifakwa kwi-humerus (ithambo eliphakathi kwegxalaba lakho kunye nengqiniba).
2. Inxalenye yentloko ye-humeral yesinyithi ithatha indawo yentloko ye-humeral ephezulu kwi-humerus.
3.Icandelo leplastiki le-glenoid lithatha indawo yomphezulu wesokhethi ye-glenoid.
Iinkqubo zokutshintshwa kwelungu zivame ukubuyisela ukusebenza kwamalungu ngokubonakalayo kwaye zinciphise iintlungu kwizigulane ezininzi. Nangona ubomi obulindelekileyo bokutshintshwa kwamalungu aqhelekileyo kunzima ukubuqikelela, nangona kunjalo, akunamda. Ezinye izigulana zinokuzuza kwiinkqubela phambili eziqhubekayo ezandisa ubomi belungu.
Akukho mntu ufanele azive engxanyiselwe ukwenza isigqibo esinzulu sezonyango njengotyando lokutshintshwa kwamalungu. Oogqirha abaphumelele amabhaso kunye neengcali zokutshintshwa kwamalungu eMidAmerica'sIkliniki Edibeneyo Epheleleyoingakwazisa ngeendlela ezahlukeneyo zonyango ezikhoyo kuwe.Sityelele kwi-intanethiokanye utsalele umnxeba ku-(708) 237-7200 ukuze wenze idinga nomnye weengcali zethu ukuze uqalise indlela yakho eya kubomi obusebenzayo nobungenazintlungu.
VI. Kuthatha ixesha elingakanani ukuhamba ngokuqhelekileyo emva kokufakelwa idolo?
Uninzi lwezigulane lungaqala ukuhamba ngelixa lusasesibhedlele. Ukuhamba kunceda ukuhambisa izondlo ezibalulekileyo edolweni lakho ukuze zikuncede uphile kwaye uphile. Ungalindela ukusebenzisa isixhobo sokuhamba kwiiveki ezimbalwa zokuqala. Uninzi lwezigulane zinokuhamba zodwa malunga neeveki ezine ukuya kwezisibhozo emva kokutshintshwa kwedolo.
Ixesha leposi: Novemba-08-2024
