I-Arthroplasty yinkqubo yotyando yokutshintsha enye okanye yonke into edibeneyo. Ababoneleli bezempilo bakwalubiza ngokuba lutyando oludibeneyo lokutshintshwa okanye ukutshintshwa ngokudibeneyo. Ugqirha wotyando uya kususa iindawo ezigugileyo okanye ezonakeleyo zelungu lakho lendalo kwaye endaweni yazo lifake ilungu elenziwe ngentsimbi, iplastiki okanye i-ceramic.
I.ls joint replacement utyando olukhulu?
I-Arthroplasty, ekwabizwa ngokuba yi-joint replacement, lutyando olukhulu apho ijoyinti eyenziweyo ifakwe endaweni yejoyinti esele yonakele. Iprosthesis yenziwe ngendibaniselwano yentsimbi, i-ceramic, kunye neplastiki. Ngokuqhelekileyo, ugqirha wamathambo uya kuthatha indawo yelungu lonke, elibizwa ngokuba yi- total joint replacement .
Ukuba idolo lakho lonakaliswe kakhulu yi-arthritis okanye ukulimala, kunokuba nzima kuwe ukwenza imisebenzi elula, njengokuhamba okanye ukunyuka izitebhisi. Usenokude uqalise ukuva iintlungu ngoxa uhleli okanye ungqengqile.
Ukuba unyango olungenatyando olufana namayeza kunye nokusetyenziswa koxhaso lokuhamba aluseyoncedo, unokufuna ukuqwalasela utyando lokubuyisela idolo ngokupheleleyo. Utyando lokutshintshwa ngokudibeneyo yinkqubo ekhuselekileyo nesebenzayo yokuthomalalisa iintlungu, ukulungisa ukukhubazeka komlenze, kwaye kukuncede uqalise imisebenzi yesiqhelo.
Utyando olupheleleyo lokutshintshwa kwamadolo lwenziwa okokuqala kwi-1968. Ukususela ngoko, ukuphuculwa kwezinto zokuhlinzwa kunye nobuchule kuye kwandisa kakhulu ukusebenza kwayo. Ukutshintshwa kwedolo ngokupheleleyo ngenye yeenkqubo eziphumelele kakhulu kuzo zonke iyeza. Ngokutsho kwe-American Academy of Orthopedic Surgeons, ngaphezu kwe-700,000 yokutshintshwa kwamadolo ewonke kwenziwa ngonyaka e-US.
Nokuba usanda kuqalisa ukuhlola iindlela zonyango okanye sele ugqibe ekubeni wenze utyando lokutshintshwa kwamadolo, eli nqaku liza kukunceda uqonde ngakumbi ngale nkqubo ixabisekileyo.
II.Kuthatha ixesha elingakanani ukuchacha kuqhaqho lokubuyisela amalungu?
Kudla ngokuthatha unyaka wonke ukuchacha ngokupheleleyo emva kokutshintshwa kwedolo. Kodwa kufuneka ukwazi ukuqalisa kwakhona uninzi lwemisebenzi yakho yesiqhelo kwiiveki ezintandathu emva kotyando. Ixesha lakho lokuchacha liya kuxhomekeka kwizinto ezininzi, kubandakanywa zakho: Inqanaba lomsebenzi phambi kotyando
Ixesha elifutshane lokuBuyisa
Ukubuyiselwa kwexesha elifutshane kubandakanya amanqanaba okuqala okubuyisela, njengokukwazi ukuphuma esibhedlele esibhedlele kwaye ukhululwe esibhedlele. Ngeentsuku ze-1 okanye i-2, uninzi lwezigulane ezitshintshileyo zamadolo zinikwa umntu ohambahambayo ukuzinzisa. Ngosuku lwesithathu emva kotyando, izigulane ezininzi zinokugoduka. Ukuchacha kwexesha elifutshane kukwaquka ukuphuma kwizibulali-ntlungu ezinkulu kunye nokulala ubusuku bonke ngaphandle kweepilisi. Xa isigulana singasafuni izixhobo zokuhamba kwaye sinokuhambahamba endlwini ngaphandle kweentlungu-ngaphezu kokukwazi ukuhamba iibhloko ezimbini endlwini ngaphandle kweentlungu okanye ukuphumla-zonke ezi zithathwa njengezibonakaliso zokuchacha kwexesha elifutshane. Ixesha eliqhelekileyo lokubuyisela ixesha elifutshane lokutshintshwa kwedolo elipheleleyo malunga neeveki ze-12.
Ixesha elide lokuBuyisa
Ukubuyiselwa kwexesha elide kubandakanya ukuphiliswa ngokupheleleyo kwamanxeba otyando kunye nezicubu ezithambileyo zangaphakathi. Xa isigulane sinokubuyela emsebenzini kunye nemisebenzi yokuphila kwansuku zonke, basendleleni yokufezekisa ixesha elipheleleyo lokubuyisela. Esinye isalathisi xa isigulane ekugqibeleni siziva siqhelekileyo kwakhona. Umyinge wokubuyisela ixesha elide kwizigulane ezitshintshiweyo zamadolo zizonke ziphakathi kwe-3 kunye neenyanga ze-6. UGqr. Ian C. Clarke, umphengululi wezonyango kunye nomseki wePeterson Tribology Laboratory ukuze kufakwe indawo edibeneyo kwiYunivesithi yaseLoma Linda, ubhala athi, “Oogqirha bethu botyando bacinga ukuba abaguli baye ‘bachacha’ xa imeko yabo yangoku iye yaphucuka kakhulu ngaphaya kwenqanaba leentlungu ze-arthritic zangaphambi kotyando kunye nokungasebenzi kakuhle.”
Kukho inani lezinto ezinegalelo ezichaphazela ixesha lokubuyisela. UJosephine Fox, iBoneSmart.org yokutshintsha idolo loMlawuli oyiNkokheli kunye nomongikazi oneminyaka engaphezu kwamashumi amahlanu, uthi isimo sengqondo esilungileyo siyinto yonke. Izigulane kufuneka zilungele umsebenzi wenkuthalo, intlungu ethile kunye nokulindela ukuba ikusasa liya kuqaqamba. Ukufikelela kulwazi malunga notyando lokutshintshwa kwamadolo kunye nenethiwekhi yenkxaso eyomeleleyo nayo ibalulekile ekubuyiseleni. UJosephine ubhala athi, “Iingxaki ezininzi ezincinane okanye ezinkulu ziye zivele ngexesha lokuchacha, ukusuka kwiqhakuva elikufutshane nenxeba ukuya kwintlungu engalindelekanga nengaqhelekanga.
III.Luluphi olona tyando luqhelekileyo lokubuyisela amalungu?
Ukuba uneentlungu ezibuhlungu ezidibeneyo okanye ukuqina - Utyando oluBuyelo lweJoyino loTshintsho lunokuba lolwakho. Amadolo, isinqe, amaqatha, amagxa, izihlahla, iingqiniba zonke zinokutshintshwa. Nangona kunjalo, ukutshintshwa kwe-hip kunye namadolo kuthathwa njengento eqhelekileyo.
Ukutshintshwa kweDiskhi eyenziweyo
Malunga neepesenti ezisibhozo abantu abadala amava ezingisa okanyeiintlungu ezingapheliyo zomqolooko kuthintela amandla abo okwenza imisebenzi yemihla ngemihla. Ukutshintshwa kwediski ye-Artificial idla ngokukhetha izigulane ezine-lumbar degenerative disc disease (DDD) okanye i-disc eyonakaliswe kakhulu eyenza loo ntlungu. Kwi-disc yokutshintshwa kotyando, iidiski ezonakalisiweyo zitshintshwa zifakelweyo zokunciphisa intlungu kunye nokuqinisa umqolo. Ngokuqhelekileyo, zenziwe ngegobolondo langaphandle lentsimbi kunye neplastiki yeklasi yezonyango.
Le yenye yeenketho ezininzi zotyando kubantu abanengxaki yomqolo onzima. Inkqubo entsha, i-lumbar disc replacement inokuba yenye indlela yotyando lwe-fusion kwaye ihlala iqwalaselwa xa amayeza kunye nonyango lomzimba lungasebenzi.
Uqhaqho loTshintsho lwe-Hip
Ukuba ubandezeleka ngenxa yeentlungu ezibuhlungu ze-hip kunye neendlela ezingezizo zokuhlinzwa azange ziphumelele ekulawuleni iimpawu zakho, unokuba ngumviwa wokuhlinzwa ngokutshintshwa kwe-hip. Umdibaniso we-hip ufana nebhola-kunye ne-socket, ekubeni isiphelo esijikelezileyo sethambo elinye sihlala kwisigxina somnye, sivumela ukunyakaza okujikelezayo. I-osteoarthritis, isifo samathambo, kunye nokwenzakala ngequbuliso okanye okuphindaphindiweyo zizo zonke izizathu eziqhelekileyo zeentlungu eziqhubekayo ezinokupheliswa kuphela ngotyando.
Aukutshintshwa kwe-hip("I-hip arthroplasty") ibandakanya ukutshintshwa kwe-femur (intloko yethanga) kunye ne-acetabulum (i-hip socket). Ngokuqhelekileyo, ibhola eyenziweyo kunye nesiqu zenziwe ngetsimbi eyomeleleyo kunye nesiseko sokwenziwa kwe-polyethylene - iplastiki ehlala ihleli, enqabileyo. Lo msebenzi ufuna ukuba ugqirha akhuphe i-hip kwaye asuse intloko ye-femoral eyonakalisiweyo, ithathe indawo yentsimbi yensimbi.
Uqhaqho lokuTshintsha idolo
Idolo elihlangeneyo lifana nehenjisi eyenza ukuba umlenze ugobe kwaye ume nkqo. Izigulane ngamanye amaxesha zikhetha ukuba idolo litshintshwe emva kokuba lonakaliswe kakhulu yi-arthritis okanye ukulimala kangangokuba azikwazi ukwenza iintshukumo ezisisiseko ezifana nokuhamba nokuhlala. Kwiolu hlobo lotyando, ikhonkco elenziwe ngentsimbi kunye ne-polyethylene lisetyenziselwa ukutshintshela umntu ogulayo. I-prosthesis inokuqiniswa kwindawo kunye nesamente yethambo okanye igqunywe ngezinto eziphuculweyo ezivumela izicubu zethambo ukuba zikhule kuyo.
IIyonke iklinikhi edibeneyoeMidAmerica Orthopedics igxile kwezi ntlobo zotyando. Iqela elingaphandle liqinisekisa ukuba amanyathelo amaninzi ayenzeka ngaphambi kokuba inkqubo enzima ngolo hlobo iqhubeke. Ingcali yamadolo iya kuqala ukuqhuba uviwo olunzulu olubandakanya ukuvavanya i-knee ligaments ngokusebenzisa iintlobo ezahlukeneyo zokuxilonga. Njengoko kunye nolunye utyando oludibeneyo, isigulane kunye nogqirha kufuneka bavumelane ukuba le nkqubo iyona ndlela ingcono kakhulu yokubuyisela ukusebenza kwamadolo kangangoko kunokwenzeka.
Uqhaqho loTshintsho lwamagxa
Njengomxube we-hip, aukutshintshwa kwamagxaibandakanya ibhola kunye nesokethi edibeneyo. Igxalaba elenziweyo linokuba namalungu amabini okanye amathathu. Oku kungenxa yokuba kukho iindlela ezahlukeneyo zokutshintshwa kwamagxa, kuxhomekeke ekubeni yeyiphi inxalenye yegxalaba ekufuneka igcinwe:
I-1.Icandelo le-metal humeral lifakwe kwi-humerus (ithambo phakathi kwegxalaba kunye ne-elbow).
I-2.Icandelo le-metal humeral head lithatha indawo yentloko ye-humeral phezulu kwi-humer.
3.Inxalenye yeplastiki yeglenoid ithatha indawo yomphezulu wesokethi yeglenoid.
Iinkqubo zokutshintshwa zivame ukubuyisela umsebenzi odibeneyo ngokuphawulekayo kunye nokunciphisa intlungu kwininzi yezigulane. Nangona ubomi obulindelekileyo bokutshintshwa kwezinto eziqhelekileyo kunzima ukuqikelela, akunasiphelo, nangona kunjalo. Ezinye izigulane zinokuzuza kwinkqubela phambili eqhubekayo eyandisa ubomi beprostheses.
Akukho mntu kufuneka azive engxanyelwe kwisigqibo esinzulu sonyango esinjengotyando lokubuyisela amalungu. Oogqirha abaphumelele ibhaso kunye neengcali ezidibeneyo ezibambeleyo eMidAmerica'sIyonke iklinikhi edibeneyoingakwazisa malunga neendlela ezahlukeneyo zonyango ezifumanekayo kuwe.Sityelele kwi-intanethiokanye ufowunele (708) 237-7200 ukwenza idinga nenye yeengcaphephe zethu ukuze uqalise kwindlela yakho eya kubomi obusebenzayo, obungenazintlungu.
VI. Kuthatha ixesha elingakanani ukuhamba ngokuqhelekileyo emva kokutshintshwa kwedolo?
Uninzi lwezigulane zinokuqala ukuhamba ngelixa zisesibhedlele. Ukuhamba kunceda ukuhambisa izondlo ezibalulekileyo edolweni lakho ukukunceda uphilise kwaye uphile. Unokulindela ukusebenzisa umntu ohambahambayo kwiiveki ezimbalwa zokuqala. Uninzi lwezigulana zinokuzihambela zodwa iiveki ezine ukuya kwezisibhozo emva kokutshintshwa kwamadolo.
Ixesha lokuposa: Nov-08-2024
