I-Total Knee Arthroplasty (TKA) yinkqubo yotyando esusa idolo lomguli onesifo esibi samalungu esiwohlokayo okanye isifo samalungu esivuvukalayo aze atshintshe isakhiwo samalungu esonakalisweyo nge-prosthesis yokwenziwa. Injongo yolu tyando kukunciphisa iintlungu, ukuphucula ukusebenza kwamalungu, nokubuyisela umgangatho wobomi bemihla ngemihla besigulana. Ngexesha lotyando, ugqirha ususa ithambo elonakeleyo kunye nezicubu ezithambileyo, aze abeke i-prosthesis yokwenziwa eyenziwe ngesinyithi neplastiki kwi-dolo ukuze axelise intshukumo yelungu eliqhelekileyo. Olu tyando ludla ngokuqwalaselwa kwiimeko zentlungu enzima, intshukumo encinci, kunye nonyango olungasebenzi kakuhle, kwaye lujoliswe ekuncedeni izigulana ukubuyisela ukusebenza kwamalungu okuqhelekileyo kunye nomgangatho wobomi.
1. Yintoni utyando lokutshintsha idolo?
Utyando lokutshintsha idolo, olukwaziwa ngokuba yi-knee resurfacing, yindlela yotyando esetyenziselwa ukunyanga izifo ezinzulu zamalungu edolo. Olu tyando lwenziwa ngokususa iindawo ezonakeleyo zamalungu edolo, ezifana neendawo ezivulekileyo ze-distal femur kunye ne-proximal tibia, kwaye ngamanye amaxesha umphezulu we-patellar, uze ufake ii-prostheses zokufakelwa ukuze zithathe indawo yezi ndawo zonakeleyo, ngaloo ndlela zibuyisela uzinzo kunye nobubanzi bokuhamba kwelungu.
Izizathu zokwenzakala kwamalungu edolo zingabandakanya i-osteoarthritis, i-rheumatoid arthritis, i-traumatic arthritis, njl. Xa ezi zifo zibangela iintlungu ezinzulu zamadolo, intshukumo encinci, ukukhubazeka kwamalungu, kunye nonyango oluhlala lusebenza lungaphumeleli, utyando lokutshintshwa kwamadolo luba lunyango olusebenzayo.
Inkqubo yotyando idla ngokubandakanya la manyathelo alandelayo: Okokuqala, yenza utyando olude oluphakathi komgca ophakathi kwidolo ukuze uveze idolo; emva koko, sebenzisa izixhobo zokwenza i-positioning drilling kunye ne-osteotomy kwisiphelo esisezantsi se-femur kunye nesiphelo esiphezulu se-tibia; emva koko, linganisa kwaye ufake i-artificial joint prosthesis efanelekileyo, kubandakanya i-femoral pad, i-tibial pad, i-meniscus kunye ne-patellar prosthesis; ekugqibeleni, gquma izicubu ezingaphantsi komgca kunye nolusu ukuze ugqibezele utyando.
Isiphumo sotyando lokutshintshwa kwedolo sidla ngokuba sibalulekileyo, nto leyo enokuphelisa iintlungu ngempumelelo, iphucule ukusebenza kwamalungu, kwaye iphucule umgangatho wobomi besigulana. Nangona kunjalo, utyando lukwanazo neengozi ezithile, ezinje ngosulelo, i-thrombosis, iingozi ze-anesthesia, iingxaki zotyando, ukukhululeka okanye ukungaphumeleli kwe-prosthesis, njl.
Ngoko ke, ngaphambi kotyando, izigulana kufuneka zenze uvavanyo olupheleleyo, zinxibelelane ngokupheleleyo nogqirha, ziqonde iingozi kunye nemiphumo yotyando, kwaye zilandele icebiso likagqirha lokulungiselela ngaphambi kotyando kunye nokuvuselelwa emva kotyando.
Ngokubanzi, utyando lokutshintsha idolo yindlela evuthiweyo nesebenzayo yokunyanga izifo ezinzulu zedolo, ezinokuzisa ithemba elitsha namathuba okuphucula ubomi babaguli.
2. Zeziphi izixhobo ezisetyenziswayo xa kutyandwa idolo?
Izixhobo zotyando ziquka i-screwdriver yehexagon, i-tibial test mold, i-thickness test mold, isixhobo sokulinganisa i-tibial, i-patellar chute osteotome, i-slider, i-tibial extramedullary locator, i-ruler, i-femoral osteotomy test mold extractor, i-anesthetic, i-intramedullary locating rod, i-opening cone, i-tibial extramedullary force line rod, i-sliding hammer, i-bone rasp, i-cancellous bone depressor, i-tightener, i-tibial test mold depressor, isikhokelo, i-extractor kunye nebhokisi yezixhobo.
3. Lingakanani ixesha lokuchacha lotyando lokutshintshwa kwedolo?
Ugqirha wakho uza kukunika imiyalelo ethile yokuhlamba. Izititshi okanye izikhonkwane zotyando ziya kususwa ngexesha lotyelelo olulandelayo eofisini.
Ukuze unciphise ukudumba, unokucelwa ukuba uphakamise umlenze wakho okanye ufake umkhenkce edolweni.
Sela isithomalalisi sentlungu xa uziva ubuhlungu njengoko ugqirha wakho ekucebisile. I-aspirin okanye amanye amayeza entlungu anokunyusa amathuba okopha. Qiniseka ukuba uthatha amayeza acetyisiweyo kuphela.
Yazisa ugqirha wakho ukuba axele nayiphi na kwezi zilandelayo:
1. Umkhuhlane
2. Ububomvu, ukudumba, ukopha, okanye eminye imibhobho yamanzi esuka kwindawo yokusikwa
3.Intlungu eyandayo ejikeleze indawo yokusikwa
Ungaqhubeka nokutya kwakho okuqhelekileyo ngaphandle kokuba ugqirha wakho akunike iingcebiso ezahlukeneyo.
Akufanele uqhube ude ugqirha wakho akuxelele ukuba wenze njalo. Kusenokusebenza eminye imiqathango yokusebenza. Ukuchacha ngokupheleleyo emva kotyando kungathatha iinyanga ezininzi.
Kubalulekile ukuba uphephe ukuwa emva kotyando lwakho lokutshintshwa kwedolo, kuba ukuwa kunokubangela umonakalo kwilungu elitsha. Ugqirha wakho angacebisa isixhobo sokuncedisa (intonga okanye i-walker) ukukunceda uhambe de amandla akho kunye nokulinganisela kuphucuke.
Ixesha leposi: Jan-06-2025
