Utyando lokutshintshwa kwesohlwayo lonyango lwe- arthritis ephezulu yesigxina se-hip . Izigulane ezenza ukukhwabanisa ukutshintshwa kwendawo kufuneka ziqonde ukuba kukho utshintsho oluthile oluya kulungelelanisa nabo bonke ubomi babo. I-trade-off yezigulane kukuba baya kuba nokunyuka okukhulu kwiintlungu zokukhubazeka nokukhubazeka.
Emva kokutyunjwa kwe-hip esikhundleni, izigulane zinokuthi zithintele imisebenzi ethile ekuthintela iingxaki ngokufakelwa kwe-hip esikhundleni .
Ixhalaba kukuba ukufakelwa kweempembelelo zokutshintshwa kwezinto ezingafaniyo akuzinzileyo njengeziqhelo eziqhelekileyo ze-hip. Oku kuthetha ukuba kungenzeka ukuba ibhola ye-ball-and-socket ishintshe indawo yokutshintsha. Kukho iindlela ezitsha zokumisela indawo, ukubizwa ngokuba yi -hip replacement , kunye nezinye iindlela zokutshintshwa kwezinto ezinokutsha ezinokuthi zinciphise ithuba lokutshintshwa. Ugqirha wakho unokukuxelela ukuba ufuna ukuba uthathe amanyathelo okukhusela ukukhutshwa kwe-hip.
Ukuze kuthintela ithuba lokutshintshwa kwe- hip esikhundleni sokutshintshwa , izikhundla ezithile kufuneka zigwenywe. Ezi zikhundla zibeka ukufakwa kwimeko apho ukutshintshwa kwendawo kunokwenzeka. Ezi zithintelo ziyaziwa ngokuthi "izicwangciso zokuqapha."
Ziziphi izikhundla ezifanele zigwenywe?
- Ukuwela imilenze
Akufanele uwele imilenze yakho emva kokuhlinzwa okutshintshiselwayo. Xa ubeka iisokisi kunye nezihlangu, akufanele uwele imilenze yakho ukuzisa unyawo lwakho emzimbeni wakho. Umgqirha wakho uya kukufundisa ngendlela yokuphepha egqoke. Akufanele ulale ngecala lakho ude ufundiswe ngugqirha wakho. Abanye oogqirha banokuthi ulale kunye nomlotha phakathi kwemilenze yakho ukuze ubaphephe ukuwela.
- Ukuguqa phambili
Kubalulekile ukuba ungaguquli umlenze wakho ngaphezu kwama-90 degrees. Ngokuqhelekileyo, ukuba idolo lakho lingaphantsi kwe- joint hip , uhlala kwindawo ephephile. Iingxaki zenzeka ngezihlalo ezinzulu okanye izihlalo eziphantsi (ezifana nezindlu zangasese).
Kubalulekile ukuba usebenze kunye nodokotela wakho wezonyango kunye nomsebenzi wezobuchwephesha ukuze ufunde iindlela ezifanelekileyo zokugqoka, uhlale phantsi, uhambe, wenze enye imisebenzi yesiqhelo.
Iyintoni ingxaki ngalezi zikhundla?
Njengoko kuchazwe ngasentla, ukufakelwa kwendawo yokutshintshwa kwe-hip akuyizinzile njengento eqhelekileyo ye-hip. Ukuba ukutshintshwa kwe-hip substitution kwenzeka, ukufakelwa kwe-hip kufuneka kubuyiselwe endaweni. Oku kunokwenziwa rhoqo kwigumbi lokuxakeka, kodwa kunokufuna utyando olongezelelweyo. Ukongezelela, ukuchithwa kwendawo yokutshintshwa kwendawo kungonakalisa ukuveliswa kunye nokunciphisa amathuba okuphumelela emva kokuhlinzwa okutshintshwayo.
Njengokuba izimpembelelo zokufakelwa kwe-hip zitshintshile ngokuhamba kwexesha, kwaye iinkqubo zokuphucula ziye zaphuhliswa kwaye zacocwa, izilumkiso emva kokuhlinzwa okutshintshiselwayo kwenyango ziye zatshintsha. Akunjalo wonke ugqirha osebenzisa izicwangciso ezifanayo - abanye bakhetha ukuthintela okubalulekileyo, ngelixa abanye bangavumela imisebenzi eminye. Kubalulekile ukuba uxoxe kunye nodokotela wakho ugqirha iziphakamiso ezithile kwiimeko zakho njengoko kunokukho izizathu zokuba ufuna enye (okanye ngaphantsi) izithintelo zokuthintela.
ILizwi
Iingxaki ezivela kwi-hip yokuhlinzwa ngokutsha ziqhelekanga, kwaye kukho amaxesha amaninzi anokuthathwa ukuthintela ezi zinto ukuba zenzeke. Ukuchithwa kwesinye esinye sezona nkxalabo malunga neengxaki. Ngokuqhelekileyo, ukunqumla kwiindawo ezithile, nokufunda ukuphepha ezi zikhundla kunokukunceda ukukhusela ingxaki.
Ngethamsanqa, oogqirha babonakala bekwazi ukunciphisa le mngcipheko wokuhlinzwa, kwaye izimpembelelo ezitsha zinganciphisa amathuba okuchithwa kwe-hip. Oko kwathiwa, zonke izigulane zifanele zixubushe iingcango zabo kunye nodokotela wabo ogqirha emva kokuba zitshintshwe.
Imithombo:
> Yu S, Garvin KL, Healy WL, Pellegrini VD Jr, Iorio R. "Ukukhusela i-Readmissions yeziBhedlele kunye nokuLungisa iiNkcitho eziHlanganisiweyo kunye ne-Total Joint Arthroplasty" J Am Acad Orthop Surg. 2015 Nov; 23 (11): e60-71.