Ngaba izigulane mazicebise ukuba ziphephe igalofu emva kokuguqula idolo?
Kukho izifundo ezimbalwa ebhaliweyo malunga nokubangela ukuphikisana ngakumbi kunokuba kuchaza izigulane eziguqulwe ngamadolo kufuneka zihlolisise ukuba ukudlala igalofu ngumsebenzi abafanele ukuwenza. Akufuneki ukuza kumangaliswa kum, njengoko ezininzi izigulane zamagosa ezithatha indawo ziguqulwe ngamagosa agqwesileyo kwaye zifuna ukubuyela kwikhosi ngokukhawuleza.
Ngoko kutheni iigulane zokuguqula amadolo zichaphazeleka ngegalufu?
Ukwenza Ukuguqulwa Knee Ukugqibela
Zomibini izigulane kunye noogqirha banomdla ekwenzeni nantoni na abanako ukukunceda ukuqinisekisa ukuba ukuguqula idolo kuya kuhlala ixesha elide kunokwenzeka . Ukuphucula ukucwangciswa kokuveliswa, ukuqinisekiswa ukuba ukufakwa endaweni kufakwe ngokufanelekileyo kwaye kulungelelaniswe, kwaye izigulane zokucebisa malunga nokuziphatha ziyakunceda ukufaka indawo yokugqibela ngokukhawuleza.
Ukugqibela kwezi ndlela zokunceda ukuguqula amadolo ekugqibeleni kukunika izigulane ulwazi olulungileyo olusemandleni ukuze kugqitywe idolo. Kukho imisebenzi ebeka ngaphezulu amandla kunye nokuxininisa ekutshintsheni kwamadolo, kwaye ngenxa yoko, oogqirha baya kuhlala becela izigulane ukuphepha kwimisebenzi yemidlalo efana nokusebenza nokuxhuma. Nangona kunjalo, akukho ninzi yedatha yokukhokela iingcomo apho imisebenzi ikulungele ukuphepha.
Unxineke kangakanani kwiimveliso?
Uphando lwenziwe iminyaka emininzi edlulileyo ukulinganisa ukuba zeziphi izinto ezibangela uxinzelelo olunzulu kwizimpembelelo zokuguqula amadolo.
Isigxina sezigulana ezazifuna ukuguqulwa kwamadolo onke ngenxa yokuba i-arthritis enamandla idolo yayifakwe izimpembelelo zokuguqula idolo. Ukufakwa ngaphakathi kwezi mpawu zixinzelelo zengcinezelo eziza kunika ulwazi oluchanileyo malunga nokuba iziphi iimplantshi zineempembelelo kunye neengcinezelo ezingavamile.
Uphononongo lufumene ukuba, njengokuba kukhankanywe, imisebenzi echaphazelekayo efana ne-bicycle eyimimiselo yayibeke uxinzelelo oluncinci kwiimpendulo zokuguqula amadolo. Ngakolunye uhlangothi, imisebenzi efana nokusebenza kunye ne-tennis ibeka uxinzelelo oluphezulu ngokucacileyo kwiimplants. Nangona kunjalo, kukho izinto ezintle: igorfu yabeka enye ingcinezelo ephezulu kwiimplantshi zokuguqula idolo. Ngokukodwa, ukuxhatshazwa kwamadolo ehamba phambili egugu lwegalufu kwakukho eminye imikhosi ephakamileyo.
Igalofu okanye Akukho Galulo?
Ngoko umbuzo uphakama: ukuba oogqirha bacebise izigulane zabo zokuguqula idolo ukuze bagwebe igalofu? Uya kufuneka uxoxe kunye nodokotela wakho ogqirhayo iziphakamiso ezithile, kodwa ndinokuqinisekisa ukuba abaninzi abagqirha abacebisi izigulane ukuphepha igalofu.
Injongo yam kukunika ulwazi, kwaye uncede izigulane zibeke kwindawo. Ngoko ke umgca wezantsi: sinolwazi oluncinane malunga nokuba yimiphi imisebenzi ebeka ingcinezelo enkulu kwiimplants, kodwa loo nkcazelo ibonisa igalofu ingaba ngumsebenzi okhokelela ekugqibeleni ngokukhawuleza ukumbathisa umxube ohlanganisiwe.
Oko kwathiwa, le nto yayiyincwadana encinane kakhulu, eyayijonga enye indawo yokuguqula idolo. Ukuphuculwa kwe-Knee substitution implantments kungakunceda ukujongana nale nkxalabo, kwaye ezinye iintlobo zezimpembelelo zinganceda izigulana ezifuna ukuthatha inxaxheba kwimisebenzi ebeka ingcinezelo ethile emadolweni.
Xa ndixubusha oko ndicinga ukuba izigulane zam zifanele zenze, ndiyabelana nabo ngolu cwaningo. Ndiyavuma kwakhona ukuba kukho iinzuzo zegalufa zokuzilolonga, ukunyusa umzimba, nokuphucula impilo yengqondo. Kungenzeka ukuba (kwaye kaninzi) kulungele umngcipheko wokungenisa ixesha elide lokugulisa izigulane zokuguqula idolo ukuze uthathe inxaxheba kule mi sebenzi ebenza bafumane impilo kunye novuyo.
Okukwintsusa
Njengoko kuthethwe, ukuchaza ukuba igalofu inokulimaza ukufakelwa kwamadolo okutshintshwa kwaba yinto enye yeengxelo eziphikisanayo endingazenzayo. Izigulane ezininzi zithumela i-imeyili ngokuchaza eli bango ngokuchaza ugqirha wabatshela ukuba bayakuglasi.
Ukuze ucacise, le ngcaciso ayitsho ukuba awukwazi ukugalufa, ithetha nje ukuba abo bazama ukuphepha iingcinezelo eziphezulu kwiimpembelelo zokuguqula amadolo kufuneka baphephe imisebenzi ethile.
Icala le-flip le ngxabano kukuba ukunyamezela kwizimpembelelo kunokunyuselwa kwindleko yesisindo. Igalofu ngumsebenzi ogcina abantu besenza. Ukuphuma ngaphandle, ukuhamba, nokujikeleza konke kukulungele izigulane zokuguqula amadolo. Ukuba igalofu encinci yinto egcina abantu behamba, ngoko ke ukuxinezeleka koxinzelelo kubalulekile.
Imithombo:
D'Lima DD, et al. I-Mark Coventry Award: e-vivo amabutho ngexesha lokuzonwabisa kunye nokuzivocavoca emva kweedolo arthroplasty "Clin Orthop Relat Res. 2008 Nov; 466 (11): 2605-11.