Yintoni enokuyilindela ngeveki ngeveki
Ukuba une-arthritis enamandla emadolweni okanye ngamadolo, unokufumana inzuzo yonyango ekuncedeni ukuphucula i-knee ye-motion ye-motion (ROM) kunye namandla. Ngamanye amaxesha intlungu, ukunyakaza okufutshane, kunye nokuhlutha okuhlangeneyo kunzima kakhulu, kwaye ukuhlinzwa kuyimfuneko ukubuyisela umsebenzi ofanelekileyo wodolo.
Utyando olusisigxina lokuguqula amadolo (TKR) lwenziwa ngokuqhelekileyo xa i-arthritis enamandla ibangela ubuhlungu emadolweni, ukunyuka okufutshane, kunye nobunzima obunzima ngokuhamba.
Ukuba unayo i-TKR okanye ulindele ukuba unako, unokufumana inzuzo yonyango emva kokuhlinzwa ukuze uncede uphinde uhambe ngokuqhelekileyo.
I-protocol ye-post-operative isilathiso esiqhelekileyo ukuba ugqirha wakho kunye nodokotela wezilwanyana angalandela ukuze uqinisekise ukuba uphumelela kakuhle emva kokuhlinzwa kwakho. I-protocol ye-TKR inikezela wena kunye nomzimba wakho wezobugcisa isakhelo malunga nokwakha inkqubo yakho yokubuyisela.
Ukuba ulindele ukuba utyando lwe-TKR, cela unogqirha wakho ukuba unemigaqo ethile yokulandelelana okumele uyilandele. Ukuba akunjalo, umguqirha wakho womzimba unokuncedisa ukuba uqonde oko ukulindele ngexesha lokuvuselela emva kokuhlinzwa kwakho kwe-TKR.
Usuku lwe-Post-Op 1-2
Xa uvuka emva kokuhlinzwa kwakho kwe-TKR, idolo lakho lingaba kwisixhobo esibizwa ngokuba ngumshini oqhubekayo wokunyakaza (CPM) . Lo mshini unceda ukuthoba ngokukhawuleza kwaye unciphise kwaye ugxilise idolo xa ulala embhedeni.
Kukho izicwangciso kulo matshini ukulungelelanisa inani leendwendwe ezenzeka emadolweni. Ugqirha wakho kunye nomzimba wenyama unokusebenza nawe ukuqinisekisa ukuba umatshini we-CPM usekwe ngokufanelekileyo.
Ngosuku lwakho lokuqala emva kokuhlinzwa kwakho kwe-TKR, unokutyelelwa ngumgulana wenyama esibhedlele . Uya kukunceda uhlale ebhedeni, phuma ebhedeni, uqale ukuhamba.
Ngokuqhelekileyo, umhamba- mgangatho oqhelekileyo okanye uhambahamba ngesondo usebenzisa isifo sokuncedisa ukubonelela ngenkxaso xa ufuna.
Ukunyamekela kwakho umgulana wenyama uya kukwazisa ukuba wenze iidlozi xa usebenzisa esibhedlele. Ezi zifundo zenzelwe ukukunceda ukuphucula idolo lakho eROM kunye namandla kwaye unokukunceda ukugcina amaqatha akho kunye neenqatha zokuhamba ukuze wenze ukuhamba kulula. Ukuzivocavoca okulula kufana nokupompa amaqaqa akho kunye nokucima iintsontsho zakho kunokuthintela igazi ekuhlanganiseni umzimba wakho. Oku kubalulekile ukukunceda ukukhusela imeko ebalulekileyo ebizwa ngokuba yi-vein thrombosis (DVT).
Injongo ephambili esibhedlele emva kokuba i-TKR ikwazi ukuzimela ngokuzimeleyo ukuze uhambe esibhedlele uye ekhaya. Oku kubandakanya ukukwazi ukuhamba ebhedeni, phuma ebhedini, kwaye uhambe. Ukuba unezitebhisi ekhaya lakho, kubalulekile ukuba ukwazi ukuhamba ngezitebhisi, kunye ne-PT yakho esibhedlele inokukunceda ukuba usebenze lo msebenzi.
Iveki yokuPhumela kweVeki 1-2
Emva kwezinsuku ezi-2 ukuya kwezi-3 esibhedlele, kufuneka uphuculise ukuhamba komsebenzi kwaye unokukhutshwa ekhaya lakho. Ewe, ukuba usasafuna ukunakekelwa ngononophelo okanye uncedo olusisiseko, ungasuswa kwisibonelelo sokuvuselela i-sub-acute.
Kulapho uza kuba nokugxininisa ngakumbi ekufumaneni ubude beendolo kunye nomandla ekugqibeleni ukuphucula umsebenzi wakho ngokwaneleyo ukuya ekhaya.
Ukulungiswa kwe-sub-acute kuqhubeka malunga neveki ezi-1 ukuya kwezi-2, kwaye usuku oluqhelekileyo luquka iiseshoni ezimbini zonyango. I-PT yakho iya kuqhubeka isebenza ekuphuculeni amandla akho emadolo neROM, kwaye unokuqhubeka nomshini we-CPM ukuba ugqirha wakho uvakalelwa ukuba kuyimfuneko.
Ukuba uyathunyelwa ekhaya esibhedlele, unokukhetha ukuba unonophelo lwamaziko emzimbeni wenyango uza endlwini yakho ukuze uphinde ubuyiselwe. Oku kuvame ukugcinwa kubantu abanokuba nexesha elinzima ukuhamba kwisibonelelo sonyango lokugula.
Ugxininiso lwonyango lwangaphakathi lomzimba lukwandisa ukuhamba kwakho okukhuselekileyo emsebenzini. Uya kuqhubeka usebenza kwiROM idolo kunye namandla. Ukuhamba ngokusebenzayo njengokuhamba kunye nokunyuka kwitepta kunokuba yinxalenye yonyango lakho lomzimba emva kweTKR.
Njengoko ugqirha lwakho lokugonywa luyaphilisa, umgulana wakho wenyama ungase uqale ukusilalisa umzimba kunye nokugqugquzela ukuphucula ukuhamba kwezinto zakho. Oku kunokukunceda ulusu kunye nezinye izicubu ezinqamle emadolweni zihamba kakuhle nangaphezulu ngokukhululekile.
Ukuba unako ukuhamba kwisibonelelo sonyango, unokuqala unyango lwangaphandle. Apha, umguqirha wakho wenyama uya kuqhubeka nokusebenza ekuphuculeni i-ROM idolo, kwaye kulindeleke ukuba ukwazi ukuguqa ngamadolo angama-90˚ ukuphela kweveki 2.
Iveki ye-OP-3-6
Ngeveki yesithathu emva kokuhlinzwa kwakho kwe-TKR, kufuneka usebenze kwisibonelelo sokhathala kwonyango. Uqeqesho oluninzi lwe-ROM luya kuqalwa, kwaye ukuguquka kwamadolo kuphucule ngokukhawuleza malunga ne-100-105˚ ekupheleni kweveki 6.
Abantu abaninzi banenzuzo ngokukhwela ibhasikidi emva kwe-TKR . Umgqirha wakho womzimba uya kunceda ukucacisa ukuphakama kwesihlalo esifanelekileyo. Musa ukumangaliswa ukuba awukwazi ukuhamba ngeenxa zonke xa uqala ukuhamba ngebhayisikili. Kancinci sebenzisa iipedali phambili nangemuva, kwaye njengoko i-ROM yakho iphucula kufuneka ukwazi ukuhamba ngebhayisikili ngokupheleleyo.
Kufuneka kube nokugxininiswa okuqhubekayo kwimisebenzi yokuqinisa emva kokuhlinzwa kwakho kwe-TKR, kunye ne-PT yakho iya kukufundisa ukuzisebenzisa ukuphucula amandla akho e-quadriceps, ama-hamstrings kunye ne-muscle ye-hip. Ukuqhubela phambili kokusebenzisa imilenze eqondileyo yokunyusa imilenze kungenziwa ngokufaka izitya ezisikiweyo kumlenze wakho osezantsi okanye kwintloko.
Ingcali yakho yomzimba inokufisa ukusebenzisa i- neuromuscular stimulation stimulation (NMES) ukukunceda ukuphucula ukusebenza kwe-muscular ye-quadriceps yakho. Le ndlela yokwelapha isinceda ukuthenga i-quadriceps muscle yakho kwaye uphucule ikhono lakho lokubambisana nale misipha ngokwakho.
Ngexesha le-3 ukuya kweleveki ye-post-op yeveki, umphathiswa wakho wenyama uza kukunceda uphucule amandla akho okuhamba. Unokukunceda ukuba uqhube phambili ekusebenziseni umhambahamba usebenzisa ii-Lofstrand, kwaye ekugqibeleni, ukusebenzisa umhonkco. Ekupheleni kweveki 6, usenokukwazi ukuhamba ngaphandle kwesixhobo sokuncedisa.
Ngeli xesha, umgulana wakho wenyama unokuqhubeka usebenzisa iqhwa ukukunceda ukulawula intlungu kunye nokuvuvukala okujikelezile. Ngamanye amaxesha ukuvuvuka kuqhubeka kwiiveki ezininzi emva kokuhlinzwa kwe-TKR.
Iveki ye-OP-7-8
Ngexesha leveki zokugqibela ze-post-operative TKR ukulungiswa, kufuneka usebenze kunye nomgulana wakho wenyama ukuze ukwandise ukuhamba kwakho kokusebenza. Ukuzivocavoca kufuneka kuqhubeke kugxininisa ekufumaneni amandla kwiimisipha ezijikelezile emadolweni nasemlenzeni.
Ukusetyenziswa kwe-balance balance angaphumelela , kwaye ukusetyenziswa kwebhodi ye- BAPS kunokufakwa kwipilisi yakho ukwenzela ukwandisa ibhalansi yakho kunye nolwazi lwakho .
Ngeli xesha, kufuneka ukwazi ukuqhubeka ngokuhambelana nokuhamba ngokuqhelekileyo kungekho sixhobo esixhasayo, kwaye intlungu yakho kufuneka ibe phantsi kolawulo.
Njengoko usondela ekupheleni kokulungiswa kweTKR yakho, kufuneka uxoxe ngeendlela zakho ze-PT zokuqhubeka nomsebenzi wakho wokuzimela ngokuzimeleyo. Ukuba nokufikelela kwisibonelelo sengqondo kunye nezixhobo zokuqeqesha isisindo esihle kukukunceda ukugcina ukuhamba kwakho kunye namandla emva kokuhlinzwa kwe-TKR.
Khumbula ukuba wonke umntu uhlukile, kwaye amaninzi amanqaku anceda ukufumana isigqibo esipheleleyo emva kokuhlinzwa kwe-TKR. Nangona iprogram ngeveki-protocol inikezela isakhelo esiqhelekileyo sokwakulindela emva kokuhlinzwa, ukuqhubela phambili kwakho ngokuthe ngqo kwiprothoto inokukhawuleza. Qiniseka ukuba usebenze ngokusondeleyo kunye nogqirha wakho kunye nomzimba wenyama ukuze uqinisekise ukuba ukulungiswa kweTKR yakho kuphumelele.
> Umthombo:
> Stevens- > Lapslet >, JE, Balter, JE, et al. "I-Neuromuscular Electrical Stimulation yasekuqaleni ukuphucula i-quadriceps Amandla omzimba emva kwe-Total Knee Arthroplasty: I-Trimmed Controls Trial" PHYS. 2012; 92: 210-226.