Utyando lokutshintshwa kwe-Hip yinto eqhelekileyo unyango lwe- arthritis ephezulu yesigxina se-hip . Kwiminyaka emashumi edlulileyo, utyando olutshintsho lwabahlali luye lwaba lukhulu kakhulu. Emva kokugcinwa kwabalupheleyo, izigulane ezingasebenzi, abaninzi abagqirha baye benza ukunyuswa kwe-hip kwizigulane eziselula , ezikhutheleyo ezifuna ukugcina impilo yazo ixakekile.
Njengoko uphenyo lwengqesho ye-hip luye lwavela, ubuchule kunye neeprotoksi sele zenzelwe ukwenza le nkqubo incinci ingenelele.
Injongo yenkqubo nayiphi na inzulisayo yokuzama ukuzama ukwenza izigulane zibe ngcono, ngokukhawuleza, zingaphazamiseki ubomi babo. Ngoku kuninzi, izigulane ezininzi sele zikhetha ukutshintshwa kwe-hip yangaphambili , utyando olwenzelwe ukuba lunobungozi obungaphantsi komzimba kunye nokuhlaziywa ngokukhawuleza. Ngomgudu wokuqhubela phambili ukufumana izigulane kwakhona ngokuqhelekileyo, ngokukhawuleza, abanye oogqirha baye baqalisa ukwenza uphenyo lokutshintsha indawo njengendlela yokuphulukisa.
Kutheni Izigulane Zihlala Esibhedlele?
Umbuzo wokuqala ozakuwubuza malunga nokuhlinzwa okwenziwa ngumntu osisigxina, ngaba kutheni izigulane zihlala esibhedlele emva kokutshintshwa kwendlovu? Kukho izizathu ezimbalwa, kwaye ukuba utyando lwezonyango kufuneka lucatshangelwe, zezi zizathu maziqwalaselwe:
- Uloyiko: Izigulane ezininzi ezithatha ukuhlinzwa ngokunyuka kwe-hip zinexhala kunye nexhala, ngokubhekiselele kwindlela abaya kukwazi ngayo ukusebenza emva kokuhlinzwa. Ukuba isigulane sibonisa ukuhlinzwa ngokungazi kakuhle inkqubo yabo ezayo, kwaye baya kufuneka ukuba basebenze ngokuzimela ekhaya emva kokuhlinzwa, ngoko baya kuba nexesha elinzima ngokuhlinzwa okwangaphandle. Kukho iindlela zokufundisa nokulungiselela izigulane zokuhlinzwa ukuze bakwazi ukubuyela ekhaya emva kokuhlinzwa
- Ubuhlungu: Ubuhlungu bunokuba yinkxalabo yezigulane ezinezonyango ezinkulu ezifana nokutshintshwa kwe-hip. Ulawulo lwezinhlungu luye lwaphucula ngokuphawulekayo, kwaye iindlela ezincinci zokungabikho zibangelwa kakubi emva kokuhlinzwa. Izithintelo zentsholongwane ezinde, i-anesthetics yendawo, kunye neentlungu zentlungu zintsholongwane zinokunceda zonke izigulane zingcono ukulawula intlungu emva kokutshintshwa ngokubambisana.
- Umsebenzi: Ezinye izigulane ziya kuba ngcono ukulawula ngokuzimeleyo emva kokutshintshwa ngokubambisana nabanye. Izigulana ezinamandla, izigulane ezinamandla zinokuzixhasa kangcono ngokwabo kwaye ziyakwazi ukuzilawula ngokwazo. Ukunyamekela ukhetho lwezigulane kuyimfuneko ngaphambi kokuqwalasela okutshintshiselweyo.
Izingozi zoPhulo oluPhezulu oluPhezulu oluPhakathi
Kukho iingozi zokutshintshwa ngokubambisana , kwaye akusiyo yonke isigulane ngumviwa ofanelekileyo kule nkqubo yokupasa. Izigulane kuphela ezineempilo eziphezulu kakhulu, kunye namandla anele okwenziwe emzimbeni ngokuzimeleyo, ziya kuthathwa njengesigxina sokutshintshwa kwe-hip.
Kukho idatha encinane kakhulu, kodwa akukho ubungqina bokuba ingozi ephezulu yokutshintshwa kwe-hip iphakamileyo kwizigulane emva kokuhlinzwa okutshintshisayo kwithuba lokugula. Enyanisweni, abanye oogqirha babeza kuthetha ukuba ukuhlanganiswa kwangaphambili kunokuncedisa ukunciphisa ingozi yeengxaki ezifana ne- blood clot emva kokutshintshwa ngokubambisana.
Ngaphantsi: Ngaba ikhuselekile?
Ubungqina bokuba bokuba bubonisa ukuba utyando oluthile lwabazali olukhuselekileyo lukhuselekile kwizigulane ezikhethiweyo. Izigulane kufuneka ziphilile, ziqine, kwaye zimele zilungiselelwe kakuhle abaphathi bokuhamba emva kokugonywa ekhaya. Kukho umlinganiselo obalulekileyo wemfundo obandakanyekayo ekulungiseleleni izigulane zokuhlinzwa ngokugqithiseleyo, kwaye ezi gulane kufuneka zifumane uncedo ekhaya emva kweentsuku emva kokuhlinzwa.
Ukongezelela, okwangoku i- Medicare ayivumeli izigulane ukuba zithathe indawo yokuguqula i-hip. Uninzi lwabaqinisekisi bentengiso luya kuvumela lo msebenzi, kwaye i-Medicare inokutshintsha imigaqo-nkqubo yabo, kodwa okwangoku amaninzi abagqirha abayi kuyenza i-replacement joint joint to patients.
Umthombo:
Aynardi M, et al. "Utyando lwangaphantsi nje njengendlela yokunciphisa indleko kwi-hip arthroplasty epheleleyo: uhlolo lokulawulwa kwamacala" HSS J. 2014 Oct; 10 (3): 252-5.