Utyando olutshintsho lwe-Knee lungonyango lwe - arthritis egugu . Uninzi lwezigulane ziqonda ukuba ukuguqulwa kwamadolo kunokugqithisa ngexesha elide, kodwa ingakanani ixesha elide lokuguqula idolo elifunekayo lokugqibela?
Ukutshintsha kwe-Knee ekugqibeleni kugqithise. Ngelishwa, idolo elingumgubo alilona elide njengegama lakho. Ngenxa yokuba izimpembelelo zokuguqula amadolo zenziwe zetsimbi kunye neplastiki, ngokugqithiseleyo, ezi zinto ziqala ukugqoka, nje ngearubha kwiilondo zamoto.
Ngexa iindawo zokuguqula idolo zenzelwe ukuhlala ixesha elide, aziyi kuhlala ngonaphakade.
Iindaba ezilungileyo kukuba izifundo zibonisa ukuba iintlobo eziqhelekileyo zokuguqula idolo zingaphelela iminyaka engama-20. Olunye uphando olusandul 'ukusetyenziswa kwimizuzu emide yexesha eliqhelekileyo elisetyenziselwa ukuguqula amadolo lufumene ukufakelwa ukuba kusetyenziswe kwi-96% yezigulane emva kweminyaka engama-20 emva kokufakwa. Ngokuqinisekileyo le ngenye yeengxelo ezibhetele, kwaye ezinye izifundo azibonakalisanga ukuba uphumelele. Nangona kunjalo, injongo yokuguqulwa kwamadolo kufuneka ibe nokufikelela kwiminyaka emininzi yedolo esebenzayo.
Kufuneka ukhumbule ukuba ngelixa ezinye izigulane zinokuguqulwa kwamadolo aphelileyo amaxesha eminyaka, ezinye izigulana zingadinga ukutshintshwa kweendolo emva kweminyaka embalwa emva kokuhlinzwa kwabo. Ukuhlaziywa kwamadolo ngokutshintshwa (ukutshintshwa kweendolo zesibini) ngumsebenzi omkhulu, ovame ukufumana iziphumo ezingaphumelelanga ngaphaya kwegama lokuguqula idolo.
Kwiphepha eliqaqambileyo, ingxelo yangoku ifumene ukuba kuphela u-2% wamagumbi okuguqulwa kwamadolo afuna ukuhlinzwa okwesibini kwiminyaka emihlanu yokuguqulwa kwamadolo okuqala.
Izinto ezichaphazela ubude beeKnee Replacements
Izifundo ezininzi zenzelwe ukuchonga ixesha elide lokutshintshwa kwamadolo liya kuhlala. Ngamakhulu eentlobo ezahlukeneyo zokuguqula amadolo kunye neentlobo ezahlukeneyo zezigulane, akukho mgaqo ukuba ukuguqulwa kwamadolo kuza kudlula ixesha lomntu othile.
Ukuvelisa abavelisi bazama rhoqo ukudala "ukuphucula" okuza kuhlala ixesha elide. Ezinye zezi mplomelo zisebenzisiwe kuphela kwiminyaka embalwa, kwaye zigqiba ukuba ngaba ziza kuhlala ixesha elide umbuzo nje kuphela unokuphendula.
Ezinye zezinto ezibonakala zichaphazela ukuhlala ixesha elide lokufakelwa kwamadolo ziquka:
- Ubudala bomonde: Izigulane ezincinci zidinga ukuba indawo yokuguqula idolo ihlale ixesha elide. Ngaphezulu, izigulane ezincinci zivame ukuba zisebenza. Ngako oko, izigulane ezithatha idolo endaweni yazo ezingama-50 okanye ezincinci zisenokulindela ukuba zifune ukuhlaziywa kwamadolo kwindawo yokuphila.
- Imisebenzi yokunyamezela: Ezinye izinto ezingenakufaneleka kwizigulane ezineempompo. Nangona le mi sebenzi ingenakubuhlungu okanye inzima, inokubeka uxinzelelo oludlulileyo kwi-knee substitution, okwenza ukuba izixhobo zigqitywe ngokukhawuleza.
- Isisindo somonde: Xa umntu ekhulula, ubunzima obuninzi obubekwe kwi-replacement replacement replant. Ukugcina ubunzima bomzimba obuqhelekileyo kubaluleke kakhulu xa uzama ukutshintshwa ngokuhlanganyela. Ukuzivocavoca okufanelekileyo kunokunceda ekugcineni indawo yokuguqula idolo.
- Ukukhusela iNgxaki: Oku kunokubonakala kucacile, kodwa kukho ezinye izimo zonyango ezinokubangela iingxaki ezichaphazela ukutshintshwa okuhlangeneyo. Izigulane ezineenkqubo zonyango ezingenayo (kubandakanywa nomsebenzi wamazinyo) zingadinga unyango lwe-antibiotic ukukhusela iibhaktheriya ukuba zingene endaweni yokujoyina. Izigulane nge- osteoporosis kufuneka ziqinisekise ukuba zonyango ngokwaneleyo njengokuba ukuphuka kwithambo ejikeleze ukutshintshwa ngokubambisana kunokuchaphazela ukusebenza kwe-implant.
I-Latest and Greatest
Isilingo esisinye sezigulane kunye nabagqirha ngokufanayo banokutsaliswa ekutshintsheni kwamadolo amatsha kwiimarike. Ngokuqinisekileyo, oku kufakwa kuza kubakho ukusebenza kangcono kwaye kuphele ixesha elide kunezinye iindawo zokuguqula amadolo. Nangona ezi zixhobo ezintsha zingcono, kubalulekile ukuba baqonde ukuba abanalo ulwazi lwexesha elide malunga nokuba zezi zimpembelelo ziza kusebenza njani ngexesha. Buza nayiphi na ugqirha wamazinyo malunga nezimpembelelo abazibonayo zize zihambe kwikhosi yazo. Kungenxa yokuba ukufakelwa kwintsha-ntsha akuthethi ukuba kulungile.
Izigulane kunye noogqirha kufuneka bazame ukufumana ibhalansi efanelekileyo phakathi koyilo lwangoku kwaye angabi 'isigulane'.
Udokotela wakho onogqirha unokukunceda ekukhokeleni indawo efanelekileyo yokuguqula idolo.
Imithombo:
Buechel FF, et al. "Iminyaka engama-20 Ukuvavanywa kweMeniscal yokuthwala nokuguqula indawo yokuguqula amadolo." Uphando lweeNtsholongwane kunye noPhando oluHlangeneyo, 388 uJulayi 2001: 41-50.
Ukutshintshwa kweNkcitho Yonke "I-Arhente yoPhando lwezeMpilo kunye noPhuculo lweMigangatho No. 04-E006-2.