Kutheni inani lokuguqulwa kwamadolo e-US linyuka
Ukuba udinga ukuguqulwa kwamadolo ngokuphindaphindiweyo , awuyedwa. Unyaka ngamnye eUnited States, iinguqu ezingaphezu kwama-300,000 ezithathelwa ngamadolo zenziwa, inani elindeleke ukwandisa ama-525 ekhulwini ngonyaka we-2030, ngokwemagazini ye-Time. Eyokuqala eyenziwa ngo-1968, ukuguqulwa kwamadolo okuphela komnye ngowona uphando oluphezulu lwe-orthopedic yophuhliso lwe-20 leminyaka.
I-prosthesis yokutshintshela indawo iqukethe izinto ezintathu: i-femoral (isinyithi), i-tibial (iplastiki kwisitye sensimbi) kunye ne-patellar (iplastiki). I-prosthesis ithatha indawo edibeneyo yedolo .
Ngubani ofuna i-Total Knee Replacement?
Umsebenzi oqhelekileyo wegondo uyimfuneko ukwenza yonke into eqhelekileyo yemihla ngemihla . Igulo lakho likuvumela ukuba uhambe, ugobe, uguqe, kunye ne-squat.
Ukuba idolo lakho lilinzakele okanye libuhlungu ngenxa ye-arthritis, kuya kufumana nzima ukwenza imisebenzi eqhelekileyo. I-osteoarthritis , i- rheumatoid arthritis , kunye ne-arthritis ephazamisayo yintlobo ezintathu eziqhelekileyo ze -arthritis ezichaphazela idolo elihlangeneyo .
Ngokuqhelekileyo, izigulane ze-arthritis kuqala zizama unyango olusisigxina ukulawula ubuhlungu beendolo kunye nomonakalo ohlangeneyo. Ukuba unyango olulondolozayo ( imithi , injensi , i- braces , unyango lomzimba , ukushisa ) aluncedo kwaye aluvelisi impendulo eyanelisayo, ezininzi izigulane zijonga ukutshintsha kwamadolo njengesithuba sabo sokugqibela sonyango.
Isigqibo sokuguqulwa kwamadolo kufuneka senziwe kunye nosapho lwakho, ugqirha wezempilo oyintloko kunye nodokotela ogqirha wamazinyo . Kodwa, okwangoku, qwalasela ukuba unayo nayiphi na elandelayo:
- Ubuhlungu obudlulayo bamadolo obangela imisebenzi, njengokuhamba, ukunyuka kwezitebhisi, ukungena kunye nokuphuma kwiihlalo
- Ukuxhatshazwa kwamadolo ezinzima ngexesha lokuphumla emini okanye ebusuku
- Ukuqhaqha kwezibilini ezingenakuncedwa ngamachiza okanye ukuphumla
- Ukukhubazeka kwe-Knee ezifana nokuguqa okanye ngaphandle kwamadolo
- Ukuqina kobomi okwenza kube nzima ukugoba okanye ukuguqula idolo
- Uncedo olungenakulinganiswa kwi-NSAID (izidakamizwa ezingekho komzimba ezichasayo)
- Ukunganyamezelani kwiziyobisi ezinjengezilwanyana ( iilwimi zentlungu )
- Iziphumo ezingahambelaniyo zivela kwezinye iindlela zokwelapha ezilondolozayo
Ukuba uphendule ngowebo kwiinkoliso okanye yonke imibuzo, unokuba ngumviwa wokuguqulwa kwamadolo .
Izigulane Zivavanywa Njani Ukutshintshwa Knee?
Izigulane ezininzi eziguqula idolo ziyiminyaka engama-60 ukuya kuma-80 ubudala, kodwa ezinye izigulane zincinci okanye zikhulile kwaye zihamba kakuhle emva kokuhlinzwa. Isigulane ngasinye kufuneka sihlolwe ukuba senze ukuba utyando lokuguqulwa kwamadolo luyindlela ekhethekileyo.
Izigulane zivavanywa ngokusekelwe kwimbali yazo. Oogqirha baphonononga ulwazi malunga nempilo jikelele yesigulane, ubukhulu bentlungu emadolweni, kunye nobunzima bokunciphisa umzimba. Uvavanyo olubonakalayo luvelisa ulwazi oluthe xaxa malunga neendondo, kubandakanywa uluhlu lwesinyanzelo, ukuzinza, amandla, ukulungelelaniswa, kunye nantoni na ukunyusa ubuhlungu. I-ray ray kunye nezinye iindlela zobuciko zisetyenziselwa ukuvavanya umonakalo kunye nokukhubazeka.
Ngaba Ulindelo Lakho malunga neKnee Replacement Eyona ndlela?
Kubalulekile ukuba izigulane ziqwalasele ukutyunjwa kwegama lokuguqulwa kwamadolo ukuba ziqonde ukuba zifuna ntoni kule nkqubo.
Ngokomzekelo, ezininzi izigulana zikhetha ukuhlinzwa ngethemba lokuphucula intlungu kunye nokusebenza kwamadolo okuphuculweyo. Kodwa oko akuthethi ukuguqulwa kwamadolo okuguqula ube ngumntu we-Bionic. Enyanisweni, uya kuba nemingcipheko emva kokuhlinzwa, kokubini kwexeshana kunye nexesha elide. Kwakhona, ukuguqulwa kwamadolo kuphele iminyaka emininzi , kodwa ungadinga ukuhlolwa ngokutsha .
Phantse iipesenti ezingama-90 zamagulane ezitshintshwa ngamadolo ziye ziphumelele kwimiphumo emva kokuhlinzwa. Izigulane zibonisa ukukhululeka okubuhlungu, kunye nokukwazi ukwenza imisebenzi eyimfuneko engazange iyenze ixesha elide. Abagqirha baya kuba neencomo malunga nenqanaba lomsebenzi emva kokutshintshwa kwamadolo.
Basenokulindela ukuba wenze ukuzonwabisa ngokuzonwabisa, ukubhukuda, igalofu, ukuqhuba, ukuhamba ngokukhanya, ukuhamba ngeebhayisikili, ukudansa kwebhola, kunye nokunyuka kwesiteji esiqhelekileyo.
Imisebenzi egqithisa iziphakamiso eziqhelekileyo zibandakanya ukuhamba ngamandla okanye ukuhamba, ukushushuluza, ukukhwela i-tenisi, ukunyuka kwe-stair aerobic ukuphindaphinda, nokuphakamisa ngokuphindaphinda kwama-pounds angama-50. Ngoko, thabatha lula emva kokuhlinzwa. Ezinye izinto zithathwa njengento eyingozi emva kokuhlinzwa. Zibandakanya ukugijima, ukugijima, imidlalo yokuqhagamshelana, imidlalo yokuxhoma, kunye ne-aerobics ephezulu. Musa ukucinga malunga nokubandakanya kule mi sebenzi.
Ngaba Ulungele Ukuhlinzwa?
Ugqirha wakho wamazinyo kunye nabasebenzi bakhe baya kukukhokela kwindlela yokuqhelekileyo yokuguqula idolo. Baza kunika usuku lokuhlinzwa kwaye banike ishedyuli yento ekufuneka yenziwe ngaphambi kokuhlinzwa. Oku kubandakanya ukuhlola i-inshurensi yezokwelapha, ukuhlolwa kwangaphambili, kunye ne- autologous blood donation , ukuba kuyimfuneko.
Xa usugqibile imisebenzi yangaphambili, uza kunikwa ulwazi malunga noko ukulindela ngexesha lotyando. Uza kufunda malunga neenketho zakho ze-aneshesia, kuza kube nini utyando luza kuthatha ixesha elide, ungakulindela ixesha elingakanani ukuba ube esibhedlele, kwaye ukhutshwe ucwangciso.
Emva kokuhlinzwa okanye i-post-op, uya kunikwa imiyalelo yokubuyisela okanye ukukhutshwa komyalelo. Uza kuvavanywa ngonyango lomzimba , unyango lomsebenzi, kunye namagosa okunyamekela ulonda. Izicwangciso ziya kwenziwa ngokweemfuno zakho, kodwa injongo kukuba ufumane ngokukhuselekileyo, ngokugcwele, kwaye ngaphandle kweengxaki.
Yintoni enokubangela iingxaki ze-Knee Replacement?
Izinga lokuxilongwa elichaphazelekayo nokuguqulwa kwamadolo lusezantsi liphantsi kweengxaki ezinokukhula ezingaphantsi kwezi-2 kweepesenti zezigulane. Usulelo oluhlangeneyo lubhekwa njengesicatshulwa esinzima sokuguqula idolo.
Inkxalabo eqhelekileyo yokuguqulwa kwamadolo okutshintshiselwa ukuguqulwa ngamadolo yimizila yegazi eyenza emithanjeni yemilenze. Amanyathelo okuthintela athatyathwa ukunciphisa amathuba okuphuma kwegazi: ukuphakamisa imilenze yokuzivocavoca ukukhuthaza ukujikeleza emilenzeni, iisitokisi zokunyanzelisa, kunye nabagcini begazi.
Iingongoma Zokukhumbuza Ngokuchithwa Kwethambo
Emva kokuguquka kwamadolo, qaphela izinto ezithile ezibalulekileyo zokufumana kwakhona:
- Yenza umsebenzi wakho we-post-op njengoko ulandiswa ngumgulana wakho wenyama .
- Ukuphumla kunye nomsebenzi, ingakumbi ekuqaleni kwakho ukubuyisela.
- Landela imiyalelo yokuthintela ama-clots egazi.
- Yazi impawu zentsholongwane.
- Qaphela ukuba ungawa.
- Hlanganisa nemimiselo yakho.
Imithombo:
Ukutshintshwa kweKnee Total. I-American Academy ye-Orthopedic Surgeons. Agasti 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00389