Kutheni I-Knee Yakho Ibuhlungu?
Ukutshintshwa kwe-Knee kufakwe phakathi kweenkqubo eziphambili zeendlela zokuphanda. Ukutshintshwa kwamadolo kwenziwa xa ixilongo ligugile, ngokuqhelekileyo ngenxa yesigulo sokuguga nokugqabhuka . Xa utyando oluguqulwa ngamadolo lwenziwa, i-cartilage eguguleyo isusiwe kwaye iziphelo zethambo zenziwe. Ngaphaya kwephesheni lesithambo, ukufakelwa kwesinyithi kufanelekile, kwaye i-plastic spacer 'ifakwe phakathi kweentsimbi zentsimbi.
Le nkqubo yokwakha iqhutyelwa ukuvumela ukuhamba okuhambayo, okubangenabuhlungu kwintsebenziswano.
Xa ukuguqulwa kwamadolo kwenziwa kwaye ukulungiswa kwexesha sele kugqityiwe, ngaphezulu kwe-90% yezigulane ziza kuphumelela iziphumo zazo ezintle okanye ezigqwesileyo. Nangona kunjalo, akuyena wonke umntu unomondo ongenabuhlungu emva kwenkqubo. Ngoxa ukwaneliseka okulandelayo kuluvo olugqwesileyo, akubona wonke umntu ocinga ukuba isiphumo siphumelele.
Phantse i-10% yezigulane aziyi kuqwalasela ukuhlinzwa kwabo impumelelo epheleleyo. Ezinye iingxaki zokuguqula amadolo ziyacaca. Izigulane ezinentsholongwane ekutshintsheni okanye ukuphulwa kwethambo malunga nokutshintshwa kwazo kulindeleke ukuba zibe nemiphumo engaphantsi. Nangona kunjalo, isizathu esivamekileyo abantu bayakhalaza ngeziphumo ezingekho sisifo esikhulu okanye ukuphuka, kodwa kunokuba intlungu eqhubekayo ijikeleze iqela layo elitsha.
Iimbangela Zobuhlungu Emva kokutshintshwa kweKnee
Inyathelo ebalulekileyo ekufumaneni isisombululo sokungahambi kabuhlungu kukuqala ukucacisa imbangela yentlungu.
Ngaphandle kolwazi, kunzima ukufumana unyango olufanelekileyo. Iimbangela eziqhelekileyo zentlungu emva kokuguquka kwamadolo ziquka:
- Ukukhulula okanye ukuGqoka ukuFakela: Esi sihlandlo sisoloko sibangelwa yintlungu okanye iminyaka emashumi emva kokuguqula idolo; Nangona kunjalo, akusoloko kubangelwa intlungu eqhubekayo emva kokuhlinzwa.
- Usulelo: Ukukhulelwa kukukhathazeka kakhulu. Naluphina ukwanda kwintlungu emva kokuguqulwa kwamadolo kufuneka kuphakame ukukhathazeka ngosulelo. Ngokuqhelekileyo, iimpawu zentsholongwane zicacile, kodwa izifo ezifihlakeleyo zingabangela ukukhathazeka okuqhubekayo.
- I-Patellofemoral (Kneecap) Iingxaki: Iingxaki ze- Kneecap ziyinto eqhelekileyo yeentlungu zokuguqula idolo. Imandla ebalulekileyo isetyenziswe kwi-kneecap, nangemisebenzi eqhelekileyo, njengokunyuka esihlalweni okanye ukuhamba phantsi kwezitebhisi. Ukufumana i-kneecap ukwenza kakuhle kunye nokutshintshwa kunokuthi kube ngumngeni wezobugcisa kwanokuba ugqirha onogqirha.
- Ukulungelelanisa iingxaki: Izigulane ezininzi zigxininisa uphawu lwegama lokutshintshwa kwamadolo okanye uhlobo . Kodwa abaninzi abagqirha baya kukuxelela izinto eziphathekayo ngaphantsi kweendlela ekufakelwa ngayo kakuhle. Ukufakelwa okungahambi kakuhle kungahle kusebenze kakuhle, kungakhathaliseki ukuba yintoni uphawu. Abagqirha baphando ukuba i-computer navigation iya kunceda ukuphucula ukulungelelanisa ukulungelelaniswa.
Eminye imiba enokubangela intlungu eqhubekayo ibandakanya i- bursitis , isifo esiyinkimbinkimbi yesifo senzululwazi , kunye neentsholongwane .
Ukuphonononga ubuhlungu emva kokutshintsha kweKnee
Ugqirha wakho uya kuthatha amanyathelo athile ukuze ahlole intlungu yakho. Isinyathelo sokuqala sithetha nawe. Ubuhlungu bunokuba neempawu ezininzi, kwaye uhlobo lwenzondo lunokukunceda wena kunye nodokotela wakho ukuba aqonde isizathu esiyintloko.
Ngokomzekelo, intlungu xa kuvuka kuqala (intlungu yokuqala) iyaqheleka emva kokuguqula idolo kodwa ihlala isombulula emva kweenyanga ezimbalwa. Intlungu yokuqala yokuqhubeka ingabonakalisa ukukhutshwa kwe-implant. Ubunzima xa ukhuphuka uphantsi kwezitebhisi bubonisa inkinga ye-kneecap.
Udokotela wakho ugqirha uza kuhlola idolo. Uvavanyo lomzimba lunokukunceda ukuchonga intsholongwane , ubunzima kunye nemiba yokulungelelanisa. Ukuqinisekisa ukuba i-mechanics yokuguqula idolo ibonakala ibalulekile. Njengokuba ulungelelwano olufanelekileyo kwimoto yakho, kubalulekile ukuba ukuguqulwa kwamadolo kulungelelaniswe ngokufanelekileyo nangokulinganayo.
I-ray-ray kunye nezinye izifundo zinokuvavanya ukulungelelanisa nokukhupha.
Ukukhwabanisa okungafihlayo kungabonakali kwi-X-ray rhoqo, kwaye i-scan ye-bone okanye i-MRI ingenziwa. Izifundo zeLebhu ziyakubonisa iimpawu zentsholongwane efihlakeleyo.
Unyango lweMpawu eziPhephekileyo zeKnee
Njengoko kubonisiwe ngaphambili, inyathelo elibalulekileyo liqonda isizathu seentlungu, kuba ukuzama ukuzama ukunyanga ubuhlungu ngaphandle kokwazi isizathu asikho into ekukhokelela kuyo. Kwezinye iimeko, intlungu inokuphathwa ngamachiza kunye nonyango. Kwezinye iimeko, ngokukodwa xa kukhankanywa, ukukhangela ukusuleleka okanye ukulungelelanisa, kukho ukuhlinzwa okubizwa ngokuba yinguqulelo yokuguqula idolo . Ukuhlolwa ngokutsha kungase kube yinto encinci okanye kungadinga ukukhipha idolo elifakwe kwaye liqale. Ngamanye amaxesha isigqibo sokwenza intlungu emva kokuguqula idolo ngokukhawuleza, ngelixa ezinye izihlandlo, ukunika idolo elitsha ixesha lokuzilungelelanisa lifanelekile. Ugqirha wakho unokukunceda ekukhokeleni unyango olufanelekileyo kakhulu ngenxa yeentlungu zakho. Kukho iimeko ezimbalwa, apho umthombo wentlungu awunakuqatshelwa khona. Kule meko, unyango luhlala lugqithiso olungapheliyo, njengokwenza ukuguqulwa kwamadolo ngaphandle kokungazi isizathu sokuba idolo lingasebenzi kakuhle, akunakwenzeka ukukhokelela ekuphuculeni.
ILizwi
Ubuhlungu emva kokuguqulwa kwamadolo kudibanisa ngokugqithiseleyo kwizigulane ezininzi. Nangona ubukhulu becala lokuguqulwa kwamadolo lukhokelela ekuphumuleni intlungu, kukho abantu abangenakufumana imiphumo, kwaye ngamanye amaxesha intlungu ingaba yimbi ngakumbi kunokuba yayingaphambi kokuhlinzwa. Nangona ezi ziimeko zingavamile, ziyakhathaza ngokugqithiseleyo isigulane ukufumana le nkxwaleko. Uvavanyo oluchanekileyo, uluvo lwesibini, kunye nenkqubela yokuphulukisa inokunceda abantu abanentlungu emva kokuguqulwa kwamadolo bathemba ukuba bafumane ukukhululeka kwintlungu yakhe. Kubalulekile ukuba abo bantu bathathe unyango lwabo ngokunyamezela, njengoko ukuxazulula olu hlobo lentlungu ludla ixesha.
Imithombo:
U-Gonzalez MH noMekhail AO. "I-Total Failed Knee Arthroplasty: UkuVavanya ne-Etiology" J Am Acad Orthop Surg November / Disemba 2004; 12: 436-446.