Ngaba ZiyiNdawo Ezingqonge Kwi-Knee Replacement Incision Inkinga?
Utyando olutshintsho lwe-Knee lugqirha oluqhelekileyo lokuphanda olunezinga eliphezulu kakhulu lokuphumelela. Nangona uninzi lwabantu ababenalo oluphando luyavuya kakhulu ngeziphumo zabo, zikho izizathu ezimbalwa ezenza abantu banganeliseki ngokupheleleyo ngesiphumo sabo. Iingxaki eziqhelekileyo ezinokuthi zenzeke emva kokuguquka kwamadolo ziquka intlungu eqhubekayo , ukuqina koxolo kunye neengxaki zokufakelwa kwamadolo.
Ezinye zeengxaki ezinokuthi zinokubaluleka kakhulu, kwaye zifuna iinkqubo ezongezelelweyo zokuphanda. Enye yeyona nto ingathà sina, kwaye iphantsi kakhulu, iingxaki zincinci yesikhumba ejikeleze ukuguqulwa kwamadolo.
Ukuboniswa kwesikhumba kufunyanwa ngamagcisa amancinci awamagatsha amakhulu amaninzi adibanisa ingqondo kuzo zonke iinxalenye zomzimba wethu. Iimvumi ezivakalayo ziyakwazi ukubona ukuvakalelwa okuvela kwixinzelelo, ukuthintela ukukhanya, ukunyakaza, kunye nezinye iziphumo zentliziyo. Ezi zinzwa zenza umzekelo wembonakalo ngokufana nesakhiwo somthi apho izibilini ezinkulu ziyi-trunk, kunye neentsholongwane zesikhumba kwinqanaba elihle. Ukulimala kunaliphi na le nqanaba lendlela edibeneyo kunokukhokelela kwimimandla engafanelekanga emzimbeni.
IziKhenketho zeNguqulelo zeKnee
Iziphumo zokutshintshwa kwe-Knee zingashintsha ngokuthe ngqo kwi-preference of surgeon, indlela yokuhlinzwa, kunye nezixhobo ezisetyenziswayo. Inkqubo yokuguqula idolo ngokuqhelekileyo ifakwe ngqo ngaphambi kwamadolo.
Oku kuhlanganiswa, okubizwa ngokuba yi-midline incision, yindlela eqhelekileyo yokuhlinzwa yokuqhuba indawo yokuguqula idolo.
Ezinye iindlela zokukhethwa kwezigulane zibandakanya ukuchithwa kwe-parapatellar kunye ne-sub-vastus oblique ukuchaneka, zombini ezo zijoliswe ngakumbi kwicala langaphakathi (eliphakathi) lamadolo.
Kule meko, ugqirha uya kutshintshisa i-incision kancinci ukwenzela ukuba ulwaphulo alukho ngqo ngaphambi kwe-kneecap. Ubungakanani bokufakelwa kokugqitywa buyahlukahluka kakhulu. Kuphononongo olutshanje, abaphandi bafumene ubude bomyinge wokuguqulwa kwamadolo kube ngaphantsi kwe-20 cm, kodwa oku kwahluka ukusuka malunga ne-9 cm ukuya ubude malunga no-28 cm.
Umzimba wakho unemizwa encinci, enobunyibiliko besikhumba ephantsi kolukhuni kwaye uwele kwindawo yokuguqula idolo. Kukho nhlobo indlela yokuphephelela ngokupheleleyo iimbilini zesikhumba xa wenza utyando lokuguqula idolo. Xa ugqirha wakho owenza i-incision yokuqala, kwaye ekhutshulwa waya emadolweni, ezo zikhumba zisoloko zihlulwe. Nokuba kwakunokwenzeka ukukhusela iimbilini zesikhumba ngexesha lokuqala, ukulungelelaniswa kokuzigcina ngexesha ukuzama ukwenza amanyathelo afanelekileyo ukulungiselela nokumisela idolo ebonakalayo kuyakuba ngumngeni.
Ziqhele kangakanani?
Njengoko kubonisiwe, izikhumba zesikhumba zentsholongwane zisoloko zinqunywe ngexesha lotyando lokuguqula idolo. Phantse ama-50 ekhulwini abantu baqaphela izimpawu zokungcwaba malunga nommandla we-skin incision ngonyaka owodwa emva kokunyangwa kwabo.
Oko kwathiwa, ngaphantsi kweepesenti ezili-10 zabantu aba baxhatshazwa yilo mqondiso. Ezi zinto zintathu ezinxulumene kakhulu nokuxhatshazwa yi-numbness zi:
- Ubude be-incision: Ubungqina obuqinileyo kunye ne-numbness bubungakanani bokubanjwa kokugqitywa. Ukubanjwa kwezigulane ezide kakhulu kunokwenzeka ukuba kunqunywe amaninzi phantsi kwesikhumba.
- Ubulili besini: Abafazi babonakala benokuchaphazeleka ngokungaqhelekanga malunga nokuzibandakanya kwakhe, kwaye ngaphezu kwekota ezintathu zezigulane ukubika kakubi ngenxa yoko kwaba ngabafazi.
- Ubudala besigulane: Abantu abaneminyaka engaphezu kwama-70 ubudala banesikhalazo esincinci malunga nokukhathazeka ngokwemvakalelo engavamile.
Ukongezelela kule miba, umongikazi obonelela phambi kwebhokhwe aqale kwicala elingaphakathi lokubambisana kunye nenkqubela phambili phambi kokubambisana ngokunyuka kwinqanaba langaphandle lamadolo. Xa ukuhlanjululwa kwesikhumba kusekelwe ngakumbi kwicala elingaphakathi lamadolo, kuxhomekeke ukuba kunqunywe inxalenye enkulu yeentsimbi xa izigqibo ezijoliswe ngakumbi kwicala langaphandle lomxube zivame ukubandakanya amasebe amancinci. Xa kuphela amagatsha amancinci atyunjwa, umphumo ekuboneni ukuvakalelwa kuncitshiswa.
Ngokubhekiselele kumbono ophawulwe ngombono wokugubha phakathi kwamadoda nabasetyhini, isizathu asicacanga. Izifundo azibonisanga naluphi na ukwahluka kwezesini zokuqhelaniswa kwesikhumba segazi. Olunye lo mmahluko lunokubakho ukungafani kwengubo. Abasetyhini bakhankanya ngokugqithiseleyo xa bembethe iingubo okanye iimpahla zokugqoka ezazityhutyha ukulwa kwabo.
Kwenziwe ntoni
Ayikho inkalo enokuyenza malunga neengqungquthela ezijikeleze ukuchithwa emva kokuguqula idolo. Iimvakalelo zinganciphisa ngokuhamba kwexesha, kwaye kunokubakho ukubuyiswa kwentswelo kule ndawo. Uninzi lwabantu abaqaphele iimpawu zokungcungcuthekanga zifumanisa ukuba indawo ngokuthe ngcembe iyancipha ngokuhamba kwexesha.
Kwinqaku elihle, akuzange kubekho ubungqina bokuba le nkqantosi ibangela ukukhawuleza okusebenzayo ekutshintsheni kwamadolo. Nangona abantu bexhatshazwa yintlungu engaqhelekanga, ukuguqulwa kwamadolo kufuneka kusebenze kanye nokuba ingaba kukho indawo yesikhumba esikhatywayo.
Ukongezelela, kuyaziwa ukuba ukubuyiswa kwamagulane emva kokulimala kunye nokuvuselelwa kwentsholongwane yinkqubo emibini kakhulu. Nangona ukuphulukana ngokupheleleyo kwentsholongwane yentsholongwane kungenakwenzeka, kungathatha unyaka owodwa okanye ngaphezulu ukuvalelwa okungavamile ukufumana kwakhona amandla abo.
ILizwi
Ukulimala kwiimbilini ezibonelela ngesikhumba ejikeleze ixolo eliqhelekileyo liqhelekile emva kokuhlinzwa ngokuguqulwa kwamadolo. Lo monakalo wesondlo awunakuqaphela ukuba isigulane, kodwa abanye abantu baneempawu ezinzima ngenxa yoko. Kwinqaku elihle, ngokungaqhelekanga ukuvakalelwa ngokungaqhelekanga malunga nokuguqulwa kwamadolo okukhokelela ekukhombiseni ukutshintsha ekusebenzeni kwamadolo. Ukongezelela, iimvakalelo ezingavamile zingaqhubeka nokuphucula unyaka ukususela ngexesha lokuhlinzwa. Ukunciphisa ubude bokufakelwa kokugqitywa mhlawumbi kuyona ndlela efanelekileyo kakhulu yokunciphisa umonakalo onokuthi unomonakalo kwiimvakalelo zengqondo.
> Imithombo:
> Jariwala AC, Parthasarathy A, Kiran M, Johnston LR, Rowley DI. "Ubungqingili Bonke I-Knee Arthroplasty I-Scar Yokupasa: Ubuninzi kunye nomphumo kwimiphumo esebenzayo" J Arthroplasty. 2017 Julayi; 32 (7): 2256-2261.