Ngaba Iimiphumo ezifanelekele ingozi?
Ukutyunjwa okuhlanganyelweyo okuhlanganyelweyo , okuqhelekileyo kuthathwa ngokuba "unyango lokugqibela" unyango, lunokubangela intlungu eninzi kwizigulane ezinobhubhane obukhulu. Nangona utyando lokutshintshwa ngokubambisana lunezinga eliphambili lokuphumelela, ngokukodwa iinqumlo namadolo , ukuba into yokuba utyando oluphambili akufanele lugcinwe.
Ukutshintshwa okuhlangeneyo kubandakanya ukususwa kwe- cartilage kumacala omabini omabini kunye nokufakelwa kwe-prosthesis (i-prosthesis entsha inokubanjiswa ngesinyithi okanye isinyithi kunye nezinto zeplastiki).
Ukubeka nje, ugqirha wezinyolo ususa inxalenye ewonakalisiweyo kwaye uyifake indawo yayo.
Ulawulo lokucwangcisa izicwangciso zonyango lwe-arthritis lubonisa ukuba amanyathelo alula kwaye azinzileyo ayazama kwaye aphelelwe amandla phambi kokuba utyando lucatshangelwe. Unyango olulondolozo lwezonyango oluya kuhlolwa, luquka:
- ezahlukeneyo zamachiza e-arthritis
- ulungiso lwenyama
- u khu seleko
- kuphumla
- ukusetyenziswa
Ngokwexesha lotyando lwenziwa njengonyango lwonyango, ugqirha unokukhetha iinkqubo ezilula, ezifana ne-synovectomy (ukususwa kwe synovium ) ngaphambi kokutshintshwa ngokubambisana.
Njengoko unyulwa ukonyango, injongo kukufumana umphumo ophumelele kakhulu wokulawula isifo se-arthritis kunye nenendlela ekhuselekileyo. Nangona ukutshintshwa okuhlanganyelweyo kubonwa njengempumelelo, zikwajongwa njengezixhobo ezinomyinge onokuphila okuncinane. Xa ukutyunjwa okutshintshelweyo kubonisiwe, iinjongo zi:
- ukufezekisa intlungu
- kuphinda ufumane umsebenzi
- ukukhubazeka okuchanekileyo
- ukuthintela umonakalo omkhulu
Abantu Abancinci abaneArthritis
Kwincwadi ye-Bone and Joint Surgery (2003; 85A: 1090-1094), abaphandi baseMayo Clinic eRochester, eMinnesota babika iziphumo ezintle ekusebenziseni ngamadolo okutshintshwa kwabantwana kunye nentsha enesifo se-rheumatoid arthritis , ngoxinzelelo lwentlungu kunye nokuphucula msebenzi.
Izigulane ezilishumi elinesithathu zilandelwa ukuba zibe ngumyinge we-11 emva kwe-post-op. Ngaphambi kokuhlinzwa, ababini kwi-13 bathi babengenakuhamba. Abanye bahamba ngendlu ngaphandle okanye kwithuba elifutshane ngaphandle. Ekupheleni kwexesha lokulandelela, izigulane ezithandathu zabika ukuba zihamba ngeebhloko ezintandathu. Esinye isigulane sahlala esihlalweni sabakhubazekile. Abaphandi bongezelela ukuba ezine zezigulane eziselula zafuneka zonyango olongezelelweyo nangona ezininzi iingxaki zokuhlinzwa.
Ubomi obungapheliyo beeprothesisi bubonisa ukuba ukuhlaziywa kwemisebenzi kuya kuba yimfuneko kwixesha elizayo ukulungisa ukungaphumeleli kwabo. Utyando olulandelayo luyinkimbinkimbi ngakumbi kunenkqubo eyandulelayo. Ukuqonda ukuba izigulane ezincinci ziza kufuna iimbuyekezo ezininzi zikhokela abanye oogqirha ukuba bachithe izigulane zabo. Kwimeko yezigulane ezincinci ze-arthritis, iingenelo kunye neengozi zokuhlinzwa kufuneka zicetywe ngokucokisekileyo.
Ukuqwalasela
I-Duke University Medical Center ye-Arthritis iphakamisa ukuba le mibuzo ilandelayo iqwalaselwe yintoni na umntu oya kuthatha isigqibo sokuhlinzwa:
Level Pain
Ngaba intlungu yakho ayimkelekanga? Intlungu ehlala ingaphenduliyo kwenye unyango igcina uvuke ebusuku, kwaye iphazamise umsebenzi okanye imisebenzi enzima ngokwaneleyo ukufuna ukuhlinzwa.
Iipilisi
Ngaba ufuna iincwadana zokunciphisa iintlungu? Ukuba ufuna imithi yemihla ngemihla xa uvumelekile ukulawula intlungu, utyando luyakuboniswa.
Ulawulo lwezinhlungu
Ngaba uke wazama zonke ezinye iindlela zokufumana ukukhululeka kwentlungu? Ukuba ukusetyenziswa kwamachiza e-arthritis, unyango lomzimba, ukuphumla, ukuzivocavoca, ukukhuselwa ngokubambisana, amanxeba aphelileyo, kunye neerteroji ze-steroid zenze iziphumo ezinganelisekanga, utyando lunokuba lukhethi olufanelekileyo.
Ku hlaziywa
Ngaba ulungele ukulandela imigaqo yokuvuselela? Kufuneka ulungiselelwe ngokwengqondo iintshukumo zokuzilolonga kunye nokonyango lwangokwenyama ukuze ubuyisele umsebenzi ohlanganyelweyo emva kokuhlinzwa okwenziwa ngokuhlanganyela.
Isimo somzimba / Iinjongo ezifezekileyo
Ngaba unesimo esihle ngokwenyama? Ubungozi beengxaki ziya kuba phantsi xa imeko yakho yonke yomzimba ilungile. Ngaba iinjongo zakho ziyinyani? Inkqubo yokuvuselela kunye nesiphumo esilindelekileyo sokuhlinzwa kufuneka ibonwe ngokuqinisekileyo. Ukutyunjwa okuhlanganyelweyo okuhlangeneyo akukona unyango, kodwa kufuneka unikeze intuthuzelo kunye nokusebenza okubuyisiwe.
Ingozi Vs. Umgangatho woBomi
Ezinye izigulane ziphelile kwizihlalo zabakhubazekile njengoko zilindele ukuba zibe zidala ngokwaneleyo ukuba zibhekwe njengomgqatswa wokutyunjwa. Utyando lunokubambezeleka ngabanye oogqirha ngenxa yeengxaki ezilindelekileyo. Nangona kunjalo, imbono eyahlukileyo ibanjwe ngabanye oogqirha abaqaphela ukuba ubunzima besifo kunye nokulahlekelwa ngumsebenzi uyavuma ukuba utyando kungakhathaliseki ubudala. Iba ngumgangatho wobomi kunye nenzuzo yokuphucula umgangatho wobomi obulinganiswe nomngcipheko ongase ube yingozi. Ukuqhubela phambili ekudalweni kwee-prostheses ezidibeneyo kukukhokelela kwimiphumo engcono yexesha elide, ekugqibeleni kukusombulula ingxaki.
> Imithombo:
> I-Journal of Bone and Joint Surgery, 2003; 85A: 1090-1094
> I-Duke University Medical Centre Incwadi YeArthritis, uDavid S. Pisetsky, MD, Ph.D., 1992