Xa ungeke ugobe okanye ulungele idolo emva kokuguqula idolo
Ugqirha lokuguqulwa kwamadolo lwenziwa ukuba luthathe indawo yokupheka kwinqatyambo egugile. Ukutshintshwa kwe-Knee yinkqubo enhle kakhulu ye- arthritis enamandla. Ngelishwa, iingxaki ezinokuthi zenzeke emva kokuguqula idolo, nokuba xa zonke zihamba kakuhle ngexesha lotyando. Enye inkxalabo yokuguqula idolo yinkamo emva kokuhlinzwa.
Amagulane anesigxina elidlulayo emva kokuguqulwa kwamadolo angenakukwazi ukulungisa ngokupheleleyo umlenze, ukuguqa emadolweni, okanye zombini.
Xa uzama ukuxela ubungqina obunzima emva kokutshintshwa kwamadolo, uguquko olubaluleke kakhulu kukuhamba phambi kokuhlinzwa. Abantu abanamadolo anzima abaya kutsho ekutyunjweni kwamadolo, bathambekele ekubeni namadolo amanama emva kokuhlinzwa okutshintshwa kwamadolo. Ngakolunye uhlangothi, abo bahamba phambili kangcono phambi kokuhlinzwa, abanako ukunyaniseka emva kokuhlinzwa. Kukho amanyathelo angathathwa ngexesha lotyando lokunceda ukukhulula iigamente ezincinci kunye nezicubu ezijikelezayo, kunye nokususa imimandla yokuhamba, kodwa ngamanye amaxesha ukuguquguquka kwezicubu kuncinci kwinqanaba elingenakulungiswa ngokupheleleyo.
Ukunyakaza okuqhelekileyo emva kokutshintshwa kwe-Knee Replacement
Ukunyuswa okuqhelekileyo emva kokuguqulwa kwamadolo ngokuqhelekileyo kuchazwa ngokuba namandla okufikelela ngaphakathi kwama-degree angama-5 emadolo ajika, kunye nokukwazi ukuguqa ngamadolo angama-90.
Imininzi imisebenzi iyakwenziwa ngolu hlobo, kodwa oogqirha bazama ukuguqula amadolo ngokusuka kwi-0 degrees (ngokuchanekileyo) ukuya kuma-degrees angu-110 okanye ngaphezulu. Ngokuphindaphindiweyo isishukumisi esigqibeleleyo asifikeleleki kwiinyanga ezintathu ukuya kwezi-6 ukususela ngexesha lokuhlinzwa.
Emva kokuhlinzwa ngokuguqulwa kwamadolo , kubalulekile ukusebenza kunye nomgulana wezinto eziphathekayo ukuze ufezekise uluhlu oluphezulu lokunyakaza .
Abanye oogqirha baya kuncomela ukusebenzisa umatshini wokuguqa idolo, ebizwa ngokuba ngu- CPM , nangona kungabikho ubungqina bokuxhasa ukusetyenziswa kwala matshini. Isiphakamiso esiphezulu segama eliya kutshintshwa liyakwazi ukufezekiswa ngokuhlanganiswa kwezolulo, ukusetyenziswa, kunye nokuqalisa ngokuqhubekayo kwemisebenzi eqhelekileyo.
Xa i-Knee Replacements i-Stiff
Kwamanye abantu, ukunyakaza kwamadolo kunokuba nzima ukubuyela emva kokuhlinzwa. Ukungahambi okanye ukunyakaza okuqhelekileyo emva kokuguqulwa kwamadolo kungabangelwa kwesinye sezizathu ezininzi, okanye ukuhlanganiswa kwezizathu:
- Ulawulo olungaphelelanga lwePain
Ukulawulwa kobuhlungu emva kokutshintshwa ngokubambisana ngokuqhelekileyo kuyinkqubo elawulwayo, kodwa kwabanye abantu, oku kunokuba nzima. Ezinye izigulane zifumana imiphumo emibi yemithi yeentlungu ezingenakunqunyulwa, kodwa ukungabikho kokulawulwa kwintlungu efanelekileyo kunokukhokelela ekubeni kunzima ukusebenza ngokunyakaza kwendibano esanda kutshintshwa. Kubalulekile ukuba usebenze nogqirha wakho ukuphuhlisa isicwangciso sonyango esilusebenzayo. - Ukunyanzeliswa kakubi phambi koPhando
Isiphakamiso sakho ngaphambi kokuhlinzwa singasetyenziselwa ukuqikelela ukunyuswa kwakho emva kokuhlinzwa. Izigulane ezinzima ngaphambi kokuba inkqubo yabo yokugqirha ikwazi ukuba nokuqina emva kokuhlinzwa. - Uluhlu oluninzi lweSkrip
Abanye abantu babonakala benza izicubu ezibomvu ngakumbi kunabanye, kwaye kukho ezinye iimeko apho ukubunjwa kwesibalo kuninzi. Izigulane eziye zanyulwa kuqala, okanye zibuyiselwa ukuguqulwa kwamadolo , ziyakwazi ukuba nokuqina emva kokuhlinzwa.
- Ukutshatyalaliswa kweMihlaba yokuPhakamisa
Abagqirha benza umgudu "wokulinganisela" emadolweni ngexesha lokuhlinzwa. Oku kuthetha ukufumana ubungakanani obufanelekileyo kunye nokulungelelaniswa kwegama lokuguqa ukuze idolo lixoxwe, kwaye likhululekile, ngoko ke ukulinganisa kuyafana kunye neendolo ngokuthe tye. Oku kukuthi kutheni ukuguqulwa kwamadolo kuyinkqubo enzima, kwaye ubugcisa bokufezekisa oku kuthatha iminyaka emininzi. Iimpazamo ekumiseni izimpembelelo ngexesha lokuhlinzwa zingenakubonakala kwitheyibhile yokusebenza kwaye zingabangela ubunzima bokuguqa okanye ukuguqula idolo. - Ezinye iiNkcitho eziPhezulu
Iingxaki zokuhlinzwa zisoloko zikhokelela kwezinye iingxaki. Izigulane ezinokufumana izifo ezithatha indawo, isifo esiyinkimbinkimbi yesifo seengingqi okanye ezinye iingxaki , zinethuba eliphezulu lokuhlakulela ukuqina.
Unyango lwe-Knee Stiffness Emva kokutshintshwa
Ukunyangwa kobunzima emva kokuguqulwa kwamadolo kuxhomekeke kwixesha ukususela ekutyunjweni, kunye nesizathu sobunzima. Izonyango eziqhelekileyo zokuqina zi:
- Unyango olusisigxina
Ulwaphulo lonyango luyilwaphulo eluncedo kwixolo elinzima, ingakumbi kwiinyanga ezintathu zokuqala emva kokuguqulwa kwamadolo. Ulwaphulo olunokwenyama lunokuqwalaselwa emva kolu xeshanye, kodwa iziphumo azilunganga njengonyango lokuqala. Uhlobo olutsha lokuqhaqhaqha olubizwa ngokuba lubuqhetseba obunamandla luye lwabonisa iziphumo ezikhuthazayo xa zisetyenziselwa ukunyangwa ngonyango. - Ukunyanzelisa phantsi kwe-Anesthesia
Ukuchithwa yinkqubo apho kungekho zigqibo ezenziwe. Isigulane sinikwa i-aneshesia, ngokuqhelekileyo nge-IV, kwaye xa ulala, udokotela wakho ugqirha ugxotha idolo ukuba aphule izicubu ezibomvu. Le nkqubo inenzuzo kakhulu kwiiveki ezi-6 ukuya kwezi-12 emva kokuhlinzwa. Inkxalabo ebalulekileyo malunga nokuxhaphazwa kukuba kunokwenzeka ukuba ithambo lingakwazi ukuphazamisa ukuzaliswa xa linyanzeleka kakhulu. Oku kuthethwa ngabantu abantu abane- osteoporosis okanye xa kuqhutyelwa ukunyanzeliswa ngaphezu konyaka emva kokutshintshwa. - Ukususwa kokutshitshiswa kweTyhu
Ukutshatyalaliswa kokutshitshiswa kwezicubu ezinqabileyo emva kokuguqulwa kwamadolo kungekho njalo kodwa kunokuba luncedo kwezinye iimeko ezingaqhelekanga. Iziphumo zokususa izicubu ezibomvu azizange zilungele ngakumbi ekuphuculeni ukunyakaza, ngoko ke, ezinye iindlela zonyango zijongwa kuqala. - Ukuhlaziywa kweKnee Replacement
Xa ezi zonyango zilapha zingaphumeleli, okanye ukuba iindawo zokuguqula idolo zingenakulungiswa, kunokufuneka ukuba ususe idolo elifakelwe kwaye ufake endaweni yalo ngokuguqula amathambo amatsha. Isalathisi esinqumlayo kunye nobukhulu bendawo entsha ingatshintshwa ukuze kuncedwe ukuvumela ukuguquka kwamadolo.
Ukuqwala unyango olufanelekileyo lwesondo elikhuni emva kokutshintshwa kuxhomekeke kwisizathu sobunzima nobude bexesha ukususela endaweni yakho. Ugqirha wakho angenza iingcebiso ngebhokhwe lakho ngokubhekiselele kwiimeko zakho.
ILizwi
Ukunyameka emva kokuhlinzwa ngokuguqulwa kwamadolo ngokuqhelekileyo kungagwenywa ngokulawulwa kweentlungu ezifanelekileyo, unyango lomzimba kunye namanyathelo okunciphisa ubunzima beengxaki. Nangona kunjalo, kwiimeko apho kuqina khona, kukho amanyathelo angenziwa ukuzama ukuphucula imeko. Ukujongana nokuqina kumanyathelo okuqala emva kokuguqulwa kwamadolo kunokwenzeka ukuba kube yimpumelelo, njengoko ukulibaziseka unyango lobunzima (emva kweenyanga ezi-6) akunakwenzeka kakhulu ukubonelela nayiphi na inzuzo enkulu. Kwiimeko apho kukho ukuqina kobunzima, ngokuphindaphindiweyo ukuphinda ukwenziwa ngonyango kukuphela kokhetho lwenyango.
Umthombo:
UGhani H, Maffulli N, Khanduja V. "Ukulawulwa kobunzima obulandelayo emva kwe-knee arthroplasty: uhlolo oluhlelekile" I-Knee. 2012 Dec; 19 (6): 751-9.
> Scott RD. "Ubunzima obunxulumene ne-knee arthroplasty" I-Orthopedics. 2009 iSept; 32 (9).