Ukuphucula ukuphumelela kwe-Hip & Knee Replacement Surgery

Utyando lwe-Hip kunye nokuguqulwa kwamadolo ngenye yezinto eziqhelekileyo zonyango ezenziwa. Unyaka wonke, amakhulu eminyaka izigulane zixhomekeke ekutshintshisweni okanye ukuguqula idolo ekunyanga kwe-arthritis eneengxaki zamalungu abo. Ukunyangwa kwonyango lwe-arthritis kunye nokutshintshwa okuhlangeneyo ngenye yeenkqubo zokungenelela eziphambili, kodwa kukho iingxaki ezinokuthi zenzeke, kwaye xa kunokwenzeka ukuba iingxaki ziyenzeka kakhulu. Iingxaki zingabandakanya iintlungu eziqhubekayo, iingxaki zokuphilisa, ukuqina, ukusuleleka kunye nezinye iingxaki.

Xa ubhekene nosizi olungapheliyo , iingxaki ezinokubonakala zingenakwenzeka kwaye kulula ukuzicingela. Abantu bafuna ukuya kutyando bajolise kwimpumelelo kuneengxaki ezinokwenzeka. Oko kwathiwa, ukucinga ngalezi ngxaki ezinokuthi zibandakanyeke iinkqubo zokugqirha ziyakwenzela ngokwenene. Ngokuqonda iingxaki ezinokubakho ngokutsha, kunye nendlela onokulawula ngayo ubunzima bezo mngcipheko, unokulawula isiphumo sakho. Amanye amanyathelo alula angabakho umahluko phakathi kokubambisana nentlungu kunye nenkxalabo enzulu yokuhlinzwa.

Ukuthintela iingxaki ze-jointly substitution operation akusoloko kulula, kodwa kukho amanyathelo angathathwa. Amanye amanyathelo athatyathwa ngugqirha wakho, kodwa ezinye zezi nyathelo kufuneka zithathwe nguwe! Ngezantsi ezinye zezinto onokuzilawulayo ezinokukunceda ukuqinisekisa ithuba elihle lokubuyisela ngokuphumelelayo ekusebenziseni ukutshintshwa okuhlanganyelweyo.

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Ukuhla ukusinda

Ubutyebi buninzi buba yinto eqhelekileyo kwilizwe elininzi eliphuhlisiwe, kwaye inani labantu abafuna ukutshintshwa ngokuhlanganyela likhula ngokuphawulekayo ngenxa yoko. Njengoko uluntu luba nzima kakhulu, ukuxhaphaka kweentlungu ezidibeneyo kuya kuba nzima kakhulu. Njengoko abantu beva ubunzima obukhulu, abantu abaninzi bafuna ukutyunjwa okuhlanganyelweneyo kunye nokuphucula le nto.

Ingxaki yokunyanyisa kukuba ngelixa lenza indawo edibeneyo ibe yinto eqhelekileyo, iyenza ibe yingozi. Abantu abane-index ye-mass body (BMI) abangaphezu kwama-40 banomngcipheko omkhulu ophezulu ngokuphathelele ekusebenziseni ukutshintshwa ngokuhlanganyela. Ezi ngozi zibandakanya ithuba eliphezulu lokuphindaphinda, ithuba eliphezulu lokusuleleka, kunye neemeko eziphezulu abaya kufuna ukuhlaziywa ngokutsha ngokutsha.

Abantu abaqwalasela ukutyunjwa ngokutshintshiselana ngokufanelekileyo kunokugxila ekunciphiseni ubunzima ngaphambi kokuhlinzwa. Ukulahlekelwa kwesisindo kunokuba nzima ukubeka ubuhlungu obungapheliyo, kodwa kukho iindlela zokusebenzisa umzimba kunye nokulahlekelwa isisindo esingenakubeka uxinzelelo olukhulu kumalungu. Abantu abafuna iziphumo ezilungileyo ekusebenzisaneni ngokutshintshwa ngokuhlanganyela kufuneka bajolise kwimigudu yokunciphisa ubunzima kwi-BMI eqhelekileyo.

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Yeka Ukubhema

Imveliso yokubhema icuba iyaziwa ukuba ineempembelelo ezibalulekileyo kwiinkalo ezininzi zempilo kunye nokuphilisa. Ngokukodwa, iteksi ifaka i-microvascular circulation, echaphazela impiliso emva kokuhlinzwa, kubandakanywa ukutyunjwa okuhlanganyelweyo.

Iimpembelelo ezichanekileyo zokutshaya iimveliso zecuba kwiziphumo emva kokutyunjwa okubanjiswayo kunye nendawo ingacaciswanga ngokupheleleyo, kodwa kuyaziwa ukuba abantu ababhema iimveliso zecuba banamathuba aphezulu ekuphuhliseni izifo ezilinxeba, iingxaki zokuphilisa, kunye nesidingo sokwamkelwa esibhedlele emva ukutyunjwa kwabo ngokuhlanganyela.

Abanye oogqirha baqala ukuvavanya izigulane ze-nicotine ukwenzela ukuba bancede baqinisekise ukuba izigulane zabo zineziphumo eziphambili zokugqitywa. Kuyaziwa ukuba ukuyeka ukutshaya phambi kotyando kunokuphucula umphumo womntu kwisithenjwa somnye. Inani elichanekileyo lexesha lokuphuma kwimikhiqizo ye-nicotine ayilwazi ngokucacileyo, kodwa abaninzi abagqirha bayavuma ukuba umntu unokuyeka ukutshaya ubuncinane ubuncinane kwiiveki ezintandathu, ukuba ngaba kungekho ixesha elide, ngaphambi kokuhlinzwa, kuya kubakho kakhulu ukunciphisa umngcipheko weengxaki. ukuba sisondele kumntu ongathembekanga.

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Gwema utywala

Ukusetyenziswa kotywala kuyaziwa ngokuba yingozi kubantu abajongene neenkqubo zokucanda. Ngokukodwa, abantu abasebenzisa utywala rhoqo bahlakulela iingxaki zokuqala emva kokuhlinzwa xa utywala lwabo lungaziwa kwiqela labo lezempilo. Nangona uphando oluthile lubonise abantu abaphuza utywala ngokungapheliyo okanye ekumodareyithweni akunakwenzeka ukuba kunomngcipheko ophezulu ohlotshaniswe nokuqashwa ngokutsha, kukho iingozi ezinokuthi zenzeke xa abantu baphuza utywala ngokuphindaphindiweyo okanye baninzi baqhuba inkqubo ephambili yokuhlinzwa.

Ukuyeka ukusetyenziswa kotywala rhoqo ngaphambi kokuba utyando kubalulekile, kodwa kubaluleke ngokulinganayo ukukwazisa iqela lakho lononophelo lwezempilo malunga nemali yobutywala odla rhoqo. Kungcono ukuba uxelele ugqirha kunye neqela labahlengikazi ngaphambi kokuhlinzwa ngokumalunga nokusetyenziswa kwakho kotywala. Ukuba kunokwenzeka, ukunciphisa ukusetyenziswa kotywala ngaphambi kokuhlinzwa okhethwayo kunokukunceda ukukhusela iingxaki. Inkxalabo eqhelekileyo yabantu abadla iindleko eziphezulu kakhulu zotywala ngumhlala wokuhlala esibhedlele.

Kuyaziwa ukuba abantu baninzi bancipha inani lotywala abayidlayo. Ukuba awuqinisekanga ukuba uphuze kangakanani, gcina umxholo wemihla ngemihla. Oku kungenzuzo yakho! Mane ubhale phantsi ukuba ungaphi utywala umtya ngamnye ngosuku. Ukunika le ngcaciso kumniki-nkonzo wakho wezempilo unokubanceda ukulawula nokukhusela iingxaki xa uhlinzwa.

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Idilesi yeAnemia

Omnye umntu onomdlavuza unomlinganiselo obomvu weeseli zegazi. Oku kuthetha ukuba abanalo inani leeseli ezithwele i-oksijini egazini labo, ezinokubangela iingxaki ezinxulumene nokuphulukisa, kwaye zandisa ithuba lokuba umntu afune ukudluliselwa kwegazi emva kokuthatha indawo ehlangeneyo.

Kukho izizathu ezininzi zokuba umntu unokuthi unomdla. Ezinye zezizathu ezinokwenzeka ziquka:

• Ukunqongophala kweensimbi
• Iintsholongwane ezingasebenzi
• Iimeko ezivuthayo

Unyango lweentlobo ezahlukeneyo ze-anemia ziyahluka. Ukunqongophala kwe-iron anemia ngokuqhelekileyo kulawulwa ngokutya okunomsoco, kanti ezinye iintlobo ze-anemia zingadinga unyango okanye ezinye iindlela zokungenelela.

Ininzi kaninzi, i- anemia yokuhamba emva kwentsholongwane inokuthintelwa ngokujongana nombolo ephantsi yegazi ngaphambi kokuhlinzwa. Ngelishwa, oku kudlalwa phantsi, kwaye ngelixa umntu efika ekuhlinzeni, baqala ngexabiso eliphantsi legazi. Thetha ugqirha wakho wokunyamekela ngokumalunga nesibalo sakho esibomvu segazi, nokuba ingaba kukho na amanyathelo okufuneka uwathathe ukuze ulandele i-anemia.

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Ukugcina iMpilo yengqondo

Ngokuqhelekileyo ukunyanzeliswa, impilo yengqondo inendima ebalulekileyo ekuphumeni komphumo emva kokuhlinzwa okutshintshelweyo. Abantu abanenkxalabo yeklinikhi banamathele ekuveliseni iingxaki, abanelisekanga kakhulu ngemiphumo yokuhlinzwa, kwaye banethuba eliphezulu lokufuna ukuhlaziywa ngokutsha.

Kubalulekile ukuchonga abantu abanexinzelelo lweklinikhi ngaphambi kokuhlinzwa ngokubambisana. Laba bantu bavame ukulwa, ngokukodwa kwithuba lokugqibela emva kokusebenza. Ukuphela kwengcinezelo kunokunyusa izinga leentlungu, kodwa kunokwandisa ubunzima beengxaki kunye nethuba lokufuna iinkqubo ezongezelelweyo zokuphanda. Ekugqibeleni, abantu abaneengxaki zempilo yengqondo esekelwe kwiimvavanyo eziqhelekileyo, bathambekele ekubeni neziphumo ezinononophelo ezincinane emva kokuhlinzwa.

Ukuzama ukuphazamisa ukwabelana phakathi kwentlungu kunye kunye nempilo yengqondo kunzima, kodwa ngokusetyenziswa kwedatha echazwe ngesigulane, oogqirha baya kulungela ekuqikeleleni ukuba abantu bangalwela phi ukubuyisela emva kokuhlinzwa okwenziwa ngokubambisana. Aba bantu banokuphathwa ngokuthe ngqo ngabaqeqeshi bempilo yengqondo ngaphambi kokuhlinzwa okwenziweyo ukuze bakwazi ukujongana nempilo yabo yengqondo ngomgudu wokuphucula iziphumo zabo ekusebenzisaneni ngokutsha.

ILizwi

Ukwenza isigqibo sokwenza utyando oluthathelwa ngokuhlanganyela ngokungathandabuzekiyo sesinye sezigqibo ezibaluleke kakhulu oza kuhlangabezana nazo ngexesha lokuphila kwakho. Iindaba ezilungileyo kukuba iziphumo zihlala zithemba. Nangona kunjalo, kukho iingxaki ezinokuthi zenzeke, kwaye ukuphepha ezi ngxaki kufuneka kube yinto ebalulekileyo kwizinto eziphambili. Uku landela le nyathelo kuya kukunceda ugcine ukulawula umngcipheko wakho weengxaki.

> Imithombo:

> Alexander DP, Frew N. Ukuphuculwa kwe-anemia ye-anemia ye-primary hip arthroplasty: ukuhlaziywa okucwangcisiweyo. Hip Int . 2017 Juni 7: 0.

> Browne JA, Sandberg BF, D'Apuzzo MR, WM Novicoff. Ukuxinezeleka kuhambelana neziphumo zokuqala emva kokusebenza emva kwe-total arthroplasty ehlangeneyo: isifundo selizwe lonke. J Arthroplasty . 2014 Mar; 29 (3): 481-3.

> I-OrthoCarolina Hip kunye neKnee Centre, uCharlotte, North Carolina 28207, eU.SA. Ukunyanya ubuninzi kunye ne-total arthroplasty yokubambisana: ukuphononongwa ngokusekelwe kwincwadi. J Arthroplasty . 2013 ngoMeyi; 28 (5): 714-21.

> Rotevatn TA, Bøggild H, Olesen CR, Torp-Pedersen C, Mortensen RN, Jensen PF, I-Overgaard C. Ukusetyenziswa kotywala kunye nomngcipheko wokufelwa komntu emva kokupheka komzimba kunye nokuguqulwa kwamathambo emva kokuqhayisa okanye ukuguqa ngamathambo. PLoS One . 2017 uMar 17; 12 (3): e0173083.

> Sahota S, Lovecchio F, Harold RE, Beal MD, Manning DW. Impembelelo yokuSuba kwiiNtsholongwane zemihla ngemihla engamashumi amathathu emva kokugqibela kwe-Arthroplasty ehlangeneyo: I-Score-Propist Score-Ifanisiweyo Uhlalutyo. J Arthroplasty . 2017 Agasti 1. pii: S0883-5403 (17) 30674-5.