Ukuhlinzwa ukuguqula i-ip kanye nokuhlinzwa ngokuguqula amadolo kwenziwa ekwelashweni kwe-arthritis enamandla . Phakathi nalezi zinqubo, ukuhlanganiswa kwe- arthritic kususwe futhi kufakwe esikhundleni sokufakelwa okufakelwayo. Ngaphambi kokuhlinzwa okuhlanganyelwe okunye, kufanele ube nengxoxo enengqondo kakhulu nodokotela wakho futhi uphendule imibuzo yakho . Kumele uqonde izingozi ezingase zibe khona zokuhlinzwa ngokuhlanganyela .
Ukuhlinzwa okuhlanganyelwe kokuhlanganyela kuyindlela ephephile. Noma kunjalo, kunezinkinga ezingase zihlotshaniswe nalokhu kuhlinzwa. Zonke iziguli ezithatha indawo yokujoyina ngokuhlanganyela zidinga ukuqonda izingozi ezingase zibe khona zokuhlinzwa ngokuhlanganyela .
Izindwangu zegazi
Ama-blood clots emithanjeni emikhulu yomlenze nesikhumba (i- thrombosis ejulile ye-venous , noma i-DVT) evamile emva kokuhlinzwa okuhlanganyelwe okuhlanganyelwe. Ukuze unciphise ingozi yokuthuthukisa ama-blood clots, udokotela wakho uzokuqala emithini yegazi egxilile ezoqhubeka ngamasonto ambalwa emva kokufaka esikhundleni sakho ngokuhlanganyela. Ngaphezu kwalokho, uzonikezwa amasitokisi okucindezela ukugcina igazi emilenzeni ejikelezayo. Ukusungulwa kokuqala kanye nokwelapha ngemuva kokuhlinzwa kuyosiza ekuvimbeleni ukwakheka kwegazi.
Ukukhathazeka ukuthi uma i-clot yegazi iqala, kungenzeka ukuthi i-clot ingaya emaphashini (okuthiwa i- pulmonary embolism ), okungaba yingozi. Uma udokotela wakho ethola ubufakazi bokusekwa kwegazi , cishe uzonikezwa umthamo ophakeme wemithi yokwelapha igazi isikhathi eside.
Izifo
Ukwelashwa kokufakelwa okuhlangene kuyinkimbinkimbi enkulu futhi kungase kudingeke ukuthi kususwe ukufakelwa okuhlangene. Izifo ngezinye izikhathi zenzeka ezinsukwini nasemasontweni okulandela ukuhlinzwa ( ukutheleleka kokuqala ) noma iminyaka emgwaqeni (ukutheleleka kwekwephuzile). Umzamo wokuhlinza ngokucacile ukutheleleka nokushiya izimpande endaweni ezithile ngezinye izikhathi kwenziwa, ikakhulukazi esimweni sokutheleleka kokuqala.
Kodwa-ke, ezinye izifo zidinga ukususwa kwe-implants, kulandelwa amasonto ama-IV antibiotics. Ukuze unciphise ubungozi bokutheleleka uma unomumo wokujoyina , ungatshelwa ukuthi uthathe ama-antibiotic uma izinqubo ezingenayo (njengamazinyo wamazinyo noma ama-colonoscopies) zenziwa.
Ukugubha
Lapho ukuhlinzwa kwenziwa, impendulo yomzimba wakho yenzalo yokwenza izicubu ezinzima . Lokhu kuyiqiniso kokubili esikhumbeni futhi ejulile ngaphakathi kokujoyina. Ngoba izinkontileka zesikhumba, ukuqina kwezicubu ezithambile ezungeze amalunga akho kungenzeka. Uma lokhu kwenzeka ngemva kwenqubo yokuguqula amadolo noma yezinyosi , ungase ube nobunzima ukuguqa ngamadolo, uhlezi esihlalweni, noma uhamba ngezinyathelo eziphezulu nezansi. Ngenxa yalokhu, kubalulekile ukuqala umsebenzi ngokushesha ngangokunokwenzeka emva kokuhlinzwa. Ukwelashwa ngokomzimba okucindezelayo kufanele kuqhutshwe izinyanga ezilandela ukuhlinzwa . Uma ubunzima beqhubeka naphezu kokwelashwa ngokomzimba, ukuxhaphazwa ngaphansi kwe-anesthesia kungenziwa. Lokhu kukhipha izicubu ezibomvu, kodwa kuzodinga ukuba uphinde ube nobudlova ngezokwelapha ngokomzimba .
Ukutshala ukukhipha / ukuhluleka
Ngokuhamba kwesikhathi, izimila ziphela futhi zingakhululeka. Ubuchwepheshe obusha buye basiza le nkinga, kodwa ukugqoka izimpande futhi kukhululeke kusenzeka. Iningi le-hip namadolo esikhundleni salo ligcina cishe iminyaka engaba ngu-20.
Ezinye zigcina zingaphansi kwezingu-10, ezinye zingaphezu kuka-30, kodwa konke ukufakelwa kugcina sekuphuma. Lokhu kuyinkinga engaphezu kweziguli ezincane, ezihlala isikhathi eside futhi zibeka izidingo eziningi kuhlangene olufakiwe.
Uma okuhlangene kuphelile, ukuguqulwa kabusha kabusha (ukushintshwa esikhundleni) kungenziwa. Lokhu kuhlinzwa okunzima kakhulu, futhi isikhathi sokuphila sokwehliswa sinciphisa nokuhlinzwa okubukeziwe ngalunye. Lesi yisinye sezizathu ukuthi odokotela bavame ukulibazisa ukuhlinzwa okunye okunye okukhona, ikakhulukazi kwiziguli ezincane.
Ukususwa kwe-Hip
Ukuhlukaniswa kwe-hip esikhundleni kwenzeka lapho ibhola liphuma ekhoneni.
Lokhu kungenzeka ngezizathu eziningi kepha ngokuvamile kwenzeka emva kokuwa noma kuziguli ezinezinkinga ezifana nesifo sikaPasinson . Ukuxoshwa kwe-Hip kungenzeka nangemisebenzi elula efana nokuhlala phansi esihlalweni esiphansi. Ngenxa yalesi sizathu, ungase ufundiswe ukulandela " izinyathelo zokuqapha ". Lezi zixwayiso zihlanganisa:
- Akuyidluli imilenze yakho
- Ukusebenzisa izihlalo eziphakeme
- Ungaphakamisi isisindo sakho phezulu kwezingu-90 degrees (kuya kwesifuba sakho)
- Ukulala ngomcamelo phakathi kwemilenze yakho
- Gwema ukuguqula unyawo lwakho ngaphakathi
Ingabe Ukushintshaniswa Okuhlangene Kunobungozi?
Lezi ezinye zezixazululo ezivamile emva kokuhlinzwa, nakuba lokhu akunjalo. Ngaphambi kokuhlinzwa lokhu kufanele ube nengxoxo ende nodokotela wakho bese ubuza yonke imibuzo yakho . Ungathunyelwa ku-internist ukuba uhlole ngokugcwele ukwelashwa ngaphambi kokuhlinzwa bese uxoxisana nanoma yiziphi izinkinga zezokwelapha ezingahle zihlukile kuwe.
Ukuhlinzekwa okuhlanganyelwe okuhlangene kuvelele - imiphumela ibe yiphupho elihle kakhulu, futhi umphumela weziguli eziningi kakhulu. Noma kunjalo, kunezingozi kulokhu kuhlinzeka, futhi kubalulekile ukuyiqonda lezi ngaphambi kokuba uqhubeke.
> Imithombo:
> Naudie DD, et al. "Ukugqoka kanye ne-Osteolysis Emkhatsini we-Total Knee Arthroplasty J. Am. Acad. Ortho. Surg., Januwari 2007; 15: 53 - 64.
> CJ Della Valle, DJ Steiger, no-PE Di Cesare "I-Thromboembolism Ngemuva kwe-Hip ne-Knee Arthroplasty: Ukuxilongwa Nezokwelapha" J. Am. I-Acad. I-Ortho. Ukuhlinzwa., Nov 1998; 6: 327 - 336.
> "Ukuphathwa Kwengculaza Esizeni Sendawo Yonke Ingqimba Ye-Arthroplasty" J. I-Bone Joint Surg. Am., Okthoba 2005; 87: 2335 - 2348.