Izinhlobo ze-Bilateral Knee Replacement

Ukuhlinzwa Okwenziwe Ngaphakathi Kwezinyathelo noma ngesikhathi esifanayo

Ukuhlinzeka ngokuguqulwa kwamadolo okubili ngamadolo kunomunye lapho amadolo womabili athathwa khona ngezingxube zomzimba . Abantu abane- arthritis enamandla emadolweni womabili ngokuvamile bafanelekile kulokhu njengoba kukwazi kangcono ukubuyisela i-gait evamile, elinganisiwe.

Ukuhlinzwa ngokuguqulwa kwamadolo kungenziwa okwenziwa ngesikhathi esifanayo noma kugxilwe ukuze idolo elilodwa lenze kuqala kanti enye ithathelwe izinsuku ezimbalwa, amasonto, noma izinyanga kamuva.

Umuntu uthathwa njengesigceme esifanelekayo esisezingeni elifanayo lokuhlola elisetshenziselwa ukuguqula idolo elilodwa .

Inqubo yezinhlangothi zombili ingenziwa futhi kubantu abadinga ukuguqulwa kwamadolo okuyingxenye lapho ingxenye yangaphakathi (yangaphakathi) noma yangaphandle (yangaphandle) ingena esikhundleni.

Ingozi ye-Knee Replacement efanayo

Uma kunqunywa indlela yokudluliselwa kwamadolo amabili, udokotela uzodinga ukuhlola ukuthi umuntu uyakwazi kanjani ukumelana nokucindezeleka kokusebenza. Kuyinto yokuhlinzwa okude futhi, ngaleyo ndlela, idinga umzimba. Ngenxa yalokhu, abantu abanezinkinga zenhliziyo, izifo ze-pulmonary, noma abangaphezu kweminyaka engu-80 baxwayiswa ngokumelene nenqubo ngesikhathi esisodwa.

Eqinisweni, ucwaningo luye lwabonisa ukuthi abantu abaqhutshwa endaweni eyodwa ngesikhathi esisodwa babe nengozi enkulu kakhulu yomcimbi wezinhliziyo nokufa uma kuqhathaniswa nokusebenza okuhleliwe.

Ukubuyekezwa kuka-2013 kusuka eNyuvesi yaseMcMaster e-Ontario, eCanada kuhlaziye izifundo ezingu-18 ezahlukahlukene futhi kubika ukuthi abantu abaqhutshwa ngesikhathi esifanayo babe nokwanda kathathu engozini yokufa kwezinsuku ezingu-30 kulandela ukuhlinzwa uma kuqhathaniswa nalabo ababenolwazi olulodwa.

Ngaphezu kwalokho, ingozi yayilokhu iphakanyisiwe ngisho nangemva kwezinyanga ezintathu (ukukhuphuka kwama-2.45) kanye nezinyanga eziyi-12 (ukukhuphuka kwe-1,89). Ngokuthakazelisayo, kwakungekho umehluko engozini yokufa ngesikhathi esesibhedlela noma ngesikhathi sokusebenza ngokwawo.

Isihluthulelo salezi zibalo sasiyisilinganiso sobudala sabamukeli (iminyaka engu-68.8).

Enye ingozi yenkambiso yesikhathi esisodwa ukuthi ukuvuselelwa kungaba nzima nakakhulu kubantu asebekhulile abangenalo "umlenze omuhle" wokuma noma amandla omzimba aphezulu okuzondla ngesikhathi sokwelashwa ngokomzimba .

Izinzuzo ze-Knee Replacement efanayo

Kusobala ukuthi inzuzo yokuguqulwa kwamadolo kanyekanye ukuthi izinkinga ezimbili zixazululwa kanyekanye. Isikhathi sonke sokuvuselela sisifushane, futhi kunesifo esisodwa kuphela esibhedlela kanye nenye ye-anesthesia. Ngaphandle kokungabaza, lesi yisimo esihle kubantu abangathanda ukungabi kude nomsebenzi isikhathi eside.

Ngaphezu kwalokho, izinkokhelo zokukhokhelwa kanye nokuphuma ngaphandle kwe-inshuwalense zingase zibe ziphansi kakhulu nokuhlinzwa okulodwa kanye nokuvuselelwa okukodwa. Ngenkathi lokhu kungeke kwenzeke ekuhloleni, kungasiza ukuphathwa ngokuqondile kulabo abakhetha ukhetho.

Yini Okumele Ulindele Ukulandela Ukushintshwa Knee Okufanayo

Ngemuva kokuthi ukuhlinzwa okuqashisiwe kuqediwe, kufanele ulindele ukuba ube esibhedlela izinsuku ezingu-10. Isikhathi esengeziwe sidingeka, ngokwengxenye, ukuqinisekisa ukuthi uyiselula ngokwanele ukubuyela ekhaya ngokuphepha.

Kungakapheli amasonto ayisithupha ekuqedeni ukuhlinzwa, ukwelashwa ngokomzimba kuzoqala futhi kuhlale kuphi kusukela emavikini ayisithupha namabili.

Uhlelo luvame ukuhlanganisa uhlelo lokuhamba kanye nokuzivocavoca okuqinisa ama-knee.

Iningi labantu abaphumelela ukuvuselelwa ngokuphumelelayo kuzoba nokuthuthukiswa okuphawulekayo ekuhambeni nasekuhluphekeni, ngisho nalabo abangaphezu kweminyaka engu-80. Ezimweni eziningi, ukubuyiswa okuphelele kokuhamba kungenzeka.

> Umthombo:

> Hussain, N .; Chien, T .; U-Hussain, F. et al. "Ukuphikisana Kwamanye Nesikhathi Okubambisana Ngama-Total Knee Arthroplasty." HSS J. NgoJanuwari 24, 2013; 9 (1): 50-9. I-DOI: 10.1007 / s11420-012-9315-7.