Kungani I-Knee Yakho Isaphazamisa?
Ukuguqulwa kwezintambo kuphakathi kwezinqubo ezivame ukuhlinzwa nezinqubo eziningi zokwelapha ngamathambo. Ukuguqulwa kwamadolo kwenziwa ngenkathi idolo lihlangene, ngokuvamile kaningi ngenxa yomzimba we-arthritis yokugqoka nokulala . Uma kuhlinzwa ukuguqulwa kwamadolo, i-cartilage eboshiwe isusiwe futhi iziphetho zethambo zibunjwa. Emaphethelweni ethambo, ukufakelwa kwensimbi kufanelekile, kanti i-plastic 'spacer' ifakwa phakathi kwezingxenye zensimbi.
Le nqubo yokuvuselela yenziwa ukuze kuvunyelwe ukunyakaza okubushelelezi, okungenabuhlungu kokujoyina.
Lapho kugodliwe ukuguqa futhi ukuvuselelwa sekuphelile, iziguli ezingaphezu kuka-90% zizokala imiphumela yazo njengokuhle noma okuhle kakhulu. Kodwa-ke, akuwona wonke umuntu ophethe idolo elingenabuhlungu ngemva kwenqubo. Ngenkathi ukwaneliseka okulandela lokhu kuhlinzeka kahle, akuwona wonke umuntu obheka umphumela wabo ukuba uphumelele ngokugcwele.
Iziguli ezingaba ngu-10% ngeke zibheke ukuhlinzwa kwazo impumelelo ephelele. Ezinye izinkinga zokuguqula amadolo ziyabonakala. Iziguli ezinokutheleleka endaweni yazo noma ukuphulwa kwethambo nxazonke zazo zilindeleke ukuthi zibe nemiphumela engaphansi kakhulu. Kodwa-ke, isizathu esivame kakhulu abantu ukukhononda ngemiphumela embi akuyona ukutheleleka okukhulu noma ukuphuka, kepha ubuhlungu obuphikisanayo buzungeza ukujoyina kwabo okusha.
Izimbangela Zezinhlungu Emva Kokushintshwa Kwamaqhubu
Isinyathelo esibaluleke kakhulu ekutholeni isisombululo sokungazinaki okuqhubekayo ukuqala ukucacisa imbangela yobuhlungu.
Ngaphandle kwalolu lwazi, kunzima kakhulu ukuthola ukwelashwa okufanele. Izimbangela ezivame kakhulu zobuhlungu ngemva kokuguquka kwedolo zihlanganisa:
- Ukukhulula noma ukugqoka ukufakelwa: Lokhu kuvame ukubangelwa iminyaka yobuhlungu noma amashumi eminyaka emva kokuguqula amadolo; Kodwa-ke, ngokuvamile akuyona imbangela yokuhlupheka okuqhubekayo ngemva kokuhlinzwa.
- Ukutheleleka: Ukutheleleka kuyinkinga enkulu futhi ebangela ukukhathazeka. Noma yikuphi ukukhuphuka ebuhlungu ngemva kokuguqulwa kwamadolo kufanele kukhuphuke ukukhathazeka ngokutheleleka. Ngokuvamile, izimpawu zokutheleleka ziyabonakala, kodwa ukutheleleka okucashile kungase kubangele ukungahambi kahle okuqhubekayo.
- Izinkinga ze-Patellofemoral (Kneecap): Izinkinga ze- Kneecap ziyimbangela evamile yobunzima bokuguqula amadolo. Imandla ebalulekile isetshenziswa ku-kneecap, ngisho nemisebenzi evamile, njengokukhuphuka esihlalweni noma ukuhamba phansi ezitebhisini. Ukuthola i-kneecap ukwenza kahle ngokushintshwa kungaba yinselelo ngokwengqondo ngisho nangomhlinza ohlinzayo onekhono.
- Izinkinga zokuvumelanisa: Iziguli eziningi zigxila emgqeni wokufaka esikhundleni sokuguqula igama noma uhlobo . Kodwa odokotela abaningi abahlinzayo bazokutshela ukuthi izinto zishintsha kakhulu kunalokho ukufakelwa okufakwe kahle. Ukufakelwa okungahambisani kahle kungase kungasebenzi kahle, kungakhathaliseki ukuthi umkhiqizo. Odokotela abahlinzayo baphenya uma ukuhamba kwekhompiyutha kuzosiza ekuthuthukiseni ukulungiswa kokufakelwa.
Ezinye izinkinga ezingabangela ubuhlungu obuqhubekayo zihlanganisa i- bursitis , i- complex syndrome yesifo esifundazweni , kanye nezinzwa ezigxotshiwe .
Ukuhlola ubuhlungu emva kokushintshwa kwezintambo
Udokotela wakho ohlinzayo uzothatha izinyathelo eziningana ukuhlola ubuhlungu bakho. Isinyathelo sokuqala sikhuluma nawe. Ubuhlungu bungaba nezimfanelo eziningi, futhi uhlobo lobuhlungu lungakusiza wena nodokotela wakho ukuba uqonde imbangela eyimbangela.
Isibonelo, ubuhlungu lapho uqala ukuvuka (ubuhlungu bokuqala) buvame ngemuva kokuguqulwa kwamadolo kodwa kuvame ukuxazulula ngemuva kwezinyanga ezimbalwa. Ubuhlungu obuqala bokuqala bungaba uphawu lokukhipha ukufakelwa. Ukubuhlungu lapho ukhuphuka futhi wehla izinyathelo kusikisela inkinga ye-kneecap.
Udokotela wakho ohlinzayo uzobe ehlola idolo. Ukuhlola ngokomzimba kungasiza ekutholeni ukutheleleka , ukuqina kanye nezinkinga zokulungiswa. Ukuqinisekisa ukuthi umshini wokuguqula amadolo uzwakala ubalulekile. Njengokwenza kube nokulungiswa okufanele emotweni yakho, kubalulekile ukuthi ukuguqulwa kwamadolo kuhambelana kahle futhi kulinganiswe kahle.
I-X ray kanye nezinye izifundo zingahlola ukulungiswa nokukhululeka.
Ukuxoshwa okucashile kungabonakali kwi-ray ejwayelekile ye-X, futhi ukukhipha amathambo noma i-MRI ingenziwa. Ucwaningo lwe-laboratories lungabonisa izimpawu zokutheleleka okucashile.
Ukwelashwa Kokushintshwa Knee Okubuhlungu
Njengoba kushiwo ngaphambili, isinyathelo esibaluleke kunazo zonke ukuqonda imbangela yobuhlungu, ngoba ukuzama ngobuwula ukuphatha ubuhlungu ngaphandle kokwazi imbangela akunakwenzeka ukuholela emphumela omuhle. Kwezinye izimo, ubuhlungu bungelashwa ngemithi kanye nokwelashwa ngokomzimba. Kwamanye amacala, ikakhulukazi uma kukhishwa, ukutheleleka noma ukuguqula izinkinga, kukhona okunye ukuhlinzwa okubizwa ngokuthi ukuguqulwa kwamadolo okubukeza kungadingeka. Ukuhlinzwa okubukezwayo kungase kuhlaselwe kancane noma kungadinga ukukhipha idolo elifakwe futhi liqale. Ngezinye izikhathi isinqumo sokwelapha ubuhlungu ngemuva kokuguqula idolo siphuthumayo, kanti nezinye izikhathi, ukunikeza idolo elisha isikhathi sokuzivumelanisa kungase kube kufanele. Udokotela wakho ohlinzayo angakusiza ukukuqondisa ekwelapheni okufanele kakhulu imbangela yobuhlungu bakho. Kunezimo ezimbalwa, lapho umthombo wobuhlungu ongaqapheli khona. Kulezi zimo, ukwelashwa cishe kungenasidingo, njengoba kwenziwa ukuguqulwa kwamadolo ngaphandle kokwazi ukuthi kungani ibhande lingasebenzi kahle, akunakwenzeka ukuholela ekuthuthukiseni.
Izwi elivela
Ubuhlungu ngemuva kokuguqulwa kwamadolo bukhungathekisa kakhulu iziguli eziningi. Nakuba iningi lalabo abahlinzekwa ngamadolo liholela ekuphuculeni ubuhlungu, kunabantu abathile abangatholi ukuphumula, futhi ngezinye izikhathi ubuhlungu bungaba bubi nakakhulu kunangaphambili ngaphambi kokuhlinzwa. Nakuba lezi zimo zingavamile, ziyamangalisa kakhulu isiguli ukuzwa le nkinga. Ukuhlolwa okuhlelekile, umbono wesibili, nokuqhubeka kwezokwelapha kungasiza abantu abanezinhlungu ngemva kokuguqulwa kwamadolo bethola ukukhululeka ekuhluphekeni kwakhe. Kubalulekile ukuthi laba bantu bathathe ukwelashwa kwabo ngesineke, njengoba ukuxazulula lolu hlobo lobuhlungu ngokuvamile kuthatha isikhathi.
Imithombo:
U-Gonzalez MH no-Mekhail AO. "I-Failed Total Knee Arthroplasty: Ukuhlola kanye ne-Etiology" J Am Acad Orthop Surg November / Disemba 2004; 12: 436-446.