Ingabe Ama-Numb Amathekisthi Awuzungeza Ukukhishwa Kwe-Knee Replacement Inkinga?
Ukuhlinzeka ngokuhlinzwa okuyisimiso kuyindlela evamile yokuhlinzeka enezinga eliphakeme kakhulu lempumelelo. Ngenkathi iningi labantu ababenokuhlinzwa lokhu kujabula kakhulu ngemiphumela yabo, kunezizathu ezimbalwa zokuthi kungani abantu bengenelisekile ngokuphelele ngemiphumela yabo. Izinkinga ezivame kakhulu ezenzeka ngemuva kokuguqulwa kwamadolo zihlanganisa ubuhlungu obuqhubekayo , ukuqina kohlangothini lwamadolo , nezinkinga zokufaka esikhundleni sokuguqula amadolo.
Eminye yalezi zinkinga zingase zibe sÃna kakhulu, futhi idinge izinqubo zokuhlinzekwa ezengeziwe. Enye yezinto ezingathà sina, kanti futhi engavamile, izinkinga ziyinkimbinkimbi yesikhumba ezungeze ukuguqulwa kwamadolo esikhundleni.
Ukuzwa kwesikhumba kutholakala izinzwa ezincane ezinamagatsha ezinhliziyo ezinkulu ezixhuma ubuchopho kuzo zonke izingxenye zomzimba wethu. Izisindo ezizwakalayo ziyakwazi ukuthola izinzwa ezivela kwingcindezi, ukuthinta okulula, ukudlidliza, nezinye izinto ezitholakele. Lezi zinzwa zakha iphethini yokuhlanganisa ngendlela efanayo nesakhiwo somuthi lapho izinzwa ezinkulu ziyi-trunk, futhi izinzwa ezizwela esikhumbeni ngamagatsha amahle. Ukulimala kunoma yiliphi izinga lale ndlela exhunyiwe kungaholela ezindaweni zokuzwa okungavamile emzimbeni.
Izinkokhelo Zokuguquka Knee
Ukucubungula okwenziwe nge- knee kungashintsha kancane kuncike ekuthandweni kokuhlinza, ukuhlinzwa okuhlinzekwayo, kanye nezimpande ezisetshenzisiwe. Ukuchotshozwa kwesigqoko sokuguqula amadolo kufakwe ngqo phezu kwamadolo.
Lokhu kuhlanganiswa, okuthiwa i-midline incision, kuyindlela ejwayelekile kakhulu yokuhlinzwa yokwenza indawo yokuguqula idolo.
Ezinye izinketho zokufaka ukugqoka ezihlanganisa ukufaka ukuhlanganiswa kwe-parapatellar emaphakathi nokuhlanganiswa okungaphansi kwe-vasus oblique, okubili kokubili okubhekene nokubhekiselwe ngaphakathi kwangaphakathi (okuphakathi) kwamadolo.
Kulezi zimo, udokotela ohlinzayo uyodlulisa umshini kancane ukuze isibazi singabi ngaphezu kwe-kneecap ngaphambili. Ubude bokukhishwa okuhlinzekwayo kungahlukahluka kakhulu. Esicwaningweni samuva, uphenyo bathole ubude obujwayelekile bokufakelwa kokuguqula amadolo ukuze kube ngaphansi kuka-20 cm, kodwa lokhu kwahluka kusuka ku-9 cm kuya ku-28 cm ubude.
Umzimba wakho unemizwa encane, eyinkimbinkimbi yokuzwa kwesikhumba elala ngaphansi kwesikhumba futhi iwele endaweni yokuguqulwa kwamadolo esikhundleni. Ayikho indlela yokugwema ngokuphelele izinzwa zesikhumba lapho wenza ukuhlinzwa kokuguqula amadolo. Uma udokotela wakho ohlinzayo enza ukuchotshozwa kokuqala, futhi ahlukumeze phansi emadolweni, lezo zikhumba zihlala zihlukanisiwe. Ngisho noma kungenzeka ukuthi ukuvikela izikhumba ngesikhathi sesikhumba sokuqala, ukukwazi ukulondoloza ngenkathi uzama ukwenza izinyathelo ezidingekayo ukulungiselela nokufaka idolo lobuchwepheshe kungaba inselelo.
Kanjani Okuvamile?
Njengoba kukhonjisiwe, izinzwa zesikhumba ezithinta izinzwa ziyakunqunywa ngesikhathi sokuhlinzwa kwesigodlo. Abantu abangamaphesenti angaba ngu-50 baqaphela izimpawu zokungcwaba ezungeze endaweni yokuhlushwa kwesikhumba ngonyaka owodwa emva kwenqubo yabo yokuhlinza.
Lokho kuthiwa, amaphesenti angaphansi kuka-10 alaba bantu ahlukunyezwa yiloluphawu. Lezi zici ezintathu ezithintekayo kakhulu ezihlotshaniswa nokukhathazeka yizinkathazo yizi:
- Ubude bomshini: Ukuhlangana okuqine kakhulu nama-numbness kwaba ubude bokufakwa kokuhlinzwa. Ukucubungula okude isikhathi eside kunamathuba amaningi okusika izinzwa ngaphansi kwesikhumba.
- Ubulili besifazane: Kubonakala sengathi abesifazane babethinteka kakhulu ngokuzizwa okungavamile okwenzekayo, futhi ngaphezu kwengxenye yesithathu yeziguli ukubika ukukhathazeka ngenxa yalokho kwaba abesifazane.
- Ubudala besiguli: Abantu abaneminyaka engaphezu kwengu-70 babe nezikhalazo ezimbalwa ngokukhathazeka ngokuzwa okungavamile ezenzweni zabo.
Ngaphandle kwalezi zici, umhlengikazi ohlinzeka ukuzwa phambi kwamadolo aqale engxenyeni yangaphakathi yokujoyina futhi athuthuke phambili kwesibambisene eseza phambili ngaphandle kwehlangothini lamadolo. Lapho ukuhlunga isikhumba kuncike kakhulu ekuhlangothini lwangaphakathi lwamadolo, kusemandleni ukusika ingxenye enkulu yamantongomane kanti ukucubungula okusekelwe ngaphezulu ekuhlanganyeleni okuhlangene kufaka ukubandakanya amagatsha amancane. Lapho kuphela amagatsha amancane kuphela anqunywa, umphumela ekuboneni kokuzwa kunciphile.
Ngokuphathelene nomehluko ophawulwe ekuboneni ukungabi namandla phakathi kwamadoda nabesifazane, isizathu asicacile. Izifundo azange zibonise noma yikuphi umehluko wobulili we-orientation yezinzwa zesikhumba. Okunye kwalokhu umehluko kungabangela ukungafani kwezembatho. Abesifazane bakhulume ngokuhlukunyezwa lapho begqoka iziketi noma izingubo ezivame ukugubha ngokuzibopha kwabo.
Okufanele ngikwenze
Akuningi okungenziwa nge-numbness ezungeze ukuchotshozwa ngemva kokuguqulwa kwamadolo. Izinzwa zinganciphisa ngokuhamba kwesikhathi, futhi kungase kube khona ukubuyiswa kwesimo kule ndawo. Iningi labantu abaqaphele izimpawu zokunganaki bathola ukuthi indawo kancane kancane ihlehliswa ngokuhamba kwesikhathi.
Ngombono omuhle, akukaze kube khona nobufakazi bokuthi lokhu kuncibilikisa kuholela ekunciphiseni okusebenzayo kwamadolo esikhundleni. Ngisho noma abantu behlukunyezwa ukuzwa okungavamile, ukuguqulwa kwamadolo kufanele kusebenze kahle noma ngabe kukhona indawo yesikhumba esikhulelwe.
Ngaphezu kwalokho, kuyaziwa ukuthi ukuvuselelwa kwezinzwa ngemuva kokulimala nokuvuselelwa kwezinzwa kokubili izinqubo eziphuthumayo. Nakuba ukuvuselelwa okugcwele kwe-nerve sensation kungase kungabonakali, kungathatha unyaka owodwa noma ngaphezulu ukuzwa okungavamile ukubuyisela amandla abo okugcwele.
Izwi elivela
Ukulimala kwamagciwane ahlinzeka ukuzwa kwesikhumba ezungeze amadolo ndawonye kuvamile emva kokuhlinzwa kokuguqulwa kwamadolo. Lo monakalo wezinzwa ngokuvamile awuqapheli isiguli, kodwa abanye abantu banezimpawu eziphazamisayo ngenxa yalokho. Ngomqondo omuhle, ngokuvamile ukuzwa okungavamile okwenziwe ngogu lokuguqulwa kwamadolo kuholela ekunciphiseni ekusebenzeni kwamadolo. Ngaphezu kwalokho, ukuzwa okungavamile kungaqhubeka nokuthuthukisa kuze kube unyaka kusukela ngesikhathi sokuhlinzwa. Ukunciphisa ubude bokufakwa kokuhlinzwa kungenzeka ukuthi kuyindlela ewusizo kakhulu ekunciphiseni umonakalo ongase ube nawo ezinyangeni zokuzwa.
> Imithombo:
> Jariwala AC, Parthasarathy A, Kiran M, Johnston LR, Rowley DI. "Ubungqingili Bonke Ingqikithi Ye-Arthroplasty Yokuhlinzeka Ngokwe-Surgical Scar: Ukuvama kanye Nemiphumela Emiphumeleni Esebenzayo" J Arthroplasty. 2017 Jul; 32 (7): 2256-2261.