Yini Ongayilindela Iviki Ngesonto
Uma une-arthritis enamandla emadolweni noma emadolweni akho, ungase uzuze ekwelapheni okungokwenyama ukuze usize ukuthuthukisa ukuhamba kwakho kwegama (ROM) namandla. Ngezinye izikhathi ubuhlungu, ukunyakaza okulinganiselwe, nokuguqulwa okuhlangene kunzima kakhulu, futhi ukuhlinzwa kuyadingeka ukubuyisela umsebenzi omuhle wegolo lakho.
Ukuhlinzeka ngokuguqulwa kwamadolo okuphelele (TKR) kwenziwa ngokujwayelekile lapho i-arthritis enamandla ibangela ubuhlungu begolo, ukunyakaza okulinganiselwe, nobunzima obunzima ngokuhamba.
Uma ngabe ube ne-TKR noma ulindele ukuba nomunye, ungase uzuze ekwelapheni ngokomzimba ngemuva kokuhlinzwa ukusiza ukuthi uphinde uphinde uhambe ngokujwayelekile.
I-knee post-operative protocol iyisiqondiso esivamile ukuthi udokotela wakho ohlinzayo nodokotela ongokwenyama angalandela ukuqinisekisa ukuthi uyaqhubeka kahle ngemva kokuhlinzwa kwakho. I-TKR protocol inikeza wena nomhlengikazi wakho ngokomzimba uhla oluzokwakha uhlelo lwakho lokuvuselela.
Uma ulindele ukuba nokuhlinzekwa kwe-TKR, cela udokotela wakho ohlinzayo uma enemithetho ethile yokulandelela okumele uyilandele. Uma kungenjalo, umhlinzeki wakho womzimba angase abe nakho okungakusiza ukuthi uqonde ukuthi yini ongayilindela ngesikhathi sokuvuselela emva kokuhlinzwa kwakho kwe-TKR.
Usuku lwe-Post-Op 1-2
Uma uvuka emva kokuhlinzwa kwakho kwe-TKR, idolo lakho lingase lisetshenziselwe umshini obizwa ngokuthi umshini oqhubekayo we-motion (CPM) . Lo mshini usiza ukugoba ngobumnene futhi kancane futhi uqondise idolo lakho ngenkathi ulele embhedeni.
Kukhona izilungiselelo kulo mshini ukulungisa inani lokunyakaza okwenzeka emadolweni akho. Udokotela wakho nomhlengikazi womzimba angasebenza nawe ukuqinisekisa ukuthi umshini we-CPM usethwe kahle.
Ngosuku lwakho lokuqala emva kokuhlinzwa kwakho kwe-TKR, ungase uvakashelwe udokotela wezifo esibhedlela . Uzokusiza uhlale embhedeni, uphume embhedeni, uqale ukuhamba.
Ngokuvamile, uhambahambayo ohamba phambili noma umgibeli wesondo usetshenziswe emva kokuhlinzwa ukusiza ukuhlinzeka ngenkxaso eyengeziwe ngenkathi uhamba.
Ukunakekelwa kwakho ngokujulile ngophakamisa umzimba kuyakunifundisa ukuba wenze amabhayisizi umzimba ngenkathi usesibhedlela. Lezi zivivinyo zenzelwe ukusiza ukuthuthukisa iROM yakho emadolweni namandla futhi kungasiza ukugcina amazinyo akho nezinkalo ezihambayo ukuze wenze ukuhamba kube lula. Ukuzivocavoca okulula okufana nokuphambanisa amaqaqa akho nokucindezela izintambo zakho kungavimbela igazi ekuhlanganyeleni emzimbeni wakho. Lokhu kubalulekile ukusiza ukuvimbela isimo esibi esibizwa ngokuthi i-vein thrombosis ejulile (DVT).
Wena umgomo oyinhloko esibhedlela ngemuva kokuba i-TKR ikwazi ukuzimela ngokuzihambela kokusebenza ukuze ushiye esibhedlela uphinde uye ekhaya. Lokhu kuhlanganisa ukukwazi ukuhamba embhedeni, uphume embhedeni, futhi uhambe. Uma unezitebhisi ekhaya lakho, kubalulekile ukwazi ukuhamba ngezinyathelo, kanti i-PT yakho esibhedlela ingakusiza ukuba uqondise lo msebenzi.
Iviki le-Post-Op 1-2
Ngemuva kwezinsuku ezimbili kuya kwezingu-3 esibhedlela, kufanele ube ngcono ukuhamba komsebenzi futhi kungase kukhishwe ekhaya lakho. Yiqiniso, uma usadinga ukunakekelwa kwabahlengikazi abanekhono noma ukuvuselela okukhulu, ungathuthelwa endaweni yokuvuselela insizakalo.
Kulapho uzokwazi ukugxila ngaphezulu ekutholeni ibanga lokudumisa namandla ukuze ekugcineni uthuthukise umsebenzi wakho okwanele ukuya ekhaya.
Ukuvuselelwa okuncane kwe-sub-acute kuthatha cishe amasonto angu-1 kuya kwangu-2, futhi usuku olujwayelekile lubandakanya izikhathi ezimbili zokwelapha ngokomzimba. I-PT yakho izoqhubeka isebenza ekuthuthukiseni amandla akho edolo neROM, futhi ungaqhubeka nomshini we-CPM uma udokotela wakho ezwa ukuthi kuyadingeka.
Uma uthunyelwa ekhaya kusuka esibhedlela, ungakhetha ukwelashwa ekhaya ukwelashwa ngokomzimba ukuza endlini yakho ukuvuselelwa kwakho. Lokhu kuvame ukugcinwa kubantu abangase babe nesikhathi esinzima sokuya esikhungweni sokwelapha esibhedlela.
Ukugxila kwindlela yokwelapha ekhaya ukukhulisa ukuhamba kwakho okuphephile emsebenzini. Cishe uzoqhubeka nokusebenza ngeROM namadolo. Ukuhamba ngokusebenzayo njengokuhamba nokukhuphuka kwezitebhisi kungase kube yingxenye yokwelapha kwakho ekhaya emva kwe-TKR.
Njengoba ukugcoba kwakho okuphulukisayo kuphulukisa, udokotela wakho wezokwelapha angase aqale ubuhlungu obukhulu bokusikhipha izicubu nokugqugquzela ukusiza ukuthuthukisa ukuhamba kwakho. Lokhu kungasiza isikhumba nezinye izicubu ezungeze emadolweni zakho zishukumiseke kangcono futhi ngokukhululekile.
Uma ukwazi ukuhamba esibhedlela, ungase uqale ukwelapha ngokomzimba ongaphili. Lapha, udokotela wakho womzimba uzoqhubeka nokusebenza ekuthuthukiseni i-ROM yamadolo akho, futhi kulindeleke ukuba ukwazi ukuguqa ngamadola angama-90˚ kube sekupheleni kwesonto 2.
Iviki le-Post-OP 3-6
Ngesonto lesithathu emva kokuhlinzwa kwakho kwe-TKR, kufanele usebenze esikhungweni sokubeletha ngokomzimba ongaphili. Imisindo eminingi ye-ROM enobudlova ingaqaliswa, futhi ukuguquka kwamadolo kufanele kuthuthuke kancane kancane ku-100-105˚ ngasekupheleni kwesonto 6.
Abantu abaningi bayazuza ngokugibela ibhayisikili elimisiwe ngemuva kokuhlinzwa kwe-TKR . Umhlinzeki wakho womzimba uzokusiza ukunquma ukuphakama okuhlelekile kwesihlalo sakho. Ungamangazi uma ungakwazi ukuhamba ngezinyawo lapho uqala ukuhamba ngebhayisikili. Kancane kancane usebenze izinyawo ngezinyawo futhi emuva, futhi njengoba i-ROM yakho ithuthukisa kufanele ukwazi ukuhamba ngokugcwele ngebhayisikili.
Kufanele kube nokugxila okuqhubekayo ekusebenziseni ukuqinisa emva kokuhlinzwa kwakho kwe-TKR, futhi i-PT yakho izokufundisa ukuzivocavoca ukuze uthuthukise amandla we-quadriceps yakho, ama-hamstrings, nama-muscle we-hip. Ukuqhubekela phambili kokuzivocavoca kwemilenze okulula kungenziwa ngokufaka izinsimbi zezintambo emlenzeni wakho ophansi noma kwesikhumba.
Isazi sakho somzimba singasifisa ukusebenzisa ukuvuselelwa kwamagesi we-neuromuscular (NMES) ukusiza ukuthuthukisa ukusebenza kwe-muscular ye-quadriceps yakho. Le modal yokwelapha kusiza ukuvumelanisa imisipha yakho ye-quadriceps futhi ithuthukise ikhono lakho lokuvumelanisa le muscle ngokwakho.
Phakathi nesikhathi se-post-op yesonto eli-3 ukuya kweyisithupha, umhlinzeki wakho wezinto ezibonakalayo uzokusiza ukuba uthuthukise ikhono lakho lokuhamba. Angakusiza ukuthi uthuthuke kusukela ekusebenziseni uhambahamba ukuze usebenzise izintambo zikaLofstrand, futhi ekugcineni, ukusebenzisa umoba. Ekupheleni kwesonto 6, ungase ukwazi ngisho ukuhamba ngaphandle kwedivayisi yokusiza.
Ngalesi sikhathi, uchwepheshe wakho wenyama angase aqhubeke nokusebenzisa iqhwa ukuze usize ukulawula ubuhlungu nokuvuvukala okukuzungeza kwamadolo akho. Ngezinye izikhathi ukuvuvukala kuqhubeka iminyaka eminingi emva kokuhlinzwa kwe-TKR.
Iviki le-Post-OP 7-8
Phakathi namasonto amabili wokugcina okuvuselelwa kwakho kwe-TKR yokuthutha, kufanele usebenze nomhlinzeki wakho wezinto ezibonakalayo ukuze ukwandise ukuhamba kwakho kokusebenza. Ukuzivocavoca kufanele kuqhubeke kugxile ekutholeni amandla emisipha emadolweni nasemlenzeni wakho.
Ukuzivocavoca okuphambili kakhulu kungaphumelela, futhi ukusetshenziswa kwebhodi le-BAPS kungabandakanywa ekwelapheni kwakho ukuze ukwandise ibhalansi yakho kanye nokwamukela .
Ngalesi sikhathi, kufanele ukwazi ukuqhubeka ngokugcwele ukuhamba ngokujwayelekile ngaphandle kwedivayisi yokusiza, futhi ubuhlungu bakho kufanele bube ngaphansi kokulawula.
Njengoba usondela ekupheleni kokuvuselelwa kwakho kwe-TKR, kufanele uxoxe ngezinketho zakho ze-PT ukuze uqhubeke uhlelo lwakho lokuzivocavoca ngokuzimela. Ukufinyelela esiteshini sokuzivocavoca ngebhayisikili esiteshini kanye nemishini yokuqeqesha ngesisindo kuyindlela enhle yokukusiza ukugcina ukuhamba kwakho namandla emva kokuhlinzwa kwe-TKR.
Khumbula ukuthi wonke umuntu uhlukile, futhi izici eziningi zisiza ukucacisa umphumela jikelele emva kokuhlinzwa kwe-TKR. Ngenkathi isonto elilandela ngesonto ngeviki linikeza uhlaka olujwayelekile lwalokho okumele ulindelwe ngemuva kokuhlinzwa, ukuqhubekela phambili okuqondile ngeprotocol kungase kube ngokushesha noma kuhambe kancane. Qinisekisa ukuthi usebenza eduze nodokotela wakho kanye nodokotela wezempilo ukuze uqinisekise ukuthi ukulungiswa kwakho kwe-TKR kuphumelele.
> Umthombo:
> Stevens- > Lapslet >, JE, Balter, JE, et al. "Ukuqothulwa kwamandla kagesi okuqala okwenziwa nge-Neuromuscular Power to Improve Quadriceps Amandla Emisipha Ngemva Konke Ukuqothulwa Kwe-Arthroplasty: Isivivinyo Esilawulwe Ngokungahleliwe" PHYS THER. 2012; 92: 210-226.