Okudingeka Ukwazi
Ukuhlinzwa okuhlanganyelwe okubambisana kubhekwa njengendlela yokugcina yokwelapha okukhethwa kuzo ukuxazulula ubuhlungu be-arthritis nokubuyisela umsebenzi ohlangene ohlangene. Kuningi okukhethwa kukho ukwelapha okulindelekile okuvame ukuhlolwa ngaphambi kokuhlinzwa. Ukuhlinzekwa okuhlanganyelwe okuhlanganisiwe kunconywa uma ubuhlungu besengabonakali ngokulawulwa kahle nokuhlangene kakhulu kuthinta ikhwalithi yokuphila.
Iyini Yokuhlinza Ngokuhlanganyela Okunye?
Ukufakelwa okuhlangene kuhilela lezi zinyathelo:
- I-cartilage isusiwe kusukela zombili izinhlangothi zomunye.
- Ingxenyana ethintekile ivuselelwa nge-prosthesis, okuyinto ehlangene elenziwe ngezakhi zensimbi nezeplastiki.
Ngamanye amazwi, udokotela ohlinzayo wamathambo wenza inhlanganisela eyonakalisiwe futhi ufaka entsha, yokufakelwa. Ngokweqile, noma yikuphi ukujoyina emzimbeni kungashintshwa, kodwa ukuhlinzwa okunye okuhlangene okubandakanya kubandakanya amadolo nesikhumba .
Iyini Indawo Ehlanganisiwe Eyenziwe?
Izinto ezintsha zokufakelwa kanye nezinqubo zokuhlinzekwa ngcono zokufakelwa okuhlangene zakhiwe kule minyaka engamashumi amathathu edlule. Ngenkathi i-prosthesis ingenziwa yensimbi, noma insimbi nepulasitiki, nayo ingamiswa ngezinto ezinjenge-grout-non-cemented, noma ukuhlanganiswa kokubili ukufeza ukulungiswa . Ngokujwayelekile, isisindo se-cemented sisetshenziswa kubantu asebekhulile. I-version engelona i-cemented ifanele kakhulu kubantu abancane, abakhuthele.
Lokhu kungenxa yokuthi izinga elihle lamathambo liyadingeka ukuze ithambo likhule libe yi-prosthesis ukuze livikeleke.
Ama-prostheses ahlangene ngokuvamile anezinhlamvu ze-titanium ne-cobalt chrome. Into esetshenzisiwe entsha ibizwa nge-tantalum - isitfombe esithambile, esinamandla kakhulu. Ukuqina ko-tantalum kuqhathanisa namathambo.
Eminyakeni embalwa eyedlule, ama-prostheses e-ceramic ayethandwa. Ukwakhiwa kwe-joint prosthesis prosthesis kuqhubeka njalo futhi ngenxa yalokho, bahlala isikhathi eside. Amalungu amasha ahlala iminyaka engaba ngu-10 kuya kwengu-15, ngakho-ke, kuye ngokuthi uneminyaka yesiguli, ukubuyekezwa futhi kungenzeka ukuthi izibuyekezo eziningi ziba neziguli ezincane.
Ukuvulwa Kokufakelwa Okuhlangene Okuvamile Kanjani?
Abantu abadala abangaba ngu-435,000 e-United States bane-hip noma amadolo endaweni yawo yonke indawo. Inombolo ikhula minyaka yonke ngenxa yabantu asebekhulile kanye nempumelelo eqinile yokuhlinzwa okuhlanganyelwe ngokuhlanganyela.
Uyazi kanjani ukuthi udinga ukushintshwa okuhlangene? Zibuze le mibuzo:
- Ngiye ngazama imishanguzo kanye nezinye izinketho zokwelashwa ezikhululekayo zokuphulukisa ubuhlungu?
- Ingabe nginezinhlungu ezingapheli ekuhlanganyeleni okuhlangene?
- Ingabe nginenkinga enkulu ngemisebenzi evamile yansuku zonke , njengokuhamba, ukukhuphuka izitebhisi, ukupheka, ukuhlanza nokunye?
- Ingabe izinga lami lokuphila lihlushwa ngenxa yobuhlungu be-arthritis kanye nokulimala okuhlangene?
Uma uphendula "yebo" kuningi noma yonke imibuzo, xhumana nodokotela wakho. Ungaba umklomelo wokuhlinzwa okuhlanganyelwe okuhlanganyelwe.
Ziyini Izinzuzo Zokuhlinzwa Okuhlanganyelwe Okuhlangene?
Ngokuvamile, iziguli eziye zahlinzwa ngokuhlanganyela zibuyela emisebenzini evamile yansuku zonke futhi zisebenza kahle.
Iziguli ezihlanganyele ezemidlalo ngaphambi kokudinga ukuhlinzeka cishe zingabamba iqhaza ezemidlalo ezithintekayo ngemuva kokuhlinzwa.
Ukwelashwa ngokomzimba kanye nenqubo yokuzivuselela okuzibophezele kubalulekile emiphumeleni ephumelelayo yokuhlinzwa. Umphumela kanye nokuvinjelwa kokubuya ngemva kokuhlinzwa kokujoyina ngokuhlanganyela kuxhomeke ku:
- Izinga lomsebenzi ngaphambi kokuhlinzwa
- jikelele jikelele impilo
- ukuqina nobude bokukhubazeka ngokomzimba ngaphambi kokuhlinzwa
- uhlobo lwenqubo yokuhlinza (okungukuthi, i-cemented, engekho i-cemented, i- invasive encane )
- isimo sengqondo sokuphulukisa nokugqugquzela
Ingabe Izinkinga Zingenzeka Ngokuhlinzwa Okuhlanganyelwe Okuhlangene?
Amaphesenti angaba ngu-90% asetshenziselwa ukushintshwa aphumelele.
Kukhona amathuba okubhekana nezinkinga nanoma yikuphi ukuhlinzwa, noma kunjalo. Kubalulekile ukwazi ukuthi bangobani nokuthi baphathwa kanjani. Izinkinga ezikhona zingabandakanya:
- ukutheleleka
- ama-clots wegazi
- ukukhululeka kwe-prosthesis
- ukuhlukanisa
- ukulimala kwegazi noma kwesisindo eduze kwe-prosthesis
- izinkinga nge-anesthesia
Ingabe Ukuphindaphindiwe Kubuhlungu?
Iziguli eziningi zizoqala ukwelashwa ngokomzimba ngosuku olulandelayo emva kokuhlinzwa. Abanye bazobuyela ekhaya ezinsukwini ezintathu kuya kwezinhlanu, kanti abanye bangase bachithe isikhathi esikhungweni sokuvuselela ukugxila ekwelapheni ngokomzimba futhi bazimele. Kunemikhawulo eminingana emzimbeni phakathi nenkathi yokuthunyelwe, konke okuhlosiwe kokungahambisani ne-prosthesis entsha. Isiguli kumele sizibophezele ohlelweni lokusebenza futhi silandele imingcele. Umsebenzi wokuhlinza wenziwa uma ephuma ekamelweni lokusebenza. Ngaleso sikhathi, umsebenzi uqala nje ngesiguli.
Abantu bavame ukubuza mayelana nobude besikhathi esidingekayo ukuze kutholakale ngokugcwele kusuka ekusebenziseni ukujoyina okuhlanganyelwe. Impendulo ihlukile, ivumela uhlobo lohlinzekwa olwenziwe, kungakhathaliseki ukuthi kunenkinga eyenziwe futhi ukutshala imali ngokomzimba nangokomzwelo okwenziwe isiguli. Isiguli kufanele silindele ukuthi sibe namandla futhi sibe neselula ngaphezulu kwezinyanga ezimbili kuya kwezintathu. Ubuhlungu buyodlula futhi ngokuhamba kwesikhathi.
> Imithombo:
> Ukuhlinzwa Okuhlangene. I-American College of Rheumatology. Mashi 2007.
> Ukufakelwa Kokufakelwa Okuhlangene: Ulwazi Lwezempilo Lwezisekelo Zakho Kuwe Nomndeni Wakho. I-National Institute of Arthritis neMisculoskeletal kanye Nezifo Zesikhumba. > Julayi > 2014.
> Ukujoyina okuhlangene: Ukubuka kwangaphakathi. I-FDA. Mashi-Ephreli 2004.