Uma ungakwazi ukugoba noma ukulungisa ibhande lakho ngemva kokuguqula amadolo
Ukuhlinzekwa kwamadolo esikhundleni senziwa ukuze kukhishwe isifo esidonsa amehlo segceke elihlangene. Ukuguqulwa kwezintambo kuyindlela enhle kakhulu ye- arthritis emadolweni . Ngeshwa, izinkinga zingenzeka ngemuva kokuguqula amadolo, ngisho noma zonke zihamba kahle ngesikhathi sokuhlinzwa. Enye inkinga yokuguqulwa kwamadolo kungukuqina ngemva kokuhlinzwa.
Iziguli ezinezinyawo ezinzima ngemuva kokuguqula amadolo zingase zithole ukungakwazi ukuqondisa ngokugcwele umlenze, ukuguqa emuva, noma kokubili.
Uma uzama ukubikezela amathuba okuqina ngemva kokuguqula amadolo, ukuguquguquka okubaluleke kakhulu ukuhamba ngaphambi kokuhlinzwa. Abantu abanezinduku ezinzima ezibangelwa ukuhlinzwa ngokuguqulwa kwamadolo, bavame ukuba namadolo aqinile ngemva kokuhlinzwa kokuguqula amadolo. Ngakolunye uhlangothi, labo abahamba phambili kangcono ngaphambi kokuhlinzwa, bancane amathuba okuba nokuqina ngemva kokuhlinzwa. Kunezinyathelo ezingathathwa ngesikhathi sokuhlinzwa ukusiza ukukhulula izigxobo eziqinile nezicubu ezungeze ukujoyina, futhi ususe imithwalo yemingcele yokuhamba, kodwa ngezinye izikhathi ukuguquguquka kwezicubu kunqunyelwe iphuzu elingenakulungiswa ngokugcwele.
Ukunyakaza okujwayelekile ngemva kokuguquka kwe-Knee Replacement
Ukunyakaza okuvamile ngemva kokuguqulwa kwamadolo kuvame ukuchazwa njengekhono lokuthola ngaphakathi kwama-degree angama-5 edolo eliqondile, nekhono lokuguqa emuva emazingeni angu-90.
Imisebenzi eminingi ingenziwa ngalokhu kuqhutshwa, kodwa odokotela abahlinzayo balwela ukuguqulwa kwamadolo ngokunyuka kusuka kuma-0 degrees (ngokuqondile ngqo) kuya kuma-degrees angu-110 noma ngaphezulu. Ngokuvamile ukunyakaza okugcwele akufinyelelwa kuze kube yizinyanga ezintathu kuya kwezingu-6 kusukela ngesikhathi sokuhlinzwa.
Ngemuva kokuhlinzwa kokuguqulwa kwamadolo , kubalulekile ukusebenza nomhlinzeki wenyama ukuze uzuze ububanzi bokuhamba .
Abanye odokotela abahlinzayo bayotusa ukusetshenziswa komshini wokuguqa amadolo, okuthiwa yi- CPM , naphezu kokuntuleka kobufakazi bokusekela ukusetshenziswa kwale mishini. Ukunyakaza okunamandla kwamadolo afakwe esikhundleni kungafinyelelwa ngokuhlanganiswa kwezintambo, ukuzivocavoca, nokuqala ngokuqhubekayo kwemisebenzi evamile.
Lapho Ukuguqulwa Knee Kuyi-Stiff
Kwamanye abantu, kungaba nzima ukuguqula amadolo ngemva kokuhlinzwa. Ukungabi nalutho noma ukuvama okujwayelekile ngemuva kokuguqulwa kwamadolo kungaba ngenxa yezizathu ezimbalwa, noma inhlanganisela yezimbangela:
- Ukulawulwa Kwezinhlungu ezinganele
Ukulawula ubuhlungu ngemva kokujoyina ngokuhlanganyela ngokuvamile kuyinkinga ephathekayo, kodwa kwabanye abantu, lokhu kungaba nzima kakhulu. Ezinye iziguli zithola imiphumela emibi yemithi yobuhlungu engaxoliseki, kodwa ukungabi nokulawulwa okwanele kobuhlungu kungaholela enkingeni yokusebenza ngokunyakaza kwejoyina elisha. Kubalulekile ukusebenzisana nodokotela wakho ukuthuthukisa uhlelo lokunakekelwa ubuhlungu olusebenza kuwe. - Ukunyakaza Okumpofu Ngaphambi Kokuhlinzwa
Ukunyakaza kwakho ngaphambi kokuhlinzwa kungasetshenziswa ukubikezela ukunyakaza kwakho ngemva kokuhlinzwa. Iziguli ezinenkinga ngaphambi kokuba inqubo yabo yokuhlinzeka cishe ibe nokuqina ngemva kokuhlinzwa. - Ukufometha kwe-Scar okuningi
Abanye abantu babonakala benza izicubu ezinzima kakhulu kunabanye, futhi zikhona ezinye izimo lapho ukubunjwa kobuningi kukhulu kakhulu. Iziguli ezitholwe ukuhlinzwa ngokuhlanganyela ngaphambili, noma zibuyiselwa esikhundleni sokuguqula , zingase zibe nokuqina ngemva kokuhlinzwa.
- Ukufakela phansi ukufakela izimpande
Odokotela abahlinzayo benza umzamo "wokulinganisela" amadolo ngesikhathi sokuhlinzwa. Lokhu kusho ukuthola ubungako obuhle nokulungiswa kokuguqulwa kwamadolo ukuze amadolo ahlangane angabambeki kakhulu, futhi akusiwo okhululekile, ngakho-ke lokhu kulingana kufana nokuguqa nokuguqa. Lokhu kungenxa yokuthi ukuguqula amadolo kuyinkambinkimbi enzima, futhi ubuciko bokufeza lokhu kuthatha iminyaka eminingi. Iziphambeko ekubekeni kwezimpande ngesikhathi sokuhlinzwa zingase zingabonakali etafuleni lokusebenza futhi zingabangela ubunzima ukuguqa noma ukuqondisa amadolo. - Ezinye Izinkinga Zokuhlinza
Izinkinga zokuhlinzwa ngokuvamile ziholela kwezinye izinkinga. Iziguli ezithola izifo ezithathelwanayo ezithathelanayo , isifo esiyinkimbinkimbi yesifo sezwe , noma ezinye izinkinga , zinethuba eliphakeme lokuthuthukisa ukuqina.
Ukwelashwa Kokuqina Kwezintambo Emva Kokushintshwa
Ukwelashwa kokuqina ngemva kokuguqulwa kwamadolo kuxhomeke esikhathini sokuhlinzwa, futhi imbangela yobunzima. Izindlela zokwelashwa ezijwayelekile zokuqina zi:
- Ukwelashwa Kwemvelo Okumangalisayo
Ukwelashwa ngokomzimba kuyindlela yokwelapha ewusizo lwegolo, ikakhulukazi ezinyangeni ezintathu zokuqala ngemuva kokuguqulwa kwamadolo. Ukwelapha ngokomzimba kungacatshangwa emva kwalesi sikhathi, kodwa imiphumela ayifanele njengokwelapha kwangempela. Uhlobo olusha lobucwebe obubizwa ngokuthi i-splint dynamic uye lwabonisa neminye imiphumela ekhuthazayo uma isetshenziselwa ukuhambisana nokwelapha ngokomzimba. - Ukuxhaphazwa Ngaphansi Kwe-Anesthesia
Ukuxhashazwa kuyinkqubo lapho kungenakwenziwa khona. Isiguli sinikezwa i-anesthhesia, ngokuvamile nge-IV, kanti ngenkathi ilele, udokotela wakho ohlinzayo ngokucindezelayo uhambisa idolo ukuze aphule izicubu ezibomvu. Le nqubo inenzuzo kakhulu emavikini ayisithupha kuya kwangu-12 emva kokuhlinzwa. Ukukhathazeka okuyinhloko ngokukhwabanisa ukuthi kungenzeka ukuthi ithambo lingaphula nxazonke uma liphoqeleka kakhulu. Lokhu kuqondene nabantu abane- osteoporosis noma uma ukuxhaphazwa kwenziwa ngaphezulu konyaka ngemuva kokufaka esikhundleni. - Ukususwa kokuhlinzwa kwe-Scar Tissue
Ukususwa kokuhlinzwa kwesisindo somzimba emva kokuguqulwa kwamadolo kungavamile ukwenza kodwa kungase kusize kwezinye izimo ezingavamile. Imiphumela yokukhipha izicubu ezibomvu azizange zibe ngcono kakhulu ekuthuthukiseni ukunyakaza, ngakho-ke, ezinye izifo ngokuvamile zibhekwa kuqala. - Ukubuyiselwa Kokushintshwa Knee
Uma lezi zokwelapha ezingenhla zihluleka, noma uma izingxenyana eziguqulwa ngamadolo zihlehlisiwe, kungase kudingekile ukususa idolo elifakiwe bese lishintsha lokhu ngokufaka esikhundleni sogu olusha. Ithimba lithenga nobukhulu bendawo entsha lingashintshwa ukusiza ukuvumela ukuhamba kahle kwamadolo.
Ukunquma ukwelashwa ngendlela efanele kwedolo eliqinile ngemva kokumiswa kuncike ekubambeni kokuqina nokude kwesikhathi kusukela esikhundleni sakho. Udokotela wakho angenza izincomo zamadolo akho ngesimo sakho esithile.
Izwi elivela
Ukuqina emva kokuhlinzwa kwesigodlo kungagwenywa ngokulawulwa kwezihlungu ezifanele, ukwelashwa ngokomzimba, nezinyathelo zokunciphisa amathuba okuba nezinkinga. Kodwa-ke, ezimweni lapho kunzima khona, kunezinyathelo ezingenziwa ukuze uzame ukuthuthukisa isimo. Ukubhekana nokuqina phakathi kwezinyathelo zokuqala ngemuva kokuguqulwa kwamadolo kunamathuba amaningi okuphumelela, njengoba ukwephuza ukwelashwa kokuqina (emva kwezinyanga ezingu-6) akuncane kakhulu ukuhlinzeka nganoma iyiphi inzuzo enkulu. Ezimweni lapho kunzima khona ukuma, ngokuvamile ukuphinda ukwenziwa ukuhlinzwa kuyindlela yokwelapha kuphela.
Umthombo:
UGhani H, Maffulli N, Khanduja V. "Ukuphathwa kokuqina kokulandela i-knee arthroplasty: ukubuyekezwa okuhlelekile" Knee. 2012 Dec; 19 (6): 751-9.
> Scott RD. "Ukuqubuka okuhambisana ne-knee arthroplasty" I-Orthopedics. 2009 Sep; 32 (9).