Ukuhlinzwa okuphindaphindiwe kwe-Hip kuyindlela ejwayelekile yokwelashwa kwe- arthritis ejulile yenhlanganisela ye-hip . Emashumini eminyaka adlule, ukuhlinzekwa kwe-hip esikhundleni sokusebenza esikhundleni sekuvame kakhulu. Uma igcinwe asebekhulile, iziguli ezingasebenzi, odokotela abaningi abahlinzayo manje benza ukufakwa esikhundleni kwe-hip ezigulini ezincane , ezisebenzayo ezifuna ukugcina impilo yazo ematasa.
Njengoba ukuhlinzekwa kwe-hip esikhundleni sekuguqukile, amasu nama-protocol asetshenziselwe ukwenza le nqubo ibe yinto encane kakhulu.
Inhloso yanoma yisiphi inqubo encane engavamile ukuzama ukwenza iziguli zibe ngcono, ngokushesha, ngokuphazanyiswa okuncane empilweni yabo. Iningi lwakamuva, iziguli eziningi manje zikhetha ukushintshwa kwe-hip yangaphakathi , ukuhlinzekwa okuhloswe ukuthi kube nokulimala okuncane kwamasipha kanye nokuvuselela okusheshayo. Ngomzamo wokuthuthukisa ikhono lokubuyisela iziguli ngendlela evamile ngokushesha, ezinye odokotela abahlinzayo baye baqala ukwenza ukuhlinzwa esikhundleni se-hip njengendlela yokuphulukisa iziguli.
Kungani Iziguli Zihlala Esibhedlela?
Umbuzo wokuqala ozowubuza mayelana nokuhlinzekwa kwabasebenzi abaphuthumayo, kungani iziguli zihlala esibhedlela nhlobo emva kokuphindaphinda kwendabuko? Kunezizathu ezimbalwa, futhi uma ukuhlinzwa okwelashwa kufanele kucatshangelwe, lezi zizathu kufanele zibhekiswe:
- Ukwesaba: Iziguli eziningi ezitholwa ukuhlinzwa esikhundleni se-hip zinezinkathazo nokukhathazeka, ezihlobene ngqo nokuthi zizokwazi kanjani ukusebenza ngemuva kokuhlinzwa. Uma isiguli sikhombisa ukuhlinzekwa ngokungazi ngenqubo yabo ezayo, nokuthi yini abazoyidinga ukusebenza ngokuzimela ekhaya ngemva kokuhlinzwa, khona-ke bayoba nesikhathi esinzima ngokuhlinzwa okwelashwa. Kunezindlela zokufundisa nokulungisa iziguli zokuhlinzwa ukuze zikwazi ukubuyela ekhaya ngokuphepha ngemva kokuhlinzwa
- Ubuhlungu: Ubuhlungu bungaba ukukhathazeka ngeziguli ezinokuhlinzekwa okukhulu njengokwenziwa kwe-hip. Ukulawula ubuhlungu kuye kwathuthuka ngokuphawulekayo, futhi amasu amancane angenawo amandla adala ukungaboni kahle ngemva kokuhlinzwa. Amabhuloki omzimba omdala omdala, ama-anesthetics wendawo, nemithi emisha yobuhlungu bangasiza iziguli kangcono ukuphatha ubuhlungu ngemva kokushintshwa okuhlangene.
- Umsebenzi: Ezinye iziguli ziyoba ngcono ukuphatha ngokuzimela emva kokushintshaniswa kwamajoyina kunezinye. Iziguli ezinamandla kakhulu, iziguli ezinamandla zingase zisekele kangcono ngokwabo futhi zizokwazi ukuziphatha zodwa. Ukukhethwa ngokucophelela kweziguli kuyadingeka ngaphambi kokucubungula ukushintshwa okuhlanganyelwe kwabagulayo.
Izingozi Zokuhlinzwa Okuhlanganyelwe Ngaphandle Kokugula
Kukhona izingozi zokufakelwa okuhlanganyelwe , futhi akuzona zonke iziguli eziwufanelekile kule nqubo yokuhlinzwa. Iziguli kuphela ezinempilo enhle kakhulu, futhi amandla anamandla okwenyama angaphezulu asebenza ngokuzimela, azocatshangelwa ukuguqulwa kwesiguli esiphelele.
Kukhona idatha encane kakhulu, kodwa abukho ubufakazi bokuthi izingozi ezivamile zokufakelwa kwe-hip ziphakeme ezigulini ngemuva kokuhlinzwa okwezinye iziguli eziphuthumayo. Eqinisweni, abanye odokotela abahlinzayo bangase bathi ukuqoqwa kokuqala kungasiza ekunciphiseni izingozi zezinkinga ezifana ne- blood clot emva kokushintshwa okuhlangene.
Ngaphansi: Ingabe Kuphephile?
Ubufakazi bamanje bubonisa ukuthi ukuhlinzwa kokuhlinzwa esikhundleni sokuphulukiswa kweziguli kuphephile kwiziguli ezikhethiwe ngokucophelela. Iziguli kufanele zibe nempilo, ziqinile, futhi kufanele zilungiselelwe kahle abaphathi be-post-kuhlinzwa ekhaya. Kukhona inani elikhulu lemfundo elihilelekile ekulungiseleleni iziguli zokwelashwa okuphulukisiwe, futhi lezi ziguli kufanele zithole usizo ekhaya ezinsukwini emva kokuhlinzwa.
Ngaphezu kwalokho, okwamanje i- Medicare ayivumeli iziguli ukuba zithathe esikhundleni se-hip. Abaningi bomshwalense bezohwebo bazovumela lokhu kuhlinzeka, kanti uMedarela angashintsha izinqubomgomo zabo, kodwa okwamanje odokotela abaningi abahlinzayo ngeke baphinde baphinde baphinde baphathe iziguli eMedare.
Umthombo:
U-Aynardi M, et al. "Ukwelashwa okuphuthumayo njengendlela yokunciphisa izindleko ku-hip arthroplasty esiphelele: isifundo sokulawula icala" HSS J. 2014 Oct; 10 (3): 252-5.