Ukwenziwa ukuhlinzwa okuyisifo senyonga kuyindlela yokwelapha i- arthritis ejulile yegama. Iningi leziguli ziqonda ukuthi ukuguqulwa kwamadolo kungaphelelwa yisikhathi, kodwa impela ukuguqulwa kwamadolo kudingeke ukuba kuhlale isikhathi eside kangakanani?
Ukushintshwa kwama-knee ekugcineni kuphelile. Ngeshwa, idolo lokufakelwa akulona eliqinile njengegama lakho. Ngenxa yokuthi izimpande zokuguqula amadolo zenziwe ngensimbi nangeplastiki, ngokuhamba kwesikhathi, lezi zinto ziqala ukugqoka, njengenjoloba ematayini emoto.
Ngenkathi ama-knee esikhundleni sokuthi ashintshiwe aklanyelwe ukuhlala isikhathi eside, ngeke ahlale kuze kube phakade.
Izindaba ezinhle ukuthi izifundo zibonisa ukuthi izinhlobo ezivamile zokuguqulwa kwamadolo zingadlula iminyaka engaphezu kwengu-20. Ucwaningo oluthile oluthile lwemiphumela yesikhathi eside yesikhathi esasetshenziswa ngokuguqulwa kwesondo lwathola ukuthi ukufakelwa kusasebenza kuseziguli ezingu-96% eminyakeni engu-20 ngemuva kokufakwa. Ngempela lokhu kungenye yemibiko engcono, kanti ezinye izifundo azibonanga ukuthi izinga lokuphumelela. Kodwa-ke, umgomo wokuguqula amadolo kufanele ube ukufeza amashumi ambalwa emadolo asebenzayo.
Kumele ukhumbule ukuthi nakuba ezinye iziguli zingase zithathe isikhundla sokuguqa ngamadolo ezidlule amashumi ambalwa eminyaka, ezinye iziguli zingadinga ukuphindwa ngamadolo emuva nje kweminyaka embalwa emva kokuhlinzwa kwabo. Ukuguqula ukuguqulwa kwamadolo (ukuguqulwa kwamadolo wesibili) kuyisenzo esiyinhloko, esivame ukuba nemiphumela engaphumelelanga kakhulu kunokuba iguqulwe ngamadolo okuqala.
Ngombhalo okhanyayo, umbiko wamuva wathola ukuthi ukuhlinzwa okungu-2% kuphela kwamadolo okuguqula kudinga ukuhlinzekwa okwesibili kungakapheli iminyaka emihlanu yokuguqulwa kwamadolo okuqala.
Izingosi ezithinta ukudelela kokuguqulwa kwama-knee
Ucwaningo oluningi lwenzile ukunquma ukuthi ukuguqulwa kwamadolo kuzothatha isikhathi esingakanani. Ngamakhulu ezinhlobo ezahlukene zokuguqula amadolo nezinhlobo eziningi ezihlukene zeziguli, akukho mithetho ukuthi ukuguqulwa kwamadolo kuzokuhlala isikhathi esingakanani kumuntu othile.
Abakhiqizi abakhiqizelayo bazama njalo ukudala isilwane "esingcono" esizohlala isikhathi eside. Ezinye zalezi zimila zisetshenziswe kuphela iminyaka embalwa, futhi kunquma ukuthi zingabe zihlala isikhathi eside yini umbuzo kuphela isikhathi esingaphendula.
Ezinye zezici ezibonakala zithonya ukuhlala isikhathi eside kwezimpande zokuguqula amadolo zihlanganisa:
- Ubudala Bomonde: Iziguli ezincane zidinga ukuguqulwa kwamadolo ukuba kuhlale isikhathi eside. Ngaphezulu kwalokho, iziguli ezincane zivame ukusebenza. Ngakho-ke, iziguli eziguqulwe ngamadolo ezineminyaka engama-50 noma ezincane zingalindela ukuthi zidinga ukuguqulwa kwamadolo okubukeza ngesikhathi sokuphila kwabo.
- Imisebenzi yokubekezela: Iminye imisebenzi ingase ingafaneleki iziguli ezinokuguqulwa ngamadolo. Nakuba le misebenzi ingase ingabi buhlungu noma ilukhuni, kungenzeka ukuthi ibeke ukucindezeleka ngokweqile ekuguqeleni kwamadolo, okwenza izingxenye zikwazi ukuphuma ngokushesha.
- Isisindo sesineke: Uma umuntu ekhulula kakhulu, ukucindezeleka okungaphezu kwalokho okufakwe ekufakweni okuhlanganyelwe esikhundleni. Ukugcina isisindo somzimba evamile kubaluleke kakhulu uma uzama ukwenza ukujoyina okuhlangene ukugcina. Ukuzivocavoca okufanele kungasiza ekugcineni indawo yokuguqula impilo.
- Ukugwema Izinkinga: Lokhu kungase kuzwakale kusobala, kodwa kunezimo ezithile zezokwelapha ezingabangela izinkinga ezithinta indawo yokujoyina. Iziguli ezinezinqubo zokwelashwa ezingenasidingo (kuhlanganise nomsebenzi wamazinyo) zingadinga ukwelashwa kwama-antibiotic ukuvimbela amabhaktheriya ukuba angene endaweni yokujoyina. Iziguli ezine- osteoporosis kufanele ziqinisekise ukuthi ziphathwa kahle ngokwanele njengokuphuka kwithambo elizungeze ukushintshwa okuhlangene kungathinta ukusebenza komthelela.
I-Latest futhi Enkulu kunayo yonke
Isivivinyo esisodwa seziguli kanye nodokotela ohlinzayo ngokufanayo kufanele sikhangwe ekuguqweni kwamadolo amasha emakethe. Ngokungangabazeki, lesi sitshalo sizobiza ukuthi sisebenze kangcono futhi sihlale isikhathi eside kunokunye ukuguqulwa kwamadolo. Nakuba lezi zimila ezintsha zingase zibe ngcono, kubalulekile nokuqonda ukuthi abanalo idatha yesikhathi eside ukuthi lezi zimplantshi zizosebenza kanjani ngokuhamba kwesikhathi. Buza noma ngubani ohlinzayo odokotela wezinyosi mayelana nezimpembelelo abazibonayo eze bese ehamba phambili emisebenzini yabo. Kungenxa yokuthi ukufakelwa okusha kungasho ukuthi kungcono.
Iziguli kanye nodokotela abahlinzayo kufanele bazame ukuthola ibhalansi elifanele phakathi kokuklama kwansuku zonke futhi bangabi isiguli 'sokuhlola'.
Udokotela wakho ohlinzayo angakusiza ekuqondiseni endaweni efanelekile yokuguqa engcono kakhulu kuwe.
Imithombo:
Buechel FF, et al. "Ukuhlolwa Kweminyaka Eyishumi Nambili Yezindleko Ezingekho Emphakathini ezithinta futhi ezishintshayo." Ucwaningo lwe-Orthopedic & Research Related, 388 July 2001: 41-50.
Ingqikithi Yokuguqulwa Kwamathambo "I-Agency for Research Health and Publication No. No. 04-E006-2.