Ukuthuthukisa Ukuphumelela Kokuhlinzwa Kwe-Hip & Knee Replacement

Ukuhlinzekwa nge-Hip kanye nokuguqulwa ngamadolo kungenye yezindlela ezijwayelekile zokuhlinza ngamathambo ezinikezwayo. Njalo ngonyaka, amakhulu ezinkulungwane zeziguli ezithathwa esikhundleni sokugqoka noma ukuguqa ngamadolo ukuphathwa kwe-arthritis enamandla yamajoyina abo. Ukwelashwa kokuhlinzwa kwesifo samathambo nge-substituted replacement kungenye yezindlela zokuhlinzwa eziphumelele kakhulu, kodwa kunezinkinga ezingase zenzeke, futhi lapho kunenkinga eyenzekayo kungaba yingozi kakhulu. Izinkinga zingabandakanya ubuhlungu obuqhubekayo, izinkinga zokuphulukisa ezinxeba, ukuqina, ukutheleleka, nezinye izinkinga.

Uma ubhekene nobuhlungu obungavamile obungavamile , izinkinga zingabonakala zingenakwenzeka futhi kulula ukucabanga ngakho. Abantu abafuna ukungena ekuhlinzekeni bagxile empumelelweni kunokuba kube nezinkinga. Lokho kusho, ukucabanga ngalezi zinkinga ezingase zihlotshaniswe nezinqubo zokuhlinzeka kungaba empeleni kube yinzuzo yakho. Ngokuqonda izinkinga ezingase zibe khona zokuhlinzwa okuhlanganyelwe, nokuthi ungayilawula kanjani amathuba alezi zingozi, ungaba umlawuli womphumela wakho. Ezinye izinyathelo ezilula zingase zibe umehluko emkhatsini wokuhlangana okungenabuhlungu kanye nokuhlukumeza okujulile kokuhlinzwa.

Ukuvimbela izinkinga zokuhlinzwa kokujoyina okuhlangene akulula ngaso sonke isikhathi, kodwa kunezinyathelo ezingathathwa. Ezinye zezinyathelo zithathwa udokotela wakho, kodwa ezinye zalezi zinyathelo kufanele zithathwe nguwe! Ngezansi ezinye zezinto ongakwazi ukuzilawula ezingasiza ekuqinisekiseni ithuba elihle lokubuyiselwa okuphumelelayo kusuka ekusebenziseni ukujoyina ngokuhlanganyela.

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Ukulahlekelwa kwesisindo

Ukukhuluphala kunabantu abaningi kakhulu ezweni elithuthukile, futhi inani labantu abafuna ukushintshwa ngokuhlanganyela liyakhula ngokumangalisayo ngenxa yalokho. Njengoba isibalo sabantu siba namandla kakhulu, ukusabalala kobuhlungu obuhlangene buvame kakhulu. Njengoba abantu bezwa ubuhlungu obuningi, abantu abaningi bafuna ukuhlinzwa okuhlanganyelwe okuhlanganyelwe ukuze kukhululeke lokhu.

Inkinga yokukhuluphala yilezi ukuthi ngenkathi yenza ukujoyina okuhlangene kuvame ngokwengeziwe, kuyenza kube lula. Abantu abane-index mass mass (BMI) abangaphezu kuka-40 babe neengozi enkulu kakhulu ehlobene nokuhlinzwa okuhlanganyelwe okujoyina. Lezi zingozi zibandakanya ithuba eliphakeme lokuphindaphinda, ithuba eliphakeme lokutheleleka, kanye nempilo ephakeme abazoyidinga ukuhlinzwa okuhlanganyelwe ukushintshwa okuhlanganyelwe.

Abantu abacubungula ukuguqulwa kokujoyina ndawonye bangagxila ekwehliseni isisindo ngaphambi kokuhlinzwa. Ukulahleka kwesisindo kungaba nzima ekusekeni ubuhlungu obungapheli, kepha kunezindlela zokuzivocavoca nokulahlekelwa isisindo okungenakubeka ukucindezeleka okukhulu kumajoyini. Abantu abafuna imiphumela engcono kakhulu ekusebenziseni ukujoyina ngokuhlanganyela kufanele bagxile emzamweni wokunciphisa isisindo kwi-BMI evamile.

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Yeka ukubhema

Imikhiqizo yokubhema ugwayi iyaziwa ukuthi ineziphumo eziphawulekayo ezicini eziningi zezempilo nokuphulukiswa. Ngokuqondile, ugwayi uthinta ukujikelezwa kwezinambuzane ezincane, ezithinta ngqo ekuphulukeleni emva kokuhlinzwa, kuhlanganise nokuhlinzwa okuhlanganyelwe esikhundleni.

Umthelela oqondile wokubhema imikhiqizo yegwayi emiphumeleni emva kokuba ukuhlinzwa kokujoyina okuhlanganyelwe akuqondiswanga ngokuphelele, kodwa kwaziwa kahle ukuthi abantu ababhema imikhiqizo kagwayi banamathuba aphakeme ekukhuleni izifo ezilimazayo, izinkinga zokuphulukisa, kanye nesidingo sokwamukelwa esibhedlela emva ukuhlinzwa kwabo okuhlanganyelwe esikhundleni.

Abanye odokotela abahlinzayo baqala ukuhlola iziguli ze-nicotine ukuze basize ukuqinisekisa ukuthi iziguli zabo zineziphumo zokuhlinzwa ezingcono kakhulu. Kuyaziwa ukuthi ukuyeka ukubhema ngaphambi kokuhlinzwa kungathuthukisa umphumela womuntu kusuka esikhundleni sokujoyina. Isikhathi esiphelele sokuphuma kwemikhiqizo ye-nicotine asiyazi kahle, kodwa odokotela abaningi abahlinzayo bayavuma uma umuntu engakwazi ukuyeka ukubhema okungenani amasonto ayisithupha, uma kungenjalo, ngaphambi kokuba ahlinzekwe cishe bayobe banciphise kakhulu ingozi yokucindezeleka sondelene nomuntu ongathembeki.

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Gwema Utshwala

Ukusetshenziswa kotshwala kuyaziwa ukuthi kuyingozi kubantu abahlinzwa ngezinqubo zokuhlinzwa. Ngokuqondile, abantu abaphuza utshwala njalo bangakwazi ukuhlakulela izixazululo emva kokuhlinzwa uma ukuphuza utshwala kwabo kungaziwa eqenjini labo lokunakekelwa kwezempilo. Ngenkathi ezinye izifundo zibonise abantu abaphuza utshwala ngokweqile noma ngokulinganisela cishe ngeke babe nezinkinga eziphezulu ezihlobene nokuhlinzwa okuhlanganyelwe, kukhona izingozi ezingenzeka uma abantu abaphuza utshwala njalo noma ngaphezulu benza inqubo enkulu yokuhlinzwa.

Ukugwema ukuphuza ngokweqile ngaphambi kokuba uhlinzeke kubalulekile, kodwa kubaluleke kakhulu ukukwazisa ithimba lakho lokunakekelwa kwezempilo mayelana nomthamo wotshwala odla njalo. Kungcono kakhulu ukutshela udokotela wakho kanye nezingane zokuhlengikaza ngaphambi kokuhlinzwa ngokulinganisa utshwala. Uma kunokwenzeka, ukunciphisa ukusetshenziswa kotshwala ngaphambi kokuhlinzwa okukhethwayo kungasiza ekuvimbeleni izinkinga. Ukuhlukumezeka okuvamile kwabantu abasebenzisa utshwala obuphakeme kuyisibhedlela esihlala isikhathi eside.

Kuyaziwa ukuthi abantu bavame ukunganaki inani lotshwala abadlayo. Uma ungaqiniseki ukuthi uphuza kangakanani, vele ugcine ilogi yansuku zonke. Lokhu kungenxa yenzuzo yakho! Vele ubhale ukuthi zingaki iziphuzo oziphuza usuku ngalunye ngesonto. Ukunikeza lolu lwazi kumhlinzeki wakho wokunakekela impilo kungabasiza ukuba baphathe futhi bavimbele izinkinga uma uhlinzwa.

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I-anemia yekheli

Othile one-anemic une-red red count count. Lokhu kusho ukuthi abanalo inani lamangqamuzana aphethe oksijini egazini labo, okungabangela izinkinga ezihlobene nokuphulukisa, futhi kwandisa amathuba okuthi umuntu uzodinga ukumpontshelwa ngegazi ngemuva kokushintshwa okuhlangene.

Kunezizathu eziningana zokuthi kungani umuntu engase abe ne-anemic. Ezinye zezizathu ezinokwenzeka zihlanganisa:

• Ukuntuleka kwe Iron
• Ukukhubazeka kwezinso
• Izimo zokuvuvukala

Ukwelapha izinhlobo ezahlukene ze-anemia kuzohluka. Ukuphuza ngokweqile ukutholakala kwe-iron kuncike kaningi nge-supplementary nutrients, kanti ezinye izinhlobo ze-anemia zingadinga imithi noma ezinye izindlela zokungenelela.

Ngokuvamile, i- postemia anemia ingavinjelwa ngokubhekana nokubala kwegazi eliphansi ngaphambi kokuhlinzwa. Ngeshwa, lokhu kuvame ukunganakwa, kanti ngesikhathi umuntu efika ekuhlinzekeni, aqala ngokubala kwegazi eliphansi. Khuluma nodokotela wakho wokunakekela oyinhloko mayelana nesibalo sakho somzimba wegazi obomvu, nokuthi ngabe kunezinyathelo okufanele uthathe kuzo ukuze uxazulule i-anemia.

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Gcina Impilo Yengqondo

Ngokuvame ukunganaki, impilo yengqondo idlala indima ebalulekile emiphumeleni yomphumela ophumelelayo ngemuva kokuhlinzwa kokujoyina ngokuhlanganyela. Abantu abanokucindezeleka kliniki banamathele ekuthuthukiseni izinkinga, abanelisekile kakhulu ngemiphumela yokuhlinzwa, futhi banethuba eliphakeme lokudinga ukushintshwa okuhlanganyelwe.

Kubalulekile ukukhomba abantu abanokucindezeleka kliniki ngaphambi kokuhlinzwa okwenziwa ngokuhlanganyela. Laba bantu bavame ukulwa, ikakhulukazi esikhathini sokuqala emva kwesikhathi. Ukucindezeleka akukona nje ukwandisa izinga lobuhlungu obhekene nalo, kodwa kungakwandisa amathuba okuba nezinkinga kanye nethuba lokudinga izinqubo zokuhlinzekwa ezengeziwe. Okokugcina, abantu abanezinkinga zempilo engqondo emisekelwe ekuhloleni okulinganiselwe, bathambekele ekubeni nemiphumela enganelisayo emva kokuhlinzwa.

Ukuzama ukunciphisa ukusebenzisana phakathi kobuhlungu obuhlanganyelwe kanye nempilo yengqondo kuyinselele, kodwa ngokusetshenziswa kwedatha eqinisekisiwe ngesiguli, odokotela abahlinzayo baqala ukubikezela ukuthi yiziphi abantu abangase bazikhandle ngokululala ngemva kokuhlinzwa okuhlanganyelwe kokujoyina. Laba bantu bangaphathwa ngokuqondile ngabaqeqeshi bezempilo yengqondo ngaphambi kokuba bahlinzekwe ukuze baxazulule impilo yabo yengqondo ngomzamo wokwandisa imiphumela yabo kusuka ekusebenziseni ukujoyina ngokuhlanganyela.

Izwi elivela

Ukwenza isinqumo sokusebenza ngokuhlanganyela ngokungangabazeki kungenye yezinqumo ezibaluleke kakhulu oyobhekana nazo esikhathini sakho sokuphila. Izindaba ezinhle ukuthi imiphumela cishe ihlale ihle. Kodwa-ke, kunezinkinga ezingase zenzeke, futhi ukugwema lezi zinkinga kufanele kube yinto eyodwa ebaluleke kakhulu. Ukulandela lezi zinyathelo kuzokusiza ugcine ukulawula ingozi yakho yokucindezeleka.

> Imithombo:

> Alexander DP, Frew N. Ukulungiswa kokusebenza kwe-anemia ye-primary total hip arthroplasty: ukubuyekezwa okuhlelekile. I-Hip Int . 2017 Jun 7: 0.

> Isiphequluli JA, Sandberg BF, D'Apuzzo MR, WM Novicoff. Ukucindezeleka kuhlotshaniswa nemiphumela yokuthoma ngemuva kokulandela i-arthroplasty ehlangene: isifundo somhlaba jikelele. J Arthroplasty . 2014 Mar; 29 (3): 481-3.

> I-OrthoCarolina Hip neKnee Center, uCharlotte, eNyakatho Carolina 28207, eU.SA. Ukukhuluphala kanye ne-arthroplasty yenani eliphelele: ukubuyekezwa okusekelwe ezincwadini. J Arthroplasty . 2013 Meyi; 28 (5): 714-21.

> I-Rotevatn TA, uBøggild H, u-Olesen CR, i-Torp-Pedersen C, i-Mortensen RN, i-Jensen PF, i-Overgaard C. Ukusetshenziswa kotshwala kanye nobungozi bokufelwa ngemuva kokushona ngemuva kwe-hip noma i-knee arthroplasty. PLoS One . 2017 Mashi 17; 12 (3): e0173083.

> Sahota S, Lovecchio F, Harold RE, Beal MD, Manning DW. Umphumela Wokubhema Emiphakathini Emisebenzi Engamashumi amathathu Emsebenzini Emva Kwama-Total Joint Arthroplasty: I-Propensity Score-Ukulinganisa Okufanisiwe. J Arthroplasty . 2017 Aug 1. pii: S0883-5403 (17) 30674-5.