Uma unamahlombe emadolo , udokotela wakho angase akubhekise ekwelapheni ngokomzimba. Kulapho umuthi wakho wezokwelapha uzosebenzisa izindlela ezihlukahlukene zokwelashwa nokuzivocavoca ukuze usize ukunciphisa ubuhlungu bakho futhi uthuthukise ukuhamba kwakho konke okusebenzayo.
Uma ubuhlungu bakho bomadala bubangelwa ngodolo lwe-osteoarthritis , ungase ube nobunzima ukuguqa nokuqondisa idolo lakho, futhi amadolo akho angase azizwe evuvukala ngezikhathi ezithile.
Lokhu kunzima nokuvuvukala kungakuvimbela ukuba uhambe ngokujwayelekile.
Ukholwe noma cha, ukwelashwa ngokomzimba akusizi wonke umuntu ozwa ubuhlungu emadolweni. Ngezinye izikhathi ukulahlekelwa kwezinyathelo zokuhamba (ROM) nobuthakathaka kakhulu, futhi ubuhlungu nokuvuvukala akukwazi ukulawulwa. Udokotela wakho wezempilo kufanele akubuyisele emuva kudokotela wakho uma kunjalo. Izikhathi eziningi, udokotela wakho angabe esekutshela udokotela ohlinzayo wamazinyo ozobona ukuthi ukuhlinzwa okuphelele ( knee substitution ) (TKR) kuyadingeka ukusiza ukunciphisa ubuhlungu bakho emadolweni nokuthuthukisa ukuhamba kwakho konke.
Uma unayo i-TKR, kungenzeka ukuthi udinga ukwelapha ngokomzimba nokuvuselelwa ngemuva kokuhlinzwa. Ungalindela ukuthi uhileleke ekwelapheni ngokomzimba ngokushesha emva kokuhlinzwa kwakho, futhi ungadinga ukwelashwa izinyanga ezimbalwa ngemuva kokuhlinzwa kwakho kwegciwane lakho lonke.
Esibhedlela
Ukuhlinzwa kwakho kwe-TKR cishe kuzokwenzeka esibhedlela noma esikhungweni sokuhlinzeka.
Izikhathi eziningi, ukwelashwa okunamandla okuthunyelwe ngemuva kokuhamba kwe-TKR kuqala ngosuku ngemuva kokuhlinzwa kwakho. Uma ukuhlinzeka kwakho kwenzeka ekuseni kakhulu, udokotela ongokwenyama angakuvakashela embhede wakho ngosuku olufanayo nokuhlinzwa kwakho.
Ezinye izinto umuthi wakho wezokwelapha angakusiza ngaphakathi esibhedlela zihlanganisa:
- Ukusebenzisa amadivaysi akho okusiza, njenge- walker noma amathanga
- Ukuzivocavoca ukusiza ukuthuthukisa uhla lwakho lokuhamba
- Ukuqinisa umzimba
- Ukusebenzisa umshini wakho oqhubekayo wokunyakaza
- Ukufunda ukuhamba (ukuqeqeshwa kwe-gait)
- Ukukhuphuka kwezitebhisi
- Ubuhlungu nokulawula ukuvuvukala
Qinisekisa ukuthi ukhuluma nodokotela wakho ukuze uqonde kahle ukuthi yini ongayilindela ekwelapheni ngokomzimba esibhedlela ngemuva kokuhlinzwa kwakho kwamaviki.
Ukuvuselelwa okuncane okulula
Izikhathi eziningi emva kwe-TKR, ungasuswa esibhedlela futhi ungaya ngqo ekhaya. Ngezinye izikhathi, ungadinga ukwelashwa okunamandla okwedlulele nokunakekelwa kwezingane ngemuva kokuhlinzwa kwakho. Ungase ungakulungeli ukuya ekhaya ngemuva kokukhishwa esibhedlela ngenxa yokungabi nesekelo lomndeni, ubunzima bokuhamba, noma ezinye izinkinga ezidinga ukunakekelwa okunamandla kunokuba uzothola ekhaya.
Uma kunjalo, udokotela wakho angakuvuma esakhiweni sokuvuselela i-sub-acute emva kokufaka esikhundleni segama lakho legolo. Lapho, umhlinzeki wakho womzimba uzosebenza eduze namanye amalungu eqembu lokuvuselela ukusiza ukuthuthukisa ukuhamba kwakho kokusebenza ukuze ukwazi ukubuyela ekhaya ekugcineni. Amalungu eqembu lakho lokuvuselela angafaka:
- Odokotela
- Therapists
- Abahlinzeki bama-Occupational
- Abahlengikazi
- Abasebenzi bezenhlalakahle
- Therapists
- Izazi zengqondo
Ukwelashwa ngokomzimba esibhedlela esibhedlela sokuvuselela izingozi kuzogxila ekuhambeni kwakho kokusebenza njengokuhamba nokunyuka kwezititeji. Ukusebenza ekubhekeni kombhede nokudluliselwa kwe-stand-to-stand kungase kube ingxenye yenkambiso yakho yokuvuselela. Ukuzivocavoca ukuqhubeka nokuthuthukisa i-ROM yakho namandla angase afakwe. Umgomo oyinhloko wokwelashwa ngokomzimba esibhedlela sokuvuselela ukuthuthukisa ukuhamba kwakho okuphephile ukusebenza ukuze ukwazi ukubuyela ngokushesha ekhaya ngemuva kokuhlinzwa kwakho kwe-TKR.
Ekhaya
Uma usubuyele ekhaya ngemuva kokuhlinzwa kwakho kwe-TKR, ungase ube nomkhawulo ekuhambeni kwakho kokusebenza futhi ungase ube nesikhathi esinzima sokushiya indlu yakho ukuze uye emitholampilo.
Kulesi simo, ungathola amasevisi wokwelapha ngokomzimba ekhaya lakho.
Ukunakekelwa kwekhaya ekhaya ukwelashwa ngokomzimba kuzogxila ekuqhubekeni kokuthuthukisa amandla akho neROM nokuthuthukisa ukuhamba kwakho konke ukusebenza. Isifo sakho somzimba singase sinikeze nokwelashwa ekhaya lakho ukusiza ukulawula ubuhlungu bakho nokuvuvukala emadolweni akho.
Emtholampilo Ephuthumayo
Uma ukuhamba kwakho kuthuthukile ngokwanele ukuba ushiye ikhaya lakho ngokuphepha, udokotela wakho angakutjhelela ukwelapha ngokomzimba wokubeletha ukuragela phambili ukuvuselela i-TKR yakho. Udokotela wakho angacela ukuthi uye emtholampilo othile, noma ungathola imitholampilo yokwelapha eduze kwendlu yakho.
Okugxilwe ngokuyinhloko kokwelapha okwelashwa okuphuthumayo ukukhulisa amandla akho, i-ROM, nokuhamba komsebenzi. Izindlela zokwelapha zingasetshenziswa ukusiza ukuthuthukisa amandla akho emisipha, ukulawula ubuhlungu, noma ukunciphisa ukuvuvukala. Umhlinzeki wakho womzimba angase asebenze ekuthuthukiseni izinga lakho lokukhuthazela jikelele ngokuhamba ngebhayisikili okumi njengengxenye yohlelo lwakho lokuvuselela. Ukunciphisa kwakho okugqoka kungase kube nzima, futhi isazi sakho somzimba singenza ukukhwabanisa okuqondile ukusiza ukuthuthukisa ukuhamba kwezicubu ezibomvu phambi kwamadolo akho.
Ngokuvamile, ungalindela ukubuyela emuva evamile cishe ezinyangeni ezingu-2-3 ngemuva kokuhlinzwa kwakho kwegciwane. Wonke umuntu uhlukile, ngakho-ke qiniseka ukuthi usebenza eduze nodokotela wakho kanye nodokotela wezempilo ukuze uqonde ukuthi yini ongayilindela.
Izwi elivela
Ukuhlinzwa okuphelele kokuguqa ngamadolo kungakusiza ukunciphisa ubuhlungu bakho emadolweni kusuka ku-osteoarthritis. Ngemuva kwe-TKR yakho, ungase uzuze ohlelweni lokuvuselela ukuze uhambe futhi. Ukusebenza kanzima ekwelapheni komzimba kungakusiza ukwandise ukuhamba kwakho emva kokuhlinzwa ukuze kukusize ngokushesha futhi ngokuphepha ukubuyela emsebenzini ojwayelekile nomsebenzi.
Umthombo:
UHertling, uDarlene, noR. R. Kessler. Ukulawulwa kwezifo ezivamile zomzimba wegazi: izimiso zokwelashwa ngokomzimba kanye nezindlela. 4. Baltimore: Lippincott Williams noWilkins, ngo-2005