Ukuhlinzwa okumele kube khona ukuguqulwa kwamapayipi kuyindlela yokwelashwa kwesifo samathambo esibi kakhulu. Iningi labantu abane-arthritis yehlombe lingathola ukusizwa ngezokwelapha okungezona ukuhlinzwa. Ngenxa yokuthi asihambanga ezandleni zethu, i-arthritis yehlombe ingasetshenziswa ngokulula kalula kune-hip noma emathambo e-arthritis-yingakho i-hip namadolo asetshenziselwa ukushintsha esikhundleni.
Lokho kusho ukuthi ezinye iziguli azikwazi ukuthola usizo, ngisho naphezu kokwelashwa okufanele, ngakho-ke sinquma ukuphishekela ukushintshwa kwehlombe .
Izimila
Kunjengezimpembelelo ze-hip nama-knee esikhundleni saso, iningi lama-implant replacement esikhundleni sakhe senziwe ngensimbi nangeplastiki. Izimpande zitholakala ethambo ngethambo lamathambo noma ngokugxiliwe endaweni. Ibhola lensimbi lisetshenziselwa ukuphinda lisebenzise ukuphakama kwethambo lensimbi (ikhanda elihlabayo) futhi indebe yepulasitiki ithatha indawo engxenyeni eboshiwe yecala lehlombe (i-glenoid). Ibhola lensimbi linamathele ekufakweni okubanjwe esikhungweni esingenalutho sethanga lesandla.
Ukuhlinzwa
Ukuhlinzekwa ngokuphindaphindiwe kwenziwa nge- anesthesia jikelele . Ngokuvamile i-anesthhesiologist izophinde iqondise ibhodlela le-nerve yesifunda ukuze ubuhlungu be-shoulder behliswe uma uvuka kusuka ku-anesthesia. Inqubo yokuhlinzwa ihlala cishe amahora amabili, kodwa isikhathi esigcwele ekamelweni lokusebenza lingase libe namahora angaphezu kwamahora amathathu ukuvumela ukulungiswa nokubuyiswa.
Umshini wokuhlinza uhamba phambili emhlangothini wehlombe futhi uvame ukuphakama ngamasentimitha amane kuya kwangu-6 ubude.
Udokotela wakho ohlinzayo uqala ngokususa i-bone, i-arthritic bone and cartilage. Izinsimbi ezikhethekile zisetshenziselwa ukuvumelanisa ihlombe lokufakelwa esikhundleni esifanele. Izimila zesikhashana ezibizwa ngokuthi "izimpande zokuhlola" zifakwe ethambo ukuze kuvunyelwe udokotela wakho ohlinzayo ukuba ahlole ukuhamba nokuzinza kokuhlanganiswa okusha kwehlombe.
Lezi zifutho zamehlo ziza ngobukhulu obuhlukahlukene ukuze zivumelane cishe nanoma ubani.
Ukuhlinzwa okulandelayo, iziguli eziningi zichitha okungenani ubusuku obulodwa esibhedlela. Odokotela abahlinzayo abaningi basebenzela ukwenza ukuhlinzwa okuhlanganyelwe esikhundleni njengendlela yokuhlinzeka ngeziguli , kepha ukuguqulwa kwabagulayo kudinga ukusebenzisana ngokucophelela nemfundo yokuzilungiselela ukuqinisekisa ukuthi iziguli zilungele ukubuyela ekhaya.
Rehab
Iziguli zizoqala ukuvuselelwa ngokushesha ngemva kokuhlinzwa kwazo, ngokuvamile zihlangana nomhlengikazi ngosuku lokuhlinzwa kwazo. Ngokuvamile abagqirha bazobeka iziguli zabo esitokisini, kodwa vumela ukuthi umculi ususwe ukuze wenze imisebenzi ethile yokwelapha.
Iningi odokotela lizoqala ukunyakaza ngokushesha emva kokuhlinzwa, kodwa lokhu kungase kungabi yiqiniso njalo. Ngokuvamile, ezinyangeni ezimbili kuya kwezintathu, iziguli ziyakwazi ukubuyela emisebenzini evamile futhi zibeke ukugcizelela ekuqiniseni imisipha ehlombe ehlombe kanye nokugcina uhambo lokuhamba.
Izingozi
Njengenhla njalo, ukuhlinzekwa kubandakanya izingozi ezihlobene ne-anesthesia ejwayelekile evame ukuxhomeke kwezinye izinkinga zezokwelapha ongase ube nazo. Ezinye izingozi ezithile eziphathelene nokuhlinzwa ngokufaka esikhundleni se-shoulder zihlanganisa:
- Ukutheleleka
Ukutheleleka ezungeze ukuhlanganiswa okuhlanganisiwe kuyinkimbinkimbi enkulu futhi ngakho-ke kukhona izinyathelo ezibalulekile ezithathwe ukugwema le nkinga. Uma ukutheleleka kukhula, wonke umhlanganiso ohlanganisiwe ungadinga ukususwa ukuze aqede ukutheleleka.
- Ukususwa / ukukhubazeka
Ngenxa yomklamo webhola ne-socket we-joint joint, kubalulekile ukuthi udokotela ohlinzayo balinganise izicubu ezithambile ezungeze ihlombe ukuze kuqinisekiswe ukuthi akukhiphi isikhundla. - Ukukhululeka kokufakelwa
Ngokuhamba kwesikhathi, amalunga afakiwe angakhululeka. Ukuthuthukiswa kwenziwa njalo ukukhiqiza amalunga afakwe isikhathi eside, kepha lokhu akukwenziwanga. Uma ukufakelwa kushicilela ekugcineni lapho iziguli zinezinkinga ezibalulekile, ukuhlinzwa okubukeziwe (esikhundleni sokushintshwa okuhlangene) kungadingeka kwenziwe. - Ukulimala kwamagundane noma izitsha zegazi
Ihlombe liyisikhala esiqinile futhi izakhiwo eziningi ezibalulekile zidlula nje eduze kokujoyina. Izinzwa ezithumela futhi zithola imilayezo kusuka nasesandleni sakho nasesandleni sakho, kanye nemithambo yegazi enikezela ukujikeleza, hlala kakhulu eduze kokuhlangene kwehlombe. Enye inkinga yalokhu kuhlinzeka yingozi kumkhumbi wegazi noma isisindo.