Izingozi zokushintshwa kwesinqe namadolo

Konke ukuhlinzwa kunezingozi zezinkinga. Ukwazi ukuthi ziyini lezi zingcuphe nokuthi zisebenza kanjani kuwe kuyingxenye yokunquma ukuthi uzohlinzwa noma cha.

Ungasiza ukwehlisa amathuba akho ezingozi ekuhlinzweni ngokuhlela phambili.

• Khetha udokotela nesibhedlela okunikeza ukunakekelwa okuseqophelweni eliphezulu.
• Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo isikhathi eside ngaphambi kokuhlinzwa kwakho.
• Thola ukuthi yini ongayenza ukusiza ukuvimbela izinkinga ngesikhathi sokuhlinzwa nangemva kokuhlinzwa.

Zonke izinhlobo zokuhlinzwa zibandakanya izingozi. Ezinye zazo zifaka:

• Izinkinga zokuphefumula ngemuva kokuhlinzwa. Lokhu kuvame kakhulu uma ngabe uke waba ne-anesthesia ejwayelekile nepayipi lokuphefumula.
• Isifo senhliziyo noma isifo sohlangothi ngesikhathi sokuhlinzwa noma ngemuva kwaso.
• Ukutheleleka ngokuhlanganyela, amaphaphu (inyumoniya), noma umgudu womchamo.
• Ukuphulukiswa kwesilonda esibi. Lokhu kungenzeka kakhulu kubantu abangenampilo ngaphambi kokuhlinzwa, ababhemayo noma abanesifo sikashukela, noma abathatha imishanguzo eyenza amasosha abo omzimba abe buthakathaka.
• Ukusabela okweqile kumuthi owutholile. Lokhu akuvamile, kepha okunye kwalokhu kusabela kungasongela impilo.
• Kuwa esibhedlela. Ukuwa kungaba yinkinga enkulu. Izinto eziningi zingaholela ekuweni, kufaka phakathi imijiva evulekile, phansi okushelelayo, imithi ekwenza ulale, ubuhlungu, indawo ongayijwayele, ukuba buthakathaka ngemuva kokuhlinzwa, noma ukuhambahamba namashubhu amaningi anamathiselwe emzimbeni wakho.

Kuvamile ukulahlekelwa yigazi ngesikhathi nangemva kokuhlinzwa kwesinqe noma idolo. Abanye abantu badinga ukumpontshelwa igazi ngesikhathi behlinzwa noma ngesikhathi belulama esibhedlela. Awunamathuba amancane okudinga ukumpontshelwa uma inani elibomvu legazi lakho liphezulu ngokwanele ngaphambi kokuhlinzwa. Okunye ukuhlinzwa kudinga ukuthi unikele ngegazi ngaphambi kokuhlinzwa. Kufanele ubuze umhlinzeki wakho mayelana nokuthi sikhona yini isidingo salokho.

Ukopha okuningi ngesikhathi sokuhlinzwa kuvela ethanjeni elisikiwe. Ukulimazeka kungenzeka uma igazi liqoqa lizungeze ilunga elisha noma ngaphansi kwesikhumba ngemuva kokuhlinzwa.

Amathuba akho okuba nefomu le-clot yegazi aphezulu ngesikhathi nangemva nje kokuhlinzwa kwe-hip noma idolo. Ukuhlala noma ukulala isikhathi eside ngesikhathi nangemva kokuhlinzwa kuzokwenza igazi lakho lihambe kancane emzimbeni wakho. Lokhu kwandisa ingozi yakho yegazi.

Izinhlobo ezimbili zamahlule egazi yilezi:

• I-vein thrombosis ejulile (i-DVT). Lawa ngamahlule egazi angavela emithanjeni yemilenze yakho ngemuva kokuhlinzwa.
• I-embolism yamaphaphu. Lawa ngamahlule egazi angakhuphukela emaphashini akho futhi adale izinkinga ezinkulu zokuphefumula.

Ukwehlisa ubungozi bamahlule egazi:

• Ungathola izinciphisi zegazi ngaphambi kokuhlinzwa nangemva kokuhlinzwa.
• Ungase ugqoke izitokisi zokucindezela emilenzeni yakho ukuze uthuthukise ukugeleza kwegazi ngemuva kokuhlinzwa.
• Uzokhuthazwa ukwenza izivivinyo ngenkathi ulele embhedeni futhi uphume embhedeni uhambe emahholo ukuthuthukisa ukugeleza kwegazi.

Ezinye izinkinga ezingase zivele ngemuva kokuhlinzwa kwe-hip noma kwedolo zifaka:

• Ukutheleleka ejoyintini lakho elisha. Uma lokhu kwenzeka, ilunga lakho elisha lingadinga ukususwa ukuze kususwe ukutheleleka. Le nkinga yenzeka kakhulu kubantu abanesifo sikashukela noma amasosha omzimba abuthakathaka. Ngemuva kokuhlinzwa, futhi kaningi ngaphambi kokuhlinzwa, uzofunda ukuthi yini ongayenza ukuvimbela izifo ejoyintini lakho elisha.
• Ukususwa kwejoyinti lakho elisha. Lokhu akuvamile. Imvamisa kwenzeka uma ubuyela emisebenzini ngaphambi kokuthi ulungele. Lokhu kungadala ubuhlungu obungazelelwe nokungakwazi ukuhamba. Kufanele ushayele umhlinzeki wakho uma lokhu kwenzeka. Kungenzeka ukuthi uzodinga ukuya egumbini lezimo eziphuthumayo. Ungadinga ukuhlinzwa kokubuyekeza uma lokhu kwenzeka kaninginingi.
• Ukuxegisa ilunga lakho elisha ngokuhamba kwesikhathi. Lokhu kungadala ubuhlungu, futhi kwesinye isikhathi okunye ukuhlinzwa kuyadingeka ukulungisa inkinga.
• Gqoka futhi udabule izingxenye ezihambayo zejoyinti lakho elisha ngokuhamba kwesikhathi. Izingcezu ezincane zingaphuka futhi zilimaze ithambo. Lokhu kungadinga omunye umsebenzi ukufaka esikhundleni sezingxenye ezihambayo nokulungisa ithambo.
• Ukusabela okweqile ezingxenyeni zensimbi kwamanye amalunga okwenziwa. Lokhu akuvamile.

Ezinye izinkinga ezivela ekuhlinzweni kwe-hip noma emadolweni zingenzeka. Yize zivamile, izinkinga ezinjalo zifaka:

• Akukho ukuxegiswa kobuhlungu okwanele. Ukuhlinzwa okuhlanganyelwe okuhlanganisiwe kudambisa izinhlungu nokuqina kwesifo samathambo kubantu abaningi. Abanye abantu kungenzeka ukuthi basenezimpawu ezithile zesifo samathambo. Kubantu abaningi, ukuhlinzwa kuvame ukuhlinzeka ukukhululeka okwanele kwezimpawu kubantu abaningi.
• Umlenze omude noma omfushane. Ngenxa yokuthi kunqunyiwe ithambo futhi kufakwa idolo elisha, umlenze wakho nejoyinti elisha ungaba mude noma ube mfushane kunomunye umlenze wakho. Lo mehluko uvame ukuba cishe u-1/4 we-intshi (0.5 isentimitha). Kuyaqabukela kubangele noma yiziphi izinkinga noma izimpawu.

UFerguson RJ, uPalmer AJ, uTaylor A, uPorter ML, uMalchau H, uGlyn-Jones S. Hip esikhundleni. I-Lancet. I-2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

IHarkess JW, uCrockarell JR. I-arthroplasty yesinqe. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 3.

UMcDonald S, Ikhasi MJ, uBeringer K, uWasiak J, uSprowson A. Imfundo yokusebenza ngaphambi kokushintshwa kwe-hip noma idolo. Isikhungo sedatha yeCochrane Rev. 2014; (5): CD003526. I-PMID: 24820247 www.ncbi.nlm.nih.gov/pubmed/24820247.

UMihalko WM. I-arthroplasty yamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 7.