Ukufakwa ngokuhlanganyela kwe-Hip

Ukufakwa ngokuhlanganyela kwe-Hip ukuhlinza ukufaka konke noma ingxenye yokuhlangana kwe-hip ngejoyinti elenziwe ngumuntu. Ilunga lokufakelwa libizwa ngokuthi isitho sokufakelwa.

Ijoyini lakho le-hip lakhiwe izingxenye ezimbili ezinkulu. Ingxenye eyodwa noma zombili zingashintshwa ngesikhathi sokuhlinzwa:

• Isokhethi le-hip (ingxenye yethambo le-pelvic elibizwa nge-acetabulum)
• Umkhawulo ongaphezulu wethanga (obizwa ngekhanda lesifazane)

Isinqe esisha esishintsha esidala sakhiwe yilezi zingxenye:

• Isokhethi, ngokuvamile elenziwe ngensimbi eqinile.
• I-liner, elingana ngaphakathi kwesokhethi. Ngokuvamile ipulasitiki. Abanye odokotela abahlinzayo manje bazama ezinye izinto, njenge-ceramic noma insimbi. I-liner ivumela inyonga ukuthi ihambe kahle.
• Ibhola lensimbi noma le-ceramic elizongena esikhundleni senhloko eyindilinga (phezulu) yethambo lakho lethanga.
• Isiqu sensimbi esinamathele ethanjeni lethanga ukuqinisa ijoyinti.

Ngeke ubuzwe ubuhlungu ngesikhathi sokuhlinzwa. Uzoba nolunye lwezinhlobo ezimbili ze-anesthesia:

• I-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.
• I-anesthesia yesifunda (umgogodla noma i-epidural). Imithi ifakwa emhlane wakho ukukwenza ube ndikindiki ngaphansi kokhalo lwakho. Uzothola nemithi ezokukwenza uzele. Futhi ungathola umuthi ozokwenza ukhohlwe ngenqubo, yize ungeke ulale ngokuphelele.

Ngemuva kokuthola i-anesthesia, udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa ukuvula ilunga lakho le-hip. Lokhu kusika kuvame ukuba ngaphezu kwezinqe. Lapho-ke udokotela wakho ohlinzayo uzokwenza lokhu:

• Sika bese ususa ikhanda lethambo lakho lethanga.
• Hlanza isokhethi sakho sesinqe bese ususa lonke uqwanga namathambo alimele noma e-arthritic.
• Beka isokhethi elisha le-hip endaweni, i-liner ibese ibekwa kusokhethi elisha.
• Faka isiqu sensimbi ethanjeni lakho lamathanga.
• Beka ibhola elilingana nelineni elisha.
• Vikela zonke izingxenye ezintsha endaweni, kwesinye isikhathi ngosimende okhethekile.
• Lungisa imisipha namathambo azungeze ilunga elisha.
• Vala isilonda sokuhlinzwa.

Lokhu kuhlinzwa kuthatha cishe ihora elilodwa kuya kwele-3.

Isizathu esivame kakhulu salokhu kuhlinzwa ukukhulula i-arthritis. Ubuhlungu obukhulu be-arthritis bunganciphisa imisebenzi yakho.

Isikhathi esiningi, ukufakwa kokuhlanganiswa kwe-hip kwenziwa kubantu abaneminyaka engama-60 nangaphezulu. Abantu abaningi abanalokhu kuhlinzwa bancane. Abantu abancane abanesinqe esikhundleni sabo bangafaka ukucindezeleka okwengeziwe okhalweni lokuzenzela. Lokho kucindezela okwengeziwe kungadala ukuthi iguge ngaphambi kwabantu abadala. Ingxenye noma lonke ilunga lingadinga ukushintshwa futhi uma lokho kwenzeka.

Udokotela wakho angancoma ukushintshwa kwe-hip kulezi zinkinga:

• Awukwazi ukulala ubusuku bonke ngenxa yobuhlungu be-hip.
• Ubuhlungu bakho be-hip abuzange bube ngcono nezinye izindlela zokwelapha.
• Ubuhlungu be-Hip bukhawulela noma bukuvimbe ekwenzeni imisebenzi yakho ejwayelekile, njengokugeza, ukulungisa ukudla, ukwenza imisebenzi yasendlini, nokuhamba ngezinyawo.
• Unezinkinga zokuhamba ezidinga ukuthi usebenzise induku noma i-walker.

Ezinye izizathu zokushintsha ilunga le-hip yilezi:

• Ukwephuka ethangeni lethanga. Abantu abadala asebekhulile bavame ukushintshwa kwe-hip ngenxa yalesi sizathu.
• Izicubu ezihlangene ze-Hip.

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo ukuthi udla muphi umuthi, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Lungisa ikhaya lakho.
• Ungacelwa ukuthi uyeke ukuthatha imithi eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izinciphisi zegazi ezifana ne-warfarin (Coumadin), neminye imithi.
• Kungadingeka nokuthi uyeke ukuthatha umuthi ongakwenza ube sethubeni lokuthola ukutheleleka. Lokhu kufaka phakathi i-methotrexate, i-Enbrel, neminye imithi ecindezela amasosha akho omzimba.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone umhlinzeki okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma uphuze kakhulu utshwala, ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku.
• Uma ubhema, udinga ukuyeka. Cela usizo kumhlinzeki wakho noma umhlengikazi. Ukubhema kuzokwehlisa ukululama kwamanxeba namathambo. Kukhonjisiwe ukuthi ababhemayo banemiphumela emibi kakhulu ngemuva kokuhlinzwa.
• Njalo vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula onakho ngaphambi kokuhlinzwa kwakho.
• Ungahle ufune ukuvakashela owelapha ngokomzimba ukuze ufunde ukuzilolonga okufanele ukwenze ngaphambi kokuhlinzwa nokuzijwayeza ukusebenzisa izinduku noma i-walker.
• Setha ikhaya lakho ukwenza imisebenzi yansuku zonke ibe lula.
• Buza umhlinzeki wakho ukuthi abone ukuthi ngabe udinga ukuya ekhaya lasebekhulile noma esikhungweni sokuhlunyeleliswa ngemuva kokuhlinzwa. Uma wenza kanjalo, kufanele uhlole lezi zindawo ngaphambi kwesikhathi bese uqaphele okuthandayo.

Zijwayeze ukusebenzisa umoba, i-walker, izinduku, noma isihlalo esinamasondo kahle:

• Angene aphume eshaweni
• Khuphuka futhi wehle izitebhisi
• Hlala phansi usebenzise indlu yangasese bese usukuma ngemuva kokusebenzisa indlu yangasese
• Sebenzisa isihlalo seshawa

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.

Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Uzohlala esibhedlela usuku olungu-1 kuya kwezi-3. Ngaleso sikhathi, uzolulama kwi-anesthesia yakho nasekuhlinzweni uqobo. Uzocelwa ukuthi uqale ukuhamba nokuhamba ngokushesha nje ngosuku lokuqala ngemuva kokuhlinzwa.

Abanye abantu badinga ukuhlala isikhashana esikhungweni sokuhlunyeleliswa emuva kokuphuma esibhedlela nangaphambi kokuba baye emakhaya. Esikhungweni se-rehab, uzofunda ukuthi ungayenza kanjani ngokuphepha imisebenzi yakho yansuku zonke. Izinsizakalo zezempilo zasekhaya ziyatholakala.

Imiphumela yokuhlinzwa esikhundleni se-Hip ivame ukuba mihle kakhulu. Iningi noma bonke ubuhlungu nokuqina kwakho kufanele kuphele.

Abanye abantu bangaba nezinkinga ngokutheleleka, ukukhululeka, noma ukususwa kwejoyini elisha le-hip.

Ngokuhamba kwesikhathi, ilunga lokuzenzela le-hip lingakhululeka. Lokhu kungenzeka ngemuva kweminyaka eyi-15 kuye kwengu-20. Ungadinga ukufaka esikhundleni kwesibili. Ukutheleleka kungenzeka futhi. Kufanele uhlole nodokotela wakho ohlinzayo ngezikhathi ezithile ukuqinisekisa ukuthi i-hip yakho isesimweni esihle.

Abantu abancane, abakhuthele ngokwengeziwe bangaguga izingxenye zomlenze wabo omusha. Kungadinga ukushintshwa ngaphambi kokuba i-hip yokufakelwa ikhululeke.

I-arthroplasty; Ukubuyiselwa ngokuphelele kwe-hip; I-Hip hemiarthroplasty; I-arthritis - ukukhishwa kwe-hip; I-osteoarthritis - ukushintshwa kwesinqe

• Ukuphepha kwamakamelo abantu abadala
• Ukulungisa ikhaya lakho - ukuhlinzwa ngamadolo noma okhalweni
• I-Hip noma idolo esikhundleni - ngemuva - okufanele ubuze udokotela wakho
• Ukushintshwa kwe-Hip noma idolo - ngaphambi - okufanele ubuze udokotela wakho
• Ukushintshwa kwe-Hip - ukukhishwa
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Ukunakekela ilunga lakho elisha le-hip

• Ukuqhekeka kwe-Hip
• I-osteoarthritis vs. i-rheumatoid arthritis
• Ukubuyiselwa ngokuhlanganyela kwe-Hip - uchungechunge

Iwebhusayithi yeAmerican Academy of Orthopedic Surgeons. OrthoInfo. Ingqikithi yokushintshwa kwesinqe. orthoinfo.aaos.org/en/treatment/total-hip-replacement. Kubuyekezwe u-Agasti 2015. Kufinyelelwe ngo-Septhemba 11, 2019.

Iwebhusayithi yeAmerican Academy of Orthopedic Surgeons. Ukuvimbela isifo se-venous thromboembolic ezigulini ezithola i-hip ekhethiwe kanye ne-knee arthroplasty: Umhlahlandlela osekelwe ebufakazini kanye nombiko wobufakazi. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Kubuyekezwe uSepthemba 23, 2011. Kufinyelelwe ngoFebhuwari 25, 2020.

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.

Rizzo TD. Ingqikithi yokushintshwa kwesinqe. Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 61.