Ukufakwa esikhundleni seqakala

Ukufakwa esikhundleni seqakala ukuhlinzwa ukufaka ithambo elonakele noqwanga ejoyintini leqakala. Izitho ezihlanganisiwe (ama-prosthetics) zisetshenziselwa ukufaka amathambo akho esikhundleni sakho. Kunezinhlobo ezahlukahlukene zokuhlinzwa kwamaqakala.

Ukuhlinzwa okufakwa esikhundleni seqakala kuvame ukwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele ungabuzwa ubuhlungu.

Ungaba ne-anesthesia yomgogodla. Ungavuka kodwa ungezwa lutho ngaphansi kwesinqe sakho. Uma une-anesthesia yomgogodla, uzonikezwa nomuthi ozokusiza uphumule ngesikhathi sokuhlinzwa.

Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa phambi kweqakala lakho ukuveza ukuhlangana kweqakala. Udokotela wakho ohlinzayo uzobe esephusha ngobumnene imisipha, izinzwa nemithambo yegazi eceleni. Ngemuva kwalokhu, udokotela wakho ohlinzayo uzosusa ithambo elonakele kanye noqwanga.

Udokotela wakho ohlinzayo uzosusa ingxenye elimele ye:

• Ukuphela okuphansi kwethambo lakho le-shin (tibia).
• Ingaphezulu yethambo lakho lonyawo (talus) amathambo omlenze ahlala kulo.

Izinsimbi zensimbi yokufakelwa entsha bese zinamathiselwe ezindaweni ezisikiwe zamathambo. Kungasetshenziswa isamente elikhethekile leglue / bone. Kufakwa isiqeshana sepulasitiki phakathi kwalezi zingxenye ezimbili zensimbi. Izikulufu zingabekwa ukuzinzisa iqakala lakho.

Udokotela ohlinzayo uzobuyisela imisipha endaweni yayo bese evala isilonda ngemisipho (ngemithungo). Ungahle udinge ukugqoka i-splint, cast, noma i-brace okwesikhashana ukuze ugcine iqakala linganyakazi.

Lokhu kuhlinzwa kungenziwa uma ilunga leqakala lilimele kabi. Izimpawu zakho zingaba buhlungu nokulahleka kokuhamba kweqakala. Ezinye izimbangela zomonakalo yilezi:

• I-arthritis ebangelwa ukulimala eqakaleni noma ukuhlinzwa esikhathini esedlule
• Ukuphuka kwamathambo
• Ukutheleleka
• I-osteoarthritis
• Isifo samathambo
• Isimila

Ungahle ungakwazi ukuthola indawo ephelele yamaqakala uma ngabe uke waba nokutheleleka ngokuhlangana kwamaqakala esikhathini esedlule.

Izingozi zanoma yikuphi ukuhlinzwa kanye ne-anesthesia yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha
• Ihluli
• Ukutheleleka

Izingozi zokuhlinzwa esikhundleni seqakala yilezi:

• Ubuthakathaka be-ankle, ukuqina, noma ukungazinzi
• Ukuxegiswa kwejoyinti lokufakelwa ngokuhamba kwesikhathi
• Isikhumba asipholi ngemuva kokuhlinzwa
• Ukulimala kwemizwa
• Ukulimala kwesitsha segazi
• Ukuphuka kwamathambo ngesikhathi sokuhlinzwa
• Ukususwa kwejoyinti lokufakelwa
• Ukusabela okweqile kujoyini lokufakelwa (okungavamile ngokweqile)

Hlala utshela umhlinzeki wakho wezempilo ukuthi imiphi imishanguzo oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izinciphisi zegazi (njengeWarfarin noma iClopidogrel) nezinye izidakamizwa.
• Buza ukuthi imiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone umhlinzeki wakho okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma ngabe uphuze kakhulu utshwala, iziphuzo ezingaphezu kwesisodwa noma ezimbili ngosuku.
• Uma ubhema, kufanele uyeke. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo. Kuzokhulisa kakhulu izinkinga zakho ngemuva kokuhlinzwa.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.
• Ungahle ufune ukuvakashela owelapha ngokomzimba ukuze ufunde ukuzilolonga okufanele ukwenze ngaphambi kokuhlinzwa. Umelaphi angaphinde akufundise ukuthi uzisebenzisa kanjani kahle izinduku.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha izidakamizwa otshelwe ukuthi uziphuze ngophuzo oluncane lwamanzi.

Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Ngemuva kokuhlinzwa, kuzodingeka uhlale esibhedlela okungenani ubusuku obubodwa. Kungenzeka ukuthi uthole i-nerve block elawula izinhlungu emahoreni ayi-12 kuya kwangama-24 okuqala ngemuva kokuhlinzwa.

Iqakala lakho lizoba yisamente noma i-splint ngemuva kokuhlinzwa. Ishubhu elincane elisiza ukukhipha igazi emalungeni amaqakala lingashiywa eqakaleni lakho usuku olungu-1 noma 2. Ngesikhathi sakho sokululama kusenesikhathi, kufanele ugxile ekugcineni ukuvuvukala phansi ngokukhuphula unyawo lwakho ngaphezu kwenhliziyo yakho ngenkathi ulele noma uphumule.

Ubona owelapha ngokomzimba, ozokufundisa ukuzivocavoca okuzokusiza unyakaze kalula. Cishe ngeke ukwazi ukubeka isisindo eqakaleni izinyanga ezimbalwa.

Ukushintshwa kweqakala okuphumelelayo kungenzeka:

• Nciphisa noma ususe ubuhlungu bakho
• Vumela ukuthi uhambise iqakala lakho phezulu naphansi

Ezimweni eziningi, ukushintshwa kwamaqakala okuphelele kuhlala iminyaka eyi-10 noma ngaphezulu. Ukuhlala kwakho isikhathi esingakanani kuzoxhomeka ezingeni lomsebenzi wakho, impilo yonke, kanye nenani lomonakalo ekuhlanganyeleni kweqakala lakho ngaphambi kokuhlinzwa.

I-ankle arthroplasty - inani; Ingqikithi ye-ankle arthroplasty; Ukushintshwa kweqakala le-Endoprosthetic; Ukuhlinzwa kweqakala

• Ukubuyiselwa kweqakala - ukukhishwa
• Ukuphepha kwamakamelo abantu abadala
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-ankle anatomy

UHansen ST. Ukwakhiwa kabusha konyawo neqakala ngemuva kokuhlukumezeka. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 68.

UMyerson MS, uKadakia AR. Ukufakwa ngokuphelele kweqakala. Ku: Myerson MS, Kadakia AR, eds. Ukuhlinzwa Okusha Kwezinyawo Namaqakala: Ukuphathwa Nezinkinga. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 18.

UMurphy GA. Ingqikithi ye-ankle arthroplasty. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.