Elbow esikhundleni

Ukufakwa esikhundleni kwendololwana kungukuhlinzwa ukuze kushintshwe ijoyinti lendololwane nezitho zokufakelwa (amalungu okufakelwa).

Ijoyinti lendololwane lihlanganisa amathambo amathathu:

• Ihumerus engalweni engenhla
• I-ulna ne-radius engalweni engezansi (ingalo)

Ijoyinti lendololombumbulu lineziqu ezimbili noma ezintathu ezenziwe ngensimbi esezingeni eliphakeme. Ihenjisi lensimbi nepulasitiki lihlanganisa iziqu ndawonye futhi livumela ilunga lokuzenzela ukuthi ligobeke. Amalunga okufakelwa afika ngosayizi ohlukile ukulingana abantu bobukhulu obuhlukile.

Ukuhlinzwa kwenziwa ngale ndlela elandelayo:

• Uzothola i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma uzothola i-anesthesia yesifunda (umgogodla kanye ne-epidural) ukunqanda ingalo yakho.
• Kusikwa (ukusika) ngemuva kwendololwana yakho ukuze udokotela ohlinzayo akwazi ukubuka indibilishi yakho.
• Izicubu ezilimele kanye nezingxenye zamathambo ezingalo ezakha ilunga lendololwana kuyasuswa.
• Kusetshenziswa umshini wokubhoboza ukwenza imbobo maphakathi namathambo engalo.
• Imikhawulo yelungu lokufakelwa ivame ukunamathiselwa endaweni ethanjeni ngalinye. Zingaxhunywa ngehenjisi.
• Izicubu ezizungeze ijoyinti elisha ziyalungiswa.

Isilonda sivaliwe ngemithungo, kufakwe nebhandishi. Ingalo yakho ingafakwa ku-splint ukuyigcina izinzile.

Ukuhlinzwa kokufakwa esikhundleni kwe-Elbow kuvame ukwenziwa uma ilunga lendololwane lilimele kabi futhi unezinhlungu noma ungakwazi ukusebenzisa ingalo. Ezinye izimbangela zomonakalo yilezi:

• I-osteoarthritis
• Umphumela ompofu kusuka ekuhlinzweni kwendololwane edlule
• Isifo samathambo
• Ithambo eliphukile kabi engalweni engenhla noma engezansi ngasendololwaneni
• Izicubu ezilimele kabi noma ezidabukile endololwaneni
• Isimila ngaphakathi noma nxazonke endololwaneni
• Indololwane eqinile

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zale nqubo zifaka:

• Ukulimala komthambo wegazi ngesikhathi sokuhlinzwa
• Ukuphuka kwamathambo ngesikhathi sokuhlinzwa
• Ukususwa kwejoyinti lokufakelwa
• Ukuxegiswa kwejoyinti lokufakelwa ngokuhamba kwesikhathi
• Ukulimala kwemithambo ngesikhathi sokuhlinzwa

Tshela udokotela wakho ohlinzayo ukuthi yimiphi imithi oyisebenzisayo, kufaka phakathi izidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi. Lokhu kufaka phakathi i-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-rivaroxaban powder (i-Xarelto), noma ama-NSAID afana ne-aspirin. Lokhu kungadala ukopha okwengeziwe ngesikhathi sokuhlinzwa.
• Buza udokotela wakho ohlinzayo ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo cishe uzokucela ukuthi ubonane nodokotela okwelapha ngalezi zimo.
• Tshela udokotela wakho ohlinzayo uma uphuze kakhulu utshwala (iziphuzo ezingaphezu kwezingu-1 noma ezi-2 ngosuku).
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukululama kwesilonda.
• Tshela udokotela wakho ohlinzayo uma uba nomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho. Ukuhlinzwa kungadinga ukuhlehliswa.

Ngosuku lokuhlinzwa kwakho:

• Landela imiyalelo mayelana nokungaphuzi noma ukungadli lutho ngaphambi kwenqubo.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Ungadinga ukuhlala esibhedlela izinsuku ezifika ku-1 kuya kwezi-2. Ngemuva kokuya ekhaya, landela imiyalo yokuthi ungasinakekela kanjani isilonda sakho nendololwane.

Ukwelashwa ngokomzimba kuzodingeka ukukusiza ukuthi uthole amandla nokusebenzisa ingalo yakho. Kuzoqala ngokuzivocavoca okunomusa. Abantu abane-splint bavame ukuqala ukwelashwa emasontweni ambalwa kamuva kunalabo abangenayo i-splint.

Abanye abantu bangaqala ukusebenzisa indololwane yabo entsha ngemuva kwamasonto ayi-12 ngemuva kokuhlinzwa. Ukutakula ngokuphelele kungathatha unyaka. Kuzoba nemikhawulo yokuthi ungaphakamisa isisindo esingakanani. Ukuphakamisa umthwalo osindayo kakhulu kungaphula indololwane ebuyiselwe noma kukhulule izingxenye. Khuluma nodokotela wakho ohlinzayo ngokulinganiselwa kwakho.

Kubalulekile ukulandelela udokotela wakho njalo ukuze uhlole ukuthi ukushintshwa kwakho kusebenza kanjani. Qiniseka ukuthi uya kuwo wonke ama-aphoyintimenti akho.

Ukuhlinzwa kokufakwa esikhundleni kwe-Elbow kudambisa izinhlungu kubantu abaningi. Kungakhuphula futhi nobubanzi bokunyakaza kwejoyinti lakho lendololwana. Ukuhlinzwa okwesibili ngendololwane ngokuvamile akuphumeleli njengokwokuqala.

Ingqikithi ye-elbow arthroplasty; Ukufakwa esikhundleni kwendololwana ye-Endoprosthetic; Isifo samathambo - indololwane arthroplasty; I-osteoarthritis - indololwane arthroplasty; I-arthritis ekhulayo - i-elbow arthroplasty; I-DJD - indololwane arthroplasty

• Ukufakwa esikhundleni kwe-Elbow - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Indlebe yokufakelwa

UCohen MS, uChen NC. Ingqikithi ye-elbow arthroplasty. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 27.

I-Throckmorton TW. Amahlombe ne-elbow arthroplasty. Ku: Azar FM, Beaty JH, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.