Ukufakwa esikhundleni kwe-Anterior Hip: Okudingeka Ukwazi

-Delile

• Yini ukushintshwa kwe-anterior hip?
• Kungani uzodinga ukushintshwa kwesinqe?
• Kwenziwa kanjani ukushintshwa kwesinqe kwangaphambili?
• Ukulungiselela
• Ukuhlinzwa
• Ukubuyiselwa
• Ziyini izinzuzo zokushintshwa kwe-anterior hip?
• Ziyini izingozi?
• Uyini umbono wabantu abanokushintshwa kwe-hip kwangaphambili?

Yini ukushintshwa kwe-anterior hip?

Ukufakwa esikhundleni se-hip yangaphakathi kuyindlela yokuhlinzwa lapho amathambo alimele ejoyintini lakho le-hip afakwa khona nge-hip yokufakelwa (i-hip arthroplasty ephelele). Amanye amagama enqubo ahlasele kancane noma acubungule imisipha ye-hip arthroplasty.

Ngokusho kuka, kwenziwa ukushintshwa kwesinqe okungaphezu kuka-320,000 e-United States ngo-2010.

Ngokwesiko, odokotela abahlinzayo benza ukuhlinzwa okufakwa esikhundleni se-hip ngokwenza ukusika ngemuva (kwendlela engemuva) noma ohlangothini (lwendlela ehambisanayo) ye-hip yakho. Kusukela cishe ngo-1980, sekuyinsakavukela odokotela abahlinzayo ukwenza imbobo ngaphambili okhalweni lwakho. Lokhu kubizwa ngokuthi indlela yangaphakathi noma ukushintshwa kwe-hip kwangaphambili.

Indlela yangaphakathi isivele yathandwa kakhulu ngoba ayihlaseli kakhulu kunezindlela ezingemuva nangemuva. Ukufaka i-hip yakho ngaphambili kubangela ukulimala okuncane emisipheni nasezintendeni ezizungezile, okuholela ekululameni ngokushesha.

Futhi, cishe njalo kungenziwa njengenqubo yokugula, ngakho-ke ungaya ekhaya ngosuku olufanayo lapho uhlinzwa khona.

Kungani uzodinga ukushintshwa kwesinqe?

Umgomo wokuhlinzwa okufakwa esikhundleni se-hip ukuthuthukisa ukusebenza nobubanzi bokunyakaza futhi unciphise ubuhlungu enqeni elimele.

Izimbangela ezivame kakhulu zamalunga we-hip alimele angaholela ekushintsheni kwe-hip yilezi:

• i-osteoarthritis (ukuwohloka okuhlobene nobudala)
• isifo samathambo
• ukuphuka
• ukutheleleka (i-osteomyelitis)
• isimila
• ukulahleka kokuphakelwa kwegazi (i-avascular necrosis)
• ukukhula okungavamile (i-dysplasia)

Indlela yangaphakathi ivame ukusetshenziswa lapho i-arthritis iyisizathu sokushintshwa kwe-hip. Kepha ibuye isetshenziselwe ukufaka esikhundleni sezinqulu nganoma yiluphi uhlobo lomonakalo. Kungasetshenziswa ngisho nokulungisa isinqe esake sashintshwa ngaphambili.

Kodwa-ke, odokotela banganquma ukusebenzisa indlela ehlukile yokuhlinza ezimweni ezingavamile lapho ukuma kwamathambo okhalweni kukwenza kube nzima kakhulu, noma ezinye izimo zempilo zandisa ubungozi bezinkinga.

Kwenziwa kanjani ukushintshwa kwesinqe kwangaphambili?

Njenganoma iyiphi inqubo, kufanele uyilungiselele ngaphambi kwesikhathi futhi wazi ukuthi yini ongayilindela ngesikhathi sokuhlinzwa nangemuva kokululama ngenkathi ululama.

Ukulungiselela

Kubalulekile ukuthi udokotela wakho abe nemininingwane enembile kakhulu futhi yamanje mayelana nawe nangempilo yakho ngaphambi kokuhlinzwa ukusiza ukuqinisekisa umphumela omuhle kakhulu.

Izinto udokotela wakho azofuna ukuzazi ngawe ngaphambi kokuhlinzwa zihlanganisa:

• ukuhlinzwa kwangaphambilini ne-anesthesia oke waba nayo
• ukungezwani komzimba nemithi, ukudla, nezinye izinto njengamagilavu ​​e-latex
• yonke imishanguzo kanye nezithako oziphuzayo, kokubili kadokotela nangaphezulu kwekhawunta
• izinkinga zezokwelapha zamanje nezedlule
• izimpawu zokutheleleka kwakamuva noma enye inkinga
• izinkinga noma yiziphi izihlobo eziseduze eziye zaba nazo nge-anesthesia
• uma ukhulelwe noma kungenzeka ukhulelwe (kwabesifazane abaneminyaka yobudala bokubeletha)

Uzothola imiyalo ngaphambi kokuhlinzwa, njenge:

• Gwema ukudla noma ukuphuza amahora ayi-8 kuya kwayi-12 ngaphambi kokuhlinzwa.
• Gwema imithi ethile, uma ikhona.
• Yiba nomuntu okushayela ekhaya futhi azohlala nawe ngemuva kokuhlinzwa kweziguli.

Ukuhlinzwa

Uzothola i-anesthesia ekuqaleni kwenqubo. Lokhu kukuvimba ekuzweni noma yibuphi ubuhlungu ngesikhathi sokuhlinzwa.

Uma unenqubo yokwelashwa kweziguli, cishe uzoba ne-anesthesia yesifunda. Imithi eqinisa umzimba wakho ophansi izofakwa esikhaleni esizungeze umgogodla wakho. Uzophinda uthole umuthi wokukwenza ukozele.

Enye indlela i-anesthesia ejwayelekile, ezokwenza ungazi lutho ukuze ungazizwa lutho ngesikhathi sokuhlinzwa.

Ngemuva kokuthi i-anesthesia iqale ukusebenza, udokotela ohlinzayo:

• ihlanza futhi ibulale amagciwane endaweni ezungeze ingalo yakho
• imboza indawo ngama-drapes oyinyumba
• yenza imbobo phambi kwejoyini lakho le-hip
• isusa imisipha nezinye izicubu endleleni kuze kubonakale amathambo ejoyintini lakho
• isusa ingxenye engenhla yethambo lakho lamathanga ("ibhola" lejoyinti lakho le-hip) nanoma yiliphi ithambo elonakele kanye noqwanga emathanjeni akho okhalo ("isokhethi" lethambo lakho lesinqe)
• unamathisela ibhola lokufakelwa ethanjeni lakho lethanga nesokhethi ethanjeni lakho le-pelvic
• iqinisekisa ukuthi yonke into ibekwe kahle ukuze imilenze yakho ilingane ngobude
• kuvala imbobo

Ngemuva kwalokho uzothuthelwa egumbini lokutakula, lapho i-anesthesia izophela khona ehoreni noma amabili.

Ukubuyiselwa

Uma usuzinzile, othile angakusa ekhaya uma uhlinzwa ngaphandle. Ngaphandle kwalokho uzothuthelwa egumbini lakho lasesibhedlela.

Kufanele ukwazi ukubeka isisindo esinqeni sakho esisha ngemuva nje kokuhlinzwa futhi ukwazi ukuhamba usebenzisa i-walker noma izinduku ngosuku olulandelayo.

Uzodinga ukwelashwa ngokomzimba ukuze uphinde uthole amandla nokuhamba, kanye nokwelashwa kokusebenza ukuze wenze imisebenzi yansuku zonke njengokugqoka nokugeza. Abanye abantu bathola ukwelashwa okungaphandle kokugula, abanye bathola ukwelashwa ngokomzimba ekhaya, kanti abanye baya ekhaya labahlengikazi noma esikhungweni sokuvuselela.

Ngokuvamile kuthatha amasonto amane kuya kwayisithupha ngaphambi kokuba uthole amandla nobubanzi bokunyakaza ukuze uzungeze futhi wenze imisebenzi yansuku zonke njengaphambi kokuhlinzwa.

Abantu abaningi bangabuyela emsebenzini ngemuva kwenyanga, kepha kungathatha izinyanga ezintathu ngaphambi kokuthi ubuyele emsebenzini odinga ukuma okuningi, ukuhamba, noma ukuphakamisa okunzima.

Ziyini izinzuzo zokushintshwa kwe-anterior hip?

Izinzuzo zokushintshwa kwe-hip ngokujwayelekile zikhuphukile ukuhamba nokuncipha kobuhlungu.

Ngokungafani nezindlela ezisemuva nezingemuva, imisipha namathambo akudingeki ukuba kunqunywe lapho kusetshenziswa indlela yangaphakathi yokushintshwa kwe-hip. Lokhu kunezinzuzo eziningi.

• ubuhlungu obuncane
• ukululama okusheshayo nokulula
• ukukhishwa esibhedlela kuqala
• ukusebenza okwengeziwe lapho ukhishelwa ekhaya
• imvamisa kungenziwa njengesiguli esingalaliswayo
• imikhawulo embalwa emsebenzini ngemuva kokuhlinzwa
• ingozi ephansi yokuhlukaniswa kwe-hip ngemuva kokuhlinzwa
• ingozi ephansi yobude obuhlukile bomlenze ngemuva kokuhlinzwa

Ziyini izingozi?

Izingozi zokushintshwa kwe-hip yangaphakathi ziyefana nezinye izindlela zokufaka esikhundleni se-hip.

• izinkinga ze-anesthesia ejwayelekile, efana ne-postoperative delirium kanye nokungasebenzi kahle kwengqondo ngemuva kokusebenza
• ukopha kakhulu ngesikhathi sokuhlinzwa noma lapho usikwe
• ihlule legazi emlenzeni wakho (i-vein thrombosis ejulile) engahambisela ephashini lakho (embolism pulmonary embolism)
• ukutheleleka ngokuhlanganyela kwe-hip (i-septic arthritis)
• ukutheleleka kwethambo le-hip (i-osteomyelitis)
• ukulimala kwemisipha nezinzwa eziseduze
• ukukhishwa kwejoyini lakho le-hip
• ubude obuhlukile bomlenze
• ilunga elixekethile

Uyini umbono wabantu abanokushintshwa kwe-hip kwangaphambili?

Esikhathini esifushane, ukushintshwa kwe-hip kwangaphakathi akubuhlungu kangako futhi kuholela ekubuyiselweni okusheshayo kokuhamba namandla uma kuqhathaniswa nendlela yangemuva noma ye-lateral. Umphumela wesikhathi eside muhle kakhulu futhi uyafana nezinye izindlela.

Kwesinye isikhathi, isinqe sokufakelwa siyakhululeka noma siguge ngemuva kweminyaka eminingana futhi kufanele sishintshwe. Kodwa-ke, ukushintshwa kwe-hip kwangaphambili kuyindlela ephephile nephumelelayo. Kungenzeka ukuthi i-hip yakho entsha izosebenza kahle futhi ithuthukise izinga lempilo yakho iminyaka eminingi.