I-Hip Arthroplasty: Izinhlobo, lapho zikhonjisiwe, ukunakekelwa okuvamile nokungabaza

-Delile

• Uyifaka nini i-hip prosthesis
• Kwenziwa kanjani ukuhlinzwa
• Ukunakekelwa ngemuva kokubekwa kwe-hip prosthesis
• I-Physiotherapy ngemuva kwe-hip prosthesis
• Izinkinga ezingenzeka
• Imibuzo ejwayelekile kakhulu mayelana ne-hip prosthesis
• Ingabe ukufakelwa kwesinqe kuphuma endaweni?
• Ihlala isikhathi esingakanani i-hip prosthesis?
• Ngizoqala nini ukushayela futhi?
• Uya ocansini nini?

I-Hip arthroplasty ukuhlinzwa kwamathambo okusetshenziselwa ukufaka esikhundleni sokuhlangana kwe-hip ngensimbi, i-polyethylene noma i-ceramic prosthesis.

Lokhu kuhlinzwa kuvame kakhulu futhi kugugile, kusuka eminyakeni engama-68 ubudala, futhi kungenziwa ngezindlela ezimbili: okuyingxenye noma okuphelele. Ngaphezu kwalokho, ingenziwa ngezinto ezehlukene, ezinjengensimbi, i-polyethylene nobumba, futhi zonke lezi zinqumo kufanele zenziwe ngudokotela wamathambo ozokwenza lo msebenzi.

Uyifaka nini i-hip prosthesis

Ngokuvamile, i-hip arthroplasty isetshenziswa kubantu asebekhulile abanokugqoka okuhlangene ngenxa ye-arthrosis, i-rheumatoid arthritis noma i-ankylosing spondylitis, noma kunjalo, ingasetshenziswa nasezigulini ezisencane, uma kwenzeka ukuphuka kwentamo yesifazane, ngokwesibonelo. Ngokuyinhloko kunenkomba yokuhlinzwa uma kwenzeka ukugqoka ngokuhlanganyela, ubuhlungu obungapheli noma ukungakwazi ukuhamba, ukunyuka nokuhla izitebhisi, noma ukungena emotweni, ngokwesibonelo.

Kwenziwa kanjani ukuhlinzwa

I-arthroplasty ye-Hip yenziwa ngaphansi kwe-anesthesia egumbini lokuhlinzwa, okungaba yibhulokhi yesifunda noma i-anesthesia ejwayelekile. Udokotela ohlinzayo usika ngaphambili kwethanga, emuva noma ohlangothini lwethanga, kuya ngokukhetha kwakho, futhi asuse izingxenye ezigqokwa i-arthrosis bese ebeka isitho sokufakelwa.

Isikhathi sokuhlinzwa sicishe sibe amahora amabili nohhafu, kepha singaba side, kuya ngesimo sesiguli. Ubude bokuhlala esibhedlela bungahluka phakathi kwezinsuku ezingama-3-5 futhi i-physiotherapy kufanele iqalwe ngemuva nje kokuhlinzwa.

Udokotela ohlinzayo uvame ukukunikeza amaphilisi ezinhlungu nezidakamizwa ezilwa nokuvuvukala, njengeParacetamol noma i-Ibuprofen, ngemuva kokuhlinzwa futhi ngenkathi isiguli sisezinhlungwini, sidinga i-physiotherapy izinyanga eziyisithupha kuya onyakeni owodwa.

Ukunakekelwa ngemuva kokubekwa kwe-hip prosthesis

Ukululama ku-hip arthroplasty kuthatha cishe izinyanga eziyi-6 futhi ngalesi sikhathi isiguli kufanele sithathe izinyathelo ezithile zokuphepha, njenge:

• Lala ngomhlane imilenze yakho isakazekile. Kungasiza ukubeka umcamelo phakathi kwemilenze yakho;
• Musa ukweqa imilenze yakho ukugwema ukushiya indawo yokufakelwa;
• Gwema ukuguqula umlenze osebenzayo ungene ngaphakathi noma ngaphandle kuwo;
• Ungahlali ezindaweni eziphansi kakhulu: njalo beka izihlalo ukuze uphakamise indlu yangasese nezihlalo;
• Gwema ukulala ngohlangothi emlenzeni osebenzayo, ikakhulukazi ngenyanga yokuqala ngemuva kokuhlinzwa;
• Lapho ukhuphuka izitebhisi, qala ngokubeka umlenze ongasetshenziswanga bese umlenze osebenzayo. Ukwehla, okokuqala umlenze owenziwe bese kuba umlenze ongasebenzi;
• Prakthiza imisebenzi elula, njengokuhamba emavikini okuqala, kepha imisebenzi efana nokudansa, kuphela ngemuva kwezinyanga ezimbili zokululama nangaphansi kokuqondiswa udokotela noma i-physiotherapist.

Thola imininingwane eminingi yokuthi Ungasheshisa kanjani ukutakula ngemuva kokufakelwa kwe-hip.

Ngemuva kokuvakashelwa kokuqala kokubuyekeza, isiguli kufanele sibuyele kudokotela njalo eminyakeni emi-2 ukuze kwenziwe i-X-ray yokuhlola ukubekwa nokugqokwa kwendawo yokufakelwa.

I-Physiotherapy ngemuva kwe-hip prosthesis

I-Physiotherapy ye-hip arthroplasty kufanele iqale ngosuku lwe-1 ngemuva kokuhlinzwa, kubalulekile ukuqeda izinhlungu, ukunciphisa ukuvuvukala, ukuthuthukisa ukunyakaza kwe-hip nokuqinisa imisipha.

Imvamisa, uhlelo lwe-physiotherapy kufanele luqondiswe ngumelaphi womzimba futhi lubandakanye nemihlahlandlela yokuhamba, ukuhlala, ukuvuka, ukusebenzisa i-walker, kanye nokuzivocavoca ukuze ufunde ukuhamba ne-prosthesis, ukuqinisa imisipha nokuthuthukisa ibhalansi. Bona ukuthi ungakwenza kanjani okunye ukuzivocavoca ku: Physiotherapy ngemuva kwe-hip prosthesis.

Ngemuva kokuphuma esibhedlela, isiguli kufanele sigcine ukwelashwa ngokomzimba okungenani izinyanga eziyisithupha ngemuva kwe-hip arthroplasty. Okunye okukhonjisiwe yimishini kagesi yokwenza imisipha isebenze, kanye nokuvivinya umzimba okulinganiselwe okungenziwa emanzini, echibini. Ukwelashwa kwe-physiotherapeutic kuyahluka ngokuya ngohlobo lokufakelwa kanye nendlela yokuhlinzwa, ngakho-ke, i-physiotherapist kumele ikhombise ukwelashwa okungcono kakhulu ecaleni ngalinye.

Izinkinga ezingenzeka

Izinkinga ze-arthroplasty azivamile, ikakhulukazi lapho isiguli silandela imihlahlandlela nokunakekelwa okwanele esikhathini sokuhlinzwa ngemuva kokuhlinzwa. Noma kunjalo, ezinye izinkinga zingaba:

• I-vein thrombosis ejulile;
• I-embolism yamaphaphu;
• Ukuqedwa kwe-Prosthesis;
• Ukuphuka kwamathambo.

Ngokuvamile, isiguli kufanele siye ekubonisaneni nokubuyekezwa ezinsukwini ezingama-7-10 ngemuva kokuhlinzwa ukuze kususwe umthungo futhi kugweme ezinye izinkinga, njengokuhlukaniswa kwe-prosthesis noma ukutheleleka. Lapho kusolwa izinkinga, thintana nodokotela wamathambo noma uye egumbini lezimo eziphuthumayo ukuze uqale ukwelashwa okufanele.

Imibuzo ejwayelekile kakhulu mayelana ne-hip prosthesis

Ingabe ukufakelwa kwesinqe kuphuma endaweni?

Yebo.Kungenzeka ukuthi isitho sokufakelwa sinyakaze uma isiguli sizizwa sisezindaweni eziphansi kakhulu, siwele imilenze yaso noma sivule imilenze yaso singene noma siphume, ngaphambi kokuba udokotela noma i-physiotherapist avunyelwe ukwenza le misebenzi.

Ihlala isikhathi esingakanani i-hip prosthesis?

Imvamisa, i-hip prosthesis ihlala iminyaka engu-20-25, ngesidingo sokushintshwa ngemuva kwaleso sikhathi.

Ngizoqala nini ukushayela futhi?

Ngokuvamile, udokotela uzokhipha ukuqhutshwa ngemuva kwamasonto ayi-6-8 okuhlinzwa.

Uya ocansini nini?

Kunesikhathi esincane sokulinda samaviki ama-4, kepha ezinye iziguli zizizwa zizethemba ngokwengeziwe ngokubuya ngemuva kwezinyanga ezi-3-6.