Izimpendulo Zemibuzo Ejwayelekile Mayelana Nokushintshwa Kwamadolo Okuphelele

-Delile

• 1. Ngabe yisikhathi esifanele sokubuyiselwa emadolweni?
• Izizathu ezi-5 Zokucabangela Ukuhlinzwa Kokushintshwa Kamadolo
• 2. Ngingakugwema ukuhlinzwa?
• 3. Kwenzekani ngesikhathi sokuhlinzwa, futhi kuthatha isikhathi esingakanani?
• 4. Liyini idolo lokufakelwa, futhi lihlala kanjani limi endaweni yalo?
• 5. Kufanele ngikhathazeke nge-anesthesia?
• 6. Ngizoba nobuhlungu obungakanani ngemuva kokuhlinzwa?
• 7. Yini okufanele ngiyilindele ngemuva kokuhlinzwa?
• 8. Yini engingayilindela ngesikhathi sokululama nokuvuselelwa?
• 9. Ngingalilungisela kanjani ikhaya lami ukululama?
• 10. Ngabe ngizodinga noma imuphi umshini okhethekile?
• 11. Yimiphi imisebenzi engizokwazi ukuyenza?
• 12. Kuyohlala isikhathi esingakanani idolo lokufakelwa?

Lapho udokotela ohlinzayo encoma ukuthi kufakwe amadolo ngokuphelele kungenzeka ube nemibuzo eminingi. Lapha, sibheka ukukhathazeka okuvame kakhulu kwe-12.

1. Ngabe yisikhathi esifanele sokubuyiselwa emadolweni?

Ayikho ifomula eqondile yokunquma ukuthi kufanele ungene nini esikhundleni sedolo. Isizathu esikhulu sokwenza lokhu ubuhlungu, kepha uma uke wazama zonke ezinye izindlela zokwelashwa okungasebenzi okubandakanya amakhambi wendlela yokuphila, imithi elwa nokuvuvukala, ukwelashwa ngokomzimba, nemijovo kungaba yisikhathi sokucabanga ngokuhlinzwa.

Udokotela ohlinzayo wamathambo uzokwenza ukuhlolwa okuphelele futhi enze isincomo. Kungasiza futhi ukuthola umbono wesibili.

Izizathu ezi-5 Zokucabangela Ukuhlinzwa Kokushintshwa Kamadolo

2. Ngingakugwema ukuhlinzwa?

Ngaphambi kokuba ucabangele ukuhlinzwa, udokotela wakho uvame ukukukhuthaza ukuthi uzame izindlela ezahlukahlukene zokwelapha ezingezona ezokuhlinzwa. Lokhu kungafaka:

• ukwelashwa ngokomzimba
• ukuncipha komzimba (uma kufanele)
• imithi elwa nokuvuvukala
• imijovo ye-steroid
• imijovo ye-hyaluronic (gel)
• ezinye izindlela zokwelapha ezinjengokutshopa

Kwezinye izimo, lezi zixazululo zingasiza ukuphatha izinkinga zamadolo. Kodwa-ke, uma izimpawu ziba zimbi kakhulu futhi ziqala ukuthinta ikhwalithi yempilo yakho, ukuhlinzwa kungaba yindlela engcono kakhulu.

Uma kudingeke ukuthi kushintshwe idolo ngokuphelele (i-TKR), ukubambezela noma ukwenqaba ukuhlinzwa isikhathi eside kungaholela ekutheni kudingeke ukuthi kwenziwe umsebenzi oyinkimbinkimbi futhi kube nomphumela ongemuhle.

Imibuzo okufanele uzibuze yona ifaka phakathi:

• Sengizame konke?
• Ngabe idolo lami liyangivimba ekwenzeni izinto engizithandayo?

Thola eminye imininingwane ukukusiza unqume ukuthi kufanele ucabangele ukuhlinzwa edolweni.

3. Kwenzekani ngesikhathi sokuhlinzwa, futhi kuthatha isikhathi esingakanani?

Udokotela ohlinzayo uzokwenza imbobo phambi kwamadolo akho ukuveza indawo eyonakele yejoyinti lakho.

Usayizi wokusika ojwayelekile uyahluka cishe usukela ku-6-10 amayintshi ngobude.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uhambisa i-kneecap yakho eceleni futhi anqume uqwanga olimele nenani elincane lamathambo.

Bese befaka izicubu ezilimele ngezakhi ezintsha zensimbi nezeplastiki.

Izingxenye zihlangana zakhe inhlanganisela yokufakelwa ehambisanayo ngokwemvelo futhi elingisa ukunyakaza kwedolo lakho lemvelo.

Izinqubo eziningi zokushintsha amadolo zithatha imizuzu engama-60 kuya kwengu-90 ukuqeda.

Funda kabanzi mayelana nokuthi kwenzekani ngesikhathi sokuhlinzwa.

4. Liyini idolo lokufakelwa, futhi lihlala kanjani limi endaweni yalo?

Ukufakelwa kwamadolo okufakelwa kuqukethe ipulasitiki yensimbi nebanga lezokwelapha elibizwa nge-polyethylene.

Kunezindlela ezimbili zokunamathisela izingxenye ethanjeni. Eyokuqala ukusebenzisa usimende wethambo, okuvame ukuthatha imizuzu eyi-10 ukusetha. Enye indlela engenasimende, lapho izingxenye zinezingubo ezinomsoco ezivumela ithambo ukuba likhule kulo.

Kwezinye izimo, udokotela ohlinzayo angasebenzisa zombili izindlela ngesikhathi sokuhlinzwa okufanayo.

5. Kufanele ngikhathazeke nge-anesthesia?

Noma yikuphi ukuhlinzwa okwenziwa nge-anesthesia kunezingozi, noma kunjalo akuvamile ukuthi izinkinga ezinzima zibangelwe yiluphi uhlobo lwe-anesthesia.

Izinketho ze-TKR zifaka:

• i-anesthesia ejwayelekile
• umgogodla noma i-epidural
• i-anesthesia yesibindi sezinzwa zesifunda

Ithimba le-anesthesia lizonquma ngezinketho ezifanele kakhulu kuwe kepha ukuhlinzwa okuningi kokufaka amadolo kwenziwa kusetshenziswa inhlanganisela yalokhu okungenhla.

6. Ngizoba nobuhlungu obungakanani ngemuva kokuhlinzwa?

Ngokuqinisekile kuzoba nobuhlungu ngemuva kokuhlinzwa kwakho kodwa iqembu lakho lokuhlinza lizokwenza konke okusemandleni ukuligcina lilawuleka futhi lincane.

Ungathola i-nerve block ngaphambi kokuhlinzwa kwakho futhi udokotela wakho ohlinzayo angasebenzisa futhi i-anesthetic yendawo esebenza isikhathi eside ngesikhathi senqubo ukusiza ngokuphumula kobuhlungu ngemuva kwenqubo.

Udokotela wakho uzokunika umuthi ozokusiza ukuphatha izinhlungu. Ungakuthola lokhu ngemithambo yegazi (IV) ngokushesha ngemuva kokuhlinzwa.

Uma uphuma esibhedlela, udokotela uzokunikeza imishanguzo yokuqeda izinhlungu njengamaphilisi noma amaphilisi.

Ngemuva kokululama ekuhlinzweni, idolo lakho kufanele libe buhlungu kakhulu kunakuqala. Kodwa-ke, ayikho indlela yokubikezela imiphumela ngqo futhi abanye abantu bayaqhubeka nokuba nezinhlungu zamadolo izinyanga eziningi ngemuva kokuhlinzwa kwabo.

Ukulandela imiyalo kadokotela wakho ngemuva kokuhlinzwa kuyindlela engcono kakhulu yokuphatha ubuhlungu, ukuhambisana nokwelashwa ngokomzimba futhi uzuze umphumela omuhle kakhulu.

Thola okuningi ngemithi ongayidinga ngemuva kokuhlinzwa.

7. Yini okufanele ngiyilindele ngemuva kokuhlinzwa?

Uma uke waba ne-anesthetic ejwayelekile, ungavuka uzizwe udidekile futhi uzele.

Cishe uzovuka ngamadolo akho aphakanyisiwe (aphakanyisiwe) ukusiza ngokuvuvukala.

Idolo lakho lingahle ligobeke emshinini oqhubekayo wokunyakaza (CPM) owelula kancane futhi uguqule umlenze wakho ngenkathi ulele.

Kuzoba nebhandeshi phezu kwedolo lakho, futhi ungahle ube nomsele wokukhipha uketshezi kwilungu.

Uma ngabe kubekwe ipayipi lomchamo, uchwepheshe wezokunakekelwa kwempilo uzoyisusa ngokuhamba kwesikhathi ngosuku lokuhlinzwa kwakho noma ngosuku olulandelayo.

Kungase kudingeke ukuthi ugqoke ibhandishi lokucindezela noma amasokisi azungeze umlenze wakho ukuze uthuthukise ukujikeleza kwegazi.

Ukwehlisa ubungozi begazi, ungadinga imishanguzo ye-anticoagulant (izinciphisi zegazi), amaphampu ezinyawo / amathole, noma kokubili.

Abantu abaningi banesisu esibuhlungu ngemuva kokuhlinzwa. Lokhu kuvame ukujwayelekile, futhi iqembu lakho lezokunakekelwa kwempilo linganikeza ngemithi yokunciphisa ukungakhululeki.

Udokotela wakho uzobuye anikeze ama-antibiotic emithanjeni ukunciphisa ubungozi bokutheleleka.

Ama-antibiotic angasiza ekuvikeleni ukutheleleka, kodwa kubalulekile ukwazi ukubona izimpawu zokutheleleka, uma kwenzeka ngemuva kokuhlinzwa kwedolo.

8. Yini engingayilindela ngesikhathi sokululama nokuvuselelwa?

Iningi labantu livukile futhi lihamba kungakapheli amahora angama-24 ngosizo lwe-walker noma izinduku.

Ngemuva kokuhlinzwa kwakho, owelapha ngokomzimba uzokusiza ukugoba nokuqondisa idolo lakho, uphume embhedeni, futhi ekugcineni ufunde ukuhamba ngedolo lakho elisha. Lokhu kuvame ukwenziwa ngosuku olufanayo lokusebenza kwakho.

Iningi labantu liyakhishwa esibhedlela ngemuva kwezinsuku ezingama-2-3 ngemuva kokuhlinzwa.

Ngemuva kokubuyela ekhaya, ukwelashwa kuzoqhubeka njalo amasonto ambalwa. Ukuzivocavoca okuqondile kuzohlose ukuthuthukisa ukusebenza kwamadolo.

Uma isimo sakho sikudinga, noma uma ungenakho ukwesekwa okudingayo ekhaya, udokotela wakho angancoma ukuchitha isikhathi endaweni yokuvuselela noma yokuhlengikaza kuqala.

Iningi labantu liyalulama kungakapheli izinyanga ezintathu, noma kungathatha izinyanga eziyisithupha noma ngaphezulu ukuthi abanye abantu balulame ngokuphelele.

Thola ukuthi umzimba wakho uzozivumelanisa kanjani nedolo elisha.

9. Ngingalilungisela kanjani ikhaya lami ukululama?

Uma uhlala endlini enezitezi eziningi, lungisa umbhede nendawo phansi ukuze ukwazi ukugwema izitebhisi lapho ubuya okokuqala.

Qiniseka ukuthi indlu ayinazithiyo nezingozi, kufaka phakathi izintambo zikagesi, omagazini bendawo, imfuhlumfuhlu nefenisha. Gxila ezindleleni, emaphaseji nakwezinye izindawo okungenzeka udlule kuzo.

Qiniseka ukuthi:

• ama-handrails aphephile
• ibha yokubamba iyatholakala kubhavu noma eshaweni

Ungadinga nesihlalo sokugeza noma eshaweni.

Thola imininingwane eminingi yokuthi ungalungisa kanjani ikhaya lakho.

10. Ngabe ngizodinga noma imuphi umshini okhethekile?

Abanye odokotela abahlinzayo bancoma ukusebenzisa umshini we-CPM (ukuqhubeka okungahambi kahle) esibhedlela kanye nasekhaya ngenkathi ulele embhedeni.

Umshini we-CPM usiza ukukhulisa ukunyakaza kwamadolo emasontweni ambalwa okuqala ngemuva kokuhlinzwa.

Ingakwazi:

• ukunciphisa ukuthuthukiswa kwezicubu ezibomvu
• ikusize ukukhulisa ibanga lakho lokuqala lokunyakaza ngemuva kokusebenza kwakho

Uma uthunyelwa ekhaya nomshini we-CPM kufanele uwusebenzise njengoba kunqunyiwe.

Udokotela wakho uzokunikeza noma imuphi umshini wokuhamba ozowudinga, njenge-walker, izinduku, noma umoba.

Funda ukuthi ukuhlinzwa emadolweni kuzokuthinta kanjani impilo yakho yansuku zonke ngesikhathi sokululama.

11. Yimiphi imisebenzi engizokwazi ukuyenza?

Iziguli eziningi zidinga insiza yokusiza (i-walker, izinduku, noma umoba) cishe amasonto ama-3 ngemuva kokuhlinzwa kokuguqulwa kwamadolo yize lokhu kwehluka kakhulu kusuka kwesiguli kuye kwesiguli.

Uzokwazi futhi nokuzivocavoca umzimba okunomthelela ophansi njengokugibela ibhayisikili elimile, ukuhamba, nokubhukuda ngemuva kwamaviki ayisi-6-8. Uchwepheshe wakho womzimba angakweluleka ngokwethula imisebenzi emisha ngalesi sikhathi.

Kufanele ugweme ukugijima, ukweqa, kanye neminye imisebenzi enomthelela omkhulu.

Xoxa nodokotela wakho wamathambo nganoma yimiphi imibuzo ephathelene nemisebenzi yakho.

Funda kabanzi ngokubeka okulindelwe okungokoqobo ngemuva kokuhlinzwa.

12. Kuyohlala isikhathi esingakanani idolo lokufakelwa?

Ngokusho kocwaningo, ngaphezu kokushintshwa kwamadolo okuphelele kusasebenza eminyakeni engama-25 kamuva. Kodwa-ke, ukuwohloka kungakhinyabeza ukusebenza kwaso nempilo yaso.

Abantu abasha maningi amathuba okuthi badinge ukubuyekezwa ngesikhathi esithile sempilo yabo, ikakhulu ngenxa yendlela yokuphila esebenzayo. Xhumana nodokotela ngesimo sakho.