Yini Ukuhlinzwa Ukushintshwa Kwendololwane? Inhloso, Inqubo & Ukululama

Ukuhlinzwa ukushintshwa kwendololwane kuhilela ukususa izingxenye ezilimele zejoyinti lakho lendololwane futhi uzithathele izinto zokwenziwa ezenziwe ngensimbi nepulasitiki. Le nqubo isiza ukubuyisela ukunyakaza futhi kunciphise ubuhlungu lapho ijoyinti lakho lendololwane lilinyazwe kakhulu yi-arthritis, ukulimala, noma ezinye izimo. Cabanga ngakho njengokunikeza indololwane yakho ukuqala okusha lapho ijoyinti lemvelo lingasawenzi umsebenzi walo ngempumelelo.

Yini ukuhlinzwa ukushintshwa kwendololwane?

Ukuhlinzwa ukushintshwa kwendololwane kuyinqubo lapho odokotela behlinza besusa izindawo ezilimele zamathambo akho endololwane futhi bazithathele izinto zokwenziwa zejoyinti. Ijoyinti elisha lenzelwe ukulingisa ukunyakaza kwemvelo kwendololwane yakho ngenkathi linikeza ukukhululeka kobuhlungu nokuthuthukiswa komsebenzi.

Ijoyinti lakho lendololwane lixhuma amathambo amathathu: i-humerus (ithambo lengalo eliphezulu), i-radius, kanye ne-ulna (amathambo engalo). Lapho lezi zindawo zamathambo zigugile noma zilimale, izingxenye zokwenziwa zithatha indima yazo. Izingxenye zokushintshwa ngokuvamile zenziwa ngezinto eziqinile njenge-titanium, ama-cobalt-chromium alloys, kanye namapulasitiki akhethekile ezingeni lezokwelapha.

Lokhu kuhlinzwa akuvamile njengokushintshwa kwezinqulu noma amadolo, kodwa kungashintsha impilo yabantu abobuhlungu bendololwane babo bukhawula kakhulu imisebenzi yabo yansuku zonke. Abantu abaningi abahlinzwa ngale nqubo bathola ukukhululeka okukhulu kobuhlungu nokuthuthukiswa kwekhono lokusebenzisa ingalo yabo emisebenzini yansuku zonke.

Kungani kwenziwa ukuhlinzwa ukushintshwa kwendololwane?

Ukuhlinzwa ukushintshwa kwendololwane kunconywa lapho ukulimala okukhulu kwejoyinti kubangela ubuhlungu obuqhubekayo futhi kukhawula ikhono lakho lokwenza imisebenzi yansuku zonke. Umgomo uwukubuyisela umsebenzi futhi unikeze ukukhululeka kobuhlungu obuhlala njalo lapho ezinye izindlela zokwelapha zingasebenzi.

Izimo eziningana zingaholela ekudingeni ukuhlinzwa ukushintshwa kwendololwane, futhi ukuziqonda kungakusiza ukuthi uqaphele ukuthi le nqubo ingaba usizo nini:

• I-rheumatoid arthritis eqinile eyonakalise izindawo zamalunga
• I-osteoarthritis ethuthukile ebangela ukuxhumana kwamathambo
• Ukuphuka kwendololwane okuyinkimbinkimbi okungelapheki kahle
• Ukuhlinzwa kwendololwane okwehlulekile ngaphambilini
• Ukungazinzi okukhulu kwamalunga okuthinta ukusebenza kwansuku zonke
• Amathumba amathambo athinta ilunga lendololwane
• Ukuwohloka kwamalunga okuzalwa ngakho kubantu abadala

Udkt wakho ngokuvamile uzoncoma lokhu kuhlinzwa kuphela ngemuva kokuthi ukwelashwa okungagxili kakhulu njengemithi, ukwelashwa ngokomzimba, kanye nemijovo kuhlulekile ukuhlinzeka ngokuqeda ubuhlungu obanele. Isinqumo sisekelwe ezingeni lakho lobuhlungu, imikhawulo yokusebenza, kanye nesimo sempilo yakho esiphelele.

Yini inqubo yokuhlinzwa ukufakelwa kwendololwane?

Ukuhlinzwa ukufakelwa kwendololwane kuvamile ukuthatha amahora angu-2-3 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile endaweni yasesibhedlela. Udkt wakho ohlinzayo uzokwenza ukusikeka ngokucophelela ngemuva kwendololwane yakho ukuze afinyelele elungwini ngenkathi evikela imizwa ebalulekile kanye nemithambo yegazi.

Inqubo yokuhlinzwa ilandela izinyathelo eziningana eziqondile ukuqinisekisa ukubekwa okufanele kwezingxenye zakho ezintsha zamalunga:

1. Udkt wakho ohlinzayo wenza ukusikeka ngemuva kwendololwane yakho
2. Izindawo zamathambo ezilimele zisuswa ngokucophelela kuwo wonke amathambo amathathu
3. Amathambo akhiwa ukuze alingane nezingxenye ezintsha zokwenziwa
4. Izingxenye zensimbi zivikelekile emathanjeni e-humerus kanye ne-ulna
5. Indawo yokuthwala yepulasitiki ibekwa phakathi kwezingxenye zensimbi
6. Ilunga lihloliwe ukuhamba okufanele nokuzinza
7. Ukusikeka kuvalwa ngezendlalelo ngama-sutures noma ama-staples

Ngesikhathi senqubo, udkt wakho ohlinzayo unakekela kakhulu ukugcina imisipha, imisipha, kanye nemizwa ezungeze indololwane yakho. Izingxenye zamalunga okwenziwa zenzelwe ukusebenza ndawonye ngokushelela, okuvumela ukugoba kwemvelo kanye nokulungisa ukunyakaza. Iziguli eziningi zihlala esibhedlela izinsuku eziyi-1-2 ngemuva kokuhlinzwa ukuze ziqashwe futhi zilulame ekuqaleni.

Ungalungiselela kanjani ukuhlinzwa kwakho kokufakelwa kwendololwane?

Ukulungiselela ukuhlinzwa kokufakelwa kwendololwane kuhilela izinyathelo zomzimba nezisebenzayo ukuqinisekisa umphumela ongcono kakhulu. Ithimba lakho lezempilo lizokuqondisa esigabeni ngasinye sokulungiselela, kodwa ukuqala kusenesikhathi kusiza ukunciphisa ukucindezeleka futhi kuthuthukise ulwazi lwakho lokululama.

Ukulungiselela kwakho kuzohlanganisa izinto eziningana ezibalulekile zezokwelapha nendlela yokuphila:

• Qedela zonke izivivinyo zangaphambi kokuhlinzwa njengomsebenzi wegazi nezifundo zokuthwebula izithombe
• Yeka imithi ethile njengoba uqondiswa udokotela ohlinzayo wakho
• Yeka ukubhema okungenani amasonto angu-4 ngaphambi kokuhlinzwa ukuze uthuthukise ukuphola
• Lungiselela usizo ngemisebenzi yansuku zonke amasonto amaningana
• Lungisa ikhaya lakho ngemishini yokuzivumelanisa nezimo njengemigoqo yokubamba
• Gcina ukudla okuthengwayo nokudla okulula ukukulungisa
• Zijwayeze ukusebenzisa isandla sakho esingeyona eyinhloko ngemisebenzi yansuku zonke

Udokotela wakho ohlinzayo angase futhi ancome ukubona umelaphi womzimba ngaphambi kokuhlinzwa ukuze afunde ukuzivocavoca okuzosiza ukululama kwakho. Ukuba nethemba eliqotho mayelana nenqubo yokululama kanye nomugqa wesikhathi kukusiza ukuthi ulungiselele ngokwengqondo uhambo olulindele wena. Abantu abaningi bathola ukuthi ukulungiselela okuhle kwenza konke okuhlangenwe nakho kulawuleke kakhulu.

Ungawafunda kanjani imiphumela yakho yokufakelwa kwendololwane?

Impumelelo ngemva kokuhlinzwa kokufakelwa kwendololwane ilinganiswa ngokuqeda ubuhlungu, ukuthuthukiswa komsebenzi, kanye nekhono lakho lokubuyela emisebenzini yansuku zonke. Abantu abaningi bathola ukuthuthuka okukhulu kulezi zindawo, nakuba umugqa wesikhathi uhluka kumuntu nomuntu.

Inqubekela phambili yakho yokululama izohlolwa ngezinkomba eziningana ezibalulekile ezibonisa ukuthi ilunga lakho elisha lisebenza kahle kangakanani:

• Amazinga obuhlungu kufanele ehlise kakhulu phakathi nezinyanga ezi-3-6
• Ububanzi bokunyakaza ngokuvamile buthuthuka bufike kuma-30-130 degrees wokugoba
• Ikhono lokuphakamisa izinto ezifika kuma-10-15 amaphawundi ngokuphepha
• Ukubuyela emisebenzini elula yansuku zonke phakathi kwamasonto angu-6-12
• Ukusebenza okuzinzile kwamalunga ngaphandle kokuxega kuma-X-ray
• Ukuqina kokulala okuthuthukisiwe ngenxa yokuncipha kobuhlungu
• Ikhwalithi yempilo engcono iyonke nokuzimela

Udkt wakho ohlinzayo uzoqapha inqubekela phambili yakho ngokuqokwa okuvamile kokulandela kanye nama-X-ray. Lokhu kuhlolwa kusiza ukuqinisekisa ukuthi ilunga lakho elisha lisebenza kahle futhi libambe noma yiziphi izinkinga ezingaba khona ekuqaleni. Abantu abaningi banelisekile kakhulu ngemiphumela yabo futhi bangathanda ukuthi bahlinzwe ngokushesha.

Ungayithuthukisa kanjani ukululama kwakho kokushintshwa kwendololwane?

Ukwenza ngcono ukululama kwakho ngemuva kokuhlinzwa kokushintshwa kwendololwane kuhilela ukulandela uhlelo lwakho lokuvuselela ngokucophelela nokwenza izinqumo zokuphila ezihlakaniphile. Okubalulekile ukulinganisa umsebenzi nokuphumula ngenkathi uvikela ilunga lakho elisha njengoba liphola.

Impumelelo yakho yokululama incike ezintweni eziningana ezisebenza ndawonye ukukhuthaza ukuphulukiswa nokubuyisela umsebenzi:

• Landela uhlelo lwakho lwe-physical therapy njengoba kunqunywe ngqo
• Thatha imithi njengoba kuqondiswe ngobuhlungu nokuvimbela ukutheleleka
• Gcina indawo yakho yokuhlinzwa ihlanzekile futhi yomile
• Gwema ukuphakamisa ngaphezu kwamaphawundi angu-5 emasontweni okuqala angu-6
• Sebenzisa iqhwa nokuphakama ukuphatha ukuvuvukala
• Hambela konke ukuqokwa kokulandela nodkt wakho ohlinzayo
• Yidla ukudla okulinganiselayo okucebile ngamaprotheni namavithamini
• Thola ukulala okwanele ukuze usekele ukuphulukiswa

I-Physical therapy ngokuvamile iqala ezinsukwini ezimbalwa ngemuva kokuhlinzwa futhi iqhubeka izinyanga eziningana. Umelaphi wakho uzokuqondisa ngezivivinyo ezibuyisela kancane kancane amandla nokuguquguquka ngenkathi evikela ilunga lakho elisha. Abantu abaningi bathola ukuthi ukubamba iqhaza okuqhubekayo ekwelapheni kuholela emiphumeleni engcono yesikhathi eside.

Ziyini izinto eziyingozi ezingabangela izinkinga ngemva kokufakelwa ingqinamba?

Nakuba ukuhlinzwa kokufakelwa ingqinamba ngokuvamile kuphephile, ezinye izinto zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zinto eziyingozi kukusiza kanye nodokotela ohlinzayo ukuthi nenze izinqumo ezinolwazi futhi nithathe izinyathelo zokuzivikela ezifanele.

Izinto eziningana zezokwelapha kanye nendlela yokuphila zingathinta umphumela wakho wokuhlinzwa kanye nenqubo yokululama:

• Ubudala obukhulu (ngaphezu kweminyaka engama-75) bunganciphisa ukuphola
• Isifo sikashukela singalimaza ukuphola kwamanxeba futhi sandise ingozi yokutheleleka
• Ukubhema kubambezela kakhulu ukuphola kwamathambo nezicubu
• Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe ekuhlanganyeleni okusha
• Ukutheleleka kwangaphambilini kwengqinamba noma ukuhlinzwa
• Eminye imithi ethinta ukusebenza komzimba
• Ikhwalithi yamathambo empofu ngenxa ye-osteoporosis
• Ukutheleleka okusebenzayo noma yikuphi emzimbeni

Udkt. ohlinzayo uzohlola ngokucophelela lezi zinto ngaphambi kokuncoma ukuhlinzwa. Izinto eziningi eziyingozi zingashintshwa noma zilawulwe ukuze kuthuthukiswe amathuba akho okuphumelela. Isibonelo, ukulawula amazinga kashukela egazini nokuyeka ukubhema kunganciphisa kakhulu izinkinga.

Ziyini izinkinga ezingenzeka zokuhlinzwa kokufakelwa ingqinamba?

Njenganoma yikuphi ukuhlinzwa okukhulu, ukufakelwa ingqinamba kuthwala izingozi ezingaba khona nezinkinga. Nakuba izinkinga ezinzima zingavamile, kubalulekile ukuqonda ukuthi yini engenzeka ukuze ukwazi ukubona izimpawu zokuxwayisa futhi ufune ukwelashwa ngokushesha uma kudingeka.

Izinkinga zingenzeka ngesikhathi sokuhlinzwa, esikhathini sokululama ngokushesha, noma eminyakeni eminingi kamuva, futhi zisukela kokuncane kuya kokukhulu:

• Ukutheleleka endaweni yokuhlinzwa noma ekujointini okujulile
• Ukwelashwa kwemizwa okubangela ukuba ndikindiki noma ubuthakathaka
• Amagazi egazi engalweni noma emaphashini
• Ukuqina noma ukuguga kwe-implant ngokuhamba kwesikhathi
• Ukuqhekeka kwethambo elizungeze i-implant
• Ukuqina noma ukulinganiselwa kokunyakaza
• Ubuhlungu obuqhubekayo noma ukungazinzi
• Isidingo sokuhlinzwa okwengeziwe

Izinkinga eziningi zingelashwa ngempumelelo uma zitholwe ngokushesha. Ithimba lakho labahlinzi lizothatha izinyathelo eziningi zokunciphisa lezi zingozi, okuhlanganisa ukusebenzisa izindlela ezingenamabhaktheriya, ama-antibiotics, nokuhlela ngokucophelela ukuhlinzwa. Izinga eliphelele lezinkinga liphansi uma liqhathaniswa, futhi abantu abaningi banemiphumela emihle kakhulu.

Kufanele ngibone nini udokotela mayelana nezinkinga zokushintshwa kwendololwane?

Ukwazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo ngemva kokuhlinzwa kokushintshwa kwendololwane kubalulekile ekuvikeleni izinkinga nasekuqinisekiseni ukuphola okufanele. Ezinye izimpawu zidinga ukunakwa ngokushesha, kanti ezinye zingalinda kuze kube yisikhathi sakho esilandelayo esihleliwe.

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi lezi zimpawu zokuxwayisa ezingabonisa izinkinga ezinzima:

• Ubuhlungu obukhulu, obuqhubekayo obungaphenduli emithini
• Izimpawu zokutheleleka njengomkhuhlane, ama-chills, noma ukuphuma kwamanzi esilondeni
• Ububomvu, ukufudumala, noma ukuvuvukala eduze kwendawo yokusika
• Ukuba ndikindiki noma ukuluma okungathuthuki
• Ukungakwazi ukuhambisa iminwe yakho noma ukuzwa isandla sakho
• Ubuhlungu besifuba noma ubunzima bokuphefumula
• Ukulahlekelwa okungazelelwe komsebenzi wokuhlangana

Ngezinkinga ezingaphuthumi kangako njengokuvuvukala okuncane, ukuqina, noma imibuzo mayelana nokuqhubeka kokululama kwakho, ungalinda kuze kube yisikhathi sakho esilandelayo esihleliwe noma ushayele ngamahora ajwayelekile ehhovisi. Ithimba lakho lezempilo lifuna ukuzwa kuwe uma unanoma yiziphi izinkathazo mayelana nokululama kwakho.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kokushintshwa kwendololwane

Ingabe ukuhlinzwa kokushintshwa kwendololwane kulungile ngoba i-arthritis?

Yebo, ukuhlinzwa kokushintshwa kwendololwane kungaba kuhle kakhulu nge-arthritis enzima engaphendulanga kwezinye izindlela zokwelapha. Le nqubo isebenza ikakhulukazi nge-rheumatoid arthritis, evame ukuthinta ilunga lendololwane ngendlela enzima kakhulu kune-osteoarthritis.

Ukuhlinzwa kususwa izindawo ezilimele, ezinomdlavuza wezitho zomzimba futhi zithathelwe izinto eziqeda ukwenziwa. Lokhu kuqeda ukuxhumana kwamathambo-ngamathambo okubangela ubuhlungu bomdlavuza wezitho zomzimba futhi kuvumela ukunyakaza okubushelelezi kakhulu kwamalunga. Abantu abaningi abanomdlavuza wezitho zomzimba bathola ukukhululeka okukhulu kobuhlungu nokuthuthuka okukhulu emandleni abo okusebenzisa ingalo yabo emisebenzini yansuku zonke.

Ingabe ukuhlinzwa kokufaka ingalo kuvimbela umsebenzi womzimba?

Ukuhlinzwa kokufaka ingalo kubeka imikhawulo ethile ehlala njalo emsebenzini womzimba, kodwa abantu abaningi bangabuyela emisebenzini eminingi abayithandayo. Okubalulekile ukugwema ezemidlalo ezinomthelela omkhulu nemisebenzi ebeka ingcindezi enkulu elungeni elenziwe.

Ngokuvamile uzokwazi ukujabulela imisebenzi enomthelela ophansi njengokubhukuda, igalofu, ithenisi (amadoubles), nokuhamba ngebhayisikili. Kodwa-ke, ezemidlalo zokuxhumana, ukuphakamisa izinsimbi ezinzima, nemisebenzi ebandakanya ukusetshenziswa okuphindaphindiwe kwengalo ngokuvamile akuvunyelwe. Udokotela ohlinzayo uzohlinzeka ngemihlahlandlela ethile yomsebenzi ngokusekelwe esimweni sakho ngasinye kanye nohlobo lokufakelwa olusetshenzisiwe.

Ingabe ukufakelwa kwengalo kuhlala isikhathi esingakanani?

Izinto zokufakelwa zengalo zesimanje ngokuvamile zihlala iminyaka engu-15-20 noma ngaphezulu ngokunakekelwa okufanele nokuguqulwa komsebenzi okufanele. Ubude bokuphila buxhomeke ezintweni eziningana ezihlanganisa iminyaka yakho, izinga lomsebenzi, ikhwalithi yamathambo, kanye nohlobo lokufakelwa olusetshenzisiwe.

Iziguli ezincane, ezisebenzayo kakhulu zingase zithole ukuguga nokuxega ngokushesha kunezinhlangano ezindala, ezingasebenzi kakhulu. Kodwa-ke, intuthuko ezintweni zokufakelwa kanye namasu okuhlinza iyaqhubeka nokuthuthukisa ukuqina kwala malunga. Uma ukufakelwa kwakho kugcina kugugile, ukuhlinzwa kokubuyekeza kuvame ukwenzeka, nakuba ngokuvamile kuyinkimbinkimbi kakhulu kunenqubo yokuqala.

Ngingashayela ngemva kokuhlinzwa kokufaka ingalo?

Ngokuvamile ungakwazi ukubuyela ekushayeleni uma usuwatholile amandla anele kanye nobubanzi bokunyakaza endololwaneni yakho, ngokuvamile emasontweni angu-6-8 ngemuva kokuhlinzwa. Kodwa-ke, lokhu kuncike ekutheni ingabe ingalo yakho ebusayo noma engabusiwe yiyo eyahlinzwa nokuthi ululama ngokushesha kangakanani.

Udkt wakho ohlinzayo uzohlola ikhono lakho lokulawula ngokushepha isondo lokuqondisa, ukusebenzisa izimpawu zokujika, nokusabela ngokushesha ezimweni eziphuthumayo. Abanye abantu bangashayela ngokushesha uma benokudlulisela okuzenzakalelayo futhi ukuhlinzwa kwenziwa engalweni yabo engabusiwe. Njalo thola imvume kudkt wakho ohlinzayo ngaphambi kokubuyela ekushayeleni.

Ingabe ukuhlinzwa kokufakelwa endololwaneni kubuhlungu?

Ukuhlinzwa kokufakelwa endololwaneni kuqala kubandakanya ubuhlungu obukhulu, kodwa izindlela zokulawula ubuhlungu zanamuhla zikwenza kulawuleke kakhulu. Abantu abaningi bahlangabezana nobuhlungu obubi kakhulu ezinsukwini zokuqala ngemuva kokuhlinzwa, ngentuthuko kancane kancane emasontweni alandelayo.

Ithimba lakho lokuhlinza lizosebenzisa inhlanganisela yemithi, izithiyo zemizwa, nezinye izindlela zokukugcina ukhululekile. Iziguli eziningi zimangala ukuthi ubuhlungu bazo ngemuva kokuhlinzwa empeleni buncane kunobuhlungu obungapheli ababeyizwa ngaphambi kokuhlinzwa. Ezinyangeni ezi-3-6 ngemuva kokuhlinzwa, abantu abaningi banobuhlungu obuncane kakhulu kunalobo ababenabo ngaphambi kwenqubo.