Kuyini Ukuhlinzwa Ukushintshwa Kwehlombe? Inhloso, Inqubo & Ukululama

Ukuhlinzwa ukushintshwa kwehlombe kuyinqubo lapho izingxenye ezilimele zejoyinti lakho lehlombe zisuswa futhi zithathelwe indawo yizingxenye zokwenziwa. Cabanga ngakho njengokuthola izingxenye ezintsha zomshini ogugile - umgomo uwukubuyisela ukunyakaza okubushelelezi, okungenabuhlungu ehlombe lakho.

Lokhu kuhlinzwa kuba yindlela uma i-arthritis enzima, ukuqhekeka, noma ezinye izimo ziye zalimaza ijoyinti lakho lehlombe ngaphezu kwalokho okunye ukwelashwa okungasiza ngakho. Izingxenye zejoyinti zokwenziwa zenzelwe ukulingisa ukunyakaza kwehlombe lakho lemvelo ngenkathi kuqedwa umthombo wobuhlungu bakho.

Kuyini ukuhlinzwa ukushintshwa kwehlombe?

Ukuhlinzwa ukushintshwa kwehlombe kuhilela ukususa ithambo elilimele ne-cartilage ejoyintini lakho lehlombe futhi uzithathele indawo yezingxenye zokwenziwa ezenziwe ngensimbi nepulasitiki. Ijoyinti lakho lehlombe liyijoyinti yebhola nesokhethi lapho ikhanda eliyindilinga lethambo lakho lengalo eliphezulu (humerus) lingena khona kusokhethi elingashoni ehlombe lakho.

Ngesikhathi senqubo, udokotela ohlinzayo ususa ibhola elilimele phezulu kwethambo lakho lengalo futhi alithathele indawo ngesiqu sensimbi esinebhola elibushelelezi lensimbi noma le-ceramic. Isokhethi elilimele lingase futhi libuyiselwe ngomugqa wepulasitiki, kuye ngohlobo lokushintshwa oludingayo.

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa ukushintshwa kwehlombe. Ukushintshwa kwehlombe okuphelele kuhilela ukushintsha kokubili izingxenye zebhola nesokhethi zejoyinti lakho. Ukushintshwa kwehlombe okuyingxenye, okubizwa nangokuthi i-hemiarthroplasty, kuthatha indawo yengxenye yebhola kuphela ngenkathi kushiya isokhethi yemvelo ingathintekile.

Kungani kwenziwa ukuhlinzwa ukushintshwa kwehlombe?

Isizathu esiyinhloko sokuhlinzwa ukushintshwa kwehlombe ukukhulula ubuhlungu obukhulu, obuqhubekayo behlombe obungaphendulanga kokunye ukwelashwa. Lolu buhlungu ngokuvamile luvela ezimweni ezilimaze i-cartilage ebushelelezi emboza ijoyinti lakho lehlombe, okubangela ukuthi ithambo ligudlane nethambo.

Izimo eziningi zingaholela ekudingeni ukuhlinzwa kokufakelwa kwehlombe, futhi ukuqonda lezi kungakusiza ukuthi uqaphele ukuthi le nyango ingase ifanele:

• I-Osteoarthritis - isizathu esivame kakhulu, lapho i-cartilage igugile ngokuhamba kwesikhathi
• I-Rheumatoid arthritis - isimo se-autoimmune esivuvukala futhi silimaze izicubu zamalunga
• I-Post-traumatic arthritis - i-arthritis evela ngemuva kokulimala kwehlombe noma ukuqhekeka
• I-Rotator cuff tear arthropathy - isimo lapho izinyembezi ezinkulu ze-rotator cuff ziholela ekulimaleni kwamalunga
• I-Avascular necrosis - lapho ukuhlinzekwa kwegazi ethambo lehlombe kuphazamiseka, okubangela ukufa kwamathambo
• Ukuqhekeka kwehlombe okukhulu - ukuqhekeka okuyinkimbinkimbi okungenakulungiswa ngezinye izindlela
• Ukuhlinzwa kwehlombe okwehlulekile ngaphambilini - lapho ukwelashwa kwangaphambilini kungazange kunikeze ukukhululeka okuhlala njalo

Udkt wakho ngokuvamile uzoncoma ukufakelwa kwehlombe kuphela ngemuva kokuthi ezinye izindlela zokwelapha ezifana ne-physical therapy, imithi, kanye nemijovo yehlulekile ukunikeza ukukhululeka okwanele. Isinqumo sincike eminyakeni yakho, izinga lomsebenzi, kanye nempilo yonke.

Yini inqubo yokuhlinzwa kokufakelwa kwehlombe?

Ukuhlinzwa kokufakelwa kwehlombe kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuthatha cishe amahora amabili kuya kwamathathu ukuqeda. Uzobekwa ohlangothini lwakho noma endaweni yesihlalo sasebhishi ukuze unikeze udokotela ohlinzayo ukufinyelela okungcono kakhulu elungwini lakho lehlombe.

Udokotela ohlinzayo uzokwenza ukusikeka ngaphambili kwehlombe lakho, ngokuvamile okungaba ngamasentimitha angu-6 ubude. Ngalokhu kusikeka, bazosusa ngokucophelela imisipha kanye nemisipha ukuze bafinyelele elungwini lakho lehlombe ngaphandle kokuyisika.

Inqubo yokuhlinzwa ihlanganisa izinyathelo eziningana ezinembile ezizokwenziwa ithimba lakho lezokwelapha ngendlela ehlelekile:

1. Susa ingxenye yebhola elonakele yethambo lakho lengalo eliphezulu usebenzisa amathuluzi okuhlinza akhethekile
2. Lungisa isikhungo esingenalutho sethambo lakho lengalo ukuze samukele isiqu sensimbi esisha
3. Faka isiqu sensimbi ethambweni lakho lengalo, kungaba nge-bone cement noma ngaphandle kwayo
4. Namathisela ibhola elisha lokwenziwa phezulu kwesiqu sensimbi
5. Lungisa indawo yesokhethi uma uhlinzwa ukushintshwa kwehlombe okuphelele
6. Vikela i-liner yesokhethi yepulasitiki endaweni usebenzisa izikulufo noma i-cement
7. Hlola ububanzi bokunyakaza nokuzinza kwelunga elisha
8. Vala ukusikwa ngama-sutures noma ama-staples bese ufaka amabhandeshi

Kwezinye izimo, udokotela ohlinzayo angase asebenzise ukushintshwa kwehlombe eliphambene, lapho izikhundla zebhola nesokhethi zishintshwa khona. Le ndlela ivame ukusetshenziswa uma unezinyembezi ezinkulu ze-rotator cuff kanye ne-arthritis.

Ungalungiselela kanjani ukuhlinzwa kokushintshwa kwehlombe lakho?

Ukulungiselela ukuhlinzwa kokushintshwa kwehlombe kuhilela izinyathelo zomzimba nezisebenzayo ezizokwenza kube nemiphumela emihle kakhulu. Ukulungiselela kwakho kuvame ukuqala emasontweni ambalwa ngaphambi kosuku lokuhlinzwa oluhleliwe.

Ithimba lakho lezokwelapha lizokuqondisa ngokuqokwa kwangaphambi kokuhlinzwa nokuhlolwa ukuze liqinisekise ukuthi ulungele ukuhlinzwa. Lokhu kungase kuhlanganise ukuhlolwa kwegazi, ama-X-ray esifuba, kanye ne-electrocardiogram ukuhlola ukusebenza kwenhliziyo yakho.

Nawa amanye amanyathelo abalulekile okudingeka uwathathe ngaphambi kokuhlinzwa kwakho:

• Yeka ukubhema okungenani amasonto angu-4-6 ngaphambi kokuhlinzwa ukuze uthuthukise ukuphola
• Lungisa imithi njengoba uqondiswa udokotela ohlinzayo, ikakhulukazi ama-blood thinners
• Lungiselela usizo ekhaya ngesikhathi sokululama kwakho
• Lungisa ikhaya lakho ngokususa izingozi zokukhubeka nokuhlela izinto ezisetshenziswa njalo
• Zijwayeze ukusebenzisa isandla sakho esingeyona eyinhloko emisebenzini yansuku zonke
• Qedela noma yimuphi umsebenzi wamazinyo ukuze unciphise ingozi yokutheleleka
• Hambela izikhathi zokwelashwa ngokomzimba ngaphambi kokuhlinzwa uma kunconywe
• Thenga noma uqashe imishini efana nesihlalo sokugeza noma isihlalo sendlu yangasese esiphakanyisiwe

Udokotela ohlinzayo uzokunikeza imiyalelo ethile mayelana nokudla nokuphuza ngaphambi kokuhlinzwa. Ngokuvamile, uzodinga ukugwema ukudla nokuphuza okungenani amahora angu-8-12 ngaphambi kwenqubo yakho ukuze uvimbele izinkinga ngesikhathi sokubeletwa.

Ungawafunda kanjani imiphumela yakho yokufakelwa kwehlombe?

Ukuqonda imiphumela yakho yokufakelwa kwehlombe kuhilela ukubheka kokubili imiphumela ngokushesha ngemva kokuhlinzwa kanye nezimpawu zempumelelo yesikhathi eside. Ithimba lakho lokuhlinza lizogada izinkomba eziningana ezibalulekile ukuze liqinisekise ukuthi ilunga lakho elisha lisebenza kahle.

Ngemva nje kokuhlinzwa, ithimba lakho lezokwelapha lizohlola ilunga lakho elisha lehlombe lisebenzisa ama-X-ray ukuze liqinisekise ukubekwa okufanele kwezingxenye zokwenziwa. Lezi zithombe zibonisa ukuthi ingabe isiqu sensimbi sibekwe ngendlela efanele ethambo lakho lengalo nokuthi ingabe ingxenye yesokhethi ihlelwe kahle.

Izinkomba zempumelelo yesikhathi esifushane wena nethimba lakho lezokwelapha enizozigada zihlanganisa:

• Ukuncipha okukhulu kobuhlungu behlombe uma kuqhathaniswa nangaphambi kokuhlinzwa
• Ukuthuthukiswa kwebanga lokunyakaza ngesikhathi sokwelashwa ngokomzimba
• Ukuphola kwesilonda okufanele ngaphandle kwezimpawu zokutheleleka
• Ukusebenza kwelunga elizinzile ngesikhathi semisebenzi yansuku zonke
• Umsebenzi wegazi ojwayelekile okhombisa ukuthi azikho izimpawu zokutheleleka noma izinkinga

Impumelelo yesikhathi eside ilinganiswa ngezinyanga neminyaka ngemuva kokuhlinzwa kwakho. Abantu abaningi bathola ukukhululeka okukhulu kobuhlungu nokuthuthukiswa komsebenzi, ngocwaningo olukhombisa ukuthi ama-85-95% okushintshwa kwehlombe kusebenza kahle ngemuva kweminyaka engu-10-15.

Ukuqokwa kwakho okulandelayo kuzofaka phakathi ama-X-ray avamile ukuqapha izingxenye zejoyinti ezingokwenziwa nganoma yiziphi izimpawu zokuxega noma ukuguga. Lezi zithombe zisiza udokotela ohlinzayo ukuthi athole izinkinga ezingaba khona kusenesikhathi, ngisho nangaphambi kokuthi uqaphele izimpawu.

Ungayithuthukisa kanjani ukululama kwakho kokushintshwa kwehlombe?

Ukwenza ngcono ukululama kwakho kokushintshwa kwehlombe kudinga ukubamba iqhaza ngentshiseko ohlelweni lwakho lokuvuselela futhi ulandele isiqondiso sethimba lakho lezokwelapha ngokucophelela. Isikhathi sakho sokululama ngokuvamile sithatha izinyanga eziningana, nabantu abaningi bebona ukuthuthuka okukhulu phakathi nezinyanga ezi-3-6.

I-physical therapy iyisisekelo sokululama ngempumelelo kokushintshwa kwehlombe. Ukwelashwa kwakho kuzoqala ngokushesha ngemuva kokuhlinzwa futhi kuqhubeke ngamaphase ahlukene njengoba ihlombe lakho liphola futhi liqina.

Amaqhinga abalulekile okuthuthukisa ukululama kwakho afaka:

• Hambela kuyo yonke imihlangano ye-physical therapy futhi usebenzise izivivinyo ekhaya
• Landela imikhawulo kadokotela ohlinzayo ekuphakamiseni nasekuhambiseni izingalo
• Gcina ukusikeka kwakho kuhlanzekile futhi komile ukuvimbela ukutheleleka
• Thatha imithi echazwe njengoba kuqondiswe ngobuhlungu nokuvimbela ukutheleleka
• Sebenzisa i-ice therapy ukunciphisa ukuvuvukala nobuhlungu
• Kancane kancane wandise izinga lakho lomsebenzi njengoba kuvunywe ithimba lakho lezokwelapha
• Thola ukulala okwanele ukuze usekele ukuphulukisa
• Yidla ukudla okunomsoco okucebile ngamaprotheni namavithamini
• Hlala unamanzi ukuze usekele ukuphulukisa izicubu

Ukwelulama kwakho kuzoqhubeka ngamaphase, kuqala ngokuvikela indawo yokuhlinzwa futhi kancane kancane kuqhubekele ekuqiniseni izivivinyo. Abantu abaningi bangakwazi ukubuyela emisebenzini elula phakathi kwamasonto angu-6-8, kuyilapho ukululama okuphelele kwemisebenzi efunayo kungathatha izinyanga ezingu-4-6.

Yini umphumela ongcono kakhulu wokuhlinzwa kokufakelwa kwehlombe?

Umphumela ongcono kakhulu wokuhlinzwa kokufakelwa kwehlombe ukuthola ukukhululeka okukhulu kobuhlungu ngenkathi ubuyisela ukusetshenziswa kwehlombe lakho emisebenzini yansuku zonke. Abantu abaningi bathola ukuthuthuka okukhulu ezingeni lempilo yabo, ngamazinga obuhlungu ehlisa kusuka kokukhulu kuya kokuncane noma okungekho.

Ukufakelwa kwehlombe okuphumelelayo ngokuvamile kukuvumela ukuthi ubuyele emisebenzini yakho evamile, yize ezinye izilungiso zingase zidingeke. Ungalindela ukwenza imisebenzi yansuku zonke ngokunethezeka njengokugqoka, ukupheka, nokuzinakekela ngaphandle kobuhlungu obukhulu obabukhona ngaphambi kokuhlinzwa.

Ukulindela okungokoqobo ngemiphumela emihle kufaka:

• Ukuncishiswa kobuhlungu ehlombe ngamaphesenti angama-90-95% ngesikhathi sokuphumula nemisebenzi yansuku zonke
• Ikhono lokuphakamisa ingalo yakho ngaphezu kwezinga lehlombe lemisebenzi esebenzayo
• Ukuthuthukiswa kwekhwalithi yokulala ngenxa yokuncishiswa kobuhlungu ebusuku
• Ukubuyela emisebenzini yokuzilibazisa enomthelela ophansi njengokubhukuda noma igalofu
• Ikhono elithuthukisiwe lokwenza imisebenzi ehlobene nomsebenzi
• Ukuthuthukiswa kwekhwalithi yempilo yonke nemizwa
• Ukuqina kwelunga leminyaka eyi-15-20 noma ngaphezulu ngokunakekelwa okufanele

Imiphumela emihle kakhulu yenzeka uma uhlanganyela ngentshiseko ekululameni kwakho, ulandela iseluleko sezokwelapha, futhi ugcina okulindele okungokoqobo mayelana nezinga lomsebenzi wakho. Ngenkathi ukufakelwa kwehlombe kuphumelela kakhulu, kubalulekile ukuqonda ukuthi ilunga lakho elisha, ngenkathi liqina, alilonakali.

Yiziphi izici eziyingozi zezinkinga zokufakelwa kwehlombe?

Ukuqonda izici eziyingozi zezinkinga zokufakelwa kwehlombe kukusiza wena nethimba lakho lezokwelapha ukuthi nithathe izinyathelo zokunciphisa izinkinga ezingaba khona. Ngenkathi ukufakelwa kwehlombe kuvamile ukuthi kuphephile, ezinye izici zingakhuphula ingozi yakho yezinkinga.

Ezinye izinto eziyingozi zihlobene nempilo yakho yonke nendlela yokuphila, kanti ezinye ziqondene nesimo sakho sehlombe noma umlando wokuhlinzwa. Ukuqaphela lezi zinto kuvumela ukulungiselela okungcono nokuqapha.

Izinto eziyingozi ezivamile ezingakhuphula amazinga okuhlushwa zihlanganisa:

• Ubudala obuthuthukile (ngaphezu kweminyaka engama-75) ngenxa yokuphola kancane nezimo zezokwelapha ezikhulayo
• Ukubhema, okuphazamisa kakhulu ukuphola kwamanxeba futhi kwandisa ingozi yokutheleleka
• Isifo sikashukela, ikakhulukazi uma singalawulwa kahle, sithinta ukuphola nokumelana nokutheleleka
• Ukukhuluphala ngokweqile, okungacindezela ilunga elisha futhi kube nzima ukuhlinzwa
• Ukutheleleka kwehlombe kwangaphambilini noma ukuhlinzwa okuningi kwangaphambilini
• Imithi ethile efana nama-steroid esikhathi eside ethinta ukuphola
• Izimo ze-Autoimmune ezingathinta ukuphola futhi zikhuphule ingozi yokutheleleka
• Ikhwalithi yamathambo empofu evela ezimweni ezinjenge-osteoporosis
• Ukutheleleka okusebenzayo kwenye indawo emzimbeni

Izinto eziyingozi ezingavamile kodwa ezinzima zihlanganisa ukuba nezimo ezithile zezokwelapha ezinjengesifo senhliziyo esibi, ukwehluleka kwezinso, noma amasistimu omzimba akhiwe ngaphansi. Ithimba lakho lokuhlinzwa lizohlola ngokucophelela lezi zinto futhi lingancoma ukuthuthukisa impilo yakho ngaphambi kokuhlinzwa.

Izindaba ezinhle ukuthi izinto eziningi eziyingozi zingashintshwa ngaphambi kokuhlinzwa. Ithimba lakho lezokwelapha lizosebenza nawe ukuze libhekane nezinto ezilawulekayo njengamazinga kashukela egazini, ukuyeka ukubhema, nesimo sokudla okunomsoco ukuze kuthuthukiswe umphumela wakho wokuhlinzwa.

Ingabe kungcono ukuhlinzwa ukufakelwa ihlombe ngokushesha noma kamuva?

Isikhathi sokuhlinzwa ukufakelwa ihlombe sincike ekulinganiseni izinga lakho lamanje lempilo ngokumelene nobude bempilo yelunga lokwenziwa. Akukho “ngesikhathi esifanele” esivamile, kodwa kunalokho iwindi elilungile elihluka kumuntu ngamunye ngokusekelwe ezimweni zabo ezithile.

Ngokuvamile, kungcono ukuba nokushintshwa kwehlombe lapho ukwelashwa okungagcini ngempumelelo futhi ubuhlungu bakho buphazamisa kakhulu impilo yakho yansuku zonke. Ukulinda isikhathi eside kungaholela ebuthakathakeni bemisipha, ukulahlekelwa kwamathambo, kanye nokuhlinzwa okuyinkimbinkimbi, kuyilapho ukuba nakho ngokushesha kusho ukuthi ungase uphile isikhathi eside kunomgogodla wakho wokwenziwa.

Izici eziphakamisa ukuthi kungase kube yisikhathi sokuhlinzwa zihlanganisa:

• Ubuhlungu obukhulu obuphazamisa ukulala nemisebenzi yansuku zonke
• Ukunqandwa okukhulu kokunyakaza kwengalo nomsebenzi
• Ukwehluleka kokwelashwa okungagcini ngempumelelo ngaphezu kwezinyanga eziyi-6-12
• Ubuthakathaka obuqhubekayo emisipha yamahlombe
• Ukungakwazi ukwenza umsebenzi noma imisebenzi yokuzilibazisa
• Ukwehla kwekhwalithi yempilo naphezu kokunye ukwelashwa
• Impilo enhle iyonke esekela ukuhlinzwa okuphumelelayo nokululama

Izinto okufanele zicatshangelwe ngobudala zibalulekile kodwa aziphelele. Iziguli ezincane (ezingaphansi kweminyaka engamashumi ayisithupha) zingazuza ekuhlehliseni ukuhlinzwa uma kungenzeka ngoba maningi amathuba okuthi ziphile isikhathi eside kunomgogodla wazo wokwenziwa. Kodwa-ke, uma isimo sakho sithinta kakhulu impilo yakho, izinzuzo zokuhlinzwa zivame ukudlula ukukhathazeka ngokuhlinzwa okulungiswayo okuzayo.

Udkt wakho ohlinzayo uzokusiza ukuthi uhlole lezi zici futhi unqume isikhathi esifanele ngokusekelwe esimweni sakho esithile, izinga lomsebenzi, kanye nemigomo yesikhathi eside.

Ziyini izinkinga ezingase zibe khona zokuhlinzwa kokushintshwa kwehlombe?

Ngenkathi ukuhlinzwa kokushintshwa kwehlombe kuvamile ukuthi kuphephile futhi kuyaphumelela, njenganoma yikuphi ukuhlinzwa okukhulu, kuthwala izinkinga ezingase zibe khona okufanele uziqonde. Izinkinga eziningi azivamile, futhi ithimba lakho lokuhlinzwa lithatha izinyathelo eziningi zokuzivimbela.

Izinga lezinkinga lonke lokuhlinzwa kokushintshwa kwehlombe liphansi, lenzeka ezingeni elingaphansi kuka-5-10% wamacala. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi wenze isinqumo esinolwazi futhi uqaphele izimpawu zokuxwayisa ngesikhathi sokululama kwakho.

Izinkinga ezivamile ezingase zenzeke zihlanganisa:

• Ukunyuka kwamagciwane endaweni yokuhlinzwa noma ngasohlangothini lwelunga lokwenziwa
• Amaqhubu egazi engalweni noma emaphashini, nakuba kungavamile kune-hip noma i-knee replacement
• Umonakalo emsipheni obangela ukuqaqamba noma ubuthakathaka engalweni
• Ukuqina noma ukuncipha kokunyakaza ngaphandle kokwelashwa ngokomzimba
• Ukungazinzi noma ukuxega kwelunga lokwenziwa
• Ukuqhekeka kwethambo lengalo ngesikhathi noma ngemva kokuhlinzwa
• Ukungezwani komzimba ne-anesthesia noma izinto zokufakelwa
• Ubuhlungu obude noma ukungakhululeki kobuhlungu okuphelele

Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa izifo ezinzima ezidinga ukususwa kwelunga lokwenziwa, ukulimala kwemizwa unomphela, noma amaqhubu egazi asongela impilo. Lokhu kwenzeka ezingeni elingaphansi kuka-1-2% wamacala kodwa kudinga ukunakekelwa kwezempilo ngokushesha.

Izinkinga zesikhathi eside zingase zivele ngemva kweminyaka ngemva kokuhlinzwa, okuhlanganisa ukuxega kwezingxenye zelunga lokwenziwa, ukuguga kwezingxenye zepulasitiki, noma ukwakheka kwezicubu ezinamanxeba. Lezi zinkinga zingase zigcine zidinga ukuhlinzwa kabusha, nakuba izimila zanamuhla zenzelwe ukuhlala iminyaka engu-15-20 noma ngaphezulu.

Ithimba lakho lokuhlinzwa lizoxoxa ngezici zakho eziyingozi futhi lithathe izinyathelo zokunciphisa izinkinga ngendlela yokuhlinzwa eqaphelayo, ukusetshenziswa okufanele kwama-antibiotic, nokunakekelwa okuphelele ngemva kokuhlinzwa.

Kufanele ngibone nini udokotela mayelana nokufakwa kwehlombe lami?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezinkinga ezingathi sína ngemva kokuhlinzwa kokufakwa kwehlombe. Ukubonwa kwangaphambi kwesikhathi nokwelashwa kwezinkinga kungavimbela izinkinga ezincane ukuthi zingabi yizinkinga ezinkulu.

Ngesikhathi sokululama kwakho, kujwayelekile ukuzwa ubuhlungu obuthile, ukuvuvukala, nokunyakaza okulinganiselwe. Kodwa-ke, izimpawu ezithile zidinga ukunakekelwa kwezempilo ngokushesha futhi akufanele zinganakwa.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana:

• Umkhuhlane ongaphezu kuka-101°F (38.3°C) noma amaqhaqhazela, okungase kubonise ukutheleleka
• Ukubomvu okukhulayo, ukufudumala, noma ukuphuma kokulimala kwakho
• Ubuhlungu obukhulu, obuqhubekayo obungathuthuki ngemithi enikeziwe
• Ukulahlekelwa okungazelelwe komsebenzi noma ukungakwazi ukuhambisa ingalo yakho
• Izimpawu zamahlule egazi njengokuvuvukala okukhulu, ukufudumala, noma ubuhlungu bomlenze
• Ubuhlungu besifuba noma ubunzima bokuphefumula
• Ukuqaqamba noma ukuluma okungathuthuki ngokuhamba kwesikhathi
• Izimpawu zokuthi ihlombe lakho liye lakhishwa noma lizizwa lingazinzi

Ukuze ulandelele isikhathi eside, kufanele ugcine ama-aphoyintimenti avamile nodokotela ohlinzayo ngisho noma uzizwa kahle. Lezi zivakashi zivame ukwenzeka ngemva kwamasonto angu-6, izinyanga ezi-3, izinyanga ezi-6, bese kuthi ngonyaka ukuze kuqashwe isimo sejoyinti lakho lokwenziwa.

Ngaphezu kwalokho, bonana nodokotela wakho uma uba nezimpawu ezintsha eminyakeni emva kokuhlinzwa, njengokwanda kobuhlungu, ukwehla komsebenzi, noma imisindo engavamile evela ejoyintini lakho lehlombe. Lokhu kungabonisa ukuguga noma ukuxega kwezingxenye zejoyinti lakho lokwenziwa.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kokushintshwa kwehlombe

Q.1 Ingabe ukuhlinzwa kokushintshwa kwehlombe kulungile ngoba i-arthritis?

Yebo, ukuhlinzwa kokushintshwa kwehlombe kusebenza kahle kakhulu ekwelapheni i-arthritis enkulu engaphendulanga kwezinye izindlela zokwelapha. Ucwaningo lubonisa ukuthi ama-90-95% abantu abane-arthritis bathola ukukhululeka okukhulu kobuhlungu nokuthuthukiswa komsebenzi ngemva kokushintshwa kwehlombe.

Ukuhlinzwa kusebenza kahle kakhulu nge-osteoarthritis, i-rheumatoid arthritis, kanye ne-post-traumatic arthritis lapho ukulimala kwejoyinti kubanzi. Udokotela ohlinzayo uzohlola uhlobo lwakho oluthile lwe-arthritis kanye nezinga lokulimala kwejoyinti ukuze anqume ukuthi ukushintshwa kuyindlela engcono kakhulu kuwe.

Q.2 Ingabe ukuhlinzwa kokushintshwa kwehlombe kukhawulela imisebenzi yami unomphela?

Ukuhlinzwa kokufakelwa kwehlombe kuhilela imikhawulo ethile yomsebenzi unomphela, kodwa abantu abaningi bangabuyela eningi lemisebenzi yabo abayithandayo. Ngokuvamile uzodinga ukugwema imisebenzi enomthelela omkhulu njengemidlalo yokuxhumana, ukuphakamisa izinto ezinzima ezingaphezu kwamakhilogremu angama-22, kanye nokunyakaza okuphindaphindiwe ngaphezu kwekhanda.

Nokho, ngokuvamile ungaqhubeka emisebenzini enomthelela ophansi njengokubhukuda, igalofu, ithenisi, kanye nemisebenzi eminingi ehlobene nomsebenzi. Udokotela ohlinzayo uzohlinzeka ngemihlahlandlela ethile yomsebenzi esekelwe esimweni sakho ngasinye kanye nohlobo lokufakelwa olutholayo.

Umbuzo 3. Ukufakelwa kwehlombe kuhlala isikhathi esingakanani?

Ukufakelwa kwehlombe kwesimanje kuvamile ukuhlala iminyaka engu-15-20 noma ngaphezulu, ezinye zihlala isikhathi eside. Ukuhlala isikhathi eside kuncike ezintweni ezifana nobudala bakho, izinga lomsebenzi, isisindo somzimba, nokuthi ulandela kahle kangakanani imiyalelo yokunakekelwa ngemva kokuhlinzwa.

Iziguli ezincane, ezinomsebenzi omningi zingase zibe nokuguga okwengeziwe emthanjeni wazo wokwenziwa ngokuhamba kwesikhathi, okungenzeka zidinge ukuhlinzwa kabusha. Nokho, intuthuko ezintweni zokufakelwa kanye namasu okuhlinza iyaqhubeka nokuthuthukisa impilo yokufakelwa kwehlombe.

Umbuzo 4. Ngingalala ngohlangothi lwami ngemva kokufakelwa kwehlombe?

Uzodinga ukugwema ukulala ngohlangothi lwakho oluhlinziwe okungenani amasonto angu-6-8 ngemva kokuhlinzwa ukuvikela izicubu zakho ezilulama. Abantu abaningi balala esihlalweni esincike emuva noma bephakanyiswe embhedeni ngemithwalo ngesikhathi sokululama kwasekuqaleni.

Udokotela ohlinzayo uzokunikeza isiqondiso esithile mayelana nokuthi ungalala nini ngokuphepha ngohlangothi, ngokuvamile kusekelwe ekuqhubekeleni phambili kokululama kwakho kanye namazinga obuhlungu. Ukusebenzisa umcamelo phakathi kwezingalo zakho kungahlinzeka induduzo eyengeziwe nokusekela uma ubuyela ekulaleni ngohlangothi.

Umbuzo 5. Kwenzekani uma ngidinga ukuhlinzwa kokufakelwa kwehlombe emahlombe womabili?

Uma udinga ukufakelwa kwehlombe ngapha nangapha, udokotela wakho ohlinzayo ngokuvamile uzoncoma ukuhlela ukuhlinzwa ngezinyanga ezimbalwa. Lokhu kuvumela ihlombe lakho lokuqala ukuthi liphole futhi lithole umsebenzi ngaphambi kokuhlinzwa ehlombe lesibili.

Ukushintshwa kwamahlombe womabili kudinga ukuhlelwa ngokucophelela futhi kuvame ukudinga ukululama isikhathi eside, kodwa abantu abaningi bathola imiphumela emihle ehlombe ngalinye. Ithimba lakho lezokwelapha lizosebenza nawe ukuthola isikhathi esifanele kanye nendlela yokushintshwa kwamazombe ngokuya ngezidingo zakho ezithile kanye nempilo yakho yonke.