Ukudibana ngokudibeneyo kweHip

Ukudityaniswa kwendibaniselwano ye-Hip kukwenza utyando ukubuyisela yonke okanye inxenye yelungu lomlenze kunye nelungu elenziwe ngumntu. Ilungu elingelolokwabizwa libizwa ngokuba yi-prosthesis.

Ilungu lakho elihlangeneyo lenziwe ngamalungu amabini abalulekileyo. Inxalenye enye okanye omabini anokutshintsha endaweni yotyando:

• Isokethi se-hip (inxalenye yethambo le-pelvic elibizwa ngokuba yi-acetabulum)
• Umphetho ophezulu wethanga (elibizwa ngokuba yintloko yobufazi)

Umlenze omtsha otshintsha indawo endala wenziwe ngala macandelo:

• Isiseko, esihlala senziwe ngesinyithi esomeleleyo.
• I-liner, elingana ngaphakathi kwesokethi. Ihlala iplastikhi. Abanye oogqirha ngoku bazama ezinye izinto, ezinjenge-ceramic okanye isinyithi. I-liner ivumela inyonga ukuba ihambe kakuhle.
• Isinyithi okanye ibhola yodongwe eya kuthatha indawo yentloko ejikelezileyo (ephezulu) yethambo lakho lethanga.
• Isiqu sesinyithi esiqhotyoshelwe kwithambo lethanga ukumisa ngokudibeneyo.

Awuyi kuva ntlungu ngexesha lotyando. Uya kuba nolunye lweentlobo ezimbini ze-anesthesia:

• I-anesthesia ngokubanzi. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu.
• Ummandla (umgogodla okanye i-epidural) i-anesthesia. Iyeza lifakwa emqolo ukuze likwenze ube ndindisholo phantsi kwesinqe sakho. Uyakufumana amayeza okukwenza wozele. Kwaye unokufumana iyeza eliza kukwenza ulibale malunga nenkqubo, nangona ungazukulala ngokupheleleyo.

Emva kokufumana i-anesthesia, ugqirha wakho wotyando uya kwenza utyando lokuvula ukuze uvule ilunga lakho lomlenze. Oku kunqunyulwa kuhlala ngaphezulu kweempundu. Emva koko ugqirha wakho uya:

• Sika kwaye ususe intloko yethambo lakho.
• Coca isokethi somlenze wakho kwaye ususe yonke intlala-mfuma kunye nethambo elonakeleyo okanye le-arthritic.
• Beka isokethi esitsha se-hip endaweni, i-liner ibekwe kwisokethi esitsha.
• Faka isiqu sesinyithi kwithambo lakho lamathanga.
• Beka ibhola enobungakanani obuchanekileyo kwilungu elitsha.
• Khusela onke amalungu amatsha endaweni, ngamanye amaxesha ngesamente ekhethekileyo.
• Lungisa izihlunu kunye nemisipha ejikeleze ilunga elitsha.
• Vala inxeba lotyando.

Olu tyando luthatha malunga neeyure ezi-1 ukuya kwezi-3.

Esona sizathu siqhelekileyo solu tyando kukukhupha isifo samathambo. Intlungu ebuhlungu ye-arthritis inokunciphisa imisebenzi yakho.

Uninzi lwexesha, ukutshintshwa ngokudibeneyo kokudibanisa kwenziwa kubantu abaneminyaka engama-60 nangaphezulu. Abantu abaninzi abanolu tyando bancinci. Abantu abancinci abathathe indawo ye-hip banokubeka uxinzelelo olongezelelweyo kwi-hip yokufakelwa. Uxinzelelo olongezelelekileyo lunokubangela ukuba lunxibe kwangaphambili kunabantu abadala. Icandelo okanye yonke indibaniselwano inokufuna ukutshintshwa kwakhona ukuba oko kuyenzeka.

Ugqirha wakho unokucebisa ukutshintshwa kwe-hip kwezi ngxaki:

• Awunakulala ubusuku bonke ngenxa yeentlungu zenyonga.
• Ubuhlungu bakho be-hip abuzange bube ngcono kunye nolunye unyango.
• Iintlungu ze-Hip zikuthintela okanye zikuthintele ekwenzeni imisebenzi yakho yesiqhelo, njengokuhlamba, ukupheka, ukwenza imisebenzi yasekhaya kunye nokuhamba.
• Unengxaki yokuhamba efuna ukuba usebenzise induku okanye isihambahamba.

Ezinye izizathu zokutshintsha i-hip joint:

• Ukophuka kwithambo lethanga. Abantu abadala abadala bahlala benendawo yokutshintsha indawo kwesi sizathu.
• Amathumba adibeneyo e-Hip.

Soloko uxelela umboneleli wakho wezempilo ukuba zeziphi iziyobisi ozithathayo, nditsho namayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Lungisa umzi wakho.
• Unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izicoci gazi ezifana ne-warfarin (Coumadin), kunye namanye amayeza.
• Kuya kufuneka ukuba uyeke ukuthatha amayeza anokukwenza ukuba ufumane usulelo. Oku kubandakanya i-methotrexate, i-Enbrel, kunye namanye amayeza acinezela amajoni akho omzimba.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli okunyangayo kwezi meko.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu, ngaphezulu kwesiselo esi-1 okanye esi-2 ngosuku.
• Ukuba uyatshaya, kufuneka uyeke. Cela uncedo kumboneleli wakho okanye kumongikazi. Ukutshaya kuya kunciphisa ukuphola kwenxeba kunye nethambo. Kubonakalisiwe ukuba abantu abatshayayo baneziphumo ezibi emva kotyando.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onaso ngaphambi kotyando lwakho.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde ukuzilolonga ngaphambi kokwenziwa kotyando kunye nokuziqhelanisa nokusebenzisa iintonga okanye isihambahamba.
• Misa ikhaya lakho ukuze wenze lula imisebenzi yemihla ngemihla.
• Buza umboneleli wakho ukuba abone ukuba uyafuna na ukuya kwikhaya labantu abalupheleyo okanye kwiziko lokuvuselela emva kotyando. Ukuba uyakwenza oko, kuya kufuneka ujonge ezi ndawo ngaphambi kwexesha kwaye uqaphele ukuthanda kwakho.

Ziqhelise ukusebenzisa umsimelelo, ukuhambahamba, iintonga, okanye isitulo esinamavili ngokuchanekileyo uku:

• Ngena uphume kwishower
• Yenyuka usenyuka izinyuko
• Hlala phantsi usebenzise indlu yangasese uze ume emva kokusebenzisa indlu yangasese
• Sebenzisa isitulo seshawari

Ngomhla wotyando lwakho:

• Ngokwesiqhelo uya kucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.

Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Uya kuhlala esibhedlele kangangeentsuku ezi-1 ukuya kwezi-3. Ngelo xesha, uya kuphila kwi-anesthesia nakwi-operesheni uqobo. Uya kucelwa ukuba uqalise ukuhamba nokuhamba kwangoko kusuku lokuqala emva kotyando.

Abanye abantu bafuna ukuhlala nje kancinci kwiziko lokubuyisela kwimo yesiqhelo emva kokuphuma kwabo esibhedlele naphambi kokuba bagoduke. Kwiziko lokubuyisela kwimeko yesiqhelo, uya kufunda ukuba ungayenza njani ngokukhuselekileyo imisebenzi yakho yemihla ngemihla uwedwa. Iinkonzo zempilo yasekhaya ziyafumaneka.

Iziphumo zotyando olwenziwa endaweni yeHip zihlala zibalaseleyo. Uninzi okanye yonke intlungu yakho kunye nokuqina kufuneka kuhambe.

Abanye abantu banokuba neengxaki ngokusuleleka, ukukhulula, okanye ukususwa kwe-joint hip entsha.

Ngokuhamba kwexesha, indibaniselwano yomlenze womntu inokuzikhulula. Oku kunokwenzeka emva kweminyaka eli-15 ukuya kwengama-20. Unokufuna indawo yesibini. Usulelo lunokwenzeka. Kuya kufuneka ujonge ugqirha wakho amaxesha ngamaxesha ukuqinisekisa ukuba inyonga yakho ikwimeko entle.

Abancinci, abantu abasebenzayo banokuthi banxibe iinxalenye zomlenze wabo omtsha. Isenokufuna ukuba itshintshwe ngaphambi kokuba kukhululeke inyonga.

Ubungqingili bemvubu; Ukutshintshwa kwe-hip ngokupheleleyo; Hemiarthroplasty; Isifo samathambo - hip esikhundleni; Osteoarthritis - inyonga ukubuyisela

• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Ukulungisa ikhaya lakho - idolo okanye utyando lwenyonga
• Ukutshintshwa kwe-Hip okanye idolo-emva-kwento oza kuyibuza ugqirha wakho
• Ukutshintshwa kwe-Hip okanye idolo-ngaphambi-kokucela ugqirha wakho
• Ukutshintshwa kwe-Hip - ukukhutshwa
• Ukuthintela ukuwa
• Ukuthintela ukuwa-yintoni oza kuyibuza ugqirha wakho
• Unonophelo lwenxeba lotyando - luvulekile
• Ukunyamekela idibeneyo yakho entsha ye-hip

• Ukuqhekeka kwe-Hip
• I-Osteoarthritis vs i-rheumatoid arthritis
• Ukudibana ngokudibeneyo kwe-Hip-uthotho

IAmerican Academy yeOthopedic Surgeons iwebhusayithi. Ulwazi lweOrthoInfo. Ukutshintshwa kwe-hip ngokupheleleyo orthoinfo.aaos.org/en/treatment/total-hip-replacement Ukuhlaziywa kwe-Agasti 2015. Ifikeleleke ngoSeptemba 11, 2019.

IAmerican Academy yeOthopedic Surgeons iwebhusayithi. Ukuthintela isifo se-venous thromboembolic kwizigulana ezisebenzisa i-hip ekhethiweyo kunye ne-arthroplasty: Isikhokelo esisekwe kubungqina kunye nengxelo yobungqina. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Ukuhlaziywa kweSeptemba 23, 2011. Kufumaneka ngoFebruwari 25, 2020.

UFerguson RJ, uPalmer AJ, uTaylor A, uPorter ML, uMalchau H, uGlyn-Jones S.Ukutshintsha endaweni yakhe. ILancet. 2018; 392 (10158): 1662-1671. IINKCUKACHA: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

IHarkess JW, iCrockarell JR. IArthroplasty yenyonga. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 3.

URizzo TD. Ukutshintshwa kwe-hip ngokupheleleyo Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 61.