Ukutshintshwa kweqatha

Ukutshintshwa kweqatha kutyando ukuthatha indawo yethambo elonakeleyo kunye nentlala kwilungu leqatha. Amalungu amalungu angengowamvelo (amalungu okufakelwa) asetyenziselwa ukubuyisela amathambo akho. Kukho iintlobo ezahlukeneyo zotyando lwamaqatha.

Utyando lwe-Ankle olwenziwe ngokutsha luhlala lusenziwa ngelixa uphantsi kweanesthesia ngokubanzi. Oku kuthetha ukuba uzakulala kwaye ungaziva zintlungu.

Unokuba ne-anesthesia yomqolo. Ungavuka kodwa awuyi kuva nantoni na engezantsi kwesinqe sakho. Ukuba une-spinal anesthesia, uya kunikwa amayeza okukunceda uphumle ngexesha lotyando.

Ugqirha wakho uza kusika utyando phambi kweqatha lakho ukubonisa ukuhlangana kweqatha. Ugqirha wakho uya kuthi emva koko atyhalele ngokuthe ngcembe imisipha, imithambo-luvo kunye nemithambo yegazi ecaleni. Emva koku, ugqirha wakho oya kususa ithambo elonakeleyo kunye nentlala.

Ugqirha wakho uyakususa indawo eyonakeleyo:

• Isiphelo esisezantsi sethambo lakho le-shin (tibia).
• Umphezulu wethambo lakho lonyawo (talus) apho amathambo omlenze ahlala khona.

Iindawo zentsimbi zelungu elitsha lokufakelwa emva koko ziqhotyoshelwe kumathambo asikiweyo. Iglu / isamente ekhethekileyo ingasetyenziselwa ukuzibamba endaweni yazo. Kufakwa isiqwenga seplastiki phakathi kwala macandelo mabini esinyithi. Izikrufu zinokubekwa ukuze uzinzise iqatha lakho.

Ugqirha uya kubeka imisipha endaweni yayo kwaye avale inxeba ngemisonto (yomthungo). Kuya kufuneka unxibe isijwili, uphose okanye ubrace okwethutyana ukugcina iqatha lingashukumi.

Olu tyando lunokwenziwa ukuba ilunga leqatha lonakaliswe kakubi. Iimpawu zakho zinokuba yintlungu kunye nelahleko yokuhamba kweqatha. Abanye oonobangela bomonakalo zezi:

• Isifo samathambo esibangelwa kukonzakala eqatheni okanye uqhaqho ngaphambili
• Ukuqhekeka kwamathambo
• Usulelo
• Osteoarthritis
• Irheumatoid Arthritis
• Ithumba

Awungekhe ube nakho ukubuyisela i-ankle yakho xa usulelekile.

Iingozi zalo naluphi na utyando kunye neanesthesia zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha
• Ihlwili legazi
• Usulelo

Imingcipheko yokuhlinzwa endaweni yeqatha zezi:

• Ubuthathaka beqatha, ukuqina, okanye ukungazinzi
• Ukukhululeka kwendibaniselwano eyenziweyo ekuhambeni kwexesha
• Ulusu alunyangi emva kotyando
• Umonakalo wemithambo
• Umonakalo wenqanawa yegazi
• Ukuqhekeka kwamathambo ngexesha lotyando
• Ukususwa kwendibaniselwano eyenziweyo
• Ukunyanga komzimba kwi-joint joint (engaqhelekanga kakhulu)

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

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izinciphisi zegazi (ezinjengeWarfarin okanye iClopidogrel) kunye nezinye iziyobisi.
• Buza ukuba zeziphi iziyobisi ekufuneka uzithathile ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli wakho okuphatha ngale miqathango.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu, ngaphezulu kwesinye okanye ezimbini iziselo ngosuku.
• Ukuba uyatshaya, kufuneka uyeke. Cela uncedo kumboneleli wakho. Ukutshaya kungathoba amanxeba kunye nokuphilisa amathambo. Iyakwandisa kakhulu iingxaki zakho emva kotyando.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onokuba naso ngaphambi kotyando.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde imithambo oza kuyenza ngaphambi kotyando. Ingcali yezomzimba inokukufundisa nendlela yokusebenzisa ngokuchanekileyo iintonga.

Ngomhla wotyando lwakho:

• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha la mayeza waxelelwa ukuba uthathe ngesiphuzo esincinci samanzi.

Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Emva kotyando, kuya kufuneka uhlale esibhedlele ubusuku obunye. Unokufumana i-block block elawula intlungu kwi-12 ukuya kwi-24 iiyure zokuqala emva kokuhlinzwa.

Iqatha lakho liza kubakho kwisamente okanye ukubetheka emva kotyando. Ityhubhu encinci enceda ukukhupha igazi kwilungu leqatha inokushiyeka eqatheni lakho kangangeentsuku ezi-1 okanye ezi-2. Ngexesha lokufumana kwakho kwangoko, kuya kufuneka ujonge ekugcineni ukudumba ngokuthi unyawo lwakho luphakame ngaphezulu kwentliziyo yakho ngelixa ulele okanye uphumle.

Uyabona ugqirha osebenza ngokwasemzimbeni, oza kukufundisa imithambo eya kukunceda uhambe ngokulula. Ngokuqinisekileyo ngekhe ukwazi ukubeka ubunzima kwiqatha kwiinyanga ezimbalwa.

Ukutshintshwa kwe-ankle ngempumelelo kuya kwenzeka:

• Nciphisa okanye ulahle intlungu yakho
• Vumela ukuba uhambise iqatha lakho phezulu nasezantsi

Kwiimeko ezininzi, ukutshintshwa kwamaqatha ngokupheleleyo kudlulileyo iminyaka eli-10 okanye nangaphezulu. Kuza kuhlala ixesha elingakanani kuwe kuya kuxhomekeka kwinqanaba lomsebenzi wakho, impilo iyonke, kunye nenani lomonakalo kwilungu lakho le-ankle ngaphambi kotyando.

Iqatha arthroplasty - iyonke; Iyonke i-ankle arthroplasty; Ukutshintshwa kwe-ankle ye-endoprosthetic; Utyando lweqatha

• Ukubuyiselwa kweqatha - ukukhutshwa
• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Ukuthintela ukuwa
• Ukuthintela ukuwa-yintoni oza kuyibuza ugqirha wakho
• Unonophelo lwenxeba lotyando - luvulekile

• I-Ankle anatomy

IHansen ST. Ukwakhiwa kwakhona kwenyawo kunye neenyawo. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla we-5. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 68.

IMyerson MS, iKadakia AR. Ukutshintshwa kweqatha lilonke. Ku: Myerson MS, Kadakia AR, ii-eds. Uqhaqho lweenyawo kunye neqatha: Ulawulo kunye neengxaki. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahl. 18.

UMurphy GA. Iyonke i-ankle arthroplasty. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 10.