Ukutshintshwa kwengqiniba

Utshintsho lwengqiniba lutyando endaweni yelungu elihlangeneyo kunye nezinto zokudibanisa ezingezizo (ii-prosthetics).

Ilungu lendibaniselwano lidibanisa amathambo amathathu:

• Ihumerus engalweni ephezulu
• I-ulna kunye nerediyasi engalweni esezantsi (umphambili)

Indibaniselwano yengqiniba eyenziweyo ineziqu ezibini okanye ezintathu ezenziwe ngesinyithi esikumgangatho ophezulu. Ihenjisi yentsimbi kunye neplastiki idibanisa iziqu kunye kwaye ivumela ilunga elenziweyo ukuba ligobe. Amalungu angengowamvelo avela ngobukhulu obahlukeneyo ukuze alingane abantu bobukhulu obahlukeneyo.

Olu tyando lwenziwa ngale ndlela ilandelayo:

• Uya kufumana i-anesthesia ngokubanzi. Oku kuthetha ukuba uya kulala kwaye ungakwazi ukuva iintlungu. Okanye uya kufumana i-anesthesia yengingqi (umqolo kunye ne-epidural) ukukhawuleza ingalo yakho.
• Ukusikwa (ukusikwa) kwenziwa ngasemva kwengqiniba yakho ukuze ugqirha akwazi ukujonga ingqiniba yakho.
• Izicubu ezonakalisiweyo kunye namalungu amathambo engalo enza ilunga lengqiniba ayasuswa.
• Kusetyenziswa idrill ukwenza umngxuma kumbindi wethambo lengalo.
• Iiphelo zendibaniselwano eyenziweyo zihlala zincanyathiselwe endaweni kwithambo ngalinye. Banokudityaniswa nehinji.
• Izicubu ezijikeleze ilunga elitsha ziyalungiswa.

Inxeba livaliwe ngemithungo, kwaza kwabekwa nebhandeji. Ingalo yakho inokuthi ibekwe kwi-splint ukuze ihlale izinzile.

Utyando olwenziwe ngengqiniba luhlala lwenziwa ukuba indibaniselwano yengqiniba yonakele kakhulu kwaye uneentlungu okanye awukwazi ukusebenzisa ingalo yakho. Abanye oonobangela bomonakalo zezi:

• Osteoarthritis
• Iziphumo ezibi zoqhaqho lwengqiniba oludlulileyo
• Irheumatoid Arthritis
• Ithambo elaphukileyo kakubi kwingalo ephezulu okanye esezantsi kufutshane nengqiniba
• Izicubu ezonakaliswe kakubi okanye ezikrazukileyo engqinibeni
• Ithumba ngaphakathi okanye ngeenxa kwengqiniba
• Ingqiniba eqinileyo

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zale nkqubo zibandakanya:

• Umonakalo wenqanawa yegazi ngexesha lotyando
• Ukuqhekeka kwamathambo ngexesha lotyando
• Ukususwa kwendibaniselwano eyenziweyo
• Ukukhululeka kwendibaniselwano eyenziweyo ekuhambeni kwexesha
• Umonakalo wemithambo ngexesha lotyando

Tshela ugqirha wakho ngonyango owasebenzisayo, kubandakanya iziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha abacoci gazi. Oku kubandakanya i-warfarin (Coumadin), i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), okanye ii-NSAID ezinje nge-aspirin. Oku kunokubangela ukopha okuphezulu ngexesha lotyando.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngemini yotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho uya kukucela ukuba ubone ugqirha okunyangayo kwezi meko.
• Xelela ugqirha wakho wotyando ukuba ubusele utywala obuninzi (ngaphezulu kwesiselo esinye okanye ezi-2 ngosuku).
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokuthoba ukuphola kwenxeba.
• Xelela ugqirha wakho ukuba uhlakulela ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi koqhaqho. Olu tyando lusenokufuna ukuba limiswe elinye ixesha.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokungaseli okanye ungatyi nantoni na ngaphambi kwenkqubo.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Kuya kufuneka uhlale esibhedlele kangangeentsuku ezi-1 ukuya kwezi-2. Emva kokuba uye ekhaya, landela imiyalelo yendlela yokukhathalela inxeba lakho kunye nengqiniba.

Unyango lomzimba luya kufuneka ukukunceda ufumane amandla kunye nokusetyenziswa kwengalo yakho. Iya kuqala ngokuzilolonga kakuhle. Abantu abane-splint badla ngokuqala unyango kwiiveki ezimbalwa kamva kunabo bangenalo.

Abanye abantu banokuqala ukusebenzisa ingqiniba yabo entsha kwiveki nje ezili-12 emva kotyando. Ukubuyiselwa ngokupheleleyo kungathatha unyaka. Kuya kubakho imida kubungakanani ubunzima onokuthi ubuphakamise. Ukuphakamisa umthwalo onzima kakhulu kunokwaphula ingqiniba ebambeleyo okanye kukhulule amalungu. Thetha nogqirha wakho malunga nokusikelwa kwakho umda.

Kubalulekile ukulandelelana nogqirha wakho rhoqo ukujonga ukuba utshintsha njani. Qiniseka ukuba uye kuzo zonke iindibano zakho.

Utyando olwenziwe ngengqiniba luyadambisa iintlungu kubantu abaninzi. Inokonyusa noluhlu lokuhamba kwendibaniselwano yelungu lakho. Utyando lwesibini lokufaka endaweni yengqiniba alusebenzi njengeyokuqala.

Ingqiniba iyonke arthroplasty; Ukutshintshwa kwengqiniba ye-Endoprosthetic; Isifo seArthritis - ingqiniba ye-arthroplasty; Osteoarthritis - ingqiniba arthroplasty; Isifo samathambo esihamba sisiba mandundu - ingqiniba ye-arthroplasty; I-DJD - ingqiniba ye-arthroplasty

• Elbow replacement - ukubhobhoza
• Unonophelo lwenxeba lotyando - luvulekile

• Ingqiniba engeyiyo

UCohen MS, u-Chen NC. Ingqiniba iyonke yearthroplasty. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 27.

I-Throckmorton TW. Igxalaba kunye nengqiniba ye-arthroplasty. Ku: Azar FM, Beaty JH, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-14. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.