Iimpendulo zemibuzo eqhelekileyo malunga nokuTshintshwa kweKnee iyonke

Umxholo

• 1. Ngaba lixesha elifanelekileyo lokuba ungene endaweni yedolo?
• Izizathu ezi-5 zokuqwalaselwa kotyando lokuTshintsha amadolo
• 2. Ngaba ndinokuluthintela utyando?
• 3. Kwenzeka ntoni ngexesha lotyando, kwaye kuthatha ixesha elingakanani?
• 4. Yintoni idolo elingelolakhe, kwaye lihlala njani limi endaweni yalo?
• 5. Ngaba kufuneka ndizikhathaze ngeanesthesia?
• 6. Zingaphi iintlungu endizakuba nazo emva kotyando?
• 7. Yintoni endinokuyilindela kwangoko emva kotyando?
• 8. Yintoni endinokuyilindela ngexesha lokubuyela kwimeko yesiqhelo kunye nokubuyiselwa kwimeko yesiqhelo?
• 9. Ndingalilungisa njani ikhaya lam ukuze ndibuyele esi sifo?
• 10. Ndiza kudinga izixhobo ezizodwa?
• 11. Yeyiphi imisebenzi endiza kukwazi ukuyenza?
• 12. Liya kuhlala ixesha elingakanani idolo elililo?

Xa ugqirha wotyando ecebisa ukuba kutshintshwe idolo lilonke uya kuba nemibuzo emininzi. Apha, sijongana neenkxalabo ezili-12 eziqhelekileyo.

1. Ngaba lixesha elifanelekileyo lokuba ungene endaweni yedolo?

Akukho fomula ichanekileyo yokuthatha isigqibo xa kufanelekile ukuba utshintshe idolo. Esona sizathu siphambili sokwenza oko yintlungu, kodwa ukuba ukhe wazama zonke ezinye iindlela zonyango ezingasebenziyo kubandakanya neendlela zokuphila, amayeza okulwa nokudumba, unyango lomzimba kunye neenaliti kunokuba lixesha lokucinga ngotyando.

Ugqirha wamathambo uya kuqhuba uvavanyo olucokisekileyo kwaye enze ingcebiso. Kuya kuba luncedo ukufumana uluvo lwesibini.

Izizathu ezi-5 zokuqwalaselwa kotyando lokuTshintsha amadolo

2. Ngaba ndinokuluthintela utyando?

Ngaphambi kokuba uqwalasele utyando, ugqirha wakho uhlala ekukhuthaza ukuba uzame iindlela ezahlukeneyo zonyango. Oku kunokubandakanya:

• ulungiso lwenyama
• ukunciphisa umzimba (ukuba kufanelekile)
• amayeza anti-ukudumba
• inaliti steroid
• hyaluronic (gel) inaliti
• ezinye iindlela zonyango ezinje nge-acupuncture

Ngamanye amaxesha, ezi zisombululo zinokunceda ukulawula iingxaki zamadolo. Nangona kunjalo, ukuba iimpawu ziba mandundu kwaye ziqala ukuchaphazela umgangatho wobomi, utyando kunokuba lolona khetho.

Ukuba ukutshintsha kwamadolo (TKR) iyimfuneko, ukulibaziseka okanye ukuncipha kotyando ixesha elide kunokubangela isidingo sokwenza umsebenzi onzima ngakumbi kunye nesiphumo esincinci.

Imibuzo onokuzibuza yona ibandakanya:

• Ndizamile yonke into?
• Ngaba idolo lam liyandithintela ekwenzeni izinto endizithandayo?

Fumana ulwazi oluthe kratya ukukunceda ubone ukuba kuya kufuneka uthathele ingqalelo utyando lwedolo.

3. Kwenzeka ntoni ngexesha lotyando, kwaye kuthatha ixesha elingakanani?

Ugqirha uya kwenza ukusikwa phambi kwedolo lakho ukuveza indawo eyonakalisiweyo yelungu lakho.

Ubungakanani obufanelekileyo bokuqhekeka buyahluka malunga nee-intshi ezi-6-10 ubude.

Ngexesha lotyando, ugqirha wotyando uhambisa idolo lakho ecaleni aze asike intlala eyonakeleyo kunye nenani elincinci lamathambo.

Emva koko batshintsha izicwili ezonakeleyo ngezinto zentsimbi nezeplastiki.

Izinto ezidityanisiweyo zenza indibaniselwano engeyiyo ehambelana nendalo kwaye ilingisa ukuhamba kwedolo lakho lendalo.

Uninzi lwenkqubo yokutshintsha kwamadolo ithatha imizuzu engama-60 ukuya kwengama-90 ukuyigqiba.

Funda ngakumbi malunga nokwenzekayo ngexesha lotyando.

4. Yintoni idolo elingelolakhe, kwaye lihlala njani limi endaweni yalo?

Ukufakelwa kwamadolo okufakelwa okungekho mthethweni kubandakanya isinyithi kunye nebanga leplastiki elibizwa ngokuba yi-polyethylene.

Zimbini iindlela zokuncamathisela izinto emathanjeni. Inye kukusebenzisa isamente, edla ngokuthatha imizuzu eli-10 ukuseta. Enye indlela engenasamente, apho izinto zine-porous coating evumela ukuba ithambo likhule kuyo.

Ngamanye amaxesha, ugqirha wotyando unokusebenzisa zombini ezi ndlela ngexesha lokusebenza okufanayo.

5. Ngaba kufuneka ndizikhathaze ngeanesthesia?

Nawuphi na umsebenzi owenziwe nge-anesthesia unobungozi, nangona kunqabile ukuba iingxaki ezinzima zibangelwa lulo naluphi na uhlobo lweanesthesia.

Izinketho ze-TKR zibandakanya:

• I-anesthesia ngokubanzi
• umqolo okanye isifo
• I-anesthesia yebloko yethambo yengingqi

Iqela le-anesthesia liya kuthatha isigqibo malunga neyona ndlela ifanelekileyo kuwe kodwa uninzi lotyando lokutshintsha amadolo lwenziwa kusetyenziswa indibaniselwano yoku kungentla.

6. Zingaphi iintlungu endizakuba nazo emva kotyando?

Ngokuqinisekileyo kuya kubakho iintlungu emva koqhaqho kodwa iqela lakho lotyando liya kwenza konke okusemandleni ukuze ligcinwe lilawulwa kwaye lincinci.

Unokufumana ibhloko yethambo ngaphambi kokusebenza kwakho kwaye ugqirha wakho osebenzayo unokusebenzisa i-anesthetic yendawo esebenza ixesha elide ngexesha lenkqubo ukunceda ukukhululeka kwentlungu emva kwenkqubo.

Ugqirha wakho uya kukunika amayeza ukukunceda ulawule iintlungu. Ungayifumana le nge-intravenously (IV) kwangoko emva kotyando.

Xa uphuma esibhedlele, ugqirha uya kukunika amayeza okuphelisa iintlungu njengeepilisi okanye iipilisi.

Emva kokuba uchache kutyando, idolo lakho kufuneka libe buhlungu kakhulu kunangaphambili. Nangona kunjalo, akukho ndlela yokuqikelela iziphumo ezichanekileyo kwaye abanye abantu bayaqhubeka nokuba neentlungu emadolweni iinyanga ezininzi emva kokusebenza kwabo.

Ukulandela imiyalelo kagqirha emva kotyando yeyona ndlela yokulawula iintlungu, ukuthobela unyango lomzimba kunye nokufezekisa iziphumo ezilungileyo.

Fumana ngakumbi ngamayeza onokuwadinga emva kotyando.

7. Yintoni endinokuyilindela kwangoko emva kotyando?

Ukuba une-anesthetic ngokubanzi, unokuvuka uzive udidekile kwaye uyozela.

Uya kuvuka kunye namadolo akho aphakanyisiwe (aphakanyisiweyo) ukunceda ngokudumba.

Idolo lakho linokugoba kumatshini wokuhambisa (CPM) oqhubekayo othe chu kwaye uguqule umlenze wakho ngelixa ulele phantsi.

Kuya kubakho i-bandage phezu kwedolo lakho, kwaye unakho ukukhupha amanzi ukuze ususe umbane kwilungu.

Ukuba kwakufakwe i-catheter yomchamo, ugqirha wezempilo uhlala eyisusa kamva ngemini yokusebenza kwakho okanye ngosuku olulandelayo.

Kuya kufuneka unxibe i-bandage yokucinezela okanye isokisi ejikeleze umlenze wakho ukuphucula ukujikeleza kwegazi.

Ukunciphisa umngcipheko we-clot yegazi, unokufuna iyeza le-anticoagulant (igazi elincinci), iimpompo zenyawo / ithole, okanye zombini.

Abantu abaninzi banesisu esibuhlungu emva kotyando. Oku kuhlala kuyinto eqhelekileyo, kwaye iqela lakho lokhathalelo lwempilo linokubonelela ngamayeza ukunciphisa ukungonwabi.

Ugqirha wakho uya kukunika amayeza okubulala iintsholongwane ukunciphisa umngcipheko wosulelo.

Amayeza okubulala iintsholongwane anokunceda ukuthintela usulelo, kodwa kubalulekile ukuba ukwazi ukuqaphela iimpawu zosulelo, ukuba umntu wenzeka emva kotyando lwedolo.

8. Yintoni endinokuyilindela ngexesha lokubuyela kwimeko yesiqhelo kunye nokubuyiselwa kwimeko yesiqhelo?

Uninzi lwabantu luphakamile kwaye luhamba kwisithuba seeyure ezingama-24 ngoncedo lokuhamba okanye iintonga.

Ukulandela ukusebenza kwakho, ugqirha ophilayo uya kukunceda ugobe kwaye ulungelelanise idolo lakho, uphume ebhedini, kwaye ekugqibeleni ufunde ukuhamba nedolo lakho elitsha. Oku kudla ngokwenziwa kwangolo suku lomsebenzi wakho.

Uninzi lwabantu luyakhutshwa esibhedlele kwiintsuku ezingama-2-3 emva kotyando.

Emva kokuba ubuyele ekhaya, unyango luya kuqhubeka rhoqo kwiiveki ezimbalwa. Ukuzivocavoca ngokukodwa kuya kujolisa ekuphuculeni ukusebenza kwamadolo.

Ukuba imeko yakho iyimfuneko, okanye ukuba awunayo inkxaso oyifunayo ekhaya, ugqirha wakho unokucebisa ukuchitha ixesha kwindawo yokubuyisela kwimeko yesiqhelo okanye indawo yokonga kuqala.

Uninzi lwabantu luyachacha kungaphelanga iinyanga ezintathu, nangona kungathatha iinyanga ezi-6 okanye ngaphezulu ukuba abanye abantu bachache ngokupheleleyo.

Fumanisa ukuba umzimba wakho uza kulungelelana njani nedolo elitsha.

9. Ndingalilungisa njani ikhaya lam ukuze ndibuyele esi sifo?

Ukuba uhlala kwindlu enemigangatho emininzi, lungisa ibhedi nendawo kumgangatho ongaphantsi ukuze uziphephe izinyuko xa ubuya okokuqala.

Qiniseka ukuba indlu ayinazithintelo kunye neengozi, kubandakanya iintambo zombane, iiragi zommandla, ukungqubana kunye nefenitshala. Gxila kwiindlela, iindledlana, nakwezinye iindawo onokuthi uhambe ngazo.

Qiniseka ukuba:

• zokubambelela zikhuselekile
• ibha yokubamba iyafumaneka ebhafini okanye kwishawari

Unokufuna isitya sokuhlambela okanye sokuhlambela.

Fumana iinkcukacha ezithe vetshe ngendlela yokulungisa ikhaya lakho.

10. Ndiza kudinga izixhobo ezizodwa?

Abanye ogqirha bacebisa ukusebenzisa umatshini we-CPM (ukuqhubeka kokuhamba) esibhedlele nasekhaya xa ulele ebhedini.

Umatshini we-CPM unceda ukunyusa ukuhamba kwedolo kwiiveki zokuqala emva kotyando.

Inga:

• ukucothisa ukukhula kwamathambo abomvu
• kukunceda wandise uluhlu lwakho lwangaphambili lokuhamba emva kokusebenza kwakho

Ukuba uthunyelwe ekhaya unomatshini we-CPM kuya kufuneka uwusebenzise ngokuchanekileyo njengoko kumiselwe.

Ugqirha wakho uya kukuyalela nasiphi na isixhobo sokuhamba esiza kufuneka, njengokuhambahamba, iintonga, okanye intonga.

Funda ukuba utyando lwamadolo luya kubuchaphazela njani ubomi bakho bemihla ngemihla ngexesha lokuchacha.

11. Yeyiphi imisebenzi endiza kukwazi ukuyenza?

Uninzi lwezigulana zifuna isixhobo esincedayo (ukuhambahamba, iintonga, okanye umsimelelo) malunga neeveki ezi-3 emva kotyando lokutshintsha kwamadolo nangona oku kwahluka kakhulu ukusuka kwisigulana ukuya kwisigulana.

Uyakwazi ukwenza umthambo onefuthe elisezantsi njengokukhwela ibhayisekile emileyo, ukuhamba nokubhukuda emva kweeveki ezi-6 ukuya kwezi-8. Unyango lwakho lomzimba lunokukucebisa ngokuzisa imisebenzi emitsha ngeli xesha.

Kuya kufuneka uphephe ukubaleka, ukutsiba, kunye neminye imisebenzi enefuthe eliphezulu.

Xoxa nodokotela wakho wamathambo nayiphi na imibuzo malunga nemisebenzi yakho.

Funda ngakumbi malunga nokumisela okulindelweyo emva kotyando.

12. Liya kuhlala ixesha elingakanani idolo elililo?

Ngokophando, ngaphezulu kokutshintsha kwamadolo kusasebenza kwiminyaka engama-25 kamva. Nangona kunjalo, ukunxiba kunye nokukrazula kunokuchaphazela kakubi ukusebenza kwayo kunye nexesha lokuphila.

Abantu abancinci kunokwenzeka ukuba badinga uhlaziyo ngexesha lokuphila kwabo, ikakhulu ngenxa yendlela yokuphila esebenzayo. Buza ugqirha malunga nemeko ethile.