Total Hip Replacement

M'malo mwa ntchafu, dokotala wa opaleshoni amachotsa zigawo zowonongeka za m'chiuno mwako ndikuziika m'malo mwa zigawo zomwe nthawi zambiri zimamangidwa ndi zitsulo, ceramic ndi pulasitiki yolimba kwambiri. Kuphatikizika kumeneku (prosthesis) kumathandiza kuchepetsa ululu ndikuwongolera ntchito.

Zomwe zimatchedwanso hip arthroplasty, opaleshoni yowonjezera m'chiuno ikhoza kukhala njira kwa inu ngati ululu wanu wa m'chiuno umasokoneza zochitika za tsiku ndi tsiku ndipo chithandizo chopanda opaleshoni sichinathandize kapena sichikugwiranso ntchito. Kuwonongeka kwa nyamakazi ndi chifukwa chofala kwambiri chofuna kusintha m'chiuno.
 

Chifukwa chiyani zachitika

Zinthu zomwe zingawononge kulumikizana kwa m'chiuno, nthawi zina zimapangitsa kuti kuchitidwa opaleshoni m'chiuno ndikofunikira, monga:

• Osteoarthritis: Matenda a osteoarthritis, omwe amadziwika kuti nyamakazi yosweka ndi yotupa, amawononga kagayidwe ka mafupa komwe kamaphimba malekezero a mafupa ndipo kumathandiza kuti mafupa aziyenda bwino.
• Matenda a nyamakazi: Chifukwa cha chitetezo chamthupi chogwira ntchito mopitirira muyeso, nyamakazi ya rheumatoid imayambitsa kutupa komwe kumatha kuwononga chipolopolo cha mafupa ndi nthawi zina mafupa omwe ali pansi pake, zomwe zimapangitsa kuti mafupa awonongeke komanso asinthe mawonekedwe.
• Osteonecrosis: Ngati magazi sakuperekedwa mokwanira ku gawo la mpira wa cholumikizira cha m'chiuno, monga chifukwa cha kusweka kapena kusweka, fupa likhoza kugwa ndi kupunduka.
   

Mutha kulingalira zosintha m'chiuno ngati muli ndi ululu m'chiuno womwe:

• Amapitirizabe, ngakhale atalandira mankhwala opweteka
• Akukulira kuyenda, ngakhale ndi ndodo kapena woyenda
• Zimasokoneza kugona kwanu
• Zimapangitsa kukhala kovuta kuvala
• Zimakhudza luso lanu lokwera kapena kutsika masitepe
• Zimapangitsa kuti zikhale zovuta kudzuka pomwe mwakhala pansi
   

Kuwopsa

Zowopsa zomwe zimachitika chifukwa cha opareshoni m'chiuno zimatha kukhala:
 

• Kuundana kwa magazi: Mitsempha ya miyendo yanu ikapangidwa mutatha opaleshoni. Izi zitha kukhala zoopsa chifukwa chidutswa cha magazi chikhoza kusweka ndikupita ku mapapo anu, mtima kapena, nthawi zina, ku ubongo wanu. Dokotala wanu angakupatseni mankhwala ochepetsa magazi kuti achepetse chiopsezochi.
• Kutenga: Matenda amatha kuchitika pamalo omwe mwadulidwa komanso mu minofu yakuya pafupi ndi chiuno chanu chatsopano. Matenda ambiri amachiritsidwa ndi maantibayotiki, koma matenda aakulu omwe ali pafupi ndi prosthesis yanu angafunike opaleshoni kuti achotse ndi kubwezeretsanso prosthesis.
• Kuthyoka: Panthawi ya opaleshoni, mbali zabwino za m'chiuno mwanu zimatha kusweka. Nthawi zina zophukazo zimakhala zazing'ono zokwanira kuti zichiritse zokha, koma zophulika zazikuluzikulu zingafunikire kukhazikika ndi mawaya, zomangira, ndipo mwina mbale yachitsulo kapena mafupa.
• Kusuntha: Malo ena angapangitse kuti mpira wa mgwirizano wanu watsopano utuluke mu socket, makamaka m'miyezi ingapo yoyambirira mutatha opaleshoni. Ngati chiuno chimasweka, dokotala wanu angakugwirizanitseni ndi chingwe kuti chiuno chikhale choyenera. Ngati chiuno chanu chikupitirizabe kusuntha, opaleshoni nthawi zambiri imafunika kuti ikhale yokhazikika.
• Kusintha kutalika kwa mwendo: Dokotala wanu amachitapo kanthu kuti apewe vutoli, koma nthawi zina chiuno chatsopano chimapangitsa mwendo umodzi kukhala wautali kapena wamfupi kuposa wina. Nthawi zina izi zimachitika chifukwa cha kukangana kwa minofu yozungulira chiuno. Pankhaniyi, kulimbikitsa pang'onopang'ono ndi kutambasula minofu imeneyo kungathandize. Simungazindikire, kusiyana kwakung'ono kutalika kwa mwendo pakatha miyezi ingapo.
• Kumasula: Ngakhale kuti vutoli ndilosowa ndi ma implants atsopano, cholowa chanu chatsopano sichingakhale chokhazikika ku fupa lanu kapena chikhoza kumasuka pakapita nthawi, kuchititsa kupweteka m'chiuno mwanu. Pangafunike opaleshoni kuti vutolo lithe.
• Kuwonongeka kwa mitsempha: Nthawi zambiri, mitsempha yomwe ili pamalo omwe choyikamocho chimayikidwa imatha kuvulala. Kuwonongeka kwa mitsempha kungayambitse dzanzi, kufooka ndi kupweteka.
   

Kufunika kosinthira kwachiwiri m'chiuno

Mgwirizano wanu wam'chiuno ukhoza kutha pamapeto pake, makamaka ngati mwachitidwa opareshoni m'chiuno mukadali achichepere komanso achangu. Kenako mungafunike m'malo ena achiuno. Komabe, zida zatsopano zikupanga ma implant nthawi yayitali.
 

Momwe mumakonzekera

Musanachite opareshoni mudzakumana ndi dokotala wanu wamafupa kuti akuyeseni. Dokotala wa opaleshoni adza:
 

• Funsani za mbiri yanu yamankhwala komanso mankhwala omwe mwapeza
• Onaninso mchiuno mwanu, osamala momwe mayendedwe anu amaphatikizidwira komanso mphamvu ya minofu yoyandikana nayo
• Dulani mayeso a magazi, ndi X-ray. MRI sikofunikira kwenikweni

Pakati pa kuwunika koyambirira ndi nthawi yabwino kuti mufunse mafunso za njirayi. Onetsetsani kuti mupeze mankhwala omwe muyenera kupewa kapena kupitiliza kumwa sabata yatha opaleshoni.

Chifukwa kusuta fodya kumatha kusokoneza machiritso, siyani kugwiritsa ntchito fodya kwa mwezi umodzi musanachite opareshoni komanso kwa miyezi iwiri mutachitidwa opaleshoni. Ngati mukufuna thandizo kuti musiye, lankhulani ndi dokotala wanu.

Osakhala ndi ntchito ya mano, kuphatikiza kuyeretsa mano, milungu iwiri isanachitike opaleshoni.
 

Zimene mungathe kuziyembekezera

Mukayang'ana opaleshoni yanu, mudzafunsidwa kuchotsa zovala zanu ndi kuvala chovala chachipatala. Mudzapatsidwa kachingwe ka msana, kamene kamachititsa dzanzi kumunsi kwa thupi lanu, kapena mankhwala ochititsa dzanzi.

Dokotala wanu amathanso kukupatsani minyewa pobaya mankhwala ochititsa dzanzi kuzungulira mitsempha kapena mkati ndi mozungulira cholumikizira kuti muchepetse ululu mukatha opaleshoni.
 

Panthawiyi

Kuchita opaleshoni kumatenga maola ochepa. Kuti musinthe m'chiuno, dotolo wanu:
 

• Amapanga mkombero kutsogolo kapena mbali ya m'chiuno mwanu, kudzera mu minofu
• Amachotsa mafupa ndi katemera wodwalayo, kusiya mafupa athanzi
• Amaika bowo lobooka m'thambo lanu m'chiuno, kuti mubwezeretse zokhotakhota
• M'malo mwa mpira wozungulira womwe uli pamwamba pa chikazi chanu ndi mpira wokumbirirapo, womwe walumikizidwa ndi tsinde lolowera m'khosi mwanu

Njira zosinthira m'chiuno zikusintha nthawi zonse. Madokotala ochita opaleshoni akupitilizabe kugwiritsa ntchito njira zochepa zopangira maopareshoni, zomwe zimachepetsa nthawi yakuchira komanso kupweteka.
 

Pambuyo pa ndondomekoyi

Pambuyo pa opareshoni, mudzasamukira kumalo ochira kwa maola ochepa pomwe anesthesia yanu ikutha. Ogwira ntchito zamankhwala adzayang'anira kuthamanga kwa magazi, kuthamanga, kukhala tcheru, kupweteka kapena kutonthoza kwanu, komanso kusowa kwanu kwa mankhwala.

Anthu ena amatha kupita kwawo tsiku lomwelo, koma ambiri amalowetsedwa kuchipatala usiku umodzi kapena awiri. Mudzafunsidwa kupuma kwambiri, kutsokomola kapena kuphulika muchida chothandizira kuti madzi asatuluke m'mapapu anu.
 

Kupewa magazi

Pambuyo pa opaleshoni yanu, mudzakhala pachiwopsezo chowonjezeka cha magazi m'miyendo yanu. Njira zomwe zingathetsere vutoli ndi monga:
 

• Kusamuka msanga: Mudzalimbikitsidwa kukhala pansi ndikuyenda ndi ndodo kapena choyendera nthawi yomweyo mukangochita opaleshoni. Izi zitha kuchitika tsiku lomwelo la opaleshoni yanu kapena tsiku lotsatira.
• Kugwiritsa ntchito kupanikizika: Nthawi yonse ya opaleshoni komanso pambuyo pake, mutha kuvala masitonkeni ophatikizika kapena manja otulutsa mpweya omwe amafanana ndi chikhomo cha kuthamanga kwa magazi m'miyendo yanu yakumunsi. Kupsyinjika komwe kumabwera chifukwa cha manja okhuthala kumathandiza kuti magazi asagwirizane m'mitsempha ya m'miyendo, kuchepetsa mwayi woti magazi aziundana.
• Mankhwala ochepetsa magazi: Dokotala wanu akhoza kukupatsani jekeseni kapena wapakamwa wochepetsera magazi pambuyo pa opaleshoni. Malingana ndi momwe mukuyenda mofulumira, momwe mumakhala otanganidwa komanso chiopsezo chanu chokhala ndi magazi, mungafunike zochepetsera magazi kwa milungu ingapo mutatha opaleshoni.
   

Physiotherapy

Katswiri wakuthupi akhoza kukuthandizani pakuchita masewera olimbitsa thupi omwe mungachite kuchipatala komanso kunyumba kuti muchiritse msanga.

Zochita ndi zolimbitsa thupi ziyenera kukhala gawo lokhazikika latsiku lanu kuti mugwiritsenso ntchito cholumikizira ndi minofu yanu. Wothandizira wanu wakuthupi adzakulimbikitsani kulimbikitsa ndi kuyenda komanso kukuthandizani kuphunzira momwe mungagwiritsire ntchito chothandizira kuyenda, monga kuyenda, ndodo kapena ndodo. Pamene mankhwala akupita patsogolo, nthawi zambiri mumawonjezera kulemera komwe mumayika pa mwendo wanu mpaka mutatha kuyenda popanda thandizo.
 

Kusamalira kunyumba ndikutsata

Musanatuluke muchipatala, inu ndi omwe amakusamalirani mudzalandira malangizo othandizira kusamalira ntchafu yanu yatsopano. Kusintha kosalala:
 

• Konzani kuti bwenzi kapena wachibale akukonzereni chakudya
• Ikani zinthu za tsiku ndi tsiku m'chiuno, kuti musagwade kapena kutambasula
• Ganizirani zosintha panyumba panu, monga kupeza chimbudzi chokwera ngati muli ndi chimbudzi chochepa
• Ikani zinthu zomwe mukufuna, monga foni yanu, matishu, TV yakutali, mankhwala ndi mabuku pafupi ndi komwe mukukhala nthawi yambiri mukuchira

Patatha milungu isanu ndi umodzi kapena 12 mutachitidwa opaleshoni, mudzakumananso ndi dokotala wanu kuti muwonetsetse kuti chiuno chanu chikuchira bwino. Ngati kuchira kukuyenda bwino, anthu ambiri ayambiranso zina mwazomwe amachita pofika pano. Kubwezeretsanso kwina ndikulimbitsa mphamvu nthawi zambiri kumachitika miyezi isanu ndi umodzi mpaka 12.
 

Results

Yembekezerani mgwirizano wanu watsopano wa m'chiuno kuti muchepetse ululu umene munamva musanachite opaleshoni yanu ndikuwonjezera kuyendayenda kwanu. Koma musayembekezere kuchita zonse zomwe mungathe chiuno chisanakhale chowawa.

Zochita zolimbitsa thupi monga kuthamanga kapena kusewera basketball zingakhale zovuta kwambiri pa malo anu opangira. Koma pakapita nthawi, mudzatha kusambira, kusewera gofu, kuyenda pansi kapena kukwera njinga momasuka.