Ukutshintshwa kwedolo kwizibhedlele zeApollo, eLucknow

Unyango oluPhambili lweRobotic Joint eApollo Medics, eLucknow

• Ilifa lika-Apollo ukususela ngo-1983: Izibhedlele zaseApollo ziqalise ucwangciso lwezempilo lwabucala eIndiya kwaye zenze utyando lokutshintshwa kwamalungu kulo lonke inethiwekhi yazo kangangeminyaka engaphezu kwamashumi amathathu, zinamava eqela liphela kwi-arthroplasty yokuqala kunye ne-complex revision.
• Iyunithi yokufakelwa kwamathambo kunye namalungu anikezelweyo: Isibhedlele i-Apollomedics Super Specialty, eLucknow, siqhuba isebe le-Orthopaedics kunye ne-Joint Replacement elisebenza ixesha elizeleyo kunye neqela labacebisi, kuquka oogqirha be-arthroplasty kunye ne-arthroscopy abaqeqeshwe yi-fellowship, abaxhaswa yi-anaesthesiology, unyango olubalulekileyo, unyango lwangaphakathi, i-endocrinology kunye ne-nephrology kwizigulana ezisengozini enkulu.
• Amava otyando adibeneyo: Iingcali eziphezulu ze-arthroplasty kwicandelo laseLucknow zizisa amava okusebenza kunye amashumi eminyaka phakathi kwazo; ubungakanani obuchanekileyo beemeko kunye neeprofayili zogqirha ngamnye zinokuqinisekiswa kwidesika ye-OPD yonyango lwamathambo ngexesha lokubonisana.
• Te knoloji: Ukutshintshwa kwedolo nge-robotic-arm kunye ne-computer-navigated, i-digital radiography ene-high-resolution, i-CT kunye ne-MRI yokucwangcisa ngaphambi kotyando, ii-laminar-airflow modular operation theatres, i-arthroscopy ene-high-definition, kunye neenkqubo zotyando ezingenabuhlungu ezininzi ezine-peripheral nerve blocks.
• Uluhlu olupheleleyo lonyango lwamadolo, kungekuphela nje kokutshintshwa: ukutshintshwa kwedolo okungaphelelanga (kwigumbi elinye), ukutshintshwa kwedolo elipheleleyo, i-arthroplasty yokuhlaziya, utyando lwe-osteotomy ephezulu kwizigulane ezikhethiweyo ezincinci, ukwakhiwa kwakhona kwemisipha kunye neenkqubo ze-cartilage.
• Iinkqubo ezenziwe ngokwezifiso: ukwenzakala kwezemidlalo okucwangcisiweyo kunye nokuvuselelwa kokubuyela kwimisebenzi yabantu abadala abasebenzayo kwezemidlalo, iindlela ezilungelelaniswe nobudala kwizigulana ezingaphezulu kwama-75 ezinesifo sentliziyo, izintso okanye isifo seswekile, kunye nokhathalelo lwamathambo lwabantwana nabakwishumi elivisayo kwiingxaki zedolo ezinxulumene nokukhula kunye neengxaki zamadolo emva kwengozi (ukutshintshwa kwamadolo ngokwako akufanelekanga kakhulu ebantwaneni).
• I-physiotherapy edibeneyo yangaphakathi: Ukulungiselela abantu ukuba bahambe rhoqo kudla ngokuqala ngosuku lotyando okanye ngosuku lokuqala, ngesicwangciso sokuzivocavoca ekhaya esibhaliweyo kunye neshedyuli yokuhlolwa kokulandela ngaphambi kokukhululwa.
• I-inshurensi kunye nenkxaso engenamali: I-TPA kunye nedesika yomshuwalense ezinikeleyo zijongana nogunyaziso lwangaphambili lweenkampani ezinkulu zomshuwalense, izikimu zohlobo lwe-CGHS/ECHS kunye neephaneli zeenkampani apho kufanelekileyo; imeko yokufakelwa kunye neenkcukacha zephakheji kufuneka ziqinisekiswe kwidesika yomshuwalense ngaphambi kokungeniswa.
• Iziko lokudlulisela ulwazi lengingqi: Izigulane ziya kwiyunithi yaseLucknow zivela kulo lonke elaseAwadh, ePurvanchal, eBundelkhand nakwezinye izithili ezikufutshane nomda weNepal, zincediswa kucwangciso lweentlanganiso kunye nokuqokelelana kophando lokutyelela iintsapho ezingaphandle kwesibhedlele.

Isibhedlele sotyando lokutshintshwa kwamadolo eLucknow? Unyango oluPhambili lweRobotic Joint Care

Ukuphila noxinzelelo olungapheliyo lwamalungu kunokunciphisa kakhulu umgangatho wobomi bomntu, kuguqule iintshukumo ezilula zemihla ngemihla zibe yimingeni ebuhlungu. Kwabo bafuna isisombululo esiqinisekileyo kwisifo samathambo esibuthathaka, ukukhetha isibhedlele sotyando lokutshintshwa kwedolo esifanelekileyo eLucknow linyathelo lokuqala elibalulekileyo ekushukumeni. Kwisibhedlele i-Apollomedics Super Specialty, sinikezela ngokudibanisa ubuchule botyando kunye nobuchwepheshe bangoku. Njengenye yezibhedlele zotyando lokutshintshwa kwedolo ezisekwe eLucknow, sisebenza ukunceda izigulana ukuba zoyise imiqobo yokuhambahamba ngokungenelela okuqhutywa ngokuchanekileyo, kubandakanya neenkqubo zokutshintshwa kwedolo ezincediswa yirobhothi.

Isebe lethu le-orthopaedic lenzelwe ukubonelela okungaphezulu kokulungiswa kotyando; sigxila ekusebenzeni okuphuculweyo kunye neziphumo ezihlala ixesha elide. Ngokudibanisa iteknoloji yokukhangela encediswa yikhompyutha kunye ne-robotic-arm, sijolise ekuchanekeni okukhulu ekubekeni indawo yokufakelwa. Izifundo ezipapashiweyo zokuthelekisa zibonisa ukuba le ndlela inokunciphisa iintlungu kunye nokudumba kwangethuba emva kotyando kwaye ixhase ukunyakaza kwangethuba, nangona ubuchule bokusebenza ixesha elide kunotyando oluqhelekileyo olwenziwe kakuhle lusafundwa. Iziphumo ziyahluka phakathi kwabantu, kwaye akukho nkqubo yotyando inokuqinisekiswa.

Udinga nini utyando lokutshintshwa kwamadolo?

I-knee arthroplasty idla ngokucetyiswa xa unyango oluqhelekileyo olufana ne-physiotherapy, ukuphucula ubunzima, ukutshintsha indlela yokuphila, amayeza okunciphisa iintlungu okanye i-intra-articular injections ingasaniki ncedo lwaneleyo.

Umonakalo Oqhubekayo Wamalungu

• I-osteoarthritis enzima: imeko yokuguguleka apho i-cartilage ekhuselayo egcina iziphelo zamathambo iguguleka ngokuhamba kwexesha.
• Irheumatoid Arthritis: isifo sokudumba esingapheliyo esichaphazela ulwelo lwamalungu, esibangela ukudumba okubuhlungu okunokubangela ukuguguleka kwamathambo kunye nokukhubazeka kwamalungu.
• Ukonakala nokukrazuka kwe-cartilage: isifo samathambo emva kokwenzakala okukhulu edolweni sinokukhawulezisa ukuwohloka kwelungu.

Iimpawu Ezibonisa Utyando

• Intlungu engapheliyo edolweni: intlungu engapheliyo eqhubeka nokuba uphumle okanye ulele.
• Ubuthathaka bezihlunu: Ukulahlekelwa okukhulu kwemisipha ye-quadriceps okanye i-hamstrings ngenxa yokuncipha kokunyakaza.
• Ukushukuma okulinganiselwe: ukungakwazi ukunyuka izinyuko, ukuhamba imigama emifutshane, okanye ukungena nokuphuma ezitulweni.
• Ukuqina kunye nokudumba: ukudumba okungapheliyo okungaphucukiyo ngamayeza okulwa nokudumba.

Indlela yokusebenza yangoku yaseIndiya neyehlabathi, ebonakaliswe kwisikhokelo semfundo se-Indian Orthopaedic Association kunye ne-Indian Society of Hip and Knee Surgeons nakwingcebiso ye-osteoarthritis ye-2019 OARSI kunye ne-2020 ACR/Arthritis Foundation, kukuba utyando lulandela uvavanyo olubhaliweyo lonyango olungelulo utyando kunokuba lube yi-radiology yodwa. Utshintsho oluphawulekayo lwakutshanje kukugxininisa kakhulu ekuzilolongeni okucwangcisiweyo kunye nolawulo lobunzima njengonyango oluphambili, iingcebiso ezinemiqathango okanye ezimbi ze-glucosamine kunye ne-intra-articular hyaluronic acid ephindaphindwayo kwi-osteoarthritis yamadolo, kunye neengcebiso ngokubanzi ngokuchasene nokuhlamba okanye ukucoca i-arthroscopic kuphela kwi-degenerative knee arthritis.

Iintlobo zeenkqubo zokutshintshwa kwedolo esizinikezelayo

Kwisibhedlele i-Apollomedics Super Specialty, indlela yotyando yenzelwe iimfuno zomzimba kunye neenjongo zokuphila zesigulana ngasinye.

Ukutshintshwa kwedolo ngokupheleleyo (TKR)

Inkqubo epheleleyo yokulungisa umphezulu wamalungu. Ibandakanya ukususa ithambo kunye ne-cartilage eyonakeleyo kumphezulu we-tibia kunye ne-femur kwaye endaweni yazo kufakwe izinto zesinyithi kunye ne-polyethylene ezikumgangatho ophezulu. Olu lukhetho oluqhelekileyo kwizigulane ezinomonakalo ophucukileyo, onamacandelo amaninzi.

Ukutshintshwa kweDolo eliNgaphelelanga (i-Unicompartmental)

Kwizigulane ezonakeleyo kwindawo enye yedolo, ukutshintshwa okujoliswe kuzo kunokwenzeka. Le nkqubo igcina amathambo kunye nemisipha esempilweni kwidolo lonke, kwaye uninzi lwezigulane lubika ukuba luziva lungokwemvelo kwaye lukhawuleza ukululama. Ukukhetha izigulane ngononophelo kubalulekile, njengoko amazinga okuhlaziya aphezulu kunelokutshintshwa kwedolo lilonke kwidatha yobhaliso.

Ukutshintshwa kwedolo leRobhothi

Besebenzisa iinkqubo zerobhothi, oogqirha botyando banokwenza ukusika amathambo ngendlela ecwangcisiweyo. Le teknoloji ivumela ucwangciso lokulungelelanisa ngokweemfuno zomntu ngamnye olusekelwe kumzimba wethambo lesigulana. Isiphumo esijongiweyo kukuba ilungu lilungelelaniswe kakuhle; uncedo lwerobhothi luxhasa isicwangciso sogqirha wotyando kwaye aluthathi indawo yokugweba ngotyando.

Kutheni Ukhetha Isibhedlele Esikhethekileyo Se-Apollomedics Sotyando Lokutshintshwa Kwamadolo eLucknow?

• Oogqirha bamathambo abanamava: iingcali ze-arthroplasty eziqeqeshwe yi-fellowship ezinamava amade kutyando lokuqala nolokuhlaziya.
• Iinkqubo eziphambili zerobhothi kunye neendlela zokuhambisa: amaqonga axhasa ukuqikelelwa okuphezulu kotyando kunye nokulungelelaniswa okuphindaphindwayo.
• Ukhuseleko oluqhutywa yiprotocol: iindlela zonyango ezenzelwe ukunciphisa umngcipheko wosulelo kunye nokuxhasa ubomi obude be-implant, kubandakanya ukuthintela ii-antibiotic kunye neenkqubo ze-thromboprophylaxis.
• Iindawo zokubonela zanamhlanje: ukuhamba komoya okucacileyo kunye nombono ocacileyo wokugcina imeko-bume ecocekileyo necocekileyo.
• Ugcino lwezinto ezikhethekileyo ezininzi: i-cardiology, i-diabetology, i-nephrology kunye nenkxaso yokhathalelo olubalulekileyo kwizigulana ezinengxaki yezonyango.

Iinzuzo zeRobotic Knee Replacement

• Ukuchaneka okuphuculweyo kwindawo yokufaka i-implant: ii-implants ezilungelelaniswe kakuhle zinokunciphisa umngcipheko wokuguguleka kwangethuba.
• Ukunciphisa iintlungu kunye nokudumba: Ukuchaneka okukhulu kunokuthetha ukuba izicubu ezithambileyo kunye nemisipha ejikelezeyo zingenzakaliswa kakhulu.
• Ukusikwa okucotha izicubu: uncedo lwerobhothi luhlala luxhasa ukuvezwa okungangeni kakhulu.
• Ukuqaliswa kwangaphambili: Izigulana ezininzi ziyama zize zithathe amanyathelo oncedo ngosuku lotyando okanye ngosuku olulandelayo.
• Ukusebenza okuphuculweyo: Ukulinganisela amalungu ngcono kunokuvumela uluhlu olubanzi lokushukuma kunye nokuphucula uzinzo.

Ezi ziindlela ezibonwayo kwiincwadi zangoku endaweni yeziphumo eziqinisekisiweyo zomntu ngamnye.

Inkqubo Yotyando Lokutshintshwa Kwedolo? Inyathelo Ngenyathelo

Uvavanyo lwangaphambi kotyando

Ngaphambi kwenkqubo, senza uphando oluneenkcukacha malunga nokuxilongwa. Oku kuquka ii-X-ray ezithwala ubunzima, kwaye apho ucwangciso lufuna, i-CT okanye i-MRI ukuze kudweliswe ilungu. Uvavanyo olupheleleyo lomzimba, uvavanyo lwegazi, i-ECG, i-echocardiography apho kubonisiwe khona, uvavanyo losulelo lwamazinyo nomchamo kunye novavanyo lomngcipheko we-anesthetic kuqinisekisa ukuba isigulana sikulungele utyando.

Inkqubo yoNyango

Phantsi kwe-anesthesia yomqolo okanye jikelele, ugqirha otyandayo usebenzisa i-robotic interface ukwenza imephu yotyando ecwangcisiweyo kwangaphambili. Ingalo yerobhothi inika ingxelo enceda ukugcina ukulungiswa kwamathambo ngaphakathi kwemida ecwangcisiweyo ukuze kususwe kuphela izicubu ezicwangcisiweyo. Uninzi lweenkqubo zotyando olusebenzisa idolo elinye zithatha malunga neyure enye ukuya kwezimbini zexesha lokusebenza.

Ukhathalelo lwasemva koCando

Ukuchacha kuqala kwigumbi lonyango lwamathambo. Sibeka phambili ulawulo lweentlungu ezininzi, ukuthintela imithambo yegazi kunye nokunyakaza kwangethuba. Iingcali zonyango lwe-physiotherapists zisebenza nezigulane ukususela ngosuku lokuqala ukuze ilungu elitsha liqale ukuhamba ngokuchanekileyo.

Ixesha lotyando kunye neSigaba sokulungiselela

Ukutshintshwa kwedolo phantse kusoloko kuyinto ecwangcisiweyo, ngoko ke ixesha linokukhethwa ngokumalunga nosapho, umsebenzi kunye nemozulu. Izigulane ezininzi zaseLucknow zikhetha utyando kwiinyanga ezipholileyo ukusuka ku-Okthobha ukuya kuFebruwari, apho unyango lwamanxeba kunye nokuhamba kuhamba kulula, kodwa utyando lwenziwa ngokukhuselekileyo unyaka wonke kwiindawo ezine-air conditioner.

Iiveki ezimbini ukuya kwezintandathu ngaphambi kotyando

• Uphononongo lokufaneleka kwe-anesthetic; ulawulo lweswekile egazini (i-HbA1c idla ngokuhlolwa), uxinzelelo lwegazi, i-anemia kunye neengxaki ze-thyroid okanye zezintso.
• Ukuhlolwa kwamazinyo kunye nonyango losulelo lwentsini, kunye nonyango lwalo naluphi na usulelo lomchamo okanye lolusu ngaphambi kokuba umhla umiselwe.
• Ukuyeka ukutshaya nokusebenzisa icuba okanye i-gutkha; ukunciphisa utywala.
• Uphononongo lwezinto ezinciphisa igazi, amayeza okuguqula izifo zesifo samathambo, izinto eziphilayo, kunye nezongezo zemifuno okanye ze-ayurvedic kunye nogqirha otyandayo nogqirha.
• Ngaphambi kokuziqhelanisa: iiseti ze-quadriceps, ukuphakamisa imilenze ethe tye, iipompo ze-ankle kunye nokuhamba ngokukhululeka kuphucula ukuchacha kwangethuba.
• Amaphepha okufumana imvume ye-inshorensi aqalwe ngedesika ye-inshorensi yesibhedlele.

Ukulungiselela ekhaya, ngokukodwa eIndiya

• Lungiselela ibhedi efikelela emadolweni endaweni yokulala phantsi kwiinyanga ezimbini ukuya kwezintathu zokuqala.
• Guqula okanye ulungiselele ukufikelela kwi-commode yaseNtshona, okanye ufake isitulo se-commode okanye isihlalo esiphakanyisiweyo phezu kwendlu yangasese yesitayile saseIndiya; kucetyiswa kakhulu ukuba ube nebha yokuhlamba kunye ne-anti-skid mat.
• Imiphetho ecacileyo, iikhaphethi ezikhululekileyo kunye neengcingo ezingasemva; lungisa isitulo esineengalo kunye nesihlalo esiqinileyo sokutyela kunye ne-puja.
• Chonga umntu omnye okanye ababini abakhathalela usapho kwiiveki zokuqala ezine ukuya kwezintandathu; kwiintsapho ezidibeneyo, tshintshanisa ukhathalelo endaweni yokuxhomekeka kumntu omnye.
• Ukuba ikhaya lakho linezitebhisi ezinde kwaye akukho lifti, cwangcisa ukuhlala kumgangatho ophantsi kwiiveki ezimbalwa zokuqala.

Iindlela Ezizezinye kunye Neendlela Zobuchule Ezithelekiswayo

Iinkqubo Ngamanye amaxesha zenziwa ngaxeshanye

• Ukutshintshwa kwamadolo omabini (ngamadolo omabini) ngexesha elinye: Ijongwa kwizigulane ezikhethiweyo ezifanelekileyo kwezonyango ezine-arthritis enzima emadolweni omabini, ukuphepha ukungeniswa okwesibini kunye ne-anesthesia. Ibangela ukulahleka kwegazi okukhulu kunye nemfuno ephezulu yomzimba kwangoko, ngoko ke inikezelwa kuphela emva kokuxilongwa ngononophelo kwentliziyo kunye nonyango. Utyando oluthatha izigaba oluhlala iiveki okanye iinyanga ezimbalwa luyeyona ndlela ikhuselekileyo kwizigulane ezininzi.
• Ukulungiswa kokukhubazeka okukhulu: ukulinganisela izicubu ezithambileyo, ukufakelwa kwamathambo okanye ukusetyenziswa kwee-implants ezinesiqu okanye ezithintelweyo kwi-varus enzima, i-valgus okanye ukukhubazeka okuzinzileyo kwe-flexion.
• Ukususwa kwezixhobo zangaphambili: Iipleyiti okanye izikrufu ezivela kwindawo endala eyaphukileyo kufutshane nedolo zinokususwa ngexesha lenkqubo efanayo.
• Ukulungiswa kwakhona komphezulu wepatellar: isigqibo sikagqirha ngokusekelwe kwimeko ye-cartilage yedolo kunye noyilo lwe-implant.
• Utyando olulandelelanayo lwamalungu: Izigulana ezine-hip arthritis kunye nedolo zihlala zicetyiswa ngomyalelo wotyando kunokuba zicwangciswe ngokudibeneyo.

Ixabiso lokutshintshwa kwedolo eLucknow? Yintoni echaphazela eli xabiso?

Ukuqonda iindleko zokutshintshwa kwedolo kufuna ukujonga izinto ezahlukeneyo zonyango endaweni yenombolo enye. I-Apollomedics igcina umgaqo-nkqubo wokuhlawula ocacileyo, kwaye iidesika ze-orthopaedic kunye ne-billing zibonelela ngoqikelelo olubhaliweyo noluneenkcukacha emva kokubonisana nogqirha wakho ngotyando.

Nceda ufumane amaxabiso angoku, ahambelana nenkqubo ethile ngqo kwi-Apollomedics reception, i-orthopaedic OPD okanye kwi-billing desk. Amanani acatshulwe kwiwebhusayithi zothelekiso lwamaxabiso zomntu wesithathu awaqinisekiswanga sisibhedlele.

I-inshurensi, unyango olungenamali kunye nenkqubo ye-TPA eIndiya

• Inkqubo ecwangcisiweyo, ngoko ke imvume kwangaphambili iyafuneka: Imvume yokutshintshwa kwedolo ngokuzithandela ngaphandle kwemali idla ngokuqaliswa kwiintsuku ezintathu ukuya kwezisixhenxe zokusebenza ngaphambi kokungeniswa kwidesika yeinshorensi yesibhedlele.
• Amaxesha okulinda abalulekile: Uninzi lweepolisi zeinshorensi yezempilo zaseIndiya zisebenzisa ixesha elithile lokulinda, eliqhele ukuba yiminyaka emibini ukuya kwemine, xa kufakelwa amalungu omzimba kunye notyando olunxulumene ne-osteoarthritis, kunye neentsuku ezingama-30 xa kufakwa amabango epolisi entsha. Jonga amagama epolisi yakho kunye nesiqendu esichanekileyo nomshwalense wakho ngaphambi kokuba ubeke umhla.
• Iziqendu zesifo esele zikhona: I-arthritis efunyenwe ngaphambi kokuba ipolisi iqale idla ngokuphathwa njengesele ikho, kwaye ixesha lokulinda elichaziweyo liyasebenza.
• Ingozi xa ithelekiswa ne-inshorensi ecwangcisiweyo: Utyando lwedolo emva kwengozi yendlela okanye ukuwa ludla ngokuphathwa njengebango lengozi kwaye ludla ngokuhlawulwa ngaphandle kwexesha lokulinda isifo samathambo, kodwa amaxwebhu anjengerekhodi yongxamiseko, ukungena kwi-MLC kunye nemifanekiso ayimfuneko. Utyando lwesifo samathambo esiwohlokayo alufanelekanga njengolwengozi.
• Imida engaphantsi kunye nentlawulo edibeneyo: Iipolisi zinokuthintela iindleko zokufakelwa, udidi lokuqeshisa igumbi okanye zisebenzise ipesenti yentlawulo edibeneyo yabantu abadala. Ukuphuculwa kwamagumbi ngaphaya kodidi olufanelekileyo kunokunyusa isabelo sakho semali oyifumanayo.
• Amaxwebhu okuphatha: ikopi yomgaqo-nkqubo okanye ikhadi le-elektroniki, i-ID enefoto karhulumente, amayeza angaphambili kunye ne-X-ray, kwaye i-ID yomsebenzi kunye neleta yogunyaziso lwe-HR yenkampani.
• Indlela yokubuyisela imali: ukuba awufumani mali okanye i-inshorensi yakho ayihlawulwanga, hlawula uze ufake ibango kamva; gcina amatyala okuqala, isishwankathelo sokukhululwa kwityala, isitikha sokufakelwa okanye i-invoyisi kunye neengxelo zophando.
• Urhulumente kunye nezigulane zesikimu: Ukugutyungelwa phantsi kweCGHS, ECHS, iinkqubo zikarhulumente okanye i-Ayushman Bharat kuxhomekeke kwimigaqo yokufakelwa kwangoku kunye nemigaqo yephakheji. Qinisekisa ukufaneleka kwidesika yomshuwalense ye-Apollomedics ngaphambi kokuba uhambe.

Ukucwangcisa ukungena kwakho kunye noko uza kuzisa

• Imiyalelo yokuzila ukutya njengoko kucetyisiwe, ngokuqhelekileyo ukususela ezinzulwini zobusuku ngaphambi kotyando, kunye neengqayi zolwelo olucacileyo kuphela ukuba kuvumelekile.
• Onke amayeza akhoyo kwiimigca zokuqala, kunye noluhlu olubhaliweyo lweedosi.
• Iifilimu kunye neengxelo ze-X-reyi zangaphambili, ii-MRI okanye ii-CT, izishwankathelo zokukhululwa esibhedlele, kunye neengxelo zalo naluphi na utyando lwangaphambili.
• Iimpahla zekotoni ezikhululekileyo, iibhulukhwe ezimfutshane okanye i-lungi evumela ukuxilongwa kwamadolo, kunye nezihlangu ezivaliweyo okanye iisandali ezinebhanti engasemva.
• Iinduku zokusila zeWalker okanye ze-elbow ukuba sele zisetyenziswa; iqela liza kucebisa ngoncedo olufanelekileyo.
• I-Aadhaar okanye i-ID enefoto, ikhadi le-inshorensi, kunye nomlindi omnye onefowuni kunye netshaja.
• Iispectacles, isixhobo sokuncedisa ukuva, amazinyo okufakelwa kunye neglucometer yesifo seswekile ukuba uyisebenzisa.
• Lindela ukuhlala iintsuku ezintathu ukuya kwezintlanu kwidolo elinye, kuxhomekeke kwinkqubela phambili yezonyango.
• Susa ubucwebe, ipolishi yeenzipho kunye ne-mehndi kwindawo yotyando apho kunokwenzeka khona; ukucheba ilungu kwenziwa liqela lesibhedlele, kungekhona ekhaya.

Ukubuyiselwa kunye nokuvuselelwa emva kokutshintshwa kwamadolo

Impumelelo yokutshintshwa kwedolo ixhomekeke kakhulu ekubuyiselweni kwimeko yesiqhelo kunye notyando ngokwalo.

• I-physiotherapy ecwangcisiweyo: inkqubo ezinikeleyo yokubuyisela ukuguquguquka namandla.
• Ukuqinisa izihlunu: imithambo egxile kwimisipha ye-quadriceps kunye ne-gluteal ukuxhasa ilungu elitsha.
• Timeline: uninzi lwezigulane lutshintsha ukusuka kwi-walker ukuya kwi-strum kwisithuba seeveki ezimbini ukuya kwezintathu luze lubuyele kwimisebenzi emininzi yemihla ngemihla kwisithuba seeveki ezintandathu.
• Ukhathalelo lwexesha elide: isikhokelo sokuzilolonga okungenampembelelo ingako njengokudada, ukukhwela ibhayisekile ungashukumi kunye nokuhamba. Idatha yokulandelela kunye neyexesha elide ibonisa ukuba uninzi lwee-implants zanamhlanje zamadolo zihlala zisebenza kwiminyaka eli-15 ukuya kwengama-20, kwaye ezininzi zihlala ixesha elide, nangona iziphumo zomntu ngamnye zixhomekeke kubudala, ubunzima, umsebenzi kunye nomgangatho wamathambo.

Ukubuyiselwa kwenqanaba ngenqanaba

Ukubuyela kwimisebenzi eqhelekileyo, emsebenzini nakwimidlalo

• Ukuqhuba: Ngokuqhelekileyo kucingelwa ukuba emva kweeveki ezine ukuya kwezintandathu idolo lasekunene liza kuthathwa njengedolo lasekunene, kwaye ngamanye amaxesha ngaphambi kwexesha idolo lasekhohlo emotweni ezenzekelayo, kuphela xa ukwazi ukubhuleka ngokuthembekileyo, uphumile kwiintlungu ze-opioid ezinamandla kwaye ugqirha otyandayo uyavuma.
• Umsebenzi wedesika okanye weofisi: rhoqo iiveki ezine ukuya kwezintandathu; ukusebenza ekhaya kunokwenzeka kwangethuba.
• Imisebenzi enzima okanye enzima yasentsimini, ezolimo, eyokuma: ngokuqhelekileyo iinyanga ezintathu nangaphezulu, zigqitywa kwimeko nganye.
• Ukuhamba ngenqwelo-mafutha enamavili amabini kunye nokuhamba ngenqwelo-mafutha: ukungakhathali kwiinyanga zokuqala ngenxa yomngcipheko wokuwa kunye nokukhwela okungaqhelekanga; xoxani ngabanye.
• Umsebenzi ocetyiswayo wexesha elide: ukuhamba, ukudada, ukukhwela ibhayisekile engashukumiyo, i-yoga elungiselelwe ukuphepha ukugoba amadolo nzulu, umsebenzi wokuzivocavoca olula.
• Idla ngokungakhuthazwa: ukubaleka kwiindawo eziqinileyo, imidlalo yokutsiba, i-badminton edlalwa ngabantu abangatshatanga ngesantya sokhuphiswano, imidlalo yokudibanisa, ukuqubha okunzima kunye nokuphakamisa imithwalo enzima ngokuphindaphindiweyo.
• Ukuhlala phantsi, ukuhlala phantsi unqumle imilenze kunye nokuhlala phantsi: uninzi lweendlela zokutshintshwa kwamadolo zesiqhelo nezerobhothi zivumela ukugoba okumalunga ne-110 ukuya kwi-130 degrees. Ukuhlala unqamleze imilenze ixesha elifutshane kunokwenzeka kwizigulana ezininzi emva kweenyanga ezintathu ukuya kwezintandathu, kodwa ukuhlala phantsi ixesha elide okanye i-puja, kunye nezindlu zangasese zaseIndiya ezihlala zigobile ngokupheleleyo akukhuthazwa ubomi bonke, kuba zithwala kakhulu i-implant. Sebenzisa isitulo esisezantsi se-puja, isitulo sokutya, kunye nesihlalo se-Western commode okanye isihlalo se-commode esiphakanyisiweyo ekhaya. Xoxa nge-implant yakho ethile kunye nomgama nogqirha wakho endaweni yokucinga.

Ukukhusela i-New Joint kunye nokuthintela iingxaki kamva

• Gcina ubunzima bomzimba busempilweni; ikhilogremu nganye yobunzima obugqithisileyo iphinda iphindaphinde umthwalo edolweni.
• Gcina izihlunu ze-quadriceps kunye ne-hip ziqinile ngokwenza umthambo ongasebenzisi mpembelelo ingako ubomi bakho bonke.
• Nyanga izifo zamazinyo, zomchamo, zolusu nezesifuba ngokukhawuleza, kuba iintsholongwane ezisegazini zinokutyala ilungu elenziweyo. Xelela ugqirha wamazinyo kunye naye nawuphi na ugqirha onyangayo ukuba une-implant yedolo.
• Lawula isifo seswekile; ulawulo olubi lwe-glycemic lunyusa usulelo kunye neengxaki zamanxeba.
• Ukuthintela ukuwa: ukukhanya okwaneleyo, iibhari zokubamba, iimathi zokuhlambela ezingatyibilikiyo, izihlangu ezifanelekileyo, kunye nokulumka ngexesha lemvula ezantsi ezimanzi nakwiindlela ezingalinganiyo.
• Yiya kuphononongo olulandelayo njengoko kucetyisiwe, ngesiqhelo kwiiveki ezintandathu, kwiinyanga ezintathu, ngonyaka omnye uze emva koko rhoqo, nge-X-rays ukujonga indawo kunye nokuqina kwe-implant.
• Phatha ikhadi lakho lokufakelwa okanye isishwankathelo sokukhupha xa useluhambeni; izixhobo zokubona isinyithi ezikhululweni zeenqwelo-moya zisenokusebenza.

Izinto Eziqwalaselwayo Kwizigulane Ezincinci, Ezikhulileyo Nezabantwana

Abantu abadala abancinci, abangaphantsi kweminyaka engama-55 ubudala

Iindlela zokugcina amalungu afana ne-arthroscopy yengxaki ethile yoomatshini, i-high tibial osteotomy yokungasebenzi kakuhle, okanye ukutshintshwa okungaphelelanga ziqwalaselwa kuqala, kuba ukutshintshwa okwenziwe kwangethuba kunokwenzeka ukuba kufuneke kuhlaziywe ngexesha lobomi bomguli. Apho isifo samathambo siqhubele phambili, ukutshintshwa kusenokufaneleka, ngengxoxo ecacileyo malunga nokuba kunokwenzeka utyando lokuhlaziya kwixesha elizayo.

Izigulane ezindala, ezineminyaka engama-75 nangaphezulu

Ubudala bodwa abuyongxaki. Okubalulekileyo yimeko yentliziyo, yezintso, yemiphunga neyengqondo, umgangatho wamathambo, isondlo kunye nenkxaso yasekhaya. Uvavanyo olongezelelweyo lwe-cardiology kunye ne-anesthesia ngaphambi kotyando, ukulungiswa kwe-anemia ngononophelo, ukuthintela i-delirium, unyango lwe-osteoporosis kunye nesicwangciso sokuvuselela esicothayo nesijongiweyo ziqhelekile. Utyando lokuhlala ixesha elinye lunikezelwa ngononophelo ngakumbi kweli qela.

Abantwana kunye nentsha

Ukutshintshwa kwamadolo akusoloko kuboniswa ngaphambi kokuba kukhule amathambo. Abantwana abane-juvenile idiopathic arthritis, i-haemophilic arthropathy, ii-tumor okanye ukutshatyalaliswa kwamalungu emva kokusuleleka balawulwa ngamaqela e-orthopaedic kunye ne-rheumatology yabantwana ngamayeza, i-physiotherapy, utyando lokuguqula ukukhula okanye ukulungiswa okukhethekileyo. Nasiphi na isigqibo malunga nokutshintshwa komntu oselula senziwa liqela elinolwazi oluninzi.

Kwenzeka ntoni ukuba ukhetha ukungasebenzi?

Ukwala okanye ukulibazisa utyando lukhetho olufanelekileyo, kwaye uninzi lwezigulane luyakwazi ukunyamezela iminyaka emininzi ngaphandle kotyando. Kuyanceda ukwazi ukuba yintoni elandelayo:

• I-arthritis idla ngokuba yingxaki eqhubekayo; iintlungu, ukuqina kunye nomgama wokuhamba kudla ngokuba mandundu kancinci kancinci, nangona isantya sitshintsha kwaye abanye abantu besiya sincipha.
• Ukukhubazeka okufana nemilenze yesaphetha kunokwanda, nto leyo eyenza utyando lwamva lube nzima ngakumbi kwaye ngamanye amaxesha lufune ukufakelwa okukhethekileyo.
• Ukungasebenzi kakuhle kunokukhokelela ekulahlekelweni yimisipha, ekutyebeni, ekulawuleni isifo seswekile esibi kunye noxinzelelo lwegazi, ekulahlekelweni kukuzimela kunye neemvakalelo eziphantsi.
• Ukuthembela ixesha elide kwimithi yokuthomalalisa iintlungu kuthwala umngcipheko wesisu, izintso kunye nentliziyo, ngakumbi kubantu abadala.
• Iziphumo emva kotyando olulibazisekileyo kwidolo eliqinileyo okanye elikhubazekileyo zihlala zilungile kodwa zisenokungapheleli kangako kunotyando olwenziwe ngexesha elifanelekileyo.

Ukuba ugqiba ekubeni ulinde, cela isicwangciso esicwangcisiweyo esingesotyando: i-physiotherapy ejongiweyo, iithagethi zobunzima, isixhobo esifanelekileyo sokuhamba, icebiso lezihlangu, uphononongo oluqhubekayo kunye nezinto ezibangela ukuba umntu acinge ngokutsha.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

• Umkhuhlane ongaphezulu kwe-100.4°F, ukubanda, okanye ukusasazeka kokubomvu okujikeleze inxeba.
• Ukukhupha inxeba okukhulayo, ubomvu, ivumba elibi okanye imiphetho yenxeba evulekayo.
• Intlungu eqatha ngequbuliso, ukungakwazi ukuthwala ubunzima, okanye ukuziva ngathi idolo liphelile.
• Intlungu yethole, ukuqaqamba okanye ukudumba okubonakalayo okubhekiselele kwicala elinye, okunokubonisa i-deep vein thrombosis.
• Ukungakwazi ukuphefumla, iintlungu esifubeni okanye ukukhohlela igazi, nto leyo efuna ingqalelo engxamisekileyo.
• Ukuba ndindisholo, iinaliti, okanye unyawo olubandayo okanye olukhanyayo.
• Ukudumba okwanda ngokukhawuleza kunye nokuqina okukhulu, okanye ukulahleka kokugoba obekufikelele kuko ngaphambili.
• Ukugabha, ukungakwazi ukuchama, okanye ukudideka kwisigulana esikhulileyo emva kokuphuma esibhedlele.

Ukuba kukho nayiphi na kwezi zinto, nxibelelana neqela le-orthopaedic okanye uye kwicandelo likaxakeka ngaphandle kokulinda idinga lakho elilandelayo.

Kwabaguli Abahambayo Abavela Kwizithili Nezixeko Ezikufutshane

I-Apollomedics eLucknow ifumana izigulana zamathambo ezivela kulo lonke elase-Uttar Pradesh nakwamanye amazwe angabamelwane, kubandakanya iKanpur, Unnao, Rae Bareli, Sitapur, Hardoi, Barabanki, Bahraich, Gonda, Balrampur, Shravasti, Faizabad kunye neAyodhya, Sultanpur, Amethi, Pratapgarhrakhrah, Azam, Gonda, Balrampur, Bahraich, Sultanpur, Amethi, Pratapgarhranah Ingingqi ye-Alladabad kunye ne-Prayagraj, i-Fatehpur, i-Banda, i-Jhansi, i-Lakhimpur Kheri, i-Shahjahanpur, i-Bareilly, i-Moradabad, izithili zase-Bihar ezifana ne-Gopalganj, i-Siwan kunye ne-Motihari, kunye neendawo ezithile ze-Terai yase-Nepal.

• Cwangcisa indlela yokutyelela abantu ababini: utyelelo lokuqala lokuya kuboniswana, ii-X-reyi kunye nomsebenzi wegazi, utyelelo lwesibini lokuya kwamkelwa. Apho kunokwenzeka, cela ukuba uphando luhlanganiswe ndawonye ngaloo mini inye ukuze kuthintelwe ukuphinda uhambo.
• Thumela iingxelo kwangaphambili: Yabelana ngee-X-reyi ezikhoyo, ii-MRI kunye nemiyalelo ngaphambi kokuba uhambe ukuze udliwanondlebe lube luncedo ngakumbi.
• Ukufikelela kuhambo: Isibhedlele sinokufikelelwa ukusuka kwizikhululo zikaloliwe zaseCharbagh naseLucknow Junction, kwisikhululo sikaloliwe saseGomti Nagar, kwizikhululo zeebhasi zaseAlambagh naseKaiserbagh, nakwisikhululo seenqwelo-moya iChaudhary Charan Singh International Airport, kwaye sikufutshane neendlela zendlela zaseLucknow, eKanpur naseLucknow, eAyodhya.
• Ukuhlala komlungiseleli: Buza idesika yoncedo malunga nezibonelelo zabasebenzi kunye neendlu zeendwendwe kunye neehotele ezikufutshane nesibhedlele xa ubhukisha; ukufumaneka kunye neentlawulo ziyahluka.
• Uhambo lokubuyela emva kotyando: Imoto enesihlalo esingaphambili esithe nkqo okanye esisezantsi kwetreyini ikhululekile kakhulu kunebhasi. Phumla uhambo olude, yenza umthambo wokumpompa iqatha ngeyure kwaye ume rhoqo emva kweyure okanye ezimbini ukunciphisa umngcipheko wokuqhekeka kwamalungu omzimba.
• Ulandelelwano lwasekuhlaleni: Iqela linokucebisa nge-physiotherapy kwidolophu yakho yasekhaya kwaye zeziphi iingxelo ezifuna ukuba ubuyele eLucknow, kunye neefoto okanye i-teleconsulting esetyenziselwa imibuzo yexeshana apho kufanelekileyo.
• Amaxwebhu: phatha isazisi, iinkcukacha zomshuwalense kunye nemali eyaneleyo yongxamiseko, kwaye ugcine iikopi zedijithali zazo zonke iingxelo.

Unxibelelwano kunye neeNdibano zokuQeqesha