I-Hip Inombolo Yokutshintshwa

Ngexesha lokutshintshwa kwe-hip, ugqirha wotyando ususa amacandelo awonakeleyo kwi-hip joint yakho kwaye endaweni yawo ngamalungu aqhelekileyo akhiwe ngesinyithi, i-ceramic kunye neplastiki enzima kakhulu. Eli lungu lokwenziwa (iprosthesis) linceda ukunciphisa intlungu kunye nokuphucula umsebenzi.

Ekwabizwa ngokuba yi-hip arthroplasty epheleleyo, utyando lokutshintshwa kwe-hip lunokuba lukhetho lwakho ukuba iintlungu zakho ze-hip ziphazamisa imisebenzi yemihla ngemihla kwaye unyango olungenalo utyando aluzange luncede okanye alusasebenzi. Umonakalo we-arthritis sesona sizathu siqhelekileyo sokufuna ukutshintshwa kwe-hip.
 

Kutheni yenziwe

Iimeko ezinokonakalisa ukudibana kwe-hip, ngamanye amaxesha ukwenza utyando lwe-hip olufunekayo, kubandakanya:

• Osteoarthritis: Ngokuqhelekileyo eyaziwa ngokuba yi-wear-and-tear arthritis, i-osteoarthritis iyonakalisa i-cartilage ethambileyo egquma iziphelo zamathambo kwaye inceda amalungu ukuba ahambe kakuhle.
• Irheumatoid Arthritis: Ibangelwa yi-immune system, i-rheumatoid arthritis ivelisa uhlobo lokuvuvukala olunokuphazamisa i-cartilage kunye nethambo eliphantsi kwexesha elithile, elikhokelela kumalungu owonakeleyo kunye nokukhubazeka.
• Osteonecrosis: Ukuba akukho gazi laneleyo elinikwayo kwinxalenye yebhola yelungu lesinqe, elinokubangelwa kukwaphuka okanye ukuqhekeka, ithambo linokudilika kwaye liguquguquke.
   

Unokuqwalasela ukutshintshwa kwe-hip xa unentlungu ye-hip:

• Iyaqhubeka, ngaphandle kwamayeza eentlungu
• I-Worsens ngokuhamba, nokuba ngentonga okanye ukuhamba
• Ukuphazamisa ukulala kwakho
• Yenza kube nzima ukunxiba
• Kuchaphazela ukukwazi kwakho ukunyuka okanye ukuhla kwizinyuko
• Kwenza ukuba kube nzima ukuphakama kwindawo ohleli kuyo
   

iingozi

Iingozi ezinxulunyaniswa notyando lwenyango zinokubandakanya:
 

• Amahlwili egazi: Amahlwili anokubakho kwimithambo yakho yemilenze emva kotyando. Oku kunokuba yingozi kuba iqhekeza lehlwili linokuqhekeka liye emiphungeni yakho, entliziyweni okanye, kunqabile, engqondweni yakho. Ugqirha wakho unokukunika amayeza okunciphisa igazi ukunciphisa lo mngcipheko.
• Usulelo: Usulelo lunokwenzeka kwindawo yokusikwa kwakho nakwizicubu ezinzulu ezikufutshane nomlenze wakho omtsha. Uninzi losulelo lunyangwa ngamayeza okubulala iintsholongwane, kodwa usulelo olukhulu kufutshane neprosthesis yakho lunokufuna utyando ukuze kususwe kwaye kubuyiselwe indawo yokufakelwa.
• Ukwaphuka: Ngexesha lotyando, iinxalenye ezisempilweni zelungu lakho le-hip zinokuqhekeka. Ngamanye amaxesha iziqhekeza zincinci ngokwaneleyo ukuba zingaziphilisa ngokwazo, kodwa iziqhekeza ezikhulu zinokufuna ukuzinziswa ziingcingo, izikrufu, kunye nembasa yesinyithi okanye ukufakelwa kwethambo.
• Ukususwa: Izikhundla ezithile zinokubangela ukuba ibhola yelungu lakho elitsha liphume kwisokethi, ngakumbi kwiinyanga zokuqala ezimbalwa emva kotyando. Ukuba inyonga iyashenxiswa, ugqirha wakho unokukulinganisa nge-brace ukugcina i-hip kwindawo efanelekileyo. Ukuba i-hip yakho iqhubeka ichitha, ukuhlinzwa kudla ngokufuneka ukuzinzisa.
• Utshintsho kubude bomlenze: Ugqirha wakho uthatha amanyathelo okuphepha ingxaki, kodwa ngamanye amaxesha inyonga entsha yenza umlenze omnye ube mde okanye ube mfutshane kunomnye. Ngamanye amaxesha oku kubangelwa kukudibana kwezihlunu ezinqeni. Kule meko, ukomeleza ngokuqhubekayo kunye nokwolula ezo zihlunu kunokunceda. Akunakulindeleka ukuba uqaphele, umahluko omncinci kubude bomlenze emva kweenyanga ezimbalwa.
• Ukukhulula: Nangona le ngxaki inqabile ngokufakelwa okutsha, ilunga lakho elitsha linokungazinzi ngokuqinileyo kwithambo lakho okanye likhululeke ekuhambeni kwexesha, libangele iintlungu esinqeni. Utyando lunokufuneka ukulungisa ingxaki.
• Umonakalo wemisipha: Amaxesha amaninzi, imithambo-luvo kwindawo apho kufakwe khona i-implant inokwenzakala. Ukonakala kwemithambo-luvo kunokubangela ukungaziva, ubuthathaka kunye nentlungu.
   

Isidingo sokutshintshwa kwesibini kwesinqe

Umdibaniselwano wakho we-hip odibeneyo unokugqitywa ekugqibeleni, ngakumbi ukuba unokuhlinzwa kwakhona xa usemncinci kwaye usebenza. Emva koko unokufuna ukutshintshwa kwesibini kwesinqe. Nangona kunjalo, izinto ezintsha zenza ukufakelwa kuhlala ixesha elide.
 

Ulungiselela njani

Ngaphambi kotyando uya kudibana nogqirha wakho wamathambo ukuze uvavanye. Ugqirha wotyando uya:
 

• Buza malunga nembali yakho yezonyango kunye namayeza akhoyo ngoku
• Vavanya inyonga yakho, ujonge uluhlu lwentshukumo ngokudibeneyo kunye namandla emisipha ejikeleze
• Oda uvavanyo lwegazi, kunye neX-reyi. I-MRI ayifane ifuneke

Ngexesha lovavanyo lwangaphambi kokusebenza lixesha elifanelekileyo lokuba ubuze imibuzo malunga nenkqubo. Qiniseka ukuba ufumanisa ukuba ngawaphi amayeza ekufuneka uwaphephe okanye uqhubeke nokuwathatha kwiveki engaphambi kotyando.

Kuba ukusetyenziswa kwecuba kungaphazamisa ukuphilisa, yeka ukusebenzisa iimveliso zecuba ubuncinci kwinyanga ngaphambi kotyando kunye neenyanga ezimbini ubuncinci emva kotyando. Ukuba ufuna uncedo ukuze uyeke, thetha nogqirha wakho.

Musa ukuba nomsebenzi wamazinyo, kubandakanywa nokucocwa kwamazinyo, kwiiveki ezimbini phambi kotyando.
 

Yintoni onokuyilindela

Xa uhlola utyando lwakho, uya kucelwa ukuba ususe iimpahla zakho kwaye ubeke isambatho sasesibhedlele. Uyakunikwa nokuba yi-spinal block, ethoba isiqingatha esisezantsi somzimba wakho, okanye iyeza lokuthomalalisa eliqhelekileyo.

Ugqirha wakho ugqirha unokukunika ibhloko yethambo ngokujova i-anesthetic ejikeleze imithambo-luvo okanye ngaphakathi nakwilungu elijikelezayo ukuze uncede uthinte iintlungu emva kotyando.
 

Ngexesha lenkqubo

Inkqubo yotyando ithatha iiyure ezimbalwa. Ukwenza ukutshintshwa kwe-hip, ugqirha wakho ogqirha:
 

• Yenza ukusikwa ngaphezulu ngaphambili okanye kwicala lesinqe sakho, ngokusebenzisa iileya zethishu
• Isusa ithambo eligulayo kunye nokonakala kunye nentlala, ishiya ithambo elisempilweni lihambile
• Utyala isiseko sokufakelwa kwithambo lakho le-pelvic, ukubuyisela isokethi eyonakeleyo
• Faka endaweni yebhola ejikelezileyo ephezulu ye-femur yakho nebhola yokufakelwa, eqhotyoshelwe kwisiqu esilingana nomlenze wakho

Iindlela zokutshintsha i-hip zihlala ziguquka. Abagqirha bayaqhubeka nokuphuhlisa iindlela zobuchule zokuhlinzwa, ezinokunciphisa ixesha lokubuyisela kunye nentlungu.
 

Emva kwenkqubo

Emva kotyando, uya kusiwa kwindawo yokubuyisela kwimeko yesiqhelo iiyure ezimbalwa ngelixa i-anesthesia yakho iphela. Abasebenzi bezonyango baya kubeka esweni uxinzelelo lwegazi, ukubetha, ukuphaphama, iintlungu okanye inqanaba lokuthuthuzela, kunye nemfuno yakho yamayeza.

Abanye abantu banokugoduka kwangolo suku, kodwa uninzi luyangeniswa esibhedlele ubusuku obunye okanye ezimbini. Uya kucelwa ukuba uphefumle nzulu, ukhohlele okanye uvuthele kwisixhobo ukunceda ukugcina ulwelo lungaphandle kwemiphunga yakho.
 

Uthintelo lwegazi

Emva kotyando lwakho, uya kuba semngciphekweni owongeziweyo wamahlwili egazi emilenzeni yakho. Amanyathelo anokwenzeka okuthintela le ngxaki aquka:
 

• Ukuhamba kwangethuba: Uza kukhuthazwa ukuba uhlale phantsi uze uhambe ngeentonga okanye ngesixhobo sokuhamba emva kotyando. Oku kusenokwenzeka ngosuku olufanayo notyando lwakho okanye ngosuku olulandelayo.
• Ukusebenzisa uxinzelelo: Zombini ngexesha nasemva kotyando, unokuba unxibe i-elastic compression stockings okanye imikhono yomoya e-inflatable efana noxinzelelo lwegazi kwimilenze yakho esezantsi. Uxinzelelo oluveliswa yimikhono enomoya lunceda ukugcina igazi lingadibani kwimithambo yemilenze, ukunciphisa amathuba okuba amahlwili abekhona.
• Amayeza okunciphisa igazi: Ugqirha wakho unokuyalela ukuba kutofwe igazi okanye litofwe ngomlomo emva kokuhlinzwa. Kuxhomekeka kwindlela ohamba ngayo kungekudala, ukuba ukhuthele kangakanani kunye nomngcipheko wakho wamahlwili egazi, unokufuna ukucocwa kwegazi iiveki ezimbalwa emva kotyando.
   

Physiotherapy

Ingcali yezomzimba inokukunceda kwimithambo onokuyenza esibhedlele nasekhaya ukukhawulezisa ukuchacha.

Umsebenzi kunye nokuzilolonga kufuneka kube yinto eqhelekileyo yosuku lwakho ukuze uphinde usebenzise ilungu lakho kunye nezihlunu. Umgulana wakho womzimba uya kuncoma ukuqinisa kunye nokuzivocavoca kunye nokuhamba kwaye kuya kukunceda ufunde indlela yokusebenzisa uncedo lokuhamba, olufana nomhambi, udondolo okanye iintonga. Njengoko unyango luqhubela phambili, uya kwandisa ubunzima obubeka emlenzeni wakho uze ukwazi ukuhamba ngaphandle koncedo.
 

Ukubuyisela ekhaya kunye nokhathalelo olulandelayo

Ngaphambi kokuba uphume esibhedlele, wena kunye nabanonopheli bakho niza kufumana iingcebiso malunga nokunyamekela umlenze wakho omtsha. Utshintsho olugudileyo:
 

• Yenza amalungiselelo okuba umhlobo okanye isizalwane sakho sikulungiselele ukutya
• Beka izinto zemihla ngemihla kwinqanaba lesinqe, ke akuyi kufuneka ukuba ugobe phantsi okanye ufike phezulu
• Cinga ngokwenza uhlengahlengiso oluthile kwikhaya lakho, olufana nokufumana isihlalo esiphakamileyo sendlu yangasese ukuba unendlu yangasese ephantsi
• Beka izinto ozifunayo, ezinje ngefowuni yakho, izicwili, isixhobo esikude seTV, amayeza kunye neencwadi ezikufutshane nendawo apho uza kuchitha ixesha lakho elininzi ngexesha lokuchacha

Iiveki ezintandathu ukuya kwezili-12 emva kotyando, kuyakufuneka uphinde ubonane nogqirha wakho ukuze uqiniseke ukuba inyonga yakho iyaphola ngokufanelekileyo. Ukuba ukubuyela kwimeko yesiqhelo kuhamba kakuhle, uninzi lwabantu luyaqhubeka kwakhona ubuncinci kwimisebenzi yabo yesiqhelo ngeli xesha. Ukubuyela kwimeko yesiqhelo kunye namandla okuphucula kuya kuhlala kwenzeka kangangeenyanga ezintandathu ukuya kwezi-12.
 

iziphumo

Lindela umdibaniso wakho omtsha we-hip ukunciphisa intlungu oyivayo ngaphambi kokuhlinzwa kwakho kwaye ukwandise uluhlu lwentshukumo kwilungu lakho. Kodwa ungalindeli ukwenza yonke into ongayenza ngaphambi kokuba i-hip ibe buhlungu.

Imisebenzi echaphazela kakhulu njengokubaleka okanye ukudlala ibhola yomnyazi inokuba yingxaki kakhulu kwilungu lakho lomzimba elenziweyo. Kodwa ekuhambeni kwexesha, unokukwazi ukudada, ukudlala igalufa, ukunyuka intaba okanye ukukhwela ibhayisekile ngokukhululeka.