UkuBekwa ngokutsha kweKnee

I-Osteoarthritis (OA) yeyona ndlela ixhaphakileyo ye-knee arthritis kwaye ingabangela intlungu kunye nokukhubazeka okukhulu. Iimpawu zidla ngokuba zibi ngakumbi xa kuthwalwa ubunzima, kwaye kwiimeko eziphambili, kwanemisebenzi yemihla ngemihla inokuba lucelomngeni.

Xa ukunyakaza kunye namanqanaba entlungu ebaluleke kakhulu, utyando lokutshintshwa kwamadolo lunokuba lukhetho.
 

Yintoni ukutshintshwa kwedolo?

Ngaphezulu kweepesenti ze-90 zabantu abenza utyando lokutshintshwa kwamadolo bathi kuphucula intlungu yabo.

Kukho iintlobo ezahlukeneyo zokutshintshwa kwamadolo. Ukhetho lubandakanya:

• ukutshintshwa kwedolo elipheleleyo: idolo lonke litshintshwa
• ukutshintshwa kwedolo eliyingxenye: kuphela inxalenye echaphazelekayo yedolo ithathelwa indawo
• ukutshintshwa kwamadolo amabini: amadolo omabini atshintshwa ngaxeshanye

Kwiimeko ezininzi, abantu benza utyando lokutshintshwa kwamadolo ngenxa yokuba bane-OA. Ukutshintshwa kwedolo ngokupheleleyo ngumsebenzi oqhelekileyo owenziwayo.
 

Kwenzeka ntoni ngexesha lenkqubo?

Uninzi lotyando lokutshintshwa kwamadolo lwenziwa phantsi kwendibaniselwano ye-anesthesia jikelele, i-peripheral nerve blocks, kunye ne-spinal (epidural) anesthesia. Kananjalo uya kufumana idosi enye ubuncinane yamayeza okubulala iintsholongwane ukunciphisa umngcipheko wosulelo.

Ngexesha lenkqubo, ugqirha uya kususa ithambo kunye ne-cartilage enesifo apho ithambo lakho lethanga (i-femur) kunye ne-shin bone (tibia) lidibana khona emadolweni akho.

Ezo ndawo ke zitshintshwa ngokufakelwa kwentsimbi. Isiqwenga seplastiki esikhethekileyo siqhele ukusetyenziselwa ukubuyisela umva we-kneecap kwaye ekugqibeleni, le nto inye yeplastiki ifakwe phakathi kwamacandelo amabini esinyithi.

Oku kunika amathambo omabini edolo lakho elidibeneyo indawo egudileyo kwakhona ukuze akwazi ukugoba kwaye agobe ngokukhululekileyo nangokungenantlungu.
 

Ukubuyiswa ngokupheleleyo kokutshintshwa kwedolo

Uninzi lokuchacha kwakho kunye nokuvuselelwa kwakho kuya kuba sekhaya emva kokuba uphumile esibhedlele. Abanye abantu bafuna ukhathalelo lwempilo yasekhaya okanye uncedo.

Ugqirha wakho ngokuqinisekileyo uya kukunika unyango lomzimba kwiklinikhi yengingqi ukuze ubuyisele ukubuyisela kwimeko yesiqhelo. Ugqirha womzimba kule kliniki uya kucebisa umthambo onokuwenza ekhaya.

Wonke umntu uchacha ngendlela eyahlukileyo, kodwa uninzi lwabantu luvumelekile ukuba lubuyele ekuqhubeni ekupheleni kweeveki ezi-4.

Isenokuba ngumbono olungileyo ukulungiselela ikhaya lakho ukuba libuye ngaphambi kokuba wenze utyando.
 

Lolonga

Ukuzivocavoca kudlala indima ebalulekileyo ekuthinteleni umonakalo wamadolo, ukuxhasa idolo ngexesha lonyango, kunye nokubuyisela.

Umthambo unokunceda ukuthintela umonakalo odibeneyo ngoku:

• ukuqinisa imisipha ejikeleze idolo
• kukunceda ugcine ubunzima obunempilo

Oku kuyinyani phambi nasemva kotyando, nokuba kungenxa yendalo okanye idolo elenziweyo.

Iintlungu ezingapheliyo kunye nemiba yokuhamba inokunyusa umngcipheko wokuhlala wedwa. Ukujoyina iklasi yokuzivocavoca kunokuba yindlela efanelekileyo yokunxibelelana nabanye abantu, abanye babo banokuba nemiba yempilo efanayo.

Ukuzilolonga nako kunokukunceda uzive ulungile kwaye unciphise umngcipheko wokuxhalaba kunye nokudakumba.
 

Yeyiphi imithambo?

Izikhokelo ezivela kwiKholeji yaseMelika yeRheumatology / Arthritis Foundation incoma kakhulu umthambo wokulawula i-OA yamadolo.
 

Imisebenzi enokuba luncedo ibandakanya:

• ukuhamba
• ngebhayisikili
• imithambo yokomeleza
• umthambo wamanzi
• tai chi
• yoga

Ecaleni kokuzilolonga, ubunzima bubalulekile ekulawuleni i-OA yamadolo

Emva kokutshintshwa kwedolo, i-physiotherapist yakho iya kuba neprotocol yokuzivocavoca ukuba uyilandele.

Oku kuya kubandakanya ukubuyela ezinyaweni zakho ngokukhawuleza emva kokuhlinzwa kunye nokuhamba kancinci yonke imihla.

Ezi zivivinyo ziya kunceda ukuqinisa idolo kwaye kukhawulezise ukuphiliswa kwakho.

Kubalulekile ukulandela imiyalelo ngononophelo ukuze ukuchacha kwakho kuhlale kusendleleni. Kuya kukunceda ubuyele kwimisebenzi yakho yesiqhelo yemihla ngemihla ngokukhawuleza.

Kwakhona kuya kukunceda ukuseka inkqubo enokuthi ixhase impilo yakho ngokuqhubekayo.
 

Iingxaki

Lonke utyando lunokubandakanya iingxaki. Emva kotyando lokutshintshwa kwamadolo, kunokubakho umngcipheko woku:

• usulelo
• iifutha zegazi
• iintlungu eziqhubekayo, nangona utyando luphumelele
• ukuqina

Uninzi lwabantu alufumani zingxaki ezinzima kwaye bavuya kakhulu ukuba baye batshintsha idolo. Iqela lezempilo liya kusebenza nawe ukuqinisekisa ukuba umngcipheko usezantsi kangangoko.
 

Ngubani omele acinge ngotyando lwamadolo?

I-osteoarthritis sisizathu esixhaphake kakhulu sokuba abantu batyandwe ngamadolo kodwa utyando lunokufuneka kubantu abane:

• ukwenzakala edolweni njengeligament tear okanye meniscus tear
• ukukhubazeka kwedolo abazalwa benako
• irheumatoid arthritis

Abantu abaninzi abaneentlungu zamadolo abakhe bafune utyando kwaye banokunyangwa ngokungasebenziyo. Ugqirha wakho unokucebisa:

• ukulahlekelwa ubunzima
• ukufumana umthambo ngakumbi okanye ukulandela isicwangciso sokuzilolonga esithile
• ukusebenzisa i-over-the-counter okanye amanye amayeza
• inaliti
   

Ukwenza isigqibo

Ugqirha unakho ukwenza ezinye iimvavanyo ukubona ukuba ufuna utyando, kwaye uya kuba nethuba lokubuza imibuzo.

Kwiimeko ezininzi, ukutshintshwa kwedolo ngokupheleleyo kunciphisa intlungu kunye nokuphucula ukuhamba. Nangona kunjalo, utyando lunokubiza imali eninzi, lunokuthatha iiveki okanye iinyanga ezininzi ukuluchacha, kwaye kukho umngcipheko omncinci wokuba nengxaki.
 

Ukutshintshwa kwedolo ngokuyinxenye

Kwindawo yokutshintshwa kwedolo, ugqirha wotyando uthatha indawo kuphela inxalenye yedolo lakho elonakeleyo.

Xa kuthelekiswa nokutshintshwa kwedolo elipheleleyo, le nkqubo ineenzuzo ezilandelayo:

• Ifuna ukusika okuncinci.
• Kukho ilahleko encinci yethambo negazi.
• Ukuchacha kudla ngokukhawuleza kwaye kubuhlungu kancinci.

Nangona kunjalo, ukuba utshintshile ngamadolo, unokufuna utyando olongezelelweyo kwixesha elizayo ukuba i-arthritis ikhula kwiindawo zedolo ezingatshintshwa.
 

Ukutshintshwa kwamadolo amabini

Kwi-bilateral or double knee replacement surgery, ugqirha wotyando utshintsha amadolo omabini ngaxeshanye.

Ukuba une-OA emadolweni omabini, oku kunokuba yinto efanelekileyo, njengoko kuthetha ukuba kufuneka uhambe kuphela kwinkqubo kunye nenkqubo yokubuyisela kanye.

Nangona kunjalo, ukubuyisela kwimeko yesiqhelo kuya kuthatha ixesha elide kwaye uya kufuna uncedo olungakumbi ngexesha lokuchacha.
 

Apollo Noida

Ugqirha wotyando otshintshe idolo e-Noida kunye nogqirha otshintshileyo wamadolo eNoida