Ukutshintshwa kweElbow-IiNkqubo, Ulungiselelo, Iindleko, kunye noBuyiselo

Ukutshintshwa kwe-elbow yinkqubo yotyando eyenzelwe ukunciphisa intlungu kunye nokubuyisela umsebenzi kwi-elbow joint. Le nkqubo iquka ukukhupha amalungu engqiniba eyonakeleyo okanye enesifo kuze kufakwe amacandelo angengowamvelo, abizwa ngokuba ziiprosthetics. I-elbow joint isakhiwo esiyinkimbinkimbi esivumela uluhlu olubanzi lwentshukumo, eyenza imisebenzi efana nokuphakamisa, ukuphosa, kunye nemisebenzi elula efana nokutya okanye ukuchwetheza. Xa i-elbow joint yonakaliswa kakhulu ngenxa yokulimala, isifo samathambo, okanye ezinye iimeko, kunokukhokelela kwiintlungu ezinkulu kunye nokunciphisa ukuhamba.

Eyona njongo iphambili yokutshintshwa kwengqiniba kukuthomalalisa iintlungu kunye nokuphucula umgangatho wobomi babantu abaphethwe ziimeko ezingapheliyo zengqiniba. Inkqubo ikholisa ukucetyiswa kwizigulana ezingakhange zifumane isiqabu ngonyango olululo, olunje ngamayeza, unyango lomzimba, okanye inaliti ye-corticosteroid. Ngokutshintsha iindawo ezidibeneyo ezonakalisiweyo, ukutshintshwa kwe-elbow kujolise ekubuyiseleni umsebenzi kunye nokuvumela izigulane ukuba zibuyele kwimisebenzi yazo yemihla ngemihla ngokulula okukhulu.

Ukutshintshwa kwe-elbow kuyasebenza ngokukodwa ukunyanga iimeko ezifana ne-osteoarthritis, i-rheumatoid arthritis, i-post-traumatic arthritis, kunye nokwaphuka okukhulu okungakhange kuphole kakuhle. Nganye yale miqathango ingakhokelela kumonakalo omkhulu odibeneyo, obangela intlungu, ukuqina, kunye nokunciphisa uluhlu lwentshukumo. Inkqubo inokwenziwa njengokutshintshwa kwe-elbow iyonke, apho macala omabini e-joint atshintshwa, okanye njengokutshintshwa kwe-elbow, apho kuthethwa khona icala elinye.

Kutheni Kwenziwa Ukutshintshwa kweElbow?

Ukutshintshwa kwe-elbow ngokuqhelekileyo kunconywa kwizigulane ezifumana iintlungu ezibuhlungu kunye nokunciphisa ukusebenza ngenxa yeemeko ezahlukeneyo ze-elbow. Iimpawu eziqhelekileyo ezikhokelela kule nkqubo ziquka intlungu eqhubekayo engaphucukanga ngonyango olulondolozayo, ukuvuvukala, ukuqina, kunye nokunciphisa uluhlu lokunyakaza. Abaguli basenokuba nobunzima ekwenzeni imisebenzi yemihla ngemihla, enjengokuphakamisa izinto, ukufikelela phezulu, okanye kwanokuxhawula izandla.

Iimeko ezihlala zifuna ukutshintshwa kwengqiniba ziquka:

• Osteoarthritis: Esi sifo samalungu siwohlokayo senzeka xa i-cartilage ekhusela i-elbow joint iyancipha ngokuhamba kwexesha, okukhokelela kwiintlungu, ukudumba kunye nokuqina. Sesinye sezizathu eziqhelekileyo zokutshintshwa kwengqiniba.
• Irheumatoid arthritis: Imeko ye-autoimmune eyenza ukuvuvukala kumalungu, i-rheumatoid arthritis ingakhokelela kumonakalo odibeneyo kunye nokukhubazeka. Xa unyango olulondolozayo lungasebenzi, ukutshintshwa kwengqiniba kunokuqwalaselwa.
• I-Arthritis ye-Post-Traumatic: Le meko ingakhula emva kokulimala okukhulu kwi-elbow, njengokuphuka okanye ukuchithwa. Ukuba iindawo ezidibeneyo zonakaliswe kwaye unyango olulondolozayo aluboneleli ngokukhululeka, utyando lunokufuneka.
• Iifracture ezimandundu: Kwiimeko apho i-elbow fracture iyinkimbinkimbi kwaye ayiphili ngokufanelekileyo, ukutshintshwa kwe-elbow kungaba yindlela efanelekileyo yokubuyisela umsebenzi kunye nokunciphisa intlungu.

Ukutshintshwa kwe-elbow ngokuqhelekileyo kuqwalaselwa xa unyango olungelulo utyando luphelile, kwaye umgangatho wobomi besigulana uchatshazelwa kakhulu yimeko yabo yengqiniba. Isigqibo sokuqhubeka notyando senziwa emva kokuvavanywa ngokucokisekileyo ngugqirha wamathambo, oya kuqwalasela impilo yonke yesigulane, inqanaba lomsebenzi kunye neempawu ezithile.

Iimpawu zoTshintsho lwe-Elbow

Iimeko ezininzi zeklinikhi kunye neziphumo zokuxilonga zingabonisa isidingo sokutshintshwa kwengqiniba. Ezi ziquka:

• Iintlungu Ezibuhlungu: Izigulane ezifumana intlungu engapheliyo, ephazamisayo kwi-elbow ephazamisa imisebenzi yemihla ngemihla kwaye ayiphenduli kumayeza okanye unyango lomzimba lunokuba ngabaviwa bokutshintshwa kwe-elbow.
• Uluhlu olulinganiselweyo lweSindululo: Ukuncipha okubonakalayo kokukwazi ukugoba okanye ukulungisa i-elbow kungabonakalisa umonakalo odibeneyo. Ukuba oku kusikelwa umda kuchaphazela umgangatho wobomi besigulana, utyando lunokuqinisekiswa.
• Ukukhubazeka okudibeneyo: Ukukhubazeka okubonakalayo kwi-elbow joint, njengokungahambi kakuhle okanye ukuma okungaqhelekanga, kunokuba luphawu lomonakalo omkhulu odibeneyo. Oku kunokwenzeka ngenxa yeemeko ezifana ne-rheumatoid arthritis okanye i-post-traumatic arthritis.
• Iziphumo zomfanekiso: I-X-rays okanye i-MRI scans ingabonakalisa umonakalo omkhulu odibeneyo, kuquka i-bone spurs, i-cartilage loss, okanye ezinye iinguqu eziguqukayo. Ezi ziphumo zinokunceda ukuqinisekisa imfuno yokutshintshwa kwengqiniba.
• Ukungaphumeleli koNyango lweConservative: Ukuba isigulana siye safumana unyango olungelulo utyando olwahlukahlukeneyo, olunjengonyango lomzimba, amayeza, okanye ukutofwa, ngaphandle kokufumana isiqabu ngokwanelisayo, ukutshintshwa kwengqiniba kusenokuba linyathelo elilandelayo.
• Ubudala kunye neNqanaba loMsebenzi: Nangona ubudala bodwa abuyiyo into emiselayo, abancinci, abaguli abasebenzayo banokuqwalaselwa ukutshintshwa kwengqiniba ukuba imeko yabo ichaphazela kakhulu indlela yabo yokuphila. Ngokuchaseneyo, izigulana ezindala zinokuba ngabaviwa ukuba bafumana iimpawu ezinzima.

Ekugqibeleni, isigqibo sokuqhubeka nokutshintshwa kwe-elbow senziwa ngokubambisana phakathi kwesigulane kunye nogqirha wabo wamathambo, kuthathelwa ingqalelo iimeko ezithile zesigulane, impilo yonke kunye neenjongo zonyango.

Iintlobo zoTshintsho lwe-Elbow

Iinkqubo zokutshintshwa kwe-elbow zingahlelwa zibe ziindidi ezimbini eziphambili: ukutshintshwa kwengqiniba iyonke kunye nokutshintshwa kwengqiniba ngokuyinxenye. Uhlobo ngalunye lulungiselelwe ukujongana neemeko ezithile kunye namanqanaba omonakalo odibeneyo.

• Ukutshintshwa kwe-Elbow iyonke: Le nkqubo ibandakanya ukutshintshwa kwe-humeral (ingalo ephezulu) kunye ne-ulnar (i-forearm) ye-elbow joint. Ukutshintshwa kwengqiniba iyonke kuyacetyiswa kwizigulana ezinomonakalo omkhulu odibeneyo ngenxa yeemeko ezifana ne-osteoarthritis eqatha okanye i-rheumatoid arthritis. Injongo kukubonelela ngentlungu kunye nokubuyisela umsebenzi ngokutshintsha yonke indawo edibeneyo kunye namacandelo e-prosthetic.
• Ukutshintshwa kwengqiniba ngokuyinxenye: Eyaziwa ngokuba yi-unicompartmental elbow replacement, le nkqubo igxile ekutshintsheni kuphela icala elinye le-elbow joint, mhlawumbi i-humeral okanye i-ulnar component. Ukutshintshwa kwe-elbow okuyingxenye kunokufaneleka kwizigulane ezinomonakalo odibeneyo wendawo okanye abo baye bafumana ingozi ethile echaphazela kuphela icala elinye. Le ndlela inokugcina ngaphezulu kwethambo lendalo kwaye inokukhokelela ekubuyiseleni ngokukhawuleza.

Zombini iintlobo zokutshintshwa kwe-elbow zibandakanya ukusetyenziswa kwamacandelo e-prosthetic eyenziwe kwizinto ezihlala ixesha elide, ezifana nentsimbi kunye ne-polyethylene, eyenzelwe ukulinganisa intshukumo yendalo ye-elbow joint. Ukhetho phakathi kokutshintshwa kwe-elbow epheleleyo kunye nenxalenye kuxhomekeke kubungakanani bomonakalo odibeneyo, impilo yonke yesigulana, kunye neemfuno kunye neenjongo zabo ezithile.

Ukuqukumbela, ukutshintshwa kwe-elbow lukhetho oluxabisekileyo lotyando kubantu abaphethwe ziintlungu ezingapheliyo ze-elbow kunye nokungasebenzi kakuhle ngenxa yeemeko ezahlukeneyo. Ngokuqonda inkqubo, imiqondiso yayo, kunye neentlobo ezikhoyo, izigulane zinokwenza izigqibo ezinolwazi malunga nokhetho lwazo zonyango kwaye zisebenzele ekubuyiseleni umgangatho wobomi bazo.

Contraindications Ukutshintshwa kweElbow

Ngelixa utyando lokutshintsha i-elbow lunokuphucula kakhulu umgangatho wobomi kwizigulana ezininzi ezineentlungu ezibuhlungu ze-elbow kunye nokungasebenzi kakuhle, ayifanelanga wonke umntu. Ukuchasana okuninzi kunokwenza isigulane singafaneleki kule nkqubo. Ukuqonda ezi zinto kubalulekile kwizigulana nakubaboneleli bezempilo.

• Sulelo: Usulelo olusebenzayo kwi-elbow joint okanye izicubu ezingqongileyo lunokuthintela utyando. Usulelo kufuneka lunyangwe kwaye lusonjululwe phambi kokuba kuqwalaselwe ukutshintshwa kwengqiniba.
• Ukulahleka Kwamathambo Okumandundu: Izigulane ezinokulahleka okukhulu kwethambo kwi-elbow joint zingenako ngokwaneleyo isakhiwo esizinzile sokuxhasa ukudibanisa okwenziweyo. Le meko inokwenza nzima utyando kwaye ichaphazele ixesha elide lokufakelwa.
• Impilo Embi: Izigulane ezineemeko zempilo ezinzulu, ezifana nesifo seswekile esingalawulwayo, isifo senhliziyo, okanye imiba yokuphefumula, zinokuba sengozini enkulu yeengxaki ngexesha nangemva kokuhlinzwa. Ukuphononongwa ngokucokisekileyo ngumboneleli wezempilo kubalulekile ukufumanisa ukuba izibonelelo zotyando ziyodlula imingcipheko.
• ukutyeba: Ubunzima bomzimba obugqithisileyo bunokunyusa umngcipheko weengxaki ngexesha lotyando kwaye kunokuchaphazela ukuphumelela kwexesha elide lokutshintshwa kwe-elbow. Ukunciphisa umzimba kunokucetyiswa ngaphambi kokuqwalasela inkqubo.
• Ukwalana nokuFakela iMathiriyeli: Ezinye izigulana zisenokungadibani nezinto ezisetyenziswa kwindawo yengqiniba efakelweyo, njengentsimbi okanye iplastiki. Imbali yonyango ngokucokisekileyo kunye novavanyo lokwaliwa lunokuba yimfuneko ukuchonga nayiphi na imiba enokubakho.
• Ukunganelanga ukuBuyiselwa kwiSimo sesiqhelo: Izigulane ezingakwaziyo okanye ezingafuni ukuthatha inxaxheba ekubuyiseleni okufunekayo emva kokuhlinzwa zingabi ngabaviwa abafanelekileyo. Ukuchacha ngempumelelo kuxhomekeke kakhulu kunyango lomzimba lwasemva kotyando kunye nokuthotyelwa kwemigaqo yokubuyisela kwisimo sangaphambili.
• Izinto zePsychych: Iimeko zempilo yengqondo ezichaphazela amandla esigulane ukuqonda inkqubo, ukulandela imiyalelo emva kokuhlinzwa, okanye ukujamelana nenkqubo yokubuyisela kwakhona kunokuba yi-contraindications.
• Utyando lwangaphambili: Izigulane eziye zafumana utyando oluninzi lwangaphambili kwi-elbow zinokuba nezicubu ezibomvu okanye ezinye iingxaki ezinokuthi zibe nzima inkqubo yokutshintshwa.
• Iingqwalasela zobudala: Nangona ubudala bodwa bungachasananga ngokungqongqo, izigulane ezincinci zingacetyiswa ukuba zihlolisise ezinye iindlela zonyango kuqala, njengoko amajoyina okwenziwa angaguga ngokuhamba kwexesha kwaye afune ukuhlinzwa ngokutsha.

Ngokuqonda ezi zithintelo, izigulana zinokuba neengxoxo ezinolwazi kunye nababoneleli bezempilo malunga nokufaneleka kwabo kuqhaqho lokutshintshwa kwe-elbow.

ULungiselela njani Ukutshintshwa kweElbow

Ukulungiselela utyando lokubuyisela ingqiniba kubandakanya amanyathelo abalulekileyo aliqela ukuqinisekisa esona siphumo silungileyo. Nasi isikhokelo sokukunceda ukuba ulungele inkqubo.

• Ukubonisana noGqirha wakho woTyando: Uhambo lwakho luqala ngokubonisana ngokucokisekileyo nogqirha wakho wamathambo. Ngeli xesha lokuqeshwa, uya kuxoxa ngeempawu zakho, imbali yonyango, kunye neenzuzo ezinokubakho kunye nobungozi bokutshintshwa kwe-elbow.
• Uvavanyo lwaPhambi kokuSebenza: Ugqirha wakho unokuyalela iimvavanyo ezininzi ukuvavanya impilo yakho yonke kunye nemeko yengqiniba yakho. Oku kunokubandakanya:
  • I-X-rays okanye i-MRI scans ukuvavanya i-joint.
  • Uvavanyo lwegazi ukujonga nayiphi na imiba yezempilo esisiseko.
  • Uvavanyo lomzimba ukuvavanya uluhlu lwakho lwentshukumo kunye namandla.
• Uphononongo lwamayeza: Yazisa ugqirha wakho wotyando malunga nawo onke amayeza owathathayo ngoku, kubandakanywa amayeza athengiswayo kunye nezongezelelo. Amanye amayeza, anje ngegazi, anokufuna ukuhlengahlengiswa okanye anqunyanyiswe okwethutyana phambi kotyando.
• Indlela yokuPhila: Ukuba ukhuluphele, ugqirha wakho unokuncoma isicwangciso sokulahlekelwa kwesisindo sokunciphisa umngcipheko weengxaki. Ukongezelela, ukuyeka ukutshaya kunokuphucula kakhulu ukuphilisa kunye nokubuyisela.
• Imiyalelo yokuSebenza kwangaphambili: Landela nayiphi na imiyalelo ethile enikelwe liqela lakho lezempilo. Oku kunokuquka imiqathango yokutya, njengokuzila ukutya ngaphambi kotyando, kunye nezikhokelo malunga nexesha lokuyeka ukutya okanye ukusela.
• Lungiselela iNkxaso: Cwangcisa ukuba kubekho umntu oza kukukhapha ukuya esibhedlele aze akuncede xa uchache. Le nkxaso inokuba luncedo njengoko ujikeleza imisebenzi yemihla ngemihla emva kotyando.
• Ukulungiselela Ekhaya: Yenza ikhaya lakho likhuseleke kwaye lifikeleleke ukuze uchache. Oku kunokubandakanya ukususa iingozi ezikhubekayo, ukwenza amalungiselelo okufikelela lula kwizinto ezisetyenziswa rhoqo, kunye nokulungiselela indawo etofotofo yokubuyisela.
• Ukubonisana nonyango lomzimba: Abanye oogqirha botyando bacebisa ukuba badibane nogqirha womzimba ngaphambi kotyando ukuze baxoxe ngokubuyiselwa kwimeko yesiqhelo emva kotyando. Ukuqonda into onokuyilindela kunokukunceda ukuba ulungiselele ngengqondo inkqubo yokubuyisela.
• Ukulungiselela ngokweemvakalelo: Kuyinto eqhelekileyo ukuziva uxhalabile ngotyando. Cinga ngokuxoxa ngeemvakalelo zakho kunye nomboneleli wakho wezempilo okanye umcebisi. Banokubonelela ngenkxaso kunye nezicwangciso zokukunceda ukuba umelane nayo nayiphi na inkxalabo yangaphambi kotyando.

Ngokuthatha la manyathelo ukulungiselela utyando lokutshintshwa kwe-elbow, unokunceda ekuqinisekiseni inkqubo egudileyo kunye nokubuyisela ngempumelelo ngakumbi.

Ukutshintshwa kwe-Elbow: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda into onokuyilindela ngexesha lokutshintshwa kwe-elbow kunokunceda ukunciphisa uxhalaba kwaye kukulungiselele amava. Nantsi isishwankathelo senyathelo ngenyathelo lenkqubo.

• ULungiselelo lwaPhambi kokuSebenza: Ngomhla wotyando, uya kufika esibhedlele okanye kwiziko lotyando. Uya kungena kwaye unokucelwa ukuba utshintshe ube yingubo yesibhedlele. Umgca we-intravenous (IV) uya kufakwa engalweni yakho ukuze ulawule amayeza kunye nolwelo.
• Anesthesia: Ngaphambi kokuba inkqubo iqale, uya kufumana i-anesthesia. Oku kunokuba yi-anesthesia jikelele, ekwenza ulale, okanye i-anesthesia yengingqi, ephazamisa ingalo ngelixa uhlala uphaphile. I-anesthesiologist yakho iya kuxoxa ngeyona ndlela ilungileyo kuwe.
• Ukuqhawula: Emva kokuba ukhululekile kwaye i-anesthesia isebenze, ugqirha uya kwenza i-incision ngaphambili okanye ngasemva kwe-elbow yakho, kuxhomekeke kwindlela yokuhlinzwa.
• Ukulungiselela ngokudibeneyo: Ugqirha uya kususa ngokucophelela iindawo ezonakalisiweyo ze-elbow joint, kubandakanywa neziphelo ze-humerus (ithambo lengalo ephezulu) kunye ne-ulna (i-forearm bone). Nawaphi na amaqhekeza okanye inkunkuma nayo iya kucocwa.
• Ukubekwa koFakelo: Emva kokulungiselela indawo yethambo, ugqirha uya kubeka i-elbow edibeneyo, ehlala iquka isinyithi kunye neplastiki. Ukufakelwa kwenzelwe ukulinganisa intshukumo yendalo yengqiniba.
• Ukuvalwa: Emva kokuba ukufakelwa kukhuselekile endaweni, ugqirha uya kuvala i-incision ngokusebenzisa i-sutures okanye i-staples. Kuza kufakwa isambatho esingenazintsholongwane ukukhusela indawo yotyando.
• Igumbi lokubuyisela: Emva kwenkqubo, uya kuthathwa kwigumbi lokubuyisela apho abasebenzi bezonyango baya kubeka iliso kwiimpawu zakho ezibalulekileyo kwaye baqinisekise ukuba uvuka ngokukhuselekileyo kwi-anesthesia. Ulawulo lweentlungu luya kuqaliswa ukuze uhlale ukhululekile.
• Ukhathalelo lwasemva kokusebenza: Unokuhlala esibhedlele usuku okanye ezimbini, kuxhomekeka kwindlela ochacha ngayo. Unyango lomzimba luya kuqala kungekudala emva kokuhlinzwa ukunceda ukubuyisela ukunyakaza kunye namandla kwi-elbow yakho. Olu hlaziyo lubalulekile kwaye luhlala luthatha ixesha elide ukuze lube neziphumo ezilungileyo zexesha elide.
• Imiyalelo yokukhupha: Phambi kokuba umke esibhedlele, uya kufumana imiyalelo eneenkcukacha malunga nendlela yokunyamekela indawo yakho yotyando, ukulawula iintlungu, kunye nokwenza umthambo ekhaya. Kubalulekile ukulandela ezi zikhokelo ngokusondeleyo ukuze uchache ngendlela eyiyo.
• Ukuqeshwa kokulandelela: Uya kuba nokuqeshwa okulandelwayo kunye nogqirha wakho wotyando ukujonga inkqubela yakho yokuphilisa kwaye wenze naluphi na uhlengahlengiso oluyimfuneko kwisicwangciso sakho sokubuyisela kwimeko yesiqhelo.

Ngokuqonda inkqubo yesinyathelo-nge-nyathelo yotyando lokutshintshwa kwe-elbow, izigulane zinokuziva zilungele kwaye zizithembe njengoko zisondela kule nkqubo ibalulekileyo.

Imingcipheko kunye neengxaki zokutshintshwa kwe-Elbow

Njengayo nayiphi na inkqubo yotyando, ukutshintshwa kwe-elbow kuthwala imingcipheko ethile kunye neengxaki ezinokubakho. Ngelixa izigulana ezininzi zifumana isiqabu esibalulekileyo kwiintlungu kunye nomsebenzi ophuculweyo, kubalulekile ukuba uqaphele zombini iingozi eziqhelekileyo kunye nezinqabileyo ezinxulumene notyando.

Imingcipheko eqhelekileyo:

• Sulelo: Enye yeengozi ezixhaphakileyo ezilandela naluphi na uqhaqho lusulelo. Ngelixa amanyathelo athathwayo ukunciphisa lo mngcipheko, usulelo lunokwenzeka kwindawo yotyando okanye nzulu ngaphakathi kwendawo edibeneyo.
• Amahlwili egazi: Izigulane zinokuba sengozini yokuphuhlisa i-blood clots emilenzeni (i-deep vein thrombosis) emva kokuhlinzwa. Amanyathelo okuthintela, afana ne-blood thinners kunye nokuhlanganiswa kwangethuba, ngokuqhelekileyo aphunyezwa.
• Iintlungu kunye nokuDumba: Iintlungu emva kokuhlinzwa kunye nokuvuvukala zixhaphakile kwaye zinokulawulwa ngamayeza kunye ne-ice therapy. Uninzi lwezigulane zifumana ukuhla kancinci kwezi mpawu ngokuhamba kwexesha.
• Ubunzima: Ezinye izigulane zinokufumana ukuqina kwi-elbow joint emva kokuhlinzwa. Unyango lomzimba lubalulekile ekuncedeni ukubuyisela uluhlu lwentshukumo kunye nokuthintela ukuqina kwexesha elide.
• Implant Ukukhulula: Ngokuhamba kwexesha, ukudibanisa okwenziweyo kunokukhululeka, okukhokelela kwiintlungu kunye nokunciphisa umsebenzi. Oku kunokufuna utyando oluhlaziyiweyo ukuze kuthathelwe indawo i-implant.

Imingcipheko enqabileyo:

• Injury: Kukho umngcipheko omncinci wokulimala kwe-nerve ngexesha lenkqubo, enokuthi iholele kwi-numbness, i-tingling, okanye ubuthathaka kwingalo okanye esandleni. Uninzi lokulimala kwemithambo-luvo kokwexeshana, kodwa ezinye zinokufuna unyango olongezelelweyo.
• ukwaphuka: Kwiimeko ezinqabileyo, ukuphuka kunokwenzeka ngexesha okanye emva kokuhlinzwa, ngakumbi ukuba ithambo libuthathaka okanye liphazamisekile.
• Ukuphendula ngokugulisayo: Ezinye izigulana zinokuba nokuchasana nezinto ezisetyenzisiweyo kwi-implant, nto leyo enokukhokelela kwiingxaki.
• Iingxaki ze-Anesthesia: Nangona kunqabile, iingxaki ezinxulumene ne-anesthesia zingenzeka, kubandakanywa nemiba yokuphefumula okanye ukusabela kakubi kwi-anesthetic agents.
• Iintlungu ezingapheliyo: Nangona izigulane ezininzi zifumana ukukhululeka okukhulu kweentlungu, abanye banokuqhubeka bebuhlungu emva kokuhlinzwa, oku kunokuba nzima ukulawula.

Ukuqonda le mingcipheko kunye neengxaki kunokunceda izigulane zenze izigqibo ezinolwazi malunga neendlela zabo zonyango kunye nokulungiselela inkqubo yokubuyisela. Kubalulekile ukuba neengxoxo ezivulelekileyo kunye nomboneleli wakho wezempilo malunga nayo nayiphi na into ekuxhalabisayo kwaye ulandele yonke imiyalelo yaphambi nasemva kotyando ukunciphisa umngcipheko.

UkuBuyisa emva kokutshintshwa kwe-Elbow

Inkqubo yokubuyisela emva kokutshintshwa kwe-elbow ibalulekile ekubuyiseleni ukuhamba kunye namandla kwi-joint. Ngokuqhelekileyo, ixesha lokubuyisela lingahlulwa libe ngamanqanaba amaninzi:

• IsiGaba esikhawulezileyo sasemva kokusebenza (iiveki ezi-0-2): Emva kotyando, izigulane ziya kuchitha iiyure ezimbalwa kwigumbi lokubuyisela. Ukulawulwa kweentlungu yinto ephambili, kwaye unyango lomzimba lunokuqala ngosuku okanye ezimbini. Ngokuqhelekileyo izigulane zikhuthazwa ukuba ziqale iintshukumo ezithambileyo ukukhusela ukuqina.
• Isigaba sokuBuyisa kwangethuba (iiveki ezi-2-6): Ngeli xesha, izigulana ziya kwandisa ngokuthe ngcembe uluhlu lwazo lokuzivocavoca. Ukudumba kunye nokungakhululeki kuqhelekile, kodwa oku kufuneka kuphuculwe ngokuhamba kwexesha. Uninzi lwezigulana zinokulindela ukuba zisuswe izithungo kwiiveki ezimbini.
• Isigaba esiPhakathi sokuBuyisa (iiveki ezi-6-12): Ngeli nqanaba, izigulane kufuneka zibone ukuphuculwa okuphawulekayo kokuhamba. Iiseshoni zonyango lomzimba ziya kuba nzima ngakumbi, zijolise ekuqiniseni imisipha ejikeleze i-elbow. Izigulana ezininzi zinokubuyela kwimisebenzi elula yemihla ngemihla, kodwa ukuphakamisa okunzima kunye nemisebenzi enzima kufuneka kusafuneka kuphetshwe.
• Isigaba soBuyiselo seXesha elide (iinyanga ezi-3-6): Ukuchacha ngokupheleleyo kunokuthatha ukuya kwiinyanga ezintandathu okanye ngaphezulu. Izigulane ziya kuqhubeka nokusebenza ngamandla abo kunye nokuguquguquka. Uninzi lwabantu lungaqala kwakhona imisebenzi eqhelekileyo, kubandakanya nemidlalo, kodwa kufuneka badibane nogqirha wabo wotyando ngaphambi kokuba benze njalo. Kubalulekile ukuthobela ukunyuswa okuthe ngqo kwexesha elide kunye nezithintelo zomsebenzi ukuqinisekisa ubude obude bokufakelwa kwe-elbow.

Iingcebiso zoLondolozo lwasemva:

• Landela imiyalelo kagqirha wakho malunga nokhathalelo lwenxeba kunye namayeza.
• Yiya kuzo zonke iiseshini ezicwangcisiweyo zonyango lomzimba.
• Sebenzisa iipakethi ze-ice ukunciphisa ukudumba kunye neentlungu.
• Yandisa kancinane amanqanaba omsebenzi njengoko ucetyiswa ngumboneleli wakho wezempilo.
• Gcina ukutya okunempilo ukuxhasa ukuphiliswa.

Izibonelelo zoTshintsho lwe-Elbow

Utyando lokubuyisela i-elbow lubonelela ngeenzuzo ezininzi eziphucula kakhulu umgangatho wobomi besigulana. Nalu uphuculo olungundoqo lwezempilo:

• Uncedo Lwezinhlungu: Enye yeenzuzo ezikhawulezayo zokutshintshwa kwe-elbow kukunciphisa okanye ukupheliswa kweentlungu ezingapheliyo ezibangelwa iimeko ezifana nesifo samathambo okanye ukulimala.
• Ukuhamba ngokuPhuculo: Izigulane zihlala zifumana ukuphuculwa okuphawulekayo kuluhlu lwabo lokunyakaza, okubavumela ukuba benze imisebenzi yemihla ngemihla ngokukhululeka okukhulu.
• Ukusebenza okuPhuculweyo: Ngomxube omtsha we-elbow, izigulane ziyakwazi ukuphinda zikwazi ukwenza imisebenzi eyayinzima ngaphambili okanye engenakwenzeka, njengokuphakamisa izinto, ukubhala, okanye ukubandakanyeka kwimidlalo.
• Umgangatho woBomi: Umgangatho wobomi ubonke uyaphucuka njengoko izigulane zinokubuyela kwizinto zokuzonwabisa kunye nemisebenzi abayithandayo, ekhokelela kwimpilo engcono yengqondo kunye neemvakalelo.
• Iziphumo ezihlala ixesha elide: Iindlela zangoku zokutshintsha i-elbow kunye nezixhobo zikhokelele kwiziphumo ezihlala ixesha elide, kunye nezigulana ezininzi bonwabele izibonelelo iminyaka.

I-Arthritis ye-Elbow & Unyango Lokulimala: Ukutshintshwa vs. Ezinye iindlela

Xa i-elbow joint yonakaliswa kakhulu yi-arthritis, ukulimala, okanye ezinye iimeko, ezibangela intlungu enkulu kunye nomsebenzi wokunciphisa, iindlela ezahlukeneyo zonyango ziqwalaselwa. Ukutshintshwa kweelbow (Iyonke okanye iNxalenye) ngotyando ithatha indawo yelungu elonakeleyo. Nangona kunjalo, kwiimeko eziphantsi kakhulu okanye iimfuno ezithile, ulawulo olulondolozayo (unyango lomzimba, amayeza, i-injection) luhlala luyindlela yokuqala yokukhusela, ngelixa i-Elbow Arthrodesis (i-fusion) inikeza isisombululo esikhethekileyo ngokubingelela ukunyakaza ukuzinza kunye nokunciphisa intlungu.

Ukuqonda ezi ndlela zahlukeneyo kubalulekile kwizigulana ezixoxa ngempilo yengqiniba kunye nesicwangciso sonyango kunye nogqirha wabo wamathambo.

Inqaku elibalulekileyo: Ulawulo olulondolozayo ludla ngokuba ngumgca wokuqala wonyango kwiimeko ezininzi zengqiniba. Ukutshintshwa kwengqiniba kuqwalaselwa xa amanyathelo olondolozo engaphumeleli kwiimeko ezinzima, ezibuthathaka. Iyonke i-Elbow Replacement yenzelwa umonakalo oxhaphakileyo, ngelixa uTshintsho lwe-Elbow lweNdawo yeyemiba yendawo. I-Elbow Arthrodesis (i-fusion) yinkqubo eyahlukileyo eyenza i-motion yokuzinza kwaye idla ngokugcinwa kwiimeko ezicacileyo kakhulu, eziyinkimbinkimbi apho i-joint joint ayinakufezekiswa. Isigqibo solona nyango lufanelekileyo luxhomekeke kakhulu kumntu ngamnye kwaye senziwe ngokubonisana nogqirha wamathambo.

Lithini Iindleko zokuTshintshwa kweElbow eIndiya?

Ixabiso lokutshintshwa kwengqiniba e-Indiya lisuka kwi- ₹1,00,000 ukuya kwi- ₹2,50,000. Izinto ezininzi zinokuchaphazela iindleko zizonke, kuquka:

• UKhetho lwesibhedlele: Izibhedlele ezahlukeneyo zinezakhiwo zamaxabiso ahlukeneyo. Izibhedlele ezaziwayo ezifana nezibhedlele ze-Apollo zinokubonelela ngetekhnoloji ephezulu kunye noogqirha abanamava, ezinokuchaphazela iindleko.
• Indawo: Isixeko okanye ummandla apho utyando lwenziwa khona lunokuchaphazela amaxabiso. Amaziko asezidolophini anokuba neendleko eziphezulu xa kuthelekiswa neendawo zasemaphandleni.
• Udidi Room: Ukukhethwa kwegumbi (labucala, i-semi-private, okanye ngokubanzi) kunokuchaphazela kakhulu i-bill epheleleyo.
• Iingxaki: Naziphi na iingxaki ezingalindelekanga ngexesha okanye emva kokuhlinzwa kunokukhokelela kwiindleko ezongezelelweyo.

Izibhedlele zeApollo zibonelela ngeengenelo ezininzi, kubandakanywa amaziko akumgangatho ophezulu, iingcali zonyango ezinamava, kunye nokhathalelo olubanzi lwasemva kotyando, nto leyo eyenza kube lukhetho olukhethwayo kwizigulane ezininzi. Xa kuthelekiswa namazwe aseNtshona, iindleko zokutshintshwa kwe-elbow e-Indiya ziphantsi kakhulu, ngelixa zigcina imigangatho ephezulu yokunyamekela.

Ukufumana amaxabiso achanekileyo kunye nolwazi olulolwakho, nceda uqhagamshelane neApollo Hospitals.

Imibuzo Ebuzwa Rhoqo malunga noTshintsho lwe-Elbow

isiphelo

Utyando lokutshintshwa kwe-elbow lunokuba yinkqubo yokutshintsha ubomi kwabo babandezeleka kwiintlungu ezingapheliyo ze-elbow kunye nokuhamba okulinganiselweyo. Ngesicwangciso sokubuyisela kakuhle kunye nenkxaso efanelekileyo, izigulane zinokulindela ukuphuculwa okubalulekileyo kumgangatho wobomi babo. Ukuba ucinga ngokutshintshwa kwe-elbow, kubalulekile ukubonisana nochwepheshe bezonyango ukuze uxoxe ngeenketho zakho kunye nokuqinisekisa iziphumo ezingcono kakhulu.