Ukubuyisela umva kwamagxa-IiNkqubo, Ulungiselelo, Iindleko, kunye noBuyiselo

Ukubuyisela igxalaba ukubuyisela umva yinkqubo yotyando ekhethekileyo eyilelwe ukujongana nemiba enzima edibeneyo yamagxa, ngakumbi xa iindlela zokutshintshwa kwamagxa esintu zingafanelanga. Le ndlela yokuvuselela ibandakanya ukuguqulwa kwe-anatomy yesiqhelo ye-joint joint, evumela ukuphuculwa komsebenzi kunye nokunciphisa intlungu kwizigulane ezineemeko ezithile zamagxa.

Kwigxalaba eliqhelekileyo, ibhola (intloko ye-humeral) ihleli kwi-socket (glenoid). Nangona kunjalo, kwi-Reverse Shoulder Replacement, izikhundla zebhola kunye ne-socket zitshintshiwe. Ibhola ifakwe kwi-glenoid, kwaye i-socket ifakwe kwithambo lengalo ephezulu (humerus). Olu lungelelwaniso olukhethekileyo luvumela i-deltoid muscle, ejongene nokuphakamisa ingalo, ukuba ithathe umsebenzi we-rotator cuff muscles, enokuthi yonakaliswe okanye ingasebenzi kwizigulane ezininzi ezifuna le nkqubo.

Injongo ephambili ye-Reverse Shoulder Replacement kukunciphisa intlungu kunye nokubuyisela ukuhamba kwizigulane ezine-arthritis enzima, iinyembezi ze-rotator, okanye ezinye iimeko eziphazamisayo. Kuyinzuzo ngakumbi kubantu abaye bafumana ukukrazula kwe-rotator cuff engakwazi ukulungiswa, kunye nabo banezaphulelo zamagxa okanye i-arthritis ekhokelela kumonakalo omkhulu odibeneyo.

Kutheni le nto kwenziwa ukutshintshwa kwegxalaba elibuyela umva?

Ukuguqulwa kwamagxa okuBuyisa ngokuqhelekileyo kunconywa kwizigulane ezifumana iintlungu ezibuhlungu kunye nokulahlekelwa ngumsebenzi ngenxa yeemeko ezahlukeneyo. Ezona zizathu zixhaphakileyo zokwenza le nkqubo ziquka:

• I-Osteoarthritis enzima: Esi sifo esidibeneyo sinokubangela ukuchithwa kwe-cartilage ehlombe, kubangele intlungu, ukuqina, kunye nokunciphisa uluhlu lokunyakaza. Xa unyango olulondolozayo lusilela ukunika isiqabu, iReverse Shoulder Replacement inokuqwalaselwa.
• I-Rotator Cuff Tear Arthropathy: Kwiimeko apho ukukrazula okukhulu kwe-rotator cuff kuye kwenzeka, igxalaba lisenokungazinzi kwaye libe buhlungu. Ukungakwazi ukulungisa i-rotator cuff kunokukhokelela ekuphazamisekeni okubonakalayo okusebenzayo, okwenza i-Reverse Shoulder Replacement ibe yinto efanelekileyo.
• Ukuqhekeka Kwamagxa Okuntsonkothileyo: Izigulane ezijongene nokuphuka okukhulu kwegxalaba, ngokukodwa kubantu abadala, banokuzuza kule nkqubo. Ukutshintshwa kwamagxa eReverse kunokunceda ukubuyisela umsebenzi kunye nokunciphisa intlungu kwezi meko.
• Aluphumelelanga uTyando lwamagxa lwangaphambili: Ukuba isigulane siye safumana ukutshintshwa kwamagxa endabuko okanye olunye utyando lwamagxa olungazange luvelise iziphumo ezanelisayo, ukutshintshwa kweGxale lokuBuyisa kunokufuneka ukuze kuphuculwe iziphumo.

Iimpawu eziqhelekileyo ziquka iintlungu eziqhubekayo zegxalaba, ubunzima bokuphakamisa ingalo, ubuthathaka, kunye noluhlu olulinganiselweyo lokunyakaza. Ezi mpawu zinokuchaphazela kakhulu imisebenzi yemihla ngemihla, nto leyo eyenza kube yimfuneko ukuphonononga ukhetho lotyando xa unyango olulondolozayo, olunjengonyango lomzimba, amayeza, okanye iinaliti, lusilela ukunika isiqabu ngokwaneleyo.

Izalathisi zokuTshintshwa kwegxalaba eliBuywa uNgena

Iimeko ezininzi zeklinikhi kunye neziphumo zokuxilonga zingabonisa imfuno yoTshintsho lwamagxa eReverse. Ezi ziquka:

• Ukonakaliswa Okumandundu ngokudibeneyo: Izifundo zokucinga, ezifana ne-X-rays okanye i-MRIs, zinokubonakalisa ukugqoka kunye nokukrazula ngokudibeneyo, kuquka i-bone spurs, indawo edibeneyo yokunciphisa, kunye nokukhukuliseka kwentloko ye-glenoid okanye i-humeral.
• Iinyembezi zeCuff ye-Rotator enkulu: Izigulane ezineenyembezi ze-rotator ezingenakulungiseka, ezihlala ziqinisekiswa nge-imaging, zingaba ngabaviwa kule nkqubo. Ukungakwazi ukubuyisela umsebenzi oqhelekileyo we-rotator cuff kunokukhokelela ekungazinzini kwamagxa kunye nentlungu.
• Iintlungu eziZingisayo kunye nokukhubazeka: Izigulana eziye zafumana unyango olulondolozayo ngaphandle kokuphuculwa kweentlungu okanye umsebenzi unokuvandlakanywa ukutshintshwa kweGxala lokuBuyisa. Uvavanyo olupheleleyo lweempawu zesigulane kunye nokunciphisa ukusebenza kubalulekile.
• Ubudala kunye neNqanaba loMsebenzi: Ngelixa ubudala bodwa buyi-contraindication, izigulane ezindala ezinemiba edibeneyo yamagxa kunye neemfuno eziphantsi zomsebenzi zinokuthi zizuze ngakumbi kule nkqubo. Isigqibo sihlala sisekelwe kwimpilo yonke yesigulane, inqanaba lomsebenzi, kunye nokulindela ukuchacha.
• Imbali yoCando lwangaphambili: Izigulane ezinembali yotyando lwamagxa olungaphumelelanga, olufana nokutshintshwa kwamagxa esintu, kunokuphononongwa ukuTshintshwa kwamagxa eReverse njengendlela yokuphucula umgangatho wobomi babo.

Isishwankathelo, ukutshintshwa kwamagxa eReverse kunika isiqabu kwizigulana ezineemeko ezinzima zamagxa, ngakumbi xa iindlela zemveli zingasebenzi. Ngokuqonda izibonakaliso kunye nezizathu zale nkqubo, izigulane zinokwenza izigqibo ezinolwazi malunga neendlela zabo zonyango kwaye zisebenze ngokusondeleyo nababoneleli bezempilo ukuze bafezekise iziphumo ezingcono kakhulu.

Contraindications for Reverse Shoulder Replacement

Ngelixa ukutshintshwa kwamagxa e-reverse kunokuba sisisombululo esisebenzayo kwizigulane ezininzi ezineentlungu zegxalaba kunye nokungasebenzi kakuhle, iimeko ezithile okanye izinto ezinokuthi zenze isigulane singafaneleki kule nkqubo. Ukuqonda ezi zithintelo kubalulekile kuzo zombini izigulane kunye nababoneleli bezempilo ukuqinisekisa iziphumo ezingcono kakhulu.

• Usulelo olusebenzayo: Izigulane ezinosulelo olusebenzayo kwi-joint joint okanye izicubu ezijikelezileyo ngokuqhelekileyo azibagqatswa bokutshintshwa kwamagxa. Usulelo lunokwenza nzima inkqubo yokuphilisa kwaye lukhokelela kwiingxaki ezinzima.
• Ukulahleka Kwamathambo Okumandundu: Ukulahleka kwethambo okubonakalayo kwindawo yegxalaba kunokuthintela ukukwazi ukunyathela ngokufanelekileyo ukufakelwa. Kwiimeko ezinjalo, unyango olulolunye okanye iinkqubo ezongezelelweyo zingafuneka ukubuyisela ingqibelelo yamathambo ngaphambi kokuqwalasela utyando.
• Iziphazamiso zeNeuromuscular: Iimeko ezichaphazela ukulawulwa kwemisipha kunye namandla, njenge-muscular dystrophy okanye iingxaki ezinzima ze-neurological, zinokuchaphazela impumelelo yotyando. Ezi ngxaki zinokuthintela isigulane ekusebenziseni ngokufanelekileyo igxalaba emva kotyando.
• Impilo Embi xa iyonke: Izigulane ezineempembelelo ezibalulekileyo, ezifana nesifo sikashukela esingalawulwayo, isifo senhliziyo, okanye ezinye iingxaki ezinzulu zempilo, zingabi ngabaviwa abafanelekileyo bokuhlinzwa. Imingcipheko ehambelana ne-anesthesia kunye nokubuyiswa kunokugqithisa iinzuzo ezinokuthi zenzeke kwinkqubo.
• UkuNganelanga ukuBuyiselwa kwisimo sangaphambili: Ukuchacha ngempumelelo ekutshintsheni igxalaba elibuyela umva kufuna ukuzibophelela ekubuyiseleni kwisimo sangaphambili. Izigulane ezingakwaziyo okanye ezingafuni ukuthatha inxaxheba kunyango lomzimba zingakwazi ukufikelela kwiziphumo ezifunwayo.
• Ukwalana nokuFakelwa kweMathiriyeli: Nangona kunqabile, ezinye izigulana zinokuba novelwano lokufakela imathiriyeli. Xoxa ngazo naziphi na ialeji yentsimbi eyaziwayo kunye nogqirha wakho wotyando.
• Uqhaqho lwangaphambili lwamagxa: Izigulana eziye zafumana utyando lwangaphambili lwamagxa amaninzi zinokuthi zitshintshe i-anatomy okanye izicubu ezibomvu eziphazamisa inkqubo. Uphononongo olucacileyo ngugqirha wotyando luyimfuneko ukufumanisa ukuba nokwenzeka kokutshintshwa kwamagxa.
• Iingqwalasela zobudala: Ngelixa ubudala bodwa bungachasananga ngokungqongqo, abaguli abadala kakhulu okanye abo babuthathaka banokujongana nemingcipheko ephezulu ngexesha lotyando kunye nokubuyiselwa. Uhlolo olubanzi luyafuneka ukuvavanya iinzuzo ngokuchasene nemingcipheko.

Ngokuchonga ezi zichasayo, ababoneleli bezempilo banokukhokela izigulane ngcono kwezona ndlela zifanelekileyo zonyango kwiimeko zabo zamagxa.

ULungiselela Njani UkuTshintshwa Kwamagxa Angasemva?

Ukulungiselela ukutshintshwa kwamagxa e-reverse kubandakanya amanyathelo amaninzi abalulekileyo ukuqinisekisa inkqubo egudileyo kunye nokubuyisela. Izigulana kufuneka zilandele imiyalelo yomboneleli wabo wezempilo ngokusondeleyo ukwandisa ukulungela kwabo utyando.

• Uthethwano lwaPhambi kokuSebenza: Cwangcisa ukudibana ngokucokisekileyo nogqirha wakho wamathambo. Oku kuqeshwa kuya kubandakanya ingxoxo eneenkcukacha yembali yakho yezonyango, amayeza angoku, kunye naluphi na uhlobo lwe-allergies. Ugqirha wotyando uya kuphinda achaze inkqubo, iziphumo ezilindelekileyo, kunye nenkqubo yokubuyisela.
• Uvavanyo lwezonyango: Ngaphambi kotyando, izigulana zinokufuna ukwenza iimvavanyo ezahlukeneyo, kubandakanywa iimvavanyo zegazi, izifundo ze-imaging (ezifana nee-X-reyi okanye ii-MRIs), kwaye mhlawumbi i-electrocardiogram (EKG) yokuvavanya impilo yentliziyo. Ezi mvavanyo zinceda ugqirha wotyando ukuba ahlole imeko yegxalaba kunye nempilo yonke yesigulane.
• Ulawulo lwamayeza: Izigulana kufuneka zazise ugqirha wazo malunga nawo onke amayeza abawathathayo, kubandakanywa amayeza angaphaya kwekhawuntara kunye nezongezelelo. Amayeza athile, anje ngegazi, anokufuna ukuhlengahlengiswa okanye anqunyanyiswe okwethutyana ngaphambi kotyando ukuze kuncitshiswe ingozi yokopha.
• Ukuguqula indlela yokuphila: Izigulane ziyakhuthazwa ukuba ziphile ngendlela enempilo ekhokelela kuqhaqho. Oku kubandakanya ukugcina ukutya okunokulinganisela, ukuhlala u-hydrated, kunye nokuphepha ukutshaya, njengoko ezi zinto zinokuchaphazela kakhulu ukuphilisa kunye nokubuyisela.
• Ukulungiselela Ekhaya: Ukulungiselela ikhaya lakho ukuze uchache kubalulekile. Cinga ngokucwangcisa indawo ekhululekileyo yokubuyisela, ukususa iingozi zokukhubeka, kunye nokugcina izinto eziyimfuneko. Usenokufuna ukwenza amalungiselelo oncedo kwimisebenzi yemihla ngemihla ngexesha lokuqala lokubuyisela.
• Ulungiso lwenyama: Abanye oogqirha botyando bacebisa unyango lwangaphambi kokusebenza komzimba ukuqinisa igxalaba kunye nokuphucula uluhlu lwentshukumo. Oku kunokunceda ukuphucula ukuchacha emva kotyando.
• Uthethwano lwe-Aneesthesia: Izigulane zinokudinga ukudibana ne-anesthesiologist ukuxoxa ngokhetho lwe-anesthesia kunye nayiphi na inkxalabo enxulumene ne-anesthesia ngexesha lenkqubo.
• Amalungiselelo ezothutho: Ukutshintshwa kwegxala elibuyela emva ngokuqhelekileyo kwenziwa njengenkqubo yokulala, kunye nezigulane ezininzi ezifuna ukuhlala esibhedlele okufutshane ukuze kubekwe iliso kunye nokubuyisela okokuqala.

Ngokulandela la manyathelo okulungiselela, izigulane zinokunceda ukuqinisekisa ukutshintshwa kwegxalaba eliyimpumelelo kunye nenkqubo yokubuyisela ngokukhawuleza.

Ukubuyisela umva kwamagxa: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo yesinyathelo-nge-nyathelo yokutshintshwa kwegxalaba kunokunceda ukunciphisa naziphi na izigulane ezixhalabileyo ezinokuthi zibe nazo malunga nenkqubo. Nantsi into onokuyilindela phambi, ngexesha, nasemva kotyando.

Phambi kweNkqubo

Ngomhla wotyando, izigulane ziya kufika kwiziko lotyando, apho ziya kukhangela kwaye zizalise nawaphi na amaphepha ayimfuneko. Iqela lotyando liya kuphonononga imbali yonyango yesigulane kwaye liqinisekise inkqubo. Izigulane ziya kuthi emva koko zitshintshe zibe yingubo yesibhedlele kwaye zinokufumana umgca we-intravenous (IV) wamayeza kunye nolwelo.

Anesthesia

Ngaphambi kokuba utyando luqale, i-anesthesiologist iya kulawula i-anesthesia. Oku kunokuba yi-anesthesia jikelele, eyenza isigulane silale, okanye i-anesthesia yengingqi, ephazamisa indawo yegxalaba. Ukukhethwa kwe-anesthesia kuya kuxhomekeka kwimpilo yesigulane kunye nesincomo sogqirha.

Ngexesha leNkqubo

• Ukusika: Ugqirha wotyando uya kwenza i-incision ngaphambili okanye ecaleni kwegxalaba ukufikelela kwi-joint. Ubungakanani kunye nendawo ekusikwe kuyo kusenokwahluka ngokusekelwe kumzimba wesigulana kunye nobuchule bogqirha wotyando.
• Ukuvula uMdibaniso: Ugqirha wotyando uya kuhambisa ngononophelo imisipha kunye nezicubu ukuze aveze igxalaba. Eli nyathelo lifuna ukuchaneka ukunciphisa umonakalo kwizakhiwo ezijikelezileyo.
• Ukususwa Kwezicubu Zonakeleyo: Iindawo ezonakalisiweyo zegxalaba, kubandakanywa nentloko ye-humeral (ibhola ye-joint) kunye naziphi na izicubu ze-arthritic, ziya kususwa. Oku kulungiselela igxalaba lofakelo olutsha.
• Ukubekwa koFakelo: Ukufakelwa kwegxalaba elingasemva kubandakanya ibhola yentsimbi kunye nesokethi yeplastiki. Ugqirha wotyando uya kuqhoboshela ibhola yesinyithi kwi-blade blade (scapula) kunye nesiseko seplastiki kwithambo lengalo ephezulu (humerus). Olu yilo olukhethekileyo luvumela ukuzinza okuphuculweyo kunye nomsebenzi, ngakumbi kwizigulane ezineentsilelo ze-rotator cuff.
• Ukuvalwa: Emva kokuba i-implant ifakwe ngokukhuselekileyo, ugqirha uya kuvala ngokucophelela i-incision usebenzisa i-sutures okanye i-staples. Kuza kufakwa isambatho esingenazintsholongwane ukukhusela indawo yotyando.

Emva kwenkqubo

Ukulandela utyando, izigulane ziya kuthathwa kwindawo yokubuyisela apho ziya kubekwa iliso njengoko i-anesthesia iyaphela. Ukulawulwa kweentlungu kuya kuqaliswa, kwaye izigulane zinokufumana amayeza okunceda ukulawula ukungahambi kakuhle.

Izigulana zihlala kwindawo yokubuyisela iiyure ezimbalwa ngaphambi kokuba zikhutshwe. Ngaphambi kokuba uhambe, iqela lezempilo liya kunika imiyalelo malunga nokunakekelwa kwangemva kokusebenza, kubandakanywa nendlela yokunyamekela i-incision, ukulawula intlungu, kunye nokuqala ukunyakaza okuthambileyo.

Ukhathalelo lwasemva kokusebenza

Ukubuyiswa kokutshintshwa kwegxalaba kuyahluka kumntu ngamnye, kodwa izigulane zinokulindela ukuqala unyango lomzimba phakathi kweentsuku ezimbalwa ukuya kwiiveki emva kokuhlinzwa. Ukuvuselela kubalulekile ekubuyiseleni amandla kunye nokuhamba ehlombe. Izigulane kufuneka zilandele isikhokelo sabo sonyango kwaye zihambelane nazo naziphi na izithintelo kwimisebenzi ngexesha lokuqala lokubuyisela.

Imingcipheko kunye neeNgxaki zokuTshintshwa kwaMagxa okuReverse

Njengayo nayiphi na inkqubo yotyando, ukutshintshwa kwamagxa okubuyela umva kuthwala imingcipheko ethile kunye neengxaki ezinokubakho. Ngelixa izigulane ezininzi zifumana ukukhululeka okukhulu kwiintlungu kunye nomsebenzi ophuculweyo, kubalulekile ukuba uqaphele zombini iingozi eziqhelekileyo kunye nezinqabileyo ezinxulumene notyando.

Imingcipheko eqhelekileyo

• Usulelo: Enye yeengozi ezixhaphakileyo ezilandela naluphi na utyando lusulelo. Ngelixa iqela lotyando lithatha amanyathelo okunciphisa lo mngcipheko, usulelo lungenzeka kwindawo yokusikeka okanye ngaphakathi kwendawo edibeneyo.
• Ukuhlamba: Kulindeleke ukopha okuthile ngexesha nasemva kotyando. Nangona kunjalo, ukopha kakhulu kunokufuna ukungenelela okongeziweyo.
• Iintlungu kunye nokuDumba: Iintlungu ze-post-operative kunye nokuvuvukala ziqhelekileyo kwaye ziyakwazi ukulawulwa ngamayeza kunye ne-ice therapy.
• Ukuqina: Ezinye izigulane zinokufumana ubunzima kwi-joint joint emva kokuhlinzwa. Unyango lomzimba lubalulekile ekuncedeni ukubuyisela kwakhona uluhlu lwentshukumo.
• Ukufakwa kweMplantshi Ukukhulula: Ngokuhamba kwexesha, ukufakelwa kunokukhululeka, okukhokelela kwiintlungu kunye nokuncipha komsebenzi. Kwezinye iimeko, utyando oluhlaziyiweyo lunokuba yimfuneko.

Imingcipheko enqabileyo

• Ukwenzakala kwiNerve: Kukho umngcipheko omncinci wokulimala kwe-nerve ngexesha lenkqubo, enokuthi ibangele ubuthathaka okanye ukuphazamiseka kwengalo. Uninzi lokulimala kwemithambo-luvo kokwexeshana, kodwa ezinye zinokubangela ukulimala kwexesha elide.
• Ukwaphuka: Kwiimeko ezinqabileyo, i-fracture ingenzeka ngexesha okanye emva kotyando, ngakumbi kwizigulane ezinamathambo abuthathaka.
• Amahlwili egazi: Izigulane zisengozini yokuphuhlisa amahlule egazi emilenzeni (i-deep vein thrombosis) emva kokuhlinzwa. Amanyathelo okuthintela, afana nokuhlanganisa kwangethuba kunye nezinto ezinciphisa igazi, zihlala ziphunyezwa.
• I-Pulmonary Embolism (PE): I-Pulmonary embolism (PE) yimeko yonyango enzima eyenzeka xa ihlwili legazi (ngokuqhelekileyo lisuka emlenzeni okanye emlenzeni) lihamba lisiya emiphungeni kwaye livimba umthambo we-pulmonary. Kuyingxaki enokubakho emva kotyando olukhulu, kubandakanywa ukutshintshwa kwamagxa, ngakumbi ukuba isigulane asisebenzi ngexesha lokubuyisela.
• Ukususwa: Nangona i-reverse ye-shoulder design ijolise ekunciphiseni umngcipheko wokutshatyalaliswa, kusenokuthi kwenzeke, ngakumbi ukuba ihlombe lingasetyenziswanga ngokuchanekileyo ngexesha lesigaba sokubuyisela.
• Iintshukumo Zokwalana Nezinto: Ezinye izigulana zinokufumana ukuchasana kwezinto kwizinto ezisetyenzisiweyo kwi-implant, nangona oku kunqabile.

Ngokuqonda le mingcipheko kunye neengxaki, izigulane zinokwenza izigqibo ezinolwazi malunga neendlela zabo zonyango kunye nokubandakanya iingxoxo kunye nababoneleli babo bezempilo ukujongana naziphi na iinkxalabo. Ngokubanzi, ukutshintshwa kwegxalaba eliguquguqukayo kunokuphucula kakhulu umgangatho wobomi kulabo abanemiba enzima yamagxa, ukuba izigulane zinolwazi kwaye zilungiselelwe inkqubo.

Ukubuyisela umva kwegxalaba kuchasene noku:

• Usulelo olusebenzayo
• I-Axillary nerve palsy
• Ukunqongophala okubalulekileyo kwe-glenoid kwisitokhwe samathambo
• Ukunqongophala kwe-deltoid muscle
• Ingxaki ye-neuromuscular enokuphakamisa ithuba lokuchithwa kweprosthesis
• Ukungavuthwa kwamathambo

UBuyiselo emva kokuTshintshwa kweQela lokuBuyisa

Inkqubo yokubuyisela emva kokutshintshwa kwegxalaba kubalulekile ekubuyiseleni ukuhamba kunye namandla ehlombe. Ixesha elilindelekileyo lokubuyela kwimeko yesiqhelo lithatha iinyanga ezininzi, uninzi lwezigulana zifumana uphuculo olubonakalayo kwiinyanga ezintandathu zokuqala.

Inqanaba loBuyiselo lokuQala (iiVeki ezi-0-2)

Kwiintsuku ezimbalwa zokuqala emva kotyando, izigulane ziya kuba neentlungu kunye nokudumba. Ukulawulwa kweentlungu kubalulekile, kwaye ugqirha wakho uya kukunika amayeza ukunceda. Ugqirha womzimba uya kuqalisa ukukukhokela kuluhlu oluthambileyo lokuzilolonga ukuze uthintele ukuqina. Kubalulekile ukugcina indawo yotyando icocekile kwaye yomile, ulandela imiyalelo kagqirha wakho wokhathalelo lwenxeba.

Ukubuyiselwa kwisimo sangaphambili (Iiveki ezi-2-6)

Ngeli nqanaba, uya kwandisa ngokuthe ngcembe inqanaba lomsebenzi wakho. Iiseshoni zonyango lomzimba ziya kuba rhoqo, zijolise ekuzoluleni ngokuthambileyo kunye nokuzivocavoca. Uninzi lwezigulana zinokuqalisa imisebenzi elula yemihla ngemihla, njengokunxiba kunye nococeko lobuqu, ngoncedo. Kusenokufuneka unxibe isilingi ukuze uxhase ingalo yakho.

Isigaba soBuyiselo esiPhakathi (IiVeki ezi-6 - Iinyanga ezi-3)

Kwiiveki ezintandathu, izigulane ezininzi zinokuqalisa ukwenza imisebenzi emininzi ngokuzimeleyo. Unyango lomzimba luya kuqinisa, lugxininise ekubuyiseleni amandla kunye nokuphucula uluhlu lokunyakaza. Uyakwazi ukubuyela kumsebenzi olula okanye kwimisebenzi engadingi kuphakanyiswa kanzima. Nangona kunjalo, imisebenzi enefuthe eliphezulu kufuneka iphinde iphetshwe.

Ukubuyiselwa ngokupheleleyo (iinyanga ezi-3-6)

Uninzi lwezigulana zibona ukuphucuka okubalulekileyo ekusebenzeni kwamagxa ngeenyanga ezintathu. Unokulindela ukuqalisa kwakhona imisebenzi eqhelekileyo, kubandakanya ukuqhuba kunye nemidlalo elula, malunga neli xesha. Ukuchacha ngokupheleleyo kunokuthatha unyaka, kunye nonyango oluqhubekayo lomzimba ukomeleza amandla kunye nokuguquguquka.

Iingcebiso zasemva kononophelo

• Landela imiyalelo yogqirha wakho malunga namayeza kunye nonyango lomzimba.
• Yiya kuzo zonke iindibano zokulandelela ezicwangcisiweyo ukujonga inkqubela yakho.
• Zibandakanye kwimithambo emiselweyo ukukhuthaza ukuphiliswa nokuphinda ufumane amandla.
• Gwema ukuphakamisa izinto ezinzima okanye ukuzibandakanya kwimisebenzi enefuthe eliphezulu de ucinywe ngugqirha wakho.
• Gcina ukutya okunempilo ukuxhasa ukuchacha, kugxininise kwiprotheyini, iivithamini kunye neeminerali.

IiNzuzo zokuTshintsha igxalaba eliBuyiswa

Ukutshintshwa kwegxalaba elibuyela umva kubonelela ngophuculo olungundoqo lwezempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinesifo samathambo esinamandla okanye iinyembezi ezijikelezayo.

Uncedo Lwezinhlungu

Enye yeenzuzo ezibalulekileyo kukunciphisa okanye ukupheliswa kweentlungu zamagxa. Izigulana ezininzi zixela ukukhululeka okukhulu kweentlungu emva kwenkqubo, kubavumela ukuba benze imisebenzi yemihla ngemihla ngaphandle kokuphazamiseka.

Ukuhamba ngokuPhuculo

Ukutshintshwa kwegxala elibuyela emuva liphucula uluhlu lwesinyanzelo kwi-joint joint. Izigulana zihlala zikwazi ukuphakamisa iingalo zazo ngaphezulu, nto leyo ebalulekileyo kwimisebenzi emininzi yemihla ngemihla.

UkuSebenza okubuyiselweyo

Inkqubo inenzuzo ngokukodwa kwizigulane ezine-rotator cuff deficiencies. Ngokuguqula umatshini wegxalaba, utyando luvumela ukusebenza okuphuculweyo, okwenza ukuba izigulane zenze imisebenzi enokuba zinzima ngayo ngaphambili.

Umgangatho woBomi ophuculweyo

Ngeentlungu ezincitshisiweyo kunye nokuhamba okuphuculweyo, izigulane zihlala zifumana ukunyuka okubalulekileyo kumgangatho wabo wobomi. Iingxelo ezininzi zokukwazi ukubuyela kwizinto zokuzonwabisa, imidlalo, kunye nentlalontle ababeyiyekile ngaphambili.

Ukubuyisela umva Ukutshintshwa kwamagxa vs. Ukutshintshwa kwamagxa eSintu

Ngelixa ukutshintshwa kwamagxa okubuyela umva kudla ngokuthelekiswa nokutshintshwa kwamagxa emveli, ezi nkqubo zimbini zinceda iimfuno zezigulane ezahlukeneyo.

Lithini iNdleko lokuTshintshwa kwaMagxa eReverse eIndiya?

Iindleko zokubuyisela umva igxalaba eIndiya ziqhele ukusuka kwi- ₹1,00,000 ukuya kwi- ₹2,50,000. Ziliqela izinto eziphembelela ezi ndleko, kuquka igama lesibhedlele, indawo esikuyo, uhlobo lwegumbi (labucala okanye ekwabelwana ngalo), nazo naziphi na iingxaki ezinokuvela ebudeni okanye emva kwaloo nkqubo.

Izibhedlele ezininzi zaseIndiya, kuquka iApollo, zibonelela ngoogqirha abanamava, amaziko anamhlanje kunye nokhathalelo olubanzi lwasemva kotyando. Ukufikeleleka kokutshintshwa kwegxalaba e-Indiya ngumzobo obalulekileyo kwizigulane ezininzi, ngakumbi xa kuthelekiswa neendleko eziphezulu kumazwe aseNtshona, apho inkqubo inokuvela kwi-$ 30,000 ukuya kwi-$ 50,000 okanye ngaphezulu.

Ukufumana amaxabiso achanekileyo kunye nokhetho lokhathalelo lomntu, siyakukhuthaza ukuba uqhagamshelane neApollo Hospitals ngokuthe ngqo.

Imibuzo Ebuzwa Rhoqo malunga neReverse Shoulder Replacement