Ingqikithi Yokushintshwa Kwe-Hip Ezibhedlela ze-Apollo, e-Lucknow

Kungani Iziguli Zikhetha Izibhedlela zase-Apollo eLucknow Ukuze Zifakelwe I-Total Hip Replacement

• Ifa leqembu le-Apollo kusukela ngo-1983: Izibhedlela zase-Apollo zaqala ukunakekelwa kwezibhedlela ezizimele okuhleliwe eNdiya futhi sezikhule zaba ngelinye lamaqembu amakhulu okunakekelwa kwezempilo e-Asia, ngezinhlelo zokufaka esikhundleni ezihlanganyelwe ezisebenza kunethiwekhi yazo iminyaka engaphezu kwamashumi amathathu.
• Iyunithi yokufakelwa kwamathambo kanye namalunga enikezelwe eLucknow: Isibhedlela i-Apollomedics Super Speciality, eLucknow sinesikhungo esihlinzeka ngezinsizakalo ezigcwele ze-Orthopaedics, Joint Replacement kanye nomnyango womgogodla ohlanganisa ukufakwa kwe-hip okuyisisekelo, ukuhlinzwa kwe-hip okubukezwa kabusha kanye nokwakhiwa kabusha kwe-hip okuhlobene nokulimala. Inani eliqondile labeluleki abakuleli phaneli nganoma yisiphi isikhathi, kanye neminyaka yabo yesipiliyoni, kubhalwe ohlwini lwezincwadi zodokotela besibhedlela futhi kungaqinisekiswa ngedeski le-OPD.
• Odokotela abahlinzayo abaphezulu asebeneminyaka eminingi besebenza nge-arthroplasty: Ithimba lokushintsha inqulu liholwa abeluleki abanokuqeqeshwa kwezinga lobudlelwano kwe-arthroplasty, okusekelwa odokotela ababulala izinzwa abanolwazi ekubulaleni izinzwa kwesifunda (umgogodla/i-epidural) kweziguli esezikhulile.
• Ukususwa kwemishini ngaphambi kokuhlinzwa okuhlukahlukene ngaphansi kophahla olulodwa: i-cardiology, i-pulmonology, i-diabetology, i-nephrology kanye nemithi yangaphakathi kuyatholakala ngaphakathi, okubalulekile ngoba ingxenye enkulu yabantu baseNdiya abazongena esikhundleni sezinqe banesifo sikashukela, umfutho wegazi ophakeme noma isifo sezinso esingamahlalakhona.
• Ubuchwepheshe kanye nengqalasizinda: amathiyetha okuhlinzwa asebenzisa i-laminar-flow modular, isiqondiso se-image intensifier (C-arm), i-digital radiography, i-CT ne-MRI yokulinganisa, i-intensive care backup kanye ne-blood bank yangaphakathi kanye ne-physiotherapy gym.
• Ukukhetha i-implant, hhayi okukodwa okuzenzakalelayo: ukuqinisa okufakwe usimende, okungafakwanga usimende kanye nokuxubile, kanye nama-ceramic-on-polyethylene noma ama-metal-on-polyethylene bearings, akhethwa ngokwekhwalithi yethambo kanye nobudala kunokuba akhethwe ngokwephrothokholi eqondile.
• Ukuvuselelwa okuhlelekile, okuqondene neNdiya: Amapulani okwelapha umzimba abhalwe ngempilo yangempela yasekhaya laseNdiya - izindlu zangasese ezisezingeni eliphansi, ukulala phansi, ukuhlala phansi ngemilenze evundlile, izitebhisi ezingenazo izibambo kanye nokunakekelwa kwemindeni ehlangene.
• Izindlela zokunakekelwa ezihlukile: Abantu abadala abasebasha abane-avascular necrosis kanye ne-post-traumatic arthritis, iziguli ezisebenzayo ezifuna ukubuyela kwezemidlalo, iziguli esezikhulile ezine-fragility fragility, kanye nesifo se-hip sabantwana noma sentsha (esivame ukuphathwa ngokuhlinzwa okugcina i-hip kunokufaka esikhundleni) ngasinye silandela uhlelo oluhlukile.
• Isembozo esiphuthumayo kanye nesengozi esingama-24x7, ifaneleka ekuqhekekeni kwenqulu lapho ukuhlinzwa kuthinta isikhathi.
• Ideski lomshwalense endaweni ukuphatha ukuvunyelwa okungenamali, amaphepha e-TPA, imibuzo yokufakelwa efana ne-CGHS/ECHS/Ayushman kanye nokugunyazwa kusengaphambili kokwamukelwa okuhleliwe.

Uhlolojikelele

Ukufakelwa Kwezinqe Okuphelele (i-THR) inqubo yokuhlinzwa eguqulayo eyenzelwe ukunciphisa ubuhlungu nokubuyisela ukuhamba kwabantu abahlushwa ukulimala okukhulu kwamalunga ezinqe. E-Apollo Hospitals Lucknow, siyaziqhenya ngedumela lethu lokwenza kahle ekunakekelweni kwamathambo, sisebenzisa ubuchwepheshe obuthuthukisiwe kanye namasu okuhlinzwa asunguliwe ukuze sisebenzele imiphumela engcono kakhulu ezigulini zethu. Njengoba sinethimba elizinikele lodokotela abahlinzayo abanolwazi kanye nezikhungo zesimanje, i-Apollo Hospitals Lucknow iphakathi kwezikhungo ezihamba phambili zokufakelwa kwe-Total Hip esifundeni. Ukuzibophezela kwethu ekuthembekeni kwesiguli kanye nokunakekelwa komuntu siqu kusenza sibe yisinqumo esikhethwayo kulabo abafuna impumuzo ebuhlungwini bezinqe.

Kungani Ukubuyiselwa Kwe-Hip Kuphelele Kudingekile

Ukufakelwa Kwesinqe Esiphelele kuvame ukudingeka ezigulini ezihlushwa yizimo ezifana ne-osteoarthritis, i-rheumatoid arthritis, i-avascular necrosis (i-osteonecrosis yekhanda le-femoral), noma ukuphuka kwesinqe. Lezi zimo zingaholela ebuhlungwini obuqeda amandla, ukuqina kanye nokuncipha kokuhamba, okuthinta kakhulu ikhwalithi yokuphila. Inqubo ihilela ukususa izindawo ze-hip joint ezilimele bese uzishintsha nge-prosthetic implant, engabuyisela ukusebenza kahle futhi inciphise ubuhlungu.

Ukubaluleka kwezokwelapha kwe-THR akufanele kuthathwe kancane. Ngokubhekana nomonakalo oyisisekelo esithweni sesinqe, iziguli eziningi zithola intuthuko ebalulekile emandleni azo okwenza imisebenzi yansuku zonke, ukuhlanganyela ekuzivocavoceni ngokomzimba nokuphila impilo esebenzayo. Izinzuzo zivame ukwedlulela ngale kwempilo yomzimba; iziguli eziningi zibika inhlalakahle ethuthukisiwe ngokomzwelo kanye nokuhlanganyela okungcono komphakathi ngemva kokuhlinzwa, yize imiphumela yomuntu ngamunye ihlukahluka.

Izingozi Zokubambezeleka

Ukuhlehlisa Ukufakwa Kwesinqe Esiphelele kungavumela izinkinga ukuthi ziqongelelene ngokuhamba kwesikhathi. Njengoba ilunga lesinqe liwohloka, iziguli zingase zizwe ubuhlungu obandayo, ukunyakaza okunciphile, kanye nengozi enkulu yokuwa nokuphuka. Ubuhlungu obungapheli bungaba nomthelela ezinkingeni zezempilo zesibili ezifana nokungazizwa kahle, ukuphazamiseka kokulala, ukukhubazeka kwesimo somzimba kanye nokukhathazeka, okungenza ukululama kube nzima.

I-arthritis enzima isikhathi eside ingaholela nasekukhubazekeni okuqinile, ukufinyezwa kwezitho, ukuncipha kwemisipha yethanga kanye nezinqe, kanye nokuqina kwamadolo kanye nomhlane ongezansi - konke lokhu kungenza ukuhlinzwa kube nzima kakhulu ngokobuchwepheshe kanye nokuvuselelwa kube kancane. Kubalulekile ukubonisana nochwepheshe e-Apollo Hospitals Lucknow ukuze ahlole isimo sakho futhi anqume ngesikhathi esifanele. Lokho kusho ukuthi, isikhathi yisinqumo esihlanganyelwe: nge-arthritis ye-hip ehleliwe (ekhethiwe), ukubambezeleka kuyisinqumo esinengqondo ngenkathi ukwelashwa okungeyona ukuhlinzwa kusasebenza. Uma kwenzeka ukuphuka kwe-hip okususiwe kumuntu omdala osekhulile, isikhundla sihlukile futhi ukuhlinzwa ngokuvamile kunconywa ngaphandle kokubambezeleka okungagwenywa.

Izinzuzo Zokushintshwa Kwe-Hip Ephelele

• Ukunciphisa Izinhlungu: Inzuzo ehlala njalo kakhulu ukwehla okukhulu, futhi ezigulini eziningi lapho zicishe ziphelele, ubuhlungu benqulu, okuvumela ukubuyela emisebenzini yansuku zonke ngaphandle kokungakhululeki okukhulu.
• Ukuhamba Okuthuthukisiwe: iziguli eziningi zithola amandla okunyakaza nokuhamba ahlukene, okwenza kube lula ukwenza imisebenzi ebeziyigwema.
• Ikhwalithi Yempilo Ethuthukisiwe: ngobuhlungu obuncane kanye nokunyakaza okungcono, iziguli eziningi zibika ikhwalithi engcono yokuphila kanye nokuhlanganyela okukhulu emisebenzini yomphakathi kanye neyokuzilibazisa.
• Imiphumela Ehlala Isikhathi Eside: Izimila zesimanje zenzelwe ukuqina. Idatha yokubhalisa emhlabeni wonke iphakamisa ukuthi iningi lezinhlobo zokufakelwa izinqe zisasebenza kahle eminyakeni eyi-15 kuya kwengama-20, yize isikhathi eside sincike eminyakeni yobudala, isisindo, izinga lomsebenzi, ikhwalithi yamathambo kanye nohlobo lokufakelwa.
• Ukunakekelwa komuntu siqu: Izinhlelo zokwelapha eziqondene nomuntu ngamunye zakhiwe ngokubheka iminyaka yesiguli ngasinye, umsebenzi waso, indawo yasekhaya kanye nezinye izimo zezokwelapha.

Ukulungiselela Nokubuyisela

Amathiphu Wokuzilungiselela

1. Ukubonisana: hlela ukubonisana okuningiliziwe nochwepheshe bethu bamathambo ukuze nixoxe ngesimo sakho, izinketho zokwelashwa kanye nokukhathazeka.
2. Ukuhlola Ngaphambi Kokuhlinzwa: ukwenza ukuhlolwa okudingekayo ngaphambi kokuhlinzwa, okuhlanganisa ukuhlolwa kwegazi kanye nokuthwebula izithombe, ukuze kuhlolwe impilo iyonke kanye nokufaneleka kokuhlinzwa.
3. Ukubuyekezwa Kwemithi: Xoxani ngayo yonke imithi ekhona njengamanje, njengoba eminye - ikakhulukazi imithi yokunciphisa igazi, imithi ethile yesifo sikashukela kanye neminye imithi ye-arthritis - ingadinga ukulungiswa noma ukuyekiswa okwesikhashana.
4. Ukuguqulwa kwendlela yokuphila: Landela iseluleko se-physiotherapy kanye nokuzivocavoca esinikezwayo ukuze kuqiniswe imisipha ezungeze isinqe futhi kuthuthukiswe ukuqina komzimba okujwayelekile ngaphambi kokuhlinzwa.
5. Uhlelo Lokubuyisela: hlela usizo ekhaya ngemva kokuhlinzwa, okuhlanganisa ukwesekwa ngemisebenzi yansuku zonke kanye nezinto zokuhamba ukuze uvakashele udokotela.

Amathiphu Okubuyisela

1. Landela Imiyalelo Yangemuva Kokuhlinzwa: namathela esiqondisweni mayelana nemikhawulo yokusebenza, ukunakekelwa kwamanxeba kanye nemithi.
2. Ukwelapha ngokomzimba: hlanganyela ohlelweni lokuvuselela oluhlelekile ukuze uthole amandla nokunyakaza.
3. Ukubuyela Kancane Kancane Emisebenzini: Qhubeka nemisebenzi evamile ngezigaba njengoba weluleke, ulalele umzimba wakho futhi ugweme ukuzikhandla ngokweqile.
4. Ukulandelela Okuvamile: Yiba khona kuzo zonke izibuyekezo ezihleliwe ukuze inqubekela phambili iqashwe futhi izinkinga zitholakale kusenesikhathi.
5. Hlala Ulungile: ukululama kuthatha isikhathi, futhi imigomo engokoqobo kanye nendlela eqhubekayo kusiza inqubo.

Isiqondiso Sezokwelapha Samanje Esingemuva Kwesincomo

Ukwenza izinqumo ezibhedlela zase-Apollo eLucknow kulandela isiqondiso samathambo sesimanje kunokukhetha kodokotela abahlinzayo kuphela. Izinhlaka zokubhekisela ezisetshenziswa njalo zifaka:

• I-Indian Orthopedic Association (IOA) imfundo eqhubekayo kanye nezinto ezivumelanayo mayelana nomkhuba we-arthroplasty, kanye I-Indian Society of Hip and Knee Surgeons (ISHKS), eqhuba i-ISHKS Joint Registry? Ukubhaliswa kwe-arthroplasty kazwelonke eNdiya, okwasungulwa ngo-2006 futhi kubika ngamaphethini okufakelwa kwe-India kanye nemiphumela yesiguli. Idatha yokubhaliswa kwe-India ibaluleke ngqo ngoba iziguli zaseNdiya zincane ngokwesilinganiso ngesikhathi sokufakwa esikhundleni se-hip kunamaqembu aseNtshonalanga, futhi zivame ukuba ne-avascular necrosis, i-ankylosing spondylitis, i-tuberculous arthritis sequelae noma i-post-traumatic arthritis njengesifo esiyisisekelo kunokuba yi-osteoarthritis eyinhloko.
• Umhlahlandlela Wokusebenza Kwezokwelapha we-American Academy of Orthopaedic Surgeons (AAOS), "Ukuphathwa kwe-Osteoarthritis ye-Hip" (isibuyekezo sika-2023), esekela ukwelashwa kokuvivinya umzimba, ukuphathwa kwesisindo, kanye nemijovo ekhethiwe ngaphambi kokuhlinzwa, futhi incoma i-total hip arthroplasty yeziguli ezine-hip osteoarthritis enezimpawu ezibonisa izimpawu zazo ezingalawulwa ngokwanele ngokunakekelwa okungadingi ukuhlinzwa.
• Isiqondiso se-NICE NG157, "Ukufakwa esikhundleni kwamalunga (okuyinhloko): isinqe, idolo kanye nehlombe" (2020, kanye nokubhekwa okulandelayo) Ushintsho oluphawulekayo lwakamuva ukuthi i-NG157 ithi ukudluliselwa kokufakelwa kwamalunga kufanele kunikezwe ngokusekelwe endleleni izimpawu ezithinta ngayo ikhwalithi yokuphila kanye nomsebenzi wansuku zonke, futhi kufanele hhayi kuvinjelwe yimingcele yokulinganisa amaphuzu ngokungahleliwe, ubudala, ubulili, isimo sokubhema, noma inkomba yesisindo somzimba kuphela. Iziguli kufanele zisasekelwa ukuze zehlise isisindo futhi ziyeke ukubhema, kodwa lokhu akusetshenziswa njengezindlela zokuvimbela ukutheleleka.
• I-NICE NG89 (2018, ibuyekezwe ngo-2019) mayelana nokuvimbela i-venous thromboembolism, okusekela ukusetshenziswa kokuvimbela ukuqhekeka kwama-clot ngomshini nangemithi ngemva kwe-hip arthroplasty - iphuzu elibalulekile eNdiya, lapho isikhathi eside sokuvimbela sinqunywa ngabanye.
• Ukuvimbela ama-antibiotic kanye nokuvimbela ukutheleleka endaweni yokuhlinzwa ngokusekelwe ku-WHO kanye nomkhuba kazwelonke wokulawula ukutheleleka, lapho amathiyetha okugeleza kwe-laminar kanye nomthamo owodwa wama-antibiotic ngaphambi kokusikwa kuyizinto ezijwayelekile.

Ukushintsha okubili kokuzijwayeza okufanele ukwazi: okokuqala, izindlela zokululama ezithuthukisiwe manje zivumela ukunyakaza kwasekuqaleni, ngokuvamile ngosuku olufanayo noma ngosuku olulandelayo ngemuva kokuhlinzwa, esikhundleni sokuphumula embhedeni isikhathi eside. Okwesibili, ukugwema njalo ikhava yamagciwane enqubo yamazinyo yeziguli ezifakelwa amalunga akuseyona iseluleko esiphelele; kunqunywa icala ngalinye. Udokotela wakho ohlinzayo uzokweluleka ukuthi yini ekusebenzelayo.

Isikhathi Sokuhlinzwa kanye Nesigaba Sangaphambi Kwenqubo

Ukufakwa esikhundleni se-hip okuphelele kwe-arthritis kuyindlela yokuzikhethela, okusho ukuthi usuku lukhethiwe ukuze luvumelane nokufaneleka kwakho kwezokwelapha kanye nezinhlelo zomndeni wakho - hhayi ngokushesha. Uchungechunge olujwayelekile lubukeka kanje:

Uma kwenzeka ukuphuka kwenqulu kumuntu omdala osekhulile, lesi sikhathi siyaphela: ukuhlinzwa kuvame ukwelulekwa ngokushesha nje lapho isiguli sesiphilile ngokwezokwelapha, ngoba ukuphumula embhedeni isikhathi eside kunezingozi zako zokutheleleka esifubeni, izilonda zokucindezeleka kanye namahlule.

Ezinye Izindlela kanye Nezinketho Zobuchwepheshe

Ukufakwa esikhundleni se-hip okuphelele akuyona yodwa inketho, futhi akuyona inketho efanele wonke umuntu. Ithebula elingezansi liqhathanisa lokho okungaxoxwa ngakho nawe.

Izinqubo Ngezinye izikhathi Ezenziwa Ngesikhathi Esifanayo

• Ukuxhunyelelwa kwamathambo amaphutha esokhethini, avame kakhulu ezisokhethini ezingajulile (ezingenasipulasitiki) kanye nangemva kokuphuka okudala - ngokuvamile kusetshenziswa ikhanda le-femoral lesiguli elisusiwe.
• Ukulungiswa kobude bezitho, lapho isinqe esinobuhlungu be-arthritis sifinyeze umlenze; ​​ukulinganisa kuhlelwe kodwa umehluko omncane osele ungase usale.
• Ukukhishwa kwezicubu ezithambile i-adductor eqinile noma i-iliopsoas ezinqeni eziqinile noma ezihlanganisiwe isikhathi eside, okuvamile kwi-ankylosing spondylitis.
• Ukususwa kwezinto zensimbi zangaphambilini (amapuleti, izikulufo, isikulufo esishintshashintshayo sesinqe) kusukela ekuhlinzweni kokuphuka kwangaphambilini.
• Ukufakwa esikhundleni kwezinhlangothi zombili (zombili izinqe), kungaba ngesikhathi esisodwa noma esihlukaniswe ngamasonto ambalwa - inketho yangempela ye-ankylosing spondylitis kanye ne-bilateral avascular necrosis, enqunywa ukuqina kwenhliziyo kanye ne-hemoglobin.
• Ukuthatha amasampula kanye nokukhula kwezicubu uma kusolwa ukuthi kukhona ukutheleleka noma isifo sofuba emalungeni, okuyinto engavamile eNdiya.
• Ukuhlala ndawonye ukufaka esikhundleni sezinqe nedolo kuyacatshangelwa ngezinye izikhathi, kodwa kuphela ezigulini ezikhethiwe ezikulungele kahle ngemva kokuhlolwa ngokucophelela kwe-anesthesia.

Umugqa Wesikhathi Wokuthola Isigaba Ngesigaba

Lezi yizigaba ezijwayelekile. Uhlelo lwakho lungase lusheshe noma luhambe kancane kuye ngeminyaka yakho, amandla emisipha, ezinye izifo kanye nobunzima bokuhlinzwa.

Ukubuyela Emsebenzini Ojwayelekile, Emsebenzini Nasezemidlaloni

Ukubuya kusekelwe ekuhlangabezaneni nezigaba ezibalulekile, hhayi nje ekhalendeni. Izindlela ezijwayelekile zifaka phakathi isilonda esipholile, ukuhamba ngokukhululeka ngaphandle kokuxhuga, amandla anele okususa izinqe, ikhono lokukhuphuka izitebhisi ngendlela efanayo, kanye nokususwa kodokotela ohlinzayo.

Izikhundla zendlela yokuphila yaseNdiya? Impendulo eqotho

• Izindlu zangasese zokuzihlalela phansi kanye nezindlu zangasese zesitayela samaNdiya: Ukugoba okujulile kugoba isinqe ngale kwemingcele ephephile futhi ngokuvamile kuyalulekwa ukuthi ungakwenzi unomphela ngemva kokufakwa kwesinqe okuvamile. Imindeni eminingi iguqukela ekubeni yi-commode yaseNtshonalanga noma ifake uhlaka lwesihlalo se-commode phezu kwepani laseNdiya.
• Ukuhlala phansi ugoqe imilenze (sukhasana): ngokuvamile kunqunyelwe okungenani izinyanga ezintathu zokuqala, futhi ngemva kwalokho kuphela uma udokotela wakho ekususa ngokuqondile. Ezinye iziguli ziphinde ziphinde zikwazi ukuhlala phansi ngemilenze enqunyiwe; eziningi azikwenzi lokho, futhi ukuphoqa ukuthi kuphume endaweni ethile kuyingozi.
• Ukulala phansi: Ukuvuka kumatilasi ophansi kudinga ukugoba okujulile kwesinqe nokusonta. Umbhede ophakeme edolweni unconywa kakhulu okungenani izinyanga ezintathu, futhi kungcono ukuthi uhlale isikhathi eside.
• Umsebenzi wasekhishini kanye ne-puja osezingeni eliphansi, ukuwasha izingubo ngenkathi ugoqa, ukusula ngezandla: shintshela esitulweni, epulatifomu ephakeme, emophini enezibambo ezinde kanye nasemshinini wokuwasha.
• Ukuthinta izinyawo ekubingelelaneni, ukukhothama emthandazweni, izitebhisi zethempeli: xoxa ngezindlela ezivunyiwe nodokotela wakho we-physiotherapist; ukuthandaza uhlezi kuyindlela efanelekile yokuguqula.
• Ukulungiselela ekhaya ngaphambi kokungena: isihlalo esiphakanyisiwe sempahla yokugqoka, ibha yokubamba indlu yokugezela, umata ongasheleli, isihlalo esiqinile esinezihlalo eziphakeme esinezindawo zokubeka izingalo, uphondo lwezicathulo olunezibambo ezinde kanye ne-reacher, kanye nokususwa kwama-rugs akhululekile kanye neminyango.

Ukuvikela I-Hip Entsha Nokuvimbela Izinkinga

• Landela izinyathelo zokuphepha zenqulu njengoba kuyalelwe - ngokuvamile ugweme ukugoba inqulu ngaphezu kwama-degree angu-90, uwele imilenze, bese uphendula umlenze ungene ngaphakathi - isikhathi esinqunyiwe udokotela wakho ohlinzayo.
• Gcina isisindo somzimba sisezingeni elifanele; isisindo esiningi sandisa umthwalo kanye nokuguguleka kwe-implant.
• Gcina imisipha ye-abductor yesinqe kanye ne-gluteal iqinile impilo yonke, ngohlelo olulula lwasekhaya lwansuku zonke.
• Yelapha izifo zamazinyo, zomchamo, zesikhumba nezesifuba ngokushesha, njengoba amabhaktheriya egazini angahlala ku-implant. Tshela noma yimuphi udokotela olaphayo ukuthi une-joint replacement.
• Phatha isifo sikashukela kahle; ukulawula okungekuhle kukhulisa ukutheleleka kanye nengozi yokuphulukiswa.
• Vimbela ukuwa: ukukhanya okwanele, ukungabi naphansi okumanzi, izicathulo ezinengqondo ezinebhande langemuva kunezicathulo ezikhululekile, kanye nokuqapha ngesikhathi semvula.
• Yelapha i-osteoporosis nge-calcium, i-vitamin D kanye nemithi ebhalwe udokotela lapho kuboniswe khona, ukuze kuncishiswe ingozi yokuphuka okuzungeze i-implant.
• Yiba khona ekuhlolweni kwesikhathi eside ngisho noma isinqe sizizwa sijwayelekile - ukuguguleka buthule nokukhululeka kutholakala ku-X-ray, hhayi ngezimpawu.
• Gwema ugwayi ngazo zonke izinhlobo, okuhlanganisa i-gutkha ne-khaini; ukubhema kuphazamisa ukuphulukiswa kwamanxeba namathambo.

Izinto Okufanele Zicatshangelwe Ngabantu Abadala Abasebasha, Iziguli Ezikhulile Nezingane

Abantu abadala abasebasha (cishe iminyaka engu-25 kuya kwengu-45)

ENdiya, i-avascular necrosis, i-ankylosing spondylitis, i-post-traumatic arthritis kanye ne-rheumatoid arthritis kuletha iziguli eziningi ekufakweni kwe-hip kusenesikhathi. Inkinga ebalulekile impilo yokufakelwa kuyo yonke impilo ende esele, okusho ukuthi ukuhlinzwa kokulungisa kamuva kuyinto engokoqobo. Izinketho zokugcina i-hip zibhekwa kuqala, ukulungiswa okungakaqedwa nge-bearing eqinile kuvame ukuthandwa, futhi ukwelulekwa ngomsebenzi kubaluleke kakhulu, hhayi kancane.

Iziguli ezindala (ezineminyaka engu-70 nangaphezulu)

Izinto eziza kuqala ziya ekupholiseni okuphephile, okusheshayo, nokuthembekile: ukuhlolwa ngokucophelela kwenhliziyo namaphaphu, i-anesthesia yomgogodla lapho kufaneleka khona, ukuqina okuqinile emathanjeni e-osteoporotic, ukulungiswa kwe-anemia, ukuvimbela i-delirium, ukuhamba ngokushesha kanye nokuvimbela ukuwa ekhaya. Ubuthakathaka buhlolwa kanye nobudala - umuntu oneminyaka engu-78 ophilile angenza kangcono kunomuntu oneminyaka engu-62 obuthakathaka.

Izingane kanye nentsha

Ukufakwa esikhundleni kwe-hip okuphelele akuvamile ukuba kufaneleke ngaphambi kokuvuthwa kwamathambo. Izinkinga ze-hip zezingane ezifana ne-developmental dysplasia, isifo se-Perthes, i-slipped capital femoral epiphysis, i-septic arthritis sequelae kanye ne-juvenile idiopathic arthritis ziphathwa ngokuhlinzwa okugcina i-hip, i-osteotomy noma ukwelashwa kwezokwelapha. Ukufakwa esikhundleni kugcinelwe amacala angavamile okubhujiswa okukhulu, okubuhlungu, kwesigaba sokugcina, futhi umndeni welulekwa ukuthi kungenzeka kube nokubuyekezwa okuningi empilweni yonke.

Iziguli ezinesifo sikashukela, isifo sezinso noma ezicindezelwe amasosha omzimba

La maqembu adinga isikhathi eside sokuthuthukisa, ukuhlolwa kokutheleleka, kanye nokuqapha okuseduze ngemva kokuhlinzwa. Imithi ye-biologic noma yokuguqula izifo ye-rheumatoid arthritis ivame ukumiswa ngesikhathi sokuhlinzwa ngeseluleko se-rheumatology.

Uma Ukhetha Ukungahlinzwa

Ukwenqaba noma ukuhlehlisa ukuhlinzwa kuyisinqumo esisemthethweni, futhi siyahlonishwa. Lokho okushiwo ngokuvamile ekusebenzeni:

• Ubuhlungu obuqhubekayo obuvame ukuqhubeka kancane kancane ezinyangeni kuya eminyakeni, kanye nobuhlungu obuningi ebusuku kanye nebanga elifushane lokuhamba ngezinyawo elingenabuhlungu.
• Ukuthembela okwandayo emithini yobuhlungu, okunezingozi zesikhathi eside esiswini nasezinso, kanye nasenduku noma emshinini wokuwasha.
• Ukuqina okuqhubekayo, ukuxega, ukufinyezwa komlenze kanye nokulahlekelwa yimisipha; ngokuhamba kweminyaka ukukhubazeka kungase kuphele.
• Ukucindezeleka kwesibili emhlane ongezansi, esinqeni esiphambene nasemadolweni womabili.
• Ukulahlekelwa ukuqina komzimba, ukukhuluphala, isifo sikashukela esibi kanye nokulawulwa komfutho wegazi, ukuphazamiseka kokulala kanye nesimo sengqondo esiphansi.
• Ukuzimela okunciphile kanye nomthwalo omkhulu wokunakekela umndeni.
• Uma ukuhlinzwa kukhethwa kamuva kakhulu, kungaba nzima ngokwezobuchwepheshe, kudingeke ukufakelwa amathambo noma isiqu eside, futhi kuqhubeke nokululama kancane.

Uma uhlehlisa, uhlelo oluhlelekile olungelulo ukuhlinzwa lusanikezwa: i-physiotherapy, ukuphathwa kwesisindo, ukuqeqeshwa kosizo lokuhamba, ukubuyekezwa kwe-analgesic, i-vitamin D ne-calcium, ukuvimbela ukuwa, kanye nokuhlolwa kabusha njalo ukuze ukwazi ukuphinda ubuyekeze isinqumo nganoma yisiphi isikhathi.

Yini Eshintsha Izindleko Zokushintsha I-Hip Total

Ukufakwa kwesinqe okuphelele kuyinqubo ebiza kakhulu futhi inani lokugcina liyahlukahluka kakhulu kuye ngesiguli. Izibhedlela zase-Apollo eLucknow zinikeza isilinganiso esibhaliwe ngaphambi kokungeniswa. Sicela uthole izibalo zamanje edeskini lokukhokhisa noma lomshuwalense wesibhedlela - akukho manani acashunwe lapha, futhi izilinganiso zokuhlanganisa ezivela eceleni akufanele zithenjwe.

Umshuwalense, Ukwelashwa Okungenamali kanye Nenqubo ye-TPA eNdiya

Ukufakwa esikhundleni se-hip okuphelele kwe-arthritis noma i-avascular necrosis kuyindlela yokwamukelwa ehleliwe futhi imbozwe yizinqubomgomo eziningi zomshuwalense wezempilo waseNdiya, ngokuya ngemigomo yenqubomgomo yakho. Amaphuzu avame ukubangela iziguli:

• Izikhathi zokulinda: Izinqubomgomo eziningi zesinxephezelo zisebenzisa isikhathi esithile sokulinda - ngokuvamile iminyaka emi-2 kuya kwemine kuye ngokuthi umkhiqizo uyini - ukuze kufakwe elinye ilungu kanye nezimo eziwohlokayo ezikhona. Funda amagama enqubomgomo yakho noma ubuze umshwalense wakho ngokubhala ngaphambi kokubeka usuku.
• Ingozi uma iqhathaniswa nesembozo esihleliwe: Ukufakwa esikhundleni kwe-hip ngemuva kwengozi yomgwaqo noma ukuphuka okuhlobene nokuwa kuvame ukubhekwa njengesimangalo esingalindelekile kanti izikhathi zokulinda isifo esiwohlokayo ngokuvamile azisebenzi. Ukufakwa esikhundleni kwe-arthritis okuhleliwe kuhlolwa ngesikhathi sokulinda kwesifo. Gcina irekhodi lengozi, ikhophi ye-FIR noma ye-MLC kanye namanothi ezimo eziphuthumayo kuphephile, njengoba abashuwalense becela lokho.
• Imvume kusengaphambili yokukhokha ngaphandle kwemali: Ideski lomshwalense wesibhedlela lithumela ifomu lokuqinisekisa kusengaphambili kanye nencwadi yomtholampilo kadokotela ohlinzayo, ukuxilongwa, ama-X-ray, ukufakelwa okuhlongozwayo kanye nesilinganiso sezindleko. Imvume ngokuvamile ithatha izinsuku ezimbalwa zokusebenza zokuhlinzwa okuhleliwe futhi isheshiswa ezimweni eziphuthumayo. Ungacabangi ukuthi imvume ize ikhishwe ngokubhala.