Amanxeba abuhlungu, abuye aqhube kakubi, ngokuqhelekileyo abe ngumqobo kumphefumlo opheleleyo. Eyona ndlela isebenzayo, kwaye ngamanye amaxesha kuphela indlela yokubuyisela umsebenzi wemilenze yinto yokugcina-endoprosthetics. Enye yezona zinto eziqhelekileyo kwiimathambo zedolophu i-arthroplasty. Amachiza anamhlanje avumela i-knee arthroplasty epheleleyo, equka ukutshintshwa kwazo zonke izakhi ze-biocompatible (endoprosthesis) ukwenzela ukukhulula isigulane sentlungu kwaye ubuyele emadolweni ekusebenzeni ngokuqhelekileyo.
Iinkcazo kunye nokuchasene kwi-knee arthroplasty
I-Endoprosthetics yamadolo ehlangene yenziwa ngenani leenkcukacha, kubandakanya:
- i-arthrosis yamadolo ;
- arthritis;
- isakhiwo esingaqhelekanga sokuhlangana kwamadolo (dysplastic arthrosis);
- i-arthrosis ye-posttraumatic;
- i-osteonecrosis (i-necrosis yamathambo amathambo).
Kwezinye iimeko, i-endoprosthetics iyaphikiswa. Akuvumelekile ukuba kwenziwe inkqubo yokucubungula nge:
- inkqubo yokusuleleka ekudibeneyo;
- ukuphazamiseka kwegazi ;
- izifo zentliziyo yemilenze;
- ubukho bokuchasana ngokubanzi (sinusitis, caries, njl).
Kuyinto engathandeki ukufumana i-endoprosthetics yokunyanyisa kwebanga lesi-III kunye nezifo ze-oncological.
Ukubuyiselwa emva kokuguqa kwamadolo
I-Endoprosthetics yintsebenzo ehamba kunye nokulahleka kwegazi. Kwezinye iimeko, zombini ngexesha lotyando kunye nexesha lokuthunyelwa kwexesha, ukufunyanwa kwegazi kuyadingeka.
Ukongezelela, ezi nkcukacha zilandelayo ziqatshelwe emva kokuba idolo ligugule:
- ukusuleleka kwezicubu kummandla osebenzayo;
- i-thromboembolism (ukukhutshwa kwemithambo yegazi).
Kule nkalo, kwisithuba esilandelayo, isigulane sinolawulo lwee-antibiotics kunye neyeza zonyango. Ulwaphulo lwe-Symptomatic lwenziwa kwakhona xa esibhedlele. Emva kweentsuku ezili-10 ukuya kwezi-12, isigulane sidla ngokukhutshwa. Ekhaya, iingcebiso zonyango kufuneka zilandelwe ngqo.
Ukubuyiswa emva kokutshintsha kweendolo kuthatha malunga neenyanga ezintathu. Zonke izenzo zokuvuselela ziphantsi kolawulo logqirha. Ukuba kunokwenzeka, kucetyiswa ukuba uphumelele kwiklasi ekhethekileyo kwiiveki ezimbalwa. I-LFK emva kokuphela kwesigxina se-knee joint phantsi kwesikhokelo somqeqeshi weengcali kunceda:
- ukwanda kwimiqulu yokuhamba;
- ukwanda kwamandla emisipha yomlenze;
- umlutha we-prosthesis kwaye, ekugqibeleni, ukubuyela ngokugqithiseleyo kwinqanaba langaphambili lomsebenzi.
Ukuzivocavoca emva kokuba i-endoprosthetics yamadolo kufuneka yenziwe ngokuzimela ekhaya. Ubunzima bezempilo buquka okokuzivocavoca okunjalo:
- Ukugqithwa kwamadolo kwindawo yokutya kunye nokuma.
- Ukuguqa ngamadolo kunye nama-agent agxininisayo ukusuka ku-300 ukuya ku-600 g;
- Ukuhamba, ukususela emi-5 ukuya kweyimizuzu imizuzu kathathu ngosuku, ngokunyuka ukuya kwisiqingatha seyure ii-2 ukuya kwezi-3 ngosuku;
- Iiklasi kwibhayisikili esetyenzisiweyo okanye ukuhamba ngexesha elifutshane ngebhayisekile.
Kwakhona, iingcali zincoma ukuba ungenalo ukwenza umsebenzi wesikolo, nangona kufuneka unciphise umthwalo oqhelekileyo. Ugqirha, ekuqwalaseleni utshintsho kwimeko yesigulane, kuya kubonisa ixesha apho kunokwenzeka ukulahla iikhonkco. Emva koko kuya kunokwenzeka ukwandisa umthwalo ngokomzimba ngaphandle kokuyeka ukunyuka kwezitepsi, ukuqhuba isithuthi, njl. Kwiimeko ezininzi, ukubhukuda, ukudansa kunye nemidlalo ethile akuvumelekile. Kodwa ezemidlalo, ezihambelana nomthwalo obalulekileyo kumalungu (ukuxuma, ukuphakamisa izisindo, i-tennis kunye neminye imisebenzi yezemidlalo), kungcono ukuphepha.