Amajoyino amnandi, abuye ahambe kabi, ngokuvamile abe yisithiyo ekuphileni okuphelele. Iphumelela kakhulu, futhi ngezinye izikhathi indlela kuphela yokubuyisela umsebenzi wezitho zomzimba i-endoprosthetics - ukushintshwa okuhlangene. Omunye wemisebenzi ejwayelekile emitholampilo yi-knee arthroplasty. Imithi yesimanje ivumela i-knee arthroplasty ephelele, efaka ukuguqulwa kwazo zonke izingxenye ze-articular nezakhiwo ze-biocompatible (endoprosthesis) ukuze kunqunywe isiguli sobuhlungu futhi ubuyele emadolweni ekusebenzeni okujwayelekile.
Izinkomba nokuphikisana kwamadolothi arthroplasty
I-Endoprosthetics ye-knee joint iyenziwa ngenani lezinkomba, kufaka phakathi:
- i-arthrosis yamadolo ;
- i-arthritis;
- isakhiwo esingavamile samadolo (i-dysplastic arthrosis);
- i-arthrosis ye-posttraumatic;
- i-osteonecrosis (i-necrosis yamathambo amathambo).
Kwezinye izimo, i-endoprosthetics iyaphikisana. Akuvunyelwe ukwenza inqubo yokuhlinzwa nge:
- inqubo evumelanayo ekuhlanganyeleni;
- ukuphazamiseka kwegazi lokugubha ;
- izifo zenhliziyo zemilenze;
- ukutholakala kwe-contraindications yokuhlinzeka jikelele (sinusitis, caries, njll).
Kuyinto engathandeki ukubhekana ne-endoprosthetics yokukhuluphala kwebanga lesi-III kanye nezifo ezingokwemvelo.
Ukuvuselelwa emva kwe-knee arthroplasty
I-Endoprosthetics yinto ehambisana nokulahlekelwa kwegazi. Kwezinye izimo, kokubili ngesikhathi sokuhlinzwa futhi phakathi nesikhathi se-postoperative, ukumpontshelwa igazi kuyadingeka.
Ngaphezu kwalokho, izinkinga ezilandelayo ziphawulwe ngemuva kwegciwane i-arthroplasty:
- ukutheleleka kwezicubu endaweni eqhutshwayo;
- i-thromboembolism (ukuvinjelwa kwemithambo yegazi).
Kule ndaba, ngesikhathi sokusebenza emva kwesikhathi, isiguli siphethwe ngama-antibiotic kanye nemithi yokwelashwa. Ukwelashwa okuyisimangaliso nakho kwenziwa lapho esibhedlela. Ngemuva kwezinsuku ezingu-10 kuya kwezingu-12, isiguli ngokuvamile sikhululwa. Ekhaya, izincomo zohlinza kufanele zilandelwe ngokuqinile.
Ukubuyiswa emva kokuguqulwa kwamadolo kuthatha cishe izinyanga ezintathu. Yonke imisebenzi yokuvuselela ilawulwa udokotela. Uma kunokwenzeka, kunconywa ukuba ufunde inkambo yokutakula esikhungweni esikhethekile phakathi kwamasonto ambalwa. I-LFK ngemuva kokuqeda ukugujwa kwamadolo ngaphansi kokuqondiswa komqeqeshi wezochwepheshe kusiza:
- ukwandisa umthamo wokunyakaza;
- ukwanda kwamandla emisipha yomlenze;
- umlutha we-prosthesis futhi, ekugcineni, ukubuya okubushelelezi ezingeni elidlule lomsebenzi.
Ukuzivocavoca emva kokuphela kwe-endoprosthetics emadolweni kufanele kwenziwe ngokuzimela ekhaya. Ukuxilongwa kwezempilo kubandakanya ngempela ukuqeqeshwa okunjalo:
- Ukugqama kwamadolo ku-supine nokuma.
- Ukuguqa ngamadolo nama-weighting agents kusuka ku-300 kuya ku-600 g;
- Ukuhamba, ukuqala emizuzu emihlanu ukuya kwemi-10 kathathu ngosuku, kancane kancane kuya kwesigamu sehora 2 izikhathi ezintathu ngosuku;
- Amakilasi ebhayisikili elimilayo noma uhambo lwesikhashana oluhamba ngebhayisikili.
Futhi, ochwepheshe batusa ukungalaleli ukwenza umsebenzi wesikole, noma ngabe kufanele unciphise umthwalo ojwayelekile. Udokotela, ebona izinguquko esimweni sesiguli, uzobonisa isikhathi lapho kungenzeka khona ukwenqaba izikhwama. Khona-ke kuyokwazi ukwandisa umthwalo ngokomzimba ngaphandle kokuyeka izitebhisi ezikhuphukayo, ukushayela imoto, njll. Ezimweni eziningi, ukubhukuda, ukudansa neminye imidlalo akuvunyelwe. Kodwa ezemidlalo, ezihambisana nomthwalo obalulekile emajoyini (ukuxuma, ukuphakamisa izisindo, i-tennis kanye neminye imisebenzi yezemidlalo), kungcono ukugwema.