Esikhathini esidlule, abantu ababhekene ne- coxarthrosis noma ukuphuka kwentamo ye-hip, balahlekelwa ikhono lokuhamba ngokuzimela futhi bakhubazekile. Ukuphumelela kokuhlinzekwa kwanamuhla kungashintsha ngokuphelele izindawo ezilimaziwe ngezimpande zokwenziwa futhi zibuyele ekuphileni okuvamile. Indima eyinhloko kulokhu kuvuselelwa ngemuva kwe-hip arthroplasty. Le nqubo iqala ngokushesha ngemuva kokusebenza futhi igcina, njengomthetho, cishe unyaka owodwa.
Izitebhisi zesikhathi sokuvuselela emva kwe-hip arthroplasty
Ukubuyiselwa, okuyiqiniso, kuxhomeke kulokho okubangelwa khona ukugula okuphelele (okuphelele) esikhundleni sezingxenye ezihambayo zokujoyina, ukunganakekelwa kwempilo, ubudala kanye nesezempilo jikelele isiguli senziwa. Imisebenzi yokuvuselela ihlanganiswa ngokuningiliziwe ngudokotela oya khona, kodwa ngokomzimba angahlukana ngezigaba ezinhlanu:
- zero (amahora angu-2-5 emva kokuhlinzwa);
- kuqala (izinsuku ezingu-1-4);
- okwesibili (izinsuku ezingu-5-21);
- okwesithathu (amasonto angu-4-8);
- okwesine (amasonto angu-9-14).
Ukuphulukiswa kwasekuseni emva kokuphela kwe-endoprosthetics yezingxenye ezihambayo zokujoyina i-hip
Ukuvuselelwa kuyinkimbinkimbi yemisebenzi. Iqukethe ikakhulukazi ukwelapha umzimba, kodwa ezinsukwini ezimbalwa emva kokuhlinzwa kuhilela ukuthatha imithi ethile:
- i-analgesics yezinambuzane ezingezona-narcotic (Promedol, Morphine, Dexalgin, Renalgan);
- izidakamizwa ze-antithrombotic (i-Clexan, i-Fraksiparin);
- imithi yokuvimbela ukwehluleka kwenhliziyo (ATP, Mildronate);
- ama-antibiotics (i-Metrogil, i-Ceftriaxone);
- izidakamizwa zokuqeda i-atony yamathumbu (Ubretid, Proserin).
I-Physiotherapy endaweni yomswakama - UHF, i-DMV, i-UFO, nomphumela wamagnetic kuyodingeka futhi.
I-Physiotherapy e-zero futhi isigaba sokuqala ukusebenza okuncane kokuzivocavoca okulula okulele embhedeni:
- Hambisa unyawo phezulu futhi phansi, uphenduka.
- Ukucindezeleka kwemisipha ye-quadriceps (imizuzwana engu-10), izintambo.
- Ukudonsa isithende emadodeni ngamadolo.
- Ukuguqula umlenze ohlangothini bese ubuyela esimweni sokuqala.
- Ukuphakamisa umlenze oqondile phezu kombhede.
Kusukela ezinsukwini ezingu-1-4 kuvunyelwe ukuhlala, ukuma futhi ngisho nokunyakaza ngosizo lwabahamba ngezinyawo noma izintambo. Ngeke kube yinto engafanele ukwenza imisebenzi enjalo:
- Ukubuyisela umlenze oqondile.
- Ukugobhoza kwesilwane esinempilo futhi esisebenzayo ku-hip namadolo.
- Ihlisa kancane unyawo lwakho ohlangothini.
Ukuvuselelwa emasontweni ayisithupha okuqala ngemuva kwe-hip arthroplasty
Phakathi nesigaba sesibili se-2 ne-3 sokuvuselela, udinga kancane kancane ukwandise umthwalo:
- Hamba ngomhlanga.
- Sukuma bese wehla ezitebhisini usebenzisa i-crutch.
- Ukuze ubuyekeze umlenze (ukuma) emuva, phambili, ohlangothini ngokumelana, isibonelo, usebenzisa ibhande elincanyene eliboshwe esihlalweni.
- Ukuzivocavoca ngebhayisikili yokuzivocavoca ngezinyawo ezincane (ezimfushane).
- Qeqesha ibhalansi (ungama umlenze owodwa isikhathi eside).
- Uzama ukubuyela emuva.
- Yenza izivivinyo nge-step-platform (kuphela ngaphansi kokuqondiswa udokotela).
Kubalulekile ukuqinisekisa ukuthi ukuvivinya umzimba akuhambisani nokuhlukumeza. Ubuhlungu obukhulu bubekezelela.
Gcina ukuqeda ngemuva kwe-arthroplasty ye-hip esiphelele
Cishe ngamasonto angu-9-10 emva kokudabuka kwe-syndrome yezinhlungu zokuhlinzwa futhi, njengoba umthetho, iziguli zikwazi ukuhamba ngokuzimela, okuyinto evamile
Ukuphakanyiswa okuphakanyisiwe:
- Semi-squats.
- Ukwehliswa kwamaqoqo anwebeka ngamadolo.
- Ukuhamba ngaphandle komhlanga, emuva nangaphezulu.
- Amakilasi ebhayisikili elimilayo enezinyawo ezinde.
- Ukulinganisela esiteji sokuqhaqhazelayo.
- Ukuqeqeshwa kwe-Step-up.