Ukutshintshwa kwamagxa onke ngokungafaniyo kwahlukile kunokubuyela umva?

Utyando lwamahlombe eTurkey inokubuyisela umsebenzi oqhelekileyo kwindibaniselwano yamagxa eye yaphazanyiswa sisifo samathambo, ithambo lamagxa elaphukileyo, okanye ikhafu ejikeleze kakhulu. Emva kotyando, kuya kufuneka ukhululeke kubuhlanti kwaye ube noluhlu olupheleleyo lokuhamba engalweni.

Ugqirha wakho wamathambo unokumisela nokuba ubuyiselwe umva ngokutshintshwa kwamagxa onke okanye ubuyiselwe umva egxalabeni ukuba ungumgqatswa wotyando olupheleleyo lwamagxa. Makhe sihambe malunga nokuba yeyiphi na kwezi nkqubo kubandakanya kwaye apho unokuya khona kunyango lweentlungu.

Ugqirha wotshintsho lwamaGxa ewonke 

Izinto ezenzakeleyo zebandla kunye nesokethi yokudityaniswa kwamagxa zithathelwe indawo zizinto zokufakelwa kutyando lwesiqhelo lwamagxa. Iiprostheses zisetyenziselwa ukufaka endaweni yentloko ye-humeral (umphezulu wethambo lengalo ephezulu) okanye zombini intloko ye-humeral kunye nesokethi ye-glenoid. Isokethi ye-glenoid (ukuba iyasebenza) ithathelwe indawo yiplastikhi yonyango ekumgangatho wezonyango, kwaye intloko ehlekisayo ithathelwe indawo yindawo yokufakelwa yentsimbi edityaniswe kwisiqu.

Ezona zinto zixhaphakileyo Uqhaqho olwenziwa rhoqo egxalabeni yi-osteoarthritis kunye ne-rheumatoid arthritis. Ugqirha wakho wamathambo unokucebisa ukuba ubuyiselwe umva egxalabeni xa umjikelo wakho wokujikeleza wonakele ngokupheleleyo.

Nguwuphi umahluko phakathi kokuGuqulwa kwamaGxa ngokuGqityiweyo kunye nokuTshintshwa kwamaGxa aMveli ngokuBanzi?

Izigulana ezingonzakalanga kakhulu zerotator cuff yecuff zinokuphuhlisa i-rotator cuff iarthropathy, uhlobo lwesifo samathambo apho intshukumo ye-humerus (ithambo lengalo ephezulu) ivelisa ukonakala okuqhubekayo nokunxiba egxalabeni. Ubuhlungu, ubuthathaka, kunye noluhlu olulinganiselweyo lokuhamba egxalabeni zonke iimpawu zemiba yenqanawa yokujikeleza.

Ukutshintsha umva ngokugqibeleleyo unokucetyiswa ukuba ujongane nale ngxaki. Injongo yalo msebenzi kukuzinzisa indibaniselwano eyenzakeleyo kuba isipha esijikelezayo asisenakho ukubamba intloko ye-humeral kwisokethi ye-glenoid.

I-ball-and-socket joint egxalabeni iya kubekwa kwakhona ngugqirha wamathambo. Ibhola ye-humeral isuswe kwaye ibuyiselwe ngebhola yentsimbi edityaniswe kwigxalaba kunokuba kune-humerus. Oku kubhekiswa njengokubuyisela umva egxalabeni ngenxa yokuba isokisi yokufakelwa idityaniswe nomphezulu wehumerus.

Umahluko ngokwemiqathango yeengxaki

Imingcipheko yale misebenzi ifana naleyo yalo naluphi na olunye utyando oludibeneyo lokutshintsha. Usulelo, ukususwa, izinto ezinesiphene, ukukhululeka kwesixhobo sokubuyisela, kunye nemfuneko yoqhaqho lokuphinda uhlaziye zonke ezo zinto zinokwenzeka. Ukongeza, okungaqhelekanga kodwa ngokukodwa kule misebenzi mibini, umngcipheko unokubandakanya ukulimala kwexesha elide kunye nexesha elide.

Umahluko ngokweMeko yokuBuya kwakhona

Yomibini le misebenzi ihlala ifuna ukuba kulaliswe esibhedlele, kwaye izigulana kufuneka zicwangcise ngokuhlala iintsuku ezimbalwa. Ngexesha lokuqala lokuvuselelwa emva kotyando oluqhelekileyo lokutshintshwa kwamagxaUkuhamba kwesiphelo kufuneka kuthintelwe. Eli xesha lokuchacha livumela ilunga elibuyiselweyo ukuba liqale inkqubo yokuphilisa ngelixa livumela isamente esetyenziselwa ukufakela izinto ukubuyela kwimeko yesiqhelo.

Nangona kunjalo, uluhlu oluthile lwemisebenzi yokunyakaza luyakhuthazwa kwaye lucebisiwe ngomsebenzi opheleleyo wokubuyisela umva egxalabeni. Oku kuyakhuthazwa ukuze kuziswe ulungelelwaniso olutsha lwendibaniselwano kumzimba wayo. Ngapha koko, zozibini iinkqubo zifuna iinyanga ezi-2-3 zonyango olunzulu, olulandelwa yinkqubo yokubuyisela ekhaya okungenani iinyanga ezi-6 ukuya kwezi-12 emva kotyando.

Ukutshintshwa kwamagxa ewonke ngokuhambelana nokuTshintshwa kwamaGxa okuGuqula

Indawo yebhola entsha yamagxa kunye nesokethi, kunye namaqela emisipha abathembele kuwo, zizinto ezimbini eziphambili Umahluko phakathi kokutshintshwa kwamagxa okupheleleyo kunye nokutshintshwa kwamagxa angasemva.

Uyilo loyilo lwendibaniselwano luthatyathelwe indawo, kwaye izihlunu zamanqatha ezijikelezayo kunye neethoni zixhomekeke kumandla kunye nokusebenza.

Ibhola kunye nesokethi yokubuyisela umva egxalabeni itshintshiwe, kwaye ihlombe lehlombe lisetyenziselwa ukomelela nokusebenza.

Yeyiphi efanelekileyo kum? Iyonke okanye ibuyise amagxa endaweni?

Imeko nganye yegxalaba iya kuvavanywa ngugqirha wamathambo waseTurkey, oya kuthi axoxe ngeendlela zokwenza utyando kunye notyelelo lwesigulana. Ugqirha uzakususa ithambo elonakeleyo kwaye acwangcise izinto ezintsha zokubuyisela ukusebenza kwamagxa ukuba iyonke okanye ibuyisela umva igxalaba lilonke Iyafuneka. Kuthatha malunga neeyure ezimbini ukubuyisela igxalaba ngokudibeneyo. Isigulana sisesiling emva koqhaqho kwaye sithintele ukuhamba kwengalo. Ukomeleza igxalaba kunye nokwandisa ukuguquguquka, unyango lomzimba luyacetyiswa.

Emva koqhaqho olwenziwe ngokudibeneyo eTurkey, amawaka ezigulana axele ngokuphucuka komgangatho wobomi bawo. Kwimizekelo engama-95 yeepesenti, uphando oluninzi lufumanise ukuba utyando olwenziwa egxalabeni lubonelela ngoncedo olukhethekileyo lwentlungu, umsebenzi ophuculweyo kunye nokwoneliseka kwezigulana.

Nxibelelana nathi ukufumana ulwazi oluthe kratya malunga Ixabiso lotyando lwamagxalaba eTurkey ngamaxabiso afikelelekayo.