Imininingwane mayelana nezindleko zokulungiswa kwamalunga eqakala futhi ubani udokotela ongcono kakhulu ongawenza?

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DohaJulayi 27, 2023Isibuyekezo sokugcina: ezinyangeni ezi-7 ezedlule

Isingeniso

Kwezinye izimo, lapho ezinye izindlela zokwelapha zihluleka ukudambisa ubuhlungu beqakala obubangelwa isifo samathambo esinzima, odokotela baphendukela ekuqinisweni kwamalunga eqakala. Uhlobo olufanele lokuhlinzwa luncike ezicini eziningana ezifana nalezi:

  • Iminyaka kadokotela kanye nezinga lomsebenzi
  • Ubukhulu bokulimala okuhlangene kanye nokuguqulwa

Kwezinye izimo, kungase kudingeke ukuhlanganisa amathambo alimele ndawonye noma ngisho nokushintsha ilunga elilimele ngelunga lokwenziwa. Ukuqiniswa kwe-ankle kuphumelela ekudambiseni ubuhlungu be-arthritis futhi kuthuthukise ukuhamba nokusebenza kwesiguli.

Ukubaluleka kweqakala kanye nomthelela walo ekuhambeni

Iqakala lingelinye lamalunga abaluleke kakhulu emzimbeni, lidlala indima ebalulekile ekuthwaleni isisindo somzimba nokunyakaza. Uma iqakala lilimele noma line-arthritic, lingathinta kakhulu ikhono lesiguli lokuhamba nokwenza imisebenzi yansuku zonke.

Kunezimpawu eziningi ezingase zibonise isidingo senqubo yokulungisa i-ankle, kuhlanganise:

  • Ubuhlungu obukhulu beqakala okunzima ukubuqeda ngemithi evamile
  • Ukuhlangana nokuqina kokunyakaza kweqakala
  • Ubunzima bokuhamba noma ukuma isikhathi eside
  • Ukulahlekelwa ikhono lokwenza imisebenzi yezemidlalo eyintandokazi

Ingabe kuyadingeka ukuba neqakala elinempilo?

Uma unezinhlungu ze-ankle eziphikelelayo noma ubunzima bokuhamba ngenxa yezinkinga ezihlangene, kungase kudingeke ucabangele i-arthroplasty ye-ankle. Ngenxa yentuthuko yezobuchwepheshe, ukulungiswa okuhlanganyelwe kuyizinqubo zokuhlinza eziphephile nezisebenzayo futhi kunikeza ukuthuthukiswa okuphawulekayo kwezinga lempilo yeziguli.

Izindleko ze-ankle arthroplasty eGibhithe

Uma ucubungula izindleko zokuhlinzwa okuhlangene kweqakala eGibhithe, kunezici eziningi okufanele zicatshangelwe. Izindleko zokuhlinzwa ziyahlukahluka kuye ngodokotela owelaphayo kanye nesibhedlela noma isikhungo sezokwelapha lapho ukuhlinzwa kuzokwenziwa khona. Izindleko nazo zincike ebunkingeni becala kanye nohlobo lokuhlinzwa oludingekayo. Kukhona nezinye izici ezithinta izindleko zokuhlinza, njengokuhlolwa okudingekayo ngaphambi nangemuva kokuhlinzwa kanye nezinsiza ezihlukahlukene zokwelapha ezisetshenziswayo. Kunezici ezithile ezithinta izindleko:

Izinto ezithinta izindleko zokusebenza:

- Iziqu kanye nolwazi lukadokotela ohlinzayo olaphayo.- Isikhungo sezokwelapha noma isibhedlela lapho kuhlinzelwa khona.- Ukuba yinkimbinkimbi kwesimo kanye nezinga lomonakalo ohlangene.- Amathuluzi ezokwelapha nezinto ezisetshenziswayo.- Ukuhlolwa kwegazi nama-x-ray lokho kungase kudingeke ngaphambi nangemva kokuhlinzwa.

Izindleko zokusebenza e-Egypt:

Izindleko zokuqiniswa kokuhlangana kwe-ankle ziyahlukahluka eGibhithe futhi zingasukela kumaphawundi ayizinkulungwane eziyi-15 kuye kumaphawundi ayizinkulungwane ezingama-75. Lokhu kungenxa yezici ezishiwo ngenhla futhi kuyahlukahluka kuye ngokuthi isikhungo sezokwelapha, isipiliyoni sikadokotela ohlinzayo, kanye nesimo sempilo yesiguli. Isiguli kufanele sihlanganise ekubaleni kwaso izindleko ukubonisana nodokotela ngaphambi nangemuva kokuhlinzwa kanye nakho konke ukuhlolwa okudingekile nama-x-reyi.

Ngokuvamile, isiguli kufanele sixoxe ngokukwazi ukukhokhela nodokotela ohlinzayo ngaphambi kwenqubo futhi sifune ukucaciswa okucacile kwezindleko ezilindelekile kanye nanoma yiziphi izindleko ezengeziwe ezingase ziphakame. Kufanele uhlole umshwalense wakho wezempilo, uma ukhona, ukuze uthole ukuthi izindleko zenqubo zingakhava kancane noma ngokuphelele.

Yenziwa nini i-ankle arthroplasty?

Lapho ukwelashwa okuvamile kwehluleka ukukhulula ubuhlungu be-ankle obubangelwa isifo samathambo esinzima, odokotela bangase benze ukuzinza kwamalunga eqakala. Izinkinga zempilo ezidinga ukuhlinzwa zihlanganisa:

Izinkinga zempilo ezidinga ukuhlinzwa:

  • I-Rheumatoid arthritis
  • Umonakalo omkhulu we-cartilage
  • I-Osteoclast
  • Ukuphuka endaweni yeqakala
  • Ukulimala kwamalunga ngenxa yokulimala noma ukuguga
  • Imiphumela engemihle yokufakwa kwangaphambilini

Abazokhethwa kulo msebenzi:

Izinga lesimo sejoyinti, izinga ukunyakaza nobuhlungu okuthinteka ngayo, kanye nezinga lomthelela ekuphileni kwansuku zonke kwesiguli kuncike enkambisweni yokuqiniswa kwamalunga eqakala. Abazongenela inqubo bahlanganisa:

  • Labo abanezinhlungu ezinzima zamaqakala ezithinta ikhono lokwenza imisebenzi yansuku zonke.
  • Labo abanokunyakaza okulinganiselwe noma ukukhubazeka okuphawulekayo kwamalunga.
  • Labo abangazange baphendule ekwelashweni okuvamile okufana nokwelashwa kwezidakamizwa noma ukwelapha ngokomzimba.

Kubalulekile ukuthi isiguli singabi nazinkinga zempilo ezingase zandise ubungozi bokuhlinzwa. Udokotela angase enze izivivinyo ezifanele futhi ahlaziye ukuze aqinisekise ukwamukelwa kwesiguli kanye nokulungela ukuhlinzwa.

Ukuqiniswa kwamalunga e-ankle kuyisixazululo esifanelekile kubantu abahlukunyezwa yi-ankle enzima ngenxa yezizathu eziningana ezahlukene. Uhlobo lokuhlinzwa luncike eminyakeni kadokotela, izinga lomsebenzi, kanye nezinga lokulimala kwamalunga. Amalunga amaqakala alimele angase adinge ukuba amathambo ahlanganiswe ndawonye noma kufakwe ilunga lokwenziwa.

Udokotela kufanele axoxe nesiguli ngayo yonke imininingwane ephathelene nezinzuzo nezingozi zokuhlinzwa ukuze asisize senze isinqumo esifanele. Konke ukuhlinzwa okuhlanganyelwe kokuqiniswa kweqakala kunezingozi ezingaba khona, futhi odokotela abahlinzayo banesibopho sokwazisa iziguli ngezingozi ezingaba khona ngaphambi kokuhlinzwa.

Izinzwa ezincane ezinikeza ukuzwa esikhumbeni zingase zilimaze noma zisikwe ngesikhathi sokuhlinzwa. Lokhu kungabangela ukushoshozela noma umuzwa wokuba ndikindiki eduze kwesibazi sokuhlinzwa. Lezi zinkinga eziningi zingalawulwa ngokwelashwa ngokomzimba kanye nokwelashwa kwezidakamizwa.

Izinqubo zokulungisa ama-ankle

Lapho ukwelashwa okuvamile kwehluleka ukukhulula ubuhlungu be-ankle obubangelwa isifo samathambo esinzima, odokotela bangase benze ukuzinza kwamalunga eqakala. Uhlobo lokuhlinza olufanele isiguli luncike ezicini eziningana, okuhlanganisa iminyaka yesiguli, izinga lomsebenzi, nezinga lokulimala kwamalunga noma ukukhubazeka. Nazi ezinye izinhlobo ezahlukene zokuhlinzwa:

1. Ubamba amathambo ndawonye

Ezinye izimo zokulimala okukhulu kwamalunga zidinga ukuhlanganisa amathambo alimele ndawonye. Udokotela ohlinzayo ulungisa iziphetho zethambo ezilimele ngamapuleti ensimbi nezikulufu. Phakathi nesikhathi sokuphulukiswa, amathambo awonakele ayahlangana ukuze enze ithambo elilodwa.

2. Ukushintsha ilunga ngelunga lokwenziwa

Uma kwenzeka umonakalo omkhulu emalungeni eqakala, isiguli singase sidinge ukuba ilunga elimele lisuswe lonke futhi kufakwe ilunga lokwenziwa esikhundleni salokho. Ijoyinti elilimele lithathelwa indawo ilunga lokwenziwa elisebenza ngendlela efanayo futhi lisiza ukubuyisela ukunyakaza kwe-ankle okuvamile.

Izindleko zokuqiniswa kwamalunga eqakala ziyahlukahluka kuye ngezwe, isibhedlela, nezindleko zikadokotela.” Ngokwesibonelo, e-United States, izindleko zokuhlinzwa zingasukela phakathi kwamaRandi angu-3000 10000 nezi-XNUMX XNUMX . Isiguli kufanele sikhulume nodokotela ohlinzayo mayelana nezindleko nomshwalense okhona ngaphambi kokuba sihlinze.

Ubude besikhathi sokusebenza kanye nesikhathi sokuthola kabusha

Ngokuvamile, inqubo yokuqinisa i-ankle joint ithatha cishe amahora amabili. Ngokuvamile, isiguli sihlala esibhedlela izinsuku ezimbili ngemva kokuhlinzwa. Inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile, indawo ezungeze iqakala iba ndikindiki amahora ambalwa ngemva kokuhlinzwa.

Ngemuva kokuhlinzwa, isiguli siyeluleka ukuba siphumule futhi sigweme ukucindezela eqakaleni. Isiguli singase sidinge ukusebenzisa izinduku noma induku yokuhlanganisa ukuze sisize ukunyakaza. Isikhathi sokululama siyahlukahluka phakathi kweziguli, kodwa ngokuvamile kuthatha izinyanga ezimbalwa ukubuyela emsebenzini ovamile.

Okokugcina, iziguli kufanele zixoxe ngezindleko nezinqubo nodokotela bazo ngaphambi kokuthatha isinqumo sokwenza i-ankle arthroplasty. Lokhu kubasiza ukuthi baqonde inqubo kangcono futhi benze isinqumo esinolwazi mayelana nezinketho zokwelashwa.

Izindleko ze-ankle arthroplasty

Lapho ucubungula i-ankle arthroplasty, ukunquma izindleko zenqubo kuyisici esibalulekile okufanele sicatshangelwe. Izindleko ze-ankle arthroplasty zithintwa yizici ezimbalwa, okuhlanganisa isifunda sendawo, isikhungo sezokwelapha, nezindleko zokunakekelwa kwangemuva. Nokho, izindleko ngokuvamile zingalinganiswa ngokubheka izici ezilandelayo:

  • Uhlobo lokusebenza: Uhlobo lomsebenzi owenziwe luhlobene ngempela nezindleko ozozikhokha. Ezinye izinqubo zingase zibe yinkimbinkimbi futhi zidinga ukusetshenziswa kwamasu athuthukile, okuholela ekwenyukeni kwezindleko.
  • I-Aftercare: Isiguli singase sidinge ukunakekelwa ngemva kwenqubo, njengokwelashwa ngokomzimba noma imithi elwa nokuvuvukala. Lezi zindleko kufanele zicatshangelwe lapho kulinganiswa izindleko zokusebenza.
  • Umshwalense Wezempilo: Izindleko ze-ankle arthroplasty nazo zithintwa ukuhlinzekwa komshuwalense wezempilo. Umshwalense ungakhava ingxenye noma zonke izindleko ezihlobene nenqubo, kodwa ungase futhi udinge isiguli ukuba sikhokhe iphesenti lezindleko.

Kubalulekile ukuthi isiguli sibonane nodokotela waso ngaphambi kokuhlinzwa ukuze sithole isilinganiso esinembile sezindleko zokuhlinzwa. Ungakwazi futhi ukubuza nenhlangano yakho yezokunakekelwa kwempilo mayelana nezindleko ezilinganiselwe nokuthi zikhona yini izinketho zezimali noma izaphulelo ezitholakalayo.

 Ukunakekelwa kwe-ankle ngemuva kokuhlinzwa

Ngemuva kwe-ankle arthroplasty, kubalulekile ukulandela imiyalelo yokunakekelwa ngemuva kokuqinisekisa ukuphulukiswa okufanele nokululama. Nansi imiyalelo ebalulekile yokunakekelwa kweqakala ngemva kokuhlinzwa:

  • Ukuqapha ngezikhathi ezithile: Isiguli kufanele sibuye ukuze sihlolwe njalo nodokotela ukuze aqinisekise ukuthi inqubekelaphambili yokululama kanye nokululama okuhle.
  • Ukugqoka ukhonkolo nezinduku: Isiguli singase sidinge ukugoqa iqakala futhi sisebenzise izinduku phakathi nesikhathi sokuqala sokululama ukuze siqinise futhi sisekele iqakala.

Ukuhamba ngemuva kokuhlinzwa

Isikhathi sokuqala ukuhamba ngemva kokuqiniswa okuhlangene kwe-ankle singahluka kuye ngokuthi uhlobo lokusebenza kanye nemiyalelo kadokotela. Ukuqala ukuhamba kuncike esimweni sesiguli kanye nenqubekelaphambili yokululama.

Isiphetho

Ekugcineni, i-ankle arthroplasty iyinqubo yokuhlinzwa ebalulekile edinga ukucatshangelwa kwezindleko ezifanele. Kubalulekile ukukhetha udokotela ohlinzayo onolwazi nekhono elidingekayo ukuze enze ukuhlinzwa ngempumelelo. Nalu ulwazi oluwusizo mayelana nezindleko zokuhlinzwa kokuqiniswa kwe-ankle ezigulini zaseGibhithe:

Udokotela ongcono kakhulu wokulungisa iqakala

UDkt. Amr Amal هو واحد من أفضل الأطباء المتخصصين في تثبيت مفصل الكاحل في مصر. يتميز بمؤهلات عالية وخبرة واسعة في هذا المجال. يعمل د. عمرو أمل في مستشفى مرموق ومجهز تجهيزًا كاملًا لتوفير أفضل مستوى من الرعاية الصحية للمرضى.

izindleko zokusebenza

Izindleko ze-ankle arthroplasty ziyahlukahluka kuye ngezici eziningana, kuhlanganise:

  • ubunkimbinkimbi besimo sesiguli
  • Idumela nolwazi lukadokotela ohlinzayo
  • Isibhedlela se-Nuclear Imaging
  • Indawo yendawo

Asikho isilinganiso esinqunyiwe sezindleko zalo msebenzi. Kodwa-ke, izindleko zayo zingalinganiselwa phakathi kwamaphawundi aseGibhithe angama-20000 kuya kumaphawundi angama-40000 aseGibhithe.

izindleko ezilindelekile

Iziguli kufanele zithintane nodokotela wazo ukuze bathole isilinganiso esinembile sezindleko ngokusekelwe esimweni sazo ngasinye. Izindleko zokusebenza zingabandakanya lokhu okulandelayo:

  • Izindleko zokusebenza esibhedlela
  • Izindleko zokuxilonga zokuqala
  • Izindleko ze-Endoscopy
  • Izindleko ze-X-ray
  • Izindleko zokwelashwa kwangemva kokuhlinzwa (physiotherapy kanye nokulandelela)

Lezi ngezinye zezinto iziguli okufanele zizicabangele lapho zilinganisela izindleko ezilindelekile.

Ngokukhetha udokotela ohlinzayo ofanele nokulinganisa izindleko ezilindelekile, iziguli zingaba ne-ankle arthroplasty ephumelelayo nephumelelayo. Iziguli kufanele zithintane nodokotela wazo ukuze zithole ulwazi olwengeziwe futhi zilinganisele ngokunembile izindleko zenqubo ngaphambi kokwenza isinqumo sazo sokugcina.

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