Ngaba ubusoloko uziva iintlungu eqatheni lakho ixesha elide? Mhlawumbi uziva uxinezelekile okanye ungenamdla xa uhamba okanye unyuka izinyuko? Okanye ngaba uva iintlungu ngaphakathi eqatheni lakho nangona umi nje? Ngaba le meko ayikaphucuki nangona usela amayeza kwaye ufumana unyango lomzimba? Emva koko ugqirha wakho usenokuba ukuxelele ngotyando olubizwa ngokuba yi-'Ankle Arthroscopy'. Ukuva eli gama kusenokuba kukoyikisile kancinci. Usenokuba ucinge, "Olunye utyando?" Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngayo yonke into ngendlela elula kakhulu onokuyiqonda.
Yintoni i-Ankle Arthroscopy?
Ngamafutshane, olu lutyando olwenziwa njengokujongwa ngesitshixo. Yiyo loo nto lukwabizwa ngokuba "lutyando lwesitshixo." Endaweni yokwenza umngxuma omkhulu eqakaleni lakho uze ulivule njengangaphambili, ngale nkqubo, ugqirha wakho wenza imingxunya embalwa kakhulu (ngesiqhelo engaphantsi kwesiqingatha se-intshi) eluswini lweqatha lakho.
Emva koko, ngaloo mngxuma mncinci, kufakwa isixhobo esikhethekileyo. Sibizwa ngokuba yi-arthroscope . Yityhubhu encinci enekhamera encinci kakhulu kunye nokukhanya okuqhotyoshelwe kuyo. Imifanekiso evela kule khamera iboniswa kwisikrini esikhulu (imonitha), ukuze ugqirha akwazi ukubona ngokucacileyo yonke into engaphakathi kwelungu lakho leqakala, kuquka amathambo, i-cartilage, kunye ne-ligaments.
Xa sele ifunyenwe indawo echanekileyo yengxaki, izixhobo ezincinci zotyando zifakwa ngolunye utyando oluncinci ukulungisa umonakalo ongaphakathi kwelungu. Ekubeni kungengotyando olukhulu, olu lutyando olungenaxinzelelo kangako.
Ngubani odinga olu tyando?
Ngokwesiqhelo, xa isigulana siva iintlungu zeqakala, ugqirha akasithumeli kwangoko ukuba siye kutyandwa. Unyango olungelulo utyando olufana neentlungu zentlungu, iinaliti ze-steroid, kunye nonyango lomzimba lusetyenziswa kuqala.
Nangona kunjalo, ukuba akukho nanye kwezi zinto enika isiqabu esaneleyo kwiintlungu zakho nokuqina kwazo, kusenokwenzeka ukuba ingxaki ikwilungu ngokwalo. Kulapho ugqirha wakho aza kuqwalasela khona i-ankle arthroscopy. Ukuba iqatha lakho alizinzanga kangangokuba awukwazi ukuhamba, okanye ukuba uhlala uqengqa iqatha lakho, olu tyando lunokuba sisisombululo esilungileyo.
Ziziphi iimeko ezinokunyangwa nge-Ankle Arthroscopy?
Olu tyando lwe-keyhole lunokusombulula iingxaki ezininzi zeqakala. Makhe sijonge iimeko eziphambili ezinyangwa ngolu tyando.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| Ukungazinzi kweqakala | Ngamanye amaxesha, ngenxa yokukhubazeka kwamathambo eqatha okanye ubuthathaka kwimisipha, iqatha livakala ngathi "liyangcangcazela" okanye "liyalahlekelwa kukulawula" xa uhamba. Olu tyando lunokufumana unobangela kwaye lulungise. |
| Ukuthintelwa | Xa izicubu ezijikeleze iqatha zicinezelwa ixesha elide, ziyadumba zize ziqale ukuba buhlungu. Oku kubangela ukuba iqatha liqine kwaye lingakwazi ukugoba okanye ukulula kakuhle. Olu tyando lunokususa iindawo ezibangela ukuqina. |
| Ukususwa kweziqwenga zamathambo/i-cartilage ezaphukileyo kunye nezicubu ezibomvu | Emva kwengozi, iziqwenga ezincinci zamathambo kunye ne-cartilage zinokuhlala kwilungu. Oku kunokubangela iintlungu ezininzi. Kwakhona, ilungu linokunamathela ngenxa yezicubu ezingafunekiyo ezithi zibekho xa ukwenzakala kuphola. Olu tyando lususa ezi ziqwenga zingafunwayo kwaye lucoce ilungu. |
| IiLigaments ezikrazukileyo | Iiligamenti zifana neebhanti zerabha ezidibanisa amathambo ethu. Ukuba ezi zikrazukile ngenxa yengozi okanye ukuwa, iqatha aliyi kusebenza kakuhle. Olu tyando lunokulungisa iiligamenti ezikrazukileyo. |
Ufanele uzilungiselele njani ngaphambi kotyando?
Ukuze utyando luphumelele, kufuneka ulungiselele kwangaphambili. Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
| Yintoni omawuyenze/omele uyenze | Kutheni kunjalo? (Isizathu) |
|---|---|
| Izinto zokunciphisa igazi | Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini kunye nezongezo). Izinto zokunciphisa igazi (umz., i-aspirin, i-warfarin) zinokunyusa ukopha kwegazi ngexesha nasemva kotyando. Ugqirha wakho uza kukuxelela ukuba uyeke nini ukuzisebenzisa. |
| Ukutshaya | Ukuba ungumntu otshayayo, kubalulekile ukuyeka ubuncinane iiveki ezine ngaphambi kotyando. Ukutshaya kuyalibazisa kakhulu ukuphiliswa kwamanxeba. |
| Utywala | Utywala bunokunciphisa igazi, ngoko ke luphephe ngokupheleleyo utywala iintsuku ezimbalwa ngaphambi nasemva kotyando. |
| Ukuzila ukutya | Ekubeni uza kube uphantsi kwe-anesthesia ngexesha lotyando, kungcono ungatyi okanye ungaseli nto kangangeeyure ezimbalwa (ngesiqhelo iiyure ezisi-8-12) ngaphambi kwenkqubo. Ugqirha wakho uza kukunika imiyalelo ethile ngale nto. |
Kwenzeka ntoni ngexesha lotyando?
Emva kokuba usiwe kwindawo yotyando, ingcali yokubulala iintlungu iza kukunika i-anesthesia. Oku kungenziwa ngeendlela ezimbini:
1. I-General Anesthesia: Kule meko, uza kulala ubuthongo ngokupheleleyo de utyando lugqitywe. Awuyi kuva nto.
2. I-Regional Anesthesia: Oku kwenza kube nzima kuphela indawo engaphantsi kwesinqe sakho okanye ejikeleze amaqatha akho. Usengqondweni, kodwa awuva ntlungu.
Emva kokwenza i-anesthesia, ugqirha wenza imingxunya emininzi emincinci eqatheni aze afake i-arthroscope ukuze ahlole ingaphakathi lelungu. Nje ukuba ibonwe indawo echanekileyo yengxaki, ugqirha ufaka izixhobo ezifunekayo ngezinye izingxunya ukuze alungise umonakalo. Inkqubo yonke idla ngokuthatha malunga neyure . Nangona kunjalo, eli xesha linokwahluka ngokuxhomekeke kwimeko yakho.
Yintoni iDebridement?
Usenokuliva eli gama xa uthetha ngotyando. Ukucoca umzimba kuthetha nje 'ukucoca'.. Khawucinge ngegumbi endlwini yakho lingcolile. Mhlawumbi lifuna ukucocwa kancinci. Mhlawumbi lifuna ukucocwa ngokupheleleyo. Nokuba yeyiphi na indlela, isiphumo sokugqibela siyafana, kwaye elo ligumbi elicocekileyo nelicocekileyo. Ukungcola yinto efana naleyo. Oku kuthetha ugqirha ngokususa izicwili ezonakeleyo, iziqwenga zamathambo, kunye neziqwenga ze-cartilage ngaphakathi kwelungu lakho leqakala kunye 'nokucoca' ilungu.
Kwenzeka ntoni emva kotyando?
Le nkqubo idla ngokuba yeyokunyanga ngaphandle kwesibhedlele . Uza kuhlolwa iiyure ezimbalwa emva kwenkqubo uze uvunyelwe ukuba uye ekhaya. Ugqirha okanye umongikazi uza kukuchazela into ekufuneka uyenze emva kokuba ubuyele ekhaya.
- Kuphephe ukufaka ubunzima emlenzeni obutyandwe kwiiveki ezimbalwa zokuqala. Kuya kufuneka usebenzise iintonga zokusila ukwenza oku.
- Ukuphakamisa iqatha lakho: Ukuphakamisa umlenze wakho, njengasesitulweni, kunokunceda ukunciphisa ukudumba. Ukuziqinisa iqatha lakho imizuzu eli-15-20 izihlandlo ezininzi ngemini nako kulungile kwiintlungu nokudumba.
- Gcina inxeba licocekile: Amanxeba kufuneka agqunywe kwaye agcinwe ecocekile. Zigqume ngesigqubuthelo esingangeni manzi xa uhlamba. Akuyongcinga ilungileyo ukuhlamba okanye ukuya emachibini okubhukuda de amanxeba aphole.
- Iipilisi zokunciphisa iintlungu: Sela iipilisi zokunciphisa iintlungu (ezifana nee-NSAID) ezichazwe ngugqirha wakho ngexesha.
- I-Splint: Kwiiveki ezimbalwa zokuqala, uza kucelwa ukuba unxibe i-splint okanye i-boot ukuze unciphise intshukumo yeqakala lakho.
Kwiintsuku ezimbalwa, ugqirha uza kukubona kwakhona, anqumle izithungo, aze akuxelele ukuba wenze ntoni emva koko. Emva koko, kuya kufuneka uqale unyango lomzimba . Oku kubalulekile ukuze ufumane amandla kunye nokunyakaza eqatheni lakho.
Ziziphi iingenelo zolu tyando?
Xa kuthelekiswa notyando olungenalusini, i-ankle arthroscopy ineengenelo ezininzi.
Le yindlela yotyando ebangela umonakalo omncinci emzimbeni kwaye inika iziphumo eziphumelelayo kakhulu. Yiyo loo nto oogqirha kwihlabathi liphela bekhetha le ndlela.
- Ukuchacha ngokukhawuleza: Ekubeni kungekho monakalo mkhulu, ixesha lokuchacha lifutshane kakhulu. Ungaqhubeka nemisebenzi eqhelekileyo kwiiveki ezimbalwa.
- Iintlungu ezingaphantsi: Iintlungu emva kotyando zincinci kakhulu.
- Ukopha okuncinci kunye namanxeba amancinci: Ukusikwa okuncinci kubangela ukopha okuncinci, kwaye kusele amanxeba ambalwa amancinci, angabonakaliyo.
- Umngcipheko ophantsi weengxaki: Umngcipheko weengxaki ezifana nosulelo uphantsi kakhulu.
Ngaba kukho naziphi na iingozi?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile, kodwa ezi ziimeko ezingaqhelekanga kakhulu ezingenzeki rhoqo.
- Ukusabela kwe-allergy kwi-anesthesia
- Umonakalo wemithambo-luvo
- Amahlwili egazi, ingakumbi kwimithambo yemilenze (Deep Vein Thrombosis - DVT)
- Usulelo lwenxeba
- Ukopha kakhulu okanye ukudumba
- Ubungqindilili eqakaleni nasenyaweni
- Mhlawumbi, ukuba ingxaki ayisonjululwanga ngokupheleleyo, kunokufuneka olunye utyando.
Musa ukoyika ezi ngozi. Ugqirha wakho uza kuthatha onke amanyathelo afunekayo ukunciphisa ezi ngozi.
Ndifanele ndimbone nini ugqirha emva kotyando?
Kubalulekile ukuba unike ingqalelo emzimbeni wakho emva kokuba ubuyele ekhaya emva kotyando. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye esibhedlele apho ufumene khona unyango.
- Ukuba uva intlungu enganyamezelekiyo .
- Ukuba inxeba liphuma igazi kakhulu .
- Ukuba isicaphucaphu nokuhlanza kuyaqhubeka.
- Ukuba ubona iimpawu zosulelo (umz. umkhuhlane, ukubomvu, ukudumba, ubushushu obujikeleze inxeba, ubomvu).
Umyalezo Wokuya Ekhaya
- I-Ankle Arthroscopy yindlela ephucukileyo yotyando lwe-"keyhole" olunyanga iingxaki ze-ankle ngaphandle komonakalo omkhulu emzimbeni.
- Esi sisisombululo esilungileyo kwiimeko ezifana neentlungu zeqatha ezihlala ixesha elide, ukuqina, kunye nokungazinzi okungazange kunyangwe ngezinye iindlela zonyango.
- Xa kuthelekiswa notyando olukhulu oluvulekileyo, ixesha lokuchacha lincinci, iintlungu zincinci, kwaye iingxaki zimbalwa.
- Kubalulekile ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando.
- Unyango lomzimba emva kotyando yindlela ekuphela kwayo yokufumana amandla apheleleyo kunye nokusebenza kweqatha.
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