Ngaba uqhelene nentlungu ebangelwa lubhontsi olukhulu, ulusu olukuloo ndawo luba bomvu luze ludumbe xa unxiba izihlangu? Ngamanye amaxesha, ubhontsi wakho omkhulu unokuba buhlungu nokuba uhamba. Oku kusenokuba kungenxa yokuba ithambo liphume kwilungu lobhontsi wakho omkhulu. Ngokwezonyango, le meko siyibiza ngokuba yi-'bunion'. Le yimeko eqhelekileyo. Kodwa inokwenza kube buhlungu kakhulu ukwenza imisebenzi yemihla ngemihla, ingakumbi ukuhamba.
Ngamafutshane, yintoni utyando lwe-bunion?
Utyando lwe-Bunion, okanye njengoko oogqirha belubiza, 'i-bunionectomy,' kukususwa kwe-bunion ngotyando, oko kukuthi, ithambo eliphumayo, elenziwe enyaweni lakho.
Khawuthelekelele, xa isiseko sonyawo lwakho olukhulu, i-metatarsophalangeal (MTP) joint, sityhalelwa ecaleni rhoqo, ithambo elikuloo joint liyadumba kancinci kancinci. Yiyo loo nto i-bunion injalo.
Iimpawu zihlala zilawulwa ngezinye iindlela zonyango (ezifana nokunxiba izihlangu ezikhululekileyo kunye nokusela iintlungu). Nangona kunjalo, utyando kuphela kwendlela yokususa i-bunion ngokusisigxina kunye nokubuyisela uzwane kwindawo yalo efanelekileyo. Ukuba intlungu inzima kangangokuba awukwazi ukuhamba kwaye ezinye iindlela zonyango azincedi, ugqirha wakho unokucebisa utyando.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukulungiselela ngononophelo olu hlobo lwenkqubo. Oku kungabandakanya:
- Uvavanyo olupheleleyo lomzimba: Jonga ukuba umzimba wakho ukulungele na utyando.
- Uvavanyo lwegazi: Linganisa izinto ezahlukeneyo egazini.
- Uvavanyo lwe-ECG (i-Electrocardiogram): Jonga ukusebenza kwentliziyo.
- I-X-reyi yomlenze: Ukujonga imeko yamathambo. Ngamanye amaxesha i-MRI okanye i-CT scan nayo ingacelwa.
Ngokuqinisekileyo kufuneka uxelele ugqirha wakho malunga namayeza okanye izongezo ozisebenzisayo, njengoko amanye amayeza anokufuneka amiswe ngaphambi kotyando.
Ugqirha uza kukuxelela nokuba zingaphi iiyure ekufuneka uzile ukutya (ngaphandle kokutya okanye ukusela) ngaphambi kotyando. Ngokwesiqhelo, kufuneka uyeke ukutya okanye ukusela iiyure ezisi-8 ngaphambi kotyando. Yimithi ebalulekileyo kuphela ugqirha akuxelele ukuba uyisele enokusela kusasa kunye nentwana yamanzi.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando, uza kunikwa i-anesthesia ukuze ungabi nantlungu. Kwiimeko ezininzi, olu tyando aludingi i-anesthesia eqhelekileyo. Ingcali ye-anesthesia idla ngokuyenza buthathaka umqolo ongezantsi okanye umlenze otyandwayo.
Okwenzekayo kuwe kuya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo. Kukho iintlobo ezine eziphambili zotyando lwe-bunion. Masizijonge kule theyibhile.
| Uhlobo lotyando | Ngamafutshane, oku kwenzekayo... |
|---|---|
| I-Osteotomy | Le yeyona nkqubo ixhaphakileyo. Ugqirha wenza imingxunya embalwa emincinci emathanjeni onyawo lwakho kunye nonyawo lwakho aze asebenzise izikrufu okanye iiphini ukubuyisela unyawo olukhulu kwindawo efanelekileyo. Ngoku, oku kudla ngokwenziwa ngokugruzuka okuncinci kakhulu (okungangeni kakhulu), okuthetha ukuphola ngokukhawuleza kunye nokunciphisa amanxeba. |
| I-Arthrodesis (Ukuhlanganiswa Kwamalungu) | Le nkqubo isetyenziswa ukuba i-bunion yakho ibangelwa yi-arthritis enyaweni lakho, okanye ukuba i-bunion inzima kakhulu. Oku kuquka ukususa inxalenye ye-arthritis yelungu kunye nokuncamathisela amathambo amabini kunye ngezikrufu. Ekuhambeni kwexesha, la mathambo mabini ayadibana aze abe lithambo elinye. |
| Inkqubo yeLapidus | Oku kwenziwa nakwi-bunions ezinzima. I-bunion iyasuswa kwaye i-joint ephakathi kwethambo elide eliphakathi kwenyawo lakho (ithambo lokuqala le-metatarsal) kunye nethambo elincinci elikufutshane neqakala lakho (i-medial cuneiform) iyalungiswa. Le nkqubo ifanelekile kubantu abane-hypermobility enyaweni nakubantu abancinci. |
| Utyando lokukhupha i-exostectomy | Le yinkqubo engaqhelekanga. Ibandakanya ukususwa kwethambo eliphumayo ngotyando (ukucheba). Oku kudla ngokwenziwa kuphela kwiibuniyoni ezincinci kakhulu. Abantu abaninzi bafuna utyando olunzima ngakumbi. |
Olu tyando ludla ngokuthatha iyure okanye ngaphantsi, kodwa eli xesha linokwahluka ngokuxhomekeke kwimeko yakho.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Apho, iqela lezonyango liza kukunyamekela kakuhle kangangeeyure ezimbalwa. Baza kujonga iimpawu zakho ezibalulekileyo kunye namanqanaba entlungu emva kokuba i-anesthesia iphelile.
Uninzi lwexesha, le yinkqubo yokunyanga ngaphandle, oko kuthetha ukuba ungaya ekhaya ngaloo mini inye. Kodwa khumbula, awuyi kukwazi ukuqhuba emva kotyando. Ngoko ke kubalulekile ukulungiselela ukuba umntu akuse ekhaya kwangethuba.
Ziziphi iingenelo kunye neengozi zalo tyando?
Iinzuzo
Abantu abaninzi abenza olu tyando bafumana isiqabu esikhulu kwiintlungu emva kokuchacha. Kwakhona, ukunxiba izihlangu kuba lula njengoko uzwane olukhulu lubuyele kwindawo yalo efanelekileyo. Xa uzwane lukwindawo efanelekileyo, amandla akho okuhamba, ukubaleka, nokutsiba nawo ayaphucuka.
Iingozi
Nangona olu lutyando olukhuselekileyo, njengalo naluphi na utyando, kukho iingozi ezincinci. Ezi azixhaphakanga kakhulu:
- Amahlwili egazi.
- Usulelo kwindawo yotyando okanye ngaphakathi emlenzeni.
- Ukonakala kwemithambo-luvo okanye ukuba ndindisholo.
- Amanxeba.
- Ukudumba komlenze ixesha elide ngenxa yomonakalo kwimithambo yegazi.
- Ukuphinda kwe-Bunion.
- Ukungahlangani kwamathambo ngexesha le-arthrodesis.
Thetha nogqirha wakho ngale nto uze uyiqonde kakuhle.
Kuthatha ixesha elingakanani ukuchacha?
Kuthatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando lwe-bunion.
- Izititshi ziyaphuka: Ngokwesiqhelo emva kweeveki ezimbini.
- Ukuphiliswa kwamathambo: Oku kuya kuthatha malunga neeveki ezi-6 ukuya kwezi-12. Ngeli xesha, kuya kufuneka unxibe isihlangu okanye ibhutsi ekhethekileyo yokuzikhusela.
- Qalisa imisebenzi eqhelekileyo: Emva kweeveki ezi-6-12, ungaqala ukusebenzisa umlenze wakho ngokwesiqhelo. Unyango lomzimba lunokufuneka ukuze ufumane amandla kunye nentshukumo emlenzeni wakho.
- Ukuchacha ngokupheleleyo: Ungaphinda uqalise imisebenzi eqhelekileyo yomzimba kwiinyanga ezi-3. Nangona kunjalo, ukudumba emlenzeni kunokuqhubeka iinyanga ezi-6 ukuya kwezi-9.
Eyona nto ibalulekileyo:Uza kunikwa umhla wokubona ugqirha emva kotyando lwakho. Kubalulekile kwinkqubo yokuphiliswa ukuqinisekisa ukuba uyahamba uyokujonga umlenze wakho yonke imihla.
Indlela yokunyamekela i-dressing emva kotyando?
Iqela lezonyango liza kubhinca umnwe wakho ngebhandishi ethile ukuze uhlale uhleli endaweni yawo. Buza ugqirha wakho ukuba ungayitshintsha na ibhandeji ngokwakho. Kwiimeko ezininzi, kuya kufuneka ugcine ibhandeji lihleli endaweni yalo de kuphume imithungo. Buza neendlela zokuyigcina ingabi manzi xa uhlamba (umzekelo, ngokuyigquma ngengxowa yeplastiki).
Ndingahamba emva kotyando?
Oku kuxhomekeke kuhlobo lotyando olwenzileyo. Emva kotyando oluthile, unokukwazi ukuhamba ngesihlangu sokukhusela kunye nomthwalo othile. Nangona kunjalo, emva kotyando oluthile , akukhuthazwa ukuba ubeke ubunzima emlenzeni wakho kangangeeveki ezimbalwa. Kwimeko ezinjalo, unokufuna ukusebenzisa iintonga okanye isikuta samadolo.
Kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba ubeka ubunzima emlenzeni wakho ngaphambi kokuba ithambo liphole, utyando lunokungaphumeleli ngokupheleleyo.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumana nayiphi na kwezi zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Ukuba ilokhwe iyakhululeka, iphuma, okanye imanzi.
- Ukuba umkhuhlane ungaphezulu kwama-39 degrees Celsius (101 degrees Fahrenheit).
- Ukuba kukho ukopha okuvela kwindawo yotyando.
- Ukuba ubona iimpawu zosulelo (umz., ubomvu, ivumba, ukutshintsha kombala, ukudumba, ukufudumala).
- Ukuba intlungu intsha okanye iya isiba mandundu.
I-bunion yi-bone spur encinci, kodwa inokuba nefuthe elikhulu kubomi bakho nakubuchule bakho bokuhamba. Ukuba uzame zonke iindlela zonyango kwaye kubonakala ngathi ayiphucuki, kusenokuba lixesha lokuba ucinge ngotyando. Ugqirha wakho uya kukunceda wenze isigqibo esifanelekileyo kuwe, unyawo lwakho, kunye nempilo yakho iyonke.
Umyalezo Wokuya Ekhaya
- I-Bunion yimeko ebuhlungu eyenzeka kwilungu lonyawo olukhulu.
- Xa ezinye iindlela zonyango zingaphumeleli, utyando lwe-bunionectomy lunokubonelela ngesisombululo esihlala sihleli kunye nokuphelisa iintlungu.
- Kukho iintlobo ezahlukeneyo zotyando, kwaye ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena.
- Ukuphiliswa kuthatha iinyanga ezininzi, kwaye ngeli xesha, umonde nokulandela imiyalelo kagqirha kuya kukunceda ufumane iziphumo ezilungileyo.
- Yazisa ugqirha wakho ngoko nangoko ngazo naziphi na iimpawu ezingaqhelekanga ezenzeka emva kotyando.
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