Ngaba wakha waziva iintlungu ezinganyamezelekiyo kunyawo lwakho olukhulu xa uhamba, ingakumbi xa unxibe izihlangu eziqinileyo? Uziva ngathi awukwazi ukugoba unyawo lwakho kakuhle, luvakala luqinile, luqinile... luvakala ngathi lubambeke etyeni. Nangona unokucinga ukuba oku kuqhelekile, kusenokuba kungenxa yemeko ekwilungu lakho elikhulu lonyawo. Namhlanje, sithetha ngotyando olubizwa ngokuba yi-'Cheilectomy', olusetyenziswa kwihlabathi liphela njengesisombululo esihle kule ngxaki.
Ngamafutshane, yintoni iCheilectomy?
Kulungile, masiyibeke ngokulula le nto. I-Cheilectomy (ebizwa ngokuba yi-'kee-lek-to-mee') yinkqubo yotyando equka ukususa izihlunu zethambo ezongezelelweyo (ezibizwa ngokuba yi -'bone spurs' ) ezikhula phezu kwelungu leenyawo ezinkulu. Cinga ngayo njenge-jamb yomnyango ethintela unyawo lwakho olukhulu ukuba lungagobi okanye luhambe kakuhle. Ngoko ke, ngokususa izihlunu zethambo, unyawo lwakho olukhulu lunokugoba luze luhambe ngokukhululekileyo kwakhona.
Luhlobo luni lwemeko eyenziwa yiCheilectomy?
Olu tyando lwenziwa ikakhulu kwimeko ebizwa ngokuba yi -`Hallux Rigidus` . Oku kuthetha "unyawo olukhulu oluqinileyo" . ``Hallux`` kuthetha unyawo olukhulu, ``Rigidus`` kuthetha ukuqina. Oku ngokwenene yimeko yokuvuvukala kwamalungu eyenzeka kwilungu eliphambili lenzwane yakho enkulu (ngokwezonyango ebizwa ngokuba yi-``metatarsophalangeal (MTP) joint``). Ngokwenyani, olu luhlobo lwe -``osteoarthritis`` oluchaphazela amalungu anjengamadolo kunye nezinqe.
Xa unemeko ebizwa ngokuba yi-'Hallux Rigidus', ii-spurs zamathambo ezibuhlungu (ii-osteophytes) ziqala ukwakheka phezu kwelungu. Ezi spurs zezona zibangela ukuba ulusu ludumbe phezu kwelungu. Ngoko ke xa unxiba izihlangu zakho, ezi spurs zinamathela phezulu kwesihlangu, nto leyo ebangela intlungu enganyamezelekiyo. Emva kwexesha elithile, le ntlungu inokwenza ukuhamba kube nzima kakhulu kwaye kube buhlungu.
Ngaba wonke umntu kufuneka enze utyando?
Hayi. Ugqirha akayi kukucebisa ngoko nangoko ukuba utyando xa efumanisa ukuba unale meko. Baza kuqala bazame ukulawula iintlungu ngezinye iindlela ngaphandle kotyando baze bakunike isiqabu. Utyando lukhetho lokugqibela ukuba yonke enye into ayiphumeleli.
Olu lolona nyango ludla ngokucetyiswa ngaphambi kokuba kwenziwe utyando:
| Indlela yonyango olungenalo utyando | Kwenzeka ntoni kuyo? |
|---|---|
| Iinaliti zeCorticosteroid | Olu hlaselo, olufakwa ngqo kwilungu, lulawula okwethutyana iintlungu kunye nokudumba. |
| Ukumisa eminye imisebenzi | Bacetyiswa ngokukodwa ukuba bayeke imisebenzi ebeka uxinzelelo olukhulu kumalungu, njengokubaleka nokutsiba, okwethutyana. |
| Izibulali-ntlungu `(NSAIDs)` | Amayeza anjenge-Ibuprofen kunye ne-Diclofenac anokunciphisa iintlungu kunye nokudumba kwamalungu. La mayeza afanele athathwe kuphela xa ecetyiswa ngugqirha. |
| Izihlangu ezikhethekileyo kunye ne-orthotics | Bacebisa ukusebenzisa izihlangu eziqinileyo nezinezithende eziqinileyo okanye izixhobo ezikhethekileyo (i-orthotics) ezifakwa kwisihlangu ukuze kuthintelwe intshukumo yesihlunu. |
Ukuba intlungu yakho ayipheli nangona unyangwa ngolu hlobo, kwaye uqhubeka nobunzima bokwenza imisebenzi yemihla ngemihla, ugqirha wakho uya kuthetha nawe ngotyando lwe-`Cheilectomy`.
Ngaba utyando lweCheilectomy kunye neBunion luzizinto ezimbini ezahlukeneyo?
Ewe, kukho umahluko ocacileyo phakathi kwezi zimbini. Abantu abaninzi bayabhidanisa ezi zimbini. Zombini zibandakanya ukususa ithambo elingaphezulu, kodwa umahluko ophambili ukwindawo apho ithambo liphuma khona.
Khawuthelekelele ukuba ilungu lonyawo lwakho olukhulu ligumbi.
- I-Cheilectomy yinkqubo yotyando eyenziwa kwiqhuma eluphahleni lwe-hallux. Oku kuquka ukususa izihlunu zamathambo eziphuma phezulu kwelungu. Le meko ibizwa ngokuba yiHallux Rigidus.
- Utyando lwe-Bunion `(Bunionectomy)` lwenziwa kwiqhuma eludongeni olusecaleni lwe-hallux valgus. Oko kukuthi, iqhuma lethambo `(bunion)` elenzeka ecaleni (icala elingaphakathi) lelungu liyasuswa. Le meko siyibiza ngokuba yi-`Hallux Valgus`.
Ngamafutshane, uhlobo lotyando oluqhutywayo luxhomekeke ekubeni ithambo liphezulu okanye lisecaleni kwelungu.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba ugqibe ngomhla wotyando, ugqirha wakho uza kukuxilonga ngononophelo.
- Uvavanyo lomzimba: Okokuqala, baza kuhlola ngononophelo ukuba ungawugoba kangakanani unyawo lwakho olukhulu phezulu nasezantsi, ukuba lubuhlungu kangakanani xa ulugoba, nokuba kukho ukudumba na.
- Uvavanyo lwe-X-ray: Emva koko kuthathwa i-X-ray ukuze kubonwe ukuba imeko injani ngaphakathi kwelungu, ukuba i-cartilage igugile kangakanani, kwaye ukuba i-bone spurs inkulu kangakanani. Olu lwazi lusetyenziselwa ukumisela ukuba utyando lukulungele na.
Makhe sithethe kancinci ngendlela olu tyando oluqhutywa ngayo.
Ngexesha lotyando, kwenziwa umsikelo omncinci phezulu konyawo lwakho, ngaphezu kwelungu elikhulu leenyawo. Emva koko, ngaloo msikelo, basusa ngononophelo iziqwenga zamathambo ezibuhlungu ezikuthintela ekugobeni unyawo lwakho.
Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili:
1. I-Open Cheilectomy
Kule meko, kwenziwa ukusika okukhulu kancinci, ilungu liyavulwa ukuze kubonakale ngcono, kwaye iingceba zamathambo ziyasuswa.
2. I-Cheilectomy Engenamdla Kancinci
Kule ndlela, endaweni yokusikwa okukhulu, kwenziwa imingxunya embalwa emincinci eluswini. Emva koko, kufakwa isixhobo esikhethekileyo esibizwa ngokuba yi-'burr' ngaloo mingxunya ukuze kutyunyuzwe kwaye kususwe amanxeba ethambo. Inzuzo yale ndlela kukuba akukho zinxeba zingako kwaye mhlawumbi ixesha lokuphiliswa likhawuleza kancinci.
Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Kwenzeka ntoni emva kotyando?
Olu ayilotyando olukhulu olufuna ukuhlala esibhedlele iintsuku ezininzi, ngoko ke ungagoduka ngokuhlwa okufanayo ( utyando lwangaphandle ).
- Isihlangu esikhethekileyo: Emva kokuba ubuyele ekhaya, kuya kufuneka unxibe isihlangu esikhethekileyo kangangeeveki ezimbalwa ngelixa unyawo lwakho luphola. Oku kuya kunceda ukunciphisa ubunzima kwindawo yotyando.
- Ukulawula iintlungu: Ukuze kulawulwe iintlungu, ugqirha unokucebisa isithomalalisi seentlungu esifana ne-ibuprofen okanye i-acetaminophen.
- Ukudumba: Umlenze wakho usenokuba uvuvukile kancinci. Kungcono ukugcina umlenze wakho uphezulu kangangoko.
Ziziphi iingenelo zolu tyando?
Eyona nzuzo inkulu yotyando lwe-'cheilectomy' kukukhululeka.
Kwabaninzi abantu, emva kokuhlinzwa kwe-cheilectomy, iintlungu kuzwane lwabo olukhulu ziphantse zaphela ngokupheleleyo. Bayakwazi nokugoba uzwane, olwalungakwazi ukugoba ngaphambili, kwakhona. Oku kwenza kube lula ukuhamba nokwenza imisebenzi yemihla ngemihla.
Ngaba akukho zingozi okanye iingxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Nangona kunjalo, ezi azixhaphakanga, kwaye oogqirha benza konke okusemandleni abo ukuzinciphisa.
- Intlungu eqhubekayo: Abanye abantu basenokuba neentlungu xa begoba umnwe emva kotyando.
- Imfuneko yotyando olongezelelweyo: Amaxesha amaninzi, ukuba imeko ye-`Hallux Rigidus` iba mandundu, kunokufuneka wenze utyando olongezelelweyo ukuze uyinyange. Umzekelo:
- Inkqubo ye-arthrodesis yinkqubo yotyando edibanisa amathambo elungu.
- Utyando lokunciphisa uxinzelelo kwi-cartilage eyonakeleyo yelungu (utyando lwe-osteotomy lweMoberg) .
- Ezinye iingxaki: Njengakwezinye iintlobo zotyando, kukho ithuba elincinci losulelo kunye namanxeba. Usenokuva iintlungu ezantsi konyawo lwakho.
Ungakhathazeki ngale nto. Ugqirha wakho uza kuxoxa nawe ngezi zinto ngokucacileyo ngaphambi kotyando.
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingabuyela nini emsebenzini?
Ixesha lokuphiliswa liyahluka ukusuka kumntu ukuya komnye.
- Ukudumba: Umlenze wakho usenokuba uvuvukile kancinci kangangeeveki ezimbalwa, okanye iinyanga, emva kotyando. Oku kuqhelekile.
- Izihlangu: Ezo zihlangu zikhethekileyo mazinxitywe ubuncinane iiveki ezimbini , de ugqirha akuxelele ukuba uzinxibe.
- Ukubuyela emsebenzini: Uninzi lwabantu lunokubuyela emsebenzini kwisithuba senyanga okanye ezimbini . Nangona kunjalo, ukuba umsebenzi wakho ufuna ukuhamba kakhulu okanye ukuma, okanye ukuba intlungu yakho kunye nokudumba kukhulu, kungathatha ixesha elide ukubuyela emsebenzini. Kungcono ukuxoxa ngale nto nogqirha wakho.
Xa kufuneka ubone ugqirha ngokukhawuleza
Xa ubuyela ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi, fowunela ugqirha wakho ngoko nangoko.
- Ukuba ulusu olujikeleze i-incision lubomvu kakhulu .
- Ukuba loo ndawo idumbile kakhulu .
- Ukuba ulwelo olumthubi olufana nobovu luphuma esikhumbeni.
- Ukuba unentlungu enganyamezelekiyo nangona usela amayeza okudambisa iintlungu okanye ukuba intlungu iya isiba mandundu imihla ngemihla.
- Ukuba unomkhuhlane .
Ezi zinokuba ziimpawu zosulelo, ngoko ke kubalulekile ukufuna unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Cheilectomy lutyando olususa ithambo elingaphezulu kwilungu lonyawo olukhulu, nto leyo enciphisa iintlungu kwaye ivumele unyawo ukuba luphinde lushukume.
- Oku kwenziwa ikakhulu kwimeko ye-'Hallux Rigidus' (unyawo olukhulu oluqinileyo) ebizwa ngokuba yi-'Osteoarthritis'.
- Ngaphambi kokuba kusetyenziswe utyando, kuzanywa ezinye iindlela zonyango ezifana neenaliti, amayeza, kunye nezihlangu ezikhethekileyo.
- Emva kotyando, iintlungu ziyancitshiswa kwaye umnwe unokugotywa kakuhle. Nangona kunjalo, kuthatha ixesha ukuphola ngokupheleleyo.
- Kubalulekile ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha kanye ngexesha lokuchacha.
- Ukuba ubona ububomvu obugqithisileyo, ukudumba, okanye ubomvu obujikeleze inxeba emva kotyando, bonana nogqirha wakho ngoko nangoko.
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