Ngaba uziva neentlungu kwilungu elikhulu leenyawo xa uhamba, ingakumbi xa unxibe izihlangu? Ngaba uziva ukuxinana okanye iqhubu elincinci kwinyawo lakho, okwenza kube nzima ukugoba? Le yingxaki abantu abaninzi abanayo kwaye iphazamisana nemisebenzi yabo yemihla ngemihla. Namhlanje, siza kuthetha ngento ebangela oku kunye nenkqubo elula ebizwa ngokuba yiCheilectomy.
Yintoni kanye kanye le nto inzima kubhontsi omkhulu (Hallux Rigidus)?
Ngamafutshane, iHallux Rigidus yimeko ye-arthritis (`(Osteoarthritis)`) eyenzeka kwilungu eliphambili lonyawo lwakho olukhulu (ngokwezonyango sibiza oku ngokuba yi-MTP joint okanye i-Metatarsophalangeal joint ). Kanye njengokuba idolo liguga.
Xa oku kusenzeka, amaqhuqhuva amatsha ethambo, njengee-spikes, aqala ukwakheka ejikeleze ilungu. Sibiza la maqhuqhuva ethambo (`(Osteophytes)`). La maqhuqhuva ethambo abangela ukuba kuvele iqhuqhuva elincinci phezu kwelungu. Eli qhuqhuva linokubangela intlungu enzima xa libetha isihlangu. Kwakhona, la maqhuqhuva ethambo ayayithintela intshukumo yelungu, nto leyo ethetha ukuba uzwane olukhulu alunakugotywa luze luwe phantsi luze luphakame kakuhle. Oku kuqina koko sikubiza ngokuba yi-"Rigidus".
Kutheni kwenziwa iCheilectomy?
Ugqirha wakho uhlala ecebisa iCheilectomy kuphela ukuba imeko yakho yeHallux Rigidus incinci okanye iphakathi kwaye ayiphumelelanga ngonyango olungelulo utyando.
Ngaphambi kokuba basebenzise utyando, oogqirha basoloko bezama ukunika isiqabu kwisigulana ngezinye iindlela zonyango.
Ezi zilandelayo ziindlela zonyango ezingasetyenziswa ngotyando ezisetyenziswa rhoqo:
| Indlela yonyango | Inkcazo |
|---|---|
| Iinaliti zeCorticosteroid | Le naliti, efakwa ngqo kwilungu, inokulawula okwethutyana iintlungu kunye nokudumba. |
| Isithintelo somsebenzi | Zigcine kude nezinto ezibangela iintlungu, njengokubaleka nokutsiba, okwethutyana. |
| Iipilisi zokubulala iintlungu (ii-NSAID) | Amayeza anjenge-ibuprofen anokunceda ekunciphiseni iintlungu nokudumba. La mayeza afanele asetyenziswe phantsi kwengcebiso kagqirha. |
| Izihlangu ezikhethekileyo kunye ne-orthotics | Ukunxiba izihlangu eziqinileyo neziqinileyo ezithintela intshukumo yamalungu. Ngamanye amaxesha kusetyenziswa izixhobo ezikhethekileyo (i-orthotics) ngaphakathi kwesihlangu. |
Ukuba akukho nanye kwezi zinto ikuncedayo, inyathelo elilandelayo ugqirha wakho aza kuthetha nawe ngalo lutyando lwe-cheilectomy.
Yintoni umahluko phakathi kweCheilectomy kunye neBunion Surgery?
Le yindawo ebangela ukudideka kubantu abaninzi. Zombini ezi nkqubo zotyando ziquka ukususa amathambo angaphezulu. Kodwa umahluko omkhulu kukuba afumaneka phi loo mathambo .
- Utyando lweCheilectomy: Oku kuquka ukususa izihlunu zamathambo ezithi zihlale phezu kwelungu lonyawo olukhulu. Olu lutyando olwenziwa kwimeko yeHallux Rigidus.
- Utyando lweBunion (Bunionectomy): I-bunion (`(Hallux Valgus)`) yi-bone protrusion ecaleni kwe-big toe joint, oko kukuthi, icala elichasene nezinye iinzwane. Ngoko ke, olu tyando lususa i-bump ekwelo cala.
Cinga ngale ndlela: I-Cheilectomy ifana nokususa ubunzima obongezelelekileyo eluphahleni lwelungu, ngelixa i-Bunionectomy ifana nokususa i-protrusion eludongeni olusecaleni lwelungu.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Emva kokugqiba ekubeni wenze utyando, ugqirha uza kuhlola unyawo lwakho ngononophelo. Baza kujonga ukuba ungalugoba kangakanani unyawo lwakho (umgama wokunyakaza). Baza kuthatha ne-X-ray ukuze babone ngokucacileyo imeko yelungu kunye nendawo apho i-bone spurs ikhoyo.
Ngomhla wotyando, uza kunikwa i-anesthesia. Emva koko, ugqirha uza kwenza i-incision encinci phezulu konyawo lwakho, ngaphezulu nje kwe-toe joint enkulu, aze asuse ngononophelo amaqhuqhuva ethambo abangela intlungu nokuqina.
Utyando lweCheilectomy lunokwenziwa ngeendlela ezimbini eziphambili:
| Uhlobo lotyando | Kwenzeka njani oku |
|---|---|
| I-Open Cheilectomy | Kule meko, kwenziwa ukusika okude kube kanye, ijoyinti iyavulwa, kwaye iziqwenga zamathambo ziyasuswa. |
| I-Cheilectomy Engenamdla Kancinci | Kule ndlela, endaweni yokusikwa okukhulu, kwenziwa imingxunya emininzi emincinci kakhulu, kwaye kufakwa isixhobo esikhethekileyo esibizwa ngokuba yi-'burr' ukuze sityumze kwaye sisuse i-bone spurs. Le ndlela inokunciphisa ixesha lokuphiliswa. |
Kwenzeka ntoni emva kotyando? Kwaye kuza kuthatha ixesha elingakanani ukuze umntu aphile?
Olu lutyando oludla ngokuba lolwenziwa ngaphandle kwesibhedlele . Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. Emva kotyando, kuya kufuneka unxibe isihlangu esikhethekileyo kangangeeveki ezimbalwa ngelixa unyawo lwakho luphola. Oku kwenzelwa ukuthintela ubunzima obungeyomfuneko ekubekweni kwelungu eliphilisayo.
Ukulawula iintlungu, ugqirha wakho uza kukunika amayeza okuphelisa iintlungu afana ne-'Paracetamol' okanye i-'Ibuprofen'.
Ixesha lokuchacha liyahluka kumntu nomntu. Ukudumba kweenyawo kungathatha iiveki okanye iinyanga ezininzi. Ngokuqhelekileyo kuthatha malunga nenyanga okanye ezimbini ukubuyela emsebenzini. Nangona kunjalo, ukuba umsebenzi wakho ufuna ukuhamba nokuma ixesha elide, kungathatha ixesha elide. Ugqirha wakho uza kukunika iingcebiso ngale nto.
Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?
Iingenelo
Abantu abaninzi bafumana ukukhululeka ngokupheleleyo kwiintlungu emva kolu tyando. Bangakwazi nokugoba nokulungisa amalungu amakhulu eenyawo ngcono kunangaphambili. Oku kwenza ukuhamba kunye nemisebenzi yemihla ngemihla kube lula.
Iingozi kunye neengxaki
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo.
- Abanye abantu basenokuba neentlungu xa beshukumisa umnwe wabo emva kotyando.
- Usulelo okanye isilonda singavela kwindawo yokusikwa.
- IHallux Rigidus inokuba yingozi ngakumbi.
- Usenokuva iintlungu ebholeni lonyawo lwakho, ezantsi konyawo lwakho.
- Kunqabile kakhulu, unokufuna olunye utyando, umzekelo, ukuhlanganiswa kwamalungu (i-arthrodesis).
Musa ukoyika ezi ngozi. Ugqirha wakho uza kukuchazela yonke into. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha emva kotyando.
Ixesha lokubona ugqirha ngokukhawuleza kangangoko kunokwenzeka
Xa ubuyela ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi, fowunela ugqirha wakho ngoko nangoko okanye uye esibhedlele apho ufumene khona unyango.
- Ulusu olujikeleze inxeba luba bomvu bumnyama .
- Ukudumba okukhulu .
- Kuphuma ulwelo olufana nobovu kwinxeba.
- Ukuba nentlungu okanye umkhuhlane onganyamezelekiyo.
Ezi zinokuba ziimpawu zosulelo, ngoko ke kubalulekile ukufuna unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- IHallux Rigidus yimeko yesifo samathambo esenzeka kwilungu elikhulu leenyawo. Oku kubangela ukuba kubekho ukuqhekeka kwamathambo ongezelelweyo, nto leyo ebangela iintlungu nokuqina.
- I-Cheilectomy lutyando olususa la mathambo angaphezulu kwaye luvumele ilungu ukuba liphinde lihambe ngokukhululekileyo.
- Olu tyando lunokunciphisa iintlungu kwaye lwenze ubomi bube lula kubantu abaninzi.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (njengokunxiba izihlangu ezikhethekileyo nokuphumla) ngononophelo ngexesha lokuchacha emva kotyando.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga, ezinje ngokuba bomvu kakhulu, ukudumba, okanye ubomvu obujikeleze inxeba, bonana nogqirha wakho ngoko nangoko.
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