Ngaba unengxaki ngengqiniba yakho, nokuba uphakamise ikomityi, ngenxa yentlungu engapheliyo? Mhlawumbi wonzakele ngengqiniba yakho ngelixa udlala imidlalo, okanye ngenxa yokuwa ngequbuliso okanye ingozi? Ukuba intlungu yakho ayikapheli nangona usela amayeza kwaye usenza i-physiotherapy, ugqirha wakho usenokuba uthethe nawe ngotyando lwengqiniba. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva igama elithi "utyando". Kodwa ukuba siyazi oku, olu loyiko kunye nokungaqiniseki kunokupheliswa kakhulu. Ngoko ke, masithethe ngale nto ngokulula nangokuzolileyo.
Yintoni le ngcibi yokuhlinza ingqiniba?
Ngamafutshane, utyando lwengqiniba lutyando olwenziwa ukulungisa umonakalo kumathambo (aphukileyo, aqhekekileyo), imisipha, imisipha, okanye ezinye izicwili ezithambileyo kwilungu lakho lengqiniba, okanye ukulungisa ingxaki engundoqo. Oku kwenziwa ngugqirha wamathambo. Uhlobo lotyando oza kulwenza luya kuxhomekeka kwimeko okanye ukwenzakala kwakho.
Khawuthelekelele ukuba unethambo elincinci ngaphakathi kwengqiniba yakho elikubangela iintlungu kunye nobunzima bokwandisa okanye ukolula ingalo yakho. Okanye, ukrazukile umsipha kwingqiniba yakho. Ngamanye amaxesha, ilungu lisenokuba ligugile ngenxa yemeko efana ne-arthritis. Kwezi meko, utyando lolona sisombululo silungileyo ukuba ezinye iindlela zonyango azincedi.
Iindlela ezimbini eziphambili zotyando
Kukho iindlela ezimbini eziphambili ezisetyenziswayo ukwenza utyando lwengqiniba. Ngokuxhomekeke kwimeko yakho, ugqirha wakho uya kukhetha eyona ifanelekileyo kwezi ndlela zimbini.
| Indlela yotyando | Kwenzeka njani oku |
|---|---|
| I-Arthroscopy - utyando "lwe-keyhole" | Le yinkqubo yanamhlanje, engenabungozi kangako. Kule nkqubo, kwenziwa imingxunya emininzi emincinci kakhulu engqinibeni yakho, kwaye ikhamera encinci (i-arthroscope) ifakwa ngenye yazo kwilungu. Imifanekiso evela kwikhamera iboniswa kwisikrini esikhulu. Ugqirha uyayijonga aze afake izixhobo ezibhityileyo, ezinde ngezinye imingxunya emincinci ukuze enze ukulungiswa okufunekayo. Iingenelo: Imingxunya mincinci, ngoko ke akukho ntlungu ingako, inxeba liyaphola ngokukhawuleza, umngcipheko wosulelo uphantsi, kwaye unyango lomzimba lunokuqala kungekudala. |
| Utyando Oluvulekileyo | Le yindlela yendabuko. Apha, kwenziwa umngxuma omkhulu kancinci ngaphezulu kwelungu kwaye ilungu liyavulwa lihlolwe. Le ndlela isetyenziswa ukuba ingqiniba yonakele kakhulu kwingozi, okanye ukuba lonke ilungu lifuna ukutshintshwa (Ukutshintshwa kwe-Elbow). Iingenelo: Ugqirha unokulibona lonke ilungu ngokucacileyo ngaxeshanye. Oku kwenza kube lula ukusombulula iingxaki ezinzima. |
Kwenzeka ntoni ngexesha lotyando?
Uninzi lweenkqubo zotyando lwengqiniba ziinkqubo zokulaliswa ngaphandle, oko kuthetha ukuba ungaya ekhaya ngosuku olunye emva konyango . Oku kuthetha ukuba ukuba uya esibhedlele kusasa, ungabuyela ekhaya ngokuhlwa.
Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia ukuthintela ukuba ungeva ntlungu. Zimbini iindlela zokwenza oku:
1. I-Regional Anesthesia: Yingalo yakho kuphela engasebenzi kakuhle. Usezingqondweni, kodwa awuziva ntlungu engalweni yakho.
2. I-General Anesthesia: Uza kulaliswa ngokupheleleyo. Awuyi kuva nto de utyando luphele.
Ngamanye amaxesha zombini ezi ndlela zingasetyenziswa kunye. Ngexesha lotyando, ugqirha ususa izicwili ezonakeleyo, alungise imisipha ekrazukileyo, alungise amathambo aphukileyo, okanye, ukuba kuyimfuneko, atshintshe iindawo zelungu.
Iindidi ezahlukeneyo zotyando lwengqiniba
Kukho iintlobo ezahlukeneyo zotyando ezinokwenziwa kwiingxaki zengqiniba. Ezi zinzima kancinci, kodwa makhe sijonge ukuba zibandakanya ntoni ngendlela elula.
| Igama leNkqubo | Kalula nje... |
|---|---|
| Ukukhululwa kweCubital/Radial Tunnel | Ukuba umthambo odlula kwingqiniba (i-Ulnar okanye i-Radial nerve) ucinezelwe okanye ucinezelwe, umthambo kufuneka ukhululwe kwingcinezelo. |
| Ukususwa kwenkunkuma | Ukususa izicwili ezifileyo, ezonakeleyo, okanye ezikhululekileyo eziphazamisana nelungu. |
| Utyando lwe-Elbow Bursectomy | Ukususwa kwe-bursa, ingxowa egcwele ulwelo ebangela ukudumba (i-bursitis) engqinibeni. |
| Ukutshintshwa kwe-Elbow | Ukutshintsha ilungu eligugileyo okanye inxalenye yalo ngelungu elenziweyo elenziwe ngesinyithi neplastiki. |
| Ukunciphisa okuVulekileyo kunye nokuLungiswa kwangaphakathi (i-ORIF) | Inkqubo yokulungelelanisa amathambo aphukileyo ngokuchanekileyo nokuwalungisa ngeengcingo, izikhonkwane, okanye iipleyiti. |
| I-Synovectomy | Ukususa i-synovial membrane evuvukileyo kwiimeko ezifana ne-rheumatoid arthritis. |
| Utyando lukaTommy John | Ukulungisa i-ligament ekrazukileyo (i-Ulnar Collateral Ligament) ngaphakathi kwengqiniba, into eqhelekileyo kubadlali abafana nekhilikithi kunye nebaseball. |
Zithini iingozi zolu tyando?
Njengalo naluphi na utyando, utyando lwengqiniba lunemingcipheko ethile, kodwa le ayiqhelekanga.
- Amahlwili egazi: Kuba ingalo kufuneka ingasebenzi emva kotyando.
- Usulelo: Ukuba inxeba aligcinwanga licocekile.
- Ukopha kakhulu: Ngexesha okanye emva kotyando.
- Ukulimala Kwemithambo-luvo: Ingqiniba yindawo encinci kakhulu enamathambo amaninzi, imisipha, imithambo-luvo kunye nemithambo yegazi. Ngoko ke, kukho amathuba aphezulu okwenzakala okuncinci kwemithambo-luvo ngexesha lotyando. Kodwa ungakhathazeki, uninzi lwexesha lomonakalo lolwexeshana. Usenokuziva ungaziva unesithukuthezi kwaye urhawuzelelwa esandleni sakho, kodwa siya kuphola ngokuhamba kwexesha.
Ugqirha wakho uza kuthatha onke amanyathelo afunekayo ukunciphisa ezi ngozi.
Kwenzeka ntoni emva kotyando?
Eyona ndima inkulu kuwe iqala emva kokuba utyando lugqityiwe ngempumelelo. Kubaluleke kakhulu ukulawula kakuhle inkqubo yokuphiliswa.
Khumbula, utyando linyathelo lokuqala nje kwinkqubo yokuphiliswa. Okwenzayo emva koko kuya kuba nefuthe elikhulu ekubuyiseleni ukusebenza kakuhle kwingqiniba yakho.
Zama ezi zinto emva kokuba ufikile ekhaya:
- Ukhathalelo lwenxeba: Gcina inxeba licocekile kwaye lomile njengoko ugqirha wakho eyalele. Ukuba indawo elijikelezileyo iba bomvu, idumbile, okanye kuvela ubomvu, xelela ugqirha wakho ngoko nangoko.
- Ulawulo lweentlungu: Sela amayeza okudambisa iintlungu achazwe ngugqirha wakho ngexesha elifanelekileyo nangedosi efanelekileyo. Musa ukuyinyamezela intlungu.
- I-Sling: Usenokucelwa ukuba unxibe i-sling. Oku kuya kunceda amalungu ukuba aphumle kwaye kunciphise ukudumba. Yinxibe logama nje ugqirha wakho ekuxelele ukuba wenze njalo.
- Ukuhlamba: Ugqirha uza kukunika iingcebiso malunga nendlela yokuhlamba ngaphandle kokuba inxeba limanzi. Ngokwesiqhelo, kufuneka uhlambe ngesigqubuthelo esingangeni manzi.
- Unyango Lomzimba: Le yeyona nxalenye ibalulekileyo. Emva kokuba ukwenzakala kupholile kancinci, ingcali yonyango lomzimba iya kukufundisa imithambo yokugoba kancinci, ukolula, nokuqinisa ingqiniba yakho. Nokuba kunzima kancinci ekuqaleni, yenza le mithambo ngqo. Ngaphandle koko, ilungu linokuba lukhuni kwaye usenokungakwazi ukusebenzisa ingalo yakho ngendlela obuqhele ukwenza ngayo.
Kuza kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Akukho mpendulo inye koku. Kuxhomekeke kuhlobo lotyando olwenzileyo, iminyaka yakho, kunye nokuba uqhuba kakuhle kangakanani na ngonyango lomzimba.
- Amanxeba adla ngokuthatha iiveki ezimbalwa ukuze aphole .
- Kungathatha naphi na ukusuka kwiinyanga ezimbalwa ukuya kunyaka ukuze kuphinde kusebenze ngokupheleleyo engqinibeni .
Ngoko ke yiba nomonde kwaye ulandele imiyalelo kagqirha wakho kunye nengcali ye-physiotherapist. Ugqirha wakho uya kuba ngumntu ofanelekileyo ukukunika umbono wexesha lakho lokuchacha. Mbuze ngezi zinto.
- Izititshi ziza kunqunyulwa nini? Okanye ziza kunyibilika?
- Intlungu iza kuhlala ixesha elingakanani? Ngaba ndiza kuyidinga imithi yokuthomalalisa iintlungu?
- Unyango lomzimba kufuneka lwenziwe ixesha elingakanani?
- Ndiza kukwazi nini ukudlala imidlalo okanye ukwenza umsebenzi onzima kwakhona?
Kufuneka uthethe nini nogqirha?
Kuqhelekile ukuba nentlungu encinci kunye nokudumba emva kotyando. Nangona kunjalo, ukuba ufumana naziphi na ezi mpawu zilandelayo, nceda wazise ugqirha wakho okanye isibhedlele apho ufumane khona unyango ngokukhawuleza .
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba buyanyuka, oko kusenokuba luphawu losulelo. |
| Ukuphuma okungaqhelekanga enxebeni | Ukuba inxeba liphuma ulwelo olumthubi okanye oluhlaza njengobovu okanye linevumba elibi. |
| Ukungaziva nzulu | Ukuba ukungabi namvakalelo okanye ukuphelelwa kukuziva esandleni okanye kwiminwe kuyanda. |
| Ukudumba okanye ukopha kakhulu | Ukuba ingqiniba okanye isandla sidumba ngendlela engaqhelekanga, okanye ukuba ibhandishi imanzi ize yophe igazi. |
| Intlungu ayinyamezeleki. | Ukuba intlungu iba nzima ukuyilawula nokuba sele usele amayeza okudambisa iintlungu. |
Ukujongana notyando lwengqiniba kunye nenkqubo ende yokuchacha ehamba nalo akulula. Kodwa ukuba ucinga ngako, kufuneka ukuba kukho isizathu esivakalayo. Mhlawumbi ubusoloko uneentlungu ixesha elide. Ukuba utyando lunokusombulula ingxaki, luya kuba luncedo olukhulu ebomini bakho. Iqela lakho lezonyango lilapha ukukunceda kolu hambo. Ngoko ungathandabuzi ukubabuza ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- Utyando lwengqiniba aluyonto yokoyika, lunokuba sisisombululo esihlala sihleli kwiintlungu zakho nokungonwabi kwakho.
- I-Arthroscopy yinkqubo esebenzisa imingxunya emincinci kwaye iphola ngokukhawuleza. Utyando oluvulekileyo lungcono kakhulu kwizilonda ezinkulu kunye nokufakelwa kwamalungu.
- Unyango lomzimba lubaluleke kakhulu ukuze umntu aphile ngokupheleleyo.Musa ukuyivumela ukuba ikhokelele ekukruqukeni okanye kwiintlungu.
- Ukuba ufumana umkhuhlane, ubomvu obuvela kwinxeba, okanye ukudumba okukhulu emva kotyando, yazisa ugqirha wakho ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Ukwaziswa yeyona ndlela ilungileyo yokoyisa uloyiko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment