Ngaba wakha waphawula ukuba omnye wemilenze yomntwana wakho mfutshane kunomnye? Okanye ngaba kukho imeko yokuzalwa eye yanciphisa ubude bengalo okanye umlenze omnye? Kuqhelekile ukuba uzive ulusizi kwaye uxhalabile ngamaxesha anje. Kodwa isayensi yezonyango yanamhlanje iphucukileyo inezisombululo zoku. Esinye sezisombululo ezinjalo lutyando lokwandisa amathambo esithetha ngalo namhlanje, olubizwa ngokuba yi-'Limb Lengthening Surgery'.
Yintoni utyando lokwandisa amalungu omzimba?
Ngamafutshane, le yinkqubo yotyando eyandisa ithambo (amathambo) engalweni okanye emlenzeni wakho. Oku akwenziwa ngaxeshanye, kodwa kancinci kancinci, kwiinyanga ezininzi. Oogqirha banokwenza olu tyando ikakhulu kula mathambo:
- Ithambo lengalo ephezulu (iHumerus)
- Ngamathambo akwingalo `(Radius/Ulna)`
- Ukuya kwithambo lethanga `(Femur)`
- Ithambo lesifuba `(iTibia)`
Kweziphi iimeko apho olu tyando lwenziwa khona?
Olu tyando lusetyenziswa kakhulu ukulungisa umahluko phakathi kobude bemilenze neengalo, nto leyo ethetha ukuba ingalo okanye umlenze omnye mfutshane kunomnye. Lukwasetyenziswa ukunyanga iimeko ezithile ezichaphazela ukukhula kwamathambo.
| Imeko | Ingcaciso elula |
|---|---|
| Ithumba lamathambo elingalunganga | Ukulibaziseka kokukhula kubangelwa sisimila esiqhelekileyo esikhula kwindawo apho ithambo likhula khona (ipleyiti yokukhula). |
| Umvakalelo yokitazo | Ngenxa yesi simo, ukukhula kwamathambo ngamanye amaxesha kunokuphazamiseka ngenxa yokungalingani kwemisipha. |
| Ukunqongophala kwe-femoral yokuzalwa | Ithambo elinye lethanga lizalwa lifutshane kunelinye. |
| Ukwandiswa kwecala elinye lomzimba (iHemihypertrophy) | Imeko engaqhelekanga apho icala elinye lomzimba (umz., ingalo yasekunene nomlenze) likhula ngokukhawuleza kunelinye. |
| I-Skeletal Dysplasia | Iimeko zokuzalwa eziphazamisa ukukhula kwamathambo (umz., ukufiphala). |
| Ukuqhekeka kwepleyiti yokukhula | Ukuma kokukhula ngenxa yokuqhekeka kwamathambo kwiindawo apho amathambo omntwana anwebeka khona. |
| Usulelo lweThambo (i-Osteomyelitis) | Ezinye izifo ezinzulu zamathambo zingonakalisa ukukhula kwamathambo. |
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kuthatha ii-X-reyi zethambo lakho aze alinganise ubude balo obuchanekileyo . Olu vavanyo luya kuqinisekisa ukuba ithambo kufuneka lolulwe kangakanani. Ngokwesiqhelo, malunga nee-intshi ezimbini zingandiswa kutyando olunye.
Iqela lakho lezonyango liza kukuxelela indlela yokulungiselela utyando. Ngaphambi kotyando, buza ugqirha wakho ukuba zeziphi amayeza ozisebenzisayo, zeziphi ekufuneka uyeke ukuzisebenzisa, kunye nezo kufuneka uqhubeke uzisebenzisa. Baza kukwazisa nokuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando.
Ngomhla wotyando lwakho, uza kunikwa i-anesthesia jikelele. Oku kuthetha ukuba uza kube ulele ngokupheleleyo ngexesha lotyando, ngoko awuyi kuva ntlungu. Kuya kufuneka uhlale esibhedlele malunga neentsuku ezintathu emva kotyando. Xa ubuyela ekhaya, kuya kufuneka ube nelungu losapho okanye umhlobo ohamba nawe.
Kubaluleke kakhulu ukuba nomntu oza kukunceda kwiiveki ezimbalwa emva kotyando. Ngokuqinisekileyo uya kufuna uncedo kwizinto ezifana nokunxiba, ukulungiselela ukutya, nokuya kwigumbi lokuhlambela. Ukuba unamanxeba emilenzeni, awuyi kukwazi ukuhamba ngaloo mlenze okwethutyana. Kuya kufuneka usebenzise isitulo esinamavili okanye iintonga.
Kwenzeka ntoni ngexesha lotyando?
Kukho amanyathelo amabini aphambili kolu tyando:
1. Utyando lwe-Osteotomy:Ugqirha usika ithambo elithethwayo libe ziinxalenye ezimbini.
2. Ukufakwa kwesixhobo: Emva koko, kufakwa isixhobo sokwandisa amalungu phakathi kwamathambo amabini.
Kukho iintlobo ezimbini eziphambili zezi zixhobo zokufakela.
| Uhlobo lweSixhobo | Ingaba isebenza kanjani |
|---|---|
| Isilungisi sangaphandle | Kule meko, ugqirha ufaka iiphini okanye iingcingo kumathambo omabini aze ancamathisele isakhelo sesinyithi kuwo ngaphandle komzimba. Ngenxa yokuba esi sakhelo siphuma kwiisentimitha ezimbalwa ukusuka emzimbeni, kunokuba nzima ukunxiba iimpahla ezithile. Abantu abaninzi banxiba izinto ezifana neebhulukhwe ezimfutshane. |
| Intonga yangaphakathi | Le yindlela entsha. Into oyenzayo apha kukufaka isixhobo esifana nesikrufu ethanjeni. Oku akubonakali ngaphandle komzimba. |
Amathambo akhula njani emva kotyando?
Emva kokuba uphilile kancinci emva kotyando, inqanaba lokwandiswa kwamathambo liqala. Silibiza ngokuba 'linqanaba lokuphazamiseka'. Oku kuthatha malunga neenyanga ezimbini. Ngeli xesha, iziqwenga ezibini zethambo ezisikiweyo zitsalwa kancinci kancinci. Njengoko zihamba, umzimba wakho wakha izicubu ezintsha zethambo ukuze uzalise umsantsa phakathi kwazo.
Imizimba yethu inamandla amangalisayo okwakha ithambo elitsha. Olu tyando lulawula loo nkqubo yendalo kwaye luyandisa ithambo libe bubude esibudingayo.
Ngeli xesha, unezinto ezintathu eziphambili ekufuneka uzenze:
- Ukulungisa isixhobo: Izihlandlo ezininzi ngemini, kufuneka ulungise isixhobo ngokwakho. Ixesha ngalinye, amathambo amabini ayahlukana kancinci, malunga ne-millimeter. Ukuba yifreyimu efakwe ngaphandle, oku kwenziwa ngokuvula iqhosha kuyo. Ukuba sisixhobo sangaphakathi, usebenzisa into efana nolawulo olukude ukuyijika.
- Unyango Lomzimba: Oku kubaluleke kakhulu.Ukuze ufumane iziphumo ezilungileyo, unyango lomzimba luyimfuneko. Kuya kufuneka uye izihlandlo ezimbalwa ngeveki. Oku kuya kuqinisa izihlunu zakho, kuphucule ukuhamba kwamalungu, kwaye kuncede ithambo elitsha likhule liqine.
- Ndwendwela ugqirha wakho rhoqo: Ugqirha wakho uza kuthatha ii-X-ray rhoqo ukujonga inkqubela yokwakheka kwethambo elitsha. Ukuba izinga lokwakheka kwethambo liphezulu kakhulu okanye liphantsi kakhulu, isicwangciso sonyango sinokulungiswa ngokufanelekileyo.
Wenza ntoni emva kokuba ithambo lide ngokwaneleyo?
Xa ithambo likhule lafikelela kubude obufunayo, kufuneka unike ithambo elitsha ixesha lokuba lomelele, okanye 'liqine'. Oku sikubiza ngokuba 'lixesha lokudibanisa'. Oku kungathatha malunga neenyanga ezintathu. Ngeli xesha:
- Iyayeka ukulungisa isixhobo: Isixhobo sisekhona, kodwa awusilungisi.
- Qhubeka nonyango lomzimba: Oku kufanele kuqhutyekwe ukuze ithambo lihlale lomelele kangangoko.
- Qala kancinci kancinci ukutyebisa ingalo/umlenze wakho: Ekuqaleni, uza kuqala ukutyebisa ingalo/umlenze wakho ngenkxaso efana neenduku zokuxhasa. Ngasekupheleni kwesi sigaba, ugqirha wakho unokukucebisa ukuba utyebise ngaphandle kwenkxaso. Ungaze ukhawuleze ukutyebisa ingalo/umlenze wakho de ugqirha wakho akuxelele ukuba wenze njalo.
Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?
Njengalo naluphi na utyando, kukho iingenelo kunye neengozi. Kubalulekile ukuxoxa ngezi zinto ngokukhululekileyo nogqirha wakho.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
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Ziziphi iimeko apho kufuneka ubone ugqirha ngoko nangoko?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, xelela ugqirha wakho ngoko nangoko . Ezi zisenokuba ziimpawu zosulelo okanye enye ingxaki enkulu.
| Iimpawu zomngcipheko - xelela ugqirha wakho ngoko nangoko! | |
|---|---|
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Ukukhupha amanzi kwindawo yokubhoboza | Ukopha, ubomvu, okanye olunye ulwelo. |
| Ubomvu kwindawo yenxeba okanye kwindawo yokubhoboza | Ububomvu, ukudumba, okanye imicu ebomvu ejikeleze inxeba okanye ejikeleze izithungo. |
| Intlungu ebuhlungu okanye ukudumba | Intlungu enganyamezelekiyo okanye ukudumba okungaqhelekanga engalweni okanye emlenzeni othe tyaba. |
| Ukuba ndindisholo | Ukurhawuzelela okanye ukungakhululeki kwingalo okanye umlenze othe tyaba. |
| Intlungu yesifuba okanye ubunzima bokuphefumla | Le yimeko engxamisekileyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. |
Ukuqukumbela, utyando lokwandisa amathambo lunokuba ngamava atshintsha ubomi babantu abaneengxaki zobude bamalungu omzimba. Ubuchwepheshe obutsha, ingakumbi izixhobo ezifakwa ngaphakathi kwamalungu omzimba, buye benza inkqubo yaba lula kwaye ikhuselekile kunangaphambili. Xa yenziwe ngugqirha oqeqeshiweyo, kwaye ngemiyalelo efanelekileyo, izinga lempumelelo liphezulu kakhulu. Abantu abaninzi baqhubeka nokuphila ubomi obupheleleyo nobusebenzayo emva kolu tyando.
Umyalezo Wokuya Ekhaya
- Utyando lokwandisa amathambo lutyando olukhethekileyo olwenziwa ukulungisa utshintsho kubude bamalungu olubangelwa ziimeko ezithile zempilo. Alwenziwa ngeenjongo zobuhle.
- Le yinkqubo ende enokuthabatha iinyanga. Ukuzinikela kwesigulana, ingakumbi unyango lomzimba kunye nokunamathela kwimiyalelo yezonyango, kubalulekile ukuze kubekho iziphumo eziphumelelayo.
- Ukwenza izinto ngokuchanekileyo, njengokulungisa izixhobo nokugcina iindawo apho iintonga zibekwe khona zicocekile, kunefuthe elithe ngqo kwimpumelelo.
- Ukuba ubona naziphi na iimpawu eziyingozi (umkhuhlane, iintlungu eziqatha, ukudumba, ukukhupha ulwelo), yazisa ugqirha wakho ngoko nangoko, ngaphandle koloyiko okanye ukulibaziseka.
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