Ukuba wenze ingozi enkulu engalweni okanye emlenzeni wakho, okanye ukuba unesifo esinzima njengomhlaza, kuyinto eqhelekileyo ukuba noloyiko lokuba kufuneka usinqumle. Enyanisweni, sonke siyothuka kakhulu ngamaxesha anjalo. Kodwa ubusazi na ukuba ukunqunyulwa kwelungu akusoloko kuyisisombululo sodwa? Ngokuhambela phambili kwezonyango namhlanje, kukho iindlela ezikhethekileyo zotyando ezinokusindisa ilungu elinjalo ngaphandle kokulinqumla. Yiloo nto siyibiza ngokuba yi-'Limb Salvage Surgery'.
Ngamafutshane, yintoni utyando lokusindisa amalungu omzimba?
Khawucinge nje, uKamal wethu wenzakele umlenze kakubi kwingozi yebhayisekile. Amathambo atyumkile, yayilinxeba elikhulu. Ngaphambili, babenokuthi umlenze kuya kufuneka unqunyulwe. Kodwa ngoku oogqirha bajonga ukuba le ndlela 'yokusindisa amalungu omzimba' ingawusindisa na umlenze.
Ngamafutshane, utyando lokusindisa amalungu omzimba lutyando oluzama ukulungisa nokubuyisela ingalo okanye umlenze onesifo esibi okanye onzakeleyo, ngaphandle kokuyisusa. Kule nto, oogqirha bazama ukusindisa ingalo okanye umlenze wakho kangangoko kunokwenzeka ngaphandle kokubeka impilo yakho yonke esichengeni. Oku kukwabizwa ngokuba 'lutyando lokusindisa amalungu omzimba'. Kuthetha "utyando lokusindisa amalungu omzimba".
Kuxa kutheni apho olu tyando lunokuqwalaselwa khona?
Oogqirha badla ngokulujonga olu tyando kwiimeko ezininzi ezibalulekileyo.
| Imeko/Isizathu | Inkcazo |
|---|---|
| Umhlaza Wamathambo (iBone Sarcomas) | Ingakumbi susa iithumba ezinomhlaza ezenzeka emathanjeni, ezifana ne -Osteosarcoma , i-Ewing sarcoma , kunye ne -Chondrosarcoma . |
| IiSarcomas zeZicwi ezithambileyo | Kwimihlaza efana neLiposarcoma kunye neMyxofibrosarcoma ekhula kwiindawo ezifana nezihlunu kunye nezicubu ezinamafutha zengalo okanye umlenze. |
| Usulelo oluqatha | Kwiimeko zosulelo olukhulu lwamathambo ( i-Osteomyelitis ), usulelo lwamalungu ( i-Septic Arthritis ), okanye ukufa kwezicubu ( i-Gangrene ). |
| Ukulimala Okubuhlungu | Xa amalungu etyumkile, amathambo ayatyumkile, kwaye imithambo yegazi kunye nemithambo-luvo yonakala kakhulu ngenxa yezinto ezifana neengozi zeemoto okanye ukubanjwa ngoomatshini. |
| Umhlaza weThambo oQhelekileyo | Ukuba umhlaza uvela kwenye indawo emzimbeni uze usasazeke uye emathanjeni, nto leyo ebangela ukuba ithambo liphuke okanye liza kuphuka. |
Unqumle ingalo/umlenze? Uwugcine? Oogqirha bawenza njani lo mbandela?
Esi sisigqibo esinzima kakhulu. Ugqirha uza kugqiba ekubeni enze olu tyando emva kokuqwalasela ngononophelo izinto ezininzi. Eyona nto iphambili kukuba ingaba olu tyando luza kukunika ingalo okanye umlenze osempilweni, osebenzayo, nobukeka uqhelekile na .
Izinto ezichaphazela oku zezi:
- Ubungakanani besifo: Ukuba sisimila esinomhlaza, ukuba sikhulu kakhulu, okanye ukuba singene kwizakhiwo ezibalulekileyo ezikufutshane ezifana nemithambo yegazi kunye nemithambo-luvo, kusenokungabi lula ukususa isimila ngaphandle kokusenzakalisa. Ngokufanayo, ukuba sisisifo, ukuba sisasazeke ngokwaneleyo kwaye sitshabalalise izicubu ezininzi, kunokuba nzima ukusindisa isitho.
- Ubunzima bokwenzakala: Oogqirha basebenzisa iinkqubo ezikhethekileyo zokuvavanya umlinganiselo womonakalo obangelwe yingozi. Balinganisa umonakalo kwimithambo-luvo, kwizicubu, kwimithambo yegazi, nasemathanjeni. Ukuba kukho iindawo ezininzi kakhulu ezingenakulungiswa, akunakwenzeka ukulungisa inxalenye nganye ngokwahlukeneyo. Eyona nto ibalulekileyo kukubuyisela ukuhamba kwegazi kwinxalenye nganye yesitho emva kotyando. Ngaphandle kokuhamba kwegazi, isicwili siya kufa.
Kwenzeka ntoni ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, awungeni kwangoko kutyando. Kukho amanqanaba aliqela ngaphambi koko.
1. Unyango lwangaphambi kotyando: Ukuba wenzakele kakhulu, kunokufuneka wenze olunye unyango ukuze uzinzise imeko yakho ngaphambi kokuba wenze utyando olukhulu. Ukuba ngumhlaza, unyango lwe-chemotherapy okanye i-radiation lunokunikwa ngaphambi kotyando ukuzama ukunciphisa ithumba. Oku kuya kwenza kube lula ukususa.
2. Uvavanyo lwangaphambi kotyando:Iqela lezonyango liza kwenza uvavanyo oluninzi ukuze liqonde imeko yakho. Uvavanyo olufana ne-MRI okanye i-CT scan lujonge ngaphakathi kwilungu. Uvavanyo olufana ne-CT angiogram okanye i-Doppler ultrasound lujonga ukuhamba kwegazi. Baza kuqwalasela nempilo yakho iyonke kunye nokuba unayo nayiphi na eminye imiba yezempilo.
3. Ingxoxo yangaphambi kotyando: Nanini na xa kunokwenzeka, iqela lezonyango liza kuxoxa nawe ngotyando ngokweenkcukacha. Liza kuchaza yonke into eliza kuyenza, iingozi, kunye neziphumo ezinokubakho, kwaye lifumane imvume yakho enolwazi. Isigqibo sokusindisa okanye sokunqumla ingalo/umlenze wakho sinokuba nzima kuwe. Ngoko ke zinike ixesha lokucinga ngayo kwaye ubuze ugqirha wakho nayiphi na imibuzo onokuba nayo.
Kwenzeka ntoni ngexesha lotyando?
Le yinkqubo enzima kakhulu. Okokuqala, inxalenye enesifo iyasuswa. Oko kuthetha ukususa ithumba elinomhlaza okanye izicwili ezinentsholongwane. Emva koko kuqala eyona nxalenye inzima - inkqubo yokwakha ngokutsha.
Oku kusenokufuna utyando olungaphezulu kwesinye, okanye utyando oluninzi. Oogqirha kufuneka badibanise kwakhona, balungise, okanye badibanise kwakhona imithambo yegazi, imithambo-luvo, amathambo, kunye nezinye izicwili.
Ezinye zeendlela ezisetyenzisiweyo koku zezi:
- Ukuvuselelwa kwemithambo yegazi: Ukubuyisela ukuhamba kwegazi kwindawo eyonakeleyo. Njengokunkcenkceshela umthi owomileyo, imithambo yegazi ibuyiselwa kwakhona ngeenkqubo zotyando ezibuthathaka.
- Utyando lweMicrosurgery: Ngamanye amaxesha umthambo wegazi okanye imithambo-luvo eyonakeleyo ithathelwa indawo yiflap evela kwelinye ilungu lomzimba wakho okanye umnikeli, kwaye imithambo-luvo ethambileyo/imithambo-luvo ixhunyaniswa kwakhona kusetyenziswa imakroskopu.
- Ukufakelwa: Ukufaka ithambo endaweni yethambo elonakeleyo okanye elisusiweyo ngethambo elifakwe kwithambo okanye ukufaka ulusu endaweni yesikhumba esilahlekileyo.
- I-Prosthesis: Kufakwa i-implant yesinyithi ukuze kuthathelwe indawo ithambo okanye ilungu elisusiweyo, kubuyiselwe ukusebenza kwelungu.
- Ukuthuthwa kwamathambo: Ukuvala izikhewu kumathambo amade okanye ukwandisa amathambo, ifreyimu yentsimbi engagqwaliyo, efana ne-'Taylor Spatial Frame' okanye i-'Ilizarov apparatus', incamathiselwa ngaphandle, ngaloo ndlela ivuselela ukukhula kwamathambo.
Kwenzeka ntoni emva kotyando? Zithini izinto ezilungileyo nezingalunganga?
Emva kotyando, kukho omnye umceli mngeni omkhulu. Loo nto kukuvuselelwa komzimba okubanzi. Ingcali yezonyango iya kusebenza nawe ukukunceda ufumane amandla aphezulu okunyakaza kunye namandla kwilungu lakho eligciniweyo. Oku kuthatha ixesha, umgudu, umonde, kunye nokunyamezela . Enyanisweni, ngamanye amaxesha kunokuthatha ixesha elincinci ukuqhela ilungu lokufakelwa kunokuba kuthatha ixesha ukusebenzisa ilungu eligciniweyo.
Kodwa khumbula, ukukwazi ukusindisa ilungu lakho lomzimba ngamandla amakhulu engqondo.
| Iingenelo | Iingxaki kunye neengozi |
|---|---|
| Ukusebenza kakuhle (ingakumbi xa uhamba ngenyawo). | Ixesha lokubuyisela kwimeko yesiqhelo lide kakhulu. |
| Ukuba nenkangeleko eqhelekileyo. | Amathuba okuba kwenziwe utyando lokuhlaziya imeko. |
| Umgangatho wobomi ophucukileyo kunye nempilo-ntle yengqondo. | Iingxaki zokuphiliswa kwamanxeba kunye nomngcipheko wokosuleleka. |
| Utyando aluzange luphumelele, yaye ekugqibeleni kwafuneka ukuba ilungu lomzimba linqunyulwe. | |
| Ii-implants ezikhululekileyo okanye eziqhekekileyo. |
Kuthatha ixesha elingakanani ukuphiliswa?
Ixesha elithathwayo ukuze oku kwenzeke liyahluka kumntu nomntu. Kuxhomekeke ekubeni zeziphi iindawo zelungu lakho ezilungisiweyo kunye nendlela ezenziwe ngayo. Nangona amanxeba ehlala ephola kwiiveki ezimbalwa, izihlunu namathambo kuthatha iinyanga ukuphola. Uya kuhlala usesibhedlele iintsuku ezimbalwa, uze ubuyele emsebenzini emva kweenyanga ezimbini ukuya kwezintathu uphumle. Kodwa kungathatha ixesha elide ngakumbi ukuze uphinde usebenzise ilungu lakho ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Utyando lokusindisa amalungu omzimba luzama ukusindisa ingalo okanye umlenze owonakele kakhulu ngaphandle kokunqunyulwa.
- Oku akuyonto inokwenziwa ngumntu wonke. Ugqirha wakho uya kugqiba ukuba uyakufanelekela na oku ngokusekelwe kwimeko yakho yempilo, uhlobo lokulimala kwakho, kunye nempilo yakho iyonke.
- Olu lutyando oluntsonkothileyo kakhulu, olulandelwa yinkqubo ende kakhulu yokubuyisela isigulana kwimeko yesiqhelo.
- Ukukhetha phakathi kolu tyando kunye nokunqunyulwa kwelungu lomzimba sisigqibo esinzima. Thetha ngokukhululekileyo nogqirha wakho ngazo zonke izinto ezilungileyo, iingxaki kunye neengozi, uze wenze isigqibo esifanelekileyo kuwe.
- Ngokuhambela phambili kwesayensi yezonyango namhlanje, kukho ithuba elihle lokuba ungasindisa ubomi bakho kunye namalungu akho axabisekileyo emva kokugula okanye ingozi esongela ubomi.
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