Ngaba wakha weva ngotyando apho inxalenye yomlenze womntu isuswa khona kwaye inxalenye esezantsi eseleyo ijikeleziswa ngama-degrees ali-180 ize incamathiselwe kwakhona? Kusenokuvakala kungaqhelekanga. Kodwa le yinkqubo yezonyango ebaluleke kakhulu elwa neemeko ezinzulu, ingakumbi umhlaza wamathambo emlenzeni, kwaye izisa ithemba elitsha kubomi babantwana abancinci, ngakumbi. Namhlanje, siza kuthetha ngolu tyando lukhethekileyo olubizwa ngokuba yiRotationplasty.
Ngamafutshane, yintoni iRotationplasty?
I-Rotationplasty lutyando olukhethekileyo olwenziwayo ukuze kusindiswe umlenze womntu (inkqubo yokusindisa amalungu). Khawuthelekelele ukuba umntu unesifo esifana nomhlaza edolweni nakwindawo engqongileyo. Ngokwesiqhelo, wonke umlenze uyanqunyulwa ngaphezu kwedolo. Kodwa kwi-Rotationplasty, kwenziwa into eyahlukileyo.
Ugqirha uqala ngokususa inxalenye yomlenze enesifo (ngokuqhelekileyo ithanga elisezantsi, idolo, kunye nomlenze ophezulu). Emva koko, umlenze osezantsi oseleyo, oyiqakala lakho , unyawo, kunye neqakala , uthathwa uze ujikeleziswe ngama-degrees ali-180. Emva koko unamathele kwakhona kwithanga elingaphezulu eliseleyo.
Ngoku usenokuba uzibuza, "Kutheni ujika oku?"
Cinga ngayo. Idolo lakho ligobile phambili. Kodwa iqatha lakho ligobile ngasemva. Emva kolu tyando, iqatha lakho lisebenza njengedolo lakho elitsha. Oko kukuthi, xa ulijika ngasemva, iqatha lakho ligobile phambili njengedolo. Wakuba umlenze wakho ulungisiwe ngale ndlela, ungancamathisela umlenze wokufakelwa kuwo. Emva koko, "idolo elitsha" elenziwe ngeqatha lakho kunye nomlenze wokufakelwa liya kusebenza kunye, likuvumela ukuba uhambe, ubaleke, kwaye utsibe ngokuqhelekileyo.
Okumangalisayo kukuba, xa unxibe ibhulukhwe, usenokungawuboni umahluko phakathi kwemilenze yakho. Xa uhleli phantsi okanye umi, omabini "amadolo" agobile ngaxeshanye.
Ngubani owenza olu tyando?
Olu asilotyando lomntu wonke. Olu lutyando olungaqhelekanga. Olu tyando lujongwa kakhulu kwiimeko ezilandelayo:
- Umhlaza Wamathambo: Esi sesona sizathu siphambili. Xa umhlaza wamathambo ofana ne-'Osteosarcoma' kunye ne-'Ewing sarcoma', ezixhaphake kakhulu ebantwaneni nakubantu abancinci, usenzeka edolweni, le ndlela isetyenziselwa ukususa ngokupheleleyo iiseli zomhlaza. Ekubeni amathambo abantwana esakhula , imilenze yabo ikhula kunye nemizimba yabo emva kotyando. Ke ngoko, kulula kakhulu kubo ukuqhelana noku.
- Iziphene zokuzalwa: Abanye abantwana banokuzalwa benemeko apho ithambo lethanga lingakhuli kakuhle (Congenital Femoral Deficiency - CFD). Kwiimeko ezinjalo, iRotationplasty nayo iyaqwalaselwa.
- Ezinye izizathu:Amaxesha amaninzi, olu tyando lunokwenziwa nakwizilima ezinzima okanye usulelo olunganyangekiyo.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni esi sisigqibo esikhulu, kukho izinto ezininzi ekufuneka ziqwalaselwe ngaphambi kotyando.
1. Yiba nolwazi olupheleleyo: Wena nosapho lwakho kufuneka niqonde ngokucacileyo indlela umlenze wakho oza kujongana ngayo emva kotyando, ixesha lokuphiliswa, kunye nonyango lomzimba. Ugqirha wakho uza kukuchazela oku kakuhle, kwaye ukuba kuyimfuneko, ade akubonise neefoto okanye iividiyo zabantu abaye benza olu tyando. Kubaluleke kakhulu ukuzilungiselela ngokwengqondo oku.
2. Uvavanyo lomzimba: Ugqirha uza kujonga ukuba uneentshukumo ezifanelekileyo na esinqeni nasemaqakaleni. Uza kujonga nokuba umthambo oyintloko oya emlenzeni wakho, i-sciatic nerve, usebenza kakuhle na. Lo mthambo ubalulekile ukuze utyando luphumelele.
3. Uvavanyo lwemifanekiso: Ngaphambi kotyando, iqela lotyando lenza uvavanyo olufana ne-X-ray, i-MRI, okanye i-CT scans ukuze kufundwe kakuhle imeko yangaphakathi yomlenze kunye nendlela umhlaza osasazeke ngayo.
4. Ukulungiselela i-prosthesis: Ngamanye amaxesha, unyawo lwakho luya kulinganiswa ngaphambi kotyando kwaye kuya kwenziwa i-prosthesis yexeshana (i-prosthesis) engasetyenziswa kwangoko emva kotyando.
Umahluko phakathi kotyando lwe-Rotationplasty kunye nezinye iindlela
Kukho iindlela ezimbini eziphambili umntu anokukhetha kuzo endaweni yeRotationplasty:
- Ukunqunyulwa komlenze ngaphezu kwedolo kunye nokusetyenziswa kwelungu lomzimba elifakelweyo elifanelekileyo.
- Ukususa inxalenye yomhlaza uze ufake iindawo zesinyithi okanye ithambo elifakwe komnye umntu endaweni yalo.
Makhe sijonge iingenelo kunye nokungalungi kotyando lweRotationplasty xa kuthelekiswa nezi ndlela zimbini kule theyibhile.
| Uphawu | Iingenelo zeRotationplasty | Iingxaki kunye neengozi |
|---|---|---|
| Ukusebenza kakuhle | Ngenxa yokuba amaqatha abo asebenza njengamadolo, intshukumo kunye nolawulo ziphezulu kakhulu. Bayakwazi ukubaleka, ukutsiba, kunye nokudlala imidlalo. | Uqeqesho luyafuneka ukuze ingqondo kunye nemithambo-luvo ziqhele "idolo elitsha." |
| Ukuqina | Ngenxa yokuba isebenzisa izicwili zakho, imithambo-luvo, kunye nemithambo yegazi, ihlala ixesha elide kwaye akunakwenzeka ukuba ifune utyando olongezelelweyo. | Kukho umngcipheko wokulibaziseka kobudlelwane ngexesha lokuphiliswa. |
| Inkangeleko | Nangona kungenzi mahluko xa unxiba ibhulukhwe, le yinto eyenziweyo ukuphucula ukusebenza kwayo. | Le yeyona ngxaki iphambili. Umlenze ujike umva, ngoko ke inkangeleko yahlukile. Kuthatha ixesha ukuyamkela ngengqondo. |
| Iingxaki | Iingxaki ezinje "ngentlungu yelungu elingaphandle" (ukuziva ngathi umlenze ongekhoyo ubuhlungu) ezenzeka xa umlenze unqunyulwe ziyaphetshwa. | Olu tyando lunzima kakhulu. Kukho iingozi ze-ischemia, umonakalo wemithambo-luvo, kunye nosulelo. |
Linjani ixesha lokuchacha?
Olu lutyando olukhulu, ngoko ke kuya kuthatha ixesha ukuphiliswa.
- Kungathatha malunga neenyanga ezi-3 ukuya kwezi-6 ukuba amathambo omabini aphile ngokupheleleyo. Ukuba ufumana unyango lomhlaza olufana ne-'Chemotherapy', kuya kuthatha ixesha elide ukuphiliswa.
- Ngeli xesha, kuya kufuneka usebenzise isitulo esinamavili okanye iintonga.
- Xa isilonda sipholile kwaye ukudumba kuphelile, i-prosthesis inganxitywa.
- Unyango lomzimba luyinxalenye ebaluleke kakhulu kolu hambo. Ingcali yonyango lomzimba iya kukufundisa imithambo yokuqinisa nokuguqula isinqe sakho kunye "nedolo elitsha" (iqakala). Kulapho ingqondo yakho iqhela khona le ntshukumo intsha.
Abantwana baqhelana nale meko ngokukhawuleza kunabantu abadala. Kodwa kwiinyanga ezi-6-12, uninzi lwabo luqala ukuhamba ngaphandle kwenkxaso. Bafikelela kwinqanaba apho banokubandakanyeka kuyo nayiphi na imisebenzi, nokuba yezemidlalo, abayithandayo.
Ukwenza isigqibo esifana neRotationplasty kunokuba nzima kakhulu kwaye kube ngumthwalo wedwa. Kuba umntu omaziyo ebenokudlula kwinto efana nale waza waphulukana nayo. Kodwa namhlanje, ngeendaba zoluntu, unethuba lokufumana abantu abaye benza olu tyando, uve amabali abo, ubone indlela abadlala ngayo imidlalo, kwaye baphile ubomi obuqhelekileyo. Ukubona izinto ezinjalo kunokuba namandla amakhulu ekwenzeni esi sigqibo.
Umyalezo Wokuya Ekhaya
- I-Rotationplasty lutyando olungaqhelekanga kodwa oluphumelelayo lokusindisa umlenze. Lukhetho olufanelekileyo, ingakumbi kumhlaza wamathambo ebantwaneni.
- Oku kuguqula iqatha lesigulana libe yidolo elisebenzayo, nto leyo enika ukuhamba nokusebenza okungcono.
- Eyona nto iphambili ekufuneka uyiqwalasele kukutshintsha kwendlela ebonakala ngayo umlenze emva kotyando, kodwa iingenelo zokusebenza ziphezulu kakhulu.
- Esi sisigqibo sobuqu nesinzima kakhulu, ngoko ke kubalulekile ukuba uxoxe ngokucokisekileyo nogqirha wakho ngazo zonke izinto ezilungileyo, iingxaki kunye neengozi ngaphambi kokuba uthathe isigqibo sokwenza utyando.
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