Ngaba nawe unengxaki yokuhlushwa ziintlungu zamagxa ezingapheliyo? Mhlawumbi unengxaki yokuphakamisa ingalo yakho. Mhlawumbi awukwazi nokujika xa ulele ebusuku. Usenokuba uthathe amayeza oku, wafaka amafutha ahlukeneyo, waza wenza i-physiotherapy. Kodwa ukuba intlungu isafana, ugqirha wakho usenokuba ukuxelele ngotyando olubizwa ngokuba yi-"Shoulder Arthroscopy". Musa ukoyika xa usiva eli gama. Ngamafutshane, olu "lutyando lwe-keyhole". Namhlanje siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda.
Yintoni i-Shoulder Arthroscopy?
Ngamafutshane, i-Shoulder Arthroscopy lutyando oluncinci olusetyenziselwa ukuxilonga nokunyanga iingxaki ngaphakathi kwejoyinti yehlombe. Alufani notyando oluvulekileyo oluqhelekileyo. Akukho kusikwa okukhulu. Endaweni yoko, kwenziwa imingxunya emininzi emincinci enobukhulu beqhosha eluswini lwegxalaba lakho.
Emva koko, ugqirha otyandayo ufaka ikhamera encinci ngalo mngxuma mncinci. Le khamera siyibiza ngokuba yi-arthroscope. Le khamera ibonisa ngokucacileyo yonke into engaphakathi kwegxalaba kwisikrini sevidiyo. Kufana nokujonga ngaphakathi. Ngokujonga ngale ndlela, ugqirha angafumana unobangela ochanekileyo wentlungu yegxalaba lakho. Emva koko, ufaka izixhobo zotyando ezincinci ngomnye umngxuma omncinci aze enze ukulungiswa okufunekayo.
Eyona nzuzo inkulu yoku kukuba ayibandakanyi ukunqunyulwa okukhulu, nto leyo ebangela ukuba iphole ngokukhawuleza kwaye iintlungu zingabi ninzi.
Kutheni kufuneka wenze olu hlobo lotyando?
Utyando aluqhele ukwenziwa ngoko nangoko emva kokuba intlungu yegxalaba iqalile. Ugqirha wakho uza kuqala azame ukubona ukuba imeko inganyangwa na ngaphandle kotyando. Banokucebisa oku kulandelayo:
- Ukuphumla
- Izibulali-ntlungu
- Unyango lweFiziotherapy
- Inaliti zamagxa
Nangona kunjalo, ukuba intlungu yakho ayipheli emva kolu nyango, oko kuthetha ukuba ingxaki inzima ngakumbi. Kulapho ugqirha aza kucebisa khona utyando lwe-'Shoulder Arthroscopy' ukuze abone ukuba kwenzeka ntoni ngaphakathi egxalabeni aze alinyange.
Zeziphi iingxaki zamagxa ezinokunyangeka ngolu tyando?
I-Shoulder Arthroscopy inokunyanga iintlobo ngeentlobo zeengxaki zamagxa kunye neemeko. Jonga itheyibhile engezantsi ukuze ufumane uluhlu lwazo.
| Isifo/isifo | Ingcaciso elula |
|---|---|
| Iinyembezi ze-Rotator cuff | Ukukrazuka kwemisipha kunye nemisipha ejikeleze igxalaba. Kuqhelekile kubadlali bezemidlalo nanjengoko sikhula. |
| Isifo sokungangeni emagxeni | Intlungu ebangelwa kukuvaleka kwethambo okanye umsipha egxalabeni xa uphakamisa ingalo. |
| Iinyembezi zeLabrum | Ukukrazuka kweringi ye-cartilage (i-labrum) ejikeleze ijoyinti yegxalaba. |
| Igxalaba eliqandisiweyo | Ilungu legxalaba liyaqina, liqine, kube nzima ukulishukumisa, kwaye libangela iintlungu eziqatha. |
| Ukungazinzi kwamagxa | Ukuyekelela okanye ukukhubeka rhoqo kwegxalaba. |
| Ukulimala kwemisipha yeBiceps | Ukonakala kwi-biceps tendon. |
| I-Bone spurs | Ukukhula okungeyomfuneko kwamathambo angaphezulu emathanjeni elungu. |
| I-Osteoarthritis | I-arthritis ibangelwa kukuguguleka kwe-cartilage emalungeni njengoko ixesha lihamba. |
Kwenzeka ntoni ngaphambi kotyando?
Nje ukuba ucwangcise utyando lwakho, ugqirha wakho kunye nesibhedlele baza kukunika imiyalelo. Nantsi into edla ngokwenzeka:
- Utyelelo lukagqirha: Ugqirha uza kukubuza ngembali yakho epheleleyo yempilo. Uluhlu olupheleleyo lwamayeza onke owasebenzisayo ngoku (kwaneevithamini).Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile (umz., amayeza okunciphisa igazi) kwiintsuku ezimbalwa ngaphambi kotyando.
- Yeka ukutya nokusela: Isibhedlele siza kukuxelela ukuba zingaphi iiyure ngaphambi kotyando ekufuneka uyeke ukutya nokusela. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
- Uvavanyo oluninzi: Uvavanyo oluninzi lunokwenziwa ukuze kubonwe ukuba impilo yakho yomzimba ikwimeko entle na.
- Uvavanyo lwegazi
- I-X-reyi yesifuba
- Uvavanyo lwe-ECG (i-Electrocardiogram)
Kwenzeka ntoni ngexesha lotyando?
Uvavanyo lwe-arthroscopy yamagxa ludla ngokuthatha ngaphantsi kweyure ukwenza oku. Yinkqubo eqhelekileyo.
1. Indawo kunye ne-Anesthesia: Uza kubekwa etafileni yotyando kwindawo yokuhlala elunxwemeni okanye ecaleni kwakho. Ingcali ye-anesthesia iza kukwenza ulale ubuthongo ngokupheleleyo (i-anesthesia eqhelekileyo). Okanye, kuya kunikwa i-nerve block entanyeni okanye egxalabeni lakho ukuze ungabi nantlungu kuphela egxalabeni lakho nasengalo. Le ndlela inokunceda nokulawula iintlungu emva kotyando.
2. Ukulungiselela: Ukuba kukho uboya kwindawo apho kuza kwenziwa khona utyando, buyasuswa bucocwe kakuhle ngesisombululo sokubulala iintsholongwane. Ungabamba isandla sakho kwisixhobo esikhethekileyo ukuze singashukumi.
3. Ukunyuka kwamalungu: Ugqirha ufaka ulwelo olufana netyuwa kwilungu legxalaba. Oku kwandisa indawo ngaphakathi kwelungu, okwenza yonke into ibonakale kwikhamera.
4. Ukufaka ikhamera: Emva koko, kwenziwa ukusika, ubungakanani bomngxuma weqhosha, kwaye kufakwa ikhamera ethi `Arthroscope` ngayo.
5. Uvavanyo kunye nokulungiswa: Ugqirha usebenzisa imifanekiso evela kwikhamera kwisikrini sevidiyo ukuqinisekisa ingxaki echanekileyo egxalabeni. Emva koko wenza umsike omnye okanye emibini emincinci aze afake izixhobo zotyando ezithambileyo kuzo ukuze enze ukulungiswa okufunekayo (umz., ukuthunga umsipha okrazukileyo).
6. Ukugqiba utyando: Emva kokuba ukulungiswa kugqityiwe, izixhobo ziyasuswa, amanxeba amancinci avalwe ngezititshi okanye iibhandishi zeplasta, kwaye kubekwa ibhandishi enkulu phezu kwawo.
Kwenzeka ntoni emva kotyando?
Le yinkqubo edla ngokuba yeyokunyanga ngaphandle . Oko kuthetha ukuba ungaya ekhaya ngaloo mini inye. Kuya kufuneka uhlale esibhedlele malunga neyure okanye ezimbini emva kotyando. Ukuba unentlungu, uza kunikwa amayeza. Nje ukuba yonke into iqinisekiswe ukuba ilungile, uza kuvunyelwa ukuba uye ekhaya.
Eyona nto ibalulekileyo kukuba, kufuneka kubekho umntu oza kukuthatha akuse ekhaya.Akucetyiswa ukuba uqhube wedwa okanye usebenzise izithuthi zikawonke-wonke. Ukuba kunokwenzeka, kungcono ukuba nelungu losapho okanye umhlobo ahlale nawe ngobo busuku.
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingenza ntoni ekhaya?
Kungathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuba ilungu lakho legxalaba liphole ngokupheleleyo, kuxhomekeke kubunzima bengxaki yegxalaba lakho kunye nobunzima botyando.
Kuqhelekile ukuba nentlungu nokudumba kwiiveki ezimbalwa zokuqala. Ezi zinto zilandelayo zinokunceda:
- Iipilisi zokunciphisa iintlungu: Sela amayeza okunciphisa iintlungu achazwe ngugqirha wakho ngexesha.
- Umkhenkce: Ukufaka ipakethe yomkhenkce phezu kwebhandishi kunokunciphisa kakhulu iintlungu kunye nokudumba.
- Indawo yokulala: Ukulala esitulweni okanye ebhedini enemiqamelo emininzi kwaye iphakanyisiwe kancinci kunokubonelela ngesiqabu kwiintsuku ezimbalwa zokuqala.
- Isilingi: Ukuze ukhusele igxalaba lakho, ugqirha wakho angacebisa ukuba usebenzise isilingi. Sinxibe ixesha elide njengoko ugqirha wakho ekuxelele.
- Unyango lweFiziyoloji: Le yeyona nxalenye ibalulekileyo yenkqubo yokuchacha. Kufuneka uqale umthambo wokubuyisela umzimba phantsi kwesikhokelo sikagqirha wakho kunye nengcali yefizoloji eqeqeshiweyo. Olu qeqesho luya kunceda ukubuyisela amandla kunye nomgama weenyawo zakho.
Ngawaphi amaxesha akhethekileyo ofanele uye kugqirha ngawo?
Xa ubuyela ekhaya emva kotyando, kubaluleke kakhulu ukuqaphela naziphi na iimpawu ezingaqhelekanga. Ukuba ufumana naziphi na iimpawu ezingezantsi, fowunela ugqirha wakho okanye uye esibhedlele ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele | Inkcazo |
|---|---|
| Ifiva | Ukunyuka kobushushu bomzimba kungaba luphawu losulelo. |
| Intlungu ebuhlungu | Intlungu inzima kangangokuba ayinakulawulwa nokuba kusetyenziswe amayeza okudambisa iintlungu. |
| Ukukhupha igazi enxebeni | Kuphuma ulwelo olunuka kakubi nolunombala omdaka olujikeleze amanxeba. |
| Ukurhawuzelela esandleni | Ukurhawuzelela okanye ukuba ndindisholo okungapheliyo ezandleni okanye kwiminwe. |
| Ukudumba okugqithisileyo | Ukuba ukudumba egxalabeni, engalweni, okanye kwiminwe kuya kusiba mandundu. |
Umyalezo Wokuya Ekhaya
- I-shoulder arthroscopy lutyando olungenamsebenzi kangako, "olungenamngxuma" olunyanga iingxaki zamagxa.
- Oku kudla ngokwenziwa xa izinto ezifana namayeza kunye nonyango lomzimba zingancedi.
- Utyando lukhuselekile kakhulu, ludla ngokuthatha ngaphantsi kweyure, kwaye ungagoduka ngaloo mini inye.
- Ukuze uphile ngokupheleleyo, kubalulekile ukuba wenze unyango lwe-physiotherapy ngokuchanekileyo.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, iintlungu ezinganyamezelekiyo, okanye ulwelo olunuka kakubi oluphuma enxebeni emva kotyando, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unamathandabuzo ngayo nantoni na, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho ngayo.
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