Ngaba nawe uva iintlungu ezinganyamezelekiyo xa uphakamisa igxalaba lakho okanye usebenzisa ingalo yakho? Mhlawumbi xa utshintsha impahla, uthatha into eshelufini, okanye xa uphakamisa ingalo yakho, ngaba uziva ngathi uhlatywa ngaphakathi egxalaba lakho? Nokuba emva kokuthatha amayeza kunye nonyango lomzimba, le ntlungu ayikapheli? Mhlawumbi ugqirha wakho ukuxelele nge-'Shoulder Arthroscopy'. Abantu abaninzi babiza oku ngokuthi 'lutyando lwe-key-hole'. Ngoko masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni i-Shoulder Arthroscopy?
Ngamafutshane, i-Shoulder Arthroscopy lutyando olungenabungozi kangako olusetyenziselwa ukuxilonga nokunyanga iingxaki egxalabeni. Endaweni yokwenza umngxuma omkhulu njengakwityando eliqhelekileyo elivulekileyo, kwenziwa imingxunya embalwa emincinci yesitshixo.
Khawuthelekelele ugqirha wakho efuna ukubona ukuba kwenzeka ntoni ngaphakathi kwegxalaba lakho. Ufaka isixhobo esincinci, esimile okwepensile esibizwa ngokuba yi-arthroscope ngale ndawo incinci yokusikwa. Inekhamera encinci kunye nokukhanya esiphelweni. Imifanekiso evela kule khamera ikhuliswa kwisikrini sevidiyo ngaphandle. Kufana nokubukela iTV.
Emva kokujonga ngaphakathi kwelungu lomzimba nokufumanisa ukuba yintoni kanye kanye ingxaki, bafaka izixhobo zotyando ezibuthathaka kakhulu ngenye indlela encinci baze benze ukulungiswa ngaphakathi kwelungu lomzimba. Oku kuya kunciphisa iintlungu zegxalaba lakho kwaye kubuyisele intshukumo eqhelekileyo.
Kutheni le nto kwenziwa olu tyando kwaye phantsi kwaziphi iimeko?
Ngokwesiqhelo, siqala ngokuzama unyango olungelulo utyando lweentlungu zamagxa. Oko kuthetha ukuba:
- Ulungiso lwenyama
- Izibulali-ntlungu (Amayeza)
- Ukujova kwilungu
- Ukuphumla
Nangona kunjalo, ukuba akukho nanye kwezi zinto inceda kwiintlungu, ugqirha wakho unokucebisa ukuba wenze i-shoulder arthroscopy njengenyathelo elilandelayo. Olu tyando lunokususa izicubu ezivuvukileyo egxalabeni lakho kwaye lulungise nezinye iingxaki ezininzi.
| Imeko enyangwayo | Ingcaciso elula |
|---|---|
| Iinyembezi zeRotator Cuff | Ukukrazuka kwezicubu zemisipha ezijikeleze igxalaba okunceda ukuphakamisa ingalo. |
| Isifo Sokuxinwa Kwamahlombe | Intlungu ebangelwa kukuxinana kwezicubu phakathi kwethambo kunye nomsipha egxalabeni xa uphakamisa ingalo. |
| Igxalaba Eliqandisiweyo | Ilungu legxalaba linamathele kwaye livakala libuhlungu kwaye liqinile kangangokuba akunakwenzeka ukulishukumisa. |
| Iinyembezi zeLabrum | Kukrazulwa iringi ye-cartilage (i-labrum) ejikeleze i-joint yegxalaba. |
| Ukungazinzi kwamagxa | Ukuyekelela okanye ukukhubeka rhoqo kwegxalaba. |
| I-Bone Spurs | Ukukhula okungeyomfuneko kwamathambo angaphezulu emathanjeni elungu. |
| I-Osteoarthritis | Ukuguguleka nokukrazuka kwe-cartilage kwilungu ngenxa yokwaluphala okanye ingozi. |
Kwenzeka ntoni ngaphambi kotyando?
Nje ukuba ugqirha wakho agqibe ekubeni enze utyando, uza kukubuza ngembali yakho yezonyango. Kuya kufuneka unike uluhlu olupheleleyo lwamayeza owasebenzisayo (kwaneevithamini). Ungacelwa ukuba uyeke ukusebenzisa amayeza athile, anjenge-blood thinners , kwiintsuku ezimbalwa ngaphambi kotyando.
Isibhedlele siza kukunika imiyalelo ethile, njengokuthi kufuneka uyeke ukutya nokusela iiyure ezingaphi ngaphambi kotyando. Ukongeza, banokwenza uvavanyo oluninzi ukujonga impilo yakho, olufana nolu:
- Uvavanyo lwegazi
- I-X-reyi yesifuba
- Uvavanyo lwe-ECG (i-Electrocardiogram)
Kwenzeka ntoni ngexesha lotyando?
Utyando lwe-arthroscopy yamagxa ludla ngokuthatha ngaphantsi kweyure . Ngeli xesha, ezi zinto zilandelayo zenzeka:
1. Utyando lwenziwa xa ulele phantsi ungqengqile (uhlala esihlalweni saselunxwemeni) okanye ujike ecaleni.
2. Iqela lotyando liza kucoca kakuhle indawo yakho yamagxa ngesisombululo sokubulala iintsholongwane.
3. Ugqirha uza kubeka ulwelo kwilungu lakho lamagxa. Olu lwelo luya kwenza ilungu libe likhulu kancinci kwaye ludale indawo, nto leyo eyenza kube lula ukubona ngaphakathi ngekhamera.
4. Ngoku, kwenziwa umngxuma omncinci olingana nomngxuma weqhosha kwaye kufakwa ikhamera (i-arthroscope) ngayo.
5. Ukujonga isikrini sevidiyo, ugqirha uqinisekisa indawo echanekileyo yengxaki yegxalaba.
6. Emva koko, kwenziwa umsike omnye okanye emibini emincinci, apho kufakwa khona izixhobo ezithambileyo ukuze kwenziwe ukulungiswa okufunekayo.
7. Emva kokuba umsebenzi ugqityiwe, amanxeba amancinci avalwa ngezititshi okanye amabhandeji amancinci, kwaye ibhandeji elikhulu libekwa phezulu.
Kwenzeka ntoni emva kotyando kwaye intlungu injani?
Le yinkqubo yokulaliswa ngaphandle . Oku kuthetha ukuba ungaya ekhaya ngokuhlwa. Kuya kufuneka uhlale esibhedlele malunga neyure okanye ezimbini emva kotyando. Ngeli xesha, iingcali zokubulala iintlungu ziya kukunika amayeza entlungu okulawula iintlungu zakho. Emva koko, ungaya ekhaya, kodwa awuyi kukwazi ukuqhuba. Kungcono ukuba nelungu losapho okanye umhlobo eze nawe. Kwakhona, licebo elihle ukuba umntu ahlale nawe ngobo busuku ukuba kunokwenzeka.
Kuqhelekile ukuba uzive iintlungu ngexesha lotyando, kodwa ungakhathazeki. Iqela le-anesthesia liza kuqinisekisa ukuba ukhululekile kangangoko.
Amaxesha amaninzi, ngexesha lotyando, uza kunikwa inaliti yokuvimba imithambo-luvo entanyeni okanye egxalabeni lakho. Oku kwenza ingalo yakho yonke kunye negxala lingasebenzi kakuhle kangangeeyure ezininzi. Oku kuthetha ukuba awuyi kuva ntlungu emva kotyando. Kwezinye iimeko, unganikwa i-anesthesia eqhelekileyo, ekwenza ulale ubuthongo ngokupheleleyo.
Ziziphi iingenelo kunye neengozi zalo tyando?
Xa kuthelekiswa notyando oluvulekileyo, i-Shoulder Arthroscopy ineenzuzo ezininzi:
- Intlungu incinci.
- Ukuqina kwamalungu kuyancipha.
- Umngcipheko wokosuleleka uphantsi kakhulu.
- Ixesha lokuchacha lifutshane.
- Amanxeba mancinci kakhulu.
Nangona olu tyando lukhuselekile kakhulu, kukho iingozi ezithile ezinokwenzeka rhoqo.
- Amahlwili egazi
- Ukonakala kwemithambo-luvo okanye imithambo yegazi
- Ukopha kakhulu okanye ukudumba
- Usulelo
Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka ndidibane nogqirha nini?
Kungathatha iiveki eziliqela ukuya kwiinyanga ezininzi ukuba ilungu lakho legxalaba liphole ngokupheleleyo.Kungathatha iveki ukuchacha. Oku kuxhomekeke kubukhulu bengxaki yegxalaba lakho kunye nobunzima botyando. Kuqhelekile ukuba nentlungu kunye nokudumba kwiiveki ezimbalwa zokuqala.
Sela amayeza entlungu anikwe ngugqirha wakho. Iipakethi zomkhenkce zinokunceda ekunciphiseni ukudumba. Kwiintsuku ezimbalwa zokuqala, ukulala kwindawo yokulala okanye enemiqamelo emininzi kunokunceda ekunciphiseni iintlungu. Ugqirha wakho uhlala ekuxelela ukuba usebenzise isilingi ukuxhasa ingalo yakho.
Eyona nto ibalulekileyo sisicwangciso sokubuyisela impilo. Ukwenza umthambo owunikwa ngugqirha wakho kunye nogqirha wezonyango, ngaphandle kokudinwa, kubalulekile ukuze uphile ngokukhawuleza.
Ukuba ufumana naziphi na ezi mpawu emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Ifiva .
- Intlungu ebuhlungu engapheziyo nokuba sele usele amayeza okudambisa iintlungu.
- Ukuba kukho ulwelo olunuka kakubi nolunombala ophuma ecaleni kwenxeba.
- Ukuba ndindisholo okanye ukuphelelwa yimvakalelo esandleni okanye kwiminwe.
- Ukuba ukudumba kuyanda imihla ngemihla.
Umyalezo Wokuya Ekhaya
- I-shoulder arthroscopy lutyando 'oluvula ingxolo' olunyanga iingxaki ezahlukeneyo zamagxa ngaphandle kokusikwa okukhulu.
- Oku kukhuselekile kunotyando oluvulekileyo, akukho ntlungu ingako, kwaye kunokuphola ngokukhawuleza.
- Ukuze utyando luphumelele, kubaluleke kakhulu ukulandela imiyalelo enikwe ngugqirha kunye nogqirha wezonyango emva koko, ingakumbi umthambo.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga ezifana nomkhuhlane, iintlungu ezinganyamezelekiyo, okanye ulwelo oluphuma enxebeni, musa ukulibazisa kwaye wazise ugqirha wakho ngoko nangoko.
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