Ngaba awukwazi ukuhamba ngenxa yentlungu kubhontsi wakho omkhulu? Masifunde ngotyando lokutshintshwa kwamalungu ezinzwane.

Ngaba uziva iintlungu ezinganyamezelekiyo kunyawo lwakho olukhulu ngalo lonke inyathelo olithathayo? Ngaba kunzima kakhulu ukunxiba izihlangu? Mhlawumbi ilungu lonyawo lwakho olukhulu ligugile okanye lonakele. Kwimeko enjalo, xa zonke ezinye iindlela zonyango zingaphumelelanga, isisombululo esicetyiswa ngoogqirha kukutyanda elinye ilungu. Makhe sithethe ngale nto ngokulula nangokucacileyo.

Kalula nje, yintoni le ngcibi yokutshintshwa kwamalungu eminwe?

Utyando lokutshintsha ilungu lenzwane lubandakanya ukususa ngotyando ilungu elonakeleyo neligugileyo elisenzwaneni yakho uze ulitshintshe ngelungu elenziweyo. Eli lungu lenziweyo libizwa ngokuba yi-"prosthesis." Ezi zenziwe ngesinyithi, i-ceramic, okanye iplastiki. Zenzelwe ukusebenza njengelungu eliphilileyo.

Olu tyando ludla ngokwenziwa kwilungu elikubhontsi omkhulu. Ngokwezonyango, oku kubizwa ngokuba yi-metatarsophalangeal (MTP) joint. Eli lilungu eliphambili elidibanisa ubhontsi wakho omkhulu nonyawo lwakho. Eli lungu kufuneka ligobe ngalo lonke inyathelo esilithathayo. Ngoko khawucinge ukuba bekuya kuba buhlungu kangakanani ukuhamba ukuba eli lungu beligugile, liqinile, kwaye lonakele.

Kutheni kufuneka wenze olu hlobo lotyando?

Olu tyando lolona khetho lokugqibela. Oko kukuthi, ugqirha uza kuluqwalasela kuphela ukuba ezinye iindlela zonyango ziye zasilela ukulawula iintlungu zakho. Ezi zilandelayo zihlala zizonyango zokuqala ezizanyiweyo:

• Ukunxiba izihlangu okanye iibraces ezikhethekileyo: Yenza ukuhamba kube lula.
• Ukutshintshwa komsebenzi: Nciphisa uxinzelelo kwilungu.
• Izibulali-ntlungu: Ukulawula iintlungu njengoko ugqirha emyalele.
• Unyango lomzimba: Phucula ukusebenza kwamalungu kunye namandla awo.
• Iinaliti ze-steroid: Zinciphisa iintlungu kunye nokudumba okwethutyana.

Ukuba konke oku akuncedi, kunokufuneka ucinge ngotyando. Olu tyando lunokuba sisisombululo kwiintlungu zamalungu ezibangelwa zezi meko zilandelayo:

Yintoni umahluko phakathi kokutshintsha ilungu kunye nokudibanisa ilungu?

Lo ngumbuzo obuzwa ngabantu abaninzi. Ukongeza ekutshintsheni ilungu, oogqirha ngamanye amaxesha bacebisa utyando olubizwa ngokuba yi-"arthrodesis okanye i-fusion."

• Ukuhlanganiswa: Oku kuquka ukudibanisa ngokusisigxina amathambo amabini enza ilungu. Oku kuzinzisa ilungu kwaye kuphelise ngokupheleleyo iintlungu. Kodwa eyona nto ibalulekileyo kukuba emva kotyando, ilungu alinakushukunyiswa. Lihlala liqinile kwindawo enye.
• Ukutshintshwa Kwamalungu: Ekubeni kufakwa ilungu elenziweyo kule nkqubo, uya kukwazi ukugoba nokwandisa umnwe wakho, oko kukuthi, ukuhambisa ilungu, nokuba sele utyando.

Khawuthelekelele ukuba xa ihinji yocango iphuka, ufaka ihinji entsha (oku kufana nokuyitshintsha). Ngaphandle koko, ubethelela loo nxalenye yocango kwaye uyiqinise ukuze ingashukumi (oku kufana nokutywina). Ugqirha wakho uya kugqiba ukuba yintoni efanelekileyo kuwe.

Kwenzeka ntoni ngaphambi kotyando?

Ngaphambi kokuba wenze olu hlobo lotyando, ugqirha wakho wamathambo uza kukuxilonga ngononophelo.

• Baza kukubuza ngempilo yakho ngokubanzi kunye nezinye izifo.
• Babuza ngentlungu eseminweni yakho, ukuba ibikho ixesha elingakanani, kwaye ichaphazela njani ubomi bakho bemihla ngemihla.
• Bayawuhlola umnwe, bejonga izinto ezifana namandla awo kunye nokuba unokugoba kangakanani (uluhlu lwentshukumo).
• Kuya kwenziwa i-X-ray yonyawo ukuqinisekisa imeko yamathambo.
• Ezinye iimvavanyo, ezifana novavanyo lwegazi, zingenziwa ukuze kubonwe ukuba ufanelekile na utyando.

Kwenzeka ntoni ngexesha lotyando?

Olu tyando ludla ngokwenziwa esibhedlele okanye kwenye indawo eneendawo zotyando. Lungathatha malunga neeyure ezimbini ukuya kwezintathu. Nazi ezinye zezinto ezenzekayo ngexesha lotyando:

1. Okokuqala, uza kufakwa i-anesthesia. Oku kuthetha ukuba uza kube ulele ngokupheleleyo uneyeza elifakwe emthanjeni engalweni yakho.

2. Ugqirha uza kwenza umsikelo omncinci phezulu komnwe wakho.

3. Ngaloo mqamlo, amalungu onakeleyo kunye ne-cartilage egugileyo kunye namathambo asusiwe.

4. Okulandelayo, ilungu elenziweyo elilinganisiweyo nelilungisiweyo ngaphambili `(prosthesis)` lifakwa kuloo ndawo.

5. Le ngxube yokwenziwa inamathele emathanjeni kumacala omabini omnwe ngeepini ezincinci, izikrufu, okanye uhlobo oluthile lwesamente olubizwa ngokuba yi "bone cement."

6. Qinisekisa ukuba ijoyinti yokwenziwa ikwindawo eyiyo kwaye iqinile ngokufanelekileyo.

7. Jonga ukuba umnwe uyagoba kwaye uhamba kakuhle na.

8. Izicubu ezijikelezileyo, ezifana nemisipha kunye nemithambo-luvo, ziyabekwa ngokutsha.

9. Ekugqibeleni, i-incision ivalwa ngezititshi.

10. Emva koko, ukuze ikhuseleke kwiintsholongwane, isongelwa ngeebhandishi kwaye ngamanye amaxesha iplasta `(cast)` iyafakwa.

Kwenzeka ntoni emva kotyando?

Emva kotyando, uza kuvuka kwigumbi lokuchacha. Umlenze wakho uza kusongwa ngamabhandeji kwaye mhlawumbi ngesamente okanye isihlangu esikhethekileyo. Iqela lezonyango liza kukujonga ukuba akukho miphumo mibi ebangelwa yi-anesthesia.

Uza kugcinwa esibhedlele ude ukwazi ukuhamba ngokukhuselekileyo usebenzisa iintonga okanye isixhobo sokuhamba . Ngaphambi kokuba ugoduke, ugqirha wakho kunye nabasebenzi bakho bonyango baza kukunika imiyalelo yendlela yokunyamekela umnwe wakho. Oku kungabandakanya:

• Ukufaka umkhenkce emnweni ukunciphisa iintlungu nokudumba.
• Gcina imilenze yakho iphakanyisiwe ixesha elide kangangoko kunokwenzeka.
• Usuku ekufuneka ndibuye ngalo ukuze ndiqhawule umthungo.
• Ukunxiba izihlangu ezineentlalo eziqinileyo kangangoko kunokwenzeka.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengakwezinye iindlela zotyando, kukho iingenelo kunye neengozi ezingaqhelekanga. Ugqirha wakho uza kukuchazela ezi zinto ngokweenkcukacha.

Kuthatha ixesha elingakanani ukuchacha? Ndingazinyamekela njani ekhaya?

Ugqirha wakho uza kukukhuthaza ukuba usebenzise ilungu lakho elitsha, oko kuthetha ukuhamba, ngokukhawuleza emva kotyando. Ukuzilolonga yinxalenye ebaluleke kakhulu yenkqubo yokuphiliswa. Nangona kunokuba buhlungu kancinci ekuqaleni, ukuhamba kuya kuba lula kancinci ngokuhamba kwexesha.

Kusenokufuneka wenze unyango lomzimba. Kungathatha malunga neeveki ezisi-8 ukuze ubeke ubunzima ngokupheleleyo ezinzwaneni zakho nasekuhambeni. La macebiso aya kukunceda uphile ngokukhawuleza nangokukhuselekileyo:

• Lungiselela umntu oza kukunceda ngemisebenzi yasekhaya: Ukuba nomntu oza kukunceda kwiintsuku zokuqala emva kotyando kulula kakhulu.
• Susa imiqobo ekhayeni lakho: Susa izinto ezinokubangela ukuba utyibilike uze uwe, ezifana neekhaphethi kunye neengcingo ezihamba phantsi.
• Sebenzisa izixhobo zokuncedisa: Sebenzisa iintonga, isixhobo sokuhamba , okanye iibhari zokubamba zegumbi lokuhlambela ukuze unciphise ubunzima bomnwe wakho.

Ndifanele ndimbone nini ugqirha ngoko nangoko?

Kubaluleke kakhulu ukuqaphela naziphi na iingxaki ezinokuvela emva kotyando. Ukuba unezinye zezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.