Ngaba wakha waba nentlungu enzima kwilungu lakho elikhulu leenyawo? Le ntlungu, eyenza kube nzima ukuhamba, mhlawumbi iye yathintela imisebenzi yakho yemihla ngemihla. Abantu abaninzi bacinga ukuba oku kuqhelekile kwaye kuya kuphela kwiintsuku ezimbalwa. Kodwa ngamanye amaxesha kunokubakho isizathu esibalulekileyo emva kwale ntlungu. Namhlanje sithetha ngonyango olunokusetyenziswa njengesisombululo sokugqibela kwimeko enjalo, oko kukuthi, utyando lokutshintshwa kwamalungu kwizwane.
Yintoni le tyando yokutshintshwa kwamalungu ezinzwane?
Ngamafutshane, oku kuquka ukususa ngotyando ilungu elonakeleyo neligugileyo ezinzwaneni zakho uze ulitshintshe ngelungu elenziweyo. Eli lungu lingenziweyo silibiza ngokuba yi-prosthesis . Ezi zenziwe ngezinto ezifana nesinyithi, i-ceramic, okanye iplastiki. Zenzelwe ukusebenza njengelungu eliphilileyo.
Amaxesha amaninzi, olu tyando lwenziwa kuzwane olukhulu. Ukuze kube yinyani, ilungu apho uzwane olukhulu luqhagamshela khona nonyawo (i-Metatarsophalangeal - MTP joint) . Khawuthelekelele, eli lungu kufuneka ligobe ngalo lonke inyathelo esilithathayo. Ngoko ke ukuba eli lungu lonakele okanye liqinile, ukuhamba kuba buhlungu kakhulu. Olu tyando lukwabizwa ngokuba yi-arthroplasty ngokwezonyango.
Kutheni kufuneka wenze olu hlobo lotyando?
Olu tyando alusoloko luyindlela yokuqala. Ugqirha uza kusebenzisa olu hlobo lotyando kuphela ukuba zonke ezinye iindlela zonyango ezingezizo ezotyando ziye zazanywa kwaye akukho nanye eye yavelisa iziphumo eziphumelelayo.
Olu lolona nyango ludla ngokuzanywa kuqala:
- Ukunxiba izihlangu ezikhethekileyo okanye izixhasi ukuze kube lula ukuhamba.
- Ukwenza utshintsho kwimisebenzi yakho (umz., ukunciphisa ukuphakamisa izinto ezinzima, ukubaleka ngesantya esiphezulu, njl.njl.).
- Ukunika amayeza okudambisa iintlungu.
- Ulungiso lwenyama.
- Ukufakwa kwe-steroid kwilungu.
Ukuba akukho nanye kwezi zinto ethomalalisa iintlungu, kusenokwenzeka ukuba kungenxa yezi meko zilandelayo. Kulapho kufuneka kuqwalaselwe khona utyando.
| Izizathu eziphambili zentlungu yamalungu | Ingcaciso elula |
|---|---|
| IiBunions (iiBunions/iHallux Valgus) | Ithambo elibuhlungu eliphuma ngaphandle kobhontsi omkhulu lize lenzeke ebhedini. |
| I-Hallux Rigidus | Kule nto, oko kuthetha "unyawo olukhulu oluqinileyo," ilungu liyaqina lize lingakwazi ukugoba kakuhle. Olu luhlobo lwesifo samathambo. |
| Ukwenzakala | Ukonakala kwelungu ngenxa yengozi, njengokuphuka komnwe. |
| I-Osteoarthritis | Ukonakala nokukrazuka kwamalungu ngenxa yobudala okanye ezinye izizathu. |
| Irheumatoid arthritis | Ukudumba kunye nentlungu ebangelwa yinkqubo yomzimba yokuzikhusela ehlasela amalungu. |
Into ebalulekileyo kukuba olu tyando aluqhelekanga njengokutshintshwa kwesinqe okanye idolo, ngoko ke bambalwa abantu abafanelekela olu tyando.
Yintoni umahluko phakathi kokutshintshwa kwamalungu kunye nokuhlanganiswa kwamalungu?
Lo ngumbuzo abantu abaninzi abawubuzayo. I-Joint Fusion okanye i-Arthrodesis yinkqubo yotyando edibanisa ngokusisigxina amathambo amabini enza ilungu. Oku kunciphisa iintlungu kwaye kuzinzise ilungu. Nangona kunjalo, ingxaki enkulu kukuba ilungu alinakushukunyiswa emva kotyando.
Nangona kunjalo, ekubeni ukufakelwa kwelungu endaweni yalo kubandakanya ukufakwa kwelungu elenziweyo, uya kukwazi ukushukumisa nokugoba ilungu lomnwe emva kotyando. Nangona kunjalo, impumelelo yolu tyando inokwahluka kumntu nomntu. Ugqirha wakho wamathambo uya kugqiba ukuba loluphi utyando olulungele wena.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba enze utyando olunje, ugqirha wakho uza kuqwalasela ngononophelo izinto ezininzi.
- Siza kukubuza ngempilo yakho iyonke kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo (ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu).
- Babuza imibuzo efana nokuba unexesha elingakanani unentlungu yeminwe kunye nendlela echaphazele ngayo ubomi bakho.
- Umnwe uyahlolwa ukuze kubonwe ukuba unamandla kangakanani kwaye ungakanani na umgama ohamba ngawo.
- Kuya kwenziwa i-X-ray yonyawo ukuqinisekisa imeko yamathambo.
- Ezinye iimvavanyo, ezifana novavanyo lwegazi, zingenziwa ukuze kubonwe ukuba umzimba wakho ukulungele na utyando.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu. Lwenziwa esibhedlele okanye kwenye indawo eneendawo zotyando. Nantsi inkcazelo echaza okwenzekayo ngexesha lotyando:
1. I-Anesthesia: Okokuqala, i-anesthesia inikwa umthambo osengalweni yakho ukuze ulale ngokupheleleyo.
2. Ukusika: Emva koko ugqirha wenza ukusika okuncinci phezulu kobhontsi omkhulu.
3. Ukususwa kweendawo ezonakeleyo: Ngaloo mqamlo, amalungu awonakeleyo, i-cartilage egugileyo, kunye neziqwenga zamathambo ziyasuswa.
4. Ukutshintshwa kwelungu lokufakelwa: Ilungu lokufakelwa elikhankanyiweyo ngaphambili (i-prosthesis) lifakwa endaweni yelungu elisusiweyo.
5. Ukuqina: Le ngxube yokwenziwa inamathele ngokuqinileyo emathanjeni kumacala omabini omnwe kusetyenziswa izikhonkwane ezincinci, iiphini, izikrufu, okanye uhlobo oluthile lwesamente yamathambo.
6. Uvavanyo: Sijonga ukuqinisekisa ukuba yonke into isendaweni yayo kwaye ilungu elitsha lihamba kakuhle.
7. Ukuthunga: Ekugqibeleni, inxeba livalwa ngemithungo. Emva koko liyabotshwa ukuze likhuseleke kwiintsholongwane, mhlawumbi kufakwe isamente okanye isihlangu esikhethekileyo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kuvuka usegumbini lokuchacha. Umlenze wakho uza kubhandishwa kwaye mhlawumbi ufakwe isamente. Iqela lezonyango liza kukubeka esweni ukuqinisekisa ukuba akukho miphumo mibi evela kwi-anesthesia.
Kuya kufuneka uhlale esibhedlele ude ukwazi ukuhamba ngokukhuselekileyo usebenzisa i-walker okanye iintonga. Ngaphambi kokuba ugoduke, ugqirha kunye nabasebenzi bomongikazi baya kukunika imiyalelo ekufuneka uyilandele ekhaya.
- Faka umkhenkce ukunciphisa iintlungu nokudumba.
- Gcina imilenze yakho iphakanyisiwe ixesha elide kangangoko kunokwenzeka.
- Usuku ekufuneka ubuye ngalo ukuze usike izithungo.
- Ukunxiba izihlangu ezineentsiba ezinde kangangoko kunokwenzeka.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, kukho iingenelo kunye neengozi. Ugqirha wakho uza kukuchazela kakuhle oku.
| Iinzuzo | Iingozi |
|---|---|
|
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Ezi ngozi azifumaneki rhoqo, kodwa kubalulekile ukuba uzazi.
Kuthatha ixesha elingakanani ukuphiliswa? Neengxakeko ezifuna ukubona ugqirha
Ugqirha wakho uza kukukhuthaza ukuba usebenzise ilungu lakho elitsha ngokukhawuleza emva kotyando, oko kuthetha ukuhamba. Nangona kunokuba buhlungu kancinci ekuqaleni, ukuzilolonga yinxalenye ebaluleke kakhulu yenkqubo yokuphiliswa. Intlungu iya kuphela ngokuhamba kwexesha.
Kusenokufuneka wenze unyango lomzimba. Kungathatha malunga neeveki ezisi-8 ukuze ukwazi ukuhamba ngokupheleleyo uthwele ubunzima.
Kubalulekile: Ukuba ubona naluphi na utshintsho ngexesha lokuchacha kwakho, kubaluleke kakhulu ukwazisa ugqirha wakho ngalo.
Fowunela ugqirha wakho ngokukhawuleza ukuba unezi mpawu:
- Ukuba uziva umkhuhlane okanye umkhuhlane.
- Ukuba intlungu iyanda endaweni yokuncipha.
- Ukuba isilonda siphuma ubomvu okanye sinevumba elibi.
- Ukuba kukho ukubomvu okanye ukudumba okujikeleze inxeba (ezi zinokuba ziimpawu zosulelo)
Kwakhona, ukuba uvakalelwa kukuba kukho ingxaki kwilungu elifakelweyo emva kwexesha elithile, oko kuthetha ukuba,
- Ukuba umsebenzi okanye amandla elungu anciphile.
- Ukuba ilungu liziva lingazinzile kwaye ngathi liza kukhululeka (Ukungazinzi).
- Ukuba uqalisa ukuba neentlungu ezintsha, ukuqina, okanye ukudumba.
Nokuba yeyiphi na imeko efana nale, bonana nogqirha okunyange ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukutshintshwa kweJoint yeZinzwane kunokuba sisisombululo esihle kwiintlungu eziqatha kwijoint yeZinzwane ezinkulu xa ezinye iindlela zonyango zingaphumelelanga.
- Olu tyando lunokunciphisa iintlungu kwaye luphucule intshukumo kunye nokusebenza kwamalungu.
- Kuthatha ixesha elithile ukuba umntu aphile ngokupheleleyo emva kotyando, kwaye iingcebiso zonyango kunye nonyango lomzimba zibalulekile koku.
- Ukuba ufumana iimpawu zosulelo (umkhuhlane, ukudumba, ubomvu) okanye iimpawu zokungasebenzi kakuhle kwamalungu (intlungu entsha, ukungazinzi) ngexesha lokuphiliswa, bona ugqirha wakho ngoko nangoko.
- Yingcali yakho kuphela enokukumisela eyona ndlela ifanelekileyo yonyango, ngoko ke vuleka kwaye uthembeke kugqirha wakho ngayo nayiphi na into.
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