Ngaba uva iintlungu ezinganyamezelekiyo eqatheni lakho xa uhamba okanye unyuka izinyuko? Ngaba ezi ntlungu ziya ziba mandundu imihla ngemihla, endaweni yokuba zibe ngcono? Ngaba ezi ntlungu zichaphazele ubomi bakho kangangokuba awukwazi ukuhambahamba nabahlobo, ukuya ecaweni, okanye ukwenza imisebenzi yasekhaya njengoko ubusenza ngaphambili? Ngoko ke, siza kuthetha ngento enokuba ibaluleke kakhulu kuwe.
Yintoni iTotal Ankle Replacement?
Ngamafutshane, olu lutyando olufana nokufakelwa isinqe nedolo. Ngokwezonyango oku kubizwa ngokuba yi-ankle arthroplasty. Oku kuquka ukususa iindawo ezonakeleyo nezigugileyo zelungu lakho leqakala uze uzifake kwiindawo zesinyithi nezeplastiki ezilungiselelwe ngokukodwa ezibizwa ngokuba zii-prosthetics. Ezi ndawo zintsha zisebenza kunye njengelungu lakho lendalo kwaye zikunceda ukuhambisa iqakala lakho.
Kodwa khumbula, oku akwenziwa ngumntu wonke onentlungu yeqakala. Olu tyando ludla ngokucetyiswa kubantu abaneentlungu ezinzima ezingalawulwa zezinye iindlela zonyango kwaye ezichaphazela kakhulu ubomi babo bemihla ngemihla.
Zeziphi iimeko ezinokunyangwa ngolu tyando?
Olu tyando ludla ngokwenziwa njengonyango lwesifo esibizwa ngokuba yi-ankle arthritis. Apho amathambo amabini adibana khona kwilungu, kukho i-membrane egudileyo neyomeleleyo ebizwa ngokuba yi-cartilage egubungela iziphelo zaloo mathambo. Yile nto evumela amalungu ethu ukuba agobe kwaye olule ngokulula ngaphandle kwentlungu.
Khawuthelekelele, njengoko ukhula, usebenzisa ilungu ixesha elide, okanye unengxaki yokwenzakala eqatheni (umz., ukwaphuka), le cartilage iqala ukuwohloka, inciphe, ize ibe rhabaxa. Kulapho ke amathambo adibana khona, nto leyo ebangela iintlungu eziqatha. Oku sikubiza ngokuba yi-arthritis.
Nazi ezinye zeempawu eziphambili ze-ankle arthritis.
| Uphawu | Inkcazo |
|---|---|
| Ubunzima bokuhamba | Intlungu nokuqina kwamalungu kwenza kube nzima ukuhamba ngendlela eqhelekileyo. Kusenokufuneka uhambe uqhwalela. |
| Intlungu yamalungu | Intlungu ebuhlungu, ingakumbi xa uhamba, umi, okanye uvuka kusasa. |
| Ukudumba kwamalungu | Indawo yeqakala idumbile kwaye ngamanye amaxesha ivakala ifudumele xa uyichukumisa. |
Abantu abaninzi bafumana isiqabu ngonyango olulula olufana neepilisi zokudambisa iintlungu, unyango lomzimba, kunye nezihlangu ezikhethekileyo okanye izixhasi zamaqatha (i-orthotics). Nangona kunjalo, kwabanye abantu, ilungu liyawohloka lide lifikelele kwinqanaba apho olu nyango lungasenakukwazi ukulawula iintlungu. Kulapho ugqirha wakho anokuqwalasela khona utyando.
Ngubani ongafanele enze olu tyando?
Olu tyando alulona sisombululo silungileyo kubo bonke abantu abane-ankle arthritis. Kwezinye iimeko, kunokuba nzima ukufumana iziphumo ezinqwenelekayo kolu tyando. Nazi ezinye iimeko apho ugqirha wakho asenokungalucebisi olu tyando.
- Ukukhubazeka okukhulu okanye ukungazinzi kwelungu leqakala: Ukuba ilungu lomelele kakhulu okanye alinamandla ngokwaneleyo, kunokuba nzima ukulingana kakuhle nelungu lokwenziwa.
- Ezinye iingxaki zempilo: Abantu abanezi meko zilandelayo zonyango basengozini enkulu yokufumana iingxaki ezivela kolu tyando.
| Izizathu zokungatyandwa | Ingcaciso emfutshane |
|---|---|
| Usulelo lwamathambo | Ukuba sele kukho usulelo emathanjeni, utyando lunokusasazeka ngakumbi. |
| Iingxaki zokujikeleza kwegazi | Ukuba imilenze ayinayo igazi elineleyo, inxeba liza kuthatha ixesha elide ukuphola emva kotyando. |
| Isifo seswekile | Isifo seswekile esingalawulwayo sikhokelela ekupholeni kwenxeba okulibazisekayo kunye nomngcipheko wokosuleleka. |
| Ukutyeba kakhulu | Ubunzima bomzimba obugqithisileyo bunokubangela uxinzelelo olungakumbi kwilungu lokwenziwa, nto leyo ebangela ukuba liphele ngokukhawuleza. |
Okokuqala, ugqirha wakho uza kukuhlola aze athathe iimvavanyo ezifana ne-X-ray ukuze abone ukuba ungumntu ofanelekileyo na kolu tyando. Olu tyando aluyonto yodwa eyenziwa eqatheni lakho. Usenokuba ngcono ngolunye unyango, olufana nokudibanisa iqakala (arthrodesis) okanye i-ankle arthroscopy.
Sizilungiselela njani ngaphambi kotyando?
Kubaluleke kakhulu ukujongana nolu tyando kunye nexesha elizayo lokuchacha ngokulindela okunokwenzeka.
- Thetha neqela lezonyango: Thetha nogqirha wakho kunye nogqirha wezonyango ngaphambi kotyando ukuqinisekisa ukuba yonke into icacile.
- Yeka ukutshaya: Ukuba utshaya, ngokuqinisekileyo kufuneka uyeke kwiiveki ezimbalwa ngaphambi kotyando. Ukutshaya kuyayinciphisa imithambo yegazi kwaye kulibazise kakhulu ukuphola kwenxeba.
- Ukuyeka amayeza athile: Ugqirha wakho unokukucebisa ukuba uyeke okwethutyana ukusebenzisa amayeza athile (ingakumbi amayeza okunciphisa igazi) ngaphambi kotyando.
- Yenza izicwangciso nosapho lwakho: Emva kotyando, uya kuba nobunzima bokuhamba okwethutyana. Ngoko ke kubaluleke kakhulu ukuba nomntu oza kukunceda ngemisebenzi yasekhaya, ukuthenga, kunye nokunyuka nokuhla izitebhisi. Thetha namalungu osapho lwakho kwangaphambili kwaye wenze izicwangciso.
Kwenzeka ntoni ngexesha lotyando?
Olu lutyando oluntsonkothileyo kakhulu olwenziwa ngugqirha wamathambo. Ingcali yokubulala iintlungu, abasebenzi bomongikazi, kunye nabanye abasebenzi bezempilo basebenzisana ukwenza olu tyando.
1. Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo (i-General Anesthesia) okanye umlenze wakho kuphela oza kuba ne-numbness (i-Nerve Block).
2. Emva koko ugqirha wenza umngxuma omncinci ngaphambili kweqakala.
3. Iziqwenga zamathambo kunye ne-cartilage ezigugileyo zisuswa ngononophelo.
4. Umphezulu wethambo uyalungiswa kwaye kufakwe iziqwenga ezintsha zokufakelwa.
5. Ilungu elitsha liyavavanywa ukuze kubonwe ukuba lisebenza kakuhle kwaye liyashukuma na.
6. Ukuba kuyimfuneko, kwenziwa ezinye iinkqubo ezincinci ukulungisa indawo yonyawo kunye neqatha.
Ngokwesiqhelo, kuya kufuneka uhlale esibhedlele ubusuku bonke emva kolu tyando. Nangona kunjalo, abanye abaguli banokukwazi ukwenza utyando bengaguli baze babuyele ekhaya ngaloo mini inye. Oku kumiselwa ngugqirha wakho.
Ziziphi iingenelo kunye neengozi zalo tyando?
Iinzuzo
Eyona nzuzo inkulu yolu tyando kukuba iintlungu zakho azisekho , kwaye iqatha lakho lifumana amandla nokuqina kwakhona. Kwakhona, uluhlu lokuhamba kwelungu lugciniwe. Ngenxa yokuba la malungu okwenziwa ahamba njengelungu lendalo, ungahamba ngokuqhelekileyo ngaphandle kwentlungu kwaye uphile ubomi obusebenzayo.
Oku kudla ngokuba luncedo ngakumbi kunotyando lokudibanisa iqatha, kuba xa ilungu lidityanisiwe, iqatha lilahlekelwa yintshukumo. Oku kunokutshintsha indlela ohamba ngayo kwaye kubeke uxinzelelo olungakumbi kwamanye amalungu, nto leyo enokubangela isifo samathambo.
Iingozi
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci. Zinqabile kakhulu, kodwa kubalulekile ukuba uzazi.
| Ingxaki enokwenzeka |
|---|
| Amahlwili egazi |
| Usulelo |
| Ukukhululeka kweendawo zokufakelwa |
| Umonakalo wemithambo-luvo okanye imithambo yegazi |
| Iingxaki zokuphilisa i-incision |
| Ukuwohloka kweendawo ezithile ngokuhamba kwexesha |
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Kungathatha phakathi kweenyanga ezi-6 ukuya kwezili-12 ukuba umntu aphile ngokupheleleyo. Oku kuyahluka kumntu nomntu.
Ekuqaleni, kuya kufuneka usebenzise iintonga. Uya kunikwa nesamente okanye i-splint ukunceda iqatha lakho liphile kwaye lihlale linganyakazi. Ngeli xesha, ugqirha wakho uya kukunika amayeza okuthintela ukuqhekeka kwegazi.
Ulungiso lwenyamaLe yinxalenye ebaluleke kakhulu yenkqubo yokuphiliswa. Yindlela ophinda wakhe ngayo uluhlu lokushukuma kunye namandla eqakaleni lakho.
- Uqeqesho lokuma kwakhona nokuhamba
- Ukuphulula ukunciphisa ukudumba
- Ukuzilolonga kokuqinisa izihlunu
- Ukolula okwandisa uluhlu lokushukuma kwelungu
- Ukuzilolonga okuthwala ubunzima okwanda kancinci kancinci ngokuhamba kwexesha
Emva kotyando, ugqirha wakho uza kukucela ukuba uye kuye rhoqo. Ngelo xesha, uza kwenza uvavanyo olufana ne-X-ray ukuqinisekisa ukuba ilungu elitsha liyaphola ngokufanelekileyo.
Ndifanele ndimbone nini ugqirha emva kotyando?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando, kufuneka wazise ugqirha wakho ngoko nangoko . Ezi zisenokuba ziimpawu zosulelo okanye ezinye iingxaki.
- Ifiva
- Ukudumba okugqithisileyo kweqakala okanye unyawo
- Ubomvu okanye ukopha kakhulu ngenxa yesilonda
- Iimpawu zosulelo, ezinje ngokuba bomvu kunye nentlungu eqatha ejikeleze inxeba
Ungawunciphisa kakhulu umngcipheko wakho wokuba neengxaki ngokutya ukutya okunempilo, ukuphepha ukutshaya, nokulandela onke amacebiso anikwa ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukutshintshwa kweTotal Ankle lutyando oluphumeleleyo lwentlungu enzima yamathambo eqakala engakapheliswa zezinye iindlela zonyango.
- Oku kususa iintlungu, kugcina amalungu eshukuma, kwaye kukuvumela ukuba uphile ubomi obusebenzayo kwakhona.
- Olu tyando alufanelekanga kuye wonke umntu. Ugqirha wakho uza kukuhlola aze akhethe unyango olulungele wena.
- Kuthatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando, kwaye kubaluleke kakhulu ukulandela unyango lomzimba kunye neengcebiso zonyango.
- Ukugcina ubunzima bomzimba obusempilweni kunye nokuphepha imisebenzi enokuxinzelela kakhulu kunokunceda ukukhusela ilungu lakho elitsha ixesha elide.
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