Udiniwe ziintlungu zesandla? Masifunde ngotyando lokutshintshwa kwesandla!

Ngaba uva iintlungu ezinganyamezelekiyo xa ugoba okanye ujika isihlakala sakho? Mhlawumbi uva isandi sokunqakraza nzima? Ngaba le ntlungu iye yakhathaza kangangokuba awukwazi ukwenza nemisebenzi elula yemihla ngemihla, efana nokukama iinwele zakho, ukuphakamisa ikomityi, okanye ukubhala? Ukuba kunjalo, namhlanje sithetha ngonyango olunokuba lubaluleke kakhulu kuwe. Olu lutyando lokutshintsha isihlakala.

Yintoni le itshintshiweyo yesandla? (Ukutshintshwa kwesandla)

Ngamafutshane, le yinkqubo yotyando. Oku kuquka ukususa isihlanganisi sakho sesandla esonakeleyo nesigugileyo size sithathe indawo yaso ngesinye esingeyo sangaphambili. Sibiza esi sihlanganisi sokwenziwa ngokuthi `(prosthesis)`. Sidla ngokwenziwa ngesinyithi kunye nohlobo olukhethekileyo lweplastiki `(polyethylene)`. Yenzelwe ukusebenza njengesandla esiphilileyo. Kwizonyango, utyando lokutshintshwa kwamalungu ludla ngokubizwa ngokuba `(Arthroplasty)`.

Isandla sethu silungu elintsonkothileyo elenziwe ngamathambo amaninzi amancinci. Sidibanisa isandla sethu kunye nengalo (ukusuka engqinibeni ukuya esandleni). Xa sijija iingalo zethu, sibhala, kwaye siphakamisa into ethile, isandla siyashukuma. Ngoko ke xa eli lungu lonakele kakhulu okanye ligugile, nokwenza imisebenzi yemihla ngemihla kuba ngumthombo wentlungu enkulu.

Ngaba ukutshintshwa kwesandla kunye nokuhlanganiswa kwamalungu yinto enye?

Ewe, ezi ziintlobo ezimbini zonyango. Ugqirha wakho mhlawumbi uza kukuchazela zombini iindlela onokukhetha kuzo. Kubaluleke kakhulu ukuqonda umahluko phakathi kwezi zimbini.

• Ukuhlanganiswa Kwesandla / I-Arthrodesis: Oku kuquka ukudibanisa amathambo enza ilungu kunye nokwenza ukuba lidibane ngonaphakade. Emva koko, ilungu alinakushukunyiswa . Nangona kunjalo, intlungu iphantse yaphela ngokupheleleyo. Akukho mqobo ekuphakamiseni iintsimbi okanye ekusebenziseni izixhobo ezifana nesando. Esi sisisombululo esilungileyo kumntu ofuna ukususa intlungu aze enze umsebenzi onzima.

• Ukutshintshwa Kwesandla/Ukufakelwa Kwethambo: Olu lutyando esithetha ngalo. Ekubeni kufakwa ilungu elenziweyo apha, uya kukwazi ukuhambisa isandla sakho emva kotyando. Oku kuthetha ukuba uya kukwazi ukugoba nokujika isandla sakho ukuya kuthi ga kwinqanaba elithile. Nangona kunjalo, kuya kubakho imiqathango ekuphakamiseni iintsimbi nasekwenzeni umsebenzi onzima.

Le theyibhile iza kwenza umahluko phakathi kwezi zimbini ucace kuwe.

Kutheni udinga olu tyando?

Utyando lokutshintsha isinqe ludla ngokuba lolokugqibela . Oogqirha bakhetha ukwenza oku kuphela xa zonke ezinye iindlela zonyango zingaphumeleli ukulawula iintlungu. Olu lulandelayo lunyango olungelulo utyando oluzanywayo kuqala:

• Ukutshintsha imisebenzi yakho (ukuphepha imisebenzi eyonyusa intlungu).
• Izithomalalisi zentlungu (ezilwa nokudumba, i-acetaminophen)
• Ii-splint zesandla kunye namafutha okugcoba.
• Ulungiso lwenyama.
• Iinaliti ze-steroid.

Ukuba akukho nanye kwezi zinto isebenzayo, kunokufuneka ucinge ngotyando. Izizathu eziphambili zolu tyando zezi zilandelayo:

• I-Arthritis: Ingakumbi i-osteoarthritis kunye ne-rheumatoid arthritis.
• Ukulimala: Ukulimala kwelungu ngenxa yokwenzakala okukhulu, njengokuphuka kwesandla.
• Utyando lokudibanisa iingwele olungasebenziyo: Ukuba utyando lokudibanisa iingwele oludlulileyo aluphumelelanga.
• I-Osteonecrosis: Imeko apho ukuhanjiswa kwegazi emathanjeni elungu kuphazamiseka, nto leyo ebangela ukuba izicubu zethambo zife.

Kwenzeka ntoni ngaphambi kotyando?

Ngaphambi kokuba ucebise olu hlobo lotyando, ugqirha wakho wamathambo uza kuhlola ngononophelo izinto ezininzi.

• Baza kukubuza ngempilo yakho iyonke kunye nezinye iimeko zempilo.
• Babuza ukuba intlungu yesandla iqale nini kwaye ichaphazela njani ubomi bakho.
• Amandla kunye nomgama wokunyakaza kwesandla kuyavavanywa.
• Kwenziwa i-X-ray ukujonga imeko yamathambo.
• Benza izinto ezifana novavanyo lwegazi ukuze babone ukuba banokukwazi na ukukulungiselela utyando.
• Siza kuqinisekisa ukuba ezinye iindlela zonyango ziye zazanywa kwaye nezinye iindlela zotyando ziye zaxoxwa nawe.

Kwenzeka ntoni ngexesha lotyando?

Olu tyando ludla ngokwenziwa esibhedlele. Luthatha ngaphantsi kweeyure ezimbini. Nantsi into eyenzekayo ngexesha lotyando:

1. I-Anesthesia: I-Anesthesia inikwa nge-IV (efakwa ngaphakathi kwemithambo) engalweni yakho ukuze ikulale ngokupheleleyo. Ukongeza, i-block engasentla yemilenze idla ngokunikezelwa ukunciphisa iintlungu emva kotyando.

2. Ukusikwa: Kwenziwa isilonda esincinci (ukusikwa) ngaphezulu kwesandla.

3. Ukususwa kwamalungu: Ilungu elonakeleyo, i-cartilage egugileyo, kunye neziqwenga zamathambo ziyasuswa.

4. Ukufakelwa kwelungu lokufakelwa: Ilungu elitsha lokufakelwa (i-prosthesis) linamathele kumathambo achaphazelekileyo ngeepini, izikrufu, okanye uhlobo oluthile lwesamente (isamente yamathambo).

5. Ukuhlolwa: Jonga ukuba ijoyinti entsha isendaweni yayo kwaye ihamba kakuhle na.

6. Ukuthungwa: Izicubu ezijikelezileyo, imithambo-luvo, kunye nemisipha ziyabuyiselwa, kwaye inxeba liyavalwa kwaye lithungwe.

7. Ibhandeji kunye ne-splint: Ekugqibeleni, inxeba ligqunywe ngamabhandeji acocekileyo kwaye kufakwa i-splint ukugcina isandla singashukumi.

Ziziphi iingenelo kunye neengozi zalo tyando?

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

Izinto onokuzenza ekhaya ukuze uphile kakuhle

Zininzi izinto onokuzenza ukuze uphile ngokukhawuleza nangokukhuselekileyo emva kotyando. Ukulandela la manyathelo kuya kunceda ilungu lakho elitsha lihlale ixesha elide.

• Umntu onokumnceda: Kulula kakhulu ukuba nomntu onokukunceda ngemisebenzi yemihla ngemihla kwiintsuku ezimbalwa zokuqala emva kotyando. Izinto ezifana neempahla ezineemikhono ezinkulu kunye neepleyiti zephepha zinokuba luncedo ngeli xesha.
• Musa ukuphakamisa iintsimbi: Musa ukuphakamisa izinto ezingaphaya kokucetyiswa ngugqirha. Oku kudla ngokuba malunga ne-2-5 kg. Kuphephe ukusebenzisa nantoni na efana nesando okanye ukugoba ingalo yakho kakhulu.
• Zikhusele ekuweni: Ukuwa kungonakalisa isihlathi sakho. Lumka ngokususa iindawo ezityibilikayo nezinto onokukhubeka kuzo ekhaya. Ziphephe imidlalo enobungozi obukhulu bokuwa ngeli xesha.
• Ukuzilolonga: Yenza imithambo kanye njengoko ugqirha wakho kunye nogqirha wezonyango bekunika. Kusenokuba kukho intlungu ekuqaleni, kodwa iya kuncipha kancinci kancinci kwaye ingalo yakho iya kuba namandla ngakumbi.

Uzakumbona nini ugqirha

Ukuba kuvela naziphi na iingxaki emva kotyando, kubaluleke kakhulu ukuzichonga ngokukhawuleza uze ufumane unyango.

Ukuba unezi mpawu kwiintsuku ezimbalwa emva kotyando, xelela ugqirha wakho ngoko nangoko:

Ezi zisenokuba ziimpawu zosulelo.

• Ukuba uziva umkhuhlane okanye umkhuhlane.
• Ukuba kukho ukubomvu kunye nokudumba okujikeleze indawo etyumkileyo.
• Ukuba isilonda siphuma ubomvu okanye sinevumba elibi.
• Ukuba intlungu iya isiba mandundu endaweni yokuncipha.

Ukuba ufumana nayiphi na kwezi zinto zilandelayo emva kwexesha elithile, bona ugqirha:

Ezi zisenokuba ziimpawu zokungasebenzi kakuhle kwamalungu.

• Ukuphinda-phinda kwentlungu.
• Ukuqina okanye ukudumba kwilungu.
• Ukuba ilungu liziva likhululekile kwaye lingalawuleki, libizwa ngokuba yi-`(Instability)`.
• Ukuncipha kwamandla okanye ukusebenza kwesandla.

Ukuba uneentlungu eziqhubekayo esihlahleni sakho ngenxa yokwenzakala okanye isifo samathambo, ugqirha wakho unokucebisa utyando lokutshintshwa kwesihlahleni. Oku kunokunciphisa iintlungu zakho kwaye kukuvumele ukuba wenze imisebenzi yemihla ngemihla ngokulula.