Ingabe ubulokhu uzwa ubuhlungu eqakaleni lakho isikhathi eside? Mhlawumbe uzizwa ucindezelekile noma ungenamizwa lapho uhamba noma ukhuphuka izitebhisi? Noma ingabe uhlushwa ubuhlungu ngaphakathi eqakaleni lakho ngisho nalapho umi nje? Ingabe lesi simo asikathuthuki naphezu kokuthatha imithi nokwelashwa ngokomzimba? Khona-ke udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa okubizwa ngokuthi 'i-Ankle Arthroscopy'. Ukuzwa leli gama kungase kukwethuse kancane. Kungenzeka ukuthi uke wacabanga, "Okunye ukuhlinzwa?" Kodwa ungakhathazeki. Namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu ongayiqonda.
Kuyini i-Ankle Arthroscopy?
Kalula nje, lokhu ukuhlinzwa okwenziwa njengokubheka ngembobo yokhiye. Yingakho kubizwa nangokuthi "ukuhlinzwa kwembobo yokhiye." Esikhundleni sokwenza i-incision enkulu eqakaleni lakho bese ulivula njengasesikhathini esidlule, ngale nqubo, udokotela wakho wenza i-incisions ezimbalwa ezincane kakhulu (ngokuvamile ezingaphansi kwengxenye yesentimitha) esikhumbeni seqakala lakho.
Ngemuva kwalokho, ngaleyo ndlela encane yokusikwa, kufakwa ithuluzi elikhethekile. Libizwa ngokuthi i-arthroscope . Liyipayipi elincane elinekhamera encane kakhulu kanye nokukhanya okunamathiselwe kuyo. Izithombe ezivela kule khamera ziboniswa esikrinini esikhulu (imonitha), ukuze udokotela akwazi ukubona kahle konke okungaphakathi kweqakala lakho, okuhlanganisa amathambo, i-cartilage, kanye nemisipha.
Uma indawo eqondile yenkinga isitholakele, amathuluzi amancane okuhlinza afakwa ngolunye uqhekeko oluncane ukuze kulungiswe umonakalo ongaphakathi kwejoyinti. Njengoba kungewona uqhekeko olukhulu, lokhu kuwukuhlinzwa okucindezela kancane.
Ubani odinga lokhu kuhlinzwa?
Ngokuvamile, uma isiguli sizwa ubuhlungu eqakaleni, udokotela akasithumeli ngokushesha ukuze siyohlinzwa. Ukwelashwa okungadingi ukuhlinzwa okufana nobuhlungu besisu, imijovo ye-steroid, kanye nokwelashwa ngokomzimba kuqala kusetshenziswa.
Kodwa-ke, uma kungekho kulezi zinto ezinikeza impumuzo eyanele ebuhlungwini nasekuqineni kwakho, kungenzeka ukuthi inkinga ingaphakathi kwejoyinti uqobo. Yilapho udokotela wakho ezocabangela khona i-arthroscopy yeqakala. Uma iqakala lakho lingazinzile kangangokuthi awukwazi ukuhamba, noma uma uvame ukugoqa iqakala lakho, lokhu kuhlinzwa kungaba yisisombululo esihle.
Yiziphi izimo ezingelashwa nge-Ankle Arthroscopy?
Lokhu kuhlinzwa kwe-keyhole kungaxazulula izinkinga eziningi zeqakala. Ake sibheke izimo eziyinhloko eziphathwa ngalokhu kuhlinzwa.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| Ukungazinzi kweqakala | Ngezinye izikhathi, ngenxa yokukhubazeka kwamathambo eqakaleni noma ubuthakathaka bemisipha, iqakala lizwakala sengathi "liyathuthumela" noma "liyalahlekelwa ukuzibamba" uma uhamba. Lokhu kuhlinzwa kungathola imbangela futhi kuyilungise. |
| Ukucindezelwa | Uma izicubu ezizungeze iqakala zicindezelwa isikhathi eside, ziyavuvukala bese ziqala ukubuhlungu. Lokhu kubangela ukuthi iqakala liqine futhi lingakwazi ukugoba noma ukuqondisa kahle. Lokhu kuhlinzwa kungasusa izingxenye ezibangela ukuqina. |
| Ukususwa kwezingcezu zamathambo/i-cartilage eziphukile kanye nezicubu zesilonda | Ngemva kwengozi, izingcezu ezincane zamathambo kanye ne-cartilage zingahlala ejoyintini. Lokhu kungabangela ubuhlungu obukhulu. Futhi, ijoyinti linganamathela ngenxa yezicubu zesilonda ezingafuneki ezakheka lapho ukulimala kuphola. Lokhu kuhlinzwa kususa lezi zingcezu ezingafuneki futhi kuhlanze ijoyinti. |
| Ama-Ligaments Adabukile | Ama-ligament afana namabhande enjoloba axhumanisa amathambo ethu. Uma lawa edabuka ngenxa yengozi noma ukuwa, iqakala ngeke lisebenze kahle. Lokhu kuhlinzwa kungalungisa ama-ligament adabuke. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Ukuze ukuhlinzwa kuphumelele, udinga ukulungiselela kusengaphambili. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
| Okufanele ukwenze/ukuyeka | Kungani kunjalo? (Isizathu) |
|---|---|
| Izinto zokunciphisa igazi | Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo). Izinto zokunciphisa igazi (isib. i-aspirin, i-warfarin) zingandisa ukopha ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Udokotela wakho uzokutshela ukuthi kufanele uyeke nini ukuzithatha. |
| Ukubhema | Uma ubhema, kubalulekile ukuyeka okungenani amasonto amane ngaphambi kokuhlinzwa. Ukubhema kubambezela kakhulu ukuphola kwamanxeba. |
| Utshwala | Utshwala lunganciphisa igazi, ngakho-ke gwema utshwala ngokuphelele izinsuku ezimbalwa ngaphambi nangemva kokuhlinzwa. |
| Ukuzila ukudla | Njengoba uzobe ungaphansi kwe-anesthesia ngesikhathi sokuhlinzwa, kungcono ukungadli noma ukuphuza lutho amahora ambalwa (ngokuvamile amahora angu-8-12) ngaphambi kwenqubo. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ngemva kokuthi uyiswe endaweni yokuhlinza, udokotela wezifo zokubulala izinzwa uzokunikeza i-anesthesia. Lokhu kungenziwa ngezindlela ezimbili:
1. I-General Anesthesia: Kulokhu, uzolala ngokuphelele kuze kube yilapho ukuhlinzwa kuqediwe. Ngeke uzwe lutho.
2. I-Regional Anesthesia: Lokhu kwenza indawo engaphansi kwesinqe sakho noma ezungeze amaqakala akho ibe buhlungu kuphela. Uyaqaphela, kodwa awuzizwa ubuhlungu.
Ngemva kokuhlinzwa, udokotela ohlinzayo wenza izimbobo eziningana ezincane eqakaleni bese efaka i-arthroscope ukuhlola ingaphakathi lelunga. Uma inkinga isivele itholakala, udokotela ohlinzayo ufaka amathuluzi adingekayo ngezinye izimbobo ukuze alungise umonakalo. Inqubo yonke ivame ukuthatha cishe ihora . Kodwa-ke, lesi sikhathi singahluka kuye ngesimo sakho.
Kuyini i-Debridement?
Ungase uzwe leli gama uma ukhuluma ngokuhlinzwa. Ukuhlanza kusho nje 'ukuhlanza'.. Cabanga ngegumbi endlini yakho lingcolile. Mhlawumbe lidinga ukuhlanzwa kancane. Mhlawumbe lidinga ukuhlanzwa kahle. Noma ngabe yikuphi, umphumela wokugcina uyafana, futhi lokho kuyigumbi elihlanzekile nelihlelekile. Ukungcola kufana nalokho. Yilokhu udokotela akushoyo ngokususa izicubu ezingadingekile, izingcezu zamathambo, kanye nezingcezu ze-cartilage ngaphakathi kwelungu lakho leqakala bese 'uhlanza' ilunga.
Kwenzekani ngemva kokuhlinzwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela . Uzoqashwa amahora ambalwa ngemva kwenqubo bese uvunyelwa ukuya ekhaya. Udokotela noma umhlengikazi uzokuchazela ukuthi yini okudingeka uyenze ngemva kokubuyela ekhaya.
- Gwema ukubeka isisindo emlenzeni owawuhlinzwe emasontweni ambalwa okuqala. Kuzodingeka usebenzise izinduku zokusikela kulokhu.
- Iqhwa Futhi Uphakamise Iqakala Lakho: Ukuphakamisa umlenze wakho, njengasesihlalweni, kungasiza ekunciphiseni ukuvuvukala. Ukuzibeka iqhwa eqakaleni lakho imizuzu eyi-15-20 izikhathi eziningana ngosuku nakho kuhle ebuhlungwini nasekuvuvukeni.
- Gcina inxeba lihlanzekile: Amanxeba kufanele ambozwe futhi agcinwe ehlanzekile. Mboze ngesimbozo esingangeni manzi lapho ugeza. Akuyona into enhle ukugeza noma ukuya emachibini okubhukuda kuze kube yilapho amanxeba esepholile.
- Iziqeda-zinhlungu: Phuza iziqeda-zinhlungu (njenge-NSAID) ezinqunywe udokotela wakho ngesikhathi.
- I-Splint: Emasontweni ambalwa okuqala, uzocelwa ukuthi ugqoke i-splint noma ibhuzu ukuze unciphise ukunyakaza kweqakala lakho.
Ezinsukwini ezimbalwa, udokotela uzophinde akubone, asike izithungo, bese ekutshela ukuthi wenzeni ngokulandelayo. Ngemva kwalokho, kuzodingeka uqale ukwelashwa ngokomzimba . Lokhu kubalulekile ukuze uthole amandla nokunyakaza eqakaleni lakho.
Yiziphi izinzuzo zalokhu kuhlinzwa?
Uma kuqhathaniswa nokuhlinzwa okudinga ukusikwa okukhulu, i-Ankle Arthroscopy inezinzuzo eziningi.
Lena inqubo yokuhlinzwa ebangela umonakalo omncane emzimbeni futhi inikeza imiphumela ephumelela kakhulu. Yingakho odokotela emhlabeni wonke bekhetha le ndlela.
- Ukululama okusheshayo: Njengoba kungekho ukulimala okukhulu, isikhathi sokululama sifushane kakhulu. Ungaqhubeka nemisebenzi evamile emavikini ambalwa.
- Ubuhlungu obuncane: Ubuhlungu ngemva kokuhlinzwa buncane kakhulu.
- Ukopha okuncane kanye nezibazi ezincane: Ukusikwa okuncane kubangela ukopha okuncane, kanti kusele izibazi ezimbalwa ezincane, ezingabonakali kahle.
- Ingozi ephansi yezinkinga: Ingozi yezinkinga ezifana nokutheleleka iphansi kakhulu.
Ingabe zikhona izingozi?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi yizimo ezingavamile kakhulu ezingenzeki njalo.
- Ukusabela kokungezwani komzimba ne-anesthesia
- Ukulimala kwemizwa
- Amahlule egazi, ikakhulukazi emithanjeni yemilenze (Deep Vein Thrombosis - DVT)
- Ukutheleleka kwenxeba
- Ukopha ngokweqile noma ukuvuvukala
- Ukuba ndikindiki eqakaleni nasonyaweni
- Mhlawumbe, uma inkinga ingaxazululwa ngokuphelele, kungase kudingeke olunye ukuhlinzwa.
Ungesabi lezi zingozi. Udokotela wakho uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.
Kufanele ngimbone nini udokotela ngemva kokuhlinzwa?
Kubalulekile ukunaka umzimba wakho ngemva kokuya ekhaya ngemva kokuhlinzwa. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye esibhedlela lapho uthole khona ukwelashwa.
- Uma uzwa ubuhlungu obungabekezeleleki .
- Uma inxeba liphuma igazi ngokweqile .
- Uma isicanucanu nokuhlanza kuqhubeka.
- Uma ubona izimpawu zokutheleleka (isib. umkhuhlane, ukubomvu, ukuvuvukala, ukufudumala eduze kwesilonda, ubomvu).
Umlayezo Wokuya Nawe Ekhaya
- I-Ankle Arthroscopy iyindlela esezingeni eliphezulu kakhulu "yokuhlinzwa kwe-keyhole" elapha izinkinga ze-ankle ngomonakalo omncane emzimbeni.
- Lesi yisisombululo esihle sezimo ezinjengobuhlungu beqakala obuhlala isikhathi eside, ukuqina, kanye nokungazinzi okungazange kwelashwe ngezinye izindlela zokwelapha.
- Uma kuqhathaniswa nokuhlinzwa okukhulu okuvulekile, isikhathi sokululama sincane, ubuhlungu buncane, kanye nezinkinga ezimbalwa.
- Kubalulekile ukuze umuntu alulame ngokushesha ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa.
- Ukwelashwa ngokomzimba ngemva kokuhlinzwa kuyindlela kuphela yokuthola amandla aphelele kanye nokusebenza kahle kweqakala.
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