Ingabe unenkinga yokwenza imisebenzi yakho yansuku zonke ngenxa yobuhlungu obungapheli kanye nokuqina kweqakala lakho? Udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa okubizwa ngokuthi 'i-Ankle Arthroscopy.' Kungenzeka ukuthi uzizwe wesaba kancane lapho bethi 'senziwe ngekhamera,' akunjalo? Kodwa ungesabi. Lokhu akuyona into enkulu njengoba ucabanga, futhi akuyona into okufanele uyesabe. Ake sixoxe ngakho konke ngamagama alula namuhla.
Kuyini ngempela i-Ankle Arthroscopy?
Kalula nje, lokhu kuyindlela encane yokuhlinzwa ukuze kubonwe futhi kwelashwe izinkinga ngaphakathi kweqakala lakho. Udokotela wakho ohlinzayo usika izingcezu ezimbalwa ezincane esikhumbeni seqakala lakho bese efaka ithuluzi elikhethekile elibizwa ngokuthi i-arthroscope ngawo.
Le arthroscope iyithubhu elincane elingangepensela elinekhamera kanye nokukhanya ngaphambili. Udokotela angabona ukuthi kwenzekani ngaphakathi kwejoyinti ngokucacile ngokubuka izithombe ezivela kule khamera esikrinini esikhulu. Ngemuva kwalokho, ezinye izinto ezincane zifakwa ngesinye isigaxa esincane ukulungisa indawo eyonakele.
Ngenxa yokuthi ukusikwa okwenziwe kulokhu kuhlinzwa kuvame ukuba kuncane kunengxenye yesentimitha, kunokucindezela okuncane kakhulu emzimbeni kunokuhlinzwa okuvulekile, okuhlanganisa ukusikwa okukhulu.
Ubani odinga lokhu kuhlinzwa futhi ngenxa yaziphi izimo?
Udokotela wakho ngeke avame ukuncoma lokhu kuhlinzwa ngokushesha. Lokhu kwenziwa kuphela uma ukwelashwa okungekona ukuhlinzwa okufana nezinhlungu zobuhlungu, imijovo ye-steroid, kanye nokwelashwa ngokomzimba kunganciphisi ubuhlungu nokuqina kweqakala lakho.
Ithebula elingezansi libala izimo eziningana ezingelashwa ngalokhu kuhlinzwa.
| Inkinga | Incazelo elula |
|---|---|
| Ukungazinzi kwelunga | Ngezinye izikhathi, ukukhubazeka emathanjeni kungabangela ukuba iqakala ligingqike ngokungalawuleki lapho lime noma lihamba. Udokotela angathola imbangela bese eyilungisa ngalolu hlinzeko. |
| Ukucindezelwa | Ukusebenzisa ngokweqile izicubu ezizungeze ilunga kungabangela ukuvuvukala nobuhlungu. Ngokuhamba kwesikhathi, lokhu kuvuvukala kungabangela ukuthi ilunga liqine futhi lingakwazi ukunyakaza kahle. |
| Ukususwa kwethambo elonakele, i-cartilage, noma izicubu zesilonda | Ngemva kokulimala, ithambo noma i-cartilage kungalimaza, noma izingcezu ezincane zalo zingahlala emalungeni bese zibangela ubuhlungu. Ubuhlungu bungabangelwa futhi yizicubu zesilonda ezakheka njengoba ukulimala kuphola. Lokhu kuhlinzwa kusetshenziselwa ukususa lezi. |
| Imisipha edabukile | Ama-ligament afana namabhande enjoloba axhumanisa amathambo ethu. Uma lawa edabuka engozini, ukusebenza kweqakala kuzophazamiseka. Lawa angalungiswa nangalokhu kuhlinzwa. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ethile ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukuyilandela kahle le miyalelo.
- Izinto zokunciphisa igazi: Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo. Izinto zokunciphisa igazi, ikakhulukazi lezo ezivimbela ukuqhekeka kwegazi, zingaba yingozi ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Udokotela wakho uzokutshela ukuthi yimiphi imithi okufanele uyeke nokuthi ungayimisa kanjani.
- Ukubhema: Uma ubhema, kungcono ukuyeka okungenani amasonto amane ngaphambi kokuhlinzwa. Ukubhema kunciphisa ikhono lomzimba lokuphulukisa amanxeba.
- Utshwala: Utshwala lunganciphisa igazi, ngakho-ke kubalulekile ukugwema utshwala ngaphambi nangemva kokuhlinzwa.
- Ukudla Nokuphuza: Udokotela wakho noma abasebenzi basesibhedlela bazokutshela ukuthi mangaki amahora okudingeka uzile ukudla ngaphambi kokuhlinzwa. Ngokuvamile kungcono ukungadli noma ukuphuza noma yini ngaphandle kwamanzi amahora angu-8-12 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ngesikhathi sokuhlinzwa, udokotela uzokwenza izimbobo ezincane okukhulunywe ngazo ngenhla bese efaka i-arthroscope ukuze abone futhi elaphe inkinga engaphakathi kwejoyinti. Phakathi nalesi sikhathi, uzonikezwa i-regional anesthesia ukuze uqede ubuhlungu endaweni yeqakala kuphela ukuze ungezwa ubuhlungu., noma uzolaliswa (i-anesthesia ejwayelekile) . Ukuhlinzwa kuvame ukuthatha cishe ihora, kodwa isikhathi singahluka kuye ngesimo sakho.
Ake sifunde kancane ngokuthi kuyini ukudilizwa kwempahla.
Ukuhlanza izicubu kuyindlela eyodwa odokotela abayisebenzisayo phakathi nalokhu kuhlinzwa. Lokhu kuhilela "ukuhlanza nokususa" izicubu ezonakele kanye nezingcezu ze-cartilage ezikhululekile ngaphakathi kwejoyinti.
Cabanga ngekhishi lakho. Ngezinye izinsuku udinga ukuhlanzwa okukhulu. Ngezinye izinsuku udinga ukushanelwa nokuhlanzwa kancane. Noma ngabe yikuphi, umphumela wokugcina uba ikhishi elihlanzekile nelihlelekile. Ukungcola kufana nalokho. Udokotela uhlanza ingaphakathi lelungu lakho futhi asuse noma yiziphi izinto ezingafuneki nezibuhlungu.
Ngemva kokuhlinzwa, cishe uzokwazi ukuya ekhaya ngalolo suku. Kodwa-ke, njengoba ungeke ukwazi ukushayela, kubalulekile ukuba nomuntu ozokushayela. Nazi ezinye izinto okufanele uzikhumbule ngemva kokubuyela ekhaya:
- Gwema ukufaka isisindo eqakaleni lakho kuze kube yilapho udokotela wakho ekuyala.
- Gcina iqakala liphakeme bese ufaka iqhwa.
- Gcina indawo yokusikwa ihlanzekile futhi imboziwe .
- Thatha imithi yokubulala izinhlungu enikezwe udokotela wakho ngenxa yobuhlungu, njengemithi elwa nokuvuvukala engeyona eye-steroidal.
- Kuze kube yilapho inxeba selipholile, sebenzisa ishawa esikhundleni sokugeza futhi uqaphele ukuthi ungamanzisi inxeba.
Kuzodingeka ugqoke i-splint eqakaleni lakho amasonto ambalwa, bese uzodinga ukuqala ukwelashwa ngokomzimba.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi kungenziwa ngokusika okuncane kakhulu. Ngakho-ke:
- Isikhathi sokululama sifushane (ungabuyela esimweni esijwayelekile phakathi kwamasonto ambalwa).
- Ubuhlungu obuncane kunokuhlinzwa okuvulekile.
- Ukopha kanye nezibazi kuncane kakhulu.
- Ingozi yezinkinga iphansi kakhulu uma iqhathaniswa nezinye izindlela zokuhlinzwa.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane ezihilelekile, kodwa lezi azivamile kakhulu.
- Ukungezwani komzimba ne-anesthesia.
- Ukulimala kwemizwa.
- Amahlule egazi emithanjeni yegazi, isibonelo (i-Deep Vein Thrombosis - DVT) .
- Ukutheleleka kwenxeba.
- Ukopha ngokweqile noma ukuvuvukala.
- Ukuba ndikindiki eqakaleni nasonyaweni.
Kuzothatha isikhathi esingakanani ukululama futhi kufanele ngibone udokotela nini?
Ngokuvamile kuthatha izinyanga eziningana ukuze kuphole ngokuphelele.Kungathatha isikhathi. Kuya ngesizathu sokuhlinzwa kwakho nokuthi wenza kahle kangakanani ngokuzivocavoca umzimba. Ekuqaleni, kuzodingeka usebenzise izinduku zokusibekela, bese uzokwazi ukuhamba ngesicathulo esikhethekile (ibhuzu).
Uma umsebenzi wakho noma umsebenzi wesikole udinga ukuhlala phansi, ungabuyela kuwo emavikini ambalwa. Kodwa-ke, kufanele nakanjani uhlole nodokotela wakho ngaphambi kokuqala ukuphakamisa izinto ezisindayo noma ezemidlalo.
Shayela udokotela wakho ngokushesha uma unezimpawu ezilandelayo:
- Uma kukhona ubuhlungu obukhulu noma ukopha .
- Uma isicanucanu nokuhlanza kuphelile.
- Uma indawo yenxeba ishintshe umbala, ibomvu, ivuvukele, noma ikhombisa izimpawu zokutheleleka, njengomkhuhlane .
Umlayezo Wokuya Nawe Ekhaya
- I-ankle arthroscopy iyindlela yokuhlinzwa engangenisi kakhulu, ephephile, futhi ephumelela kakhulu yezinkinga zamaqakala.
- Ukuze ululame ngokushesha ngemva kwalokhu, kubalulekile ukulandela imiyalelo kadokotela ngqo nokwenza ukwelashwa ngokomzimba ngendlela efanele.
- Yazisa udokotela wakho ngayo yonke imithi oyithathayo ngaphambi kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, njengobuhlungu obukhulu, ukuvuvukala, noma umkhuhlane, xhumana nodokotela wakho ngokushesha.
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