Ngezinye izikhathi ubuhlungu emaqakaleni ethu abubekezeleleki, akunjalo? Kunzima kakhulu ukuphila nalolu buhlungu obuvela hhayi nje lapho uhamba, ukhuphuka izitebhisi, kodwa futhi nalapho umi nje. Uma uke waphuza imithi futhi welashwa ngezindlela ezahlukene futhi ubuhlungu bungakapheli, udokotela wakho angase akuphakamisele ukuhlinzwa okubizwa ngokuthi 'i-Ankle Fusion'. Ekuqaleni, ukuzwa leli gama kungase kuzwakale kuyesabisa kancane. Kodwa uma sifunda kabanzi ngalo, uzoqonda ukuthi leli khambi liwusizo kangakanani. Ake sibone ukuthi liyini, lenziwa kanjani, nokuthi yiziphi izinzuzo nezinkinga zalo.
Kuyini i-Ankle Fusion?
Kalula nje, i-Ankle Fusion ukuhlanganiswa kwamathambo amaningana esitho sakho seqakala kube yinye. Odokotela babiza lokhu ngokuthi i-ankle arthrodesis.
Ilunga liyinoma iyiphi indawo emzimbeni wethu lapho amathambo amabili ehlangana khona. Ilunga lethu leqakala yilapho unyawo lwethu luxhumana khona nomlenze wethu ongezansi. Ngokukhethekile, yilapho ithambo lethu lomlenze (i-tibia) kanye nethambo elincane eliseduze kwalo (i-fibula) kuhlangana khona nethambo eqakaleni lethu (i-talus).
Odokotela ikakhulukazi benza lokhu kuhlinzwa njengokwelapha isifo samathambo esibi kakhulu . Lapho i-cartilage engaphakathi kwelungu lakho iguga ngenxa yesifo samathambo, amathambo aqala ukukhuhlana. Ngokuhamba kwesikhathi, lokhu kungalimaza ilunga futhi kubangele ubuhlungu obungabekezeleleki. Ukuhlinzwa kokuhlanganisa iqakala kuhilela ukuhlanganisa amathambo ndawonye. Ukungqubuzana phakathi kwamathambo kuyasuswa, futhi ubuhlungu bucishe buphele ngokuphelele.
Udokotela uvame ukusikisela lokhu kuhlinzwa lapho ezinye izindlela zokwelapha ezingezona ezokuhlinzwa (njengemithi kanye nokwelashwa ngokomzimba) zingaphumelelanga.
Kwenzekani ngaphambi kokuhlinzwa?
Ngemva kokuthatha isinqumo sokuhlinzwa, kuzodingeka uhlangane nodokotela wakho kanye nodokotela ohlinzayo. Bazokubuza ngezimpawu zakho zamanje, ukuthi ubuhlungu buthinta kanjani impilo yakho yansuku zonke, nokuthi yiziphi izindlela zokwelapha ozizamile esikhathini esidlule nokuthi zinikeze impumuzo engakanani.
Kubalulekile ukwethembeka kudokotela wakho ngakho konke okwamanje. Yebo, ungase wesabe ukuhlinzwa okuzoshintsha unomphela iqakala lakho. Kodwa unganciphisi ubuhlungu noma ukungakhululeki obhekene nakho. Uma ubuhlungu beqakala lakho bukwenza kube nzima ukwenza imisebenzi yansuku zonke noma uma ugwema imisebenzi ethile, cacisa ngalokho.
Kuzodingeka wenze lezi zinto ngaphambi kosuku lokuhlinzwa:
- Ukuhlolwa okuphelele ngokomzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukumelana nokuhlinzwa.
- Ukuhlolwa kwegazi okuningana.
- Ukuhlolwa kwezithombe, njenge -X-ray . Ungase futhi ucelwe ukuthi wenze i -MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography) scan .
Tshela udokotela wakho ngayo yonke imithi oyithathayo, kanye nanoma yiziphi izithasiselo ozisebenzisayo. Ungase welulekwe ukuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlinzwa. Uzotshelwa nokuthi uzile ukudla cishe amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Udokotela we-anesthesia uzokunikeza i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yesifunda, eqeda kuphela indawo ezungeze iqakala lakho.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzohlanganisa amathambo eqakala lakho. Lokhu kungenziwa ngezindlela ezimbili.
| Indlela yokuhlinzwa | Kwenzekani? |
|---|---|
| Ukuhlinzwa Okuvulekile | Lena yindlela evame kakhulu. Lapha, kwenziwa imicu eminingana esikhumbeni esizungeze iqakala, kususwa i-cartilage nethambo elonakele, amathambo ahlanganiswa ndawonye kusetshenziswa izikulufo namapuleti ensimbi, bese imicu ithungwa ndawonye. |
| I-Ankle Arthroscopy | Lena inqubo engadingi ukungenelela okuningi. Lapha, ukuhlinzwa kwenziwa ngokusika okuncane kakhulu, bese kufakwa ithuluzi elincane elifakwe ikhamera elibizwa ngokuthi i-arthroscope ukuze libheke ngaphakathi kwelunga. |
Lokhu kuhlinzwa kuvame ukuthatha amahora ambalwa. Isikhathi esithathayo singahluka kuye ngokuthi umonakalo ongakanani esilungwini sakho kanye nenqubo yokuhlinzwa oyikhethile.
Kwenzekani ngemva kokuhlinzwa futhi kuthatha isikhathi esingakanani ukululama?
Iningi lokuhlinzwa kokuhlanganisa iqakala kuyizinqubo zokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku. Ngemva kokuhlinzwa, uzonikezwa i-brace noma ibhuzu elikhethekile leqakala lakho.Lokhu ikwenza ngokugcina ilunga lingashukumi futhi ivimbele isisindo ukuthi singawi phezu kwalo.
Kuzodingeka usebenzise izinduku zokusibekela noma olunye usizo amasonto amaningana.
Ngesikhathi senqubo yokuphulukiswa, amathambo ahlanganisiwe ahlangana kancane kancane abe yithambo elilodwa eliqinile. Lokhu kuvame ukuthatha cishe amasonto ayi-12, noma cishe izinyanga ezintathu . Wonke umuntu uyaphola ngesivinini esihlukile. Phakathi nalesi sikhathi, iqakala lakho lizoqina, lizinze kakhudlwana, futhi ubuhlungu buzophela ngokuphelele.
Ungakwazi yini ukuhamba ngendlela evamile futhi?
Yebo, impela. Ngemva kokululama, ungahamba futhi usebenze ngendlela evamile. Kodwa kuzothatha isikhathi ukujwayela ilunga elisanda kuhlanganiswa. Kubaluleke kakhulu ukuthola ukwelashwa ngokomzimba ngesikhathi sokululama. Uchwepheshe wezokwelapha ngokomzimba angakusiza ukuthi usebenzise iqakala lakho ngokuphephile futhi uthole amandla. Ngokuvamile kuthatha inyanga noma ezimbili ngaphambi kokuthi uqale ukufaka isisindo eqakaleni lakho bese uhamba futhi ngemva kokuhlinzwa.
Yiziphi izinzuzo kanye nokungalungi kwalokhu kuhlinzwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, lokhu kuhlinzwa kunezinzuzo kanye nezingozi ezithile.
| Izinzuzo | Izingozi/Izingozi |
|---|---|
| Ukukhululeka okukhulu ebuhlungwini: Inzuzo enkulu ukuthi ubuhlungu obukhulu abusekho. Kwabanye, ubuhlungu buphelile ngokuphelele. | Ukungahlanganisi: Nakuba kungavamile, lokhu kuyinkinga evame kakhulu. Uma amathambo engahlangani njengoba kulindelekile, kungase kudingeke ukuhlinzwa okwengeziwe. |
| Izinga lokuphila elithuthukisiwe: Uma ubuhlungu sebuphelile, izinga lokuphila kwakho lizothuthuka kakhulu. | Izingozi ezihlobene nokuhlinzwa: Izingozi ezivamile zokuhlinzwa ezifana nokutheleleka, ukopha, ubuhlungu, kanye nokusabela ekubulaweni yizinzwa. |
| Impilo esebenzayo: Ungaqhubeka nemisebenzi eminingi, njengokuzivocavoca nokudlala imidlalo. | Ukuvinjelwa kokunyakaza:Ngenxa yokuthi ilunga lihlanganiswe ndawonye, ikhono lokugoba iqakala phezulu naphansi lincishiswa unomphela ngezinga elithile. Kodwa-ke, isithende singashukunyiswa sisuka kolunye uhlangothi siye kolunye futhi ingaphambili lingaphakanyiswa futhi lehliswe. |
| Imiphumela kwamanye amalunga: Ngenxa yokuthi ukunyakaza kwelungu leqakala kulinganiselwe, kufakwa ingcindezi eyengeziwe kwamanye amalunga onyaweni, okwandisa ingozi yokuthola isifo samathambo kulawo malunga esikhathini esizayo. |
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, shayela udokotela wakho ohlinzayo noma omunye udokotela ngokushesha.
- Umkhuhlane ongaphezu kuka-101 Fahrenheit (39 Celsius).
- Ukusikeka kuyaqhubeka nokopha.
- Izimpawu zokutheleleka endaweni yokusikwa (isib., ukuphuma okufana nobomvu, ukuvuvukala okukhulu, ukushintsha kombala, iphunga elibi, ukufudumala okungavamile).
- Ubuhlungu obusha noma obuya buba bubi.
Ekugcineni, kumuntu obehlushwa ubuhlungu obungapheli beqakala futhi ozame zonke ezinye izindlela zokwelapha kodwa engakatholi impumuzo, ukuhlinzwa kwe-ankle fusion kungaba yindlela enhle kakhulu. Ukuqeda ubuhlungu okukunikezayo kubaluleke kakhulu kunokulahlekelwa ukuhamba.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlanganiswa kweqakala kuyindlela ephumelelayo yokwelapha ubuhlungu obukhulu beqakala, ikakhulukazi ubuhlungu obubangelwa yi-arthritis. Ngokuvamile kunconywa uma ezinye izindlela zokwelapha zehlulekile.
- Nakuba lokhu kuhlinzwa kuqeda ubuhlungu ngokuhlanganisa amathambo eqakala ndawonye, ikhono lokugoba iqakala phezulu naphansi lilinganiselwe unomphela.
- Kuthatha cishe izinyanga ezintathu ukululama ngokuphelele, futhi kubaluleke kakhulu ukuba nesineke nokulandela imiyalelo yokwelashwa ngokomzimba phakathi nalesi sikhathi.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi. Xoxa nodokotela wakho ngezinzuzo nezinkinga ngaphambi kokwenza inqubo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, njengezimpawu zokutheleleka, ubuhlungu obukhulu, noma umkhuhlane, funa iseluleko sezokwelapha ngokushesha.
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