Ingabe nawe unesifo samalunga esingabekezeleleki? Mhlawumbe siseqakaleni lakho, emhlane, noma emnweni. Ngisho nangemva kokuthatha imithi nokwenza ukwelashwa ngokomzimba, lobu buhlungu abupheli? Ingabe sebuhlupha kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke kahle? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukhulume nawe mayelana "nokuhlinzwa kokufaka esikhundleni samalunga." Kwezokwelapha, lokhu sikubiza ngokuthi i-arthrodesis . Ukuzwa leli gama kungase kuzwakale kuyesabisa kancane. Kodwa kuyini ngempela? Ubani okudingayo? Ake sixoxe ngakho konke ngamagama alula namuhla.
Kuyini ngempela i-arthrodesis (ukuhlanganiswa kwamalunga)?
Kalula nje, i-arthrodesis inqubo yokuhlinzwa ehlanganisa unomphela amathambo amabili esilungwini, okwenza abe linye. Lokhu kubizwa nangokuthi i-joint fusion.
Cabanga nje, ilunga emzimbeni wethu liyindawo lapho amathambo amabili ehlangana khona. Kungenxa yala malungu ukuthi singahamba, sigijime, sigobe imilenze yethu, futhi sisebenze. Kodwa ngesizathu esithile, lapho leli lunga liguga futhi lonakala, kubangela ubuhlungu obukhulu. Ukuhlinzwa kwe-arthrodesis kuyayekisa ngokuphelele ukunyakaza kwalelo lunga elibuhlungu nelimele. Lapho amathambo amabili eba linye, awasathintani, ngakho-ke ubuhlungu buyanyamalala.
Lokhu kuhlinzwa kungenziwa emalungeni ahlukahlukene emzimbeni.
- Amaqakala
- Izinyawo
- Umgogodla
- Amalunga e-Sacroiliac
- Izingalo
- Iminwe nezithupha
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Isizathu esiyinhloko sokuhlinzwa kwe-arthrodesis ngokuvamile isifo samathambo esibi kakhulu . Lapho i-cartilage (ulwelwesi olubushelelezi phakathi kwamathambo) emalungeni luphela ngenxa yesifo samathambo, amathambo aqala ukukhuhlana. Lokhu kubangela ubuhlungu obungenakubekezeleleka.
Odokotela batusa lokhu kuhlinzwa kulabo abangakwazanga ukuthola impumuzo kwezinye izindlela zokwelapha, njengezinhlungu zobuhlungu kanye nokwelashwa ngokomzimba.
Ngaphezu kwe-arthritis, lokhu kuhlinzwa kungadingeka ngenxa yezizathu eziningana.
| Isizathu | Incazelo |
|---|---|
| Ukuphuka okukhulu | Uma kwenzeka ukuphuka, okuwumonakalo omkhulu emathanjeni esilungwini. |
| Ezinye izifo ezihlobene namalunga | Izimo ezithile ezifana nama-disc e-herniated noma i-spondylolisthesis. |
| Ukulimala kwezinye izicubu | Uma ilunga elonakele libangela umonakalo emithanjeni ezungezile, emisipha, noma ezinzwa. |
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, kuzodingeka uhlangane nodokotela wakho kanye nodokotela ohlinzayo. Bazokubuza ngezimpawu zakho nokuthi ubuhlungu buthinta kanjani impilo yakho yansuku zonke.
Okwamanje , ungabuthathi kancane ubuhlungu bakho nokuhlupheka obhekene nakho. Ukutshela udokotela iqiniso kubaluleke kakhulu ukuze ukhethe ukwelashwa okufanele kakhulu kuwe.
Uma ulungiselela ukuhlinzwa, ngokuvamile udinga ukwenza okulandelayo:
- Ukuhlolwa okuphelele ngokomzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukumelana nokuhlinzwa.
- Ukuhlolwa kwegazi okuningana.
- Ukuhlolwa kwe-X-ray . Ngezinye izikhathi kungacelwa i-MRI noma i-CT scan .
Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izifo, amavithamini, imithi ye-Ayurvedic). Eminye imithi ingadinga ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Udokotela wakho uzokweluleka nangokuthi kufanele uyeke nini ukudla nokuphuza kusukela ngosuku olwandulela ukuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Ungase unikezwe i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele. Noma ungase unikezwe i-anesthesia yesifunda, eqeda kuphela indawo ezungeze ilunga elihlinzwayo.
Kalula nje, okwenzekayo ngesikhathi sokuhlinzwa kanje:
1. Udokotela ohlinzayo wenza i-incision esikhumbeni esizungeze ilunga.
2. Izingcezu ze-cartilage nethambo ezonakele ngaphakathi ziyasuswa.
3. Ngemuva kwalokho, amathambo amabili azoxhunyelelwa abekwa ndawonye futhi aboshwe ngezikhonkwane, izintambo, amapuleti, noma izikulufo.
4. Uma lawa madivayisi okulungisa esebekwe kahle, ukusikwa kwesikhumba kuyavalwa futhi.
Njengoba ululama, la mathambo amabili ayahlangana, abe yithambo elilodwa eliqinile. Lokhu kuqeda ubuhlungu futhi kwenza ilunga liqine futhi lizinze kakhudlwana.
Yiziphi izinzuzo nezingozi zokuhlinzwa kwe-arthrodesis?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo kanye nezingozi ezithile. Kubalulekile ukuzazi lezi zinto kusengaphambili.
| Izinzuzo | Izingozi/Ukungalungi |
|---|---|
| Ukuqeda ubuhlungu: Ubuhlungu bucishe buphele ngokuphelele ngemva kokuhlinzwa. | Ukutheleleka: Kukhona ingozi encane yokutheleleka kwesilonda sokuhlinzwa. |
| Ukuqina: Ilunga elonakele liyaqina futhi lizinzile. | Ukopha: Ukopha okuncane kungase kwenzeke ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Izinga lokuphila elithuthukisiwe: Ngoba azikho izinhlungu, imisebenzi evamile, ukuvivinya umzimba, ngisho nemidlalo ingaqalwa kabusha. | Ukungahlanganisi: Akuvamile kakhulu, amathambo amabili axhunyelelwe angase angahlangani kahle. |
| Isixazululo saphakade: Kwabaningi, lesi yisisombululo saphakade esihlala impilo yonke. | Ukwehla kwezinga lokunyakaza: Ngenxa yokuthi ilunga lifakwe unomphela, ukunyakaza (ukugoba, ukwelula) kwaleyo ngxenye kulahleka unomphela. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuncike kakhulu esilungwini esahlinzwa kuso. Ukuhlinzwa emhlane kuthatha isikhathi eside ukuphulukiswa kunokufakelwa umunwe. Ngokuvamile kungathatha noma yikuphi kusukela ezinyangeni ezimbalwa kuya onyakeni. Udokotela wakho uzokunikeza isikhathi esithile ngokusekelwe esimweni sakho.
Khumbula, isikhathi sokululama siyahlukahluka kumuntu nomuntu futhi kuya ngelungu elihlinzwe kulo, ngakho ungaziqhathanisi nabanye.
Ingabe kukhona ubuhlungu ngemva kokuhlinzwa?
Ngesikhathi sokuhlinzwa, ngeke uzwe ubuhlungu ngenxa yokuhlinzwa. Kodwa-ke, kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa, ikakhulukazi emasontweni ambalwa okuqala. Ukuze ulawule lobu buhlungu, kufanele usebenzise imithi yobuhlungu enqunywe udokotela wakho ngqo.
Yiziphi izimpawu ezidinga ukuthi ushayele udokotela wakho ucingo ngokushesha?
Uma unezinye zalezi zimpawu lapho ufika ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Umkhuhlane ongaphezu kwama-39 Celsius (101 Fahrenheit).
- Ukopha ngokweqile okuvela enxebeni lokuhlinzwa.
- Izimpawu zokutheleleka kwenxeba (ukuvuvukala kwenxeba, ukubomvu, iphunga elibi, ukufudumala, noma ubomvu).
- Uma ubuhlungu buqhubeka buba bubi kakhulu.
Esimweni esinjalo, kubalulekile futhi ukuya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Arthrodesis inqubo yokuhlinzwa ephumelela kakhulu esetshenziselwa ubuhlungu obukhulu bamalunga lapho ezinye izindlela zokwelapha zehlulekile.
- Lokhu kumisa unomphela ukunyakaza kwelunga elibangela ubuhlungu, kuqede ubuhlungu futhi kuqinise ilunga.
- Nakuba kuthatha isikhathi ukululama ngokuphelele ngemva kokuhlinzwa, imiphumela kubantu abaningi ihlala impilo yabo yonke.
- Ngaphambi kokuhlinzwa, xoxa ngazo zonke izinzuzo nezinkinga nodokotela wakho bese wenza isinqumo esikulungele. Ungesabi ukubuza imibuzo.
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