Uyazazi izinhlungu ezivela ozwaneni olukhulu, isikhumba kuleyo ndawo siba bomvu futhi sivuvuke uma ugqoka izicathulo? Ngezinye izikhathi, uzwane lwakho olukhulu lungase lube buhlungu ngisho nalapho uhamba. Lokhu kungase kube ngenxa yokuthi ithambo liphume esixukwini sozwane lwakho olukhulu. Ngokwezokwelapha, lesi simo sibizwa ngokuthi 'i-bunion'. Lesi yisimo esivamile impela. Kodwa kungenza kube buhlungu kakhulu ukwenza imisebenzi yansuku zonke, ikakhulukazi ukuhamba.
Kalula nje, kuyini ukuhlinzwa kwe-bunion?
Ukuhlinzwa kwe-Bunion, noma njengoba odokotela bekubiza kanjalo, 'i-bunionectomy,' ukususwa kwe-bunion, okungukuthi, ithambo eliphumayo, elakheke onyaweni lwakho.
Cabanga nje, lapho isisekelo sozwane lwakho olukhulu, i-metatarsophalangeal (MTP) joint, sicindezelwa njalo eceleni, ithambo elikulelo joint liyaqhuma kancane kancane. Yilokho i-bunion eyikho.
Izimpawu ngokuvamile zingaphathwa ngezinye izindlela zokwelapha (njengokugqoka izicathulo ezikhululekile nokuthatha imithi yobuhlungu). Kodwa-ke, ukuhlinzwa kuyindlela kuphela yokususa unomphela i-bunion nokubuyisela uzwane endaweni yalo efanele. Uma ubuhlungu bukhulu kangangokuthi awukwazi ukuhamba futhi ezinye izindlela zokwelapha zingasizi, udokotela wakho angase akuncome ukuhlinzwa.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho ohlinzayo uzokulungiselela ngokucophelela le nqubo. Lokhu kungafaka:
- Ukuhlolwa okuphelele komzimba: Bheka ukuthi umzimba wakho usukulungele yini ukuhlinzwa.
- Ukuhlolwa kwegazi: Kala izinto ezahlukahlukene egazini.
- Ukuhlolwa kwe-ECG (i-Electrocardiogram): Hlola ukusebenza kwenhliziyo.
- I-X-ray yomlenze: Ukuhlola isimo samathambo. Ngezinye izikhathi kungadingeka ukuthi kwenziwe i-MRI noma i-CT scan .
Kufanele nakanjani utshele udokotela wakho nganoma yimiphi imithi kadokotela noma izithasiselo ozithathayo, njengoba eminye imithi kungadingeka iyekwe ngaphambi kokuhlinzwa.
Udokotela uzokutshela nokuthi mangaki amahora okudingeka uzile ukudla (ngaphandle kokudla noma ukuphuza) ngaphambi kokuhlinzwa. Ngokuvamile, kufanele uyeke ukudla noma ukuphuza amahora angu-8 ngaphambi kokuhlinzwa. Imithi ebalulekile kuphela udokotela akutshele ukuthi uyithathe engathathwa ekuseni kanye namanzi amancane.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. Ezimweni eziningi, lokhu kuhlinzwa akudingi i-anesthesia ejwayelekile. Udokotela we-anesthesia uvame ukuba ne-nausea emhlane ongezansi noma umlenze ohlinzwayo.
Okwenzeka kuwe kuzohluka kuye ngohlobo lokuhlinzwa olwenzile. Kunezinhlobo ezine eziyinhloko zokuhlinzwa kwe-bunion. Ake sizibheke kuleli thebula.
| Uhlobo Lokuhlinzwa | Kalula nje, yilokhu okwenzekayo... |
|---|---|
| Ukuhlinzwa kwe-Osteotomy | Lena inqubo evame kakhulu. Udokotela wenza izimbobo ezimbalwa ezincane emathanjeni onyawo lwakho kanye nozwane bese esebenzisa izikulufo noma amaphini ukuze abuyisele ijoyinti lozwane olukhulu endaweni efanele. Manje, lokhu kuvame ukwenziwa ngokusikwa okuncane kakhulu (okungenasivikelo kakhulu), okusho ukuphola okusheshayo kanye nokuncipha kwezibazi. |
| I-Arthrodesis (Ukuhlanganiswa Kwamalunga) | Le nqubo isetshenziswa uma i-bunion yakho ibangelwa yi-arthritis onyaweni lwakho, noma uma i-bunion inzima kakhulu. Lokhu kuhilela ukususa ingxenye ye-arthritis yelunga bese uhlanganisa amathambo amabili ngezikulufo. Ngokuhamba kwesikhathi, la mathambo amabili ayahlangana abe yithambo elilodwa. |
| Inqubo yeLapidus | Lokhu kwenziwa futhi kuma-bunion anzima. I-bunion iyasuswa bese kuhlanganiswa ilunga eliphakathi kwethambo elide eliphakathi konyawo lwakho (ithambo lokuqala le-metatarsal) kanye nethambo elincane eliseduze neqakala lakho (i-medial cuneiform) kabusha. Le nqubo ifanele abantu abanokunyakaza okukhulu onyaweni kanye nabantu abasebasha. |
| Ukususwa Kwama-Exostectomy | Lena inqubo engavamile. Ihilela ukususa ithambo eliphumayo ngokuhlinzwa (ukushefa). Lokhu kuvame ukwenziwa kuphela kuma-bunion amancane kakhulu. Abantu abaningi badinga ukuhlinzwa okuyinkimbinkimbi kakhulu. |
Lokhu kuhlinzwa kuvame ukuthatha ihora noma ngaphansi, kodwa lesi sikhathi singahluka kuye ngesimo sakho.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Lapho, ithimba lezokwelapha lizokunakekela kahle amahora ambalwa. Bazoqapha izimpawu zakho ezibalulekile kanye namazinga obuhlungu ngemva kokuba i-anesthesia isiphelile.
Esikhathini esiningi, lokhu kuyinqubo yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku. Kodwa khumbula, ngeke ukwazi ukushayela ngemuva kokuhlinzwa. Ngakho-ke kubalulekile ukuhlela ukuthi othile akuyise ekhaya kusenesikhathi.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izinzuzo
Abantu abaningi abenza lokhu kuhlinzwa bathola ukukhululeka okukhulu ebuhlungwini ngemva kokululama. Futhi, ukugqoka izicathulo kuba lula njengoba uzwane olukhulu lubuyele esimweni salo esifanele. Uma uzwane lusesimweni esifanele, ikhono lakho lokuhamba, ukugijima, nokugxuma nalo liyathuthuka.
Izingozi
Nakuba lokhu kuyindlela yokuhlinzwa ephephile, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Lezi azivamile kakhulu:
- Amahlule egazi.
- Ukutheleleka endaweni yokuhlinzwa noma ngaphakathi emlenzeni.
- Ukulimala kwemizwa noma ukuba ndikindiki.
- Izibazi.
- Ukuvuvukala komlenze isikhathi eside ngenxa yomonakalo emithanjeni yegazi.
- Ukuphinda kwe-Bunion.
- Ukungasebenzi kwamathambo ngesikhathi se-arthrodesis.
Khuluma nodokotela wakho ngalokhu futhi ukuqonde kahle.
Kuthatha isikhathi esingakanani ukululama?
Kuthatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa kwe-bunion.
- Izithungo ziyaphuka: Ngokuvamile ngemva kwamasonto amabili.
- Ukuphulukiswa kwamathambo: Lokhu kuzothatha cishe amasonto ayi-6 kuya kwayi-12. Phakathi nalesi sikhathi, kuzodingeka ugqoke isicathulo noma ibhuzu elikhethekile elivikelayo.
- Qalisa kabusha imisebenzi evamile: Ngemva kwamasonto ayi-6-12, ungaqala ukusebenzisa umlenze wakho ngendlela evamile. Ukwelashwa ngokomzimba kungadingeka ukuze uthole amandla nokunyakaza emlenzeni wakho.
- Ukululama okuphelele: Ungaqhubeka nemisebenzi evamile yomzimba cishe ezinyangeni ezi-3. Kodwa-ke, ukuvuvukala emlenzeni kungaqhubeka izinyanga eziyi-6 kuya kweziyi-9.
Into ebaluleke kakhulu:Uzonikezwa usuku lokubonana nodokotela ngemva kokuhlinzwa kwakho. Kubalulekile enkambisweni yokuphulukiswa ukuqinisekisa ukuthi uyahamba uyohlola umlenze wakho nsuku zonke.
Ungayinakekela kanjani ingubo ngemva kokuhlinzwa?
Ithimba lezokwelapha lizobopha umunwe wakho ngebhandeji elithile ukuze lihlale likhona. Buza udokotela wakho ukuthi ungayishintsha yini ingubo ngokwakho. Ezimweni eziningi, kuzodingeka ugcine ingubo isendaweni yayo kuze kube yilapho izithungo ziphuma. Buza futhi ngezindlela zokuyigcina ingabi manzi lapho ugeza (isibonelo, ngokuyimboza ngesikhwama sepulasitiki).
Ngingakwazi yini ukuhamba ngemva kokuhlinzwa?
Lokhu kuncike ohlotsheni lokuhlinzwa okwenzile. Ngemva kokuhlinzwa okuthile, ungase ukwazi ukuhamba nesicathulo sokuzivikela kanye nesisindo esithile. Kodwa-ke, ngemva kokuhlinzwa okuthile , akukhuthazwa ukufaka noma yisiphi isisindo emlenzeni wakho amasonto ambalwa. Ezimweni ezinjalo, kungadingeka usebenzise izinduku zokusibekela noma isikuta samadolo.
Kubalulekile ukulandela imiyalelo kadokotela wakho ngqo. Uma ubeka isisindo emlenzeni wakho ngaphambi kokuba ithambo liphole, ukuhlinzwa kungase kungaphumeleli ngokuphelele.
Ngingashayela nini udokotela ucingo?
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, shayela udokotela wakho ohlinzayo ngokushesha.
- Uma i-dressing ikhululeka, iphuma, noma imanzi.
- Uma umkhuhlane ungaphezu kwama-degree Celsius angu-39 (ama-degree Fahrenheit angu-101).
- Uma kukhona ukopha okuvela endaweni yokuhlinzwa.
- Uma ubona izimpawu zokutheleleka (isib., ubomvu, iphunga, ukushintsha kombala, ukuvuvukala, ukufudumala).
- Uma ubuhlungu busha noma buqala ukuba bubi kakhulu.
I-bunion iyisitho esincane sethambo, kodwa ingaba nomthelela omkhulu empilweni yakho kanye nekhono lakho lokuhamba. Uma usuzame zonke izindlela zokwelapha futhi kubonakala sengathi azithuthuki, kungase kube yisikhathi sokucabanga ngokuhlinzwa. Udokotela wakho uzokusiza ukuthi wenze isinqumo esingcono kakhulu kuwe, onyaweni lwakho, kanye nempilo yakho iyonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Bunion yisimo esibuhlungu esenzeka esihlanganisini sozwane olukhulu.
- Uma ezinye izindlela zokwelapha zingaphumeleli, ukuhlinzwa kwe-bunionectomy kunganikeza ikhambi elihlala njalo kanye nokuqeda ubuhlungu.
- Kunezinhlobo eziningana zokuhlinzwa, futhi udokotela wakho uzonquma ukuthi yiluphi uhlobo olukulungele.
- Ukwelapha kuthatha izinyanga eziningana, futhi phakathi nalesi sikhathi, ukubekezela nokulandela imiyalelo kadokotela ngqo kuzokusiza ukufeza imiphumela emihle kakhulu.
- Yazisa udokotela wakho ngokushesha nganoma yiziphi izimpawu ezingavamile ezenzeka ngemva kokuhlinzwa.
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