Ingabe nawe unozwane olukhulu oluqinile nolubuhlungu? Ake sifunde ngokuhlinzwa kwe-Cheilectomy

Wake wazizwa ubuhlungu obungabekezeleleki ozwaneni lwakho olukhulu uma uhamba, ikakhulukazi uma ugqoka izicathulo eziqinile? Uzizwa sengathi awukwazi ukugoba uzwane lwakho kahle, luzwakala luqinile, luqinile... luzwakala sengathi lubhajwe edwaleni. Nakuba ungase ucabange ukuthi lokhu kuyinto evamile, kungenzeka ukuthi kungenxa yesimo esisejoyintini lakho elikhulu lozwane. Namuhla, sikhuluma ngokuhlinzwa okubizwa ngokuthi i-'Cheilectomy', okusetshenziswa emhlabeni wonke njengesixazululo esihle sale nkinga.

Kalula nje, kuyini i-Cheilectomy?

Kulungile, ake sikubeke kalula lokhu. I-Cheilectomy (ebizwa ngokuthi 'kee-lek-to-mee') inqubo yokuhlinzwa ehilela ukususa ama-bone spurs engeziwe (abizwa ngokuthi 'ama-bone spurs' ) akhula phezu kwejoyinti le-big toe. Cabanga ngayo njengomnyango ovimbela uzwane lwakho olukhulu ukuthi lugobe noma lunyakaze kahle. Ngakho-ke, ngokususa ama-bone spurs, uzwane lwakho olukhulu lungagoba futhi lunyakaze ngokukhululeka futhi.

I-Cheilectomy isetshenziselwa luphi uhlobo lwesimo?

Lokhu kuhlinzwa kwenziwa ikakhulukazi ngesimo esibizwa ngokuthi `Hallux Rigidus` . Lokhu kusho ``uzwane olukhulu oluqinile`` . ``Hallux`` kusho uzwane olukhulu, ``Rigidus`` kusho ukuqina. Empeleni lesi yisimo sokuvuvukala kwamalunga esenzeka esihlanganyelweni esiyinhloko sozwane lwakho olukhulu (okuthiwa ``metatarsophalangeal (MTP) joint``` ngokwezokwelapha). Empeleni, lolu uhlobo ``lwe-osteoarthritis`` oluthinta namalunga afana namadolo nezinqe.

Uma unalesi simo esibizwa ngokuthi 'iHallux Rigidus', ama-spurs amathambo abuhlungu (ama-osteophyte) aqala ukwakheka phezu kwejoyinti. La ma-spurs yiwona abangela ukuba isikhumba sivuvuke phezu kwejoyinti. Ngakho-ke uma ugqoka izicathulo zakho, la ma-spurs ayabhajwa phezulu kwesicathulo, okubangela ubuhlungu obungabekezeleleki. Ngemva kwesikhathi esithile, lobu buhlungu bungenza ukuhamba kube nzima kakhulu futhi kube buhlungu.

Ingabe wonke umuntu kufanele ahlinzwe?

Cha. Udokotela ngeke akuncome ngokushesha ukuhlinzwa ngokushesha nje lapho ethola ukuthi unalesi simo. Bazoqala bazame ukulawula ubuhlungu ngezinye izindlela ngaphandle kokuhlinzwa futhi bakunike impumuzo. Ukuhlinzwa kuyindlela yokugcina uma konke okunye kwehluleka.

Lezi izindlela zokwelapha ezivame ukunconywa ngaphambi kokuhlinzwa:

Uma ubuhlungu bakho bungapheli naphezu kwalezi zindlela zokwelapha, futhi uqhubeka nobunzima bokwenza imisebenzi yansuku zonke, khona-ke udokotela wakho uzokhuluma nawe ngokuhlinzwa kwe-'Cheilectomy'.

Ingabe i-Cheilectomy kanye ne-Bunion Surgery Zimbili Izinto Ezihlukile?

Yebo, kunomehluko ocacile phakathi kwalokhu okubili. Abantu abaningi bayakudida lokhu okubili. Kokubili kuhilela ukususa ithambo elingaphezulu, kodwa umehluko omkhulu usekubeni ithambo likhona.

Cabanga ukuthi ilunga lozwane lwakho olukhulu liyigumbi.

• I-Cheilectomy inqubo yokuhlinzwa eyenziwa eqhubu ophahleni lwe-hallux. Lokhu kuhilela ukususa izinhlayiya zamathambo ezakheka phezulu kwejoyinti. Lesi simo sibizwa ngokuthi i-Hallux Rigidus.
• Ukuhlinzwa kwe-Bunion `(Bunionectomy)` kwenziwa eqhubu odongeni oluseceleni lwe-hallux valgus. Okusho ukuthi, iqhubu lethambo `(bunion)` elakheka ohlangothini (ohlangothini olungaphakathi) lwelunga liyasuswa. Lesi simo sibizwa ngokuthi `Hallux Valgus`.

Kalula nje, uhlobo lokuhlinzwa olwenziwayo luncike ekutheni i-bone spur ingaphezulu noma ingaseceleni kwejoyinti.

Kwenzekani ngaphambi kokuhlinzwa?

Ngaphambi kokunquma usuku lokuhlinzwa, udokotela wakho uzokuxilonga ngokucophelela.

• Ukuhlolwa komzimba: Okokuqala, bazohlola ngokucophelela ukuthi ungagoba kangakanani uzwane lwakho olukhulu phezulu naphansi, ukuthi kubuhlungu kangakanani uma ulugoba, nokuthi kukhona yini ukuvuvukala.
• Ukuhlolwa kwe-X-ray: Bese kuthathwa i-X-ray ukuze kubonakale ukuthi isimo sinjani ngaphakathi kwejoyinti, ukuthi i-cartilage isigugile kangakanani, nokuthi ama-bone spurs asemakhulu kangakanani. Lolu lwazi lusetshenziselwa ukunquma ukuthi ukuhlinzwa kulungile yini kuwe.

Ake sixoxe kancane ngendlela ukuhlinzwa okwenziwa ngayo.

Ngesikhathi sokuhlinzwa, kwenziwa ukusika okuncane phezulu konyawo lwakho, ngaphezu kwejoyinti elikhulu lonyawo. Bese, ngaleyo mbobo, basusa ngokucophelela izingcezu zamathambo ezibuhlungu ezikuvimbela ukuthi ugobe unyawo lwakho.

Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili eziyinhloko:

1. I-Open Cheilectomy

Kulokhu, kwenziwa ukusika okukhulu kancane, ilunga liyavulwa ukuze kubonakale kangcono, bese kususwa ama-bone spurs.

2. Ukuhlinzwa Kwe-Cheil Okungangeni Kakhulu

Kule ndlela, esikhundleni sokusika okukhulu, kwenziwa izimbobo ezincane ezimbalwa esikhumbeni. Bese, kufakwa ithuluzi elikhethekile elibizwa ngokuthi 'i-burr' ngalezo zimbobo ukuze kuchotshozwe futhi kususwe ama-bone spurs. Inzuzo yale ndlela ukuthi kunezibazi ezincane futhi mhlawumbe isikhathi sokuphulukiswa sishesha kancane.

Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.

Kwenzekani ngemva kokuhlinzwa?

Lokhu ngokuvamile akuyona indlela enkulu yokuhlinzwa edinga ukuhlala esibhedlela izinsuku eziningana, ngakho-ke ungaya ekhaya kusihlwa esifanayo ( ukuhlinzwa ngaphandle kwesibhedlela ).

• Isicathulo esikhethekile: Ngemva kokubuyela ekhaya, kuzodingeka ugqoke isicathulo esikhethekile amasonto ambalwa ngenkathi unyawo lwakho luphola. Lokhu kuzosiza ekunciphiseni isisindo endaweni yokuhlinzwa.
• Ukulawula ubuhlungu: Ukuze alawule ubuhlungu, udokotela angase ancome umuthi wokuqeda ubuhlungu njenge-ibuprofen noma i-acetaminophen.
• Ukuvuvukala: Umlenze wakho ungase uvuvuke kancane. Kungcono ukugcina umlenze wakho uphakeme ngangokunokwenzeka.

Yiziphi izinzuzo zalokhu kuhlinzwa?

Inzuzo enkulu yokuhlinzwa kwe-'cheilectomy' ukukhululeka.

Azikho yini izingozi noma izinkinga?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi azivamile, futhi odokotela benza konke okusemandleni abo ukuzinciphisa.

• Ubuhlungu obuqhubekayo: Abanye abantu bangase babe nobuhlungu lapho begoba umunwe wabo ngemva kokuhlinzwa.
• Isidingo sokuhlinzwa okwengeziwe: Akuvamile, uma isimo se-`Hallux Rigidus` siba sibi kakhulu, kungadingeka ukuthi uhlinzwe okwengeziwe ukuze usilaphe. Isibonelo:
• Inqubo ye-arthrodesis inqubo yokuhlinzwa ehlanganisa amathambo esihlanganisi ndawonye.
• Ukuhlinzwa kokunciphisa ingcindezi ku-cartilage elimele yejoyinti (ukuhlinzwa kwe-osteotomy eMoberg) .
• Ezinye izinkinga: Njenganoma yikuphi ukuhlinzwa, kunethuba elincane lokutheleleka kanye nezibazi. Ungase uzwe nobuhlungu phansi konyawo lwakho.

Ungakhathazeki ngalokhu. Udokotela wakho uzoxoxa nawe ngalezi zinto ngokucacile ngaphambi kokuhlinzwa.

Kuzothatha isikhathi esingakanani ukululama? Ngingabuyela nini emsebenzini?

Isikhathi sokuphulukiswa siyahlukahluka kumuntu nomuntu.

• Ukuvuvukala: Umlenze wakho ungase uvuvuke kancane amasonto ambalwa, noma ngisho nezinyanga, ngemva kokuhlinzwa. Lokhu kuvamile.
• Izicathulo: Lezo zicathulo ezikhethekile kufanele zigqokwe okungenani amasonto amabili , kuze kube yilapho udokotela ekutshela ukuthi wenze kanjalo.
• Ukubuyela emsebenzini: Iningi labantu lingabuyela emsebenzini zingakapheli inyanga noma ezimbili . Kodwa-ke, uma umsebenzi wakho udinga ukuhamba noma ukuma kakhulu, noma uma ubuhlungu nokuvuvukala kwakho kukhulu kakhulu, kungathatha isikhathi eside ukubuyela emsebenzini. Kungcono ukuxoxa ngalokhu nodokotela wakho.

Uma udinga ukubona udokotela ngokushesha

Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma unazo, shayela udokotela wakho ngokushesha.

• Uma isikhumba esizungeze i-incision sibomvu kakhulu .
• Uma leyo ndawo ivuvukele kakhulu .
• Uma uketshezi oluphuzi olufana nobomvu luphuma esigaxeni.
• Uma ubuhlungu obungabekezeleleki naphezu kokuthatha imithi yobuhlungu noma uma ubuhlungu buba bubi usuku nosuku.
• Uma unomkhuhlane .

Lokhu kungaba izimpawu zokutheleleka, ngakho-ke kubalulekile ukufuna ukwelashwa ngokushesha.