Ingabe uzizwa ubuhlungu esithweni esikhulu sonyawo uma uhamba, ikakhulukazi uma ugqoke izicathulo? Ingabe uzizwa ukuqina noma iqhubu elincane ozwaneni lwakho, okwenza kube nzima ukugoba? Lena inkinga abantu abaningi abanayo futhi ephazamisa imisebenzi yabo yansuku zonke. Namuhla, sizoxoxa ngokuthi yini ebangela lokhu kanye nenqubo elula ebizwa ngokuthi i-Cheilectomy.
Kuyini ngempela lokhu kuqina kozwane olukhulu (Hallux Rigidus)?
Kalula nje, i-Hallux Rigidus yisimo se-arthritis (`(Osteoarthritis)`) esenzeka esilungwini esikhulu sozwane lwakho olukhulu (ngokwezokwelapha sibiza lokhu ngokuthi i-MTP joint noma i-Metatarsophalangeal joint ). Njengoba nje ilungwini ledolo liguga.
Uma lokhu kwenzeka, ama-bone spurs amasha, njenge-spikes, aqala ukwakheka azungeze ijoyinti. Siwabiza ngokuthi ama-bone spurs (`(Osteophytes)`). La ma-bone spurs abangela ukuthi kuvele iqhubu elincane phezu kwejoyinti. Leli qhubu lingabangela ubuhlungu obukhulu uma lishaya isicathulo. Futhi, la ma-bone spurs anciphisa ukunyakaza kwejoyinti, okusho ukuthi uzwane olukhulu alukwazi ukugoba phezulu naphansi kahle. Lokhu kuqina yilokho esikubiza ngokuthi "i-Rigidus".
Kungani kwenziwa i-Cheilectomy?
Udokotela wakho ngokuvamile uzoncoma i-Cheilectomy kuphela uma isimo sakho se-Hallux Rigidus sincane noma siphakathi nendawo futhi singakaqedwa ukwelashwa okungekona ukuhlinzwa.
Ngaphambi kokuhlinzwa, odokotela bahlala bezama ukunikeza isiguli impumuzo ngezinye izindlela zokwelapha.
Okulandelayo yizindlela zokwelapha ezivame ukusetshenziswa ngaphandle kokuhlinzwa:
| Indlela yokwelapha | Incazelo |
|---|---|
| Imijovo ye-Corticosteroid | Lo mjovo, ofakwa ngqo emalungeni, ungalawula okwesikhashana ubuhlungu nokuvuvukala. |
| Ukuvinjelwa komsebenzi | Hlala kude nezinto ezikhulisa ubuhlungu, njengokugijima nokugxuma, isikhashana. |
| Ama-Painkiller (ama-NSAID) | Imithi efana ne-ibuprofen ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Lokhu kufanele kusetshenziswe ngaphansi kweseluleko sikadokotela. |
| Izicathulo ezikhethekile kanye nama-orthotics | Ukugqoka izicathulo eziqinile neziqinile ezivimbela ukunyakaza kwamalunga. Ngezinye izikhathi kusetshenziswa izisekelo ezikhethekile (ama-orthotic) ngaphakathi kwesicathulo. |
Uma kungekho kulezi zinto ezikusizayo, isinyathelo esilandelayo udokotela wakho azokhuluma nawe ngaso ukuhlinzwa kwe-cheilectomy.
Uyini umehluko phakathi kweCheilectomy kanye neBunion Surgery?
Lokhu kuyiphuzu lokudideka kubantu abaningi. Zombili lezi zinqubo zokuhlinzwa zihilela ukususa izingcezu zamathambo ezengeziwe. Kodwa umehluko omkhulu ukuthi lezo zingcezu zamathambo zitholakala kuphi .
- Ukuhlinzwa kwe-Cheilectomy: Lokhu kuhilela ukususa ama-spurs ethambo akheka phezu kwejoyinti lozwane olukhulu. Lokhu ukuhlinzwa okwenziwa ngenxa yesimo se-Hallux Rigidus.
- Ukuhlinzwa Kwe-Bunion (Bunionectomy): I-bunion (`(Hallux Valgus)`) iyi-protrusion yamathambo ohlangothini lwejoyinti elikhulu lezinyawo, okungukuthi, uhlangothi oluphambene nezinye izinzwane. Ngakho-ke, lokhu kuhlinzwa kususa iqhubu kulolo hlangothi.
Cabanga ngalokhu: I-Cheilectomy ifana nokususa isisindo esengeziwe ophahleni lwelunga, kanti i-Bunionectomy ifana nokususa i-protrusion odongeni oluseceleni lwelunga.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngemva kokunquma ukuhlinzwa, udokotela uzohlola unyawo lwakho ngokucophelela. Bazohlola ukuthi ungalugoba kangakanani uzwane lwakho (ububanzi bokunyakaza). Bazothatha ne-X-ray ukuze babone kahle isimo samalunga kanye nendawo yama-bone spurs.
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia. Ngemuva kwalokho, udokotela ohlinzayo uzokwenza i-incision encane phezulu konyawo lwakho, ngaphezu nje kwejoyinti elikhulu lonyawo, bese esusa ngokucophelela ama-bone spurs engeziwe abangela ubuhlungu nokuqina.
Ukuhlinzwa kwe-Cheilectomy kungenziwa ngezindlela ezimbili eziyinhloko:
| Uhlobo lokuhlinzwa | Kwenzeka kanjani |
|---|---|
| Vula i-Cheilectomy | Kulokhu, kwenziwa ukusika okukodwa okude, ilunga liyavulwa, bese kususwa izingcezu zamathambo. |
| I-Cheilectomy Engangeni Kakhulu | Kule ndlela, esikhundleni sokusika okukodwa okukhulu, kwenziwa izimbobo eziningana ezincane kakhulu, bese kufakwa ithuluzi elikhethekile elibizwa ngokuthi 'i-burr' ngazo ukuze kuchotshozwe futhi kususwe ama-bone spurs. Le ndlela inganciphisa isikhathi sokuphulukiswa. |
Kwenzekani ngemva kokuhlinzwa? Futhi kuzothatha isikhathi esingakanani ukululama?
Lokhu kuvame ukuba ukuhlinzwa kwangaphandle . Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Ngemva kokuhlinzwa, kuzodingeka ugqoke isicathulo esikhethekile amasonto ambalwa ngenkathi unyawo lwakho luphola. Lokhu kwenzelwa ukuvimbela isisindo esingadingekile ekubekweni kwejoyinti eliphola.
Ukuze ulawule ubuhlungu, udokotela wakho uzokunikeza umuthi wokuqeda izinhlungu njenge-'Paracetamol' noma i-'Ibuprofen'.
Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Ukuvuvukala onyaweni kungase kuthathe amasonto ambalwa noma izinyanga. Ngokuvamile kuthatha cishe inyanga noma ezimbili ukubuyela emsebenzini. Kodwa-ke, uma umsebenzi wakho udinga ukuhamba nokuma okuningi, kungathatha isikhathi eside. Udokotela wakho uzokweluleka ngalokhu.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zalokhu kuhlinzwa?
Izinzuzo
Abantu abaningi bathola ukukhululeka okuphelele ebuhlungwini ngemva kwalokhu kuhlinzwa. Bangakwazi futhi ukugoba nokuqondisa ilunga lonyawo olukhulu kangcono kunangaphambili. Lokhu kwenza ukuhamba nemisebenzi yansuku zonke kube lula.
Izingozi nezinkinga
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile.
- Abanye abantu bangase babe nobuhlungu lapho behambisa umunwe wabo ngemva kokuhlinzwa.
- Kungase kuvele ukutheleleka noma isilonda endaweni yokusikwa.
- I-Hallux Rigidus ingaba nzima kakhulu.
- Ungase uzwe ubuhlungu ebholeni lonyawo lwakho, phansi konyawo lwakho.
- Akuvamile kakhulu, kungadingeka ukuthi uphinde uhlinzwe, isibonelo, ukuhlanganiswa kwamalunga (i-arthrodesis).
Ungesabi lezi zingozi. Udokotela wakho uzokuchazela konke. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngemva kokuhlinzwa.
Isikhathi sokubona udokotela ngokushesha okukhulu
Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma unazo, shayela udokotela wakho ngokushesha noma uye esibhedlela lapho uthole khona ukwelashwa.
- Isikhumba esizungeze indawo yokusikwa siba bomvu ngokumnyama .
- Ukuvuvukala okukhulu .
- Kuphuma uketshezi olufana nobovu esigaxeni.
- Ukuba nobuhlungu noma umkhuhlane ongabekezeleleki.
Lokhu kungaba izimpawu zokutheleleka, ngakho-ke kubalulekile ukufuna ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Hallux Rigidus yisimo se-arthritis esenzeka esihlanganyelweni sezinzwane ezinkulu. Lokhu kubangela ukwakheka kwama-spurs ethambo engeziwe, okubangela ubuhlungu nokuqina.
- I-Cheilectomy iwukuhlinzwa okususa la ma-bone spurs engeziwe futhi kuvumele ilunga ukuthi liphinde linyakaze ngokukhululeka.
- Lokhu kuhlinzwa kunganciphisa ubuhlungu futhi kwenze impilo ibe lula kubantu abaningi.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (njengokugqoka izicathulo ezikhethekile nokuphumula) ngokucophelela ngesikhathi sokululama ngemva kokuhlinzwa.
- Uma ubona noma yiziphi izimpawu ezingavamile, njengokubomvu okukhulu, ukuvuvukala, noma ubomvu obuzungeze imbobo, bona udokotela wakho ngokushesha.
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