Ingabe unenkinga ngendololwane yakho, ngisho nokuphakamisa indebe, ngenxa yobuhlungu obungapheli? Mhlawumbe ulimele indololwane yakho ngenkathi udlala imidlalo, noma ngenxa yokuwa noma ingozi ngokuzumayo? Uma ubuhlungu bakho bungakapheli naphezu kokuthatha imithi nokwenza i-physiotherapy, udokotela wakho kungenzeka ukuthi ukhulume nawe ngokuhlinzwa kwendololwane. Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma uzwa igama elithi "ukuhlinzwa". Kodwa uma sikuqaphela lokhu, lokhu kwesaba nokungaqiniseki kungaqedwa ngezinga elikhulu. Ngakho-ke, ake sixoxe ngalokhu kalula nangokuzola.
Kuyini lokhu kuhlinzwa kwendololwane?
Kalula nje, ukuhlinzwa kwendololwane kuyinqubo yokuhlinzwa eyenziwa ukulungisa umonakalo emathanjeni (aphukile, aphukile), imisipha, imisipha, noma ezinye izicubu ezithambile esithweni sakho sendololwane, noma ukulungisa inkinga eyisisekelo. Lokhu kwenziwa udokotela ohlinzayo wamathambo. Uhlobo lokuhlinzwa ozolwenza luzoncika esimweni sakho noma ekulimaleni.
Ake sithi unethambo elincane ngaphakathi kwengqiniba yakho elikubangela ubuhlungu nobunzima bokwelula noma ukwelula ingalo yakho. Noma, udabukile umsipha engqiniba yakho. Ngezinye izikhathi, ilunga lingase liguge ngenxa yesimo esifana nesifo samathambo. Kulezi zimo, ukuhlinzwa kuyisisombululo esingcono kakhulu uma ezinye izindlela zokwelapha zingasizi.
Izindlela ezimbili eziyinhloko zokuhlinzwa
Kunezindlela ezimbili eziyinhloko ezisetshenziswayo ukwenza ukuhlinzwa kwendololwane. Kuye ngesimo sakho, udokotela wakho uzokhetha enye efaneleke kakhulu kulezi zindlela ezimbili.
| Indlela yokuhlinzwa | Kwenzeka kanjani |
|---|---|
| I-Arthroscopy - ukuhlinzwa "kwe-keyhole" | Lena inqubo yesimanje, engangenisi kakhulu. Kule nqubo, kwenziwa imicu embalwa emincane kakhulu endololwaneni yakho, bese kufakwa ikhamera encane (i-arthroscope) ngeyodwa yayo ejoyintini. Izithombe ezivela kukhamera ziboniswa esikrinini esikhulu. Udokotela uyayibuka bese efaka amathuluzi amancane, amade ngezinye izicucu ezincane ukuze enze ukulungiswa okudingekayo. Izinzuzo: Imicucu mincane, ngakho-ke ubuhlungu buncane, inxeba liyaphola ngokushesha, ingozi yokutheleleka iphansi, futhi ukwelashwa ngokomzimba kungaqala maduze. |
| Ukuhlinzwa Okuvulekile | Lena yindlela yendabuko. Lapha, kwenziwa ukusika okukhulu kancane ngaphezu kwelunga bese ilunga livulwa futhi lihlolwe. Le ndlela isetshenziswa uma indololwane yonakele kakhulu engozini, noma uma lonke ilunga lidinga ukushintshwa (Ukufakwa Kwendololwane). Izinzuzo: Udokotela angalibona lonke ilunga ngokucacile ngesikhathi esisodwa. Lokhu kwenza kube lula ukuxazulula izinkinga eziyinkimbinkimbi. |
Kwenzekani ngesikhathi sokuhlinzwa?
Iningi lokuhlinzwa kwendololwane kuyizinqubo zokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngosuku olufanayo ngemva kokwelashwa . Lokhu kusho ukuthi uma uya esibhedlela ekuseni, ungabuya ekhaya kusihlwa.
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ukuze uvikeleke ekuzweni ubuhlungu. Kunezindlela ezimbili zokwenza lokhu:
1. I-Regional Anesthesia: Ingalo yakho kuphela engezwani. Usephapheme, kodwa awuzwa ubuhlungu engalweni yakho.
2. I-General Anesthesia: Uzolaliswa ngokuphelele. Ngeke uzwe lutho kuze kube yilapho ukuhlinzwa sekuphelile.
Ngezinye izikhathi zombili izindlela zingasetshenziswa ndawonye. Ngesikhathi sokuhlinzwa, udokotela ususa izicubu ezonakele, alungise imisipha edabukile, alungise amathambo aphukile, noma, uma kudingeka, ashintshe izingxenye zejoyinti.
Izinhlobo ezahlukene zokuhlinzwa kwendololwane
Kunezinhlobo eziningana zokuhlinzwa ezingenziwa ngezinkinga zendololwane. Lezi ziyinkimbinkimbi kancane, kodwa ake sibheke ukuthi zihilelani ngendlela elula.
| Igama Lenqubo | Kalula nje... |
|---|---|
| Ukukhishwa Kwe-Cubital/Radial Tunnel | Uma umthambo odlula endololwaneni (i-Ulnar noma i-Radial nerve) ucindezelwe noma ucindezelwe, umthambo udinga ukukhululwa ekucindezelweni. |
| Ukususwa kwe-debride | Ukususa izicubu ezifile, ezonakele, noma ezikhululekile eziphazamisa ilunga. |
| Ukuhlinzwa Kwe-Elbow Bursectomy | Ukususwa kwe-bursa, isikhwama esigcwele uketshezi esibangela ukuvuvukala (i-bursitis) endololwaneni. |
| Ukufakwa Kwendololwane | Ukufaka ijoyinti eligugile noma ingxenye yalo endaweni yejoyinti yokwenziwa eyenziwe ngensimbi nepulasitiki. |
| Ukunciphisa Okuvulekile kanye Nokulungiswa Kwangaphakathi (i-ORIF) | Inqubo yokulungisa amathambo aphukile nokuwalungisa ngezintambo, izipikili, noma amapuleti. |
| Ukuhlinzwa kwe-Synovectomy | Ukususa ulwelwesi lwe-synovial oluvuvukele ezimweni ezifana ne-rheumatoid arthritis. |
| Ukuhlinzwa kukaTommy John | Ukulungisa i-ligament edabukile (i-Ulnar Collateral Ligament) ngaphakathi kwendololwane, okuyinto evamile kubadlali abafana nekhilikithi ne-baseball. |
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwendololwane kunezingozi ezithile, kodwa lezi azivamile.
- Amahlule egazi: Ngoba ingalo kufanele ingasebenzi ngemva kokuhlinzwa.
- Ukutheleleka: Uma inxeba lingagcinwa lihlanzekile.
- Ukopha Okukhulu: Ngesikhathi noma ngemva kokuhlinzwa.
- Ukulimala Kwemizwa: Indololwane iyindawo encane kakhulu enamathambo amaningi, imisipha, imizwa kanye nemithambo yegazi. Ngakho-ke, kunethuba elikhulu lokulimala kwemizwa okuncane ngesikhathi sokuhlinzwa. Kodwa ungakhathazeki, isikhathi esiningi lomonakalo ungowesikhashana. Ungase uzizwe ungenamizwa futhi uthuthumela esandleni sakho, kodwa sizophola ngokuhamba kwesikhathi.
Udokotela wakho uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.
Kwenzekani ngemva kokuhlinzwa?
Indima enkulu kakhulu kuwe iqala ngemva kokuba ukuhlinzwa sekuqediwe ngempumelelo. Kubaluleke kakhulu ukuphatha kahle inqubo yokuphulukiswa.
Khumbula, ukuhlinzwa kuyisinyathelo sokuqala enkambisweni yokuphulukiswa. Lokho okwenzayo ngemva kwalokho kuzoba nomthelela omkhulu ekubuyiseleni ukusebenza kwendololwane yakho.
Nakekela lezi zinto ngemva kokufika ekhaya:
- Ukunakekelwa kwenxeba: Gcina inxeba lihlanzekile futhi lomile njengoba kuqondiswe udokotela wakho. Uma indawo elizungezile iba bomvu, ivuvukele, noma kuvela ubomvu, tshela udokotela wakho ngokushesha.
- Ukulawulwa kobuhlungu: Phuza imithi yobuhlungu oyinikezwe udokotela wakho ngesikhathi esifanele nangesilinganiso esifanele. Ungabubekezeleli ubuhlungu.
- I-Sling: Ungase ucelwe ukuthi ugqoke i-sling. Lokhu kuzosiza ukuphumula kwamalunga futhi kunciphise ukuvuvukala. Yigqoke isikhathi eside njengoba udokotela wakho ekutshelile.
- Ukugeza: Udokotela uzokweluleka ngokuthi ungageza kanjani ngaphandle kokufaka inxeba emanzini. Ngokuvamile, kufanele ugeze ngesimbozo esingangeni manzi.
- Ukwelashwa Komzimba: Lena yingxenye ebaluleke kakhulu. Ngemva kokuba ukulimala sekupholile kancane, udokotela we-physiotherapist uzokufundisa ukuzivocavoca ukuze ugobe kancane kancane, welule, futhi uqinise indololwane yakho. Ngisho noma kunzima kancane ekuqaleni, yenza lokhu kuzivocavoca kahle. Ngaphandle kwalokho, ilunga lingase liqine futhi ungase ungakwazi ukusebenzisa ingalo yakho ngendlela obuvame ukuyisebenzisa.
Kuzothatha isikhathi esingakanani ukululama ngokuphelele?
Ayikho impendulo eyodwa kulokhu. Kuya ngohlobo lokuhlinzwa okwenzile, iminyaka yakho, nokuthi wenza kahle kangakanani ngokwelashwa ngokomzimba.
- Ukusikeka kuvame ukuthatha amasonto ambalwa ukuphola .
- Kungathatha noma yikuphi kusukela ezinyangeni ezimbalwa kuya onyakeni ukuze kuphinde kusebenze ngokugcwele endololwaneni .
Ngakho-ke yiba nesineke futhi ulandele imiyalelo kadokotela wakho kanye nodokotela we-physiotherapist. Udokotela wakho ohlinzayo uzoba umuntu ongcono kakhulu ukukunikeza umbono wesikhathi sakho sokululama. Mbuze ngalezi zinto.
- Izithungo zizonqunywa nini? Noma zizoncibilika?
- Ubuhlungu buzohlala isikhathi esingakanani? Ingabe ngizodinga imithi yokubulala izinhlungu?
- Ukwelashwa ngokwelashwa ngokomzimba kufanele kwenziwe isikhathi esingakanani?
- Ngizokwazi nini ukudlala imidlalo noma ukwenza umsebenzi onzima futhi?
Kunini lapho udinga ukukhuluma nodokotela?
Kujwayelekile ukuba nobuhlungu obuncane kanye nokuvuvukala ngemva kokuhlinzwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, sicela wazise udokotela wakho noma isibhedlela lapho uthole khona ukwelashwa ngokushesha .
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba likhuphuka, kungaba uphawu lokutheleleka. |
| Ukuphuma okungavamile esilondeni | Uma inxeba liphuma uketshezi oluphuzi noma oluhlaza okotshani noma linephunga elibi. |
| Ukungabi namizwa okukhulu | Uma ukungabi namizwa noma ukulahlekelwa yimizwa esandleni noma eminweni kuyanda. |
| Ukuvuvukala okukhulu noma ukuphuma kwegazi | Uma indololwane noma isandla sivuvukala ngendlela engajwayelekile, noma uma ibhandishi limanzi futhi liphuma igazi. |
| Ubuhlungu buyaphela. | Uma ubuhlungu buba bukhulu kakhulu ukuba bungalawuleki ngisho nangemva kokuthatha imithi yobuhlungu. |
Ukubhekana nokuhlinzwa kwendololwane kanye nenqubo ende yokululama ehambisana nakho akulula. Kodwa uma ucabanga ngakho, kumelwe kube nesizathu esihle. Mhlawumbe ubulokhu uhlushwa ubuhlungu isikhathi eside. Uma ukuhlinzwa kungaxazulula inkinga, kuzoba impumuzo enkulu empilweni yakho. Ithimba lakho lezokwelapha lilapha ukuzokusiza kulolu hambo. Ngakho-ke ungangabazi ukubabuza nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwendololwane akuyona into okufanele uyesabe, kungaba yisisombululo esihlala njalo sobuhlungu bakho kanye nokungakhululeki.
- I-Arthroscopy inqubo esebenzisa ukusikwa okuncane futhi iphola ngokushesha. Ukuhlinzwa okuvulekile kungcono kakhulu ekulimaleni okukhulu kanye nokufakelwa kwamalunga.
- Ukwelashwa ngokomzimba kubaluleke kakhulu ukuze umuntu alulame ngokuphelele.Ungavumeli ukuthi kuholele ekudinweni noma ebuhlungwini.
- Uma uhlaselwa umkhuhlane, ubomvu obuvela esilondeni, noma ukuvuvukala okukhulu ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ukwaziswa kuyindlela engcono kakhulu yokunqoba ukwesaba.

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