Ingabe uhlushwa ubuhlungu obungapheli edolweni? Ingabe uzwa umsindo wokuchofoza lapho uhamba noma ugoba idolo lakho, noma ingabe idolo lakho lizwa sengathi liyabhajwa? Kungaba ukulimala kwezemidlalo. Ngezikhathi ezinjengalezi, udokotela wakho angakutshela 'ngokuhlinzwa kwe-keyhole', inqubo ehilela ukufaka ikhamera edolweni lakho. Abantu abaningi baye bezwa ngalokhu, kodwa abazi kahle ukuthi kwenziwa kanjani noma kungani. Ungakhathazeki, namuhla sikhuluma nge-knee arthroscopy.
Kuyini i-Knee Arthroscopy?
Kalula nje, lena inqubo ekhethekile yokuhlinzwa esetshenziselwa ukubheka ngaphakathi kwedolo nokwelapha izinkinga lapho. Inzuzo enkulu yalokhu ukuthi ayidingi ukusikwa okukhulu edolweni njengokuhlinzwa okuvulekile kwendabuko.
Cabanga nje, konke lokhu kuhlinzwa kwenziwa ngokusikwa okubili noma kathathu okuncane, njengembobo yokhiye.
- Ngokusika okukodwa okuncane, kufakwa idivayisi (i-arthroscope) elingana nepensela futhi efakwe ikhamera encane edolweni.
- Le khamera ikhulisa konke okungaphakathi kwedolo, njenge-cartilage, i-ligaments, kanye ne-meniscus, futhi iyibonisa ngokucacile kusikrini se-TV egumbini lokuhlinza.
- Udokotela angayibheka futhi athole ukuthi inkinga iyini ngempela, futhi uma kudingeka ukwelashwa, angafaka amathuluzi okuhlinza abucayi kwezinye izimbobo ezincane bese elungisa umonakalo khona lapho.
Lokhu kubizwa ngokuthi inqubo engavamile , okusho ukuthi kunomonakalo omncane kakhulu kanye nezibazi emzimbeni.
Ubani odinga lokhu kuhlinzwa?
Ngokuvamile, into yokuqala esiyenzayo ngobuhlungu bedolo ukuphumula, iqhwa, ukuphuza ama-painkiller (ama-NSAID), kanye nokwenza ukwelashwa ngokomzimba (PT). Kodwa-ke, uma lezi zinto zinganciphisi ubuhlungu futhi ukusebenza kwedolo kuphazamiseka, udokotela angase acabangele lokhu kuhlinzwa kwe-Knee Arthroscopy.
Isetshenziswa kakhulu ekulimaleni kwezemidlalo, ikakhulukazi ezinganeni ezincane. Lokhu kulimala kuvamile emidlalweni yokugxuma njenge-volleyball kanye nemidlalo yokuxhumana efana nebhola.
Kodwa into eyodwa okufanele uyikhumbule ukuthi lokhu kuhlinzwa akusiyo njalo ikhambi eliphumelelayo le-osteoarthritis, isimo esenzeka emadolweni njengoba sikhula. Kufanele uxoxe ngalokhu nodokotela wakho ngaphambi kokwenza isinqumo.
Lolu hlobo lwento lusetshenziselwani?
Odokotela basebenzisa lokhu kuhlinzwa ngezinjongo ezintathu eziyinhloko. Ake sikuqonde etafuleni elifana naleli.
| Inhloso eyinhloko | Kwenzekani? |
|---|---|
| Ukuxilongwa | Khomba ngokubonakalayo imbangela eqondile yobuhlungu nokuvuvukala ngaphakathi kwedolo. Ikhamera ingabona ngokucacile umonakalo ezicutshini ezifana ne-cartilage kanye ne-ligaments. |
| Ukulungiswa kwezicubu ezonakele | Imisipha edabukile, imisipha, noma i-meniscus cartilage ingahlanganiswa ndawonye kusetshenziswa amathuluzi amancane. Isibonelo, isetshenziselwa ukwelapha izimo ezifana nokudabuka kwe-anterior cruciate ligament (ACL) kanye nokudabuka kwe-meniscus . |
| Ukususwa kwezingxenye ezonakele noma ezingadingekile | Ngezinye izikhathi, uma izingcezu ze-cartilage ezonakele, izingcezu zamathambo, noma i-synovium evuvukele kubangela izinkinga edolweni, ziyaklwejwa ngalezi zinsimbi. |
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa
Ngemva kokuhlela ukuhlinzwa kwakho, udokotela wakho uzokubuza nganoma yimiphi imithi oyithathayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi yokunciphisa igazi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho. Udokotela wakho uzokweluleka nangokuthi kufanele uyeke nini ukudla nokuphuza ngobusuku obandulela ukuhlinzwa kwakho.
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia. Ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa. Udokotela uzokhetha enye yalezi zindlela kuye ngesimo sakho:
- I-anesthetic yendawo: Iqeda amandla edolweni kuphela.
- I-anesthetic yesifunda: Isidakamizwa esiqeda izinhlungu kusukela okhalweni kuya phansi (umuthi ofakwe emgogodleni).
- I-anesthesia ejwayelekile: I-anesthesia ekwenza ulale ngokuphelele kuze kube yilapho ukuhlinzwa sekuqediwe.
Ngesikhathi sokuhlinzwa
1. Okokuqala, umlenze wakho uzohlanzwa kahle futhi idolo lakho lizovinjwa ngedivayisi ekhethekile ukuze lingakwazi ukunyakaza ngesikhathi sokuhlinzwa.
2. Udokotela ube esesika idolo kancane bese efaka idivayisi efakwe ikhamera (i-arthroscope) engikhulume ngayo ekuqaleni.
3. Manje udokotela usengakwazi ukubona okungaphakathi kwedolo esikrinini se-TV. Usengakwazi ukubona ngqo ukuthi inkinga ikuphi, futhi uma kudingeka, ayelaphe ngokwenza ukusika okuncane okukodwa noma okubili bese efaka amathuluzi abucayi kuwo.
4. Lezi zinsimbi zisetshenziselwa ukuthunga izicubu ezidabukile, ukukhuhla i-cartilage eyonakele, noma ukususa izicubu ezivuvukele.
5. Ekugcineni, lezo zimbobo ezincane zivalwa ngezitishi noma ngamaplasta akhethekile (imichilo yokuhlinzwa), bese kufakwa ibhandishi elikhulu edolweni.
Kufanele ngihlale kanjani ekhaya ngemva kokuhlinzwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela ngaphandle kwesibhedlela. Ukuhlinzwa kuvame ukuthatha cishe ihora. Kodwa-ke, ngezinye izikhathi kungadingeka uhlale esibhedlela usuku lonke. Ngeke ukwazi ukushayela uye ekhaya, ngakho-ke uzodinga umuntu ozokushayela uye ekhaya.
Udinga ukuqaphela kakhulu ngalezi zinto ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa:
- Ungabeki isisindo emlenzeni: Gwema ukubeka isisindo emlenzeni ohlinzwe kuze kube yilapho udokotela wakho ekuyala. Kuzodingeka usebenzise izinduku zokuhamba ukuze uhambe.
- Gcina umlenze wakho uphakeme: Ukuze unciphise ukuvuvukala futhi ulawule ubuhlungu, zama ukugcina umlenze wakho uphakeme ngaphezu kwezinga lenhliziyo yakho noma nini lapho kungenzeka, njengasesicamelweni.
- Phuza ama-painkiller ngendlela efanele: Phuza ama-painkiller neminye imithi (isib., imithi yokunciphisa igazi) enqunywe udokotela wakho njengoba nje enqunyiwe nangesikhathi esifanele.
- Gcina inxeba lihlanzekile: Ungalisusi ibhandishi. Ligcine lihlanzekile futhi lomile. Buza udokotela wakho noma umhlengikazi ukuthi ulishintshe nini ibhandishi nokuthi ungageza nini.
Ngemva kokululama kancane, udokotela wakho uzokudlulisela ekwelashweni ngokomzimba . Lokho kuyinto edingekayo. Lapho, bazokufundisa ukuzivocavoca ukuqinisa imisipha ezungeze idolo lakho nokukusiza ukuthi ugobe futhi uqondise idolo lakho kahle. Lokho kubaluleke kakhulu kuwe ukuze ululame ngokushesha nangokuphelele.
Isikhathi sokubona udokotela ngokushesha ngemva kokuhlinzwa
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Uma amanxeba eqhubeka nokopha.
- Uma ubona izimpawu zokutheleleka, njengomkhuhlane, ukuvuvukala okukhulu, ukubomvu, kanye nobomvu obuzungeze inxeba.
- Uma uzwa ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
- Uma ubona into efana nokungazweli emlenzeni wakho noma ukushintsha kombala onyaweni lwakho.
Lokhu kuhlinzwa kuyindlela yokwelapha ephephile kakhulu futhi ephumelelayo. Uma ulandela imiyalelo kadokotela wakho kahle futhi wenza ukwelashwa kokwelashwa ngokomzimba ngendlela efanele, uzokwazi ukubuyela empilweni yakho evamile ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Knee Arthroscopy "ukuhlinzwa kwe-keyhole" lapho ikhamera ifakwa khona ngokusikwa okuncane, ngaphandle kokwenza ukusikwa okukhulu edolweni.
- Lokhu kuvumela kokubili ukuxilongwa kanye nokwelashwa kokulimala kwamadolo (isib. i-ACL, izinyembezi ze-meniscus).
- Isikhathi sokululama, ubuhlungu, kanye nengozi yokutheleleka kuncane kakhulu kunesikhathi sokuhlinzwa okuvulekile.
- Kubalulekile ukulandela imiyalelo kadokotela futhi welashwe ngokomzimba ukuqinisekisa ukuthi uyalulama ngokuphelele ngemva kokuhlinzwa.
- Uma uzwa izimpawu ezifana nomkhuhlane, ubuhlungu obukhulu, noma ukuphuma kobomvu esilondeni ngemva kokuhlinzwa, xhumana nodokotela wakho ngokushesha.
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