Uma usengozini enkulu engalweni noma emlenzeni wakho, noma uma unesifo esibi njengomdlavuza, kuvamile ukuba nokwesaba ukuthi kufanele usinqume. Eqinisweni, sonke siyashaqeka kakhulu ngezikhathi ezinjalo. Kodwa bewazi ukuthi ukunqunywa kwezicubu akusona isisombululo kuphela ngaso sonke isikhathi? Ngokuthuthuka kwezokwelapha namuhla, kunezindlela ezikhethekile zokuhlinzwa ezingasindisa isitho esinjalo ngaphandle kokusinquma. Yilokho esikubiza ngokuthi 'Ukuhlinzwa Kokusindisa Izitho'.
Kalula nje, kuyini ukuhlinzwa kwe-Limb Salvage?
Cabanga nje, uKamal wethu walimala kabi emlenzeni engozini yebhayisikili. Amathambo aphuke, kwaba ukulimala okukhulu. Esikhathini esidlule, babezothi umlenze kuzodingeka unqunywe. Kodwa manje odokotela babheka ukuthi le ndlela 'yokusindisa izitho' ingawusindisa yini umlenze.
Kalula nje, ukuhlinzwa kwe-Limb Salvage kuyindlela yokuhlinzwa ezama ukulungisa nokubuyisela ingalo noma umlenze onesifo esibi noma olimele, ngaphandle kokuyisusa. Kulokhu, odokotela bazama ukusindisa ingalo noma umlenze wakho ngangokunokwenzeka ngaphandle kokubeka impilo yakho yonke engcupheni. Lokhu kubizwa nangokuthi 'ukuhlinzwa kokusindisa izitho'. Kusho "ukuhlinzwa kokusindisa izitho".
Kukuziphi izimo lapho lokhu kuhlinzwa kungacatshangelwa khona?
Odokotela bavame ukucabanga ngalokhu kuhlinzwa ezimweni eziningana ezibalulekile.
| Isimo/Imbangela | Incazelo |
|---|---|
| Umdlavuza Wamathambo (i-Bone Sarcomas) | Susa ikakhulukazi izimila ezinomdlavuza ezenzeka emathanjeni, njenge -Osteosarcoma , i-Ewing sarcoma , kanye ne-Chondrosarcoma . |
| Ama-Sarcomas Ezicubu Ezithambile | Kumdlavuza ofana neLiposarcoma kanye neMyxofibrosarcoma okhula ezindaweni ezifana nemisipha kanye nezicubu ezinamafutha zengalo noma umlenze. |
| Ukutheleleka okukhulu | Ezimweni zokutheleleka okukhulu kwamathambo ( i-Osteomyelitis ), ukutheleleka kwamalunga ( i-Septic Arthritis ), noma ukufa kwezicubu ( i-Gangrene ). |
| Ukulimala Okubuhlungu | Uma izitho zomzimba zichotshozwa, amathambo ayachotshozwa, futhi imithambo yegazi kanye nemizwa kuyalimala kakhulu ngenxa yezinto ezifana nezingozi zezimoto noma ukubhajwa emishinini. |
| Umdlavuza Wamathambo Owasakazeka Kakhulu | Uma umdlavuza uvela kwenye indawo emzimbeni bese usakazekela emathanjeni, okubangela ukuba ithambo liphuke noma selizophuka. |
Unqume ingalo/umlenze? Uwugcine? Odokotela basenza kanjani lesi sinqumo?
Lesi yisinqumo esiyinkimbinkimbi kakhulu. Udokotela uzonquma ukwenza lokhu kuhlinzwa ngemva kokucabangela ngokucophelela izici eziningana. Into eyinhloko ukuthi ukuhlinzwa kuzokunika ingalo noma umlenze ophilile, osebenzayo, futhi obukeka ujwayelekile .
Izici ezithinta lokhu yilezi:
- Ubukhulu besifo: Uma kuyithumba elinomdlavuza, uma likhulu kakhulu, noma uma lingene ezakhiweni ezibalulekile eziseduze njengemithambo yegazi nemizwa, kungase kungenzeki ukususa lesi simila ngaphandle kokulimaza. Ngokufanayo, uma kuyigciwane, uma selisakazeke kakhulu futhi labhubhisa izicubu eziningi, kungaba nzima ukusindisa isitho.
- Ubunzima bokulimala: Odokotela basebenzisa izinhlelo ezikhethekile zokuhlola ukuze bahlole ubukhulu bomonakalo obangelwe yingozi. Balinganisa umonakalo emithanjeni, ezicutshini, emithanjeni yegazi, nasemathanjeni. Uma kunezingxenye eziningi kakhulu ezingenakulungiseka, akunakwenzeka ukulungisa ingxenye ngayinye ngokwehlukana. Into ebaluleke kakhulu ukubuyisela ukugeleza kwegazi engxenyeni ngayinye yesitho ngemva kokuhlinzwa. Ngaphandle kokugeleza kwegazi, izicubu zizofa.
Kwenzekani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, awuqali ukuhlinzwa ngokushesha. Kunezigaba eziningana ngaphambi kwalokho.
1. Ukwelashwa Kwangaphambi Kokuhlinzwa: Uma ulimele kakhulu, kungadingeka ukuthi wenziwe ezinye izindlela zokwelapha ukuze uqinise isimo sakho ngaphambi kokuhlinzwa okukhulu. Uma kungumdlavuza, ukwelashwa ngamakhemikhali noma ngemisebe kunganikezwa ngaphambi kokuhlinzwa ukuze kuzanywe ukunciphisa isimila. Lokhu kuzokwenza kube lula ukusisusa.
2. Ukuhlolwa kwangaphambi kokuhlinzwa:Ithimba lezokwelapha lizokwenza izivivinyo eziningi ukuze liqonde isimo sakho. Izivivinyo ezifana ne-MRI noma i-CT scan zibheka ngaphakathi kwesitho. Izivivinyo ezifana ne-CT angiogram noma i-Doppler ultrasound zibheka ukugeleza kwegazi. Zizocabangela nempilo yakho iyonke nokuthi unazo yini ezinye izimo zezokwelapha.
3. Ingxoxo yangaphambi kokuhlinzwa: Noma nini lapho kungenzeka, ithimba lezokwelapha lizoxoxa nawe ngokuningiliziwe ngokuhlinzwa. Lizochaza konke elizokwenza, izingozi, kanye nemiphumela engaba khona, futhi lithole imvume yakho enolwazi. Isinqumo sokusindisa noma sokunquma ingalo/umlenze wakho singaba nzima kuwe. Ngakho-ke zinike isikhathi sokucabanga ngakho bese ubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Kwenzekani ngesikhathi sokuhlinzwa?
Lena inqubo eyinkimbinkimbi kakhulu. Okokuqala, ingxenye enesifo iyasuswa. Lokho kusho ukususa isimila esinomdlavuza noma izicubu ezinegciwane. Bese kuqala ingxenye enzima kakhulu - inqubo yokwakha kabusha.
Lokhu kungadinga ukuhlinzwa okungaphezu kokukodwa, noma ngisho nokuhlinzwa okuningana. Odokotela kufanele baxhumanise kabusha, balungise, noma bahlanganise kabusha imithambo yegazi, imizwa, amathambo, nezinye izicubu.
Ezinye zezindlela ezisetshenziswa kulokhu yilezi:
- Ukuvuselelwa Kwemithambo Yegazi: Ukubuyisela ukugeleza kwegazi endaweni eyonakele. Njengokunisela umuthi osubunile, imithambo yegazi ivuselelwa kabusha ngezinqubo zokuhlinzwa ezibucayi.
- Ukuhlinzwa Okuncane: Ngezinye izikhathi umthambo wegazi noma inzwa eyonakele ithathelwa indawo yi-flap evela kwenye ingxenye yomzimba wakho noma umnikeli, bese imithambo/imizwa ebucayi ixhunyaniswa kabusha kusetshenziswa i-microscope.
- Ukuxhunyelelwa: Ukufaka esikhundleni sethambo elonakele noma elisusiwe ngethambo elixhunyelelwe noma ukufaka esikhundleni sesikhumba esilahlekile ngethambo elixhunyelelwe.
- Ukufakelwa Kwezitho Zokufakelwa: Kufakwa i-implant yensimbi ukuze kuthathelwe indawo ithambo noma ijoyinti elisusiwe, kubuyiselwe ukusebenza kwesitho.
- Ukuthuthwa kwamathambo: Ukuze kugcwaliswe izikhala emathanjeni amade noma kunwetshwe amathambo, kufakwe uhlaka lwensimbi engagqwali, njenge-'Taylor Spatial Frame' noma i-'Ilizarov apparatus', ngaphandle, ngaleyo ndlela kukhuthazwe ukukhula kwamathambo.
Kwenzekani ngemva kokuhlinzwa? Yiziphi izinzuzo nezinkinga?
Ngemva kokuhlinzwa, kunenye inselele enkulu. Lokho kuwukuvuselelwa okubanzi ngokomzimba. Uchwepheshe wezokwelapha uzosebenza nawe ukukusiza ukuthi uthole amandla namandla amaningi esitho sakho esigciniwe. Lokhu kudinga isikhathi, umzamo, isineke, kanye nokuphikelela . Eqinisweni, ngezinye izikhathi kungathatha isikhathi esincane ukujwayela isitho sokufakelwa kunokuba kuthathe isikhathi ukusebenzisa isitho esigciniwe.
Kodwa khumbula, ukukwazi ukusindisa isitho sakho kungamandla amakhulu engqondo.
| Izinzuzo | Ububi Nezingozi |
|---|---|
| Ukusebenza kahle (ikakhulukazi uma uhamba ngezinyawo). | Isikhathi sokuvuselelwa side kakhulu. |
| Ukuba nokubukeka okuvamile. | Kungenzeka ukuthi kudingeke ukuthi kwenziwe ukuhlinzwa kokubuyekezwa. |
| Ukwanda kwezinga lempilo kanye nenhlalakahle yengqondo. | Izinkinga zokuphulukiswa kwamanxeba kanye nengozi yokutheleleka. |
| Ukuhlinzwa akuphumelelanga, futhi ekugcineni kwadingeka ukuba isitho sinqunywe. | |
| Izimila ezikhululekile noma eziphukile. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Isikhathi esithathayo ukuze lokhu kwenzeke siyahlukahluka kuye ngomuntu nomuntu. Kuya ngokuthi yiziphi izingxenye zesitho sakho ezilungisiwe nokuthi senziwe kanjani. Nakuba amanxeba evame ukuphola emavikini ambalwa, imisipha namathambo kuthatha izinyanga ukuphola. Uzovame ukuba sesibhedlela izinsuku ezimbalwa, bese ubuyela ekhaya bese ubuyela emsebenzini ngemva kwezinyanga ezimbili kuya kwezintathu zokuphumula. Kodwa kungathatha isikhathi eside nakakhulu ukuze uphinde usebenzise isitho sakho ngokugcwele.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokusindisa izitho zomzimba kuwumzamo wokusindisa ingalo noma umlenze owonakele kakhulu ngaphandle kokunqunywa.
- Lokhu akuyona into engenziwa yiwo wonke umuntu. Udokotela wakho uzonquma ukuthi uyakufanelekela yini lokhu ngokusekelwe esimweni sakho sezokwelapha, uhlobo lokulimala kwakho, kanye nempilo yakho iyonke.
- Lokhu ukuhlinzwa okuyinkimbinkimbi kakhulu, kulandelwa inqubo ende kakhulu yokuvuselela isiguli.
- Ukukhetha phakathi kwalokhu kuhlinzwa nokunqunywa kwezicubu kuyisinqumo esinzima. Khuluma ngokukhululekile nodokotela wakho ngazo zonke izinzuzo, izinkinga, kanye nezingozi, bese wenza isinqumo esikulungele wena.
- Ngokuthuthuka kwesayensi yezokwelapha namuhla, kunethuba elihle lokuthi ungasindisa impilo yakho kanye nezitho zakho eziyigugu ngemva kokugula noma ingozi esongela ukuphila.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment