Ingabe amadolo akho ayabuhlungu uma uvuka embhedeni ekuseni? Noma ingabe uthola ubuhlungu emhlane kusihlwa ngemva kokuhlala esihlalweni usuku lonke? Mhlawumbe ugobile iqakala lakho ngenkathi udlala ezemidlalo, futhi ubuhlungu abukapheli? Sonke sizwa ubuhlungu nokungakhululeki emizimbeni yethu, emathanjeni, emalungeni, nasemisipheni ngesikhathi esithile empilweni yethu. Ngakho-ke, namuhla sizokhuluma ngokuningiliziwe ngokuthi ubani ngempela udokotela okufanele simbheke ngesikhathi esinjengalesi, nokuthi angasisiza kanjani.
Ubani ngempela uDokotela Wezitho Zamathambo?
Kalula nje, lo udokotela ogxile ezifweni nasezinkingeni ezihlobene nohlelo lwemisipha yomzimba wethu, okungukuthi, amathambo, amalunga, kanye nemisipha. Ngezinye izikhathi sibabiza ngokuthi 'odokotela bamathambo'. NgesiNgisi, lo chwepheshe ubizwa nangokuthi 'uDokotela Wezamathambo' noma 'uDokotela Wezamathambo'.
Zigxila kakhulu ezinkingeni ezenzeka 'ku-Musculoskeletal System' yomzimba wethu, okungukuthi, ohlelweni lwamathambo nemisipha. Ake sibone ukuthi yini ehambisana nalolu hlelo.
- Amathambo: Uhlaka lwamathambo olunikeza imizimba yethu ukuma namandla.
- Amalunga: Izindawo lapho amathambo exhumana khona (isib. idolo, indololwane).
- I-cartilage: Isembozo esibushelelezi nesivikelayo esivimbela amathambo ukuthi angagudlani emalungeni.
- Ama-Ligaments: Izicubu eziqinile ezixhumanisa amathambo futhi ziqinise amalunga.
- Imisipha: Izicubu ezisiza umzimba ukuthi ushukume.
- Ama-Tendon: Izicubu eziqinile ezixhumanisa imisipha namathambo.
- Imizwa: Uhlelo oluthwala izimpawu ezivela ebuchosheni kuwo wonke umzimba. Ngezinye izikhathi, imizwa ingacindezelwa ngenxa yezinkinga ngamathambo noma amalunga.
Umsebenzi oyinhloko walaba odokotela abangochwepheshe ukuxazulula noma yibuphi ubuhlungu, ukuphazamiseka, noma isimo esenzeka noma kuphi kulesi simiso futhi kukusize uqalise kabusha imisebenzi yakho yansuku zonke ngaphandle kobuhlungu.
Yiziphi izimo zezokwelapha ezivamile eziphathwa yilaba odokotela?
Uhlu lwezifo eziphathwa odokotela abahlinza amathambo lubanzi kakhulu. Zisukela ezinkingeni zokuzalwa nazo, ekulimaleni okubangelwa izingozi, ezimweni ezithuthuka njengoba sikhula. Ake sibheke ezinye zezifo ezibaluleke kakhulu.
| Ukugula/inkinga | Incazelo elula |
|---|---|
| Isifo samathambo | Ukuvuvukala nobuhlungu bamalunga. I-osteoarthritis, isimo esibangelwa ukuguguleka kwamalunga, sivamile, ikakhulukazi njengoba sikhula. |
| Ukuphuka Kwamathambo | Ithambo eliphukile noma eliphukile ngenxa yokuwa, ingozi, njll. Siphinde sikubize ngokuthi 'ukuphuka'. |
| Ukulimala Kwezemidlalo | Ukudabuka kwemisipha (isib. ukudabuka kwe-ACL), ukukhubeka kwemisipha, ukuklwebheka, njll. okwenzeka ngesikhathi semidlalo. |
| Ubuhlungu emhlane nasentanyeni | Ubuhlungu obubangelwa yizimbangela ezahlukahlukene, njengokuma okungalungile kanye nokuwa kwediski. |
| Amaphutha Okuzalwa Nawo | Izinkinga zamathambo eziba khona lapho kuzalwa, njenge-clubfoot kanye ne-hip dysplasia. |
| Izimila zamathambo nezicubu ezithambile | Izimila ezinomdlavuza noma ezingezona umdlavuza ezikhula emathanjeni noma ezicutshini ezithambile njengemisipha nemisipha. |
| I-Scoliosis | Ukugoba komgogodla eceleni. |
| I-Tendinitis | Ukuvuvukala nobuhlungu emisipha. |
Ingabe uDokotela Wezifo Zamalunga kanye noDokotela Wezifo Zamalunga bayinto efanayo? Uyini umehluko?
Lokhu kuyinto abantu abaningi abadideka ngayo. 'Udokotela Wezinhlungu Zekhanda' kanye 'Nodokotela Wezinhlungu Zekhanda' bangabantu ababili abahlukene. Nakuba bobabili belapha izifo ezihlobene namathambo, amalunga, kanye nemisipha, indlela ababheka ngayo inkinga kanye nezindlela zokwelapha zihlukile.
Kalula nje, uDokotela Wezamathambo uyahlinza, kodwa udokotela Wezamathambo akenzi kanjalo.
Ake siwuqonde kahle lo mehluko.
| Ukuqhathanisa | Udokotela Ohlinzayo Wamathambo | Udokotela Wezifo Zamalunga |
|---|---|---|
| Ukuhlinzwa | Yebo , kokubili ukwelashwa kokuhlinzwa kanye nokungahlinzwa kwenziwa. | Cha , imithi kanye nezinye izindlela zokwelapha ezingadingi ukuhlinzwa ziyanikezwa. |
| Ukugxila okuyinhloko | Izinkinga zemishini ezifana nokulimala, izingozi, ukukhubazeka kokuzalwa, kanye nezinkinga zamalunga. | Izifo zesistimu yizifo ezithinta umzimba wonke ngenxa yezinkinga ngesistimu yomzimba. |
| Izibonelo | Ukuphuka kwamathambo, i-osteoarthritis, ukulimala kwezemidlalo, izinkinga zomhlane. | Isifo samathambo esibizwa nge-Rheumatoid Arthritis, i-Lupus, i-Vasculitis. |
Kodwa lezi zinhlobo ezimbili zochwepheshe zivame ukusebenza ndawonye. Isibonelo, uma une-rheumatoid arthritis, udokotela wamathambo uzokunikeza imithi yokulawula isimo sakho. Kodwa uma idolo lakho seligugile kakhulu ngenxa yalesi sifo, ungathunyelwa kudokotela ohlinza amathambo ukuze ahlinzwe esikhundleni samalunga.
Ingabe kukhona okunye okukhethekile ezifweni zamathambo?
Yebo. Impela. Njengeminye imikhakha yezokwelapha, kunezifundo ezijulile ezigxile ezifweni zamathambo namalunga. Ngaphezu kochwepheshe we-orthopedic ojwayelekile, abanye odokotela bathola ukuqeqeshwa okwengeziwe endaweni ethile .
- Ukuhlinzwa kwezinyawo neqakala: Kugxile ezinkingeni eziyinkimbinkimbi ezenzeka ezinyaweni zethu.
- Ukuhlinzwa kwesandla nesinqe esingenhla: Izinkinga ezihlobene nesandla, isihlakala, indololwane, kanye nehlombe.
- Ukufakwa kwamalunga: Ochwepheshe ekufakweni kwamalunga agugile njengomlenze nedolo ngokuhlinzwa.
- Ukuhlinzwa kwamathambo ezingane: Ukwelashwa kwezinkinga ngohlelo lwamathambo lwezingane ezincane nezingane ezisakhula.
- Ukuhlinzwa komgogodla: Ochwepheshe abelapha izimo eziyinkimbinkimbi zomhlane nentamo.
- Umuthi wezemidlalo: Ubuchwepheshe ekuvimbeleni nasekwelapheni ukulimala kwabadlali.
- I-Orthopedic Oncology: Ukwelashwa kwezimila ezinomdlavuza ezenzeka emathanjeni nasezicutshini ezithambile.
- Ukulimala kwamathambo: Ukwelashwa kokuphuka okuyinkimbinkimbi kanye nokulimala okubangelwa izingozi ezinkulu.
Kufanele ubonane nini nochwepheshe wamathambo namalunga?
Uma uqhubeka nokuba nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kubaluleke kakhulu ukubona udokotela ojwayelekile futhi, uma kudingeka, udluliselwe kuchwepheshe wamathambo namalunga.
| Isibonakaliso | Lokhu kungasho ukuthini |
|---|---|
| Umsindo wokubhonga noma wokugaya lapho kushukunyiswa ilunga | Kungase kube nokuguguleka nokudabuka kwe-cartilage esibayeni noma inkinga nge-ligament. |
| Ubuhlungu, ukuvuvukala, kanye nokubomvu emalungeni | Kungaba uphawu lwesifo sokuvuvukala njenge-arthritis. |
| Ukuba ndikindiki noma ukuqaqamba emilenzeni | Lokhu kungenzeka ngenxa yokucindezelwa kwemizwa yi-disc yethambo noma i-cartilage. |
| Ubunzima bokuhamba ngenxa yobuhlungu | Izinto ezinjengokungakwazi ukuphakamisa amahlombe noma ukugoba amadolo zibonisa ukukhubazeka. |
| Ukuqina kwamalunga ekuseni | Uma unenkinga yokugoba nokwelula amalunga akho isikhashana ngemva kokuvuka, kungaba uphawu lwe-arthritis. |
Kwenzekani ngosuku lokuqala oya ngalo ukuyobona udokotela?
Kuvamile ukuzizwa ukhathazekile kancane uma uya kudokotela ochwepheshe. Kodwa ukwazi ukuthi yini ongayilindela kusengaphambili kungasiza ekunciphiseni lokho kwesaba. Nazi ezinye zezinto ezivame ukwenzeka ngesikhathi sokuqokwa kwakho kokuqala.
1. Ukukhuluma ngezimpawu zakho: Udokotela uzokubuza imibuzo eminingi, okuhlanganisa ukuthi ubuhlungu bakho bunjani, ukuthi usunesikhathi esingakanani ubuzwa, ukuthi buba bubi kangakanani, ukuthi yimiphi eminye imithi oyiphuzayo, umsebenzi wakho, kanye nendlela yakho yokuphila.
2. Ukuhlolwa komzimba: Ilungu noma ingxenye yomzimba ebuhlungu iyahlolwa. Ingagotshwa, yelulwe, futhi ihanjiswe ngezindlela ezahlukene.
3. Uphenyo: Ungase ucelwe ukuba wenze into efana ne-X-ray ukuze uqonde inkinga eqondile. Ngezinye izikhathi, uma kudingeka imininingwane eyengeziwe, kunganconywa ne-CT scan noma i-MRI scan.
4. Ukuxilongwa Nokwelashwa: Esikhathini esiningi, ngokusekelwe kulolu lwazi, udokotela uzochaza isimo sakho futhi achaze uhlelo lokwelashwa olukufanele. Kodwa-ke, ngezinye izikhathi ukuxilongwa okuqondile kungenziwa kuphela ngemva kokuthola imiphumela yokuhlolwa, njenge-MRI.
Uma ngiya kudokotela wamathambo, ingabe kufanele ngihlinzwe ngempela?
Lokhu ukwesaba okukhulu abantu abaningi abanakho. Kodwa impendulo ithi 'cha' . Udokotela ohlinza amathambo akayena nje umuntu owenza ukuhlinzwa. Bangochwepheshe futhi ekwelashweni okungekona ukuhlinzwa.
Khumbula, ukubona udokotela ohlinza amathambo akusho njalo ukuhlinzwa. Ezimweni eziningi, ukwelashwa okungekona ukuhlinzwa kunganikeza impumuzo ephumelelayo.
Ngokuvamile, ngaphandle kwalapho kunokulimala okukhulu noma ukukhubazeka okuthile kokuzalwa, odokotela bazohlala bezama ukwelashwa okungeyona eyokuhlinzwa kuqala. Ukuhlinzwa kuzocatshangelwa kuphela uma lokho kwelashwa kwehluleka ukuveza imiphumela ephumelelayo.
Ngakho-ke, ziyini izindlela zokwelapha ngaphandle kokuhlinzwa?
- Ukugqoka imishini ekhethekile: Izinto ezifana nama-braces, ama-sling, i-plaster of Paris (casts) noma ama-splint asiza isitho ukuthi sihlale singanyakazi futhi siphole.
- Imijovo Yamalunga: Ukujova imithi ye-steroid, njenge-cortisone, emalungeni ukuze kuncishiswe ubuhlungu nokuvuvukala.
- Imithi: Iziqeda-buhlungu (isib. i-paracetamol, i-ibuprofen), iziphumuli zemisipha, njll.
- Ukwelashwa Komzimba: Ukuzivocavoca okukhethekile ukuqinisa imisipha, ukwandisa ububanzi bokunyakaza emalungeni, nokunciphisa ubuhlungu.
- Ukwelashwa Komsebenzi: Ukuqeqeshwa kokuthi ungawenza kanjani kalula imisebenzi yansuku zonke (njengokugqoka izingubo, ukupheka) naphezu kobuhlungu.
- Ukwelashwa kwe-PRP (Ukwelashwa kwe-plasma okucebile ngama-platelet): Indlela yokwelapha yesimanje esebenzisa ama-platelet egazini lesiguli uqobo ukuze kusheshiswe ukuphulukiswa kwezicubu ezonakele.
- Ama-Orthotics: Ama-insert aklanywe ngokukhethekile afakwa ngaphakathi kwezicathulo ukuze kulungiswe indawo yonyawo futhi kuncishiswe ingcindezi onyaweni ngenkathi uhamba.
Hlobo luni lokuhlinzwa olwenziwa yilaba odokotela?
Uma kudingeka ukuhlinzwa, kunezinhlobo ezahlukene zokuhlinzwa ezingalungiswa ngokwesimo sakho.
Ukuhlinzwa Kokufakelwa Kwamalunga
- Ukufakwa esikhundleni okuphelele kwesinqe
- Ukufakwa esikhundleni kwedolo okuphelele nokungaphelele
- Ukufakwa esikhundleni kwamahlombe okuphelele
Ukuhlinzwa kwezandla nezitho zangaphezulu
- Ukuhlinzwa kwe-carpal tunnel syndrome (ukukhululwa komhubhe we-Carpal)
- Ukulungiswa kokudabuka kwe-Rotator cuff (ukuhlinzwa kwe-Rotator cuff)
- Ukuhlinzwa komunwe okubangela ukuqhuma
Ukuhlinzwa komgogodla
- Ukuhlinzwa ukuze kuncishiswe ukucindezelwa kwemizwa (ukususwa kokucindezeleka komgogodla, i-Laminectomy)
- Ukuhlanganiswa komgogodla
Ukuhlinzwa kokulimala kwezemidlalo
- Ukuhlinzwa kwe-Meniscus
- Ukulungiswa kwe-Anterior cruciate ligament (ACL)
Umlayezo Wokuya Nawe Ekhaya
- Udokotela Ohlinza Amathambo unguchwepheshe oqeqeshwe kakhulu ophatha izinkinga ezihlobene namathambo ethu, amalunga kanye nemisipha.
- Ukuya kubo akusho ngaso sonke isikhathi ukuthi kufanele uhlinzwe. Kunezindlela eziningi zokwelapha ezingadingi ukuhlinzwa ezitholakalayo, njengokwelashwa ngokomzimba, imithi, kanye nemijovo.
- Uma unezinhlungu zamalunga isikhathi eside, ukuvuvukala, ukuqina, noma ubunzima bokunyakaza, ungalibali ukufuna iseluleko sezokwelapha.
- Ukukhuluma ngokukhululekile nodokotela wakho ngezimpawu zakho, indlela ophila ngayo, kanye nokulindela kwakho kubalulekile ukuze kutholakale uhlelo lokwelashwa olufanele.
- Ngokwelashwa okufanele, nawe ungaphila impilo engenabuhlungu nesebenzayo.
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