Sicabanga kangakanani ngempela ngezinyawo zethu, ezithwala isisindo somzimba wethu wonke futhi zisithwale yonke indawo? Ngezinye izikhathi uma sizwa ubuhlungu obuncane ezinyaweni zethu, simane sikubhale ngokuthi "kungenzeka ukuthi sihambe kancane." Noma sicabanga ukuthi kukhona okungahambi kahle ngezimbadada zethu. Kodwa ezinye zezinkinga ezivela ezinyaweni nasemaqakaleni akho zingase zingabi lula ukuzishaya indiva. Ngakho-ke namuhla sikhuluma ngodokotela ongakusiza nganoma iyiphi inkinga ehlobene nezinyawo nasemaqakaleni akho, futhi onolwazi olukhethekile kuleyo ndawo.
Ubani onguchwepheshe wezinyawo namaqakala (uDokotela Wezinyawo)?
Kalula nje, udokotela wezinyawo udokotela oqeqeshwe ngokukhethekile ukunakekela impilo yezinyawo zakho, amaqakala, kanye nemilenze engezansi. Njengoba nje kukhona odokotela benhliziyo nodokotela besikhumba, laba bantu bangochwepheshe ezinyaweni zethu. Bangakwazi ukuxilonga nokwelapha noma yiziphi izinkinga ongase ube nazo ezinyaweni zakho. Abanye abantu babiza laba odokotela ngokuthi ‘odokotela bezinyawo’ noma ‘odokotela bezinyawo’. Lokhu kusho ukuthi bangenza nokuhlinzwa kwezinyawo uma kudingeka.
Uma unenkinga ngezinyawo zakho, udokotela wakho womndeni (VOGP) angase akwazi ukukudlulisela kuchwepheshe onjengalona. Noma ungaya kobona omunye ngokwakho. Basebenza ezibhedlela, emitholampilo, noma ezikhungweni zabo zezokwelapha ezizimele.
Okubaluleke kakhulu, laba bantu ababona nje abantu abazi ngezinyawo. Bangodokotela abafaneleke ngokugcwele abaneziqu zobuDokotela bePodiatric Medicine (DPM). Ngakho-ke ungabathemba ngempilo yezinyawo zakho.
Yini ngempela eyenziwa yilochwepheshe?
Ake sithi unesifo esingapheli esithendeni sakho. Uma uya kudokotela onjalo, uzoqala akhulume nawe akubuze ngezimpawu zakho.
- "Kusukela nini ukukhwehlela?"
- "Ingabe kusesekuseni kakhulu ukuvuka ekuseni?"
- "Ugqoke izicathulo ezinjani?"
- "Umsebenzi wakho uyini? Uhlala isikhathi eside?"
- "Udlala imidlalo?"
Ngokubuza imibuzo eminingi efana nale, uzoyiqonda indlela yakho yokuphila. Ngemuva kwalokho, uzohlola izinyawo zakho ngokucophelela. Bazobheka indlela oma ngayo ngisho nendlela ohamba ngayo (lokhu kubizwa nangokuthi 'ukuhlolwa kokuhamba'). Ngoba ngezinye izikhathi ngisho nezinguquko ezincane endleleni esihamba ngayo zingabangela ubuhlungu bezinyawo.
Ake sibone ukuthi yimiphi imisebenzi eyinhloko abayenzayo kuthebula elingezansi.
| Umsebenzi owenziwayo | Incazelo elula |
|---|---|
| Ukuxilonga isifo | Sizothola ukuthi yiziphi izimo onazo ezinyaweni nasemaqakaleni akho. |
| Ukuhlolwa koku-oda | Uma kudingeka, ukuhlolwa okufana nokuhlolwa kwegazi, ama-X-ray, kanye nama-scan kuzothunyelwa kubo. |
| Ukunikeza imithi | Kunconywa imithi yokubulala izinhlungu kanye nemithi yokulwa nokutheleleka. |
| Ukuhlinzwa | Ukuhlinzwa kwenziwa uma kudingeka ezintweni ezifana nezinzipho zezinyawo ezikhule ngaphakathi, izinzwane ezikhumukile, kanye namathambo aphukile. |
| Uku-oda imishini ekhethekile | Kunconywa ama-orthotics, ama-braces eqakaleni, kanye ne-plaster ye-Paris casts. |
| Ukusikisela amadivayisi okusiza | Labo abanenkinga yokuhamba bayelulekwa ukuba basebenzise amadivayisi anjengezinduku noma izinqola zokuhamba. |
Yiziphi izimo ezivamile eziphathwa yilaba ochwepheshe?
Udokotela wezinyawo angelapha izifo eziningi ezithinta izinyawo zakho. Ake sibheke ezinye zazo.
Izinkinga ezivamile zezinyawo
- Izinzipho Zezinzwane Ezikhule Ngaphakathi: Uzipho olukhula luye esikhumbeni, lubangele ubuhlungu, ukuvuvukala, kanye nokutheleleka.
- Ukukhubazeka kwezinzwane: Izinzwane ezigobekayo, izinzwane ezishayayo.
- Ama-Bunion: Ithambo eliphuma phansi kozwane olukhulu okwakha iqhubu.
- Ama-Plantar Warts: Ama-warts abuhlungu avela ezinyaweni .
- I-Arthritis Yezinyawo Neqakala: Ubuhlungu nokuqina kwamalunga.
- Izifo zesikhumba nezinzipho zezinyawo: izinto ezifana nokutheleleka ngefungus, isikhumba esomile, izithende eziqhekekile.
- Ukuvuvukala kwemilenze engezansi: Ukuvuvukala kwemilenze engezansi nezinyawo.
Ukulimala ezinyaweni nasemaqakaleni
- Ukulimala Kwezemidlalo: Ukulimala okwenzeka ngesikhathi udlala ukugijima nokugxuma ezemidlalo.
- Ukuqhekeka kweqakala: Ukudabuka kwemisipha yeqakala.
- I-Plantar Fasciitis: Isimo esibuhlungu esibangelwa ukuvuvukala kwezicubu ezingaphansi kwesithende. Abantu abaningi bazwa ubuhlungu obenza kube nzima ukubeka izithende zabo phansi lapho bevuka ekuseni.
- Ukuqhekeka kwe-Achilles Tendon: Ukuqhekeka kwe-tendon phezulu kwesithende.
Ukuphuka kwamathambo
Laba odokotela bangelapha nanoma yikuphi ukwaphuka okwenzeka onyaweni noma eqakaleni.
Isifo sikashukela kanye nempilo yezinyawo: Indima yalochwepheshe
Uma unesifo sikashukela (`i-Diabetes Mellitus`), uchwepheshe onjengalona angaba ngumuntu obaluleke kakhulu empilweni yakho, ngoba isifo sikashukela sithinta ngqo izinyawo zethu.
Cabanga ngomakhelwane wethu, u-Aunty Soma. Ube nesifo sikashukela iminyaka eminingi. Uvame ukukhononda ngokuthi imilenze yakhe izizwa ingasasebenzi. Ngezinye izikhathi, ngisho nokusikeka okuncane kuthatha isikhathi eside ukuphola. Lokhu kungenxa yokuthi isifo sikashukela sinciphisa ukunikezwa kwegazi emilenzeni futhi silimaze imizwa (`Diabetic Neuropathy`). Lapho imizwa yonakele, umuzwa emilenzeni uyancipha. Ngemuva kwalokho, ngisho nenxeba elincane noma ukugwazwa awuzwakali. Ngenxa yokuthi ukunikezwa kwegazi kuncane, amanxeba awapholi ngokushesha. La manxeba angavuvukala futhi atheleleke kakhulu, ngezinye izikhathi kuze kube yilapho iminwe ngisho nemilenze kufanele inqunywe.
Ngakho-ke, uma unesifo sikashukela, kubalulekile ukubona udokotela wezinyawo okungenani kanye ngonyaka ukuze kuhlolwe izinyawo zakho.
Uma kufika isiguli esinesifo sikashukela, lo dokotela wenza okulandelayo:
- Babuza ukuthi uwalawula kanjani amazinga kashukela egazini lakho nokuthi yiziphi izimpawu onazo.
- Izinyawo zakho, izinzwane, kanye nemilenze kuzohlolwa ngokucophelela. Bazobheka noma yiziphi izinguquko embala wesikhumba, ukuvuvukala, noma amanxeba.
- Kusetshenziswa imishini ekhethekile ukuhlola ukuthi unemizwa yini ezinyaweni zakho. Lokhu kungabona izinto ezifana nokuqaqamba kanye nokungazweli.
- Uma unesilonda noma i-blister ebangelwa isifo sikashukela, hlola ukuthi ayinaso yini isifo (ukushintsha kombala, ukuvuvukala, ukufudumala, ubomvu).
- Ungathunyelwa futhi ukuze uyohlolwa, njenge-X-ray, ukuze kubonakale ukuthi inxeba lijulile yini.
Kufanele ubonane nini nochwepheshe onjengalona?
Uma unezinye zezimpawu ezilandelayo onyaweni noma eqakaleni lakho, kungcono ukubona udokotela ojwayelekile futhi, uma kudingeka, udluliselwe kuchwepheshe onjengalona.
- Ubuhlungu: Ubuhlungu obuhlala njalo obuvela lapho uhamba noma umi.
- Ukushintsha kombala: Isikhumba siba bomvu, sibe luhlaza okwesibhakabhaka, noma sibe mhlophe.
- Ukuvuvukala: Ukuvuvukala okungavamile emlenzeni owodwa noma yomibili.
- Ukuzizwa ushisa: Uma uzwa ukushisa okungavamile endaweni ethile onyaweni lwakho (lokhu kungaba uphawu lokutheleleka).
- Amaqhubu noma izimila ezintsha: Uma kuvela iqhubu noma isimila esisha esikhumbeni noma ngaphansi kwaso.
- Amanxeba angapholi: Ikakhulukazi uma unesifo sikashukela, uma unenxeba elincane elingapholi.
Kubaluleke kakhulu: Ngisho noma unenkinga encane yonyawo, ungamane nje uyothola ukwelashwa ngokusekelwe emicabangweni yakho noma kulokho okufundayo ku-inthanethi. Ngezinye izikhathi, into encane oyenzayo ingenza inkinga ibe yimbi kakhulu. Ngakho-ke, hlala uthintana nodokotela wakho kuqala bese ucela iseluleko.
Uyini umehluko phakathi kochwepheshe bezinyawo (udokotela wezinyawo) nodokotela wamathambo?
Lena inkinga abantu abaningi abanayo. Nakuba bobabili belapha izinkinga ezihlobene nokuhamba kwemizimba yethu, izindawo zabo zobuchwepheshe zihlukile.
| Udokotela wezinyawo (uchwepheshe wezinyawo namaqakala) | Udokotela wamathambo (udokotela ohlinza amathambo) |
|---|---|
| Ukugxila kakhulu ezindabeni ezihlobene nezinyawo, amaqakala kanye nemilenze engezansi . | Sigxila ezindabeni ezihlobene namathambo, imisipha, kanye namalunga (uhlelo lwemisipha) lomzimba wethu wonke (isib., izinqe, amadolo, umgogodla, amahlombe). |
| Ngaphezu kokuhlinzwa, kukhona ubuchwepheshe ekwelashweni okungekona ukuhlinzwa (isib. ama-orthotics, imithi). | Ngokuyinhloko odokotela abahlinzayo, kodwa futhi benza ukwelashwa okungeyona eyokuhlinzwa. |
| Selapha izimo ezifana nemiphumela yesifo sikashukela ezinyaweni, izinkinga zezinzipho, kanye nezinhlungu zezitshalo. | Ngokuvamile abazithathi izinto ezinje. Bagxila kakhulu ezinkingeni ezinkulu zamalunga kanye nokuqhekeka okukhulu kwamalunga. |
Kalula nje, uma inkinga yakho ingaphansi kwedolo, ikakhulukazi onyaweni nasemaqakaleni, udokotela wezinyawo uyisinqumo esingcono kakhulu. Kodwa-ke, ngezinye izikhathi bobabili odokotela bangase baniphathe ndawonye.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezinyawo ungudokotela onelayisensi ogxile empilweni yezinyawo zakho, amaqakala kanye nemilenze engezansi.
- Uma unobuhlungu obungapheli, ukuvuvukala, ukushintsha kombala, noma isilonda esingapholi onyaweni noma eqakaleni lakho, ungasinaki. Funa iseluleko sezokwelapha ngokushesha.
- Uma unesifo sikashukela, kubaluleke kakhulu ukuthi izinyawo zakho zihlolwe udokotela wezinyawo okungenani kanye ngonyaka, noma ngabe awunazo izimpawu.
- Ungayi kokwelashwa kwezinyawo ngokusekelwe emizweni yakho noma kulokho okushiwo abanye. Njalo bona udokotela ofanelekayo.
- Ukunakekela izinyawo zethu, ezithwala isisindo somzimba wethu wonke, kubaluleke kakhulu empilweni yethu iyonke.
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