Wake wezwa ngokuhlinzwa lapho ingxenye yomlenze womuntu isuswa khona bese ingxenye engezansi esele ijikeleziswa ngama-degree angu-180 bese ixhunywa kabusha? Kungase kuzwakale kungavamile. Kodwa lena inqubo yezokwelapha ebaluleke kakhulu elwa nezimo ezibucayi, ikakhulukazi umdlavuza wamathambo emlenzeni, futhi iletha ithemba elisha empilweni yezingane ezincane, ikakhulukazi. Namuhla, sizokhuluma ngalokhu kuhlinzwa okukhethekile okubizwa ngokuthi i-Rotationplasty.
Kalula nje, iyini i-Rotationplasty?
I-Rotationplasty iwukuhlinzwa okukhethekile okwenziwa ukuze kusindiswe umlenze womuntu (inqubo yokusindisa izitho). Cabanga ukuthi umuntu unesifo esifana nomdlavuza edolweni nasezindaweni ezizungezile. Ngokuvamile, wonke umlenze uyanqunywa ngaphezu kwedolo. Kodwa ku-Rotationplasty, kwenziwa into ehlukile.
Udokotela ohlinzayo uqala ngokususa ingxenye yomlenze enesifo (ngokuvamile ithanga elingezansi, idolo, kanye nomlenze ongaphezulu). Bese kuthi umlenze ongezansi osele, okuyiqakala lakho , unyawo, kanye neqakala , uthathwe bese ujikeleziswa ngama-degree angu-180. Bese unamathiselwa kabusha ethangeni elingaphezulu elisele.
Manje ungase uzibuze, "Kungani ufulathela lokhu?"
Cabanga ngakho. Idolo lakho ligoba phambili. Kodwa iqakala lakho ligoba emuva. Ngemva kwalokhu kuhlinzwa, iqakala lakho lisebenza njengedolo lakho elisha. Okusho ukuthi, uma ulibuyisela emuva, iqakala lakho lingagoba phambili njengedolo. Uma umlenze wakho usuqinile ngale ndlela, unganamathisela umlenze wokufakelwa kuwo. Ngemuva kwalokho, "idolo elisha" elenziwe ngeqakala lakho kanye nomlenze wokufakelwa kuzosebenzisana, okukuvumela ukuthi uhambe, ugijime, futhi ugxume ngendlela evamile.
Ngokumangalisayo, uma ugqoka ibhulukwe, ungase ungawuboni ngisho nomehluko phakathi kwemilenze yakho. Uma uhlala phansi noma usukuma, womabili “amadolo” agobile ahambisana.
Ubani owenza lo msebenzi wokuhlinzwa?
Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Lokhu ukuhlinzwa okungavamile kakhulu. Lokhu kuhlinzwa kucatshangelwa kakhulu ezimweni ezilandelayo:
- Umdlavuza Wamathambo: Lesi yisona sizathu esiyinhloko. Uma umdlavuza wamathambo njenge-'Osteosarcoma' kanye ne-'Ewing sarcoma', ezivame kakhulu ezinganeni nakubantu abasha, kwenzeka eduze kwedolo, le ndlela isetshenziswa ukususa ngokuphelele amangqamuzana omdlavuza. Njengoba amathambo ezingane esakhula , imilenze yazo ikhula nemizimba yazo ngemva kokuhlinzwa. Ngakho-ke, kulula kakhulu ngabo ukujwayela lokhu.
- Ukukhubazeka Kwasekuzalweni: Ezinye izingane zingase zizalwe zinesimo lapho i-femur (ithambo lethanga) ingakhuli kahle (Congenital Femoral Deficiency - CFD). Ezimweni ezinjalo, i-Rotationplasty nayo iyacatshangelwa.
- Ezinye izizathu:Akuvamile ukuthi lokhu kuhlinzwa kwenziwe nasekulimaleni okukhulu noma ezifweni ezingelapheki.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lesi kuyisinqumo esikhulu, kunezinto eziningi okufanele uzicabangele ngaphambi kokuhlinzwa.
1. Yiba nolwazi oluphelele: Wena nomndeni wakho kufanele niqonde ngokucacile ukuthi umlenze wakho uzobukeka kanjani ngemva kokuhlinzwa, isikhathi sokuphulukiswa, kanye nokwelashwa ngokomzimba. Udokotela wakho uzokuchazela lokhu kahle, futhi uma kudingeka, akubonise ngisho nezithombe noma amavidiyo abantu abaye bahlinzwa. Kubaluleke kakhulu ukuzilungiselela lokhu ngokwengqondo.
2. Ukuhlolwa komzimba: Udokotela uzohlola ukuthi ukunyakaza kwakho kuhamba kahle yini esinqeni nasemaqakaleni. Uzohlola nokuthi inzwa eyinhloko eya emlenzeni wakho, inzwa ye-sciatic, isebenza kahle yini. Le nzwa ibalulekile ukuze ukuhlinzwa kuphumelele.
3. Ukuhlolwa kwezithombe: Ngaphambi kokuhlinzwa, ithimba lokuhlinzwa lenza ukuhlolwa okufana ne-X-ray, i-MRI, noma i-CT scan ukuze kuhlolwe kahle isimo sangaphakathi lomlenze nokuthi umdlavuza usakazeke kanjani.
4. Ukulungiselela i-prosthesis: Ngezinye izikhathi, unyawo lwakho luzolinganiswa ngaphambi kokuhlinzwa bese kwenziwa i-prosthesis yesikhashana (i-prosthesis) engasetshenziswa ngokushesha ngemva kokuhlinzwa.
Umehluko phakathi kokuhlinzwa kwe-Rotationplasty nezinye izinketho
Kunezinketho ezimbili eziyinhloko umuntu angazikhetha esikhundleni se-Rotationplasty:
- Ukunqunywa komlenze ngaphezu kwedolo kanye nokusebenzisa isitho sokwenziwa esifanele.
- Ukususa ingxenye yomdlavuza bese uyifaka esikhundleni sayo ngezingxenye zensimbi noma ithambo elifakwe komunye umuntu.
Ake sibheke izinzuzo kanye nokungalungi kokuhlinzwa kwe-Rotationplasty uma kuqhathaniswa nalezi zindlela ezimbili kuleli thebula.
| Isici | Izinzuzo ze-Rotationplasty | Izinkinga kanye nezingozi |
|---|---|---|
| Ukusebenza kahle | Ngenxa yokuthi amaqakala abo asebenza njengamadolo, ukunyakaza nokulawula kuphakeme kakhulu. Bangagijima, bagxume, baze badlale nemidlalo. | Ukuqeqeshwa kuyadingeka ukuze ubuchopho kanye nemizwa kujwayele "idolo elisha." |
| Ukuqina | Ngenxa yokuthi isebenzisa izicubu zakho, imizwa, kanye nemithambo yegazi, ihlala isikhathi eside futhi cishe ayidingi ukuhlinzwa okwengeziwe. | Kukhona ingozi yokubambezeleka kokuhlangana ngesikhathi sokwelashwa. |
| Ukubukeka | Nakuba kungekho mehluko obonakalayo lapho ugqoka ibhulukwe, lokhu kuyinto eyenziwe ukuze kwandiswe ukusebenza. | Lokhu kuyiphutha elikhulu. Umlenze uphendukele emuva, ngakho ukubukeka kuhlukile. Kuthatha isikhathi ukuwamukela ngengqondo. |
| Izinkinga | Izinkinga ezinjengokungathi "ubuhlungu bemilenze obungajwayelekile" (ukuzizwa sengathi umlenze ongekho ubuhlungu) ezenzeka lapho umlenze unqunywa ziyagwenywa. | Ukuhlinzwa kuyinkimbinkimbi kakhulu. Kunezingozi ze-ischemia, ukulimala kwemizwa, kanye nokutheleleka. |
Sinjani isikhathi sokululama?
Lokhu ukuhlinzwa okukhulu, ngakho-ke kuzothatha isikhathi ukuphulukiswa.
- Kungathatha cishe izinyanga ezintathu kuya kweziyisithupha ukuthi amathambo amabili aphulukiswe ngokuphelele. Uma uthola ukwelashwa komdlavuza njenge-chemotherapy, kuzothatha isikhathi eside ukuphulukiswa.
- Phakathi nalesi sikhathi, kuzodingeka usebenzise isihlalo sabakhubazekile noma izinduku zokusibekela.
- Uma isibazi sesipholile futhi ukuvuvukala sekuphelile, i-prosthesis ingagqokwa.
- Ukwelashwa ngokomzimba kuyingxenye ebaluleke kakhulu yalolu hambo. Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise futhi ugobe inqulu yakho kanye "nedolo elisha" (iqakala). Yilapho ubuchopho bakho bujwayela khona lo mnyakazo omusha.
Izingane zijwayela lokhu ngokushesha kakhulu kunabantu abadala. Kodwa zingakapheli izinyanga ezingu-6-12, iningi lazo liqala ukuhamba ngaphandle kokusekelwa. Zifinyelela eqophelweni lapho zingakwazi khona ukuhlanganyela kunoma yimuphi umsebenzi, ngisho nemidlalo, abayithandayo.
Ukwenza isinqumo esifana neRotationplasty kungaba yinto enzima kakhulu futhi enesizungu. Ngoba umuntu omaziyo wayengase adlule entweni efana nale futhi ayilahle. Kodwa namuhla, ngezokuxhumana, unethuba lokuthola abantu abaye bahlinzwa, uzwe izindaba zabo, ubone ukuthi badlala kanjani ezemidlalo, futhi baphile impilo evamile. Ukubona izinto ezinjalo kungaba amandla amakhulu ekwenzeni lesi sinqumo.
Umlayezo Wokuya Nawe Ekhaya
- I-Rotationplasty iyindlela yokuhlinzwa engavamile kodwa ephumelelayo yokusindisa umlenze. Kuyindlela enhle, ikakhulukazi yomdlavuza wamathambo ezinganeni.
- Lokhu kuguqula iqakala lesiguli libe yidolo elisebenzayo, okunikeza ukuhamba nokusebenza okukhulu.
- Into eyinhloko okufanele uyicabangele ukushintsha kokubukeka komlenze ngemva kokuhlinzwa, kodwa izinzuzo zokusebenza ziphezulu kakhulu.
- Lesi yisinqumo somuntu siqu nesinzima kakhulu, ngakho-ke kubalulekile ukuba nengxoxo ejulile nodokotela wakho ngazo zonke izinzuzo, izinkinga kanye nezingozi ngaphambi kokunquma ukuhlinzwa.
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