Ingabe nawe uhlushwa ubuhlungu obungapheli behlombe? Mhlawumbe unenkinga yokuphakamisa ingalo yakho. Mhlawumbe awukwazi ngisho nokuphendukela eceleni uma ulele ebusuku. Kungenzeka ukuthi uphuze umuthi walokhu, wafaka amafutha ahlukahlukene, futhi wenziwa i-physiotherapy. Kodwa uma ubuhlungu busafana, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa okubizwa ngokuthi "i-Shoulder Arthroscopy". Ungesabi uma uzwa leli gama. Kalula nje, lokhu "ukuhlinzwa kwe-keyhole". Namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kuyini i-Shoulder Arthroscopy?
Kalula nje, i-Shoulder Arthroscopy iwukuhlinzwa okuncane okusetshenziselwa ukuxilonga nokwelapha izinkinga ngaphakathi kwehlombe. Akufani nokuhlinzwa okuvamile okuvulekile. Akukho ukusikeka okukhulu. Esikhundleni salokho, kwenziwa imicu eminingana emincane efana nembobo yenkinobho esikhumbeni sehlombe lakho.
Ngemuva kwalokho, udokotela ohlinzayo ufaka ikhamera encane ngale mbobo encane. Sibiza le khamera ngokuthi i-arthroscope. Le khamera ikhombisa ngokucacile konke okungaphakathi kwehlombe esikrinini sevidiyo. Kufana nokubheka ngaphakathi. Ngokubheka ngale ndlela, udokotela angathola imbangela eqondile yobuhlungu behlombe lakho. Ngemuva kwalokho, ufaka amathuluzi amancane okuhlinza ngenye imbobo encane bese enza ukulungiswa okudingekayo.
Inzuzo enkulu yalokhu ukuthi ayibandakanyi ukusikwa okukhulu, okuholela ekwelapheni okusheshayo kanye nobuhlungu obuncane.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Ukuhlinzwa akuvamile ukwenziwa ngokushesha ngemva kokuba ubuhlungu behlombe buvele. Udokotela wakho uzoqala azame ukubona ukuthi lesi simo singelashwa yini ngaphandle kokuhlinzwa. Bangase batuse okulandelayo:
- Ukuphumula
- Ama-Painkiller
- Ukwelashwa ngokomzimba
- Imijovo yamahlombe
Kodwa-ke, uma ubuhlungu bakho bungapheli ngemva kwalokhu kwelashwa, kusho ukuthi inkinga inzima kakhulu. Yilapho udokotela ezokuncoma khona ukuhlinzwa kwe-'Shoulder Arthroscopy' ukuze abone kahle ukuthi kwenzekani ngaphakathi kwehlombe futhi ayelaphe.
Yiziphi izinkinga zamahlombe ezingelashwa ngalokhu kuhlinzwa?
I-Shoulder Arthroscopy ingelapha izifo nezifo ezahlukahlukene zamahlombe. Bheka ithebula elingezansi ukuthola uhlu lwazo.
| Ukugula/isifo | Incazelo elula |
|---|---|
| Ukudabuka kwe-Rotator cuff | Ukudabuka kwemisipha kanye nemisipha ezungeze ihlombe. Kuvamile kubasubathi kanye nanjengoba sikhula. |
| Isifo sokuphazamiseka kwamahlombe | Ubuhlungu obubangelwa ukubhajwa kwethambo noma umsipha ehlombe lapho uphakamisa ingalo. |
| Izinyembezi zeLabrum | Ukudabuka kwendandatho ye-cartilage (i-labrum) ezungeze ijoyinti lehlombe. |
| Ihlombe eliqandisiwe | Ihlombe liyaqina, liqine, kube nzima ukulinyakazisa, futhi libangele ubuhlungu obukhulu. |
| Ukungazinzi kwamahlombe | Ukuxega noma ukuhlukana njalo kwehlombe. |
| Ukulimala kwemisipha ye-Biceps | Ukulimala kwe-biceps tendon. |
| Ama-bone spurs | Ukukhula okungadingekile kwezingcezu zamathambo ezengeziwe emathanjeni amalunga. |
| I-Osteoarthritis | I-arthritis ibangelwa ukuguguleka nokuqhekeka kwe-cartilage emalungeni njengoba iminyaka ikhula. |
Kwenzekani ngaphambi kokuhlinzwa?
Uma usuhlele ukuhlinzwa kwakho, udokotela wakho kanye nesibhedlela bazokunikeza imiyalelo. Yilokhu okuvame ukwenzeka:
- Ukuvakasha kukadokotela: Udokotela uzobuza ngomlando wakho wezempilo ophelele. Uhlu oluphelele lwazo zonke izidakamizwa ozithathayo njengamanje (ngisho namavithamini).Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (isib., imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Yeka ukudla nokuphuza: Isibhedlela sizokutshela ukuthi kufanele uyeke ukudla nokuphuza amahora amangaki ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
- Ukuhlolwa okuningana: Ukuhlolwa okuningana kungenziwa ukuze kubonakale ukuthi impilo yakho yomzimba isesimweni esihle yini.
- Ukuhlolwa kwegazi
- I-X-ray yesifuba
- Ukuhlolwa kwe-ECG (i-Electrocardiogram)
Kwenzekani ngesikhathi sokuhlinzwa?
Ukuhlolwa kwe-arthroscopy ehlombe ngokuvamile kuthatha isikhathi esingaphansi kwehora ukwenza. Kuyinqubo evamile kakhulu.
1. Indawo Yokubeka Nokubulala Izinzwa: Uzobekwa etafuleni lokuhlinzwa usesimweni sesihlalo sasebhishi noma ohlangothini lwakho. Udokotela wezinzwa uzobe esekuhlinza. Ngezinye izikhathi uzolaliswa ngokuphelele (i-anesthesia ejwayelekile). Noma, kuzofakwa i-nerve block entanyeni noma ehlombe lakho ukuze kungenzeki ihlombe lakho nengalo yakho kuphela. Le ndlela ingasiza futhi ekulawuleni ubuhlungu ngemva kokuhlinzwa.
2. Ukulungiselela: Uma kukhona izinwele endaweni lapho kuzokwenziwa khona ukuhlinzwa, ziyasuswa bese zihlanzwa kahle ngesisombululo se-antiseptic. Ungabamba isandla sakho ngedivayisi ekhethekile ukuze sihlale singanyakazi.
3. Ukwanda kwamalunga: Udokotela ufaka uketshezi olufana nosawoti ehlombe. Lokhu kwandisa isikhala ngaphakathi kwehlombe, okwenza konke kubonakale ekhamera.
4. Ukufaka ikhamera: Okulandelayo, kwenziwa ukusika, ubukhulu bembobo yenkinobho, bese kufakwa ikhamera ethi `Arthroscope` ngayo.
5. Ukuhlolwa nokulungiswa: Udokotela usebenzisa izithombe ezivela kukhamera esikrinini sevidiyo ukuqinisekisa inkinga eqondile ehlombe. Ube esesika eyodwa noma ezimbili ezincane bese efaka amathuluzi okuhlinza abucayi ngazo ukuze enze ukulungiswa okudingekayo (isib. ukuthunga umsipha odabukile).
6. Ukuqeda ukuhlinzwa: Ngemva kokulungiswa, izinto zokusebenza ziyasuswa, imivimbo emincane ivalwe ngezitishi noma ngamabhandeshi e-plaster, bese kubekwa ibhandishi elikhulu phezu kwazo.
Kwenzekani ngemva kokuhlinzwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela . Lokho kusho ukuthi ungaya ekhaya ngalolo suku. Kuzodingeka uhlale esibhedlela cishe ihora noma amabili ngemva kokuhlinzwa. Uma uzwa ubuhlungu, uzonikezwa imithi. Uma konke sekuqinisekisiwe ukuthi kulungile, uzovunyelwa ukuya ekhaya.
Into ebaluleke kakhulu ukuthi, othile udinga ukuza akuthathe akuyise ekhaya.Akunconywa neze ukushayela wedwa noma ukusebenzisa izinto zokuhamba zomphakathi. Uma kungenzeka, kungcono ukuba nelungu lomndeni noma umngane ahlale nawe ngalobo busuku.
Kuzothatha isikhathi esingakanani ukululama? Yini okufanele ngiyenze ekhaya?
Kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa ukuthi ihlombe lakho liphole ngokuphelele, kuye ngokuthi inkinga yehlombe lakho ingakanani kanye nobunzima bokuhlinzwa.
Kuvamile ukuba nobuhlungu nokuvuvukala emasontweni ambalwa okuqala. Izinto ezilandelayo zingasiza:
- Ama-Painkiller: Phuza ama-painkiller owanikezwe udokotela wakho ngesikhathi.
- Iqhwa: Ukufaka iphakethe leqhwa phezu kwebhandeji kunganciphisa kakhulu ubuhlungu nokuvuvukala.
- Indawo yokulala: Ukulala esihlalweni noma embhedeni onemicamelo eminingi futhi uphakeme kancane kunganikeza impumuzo ezinsukwini ezimbalwa zokuqala.
- I-Sling: Ukuze uvikele ihlombe lakho, udokotela wakho angase akuncome ukuthi usebenzise i-sling. Yigqoke isikhathi eside njengoba udokotela wakho ekutshelile.
- Ukwelashwa nge-Physiotherapy: Lena yingxenye ebaluleke kakhulu yenqubo yokululama. Kufanele uqale ukuzivocavoca ngokuvuselela umzimba ngaphansi kokuqondiswa udokotela wakho kanye nochwepheshe we-physiotherapist oqeqeshiwe. Lokhu kuzivocavoca kuzosiza ukubuyisela ukunyakaza namandla ehlombe lakho.
Yiziphi izikhathi ezikhethekile lapho kufanele ubonane nodokotela?
Uma uya ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukuqaphela noma yiziphi izimpawu ezingavamile. Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, shayela udokotela wakho noma uye esibhedlela ngokushesha.
| Izimpawu okufanele uziqaphele | Incazelo |
|---|---|
| Imfiva | Ukwenyuka kwezinga lokushisa komzimba kungaba uphawu lokutheleleka. |
| Ubuhlungu obukhulu | Ubuhlungu bukhulu kangangokuthi abukwazi ukulawulwa ngisho nangemithi yobuhlungu. |
| Ukuphuma kwegazi enxebeni | Kuphuma uketshezi olunuka kabi nolushintsha umbala oluvela eduze kwezibazi. |
| Ukuthintitha esandleni | Ukuqaqamba okuqhubekayo noma ukuba ndikindiki ezandleni noma eminweni. |
| Ukuvuvukala okukhulu | Uma ukuvuvukala ehlombe, engalweni, noma eminweni kuya kuba kubi kakhulu. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-shoulder arthroscopy kuyindlela encane yokwelapha izinkinga zamahlombe, "i-keyhole".
- Lokhu kuvame ukwenziwa uma izinto ezifana nemithi kanye nokwelashwa ngokomzimba kungasizi.
- Ukuhlinzwa kuphephile kakhulu, ngokuvamile kuthatha isikhathi esingaphansi kwehora, futhi ungaya ekhaya ngalolo suku.
- Ukuze ululame ngokugcwele, kubalulekile ukwenza ukwelashwa kwe-physiotherapy ngendlela efanele.
- Uma uzwa izimpawu ezifana nomkhuhlane, ubuhlungu obungabekezeleleki, noma uketshezi olunuka kabi oluvela esilondeni ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Uma unokungabaza nganoma yini, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngayo.
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