Ingabe nawe uzwa ubuhlungu obungabekezeleleki uma uphakamisa ihlombe lakho noma usebenzisa ingalo yakho? Mhlawumbe uma ushintsha izingubo, uthatha okuthile eshalofini, noma uma nje uphakamisa ingalo yakho, uzizwa sengathi ugwazwa ngaphakathi kwehlombe lakho? Ngisho nangemva kokuthatha umuthi nokwenza ukwelashwa ngokomzimba, lobu buhlungu abukapheli? Mhlawumbe udokotela wakho ukutshelile nge-'Shoulder Arthroscopy'. Abantu abaningi babiza lokhu ngokuthi 'ukuhlinzwa kwe-key-hole'. Ngakho-ke ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kuyini i-Shoulder Arthroscopy?
Kalula nje, i-Shoulder Arthroscopy iwukuhlinzwa okungadingi ukungenelela okuningi okusetshenziselwa ukuxilonga nokwelapha izinkinga ehlombe. Esikhundleni sokwenza ukusika okukhulu njengasekuhlinzeni okuvamile okuvulekile, kwenziwa ukusika okumbalwa nje kwemigodi emincane.
Cabanga ukuthi udokotela wakho ufuna ukubona ukuthi kwenzekani ngaphakathi kwehlombe lakho. Ufaka ithuluzi elincane, elinomfanekiso wepensela elibizwa ngokuthi i-arthroscope ngalo msibo omncane. Linekhamera encane kanye nokukhanya ekugcineni. Izithombe ezivela kule khamera zikhuliswa esikrinini sevidiyo ngaphandle. Kufana nokubuka i-TV.
Ngemva kokubheka ngaphakathi kwelunga nokuthola ukuthi inkinga iyini ngempela, bafaka amathuluzi okuhlinza abucayi kakhulu ngenye indlela encane bese benza ukulungiswa ngaphakathi kwelunga. Lokhu kuzonciphisa ubuhlungu behlombe lakho futhi kubuyisele ukunyakaza okuvamile.
Kungani kwenziwa lokhu kuhlinzwa futhi ngaphansi kwaziphi izimo?
Ngokuvamile, siqala ngokuzama ukwelashwa okungekona ukuhlinzwa kobuhlungu behlombe. Lokho kusho ukuthi:
- Ukwelashwa ngokomzimba
- Ama-Painkiller (Imithi)
- Imijovo ejoyintini
- Ukuphumula
Kodwa-ke, uma kungekho kulezi zinto ezisiza ebuhlungwini, udokotela wakho angase ancome i-shoulder arthroscopy njengesinyathelo esilandelayo. Lokhu kuhlinzwa kungasusa izicubu ezivuvukele ehlombe lakho futhi kuxazulule nezinye izinkinga eziningi.
| Isimo eselashwayo | Incazelo elula |
|---|---|
| Izinyembezi ze-Rotator Cuff | Ukudabuka kwezicubu zemisipha ezungeze ihlombe okusiza ukuphakamisa ingalo. |
| Isifo Sokucindezelwa Kwamahlombe | Ubuhlungu obubangelwa ukuncinzana kwezicubu phakathi kwethambo nomsipha ehlombe lapho uphakamisa ingalo. |
| Ihlombe Eliqandisiwe | Ihlombe linamathele futhi lizwakala libuhlungu futhi liqinile kangangokuthi akunakwenzeka ukulishukumisa. |
| Izinyembezi zeLabrum | Ukudabuka kwendandatho ye-cartilage (i-labrum) ezungeze ijoyinti lehlombe. |
| Ukungazinzi Kwamahlombe | Ukuxega noma ukuhlukana njalo kwehlombe. |
| Ama-Bone Spurs | Ukukhula okungadingekile kwezingcezu zamathambo ezengeziwe emathanjeni amalunga. |
| I-Osteoarthritis | Ukuguguleka nokudabuka kwe-cartilage emalungeni ngenxa yokuguga noma ingozi. |
Kwenzekani ngaphambi kokuhlinzwa?
Uma udokotela wakho esenqume ukwenza ukuhlinzwa, uzobuza ngomlando wakho wezokwelapha. Kuzodingeka unikeze uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (ngisho namavithamini). Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi, ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Isibhedlela sizokunikeza imiyalelo eqondile, njengokuthi kufanele uyeke ukudla nokuphuza amahora amangaki ngaphambi kokuhlinzwa. Ngaphezu kwalokho, bangenza nezivivinyo eziningana ukuhlola impilo yakho, njengokuthi:
- Ukuhlolwa kwegazi
- I-X-ray yesifuba
- Ukuhlolwa kwe-ECG (i-Electrocardiogram)
Kwenzekani ngesikhathi sokuhlinzwa?
Ukuhlinzwa kwe-arthroscopy ehlombe kuvame ukuthatha isikhathi esingaphansi kwehora . Phakathi nalesi sikhathi, kwenzeka izinto ezilandelayo:
1. Ukuhlinzwa kwenziwa ulele phansi uhleli kancane (uhlezi esihlalweni sasebhishi) noma uphenduke eceleni.
2. Ithimba lokuhlinzwa lizohlanza kahle indawo yakho yamahlombe ngesisombululo sokubulala amagciwane.
3. Udokotela uzobe esefaka uketshezi esixukwini sakho samahlombe. Lolu ketshezi luzokwenza i-joint ibe nkulu kancane futhi ludale isikhala, okwenza kube lula ukubona ngaphakathi ngekhamera.
4. Manje, kwenziwa ukusika okuncane okucishe kube usayizi wembobo bese kufakwa ikhamera (i-arthroscope) ngayo.
5. Ebheka isikrini sevidiyo, udokotela uqinisekisa indawo eqondile yenkinga yehlombe.
6. Ngemuva kwalokho, kwenziwa ukuhlikihla okukodwa noma okubili okuncane, lapho kufakwa khona amathuluzi abucayi ukuze kwenziwe ukulungiswa okudingekayo.
7. Ngemva kokuba umsebenzi usuqediwe, imivimbo emincane ivalwa ngezithungo noma ngamabhandeji amancane, bese kubekwa ibhandishi elikhulu phezulu.
Kwenzekani ngemva kokuhlinzwa futhi ubuhlungu bunjani?
Lena inqubo yokulaliswa esibhedlela ngaphandle . Lokhu kusho ukuthi ungaya ekhaya ngalobo busuku. Kuzodingeka uhlale esibhedlela cishe ihora noma amabili ngemva kokuhlinzwa. Phakathi nalesi sikhathi, odokotela be-anesthesia bazokunikeza imithi yobuhlungu yokulawula ubuhlungu bakho. Ngemva kwalokho, ungaya ekhaya, kodwa ngeke ukwazi ukushayela. Kungcono ukuba nelungu lomndeni noma umngane eze nawe. Kungumqondo omuhle futhi ukuba othile ahlale nawe ngalobo busuku uma kungenzeka.
Kuvamile ukuzwa ubuhlungu ngesikhathi sokuhlinzwa, kodwa ungakhathazeki. Ithimba le-anesthesia lizoqinisekisa ukuthi ukhululekile ngangokunokwenzeka.
Ngokuvamile, phakathi nalokhu kuhlinzwa, uzonikezwa umjovo wokuvimba imizwa entanyeni noma ehlombe lakho. Lokhu kuqeda amandla ingalo yakho yonke kanye nehlombe amahora amaningana. Lokhu kusho ukuthi ngeke uzizwe ubuhlungu ngemva kokuhlinzwa. Kwezinye izimo, ungase unikezwe i-anesthesia ejwayelekile, okukwenza ulale ngokuphelele.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Uma kuqhathaniswa nokuhlinzwa okuvulekile, i-Shoulder Arthroscopy inezinzuzo eziningana:
- Ubuhlungu buncane.
- Ukuqina kwamalunga kuyancipha.
- Ingozi yokutheleleka iphansi kakhulu.
- Isikhathi sokululama sifushane.
- Izibazi zincane kakhulu.
Nakuba lokhu kuhlinzwa kuphephile kakhulu, kunezingozi ezithile ezingavela kaningi.
- Amahlule egazi
- Ukulimala kwemizwa noma imithambo yegazi
- Ukopha ngokweqile noma ukuvuvukala
- Ukutheleleka
Kuthatha isikhathi esingakanani ukuphulukiswa futhi kufanele ngibone udokotela nini?
Kungathatha amasonto ambalwa kuya ezinyangeni eziningana ukuthi ihlombe lakho liphole ngokuphelele.Kungathatha isonto elilodwa ukululama. Lokhu kuncike ebunzimeni benkinga yakho yehlombe kanye nobunzima bokuhlinzwa. Kujwayelekile ukuba nobuhlungu nokuvuvukala emasontweni ambalwa okuqala.
Phuza imithi yobuhlungu udokotela wakho akunikeza yona. Amaphakethe eqhwa angasiza ekunciphiseni ukuvuvukala. Ezinsukwini ezimbalwa zokuqala, ukulala endaweni yokuphumula noma ngemicamelo eminingi kungasiza ekunciphiseni ubuhlungu. Udokotela wakho uvame ukukutshela ukuthi usebenzise i-sling ukusekela ingalo yakho.
Into ebaluleke kakhulu uhlelo lokuvuselela umzimba. Ukwenza izivivinyo udokotela wakho kanye nodokotela wezokwelapha ngokomzimba abakunikeza zona ngqo, ngaphandle kokukhathala, kubalulekile ukuze ululame ngokushesha.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Imfiva .
- Ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi yobuhlungu.
- Uma kukhona uketshezi olunuka kabi nolushintsha umbala oluphuma eduze kwesilonda.
- Ukuba ndikindiki noma ukulahlekelwa umuzwa esandleni noma iminwe.
- Uma ukuvuvukala kuyanda usuku nosuku.
Umlayezo Wokuya Nawe Ekhaya
- I-shoulder arthroscopy iwukuhlinzwa 'kwe-keyhole' okwelapha izinkinga ezahlukene zamahlombe ngaphandle kokusikwa okukhulu.
- Lokhu kuphephile kunokuhlinzwa okuvulekile, akubuhlungu kakhulu, futhi kungaphola ngokushesha.
- Ukuze ukuhlinzwa kuphumelele, kubaluleke kakhulu ukulandela imiyalelo enikezwa udokotela kanye nochwepheshe wezokwelapha ngemva kwalokho, ikakhulukazi ukuzivocavoca.
- Uma ubona noma yiziphi izimpawu ezingavamile njengomkhuhlane, ubuhlungu obungabekezeleleki, noma uketshezi oluphuma esilondeni, ungalibali bese wazisa udokotela wakho ngokushesha.
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