Ukhathele ukuba nobuhlungu obukhulu emlenzeni wakho, ikakhulukazi esithendeni? Ingabe lobu buhlungu abukukhathazi nje kuphela lapho uhamba, ukhuphuka izitebhisi, kodwa nalapho umi nje? Kungenzeka ukuthi usuzame izindlela eziningi zokwelapha. Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngokuhlinzwa okukhethekile okuzoletha ikhambi elihlala njalo lobuhlungu obukhulu kangaka emlenzeni.
Kalula nje, iyini i-Subtalar Fusion?
I-Subtalar Fusion inqubo yokuhlinzwa ehlanganisa unomphela amathambo amabili esibayeni sonyawo lwakho. Elinye igama lalokhu yi-"arthrodesis" ngodokotela.
Manje ake sibone ukuthi leli lunga likuphi. Onyaweni lwakho, ngaphansi nje kwelunga leqakala, lapho ithambo lesithende `(calcaneus)` kanye nethambo leqakala elingaphezulu kwalo `(talus)` kuhlangana khona, leli lunga libizwa ngokuthi `(subtalar joint)`. Leli lunga yilokho okusiza unyawo lwakho luphenduke luphume. Ngakho-ke, leli lunga libaluleke kakhulu ukuthi uhambe futhi ugijime ngokulinganisela.
Pho kungani sidinga ukuhlinzwa kuleli lunga? Isizathu esiyinhloko yi -arthritis enzima. I-arthritis ibangela ukuthi i-cartilage (ingxenye efana nomcamelo evimbela amathambo amabili ukuthi agudlane) ngaphakathi kwamalunga ethu iguge. Bese amathambo amabili eqala ukugudlana. Cabanga ukuthi kufanele kube ubuhlungu obungakanani lapho amathambo amabili egudlana njalo. Ukuze kuncishiswe lobo buhlungu, odokotela bafaka izikulufo kula mathambo amabili bese bewalungisa abe linye. Lokhu kubizwa ngokuthi "i-Subtalar Fusion".
Udokotela uvame ukuncoma lokhu kuhlinzwa lapho ezinye izindlela zokwelapha, njengezinhlungu zobuhlungu, imijovo, kanye nokwelashwa ngokomzimba, zehlulekile ukunikeza impumuzo.
Kwenzekani ngaphambi kokuhlinzwa?
Ngemva kokuthi unqume ukuhlinzwa, uzoba nemihlangano eminingana nodokotela wakho kanye nodokotela ohlinzayo. Bazokubuza imibuzo elandelayo:
- Lobuhlungu bukuthinta kanjani impilo yakho yansuku zonke?
- Yikuphi ukwelashwa osukwenzile kuze kube manje? Kungakanani ukusize abakunikezile?
Kubalulekile ukuba neqiniso kakhulu lapha. Kuvamile ukuzizwa wesaba kancane uma utshelwa ngokuhlinzwa. Kodwa unganciphisi ubuhlungu bakho ngenxa yalokho kwesaba. Tshela udokotela wakho ngobuqotho izinto ezinjengokuthi, "Angikwazi ngisho nokuvuka embhedeni ekuseni ngenxa yalobu buhlungu," "Angizizwa ngisho nokuya ohambweni nabangani," "Angisakwazi ukwenza umdlalo engangiwuthanda." Khona-ke angenza isinqumo esingcono kakhulu kuwe.
Uzocelwa ukuthi wenze lezi zivivinyo ngaphambi kokuhlinzwa:
- Ukuhlolwa okuphelele komzimba: Bheka ukuthi uphilile ngokwanele yini ukuthi ungahlinzwa.
- Ukuhlolwa Kwezithombe: I-X-ray izokwenziwa nakanjani. Ungase ucelwe futhi ukuthi wenze i-MRI noma i-CT scan.
- Ukuhlolwa kwegazi: Hlola izinto ezahlukahlukene egazini.
Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma imithi yamakhambi oyithathayo. Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Ungase futhi welulekwe ukuthi uzile ukudla amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia. Lokhu kusho ukuthi uzonikezwa umuthi wokukwenza ungezwa ubuhlungu. Ungase ulale ngokuphelele (i-anesthesia ejwayelekile) noma ungase uzizwe ungakhululekile emlenzeni wakho (i-anesthesia yesifunda).
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzohlanganisa amathambo amabili onyaweni lwakho.
Esikhathini esiningi, lokhu kwenziwa njengokuhlinzwa okuvulekile. Lokho kusho ukuthi,
1. Udokotela uzokwenza ukusika okuncane esikhumbeni lapho ilunga elithintekile likhona onyaweni lwakho.
2. Ngemuva kwalokho, izingcezu ze-cartilage namathambo ezigugile futhi ezonakele ziyasuswa.
3. Okulandelayo, amathambo amabili abekwa ndawonye bese kufakwa izikulufo zensimbi ezikhethekile ngawo ukuze ziboshwe ndawonye.
4. Ekugcineni, i-incision ithungwa ivalwe kabusha.
Abanye abantu bangenza futhi lokhu kuhlinzwa nge-incision eyodwa ebizwa ngokuthi i-arthroscopy. Kulokhu, esikhundleni se-incision enkulu, kwenziwa imicu emibili noma emithathu kuphela emincane. Idivayisi efakwe ikhamera ebizwa ngokuthi i-arthroscope ifakwa ngaleyo micu bese ukuhlinzwa kwenziwa ngenkathi kubukwa kusikrini. Udokotela wakho uzonquma ukuthi iyiphi kulezi zindlela ezimbili engcono kakhulu kuwe.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili .
Kwenzekani ngemva kokuhlinzwa? Futhi yiziphi izinzuzo nezingozi?
Lokhu kuvame ukuba ukuhlinzwa kwansuku zonke futhi ungaya ekhaya. Ngemva kokuhlinzwa, uzofakwa ibhuzu noma i-brace ekhethekile ukuze umlenze wakho ungashukumi futhi uvimbele isisindo emlenzeni wakho. Uzotshelwa ukuthi usebenzise izinduku zokusikela amasonto ambalwa futhi ugcine umlenze wakho uphakeme ngangokunokwenzeka.
| Izinzuzo | Izingozi/Ububi |
|---|---|
| Ukukhululeka okukhulu ebuhlungwini: Inzuzo enkulu ukuthi ubuhlungu obukhulu obuhlupha impilo yakho yansuku zonke cishe buphelile ngokuphelele. | Okungewona umanyano:Akuvamile ukuthi amathambo amabili aqiniswe ngezikulufo angase angahlangani njengoba bekulindelekile. Uma lokhu kwenzeka, kungase kudingeke olunye ukuhlinzwa. |
| Izinga lempilo elithuthukisiwe: Uma ubuhlungu sebuphelile, ungabuyela emsebenzini wakho, uvivinye umzimba, futhi uhambe noma kuphi lapho uthanda khona. | Ukwehla kwezinga lokunyakaza: Njengoba amathambo amabili ehlanganiswa abe yinye, ikhono lokuphendula unyawo lungene futhi luphume lingase linciphe kancane. Kodwa-ke, lokhu akuyona inkinga enkulu uma kuqhathaniswa nobuhlungu obukhulu. |
| Inqubo ephephile nephumelelayo: Lokhu kubhekwa njengokuhlinzwa okuphephile okunemiphumela ephumelela kakhulu. | Izingozi ezivamile zokuhlinzwa: Izingozi zanoma yikuphi ukuhlinzwa, njengokutheleleka, ukopha ngokweqile, kanye nokusabela ekubulaweni yizinzwa, zikhona lapha. |
Kuzothatha isikhathi esingakanani ukuphulukiswa? Ingabe ngizokwazi ukuhamba futhi?
Yebo, ungahamba, ugijime, futhi ube ngcono futhi. Eqinisweni, uzokwazi ukuhamba ngokunethezeka kunangaphambili ngoba ngeke ube buhlungu!
Kuthatha izinyanga eziningana ukuphulukiswa ngokuphelele. Kuthatha phakathi kwamasonto ayi-8 kuya kwayi-12 ukuthi amathambo amabili ahlanganiswe ndawonye ahlangane futhi aqine. Phakathi nalesi sikhathi, uzodinga ukwelashwa ngokomzimba . Uchwepheshe wezokwelapha ngokomzimba uzokusiza ufunde ukuthi ungawusebenzisa kanjani kahle umlenze wakho futhi, okuhlanganisa ukuthwala isisindo kanye nokuzivocavoca. Ngokuvamile kungcono ukungafaki isisindo emlenzeni wakho inyanga eyodwa noma ezimbili.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Ngemva kokubuyela ekhaya ngemva kokuhlinzwa, uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Ukuba nomkhuhlane ongaphezu kwama-Fahrenheit angu-101 (39 Celsius).
- Izimpawu zokutheleleka enxebeni lokuhlinzwa (isib., uketshezi olufana nobovu oluphuma enxebeni, ukuvuvukala, ukushintsha kombala, iphunga elibi, noma ukufudumala uma uthintwa).
- Esikhundleni sokunciphisa ubuhlungu, buyanda futhi.
- Ukopha ngokweqile okuvela enxebeni.
Lokhu kuhlinzwa kuphumelele ngo-85%. Lokho kusho ukuthi abantu abangu-85 kwabayi-100 bathola ukukhululeka okukhulu ebuhlungwini kanye nokululama okuhle. Uma ubuhlungu bezinyawo zakho bungaphenduli kwezinye izindlela zokwelapha, ungesabi ukukhuluma nodokotela wakho ngalokhu kuhlinzwa. Kungenza umehluko omkhulu empilweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Subtalar Fusion inqubo yokuhlinzwa ephumelelayo yobuhlungu bezinyawo obubangelwa izimo ezifana ne-arthritis enzima.
- Lokhu kuhilela ukuhlanganisa unomphela amathambo amabili esithendeni naseqakaleni.
- Inzuzo eyinhloko yalokhu kuhlinzwa ukukhululeka okukhulu ebuhlungwini obungabekezeleleki.
- Kuthatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa, futhi ukwelashwa ngokomzimba kubalulekile.
- Nakuba ukunyakaza komlenze kulinganiselwe kancane ngemva kokuhlinzwa, ukukwazi ukuhamba ngaphandle kobuhlungu kuyinzuzo enkulu kakhulu.
- Khuluma nodokotela wakho ngokukhululekile ngesimo sakho nokuthi ngabe lokhu kuhlinzwa kukulungele yini.
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