Ngezinye izikhathi siba nobuhlungu obuhlala buqhubeka ezingxenyeni ezahlukene zomzimba wethu, ikakhulukazi ezindaweni ezifana namahlombe, izindololwane, nezithende, akunjalo? Mhlawumbe ungumdlali wezemidlalo. Noma mhlawumbe ungumuntu owenza uhlobo olufanayo lomsebenzi ngaso sonke isikhathi. Imbangela yalobu buhlungu ingaba yinkinga ngeminye yemisipha yakho. Namuhla, sizokhuluma ngendlela yokwelapha ekhethekile enconywa odokotela ezimweni ezinjalo.
Kuyini i-tenotomy? Kalula nje...
Kulungile, ake siqale sibheke ukuthi imicu iyini. Kalula nje, iyimicu eqinile, efana nentambo exhumanisa imisipha yethu namathambo ethu. Le micu isisiza ukuthi sinyakaze, sigijime, futhi sigxume. Ngakho-ke uma omunye wale micu wonakala noma uvuvukala, ubuhlungu bungaba nzima kakhulu ukuwubekezelela.
I-tenotomy iyindlela yokwelapha umsipha owonakele nobuhlungu. Ihilela 'ukuhlukanisa' noma 'ukusika' umsipha. Lokhu kungenziwa ngenye yezindlela ezimbili:
1. Indlela yenaliti: Udokotela ufaka inaliti esikhumbeni sakho bese elapha umsipha owonakele.
2. Indlela yokuhlinzwa: Kwenziwa ukusika okuncane esikhumbeni bese ingxenye ethintekile yomsipha isuswa ngokuhlinzwa.
Nakuba lokhu kwelashwa kungenziwa kunoma yimuphi umsipha emzimbeni, kuvame ukwenziwa ezindaweni ezilandelayo:
- I-tendon exhumanisa imisipha ye-biceps engalweni yakho nehlombe lakho.
- Umsipha osendololwaneni.
- Imisipha ezinyaweni nasemaqakaleni.
Ake sithole ukuthi umehluko phakathi kwalezi zindlela zokwelapha uyini ngempela?
Kunezinye izindlela zokwelapha ezinamagama afanayo ne-tenotomy. Abantu abaningi bayadida lokhu. Ake sibone ukuthi umehluko uyini.
| Indlela yokwelapha | Kalula nje, kwenzekani? | Kuvame ukusetshenziswa |
|---|---|---|
| Ukususwa kwe-Biceps Tenotomy | Ukuze kuncishiswe ubuhlungu, i-biceps tendon iyasikwa ngokuphelele bese idedelwa. Imisipha ibe isishukunyiswa kancane engalweni. | Ubuhlungu obukhulu emsipha we-biceps wehlombe. |
| I-Tenodesis | I-biceps tendon inqunywa ehlombe bese ixhunywa kabusha endaweni entsha ethanjeni lengalo elingaphezulu. | Lokhu kwenzelwa ukulimala kwemisipha ye-biceps. Abantu abakhuthele kakhulu futhi abafuni izingalo zabo zibukeke zihlukile bakhetha lokhu. |
| I-Tenolysis | Uma i-tendon inamathele futhi ingashukumi, isigqoko esizungezile siyasikwa ukuze kukhululwe i-tendon. I-tendon yonakale. | Ezimweni lapho iminwe inamathela khona, njengomunwe wokucindezela noma isithupha sokucindezela. |
Njengoba kungenzeka ukuthi uke waphawula, nakuba konke lokhu kuyindlela yokwelapha imisipha, izindlela kanye nemigomo kuhlukile. Udokotela wakho uzoxoxa nawe ngokuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Yiziphi izimo ezidinga ukwelashwa kwe-tenotomy?
I-tenotomy ivame ukusetshenziselwa ukwelapha ubuhlungu bemisipha obuhlala isikhathi eside obungasabelanga kwezinye izindlela zokwelapha. Nazi ezinye izibonelo:
- I-Biceps tendinitis: Ubuhlungu behlombe obubangelwa ukuvuvukala kwe-tendon yemisipha ye-biceps.
- I-tendinitis ye-calcific yehlombe: Ubuhlungu obukhulu obubangelwa ukugcinwa kwe-calcium emithanjeni yehlombe.
- Indololwane yethenisi noma indololwane yomshayi wegalofu: Ubuhlungu ngaphandle noma ngaphakathi kwendololwane.
- I-Plantar fasciitis: Ubuhlungu obungabekezeleleki phansi kwesithende uma uvuka ekuseni.
- Unyawo olugobile: Lesi yisimo lapho ezinye izingane zizalwa khona izinyawo zazo zigobile. Lokhu kwelashwa kuyasetshenziswa futhi ukulungisa lokhu.
- Izinzwane ze-Hammer: Isimo lapho izinzwane zigobile phakathi futhi zibukeka 'njengesando'.
- I-Patellar tendinitis: Ubuhlungu ku-tendon ye-kneecap. Ibizwa nangokuthi "idolo lomgijimi" noma "idolo le-jumper."
- Ukulimala kwe-Achilles tendon: Ukulimala kwe-Achilles tendon, i-tendon enkulu kunazo zonke emzimbeni wethu, etholakala ngaphezu kwesithende.
Yini eyenziwa udokotela ngaphambi kokwenza i-tenotomy?
Udokotela akasoze akuthumele ngokushesha ku-tenotomy. Lokhu kuvame ukubhekwa njengendlela yokugcina. Ngaphambi kwalokho, ezinye izindlela zokwelapha ezingadingi ukuhlinzwa zizozanywa nakanjani.
Khumbula, akuzona zonke izinhlungu ezidinga ukuhlinzwa. Kungcono ukuzama izinto ezilula kuqala.
Lezi yizinto zokuqala udokotela azincomayo:
- Ukuphumula: Ukuzigcina kude nomdlalo noma umsebenzi obangela ubuhlungu isikhashana. Lokhu kusho ukunikeza imisipha ikhefu.
- Iqhwa nama-NSAID: Ukufaka iqhwa endaweni ebuhlungu nokusebenzisa umuthi wokunciphisa izinhlungu we-NSAID (isib. i-ibuprofen) onconywe udokotela wakho kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
- Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise futhi welule imisipha ezungeze umsipha olimele. Lokhu kuzonciphisa ingcindezi kumsipha.
- Imijovo ye-Corticosteroid: Uma ukuvuvukala kukhulu kakhulu, udokotela wakho angase afake umjovo we-steroid endaweni. Lokhu kuzosiza ekunciphiseni ukuvuvukala ngokushesha.
Uma ubuhlungu bakho bungapheli ngemva kwezinyanga uzama konke lokhu, udokotela wakho angase akuphakamisele ukwelashwa kwe-tenotomy.
Kwenzekani ngempela ngesikhathi sokwelashwa kwe-tenotomy?
Njengoba sixoxile ngaphambili, lokhu kwenziwa ngezindlela ezimbili eziyinhloko. Udokotela uzokhetha enye yalezi zindlela ezimbili kuye ngokuthi inkinga yomsipha wakho ikuphi.
I-Percutaneous Needle Tenotomy
Igama elithi 'Percutaneous' kulokhu lisho ukuthi "ngokusebenzisa isikhumba." Lokhu akulona ngempela ukuhlinzwa.
Ake sithi uzwa ubuhlungu endololwaneni yakho. Into yokuqala udokotela wakho ayenzayo ukufaka umuthi wokubulala izinzwa endaweni. Bese, besebenzisa i-ultrasound scan, babheka eduze umsipha wakho owonakele bese befaka inaliti ekhethekile kuwo. Bese, basebenzisa inaliti ukwenza izimbobo ezincane kumsipha noma ukususa izingxenye ezonakele.
Lokhu kuyinto emangalisayo. Uma ubangela ukulimala okuncane kanje, inqubo yokuphulukisa yemvelo yomzimba iqala ukusebenza. Umzimba ucabanga ukuthi kukhona ukulimala okusha lapho. Ngakho-ke, kuthumela igazi eliningi kanye nezakhamzimba endaweni. Lokhu kunikeza i-tendon ithuba lokukhulisa izicubu ezintsha nokuziphulukisa.
Vula i-Tenotomy
Lokhu ukuhlinzwa okuncane. Ungase unikezwe i-anesthesia ejwayelekile noma i-anesthesia yendawo.
Udokotela ohlinzayo ube esesika isikhumba esincane bese esusa umsipha owonakele. Umsipha uyasikwa bese ukhishwa. Lokhu kukhulula umsipha futhi kunciphise ubuhlungu. Ngezinye izikhathi, uma umsipha usikwa ngale ndlela, uphinda ukhule isikhathi eside futhi ungaqini njengakuqala.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
Yiziphi izinzuzo?
- Zombili lezi zindlela zokwelapha zibhekwa njengezindlela zokwelapha eziphephile kakhulu nezisebenzayo .
- Esikhathini esiningi, lokhu kungenziwa ngokushesha.
- Indlela yenaliti akuyona inqubo yokuhlinzwa, ngakho-ke ingozi iphansi kakhulu.
- Ngisho noma kwenziwa ngokuhlinzwa, akuhlaseli kakhulu , ngakho-ke kusala isilonda esincane kuphela, esingaphansi kwamasentimitha ambalwa ubude, emzimbeni.
Ingabe zikhona izingozi?
Lezi zingozi azenzeki kuwo wonke umuntu, kodwa kuhle ukuziqaphela.
- Ukuqaqamba Kwemisipha: Abanye abantu bangase bazizwe benokuqaqamba, ikakhulukazi lapho benza lokhu kwelashwa ku-biceps tendon. Kodwa-ke, abantu abaningi abakuzwa lokhu. Ngisho noma bekuzwa, ukungakhululeki kuzophela ngokuhamba kwesikhathi.
- Izicubu zezibazi: Uma izicubu zezibazi zakheka ngaphakathi kwendawo elashwayo, zingabangela ubuhlungu.
- Ukuphinda kwezimpawu: Abanye abantu bangase baphinde babe nobuhlungu eminyakeni eminingi kamuva. Le ngozi iphezulu kakhulu uma usebenzisa imisipha yakho ngokweqile, noma uma umsebenzi wakho noma umdlalo uhilela ukunyakaza okuphindaphindiwe.
Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?
Lokhu kuzohluka kuye ngohlobo lwe-tenotomy oye wayenza kanye nendawo yokwelashwa. Kodwa-ke, kubaluleke kakhulu ukungasebenzisi i-tendon isikhashana ngemva kokwelashwa.
Ngokuvamile, kuzodingeka ugweme ezemidlalo nokuzivocavoca okunzima izinyanga eziningana . Udokotela wakho noma udokotela ohlinzayo uzokunikeza isimiso esithile sokululama kanye nemiyalelo. Kubalulekile ukulandela le miyalelo ngokucophelela ukuqinisekisa ukuthi uyalulama ngokushesha.
Kufanele ubonane nini nodokotela?
Uma uzwa ubuhlungu noma into engavamile emzimbeni wakho, ungayizibi. Funa iseluleko sezokwelapha ngokushesha ezimweni ezilandelayo:
| Uma unalezi zimpawu, bona udokotela. | Kulesi simo, iya ku-ETU ngokushesha. |
|---|---|
|
|
I-tenotomy iyindlela yokwelapha ephephile nephumelelayo yezinkinga ezahlukahlukene ezihlobene nemisipha kanye nobuhlungu. Kodwa-ke, udokotela wakho kufanele anqume ukuthi lokhu kulungile yini kuwe. Ngakho-ke, vula futhi uthembeke kuye ngobuhlungu bakho.
Umlayezo Wokuya Nawe Ekhaya
- I-tenotomy iyindlela yokwelapha ephumelelayo yobuhlungu obuhlobene nemisipha engakaphenduli kwezinye izindlela zokwelapha.
- Lokhu kungenziwa ngenaliti noma ngokuhlinzwa okuncane.
- Lokhu kwelashwa kusetshenziswa ngemva kokuphumula, ukwelashwa ngokomzimba, kanye nemithi sekuhlulekile.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo ukuqinisekisa ukuthi uyalulama ngokugcwele ngemva kokwelashwa.
- Uma unezinhlungu ezihlobene nomsipha, ungabushayi indiva futhi funa iseluleko esifanele kudokotela oqeqeshiwe.
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