Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu endololwaneni yakho, ehlombe, noma esithendeni? Mhlawumbe lobu buhlungu buyanda ngesikhathi sezemidlalo noma ukuphakamisa izinto ezisindayo. Imbangela yalokhu kungaba inkinga ngeminye yemisipha yakho. Ngakho-ke namuhla sikhuluma ngendlela ekhethekile yokwelapha lolu hlobo lwesimo. Lokhu kubizwa ngokuthi i-tenotomy.
Kuyini i-Tenotomy?
Kalula nje, i-tenotomy inqubo esetshenziselwa ukwelapha ubuhlungu ku-tendon (ingxenye eqinile yezicubu exhumanisa umsipha nethambo) emzimbeni wakho. Kule nqubo, udokotela wakho angasebenzisa inaliti ukufaka inaliti esikhumbeni sakho ukwelapha i-tendon eyonakele. Noma, bangase benze ukusika okuncane esikhumbeni sakho bese besusa ngokuhlinzwa ingcezu ye-tendon eyonakele.
Nakuba lokhu kwelashwa kungenziwa kunoma yimuphi umsipha emzimbeni, kuvame ukwenziwa kulezi zindawo:
- I-tendon exhumanisa imisipha yakho ye-biceps nehlombe lakho.
- Umsipha osendololwaneni.
- Imisipha ezinyaweni nasemaqakaleni.
Umehluko Phakathi Kwe-Tenotomy Ne-Tenodesis
Zombili lezi zindlela zisetshenziselwa ukwelapha izinkinga zemisipha ye-biceps. Kodwa kukhona umehluko phakathi kwalezi ezimbili. Ake sithi unenkinga ngemisipha ye-biceps ehlombe lakho.
| Indlela yokwelapha | Indlela yokukwenza |
|---|---|
| Ukususwa kwe-tenotomy | Kule nqubo, udokotela ohlinzayo usika futhi ahlukanise i-biceps tendon ngamabomu ukuze anciphise ubuhlungu. Uma lokhu kwenziwa, imisipha ye-biceps inyakaza kancane engalweni. Lokhu kungabangela ushintsho oluncane esimweni sengalo. |
| I-Tenodesis | Kule nqubo, udokotela usika umsipha ehlombe bese ewunamathisela kabusha embobeni entsha ethanjeni lengalo engenhla (i-humerus). Lokhu akushintshi ukuma kwengalo. |
Indlela efanele wena incike ekutheni usebenza kangakanani, ukuthi ufuna ukululama ngokushesha kangakanani, nokuthi ufuna isandla sakho sibukeke sihlukile yini ngemva kokuhlinzwa.Kungcono ukuxoxa ngalokhu nodokotela wakho bese wenza isinqumo.
Yiziphi izimo eziphathwa nge-tenotomy?
Lokhu kwelashwa kusetshenziselwa izimo ezahlukahlukene ezihlobene nemisipha emzimbeni. Amacala avame kakhulu yile:
- I-Biceps tendinitis
- I-tendinitis ye-calcific yehlombe (i-calcification emsipha wehlombe)
- Indololwane yethenisi noma indololwane yomdlali wegalofu
- I-Plantar fasciitis (ubuhlungu bezinyawo)
- Ukukhubazeka kwezinyawo okubangelwa ukuzalwa, njengonyawo lwe-club
- Izinzwane ze-Hammer - isimo esenzeka ezinzwaneni
- Ubuhlungu bedolo (i-Patellar tendinitis - idolo likaRunner)
- Ukulimala kwemisipha ye-Achilles
Yini oyenzayo ngaphambi kokuhlinzwa kwe-tenotomy?
Udokotela uvame ukuncoma i-tenotomy kuphela uma ezinye izindlela zokwelapha zehlulekile. Ngaphambi kokwenza kanjalo, bazokweluleka ukuthi uzame lezi zindlela zokwelapha ezingadingi ukuhlinzwa:
- Ukuphumula: Nika imisipha ikhefu ngokugwema imidlalo noma imisebenzi ebangela ubuhlungu.
- Iqhwa kanye nezinhlungu zobuhlungu: Faka iqhwa ukuze unciphise ubuhlungu nokuvuvukala bese uthatha izinhlungu zobuhlungu (ama-NSAID) njengoba udokotela wakho ekuyalele.
- Ukwelashwa ngokomzimba: Ukuzilolonga ukuqinisa nokwandisa ukuguquguquka kwemisipha ezungeze i-tendon elimele.
- Imijovo ye-Corticosteroid: Uhlobo lomjovo olunikezwa ukunciphisa ukuvuvukala.
Uma konke lokhu kunganciphisi ubuhlungu bakho, udokotela wakho uzokutshela ngokwelashwa kwe-tenotomy njengesinyathelo esilandelayo.
Kwenziwa kanjani ukwelashwa kwe-tenotomy?
Lokhu kwelashwa kwenziwa ngezindlela ezimbili eziyinhloko. Indlela oyidingayo izoncika ekutheni imisipha yakho yomgogodla ingakanani.
| Indlela yokwelapha | Incazelo |
|---|---|
| Indlela yenaliti (i-Percutaneous needle tenotomy) | Lokhu kuhilela ukufaka izinzwa endaweni nge-anesthesia yendawo nokufaka inaliti esikhumbeni iye ku-tendon. Ngezinye izikhathi kusetshenziswa i-ultrasound scan ukuqondisa inaliti ngqo lapho iya khona. Ngokwenza ukubhoboza okuncane ku-tendon ngale ndlela, inqubo yokuphulukisa yemvelo yomzimba iyakhuthazwa. Lokhu kusho ukuthi ukugeleza kwegazi endaweni kuyanda, okusiza i-tendon ukuthi ilulame yodwa . |
| I-tenotomy evulekile | Lokhu ukuhlinzwa okuncane. Ungase ulale noma uphelelwe amandla. Udokotela ohlinzayo uzokwenza i-incision encane esikhumbeni sakho, asuse i-tendon, bese eyinquma. Uma i-tendon isikhululiwe ngale ndlela, ubuhlungu buzophela ngokuphelele. |
Ziyini izingozi zalokhu kwelashwa?
I-tenotomy ngokuvamile inqubo ephephile, kodwa njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane.
- Ukuqaqamba: Ngemva kwalokhu kwelashwa, ikakhulukazi kwemisipha ye-biceps, ungase uzwe ukuqaqamba endaweni. Kodwa-ke, lokhu akwenzeki kuwo wonke umuntu. Lokhu kungakhululeki kuzophela ngokuhamba kwesikhathi.
- Izicubu zesibazi: Uma izicubu zesibazi zakheka zizungeze imisipha lapho kwenziwa khona ukuhlinzwa, kungaba buhlungu.
- Ukuphinda kwezimpawu: Kwabanye abantu, izimpawu zingase zibuye ngisho nangemva kweminyaka. Le ngozi iphezulu kakhulu uma uqhubeka nokusebenza noma udlala imidlalo ecindezela imisipha.
Into ebalulekile ukuthi lezi zingozi azenzeki kuwo wonke umuntu, kodwa kubalulekile ukuzazi.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngemva kokwelashwa, kuzodingeka ugweme ukusebenzisa i-tendon ngangokunokwenzeka. Isikhathi sokululama sizohluka kuye ngohlobo lokwelashwa oye waluthola kanye nendawo ye-tendon. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Abantu abaningi ngeke bakwazi ukuzivocavoca noma ezemidlalo kanzima izinyanga eziningana. Qiniseka ukuthi uthintana nodokotela wakho ngaphambi kokuqala umsebenzi womzimba futhi.
Kufanele ubonane nini nodokotela?
Bona udokotela uma unalezi zimpawu:
- Ubuhlungu obungapheli ngisho nangemva kwezinsuku ezimbalwa, kodwa buqhubeka buba bubi kakhulu.
- Ukuvuvukala.
- Ukushintsha kombala wesikhumba.
- Uma ukuhambisa ingxenye yomzimba kunzima noma kubuhlungu.
Uma uke waba nengozi, noma uma ungakwazi ukuhambisa ingxenye yomzimba ongayihambisa ngokujwayelekile, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
I-tenotomy iyindlela engasiza ekuqedeni izinkinga eziningi ezihlobene nemisipha. Iyindlela yokwelapha ephephile futhi esheshayo. Uma unenkinga efanayo, ungangabazi ukukhuluma nodokotela futhi uthole iseluleko esifanele.
Umlayezo Wokuya Nawe Ekhaya
- I-tenotomy iyindlela yokwelapha ubuhlungu obungapheli bemisipha obungakathuthuki ngezinye izindlela zokwelapha, njengokuphumula kanye nokwelashwa ngokomzimba.
- Lokhu kwenziwa ngezindlela ezimbili eziyinhloko: ngenaliti (ngokusebenzisa i-percutaneous) kanye nangokuhlinzwa okuncane (okuvulekile).
- Nakuba lokhu ngokuvamile kuyindlela yokwelapha ephephile kakhulu futhi esebenza kahle, khumbula ukuthi kunezingozi ezincane.
- Ukuphumula kubalulekile ukuze ululame ngemva kokwelashwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela.
- Uma unezinhlungu zemisipha ezihlala isikhathi eside, ungabunaki futhi ufune iseluleko sezokwelapha.
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