Wake waba nobuhlungu obukhulu esithweni sakho esikhulu sozwane? Lobuhlungu, okwenza kube nzima ukuhamba, cishe buye baphazamisa imisebenzi yakho yansuku zonke. Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile futhi kuzophela ezinsukwini ezimbalwa. Kodwa ngezinye izikhathi kungaba nesizathu esingathi sína salobu buhlungu. Namuhla sikhuluma ngokwelashwa okungasetshenziswa njengesisombululo sokugcina esimweni esinjalo, okungukuthi, ukuhlinzwa kokufakelwa kwamalunga ozwaneni.
Kuyini lokhu kuhlinzwa kokufakelwa kwamalunga ezinzwane?
Kalula nje, lokhu kuhilela ukususa ngokuhlinzwa ilunga eligugile, elisezinzwaneni zakho bese ulifaka ilunga lokwenziwa. Sibiza leli lunga lokwenziwa ngokuthi i-prosthesis . Lawa enziwe ngezinto ezifana nensimbi, i-ceramic, noma ipulasitiki. Aklanyelwe ukusebenza njengelunga eliphilile.
Ngokuvamile, lokhu kuhlinzwa kwenziwa ozwaneni olukhulu. Ukuze kube sobala, ilunga lapho uzwane olukhulu luxhumana khona nonyawo (i-Metatarsophalangeal - ilunga le-MTP) . Cabanga nje, lelilunga kufanele ligobe ngazo zonke izinyathelo esizithathayo. Ngakho-ke uma lelilunga lonakele noma liqinile, ukuhamba kuba buhlungu kakhulu. Lokhu kuhlinzwa kubizwa nangokuthi i-arthroplasty ngokwezokwelapha.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa ngokuvamile akuyona inketho yokuqala. Udokotela uzosebenzisa lolu hlobo lokuhlinzwa kuphela uma zonke ezinye izindlela zokwelapha ezingadingi ukuhlinzwa sezizanyiwe futhi azikho eziye zathola imiphumela ephumelelayo.
Lezi izindlela zokwelapha ezivame ukuqalwa ngazo:
- Ukugqoka izicathulo ezikhethekile noma ama-braces ukuze kube lula ukuhamba.
- Ukwenza izinguquko emisebenzini yakho (isib., ukunciphisa ukuphakamisa okunzima, ukugijima ngesivinini, njll.).
- Ukunikeza imithi yokwelapha izinhlungu.
- Ukwelashwa ngokomzimba.
- Ukujova nge-steroid emalungeni.
Uma kungekho kulezi zinto eziqeda ubuhlungu, kungaba ngenxa yezimo ezilandelayo. Yilapho-ke kufanele kucatshangelwe khona ukuhlinzwa.
| Izimbangela eziyinhloko zobuhlungu bamalunga | Incazelo elula |
|---|---|
| Ama-Bunion (ama-Bunion/i-Hallux Valgus) | Ukuqhuma kwethambo okubuhlungu okuvela ngaphandle kozwane olukhulu bese kwakheka embhedeni. |
| I-Hallux Rigidus | Kulokhu, okusho ukuthi "uzwane olukhulu oluqinile," ilunga liyaqina futhi lingakwazi ukugoba kahle. Lolu uhlobo lwesifo samathambo. |
| Ukulimala | Ukulimala kwelunga ngenxa yengozi, njengokuphuka komunwe. |
| I-Osteoarthritis | Ukuguga nokudabuka kwamalunga ngenxa yokuguga noma ezinye izizathu. |
| Isifo Samathambo Esibangelwa Yi-Rheumatoid | Ukuvuvukala nobuhlungu obubangelwa amasosha omzimba ahlasela amalunga. |
Into ebalulekile ukuthi lokhu kuhlinzwa akuvamile njengokufakelwa i-hip noma idolo, ngakho-ke inani elincane labantu abakufanelekelayo.
Uyini umehluko phakathi kokufakwa esikhundleni kwamalunga kanye nokuhlanganiswa kwamalunga?
Lona umbuzo abantu abaningi abawubuzayo. I-Joint Fusion noma i-Arthrodesis inqubo yokuhlinzwa ehlanganisa unomphela amathambo amabili akha ilunga. Lokhu kunciphisa ubuhlungu futhi kuzinzise ilunga. Kodwa-ke, inkinga enkulu ukuthi ilunga alikwazi ukunyakaziswa ngemva kokuhlinzwa.
Kodwa-ke, njengoba ukufakwa kwejoyinti kuhilela ukufakwa kwejoyinti lokwenziwa, usazokwazi ukuhambisa nokugoba ijoyinti lomunwe ngemva kokuhlinzwa. Kodwa-ke, impumelelo yalokhu kuhlinzwa ingahluka kuye ngomuntu nomuntu. Udokotela wakho wamathambo uzonquma ukuthi yikuphi ukuhlinzwa okukulungele.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokwenza ukuhlinzwa okunje, udokotela wakho uzocabangela ngokucophelela izici eziningana.
- Sizokubuza ngempilo yakho iyonke kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo (njengesifo sikashukela kanye nomfutho wegazi ophezulu).
- Babuza imibuzo efana nokuthi usunesikhathi esingakanani uzwa ubuhlungu bomunwe nokuthi buthinte kanjani impilo yakho.
- Umunwe uyahlolwa ukuze kubonakale ukuthi unamandla kangakanani nokuthi ungakanani ukunyakaza kwawo.
- Kuzokwenziwa i-X-ray yonyawo ukuze kuhlolwe isimo samathambo.
- Ezinye izivivinyo, njengokuhlolwa kwegazi, zingenziwa ukuze kubonakale ukuthi umzimba wakho usukulungele yini ukuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu. Kwenziwa esibhedlela noma kwesinye isikhungo esinezindawo zokuhlinza. Nansi incazelo yalokho okwenzekayo ngesikhathi sokuhlinzwa:
1. I-Anesthesia: Okokuqala, i-anesthesia ifakwa emthanjeni osengalweni yakho ukuze ikulale ngokuphelele.
2. Ukusikwa: Udokotela ohlinzayo ube esesika kancane phezulu kozwane olukhulu.
3. Ukususwa kwezingxenye ezonakele: Ilunga elonakele, i-cartilage egugile, kanye nezingcezu zamathambo zisuswa ngaleyo ndlela yokusikwa.
4. Ukufakwa kwejoyinti lokwenziwa: Ijoyinti lokwenziwa okukhulunywe ngalo ngaphambilini (prosthesis) lifakwa esikhundleni sejoyinti elisusiwe.
5. Ukuqina: Leli lunga lokwenziwa linamathele ngokuqinile emathanjeni ohlangothini ngalunye lomunwe kusetshenziswa izipikili ezincane, amaphini, izikulufo, noma uhlobo olukhethekile lwesimende samathambo.
6. Ukuhlolwa: Sihlola ukuqinisekisa ukuthi konke kusendaweni nokuthi ijoyinti elisha lihamba kahle.
7. Ukuthunga: Ekugcineni, imbobo ivalwa ngokuthunga. Bese iboshwa ukuze ivikeleke kumagciwane, mhlawumbe kufakwa i-cast noma i-boot ekhethekile.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzovuka usegumbini lokululama. Umlenze wakho uzobhandishwa futhi mhlawumbe ufakwe ukhonkolo. Ithimba lezokwelapha lizokuqapha ukuqinisekisa ukuthi azikho imiphumela emibi evela ku-anesthesia.
Kuzodingeka uhlale esibhedlela uze ukwazi ukuhamba ngokuphepha usebenzisa i-walker noma izinduku zokubambelela. Ngaphambi kokuba uye ekhaya, udokotela kanye nabasebenzi bobuhlengikazi bazokunikeza isethi yemiyalelo okufanele uyilandele ekhaya.
- Faka iqhwa ukuze unciphise ubuhlungu nokuvuvukala.
- Ukugcina imilenze yakho iphakeme isikhathi eside ngangokunokwenzeka.
- Usuku okufanele ubuye ngalo ukuzosika izitishi.
- Kumayelana nokugqoka izicathulo ezinezithende ezijiyile ngangokunokwenzeka.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo nezingozi. Udokotela wakho uzokuchazela lokhu kahle.
| Izinzuzo | Izingozi |
|---|---|
|
|
Lezi zingozi azivamile, kodwa kubalulekile ukuziqaphela.
Kuthatha isikhathi esingakanani ukuphulukiswa? Nezimo eziphuthumayo ezidinga ukubona udokotela
Udokotela wakho uzokukhuthaza ukuthi usebenzise ilunga lakho elisha ngokushesha okukhulu ngemva kokuhlinzwa, okusho ukuhamba. Nakuba kungase kube buhlungu kancane ekuqaleni, ukuzivocavoca umzimba kuyingxenye ebaluleke kakhulu yenqubo yokuphulukiswa. Ubuhlungu buzophela ngokuhamba kwesikhathi.
Kungase kudingeke futhi ukuthi wenziwe ukwelashwa ngokomzimba. Kungathatha cishe amasonto ayisishiyagalombili ukuze ukwazi ukuhamba ngokugcwele uthwele isisindo.
Okubalulekile: Uma ubona noma yiziphi izinguquko ngesikhathi sokululama kwakho, kubaluleke kakhulu ukwazisa udokotela wakho ngakho.
Shayela udokotela wakho ngokushesha uma unalezi zimpawu:
- Uma uzizwa ushisa noma unesifo somkhuhlane.
- Uma ubuhlungu bukhula esikhundleni sokuncipha.
- Uma isilonda sikhipha ubomvu noma sinephunga elibi.
- Uma kukhona ukubomvu noma ukuvuvukala okuzungeze indawo yokusikwa (lokhu kungaba izimpawu zokutheleleka)
Futhi, uma uzizwa sengathi kunenkinga ngelunga elitshalwe kabusha ngemva kwesikhathi esithile, lokho kusho ukuthi,
- Uma umsebenzi noma amandla elunga encishisiwe.
- Uma ilunga lizizwa lingazinzile futhi sengathi selizokhululeka (Ukungazinzi).
- Uma uqala ubuhlungu obusha, ukuqina, noma ukuvuvukala.
Noma ngabe yikuphi okufana nalokhu, bona udokotela okuphathe ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa Kwejoyinti Lezinzwane kungaba yisisombululo esihle sobuhlungu obukhulu esijoyintini sezinzwane ezinkulu lapho ezinye izindlela zokwelapha zehlulekile.
- Lokhu kuhlinzwa kunganciphisa ubuhlungu futhi kuthuthukise ukunyakaza nokusebenza kwamalunga.
- Kuthatha isikhathi esithile ukululama ngokugcwele ngemva kokuhlinzwa, futhi iseluleko sezokwelapha kanye nokwelashwa ngokomzimba kubalulekile kulokhu.
- Uma uba nezimpawu zokutheleleka (umkhuhlane, ukuvuvukala, ubomvu) noma izimpawu zokungasebenzi kahle kwamalunga (ubuhlungu obusha, ukungazinzi) ngesikhathi sokuphulukiswa, bona udokotela wakho ngokushesha.
- Uchwepheshe wakho kuphela onganquma inketho yokwelashwa engcono kakhulu kuwe, ngakho-ke vula futhi uthembeke kudokotela wakho nganoma yini.
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