Ukulungiswa kweminwe enezintambo noma izinzwane

Ukulungiswa kweminwe noma izinzwane ezine-webbed ukuhlinzwa ukulungisa ukufakwa kwewebhu kwezinzwane, iminwe, noma kokubili. Iminwe ephakathi nendawo nezindandatho noma izinzwane zesibili nezesithathu zivame ukuthinteka. Imvamisa lokhu kuhlinzwa kwenziwa lapho ingane iphakathi kwezinyanga eziyisithupha neminyaka emibili ubudala.

Ukuhlinzwa kwenziwa ngale ndlela elandelayo:

• I-anesthesia ejwayelekile inganikezwa. Lokhu kusho ukuthi ingane yakho ilele futhi ngeke ibuzwe ubuhlungu. Noma i-anesthesia yesifunda (umgogodla kanye ne-epidural) inikezwa ukukhulula ingalo nesandla. I-anesthesia ejwayelekile isetshenziselwa kakhulu izingane ezincane ngoba kuphephile ukuzilawula ngenkathi zilele.
• Udokotela ohlinzayo uphawula izindawo zesikhumba ezidinga ukulungiswa.
• Isikhumba sinqunywa, bese izicubu ezithambile zisikwa ukwehlukanisa iminwe noma izinzwane.
• Izimpama zithungelwe endaweni. Uma kudingeka, isikhumba esithathiwe (esixhunyelelwayo) kwezinye izindawo zomzimba sisetshenziselwa ukumboza izindawo ezingenaso isikhumba.
• Isandla noma unyawo bese kusongwa ngebhandishi elikhulu noma ukhonkolo ukuze kunganyakazi. Lokhu kuvumela ukwelashwa kwenzeke.

Ukusikwa okulula kweminwe noma izinzwane kubandakanya isikhumba nezinye izicubu ezithambile kuphela. Ukuhlinzwa kunzima kakhulu lapho kubandakanya amathambo ahlanganisiwe, izinzwa, imithambo yegazi, kanye nemisipha. Lezi zakhiwo zingadinga ukuphinde zakhiwe kabusha ukuvumela amadijithi ukuthi ahambe ngokuzimela.

Lokhu kuhlinzekwa kuyalulekwa uma ukwelukwa kubangela izinkinga ngokubukeka, noma ekusebenziseni nasekunyakaziseni iminwe noma izinzwane.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Izinkinga ukuphefumula
• Ukusabela emithini
• Ukopha, ukunqamuka kwegazi, noma ukutheleleka

Ezinye izinkinga ezingaba khona ezihlobene nalokhu kuhlinzwa zifaka okulandelayo:

• Umonakalo wokungatholi igazi elanele esandleni noma enyaweni
• Ukulahleka kokuxhunyelelwa kwesikhumba
• Ukuqina kweminwe noma izinzwane
• Ukulimala emithanjeni yegazi, imisipha, noma amathambo eminweni

Shayela umhlinzeki wakho uma ubona okulandelayo:

• Imfiva
• Iminwe eshoshozelayo, ikindiki, noma enebala eliluhlaza okwesibhakabhaka
• Ubuhlungu obukhulu
• Ukuvuvukala

Tshela udokotela ohlinzayo wengane yakho ukuthi imiphi imithi ethathwa ingane yakho. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

• Buza udokotela wengane yakho ukuthi yimiphi imithi okufanele usayinikeza ingane yakho ngosuku lokuhlinzwa.
• Yazisa udokotela ngaso leso sikhathi lapho ingane yakho inamakhaza, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ngaphambi kokuhlinzwa.

Ngosuku lokuhlinzwa:

• Cishe uzocelwa ukuthi unganiki ingane yakho noma yini ukuthi idle noma iphuze amahora ayi-6 kuya kwayi-12 ngaphambi kwenqubo.
• Nikeza ingane yakho noma imiphi imithi udokotela akutshele yona ukuthi uyinikeze ngesiphuzo esincane samanzi.
• Qiniseka ukuthi ufika esibhedlela ngesikhathi.

Ukuhlala esibhedlela izinsuku ezi-1 kuye kwezi-2 kuyadingeka.

Kwesinye isikhathi isamente lidlulela ngale kweminwe noma izinzwane ukuvikela indawo elungisiwe ekulimaleni. Izingane ezincane ezinokulungiswa kweminwe kwewebhu zingadinga isamente elifinyelela ngenhla kwendololwane.

Ngemuva kokuthi ingane yakho ibuyele ekhaya, shayela udokotela ohlinzayo uma ubona okulandelayo:

• Imfiva
• Iminwe eshoshozelayo, ikindiki, noma enebala eliluhlaza okwesibhakabhaka
• Ubuhlungu obukhulu (ingane yakho ingahle ifuthelane noma ikhale njalo)
• Ukuvuvukala

Ukulungiswa kuvame ukuphumelela. Lapho iminwe ehlangene ihlanganyela ngozipho olulodwa, ukwakheka kwezipikili ezimbili ezibukeka ngendlela ejwayelekile akuvamile ukwenzeka. Uzipho olulodwa luzobukeka lujwayelekile kunolunye. Ezinye izingane zidinga ukuhlinzwa kwesibili uma ukuqina kwewebhu kuyinkimbinkimbi.

Iminwe ehlukanisiwe ngeke ize ibukeke noma isebenze ngokufanayo.

Ukulungiswa kweminwe yewebhu; Ukulungiswa kwezinzwane zewebhu; Ukulungisa Syndactyly; Khulula ngokuthula

• Ngaphambi nangemva kokulungiswa kweminwe ye-webbed
• Ngokuvumelana
• Ukulungiswa kweminwe ye-webbed - uchungechunge

UKay SP, uMcCombe DB, uKozin SH. Ukukhubazeka kwesandla neminwe. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 36.

UMauck BM, uJobe MT. Okuzenzakalelayo kokuzalwa kwesandla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 79.