Ukulungiswa kwetendon

Ukulungiswa kweTendon ukuhlinzwa ukulungisa imisipha elimele noma edabukile.

Ukulungiswa kwetendon kungenziwa kaningi esimeni sokugula. Ukuhlala esibhedlela, uma kukhona, kufushane.

Ukulungiswa kwetendon kungenziwa kusetshenziswa:

• I-anesthesia yendawo (indawo eseduze yokuhlinzwa ayinazinhlungu)
• I-anesthesia yesifunda (izindawo zasendaweni neziseduze azinazinhlungu)
• I-anesthesia ejwayelekile (ilele futhi ayinazinhlungu)

Udokotela ohlinzayo usika isikhumba phezu kwethenda elimele. Imikhawulo elimele noma edabukile yethenda ithungiwe ndawonye.

Uma i-tendon ilimale kanzima, kungahle kudingeke ukufakelwa kwethenda.

• Kulokhu, kusetshenziswa ucezu lwe-tendon oluvela kwenye ingxenye yomzimba noma i-tendon yokufakelwa.
• Uma kudingeka, imisipha ixhunywe ezicutshini ezizungezile.
• Udokotela ohlinzayo uhlola indawo ukuze abone ukuthi akukho yini ukulimala kwezinzwa nemithambo yegazi.
• Lapho ukulungiswa sekuphelile, isilonda siyavalwa futhi sibhandishwe.

Uma ukulimala kwethenda kukhulu kakhulu, ukulungiswa nokwakhiwa kabusha kungadingeka ukuthi kwenziwe ngezikhathi ezahlukahlukene. Udokotela ohlinzayo uzokwenza ukuhlinzwa okukodwa ukulungisa ingxenye yokulimala. Okunye ukuhlinzwa kuzokwenziwa ngesikhathi esizayo ukuqeda ukulungisa noma ukwakha kabusha ithenda.

Umgomo wokulungiswa kwethenda ukubuyisa umsebenzi ojwayelekile wamalunga noma izicubu ezizungezile ukulimala kwethenda noma ukudabuka.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zale nqubo zifaka:

• Izicubu ezibomvu ezivimbela ukunyakaza okubushelelezi
• Ubuhlungu obungapheli
• Ukulahleka okuncane komsebenzi ejoyintini elihilelekile
• Ukuqina kwelungu
• Ithenda ikhala futhi

Tshela udokotela wakho ohlinzayo ukuthi iyiphi imithi oyisebenzisayo. Lokhu kufaka phakathi imithi, amakhambi, nezithako ozithengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Lungisa ikhaya lakho uma uzophuma esibhedlela.
• Uma ubhema noma ubhema ugwayi, udinga ukuyeka. Ungahle ungapholi kahle uma ubhema noma usebenzisa ugwayi. Buza umhlinzeki wezokunakekelwa kwezempilo usizo lokuyeka.
• Landela imiyalo yokumisa izinciphisi zegazi. Lokhu kufaka phakathi i-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-rivaroxaban powder (i-Xarelto), noma ama-NSAID afana ne-aspirin. Lokhu kungadala ukopha okwengeziwe ngesikhathi sokuhlinzwa.
• Khuluma nodokotela wakho uma uphuze kakhulu utshwala, ngaphezu kwezingilazi ezi-1 kuye kwezi-2 ngosuku.
• Buza udokotela wakho ohlinzayo ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Yazisa udokotela wakho ohlinzayo nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo ongahle ube nazo.

Ngosuku lokuhlinzwa:

• Landela imiyalelo mayelana nokungaphuzi noma ukungadli lutho ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Fika esibhedlela ngesikhathi.

Ukwelapha kungathatha amasonto ayisithupha kuye kwayi-12. Ngaleso sikhathi:

• Ingxenye elimele ingadinga ukugcinwa ku-splint noma ukhonkolo. Kamuva, i-brace evumela ukunyakaza ingasetshenziswa.
• Uzofundiswa ukuzivocavoca ukusiza ukuphulukisa kwethenda nokukhawulela izicubu ezibomvu.

Iningi lokulungiswa kwethenda liyaphumelela ngokwelashwa okufanele nokuqhubekayo komzimba.

Ukulungiswa kwethenda

• Ama-tendon nemisipha

I-Cannon DL. Ukulimala kwethenda ye-Flexor ne-extensor. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 66.

Irwin TA. Ukulimala kukaTendon onyaweni nasemaqakaleni. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez & Miller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 118.