I-Cheilectomy: Yini Ongayilindela

-Delile

• Kungani inqubo yenziwa?
• Ngabe ngidinga ukwenza noma yini ukulungiselela?
• Kwenziwa kanjani?
• Yini engizodinga ukuyenza ngemuva kwenqubo?
• Kuthatha isikhathi esingakanani ukululama?
• Ingabe zikhona izingozi zezinkinga?
• Okubalulekile

I-cheilectomy inqubo yokuhlinza ukususa ithambo eleqile ekuhlanganyeleni konyawo lwakho olukhulu, olubizwa nangokuthi ikhanda le-dorsal metatarsal. Ukuhlinzwa ngokuvamile kunconyelwa ukulimala okuncane kuya kokulinganiselayo kusuka ku-osteoarthritis (OA) kuzwane olukhulu.

Qhubeka ufunde ukuze ufunde kabanzi ngenqubo, kufaka phakathi lokho okuzodingeka ukwenze ukulungiselela, nokuthi ukutakula kuthatha isikhathi esingakanani.

Kungani inqubo yenziwa?

I-cheilectomy yenziwa ukuhlinzeka ukukhululeka kobuhlungu nokuqina okubangelwa i-hallux rigidus, noma i-OA yozwane olukhulu. Ukwakheka kwe-bone spur phezu kwejoyinti enkulu yozwane olukhulu kungadala iqhubu elicindezela isicathulo sakho futhi lidale ubuhlungu.

Inqubo ivame ukunconywa lapho ukwelashwa okungasetshenziswanga kwehlulekile ukunikeza usizo, njengokuthi:

• ukulungiswa kwezicathulo nama-insoles
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Ukwelashwa kwe-OA komjovo, njenge-corticosteroids

Ngesikhathi senqubo, ukukhishwa kwethambo nengxenye yethambo - ngokuvamile amaphesenti angama-30 kuye kwangama-40 - kuyasuswa. Lokhu kudala isikhala esengeziwe senzwane yakho, esinganciphisa ubuhlungu nokuqina ngenkathi kubuyiselwa uhla lokunyakaza kuzwane lwakho olukhulu.

Ngabe ngidinga ukwenza noma yini ukulungiselela?

Uzonikezwa imiyalo ethile yokuthi ungayilungiselela kanjani i-cheilectomy yakho ngudokotela wakho ohlinzayo noma umhlinzeki wokunakekelwa okuyisisekelo.

Ngokuvamile, ukuhlolwa kwangaphambi kokungeniswa kuyadingeka ukuqinisekisa ukuthi inqubo iphephile kuwe. Uma kudingeka, ukuhlolwa kwangaphambi kokumiswa kuvame ukuqedwa ezinsukwini eziyi-10 kuya kwezingu-14 ngaphambi kosuku lwakho lokuhlinzwa. Lokhu kungafaka:

• umsebenzi wegazi
• iX-ray yesifuba
• i-electrocardiogram (EKG)

Lezi zivivinyo zizosiza ukukhomba noma yiziphi izingqinamba zezempilo ezingenza inqubo ukuthi ibe yingozi kuwe.

Uma okwamanje ubhema noma usebenzisa i-nicotine, uzocelwa ukuthi ume ngaphambi kwenqubo. Kukhona ukuthi i-nicotine iphazamisa ukwelashwa kwamanxeba namathambo kulandela ukuhlinzwa. Ukubhema futhi kwandisa ubungozi bamahlule egazi nokutheleleka, ngakho-ke kunconywa ukuthi uyeke ukubhema okungenani amasonto amane ngaphambi kokuhlinzwa.

Ngaphandle kokuthi kuchazwe ngenye indlela, kuzodingeka futhi ukuthi uvikele imishanguzo ethile, kufaka phakathi ama-NSAID kanye ne-aspirin okungenani izinsuku eziyisikhombisa ngaphambi kokuhlinzwa. Qiniseka ukuthi utshela umhlinzeki wakho nganoma iyiphi enye i-OTC noma imishanguzo kadokotela oyisebenzisayo, kufaka phakathi amavithamini namakhambi.

Kuzodingeka futhi ukuthi uyeke ukudla ukudla ngemuva kwamabili ngaphambi kokuhlinzwa. Kodwa-ke, imvamisa ungaphuza uketshezi olucacile kuze kufike emahoreni amathathu ngaphambi kwenqubo.

Ekugcineni, yenza izinhlelo zomuntu ozokushayela ekhaya ngemuva kwenqubo.

Kwenziwa kanjani?

I-cheilectomy ivame ukwenziwa ngenkathi ungaphansi kwe-anesthesia, okusho ukuthi ulele inqubo. Kepha ungahle udinge i-anesthesia yendawo, ethambisa indawo yezinzwane. Kunoma ikuphi, ngeke uzwe lutho ngesikhathi sokuhlinzwa.

Okulandelayo, udokotela ohlinzayo uzokwenza imbobo yekhiye eyodwa ngaphezulu kozwane lwakho olukhulu. Bazosusa amathambo amaningi kanye nokwakheka kwamathambo ejoyintini, kanye nanoma iyiphi enye imfucumfucu, njengezicucu zamathambo ezikhululekile noma uqwanga olimele.

Uma sebesuse konke, bazovala imbobo besebenzisa izitishi zokuqedwa. Bazobe sebebhandisha uzwane nonyawo lwakho.

Uzobhekwa endaweni yokutakula amahora amabili noma amathathu ngemuva kokuhlinzwa ngaphambi kokuba ukhishelwe kunoma ngubani okuyisa ekhaya.

Yini engizodinga ukuyenza ngemuva kwenqubo?

Uzonikezwa izinduku nezicathulo ezikhethekile zokuzivikela ezizokusiza uhambe. Lokhu kuzokuvumela ukuthi usukume uhambe ngemuva kokuhlinzwa. Vele uqiniseke ukuthi awubeki isisindo esiningi ngaphambili konyawo lwakho. Uzokhonjiswa ukuthi uhamba kanjani ngonyawo oluyisicaba, ubeke isisindo esithe xaxa esithendeni sakho.

Ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa, ungahle ube nezinhlungu ezithile zokuphefumula. Uzonikezwa imithi yezinhlungu ukuze ukhululeke. Ukuvuvukala nakho kuvamile, kepha imvamisa ungakuphatha ngokugcina unyawo lwakho luphakanyisiwe lapho kungenzeka khona phakathi nesonto lokuqala noma ngemuva kokuhlinzwa.

Ukufaka i-ice pack noma isikhwama semifino efriziwe kuzosiza nobuhlungu nokuvuvukala. Ice indawo endaweni imizuzu engu-15 ngasikhathi sinye usuku lonke.

Umhlinzeki wakho uzokunika imiyalo yokugeza ukuqinisekisa ukuthi awuphazamisi imithungo noma inqubo yokuphulukisa. Kepha uma ukusika sekuphilile, uzokwazi ukumanzisa unyawo lwakho emanzini abandayo ukunciphisa ukuvuvukala.

Ezimweni eziningi, uzothunyelwa ekhaya ngokunwetshwa okuncane nokuzivocavoca umzimba ukuze wenze njengoba ululama. Qiniseka ukuthi uqonda ngokuphelele ukuthi ungazenza kanjani, njengoba zingenza umehluko omkhulu enqubweni yokutakula.

Kuthatha isikhathi esingakanani ukululama?

Amabhandeshi akho azosuswa cishe emasontweni amabili ngemuva kokuhlinzwa. Ngaleso sikhathi, kufanele ukwazi ukuqala ukugqoka izicathulo ezijwayelekile, ezisekelayo nokuhamba njengoba uvame ukwenza. Kufanele futhi ukwazi ukuqala ukushayela futhi uma inqubo yenziwe ngonyawo lwakho lokunene.

Gcina wazi ukuthi indawo ingahle ibe nokuzwela okuncane amasonto ambalwa, ngakho-ke qiniseka ukuthi unciphisa kancane kancane ubuyele emisebenzini enomthelela omkhulu.

Ingabe zikhona izingozi zezinkinga?

Izinkinga ezivela ku-cheilectomy zinokwenzeka kepha zingenzeka, njenganoma iyiphi inqubo yokuhlinzwa.

Izinkinga ezingaba khona zifaka:

• amahlule egazi
• izibazi
• ukutheleleka
• ukopha

I-anesthesia ejwayelekile nayo ingadala imiphumela emibi, efana nesicanucanu nokuhlanza.

Bheka udokotela wakho uma uthola izimpawu zokutheleleka, njenge:

• umkhuhlane
• ukwanda kobuhlungu
• ububomvu
• ukukhishwa esizeni sokusikwa

Funa ukwelashwa okuphuthumayo uma ubona izimpawu zegazi. Yize kuyivelakancane kakhulu, zingaba zimbi uma zingalashwa.

Izimpawu zegazi egazini emlenzeni wakho zifaka:

• ububomvu
• ukuvuvukala etholeni lakho
• ukuqina enkonyane noma ethangeni lakho
• ubuhlungu obukhulayo enkonyane noma ethangeni lakho

Ngaphezu kwalokho, kuhlale kunethuba lokuthi inqubo ngeke ilungise inkinga eyisisekelo. Kepha ngokuya ngezifundo ezikhona, inqubo inezinga lokwehluleka nje.

Okubalulekile

I-cheilectomy ingaba yindlela yokwelapha ephumelelayo yokulimala okuphakathi kuya kokuphakathi okubangelwa ithambo ne-arthritis eyeqile kuzwane lwakho olukhulu. Kodwa kuvame ukwenziwa kuphela ngemuva kokuzama ngempumelelo ukwelashwa okungasetshenziswanga.