Konke Ngokuhlinzwa Okuncishiswe Ukuphakama (Ukunciphisa Amathambo)

-Delile

• Ingabe ikhona into efana nokuhlinzwa kokunciphisa ukuphakama?
• Ukuhlinza amathambo noma ukuhlinza okwandisa amathambo
• Yiziphi izinqubo ezihilelekile?
• I-Epiphysiodesis
• Ukuhlinzwa kokunciphisa izitho
• Ubani umuntu ofanelekela ukhetho kulezi zinqubo?
• Abaqokelwe i-epiphysiodesis
• Abangenele ukhetho lokunciphisa amathambo
• Iyini imiphumela emibi noma izingozi zale nqubo?
• Kutholakala kanjani ukungafani kobude bomlenze?
• Ziyini izindleko zalezi zinqubo?
• Khuluma nodokotela
• Ukudla okudlela endlini

Umehluko phakathi kwezitho zomzimba akuvamile njengoba ukhula. Ingalo eyodwa ingaba yinde kancane kunenye. Umlenze owodwa ungaba mfushane ngamamilimitha ambalwa kunomunye.

Ngezikhathi ezithile, noma kunjalo, amabhangqa amathambo angaba nomehluko omkhulu ngobude. Ezingalweni, kungahle kungabi yinkinga. Kepha emilenzeni, kungaholela ebunzimeni ngokuhamba, futhi ekugcineni ubuhlungu.

Yilapho abanye abantu beqala ukucabangela ukuhlinzwa okunciphisa amathambo. Yize kungeyona inketho yokuqala yokwelapha amathambo angalingani, ukuhlinzwa okunciphisa amathambo kungasiza ekulungiseni ukungafani kobude bezitho, okwenza umuntu akhululeke ngokwengeziwe.

Lo mbhalo ubheka ukuthi kungani ukwehluka kobude bezitho kwenzeka nokuthi ukuhlinzwa okunciphisa amathambo kungasiza kanjani ukuselapha.

Ingabe ikhona into efana nokuhlinzwa kokunciphisa ukuphakama?

Ayikho inqubo efana nokuhlinzwa kokunciphisa ubude. Ukuhlinzwa okunciphisa amathambo kunganciphisa ubude bakho, kodwa akuvamile ukuthi kwenziwe ngale njongo.

Esikhundleni salokho, lokhu kuhlinza kwenziwa kakhulu ukuqeda umehluko wobude bomlenze noma ukulungisa amathambo amade ngokungalingani.

Ukuhlinza amathambo noma ukuhlinza okwandisa amathambo

Ukuhlinzwa kokunciphisa amathambo kusetshenziswa kakhulu ukwelapha ukungafani kobude bezitho (LLD).

I-LLD ingumehluko ophawulekayo phakathi kobude bezitho. Kungaba ngamasentimitha amaningana noma amayintshi, futhi kungenzeka ukuthi ibonakale kakhulu emilenzeni.

Izinyanga ezimbalwa noma ngisho neminyaka, umuntu one-LLD angakwazi ukukhokhela umehluko wezitho zabo. Kodwa-ke, ngokuhamba kwesikhathi, i-LLD ingaholela emiphumeleni emibi nasezinkingeni, njengobuhlungu nobunzima bokuhamba noma ukugijima.

Ukuhlinza okunciphisa amathambo kuklanyelwe ukunciphisa umehluko wobude bezitho. Ukuhlinzwa emathanjeni omlenze kuvame kakhulu. Ezimweni ezingavamile, ukuhlinzwa kungenziwa ezingalweni ezinde kakhulu.

Endabeni yemilenze, ukuhlinzwa kungenzeka kunciphise ubude bokugcina bomuntu ngamasentimitha ambalwa.

Ukuhlinzwa okwandisa amathambo kungasetshenziswa ukwengeza ubude kwithambo elifushane. Lokhu futhi kusiza ukuqeda ubude bezitho zomzimba obungalingani, kepha ngeke kwehlise ukuphakama okuphelele.

Yiziphi izinqubo ezihilelekile?

Izinhlobo ezimbili zokuhlinzwa zingasetshenziswa ukunciphisa ubude bethambo lomlenze. Okungahle kunconywe udokotela wakho ohlinzayo kuncike kubudala bakho nakwimiphumela ofuna ukufinyelela kuyo.

I-Epiphysiodesis

I-Epiphysiodesis empeleni ingukucekelwa phansi kokuhlinzwa kwamacwecwe okukhula ekugcineni kwamathambo. Ngokukhula, lawa macwecwe okukhula akhiqiza izinto zethambo eziqina.

Phakathi nale nqubo, udokotela ohlinzayo uklwebha noma abhoboze izimbobo ezingcwecweni zokukhula ukuze azivikele ekukhuleni noma ekuzinciphiseni. Udokotela ohlinzayo angafaka ipuleti lensimbi elizungeze amapuleti okukhula ukuvimbela ukukhula kwamathambo okwengeziwe.

Ukuhlinzwa kokunciphisa izitho

Inqubo yesibili ibizwa ngokuthi ukuhlinzwa okunciphisa izitho. Njengoba igama liphakamisa, lokhu kuhlinzwa empeleni kunciphisa ubude bethambo, okungenzeka kuthinte ukuphakama kwakho kukonke.

Ukwenza lokhu, udokotela ohlinzayo ususa ingxenye ye-femur (ithanga) noma i-tibia (shinbone). Ngemuva kwalokho, basebenzisa amapuleti ensimbi, izikulufu, noma izinduku ukubamba izingcezu zamathambo ezisele ndawonye zize zilulame.

Ukuphulukisa kungathatha amasonto ambalwa futhi kudinga ukuthi ube nokunyakaza okulinganiselwe kakhulu. Eqinisweni, ungahle ube semlenzeni ophelele wobude amasonto kuze kube yilapho udokotela wakho enelisekile ukuthi ithambo selipholile kahle.

Ubude obukhulu udokotela ohlinzayo angabususa ku-femur cishe; kusuka e-tibia, cishe ngamasentimitha ama-2 (amasentimitha ama-5). Ukuthi udokotela wakho ohlinzayo ukukhipha malini kuzoncika kokungafani abazama ukukulungisa.

Ubani umuntu ofanelekela ukhetho kulezi zinqubo?

Izinqubo ezimbili ezichazwe ngenhla zihloselwe amaqembu ahlukene abantu.

Abaqokelwe i-epiphysiodesis

I-epiphysiodesis isetshenziswa kaningi ezinganeni nasebusheni abasakhula.

Lokhu kuhlinzwa kufanele kubekelwe isikhathi ngqo ukuze ithambo elingakhubazekile ngokuhlinzwa lizokwazi ukufinyelela (kodwa lingadluli) ubude belinye ithambo.

Abangenele ukhetho lokunciphisa amathambo

Ukuhlinzwa okunciphisa amathambo kuvame kakhulu kubantu abadala kanye nabantu abadala abaqedile ukukhula. Iningi labantu liphakeme ekugcineni ngeminyaka engu-18 kuya kwengu-20.

Kungaleso sikhathi lapho usufinyelele khona ukuphakama okugcwele lapho udokotela enokuqonda okungcono kakhulu kokuthi kufanele kususwe ithambo elingakanani ukuze kukhishwe noma imuphi umehluko wobude bomlenze.

Iyini imiphumela emibi noma izingozi zale nqubo?

Ukuhlinza okunciphisa amathambo akuyona ingozi. Nge-epiphysiodesis, imiphumela emibi engaba khona noma izinkinga zifaka:

• ukutheleleka
• ukopha
• ukukhubazeka kokukhula kwamathambo
• ukukhula okuqhubekayo kwamathambo
• ukulungisa okungaphezulu- noma okungaphansi okungawususi umehluko

Izingozi ezingaba khona noma imiphumela emibi yokuhlinzwa okunciphisa amathambo zifaka:

• amathambo apholayo ngenxa yokuqondanisa
• ukutheleleka
• ukopha
• ukulungiswa okungaphezulu- noma okungaphansi
• ukuhlangana, noma amathambo ahluleka ukujoyina kahle ngesikhathi sokuphulukiswa
• ubuhlungu
• ukulahleka komsebenzi

Kutholakala kanjani ukungafani kobude bomlenze?

Umehluko ebangeni lomlenze wengane ungaqala ukubonakala kubazali njengoba ingane iqala ukuhamba. Ukuhlolwa okujwayelekile esikoleni kwe-scoliosis (ukugobeka komgogodla) nakho kungathatha ukungafani kobude bomlenze.

Ukuxilonga ukwehluka kobude bemilenze, udokotela kuqala ubuyekeza umlando wezempilo ojwayelekile nomlando wezokwelapha.

Bese benza ukuhlolwa komzimba okubandakanya ukubuka indlela ingane ehamba ngayo. Ingane ingakhokhela umehluko wobude bomlenze ngokuhamba ezinzwaneni zomlenze wayo omfishane noma ukugoba idolo lomlenze wayo omude.

Udokotela angalinganisa umehluko phakathi kwemilenze ngokubeka amabhlogo okhuni ngaphansi komlenze omfushane kuze kube yilapho zombili izinqulu zilingana. Izifundo zokufanekisa (njenge-X-rays kanye ne-CT scan) zingasetshenziswa ukukala ubude nobuningi bamathambo omlenze.

Uma ingane isakhula, udokotela wayo angancoma ukulinda ukuze abone ukuthi umehluko wobude bomlenze uyakhula noma uhlala unjalo.

Ukuqapha ukukhula, udokotela angakhetha ukuphinda ukuhlolwa komzimba nokuhlolwa kwe-imaging njalo ezinyangeni eziyisithupha kuya kwezingu-12.

Ziyini izindleko zalezi zinqubo?

Zombili lezi zinqubo kungenzeka zibize amashumi ezinkulungwane zamarandi. Kokubili kuzodinga ukuhlala esibhedlela, kepha ukuhlinzwa okunciphisa amathambo kungadinga ukuhlala isikhathi eside. Lokhu kukhulisa izindleko eziphelele zenqubo.

Umshuwalense ungakhokhela izindleko zanoma iyiphi inqubo, ikakhulukazi uma udokotela wakho enquma ukuthi umehluko wamathambo ubangela ukukhubazeka okukhulu.

Kodwa-ke, kungakuhle ukuthi ushayele inkampani yakho yomshuwalense wezempilo ukuze uqinisekise ukumbozwa ngaphambi kokwenza inqubo ukuze ungabi nezikweletu ezimangazayo.

Khuluma nodokotela

Uma ungajabuli ngokuphakama kwakho noma unezinkinga ngoba imilenze yakho inobude obuhlukile, kufanele ukhulume nodokotela.

Kwezinye izimo, ukulungiswa kungaba lula njengokugqoka izicathulo ezikhethekile. Izicathulo ezinokuphakanyiswa kwangaphakathi zingalungisa umehluko wobude besitho futhi zisize ukuqeda noma yiziphi izingqinamba ezikubangelayo.

Kepha uma umehluko phakathi kwemilenze yakho usemkhulu kakhulu, ukuhlinzeka kungaba yindlela. Udokotela wakho angakuhamba ngezinyathelo ezidingekayo ukunquma ukuthi uyakufanelekela yini ukuhlinzwa futhi akusize ulungiselele inqubo yokutakula.

Ukudla okudlela endlini

Umzimba womuntu awulingani, ngakho-ke akuvamile ukuthi umuntu abe nokuhluka okuncane kubude bezingalo noma imilenze yakhe. Kepha umehluko omkhulu - lawo angaphezu kwamasentimitha ambalwa - angathinta inhlalakahle yakho nekhwalithi yempilo.

Uma umehluko wobude bezitho zomzimba ekubangela ubuhlungu noma uthinta imisebenzi yakho yansuku zonke, ukuhlinzwa okunciphisa amathambo kungahlinzeka ukukhululeka. Udokotela wakho angakusiza uqale inqubo ukuqonda izinketho zakho.