Ukulungiswa kwetendon

Ukulungiswa kwetendon lutyando lokulungisa iitoni ezonakalisiweyo okanye ezikrazukileyo.

Ukulungiswa kwetendon kunokwenziwa rhoqo kwisimo sezigulana ezingalaliswayo. Ukuhlala esibhedlele, ukuba kukho, kufutshane.

Ukulungiswa kwetendon kunokwenziwa kusetyenziswa:

• I-anesthesia yendawo (indawo ekufutshane yoqhaqho ayinazintlungu)
• I-anesthesia yengingqi (yengingqi kunye neendawo ezikufutshane azinazintlungu)
• I-anesthesia ngokubanzi (ilele kwaye ayinazintlungu)

Ugqirha usika isikhumba ngaphezulu kwethenda eyonzakeleyo. Iziphelo ezonakalisiweyo okanye ezikrazukileyo zethenda zithungelwe kunye.

Ukuba i-tendon yenzakele kakhulu, i-tendon graft inokufuneka.

• Kule meko, isiqwenga sethenda esivela kwelinye ilungu lomzimba okanye ithenda eyenziweyo iyasetyenziswa.
• Ukuba kukho imfuneko, imisipha incamathele nakwizicubu eziyingqongileyo.
• Ugqirha uvavanya indawo ukuze abone ukuba akukho monakalo na kwimithambo yegazi kunye nemithambo yegazi.
• Xa ukulungiswa kugqityiwe, inxeba livaliwe laza labotshwa.

Ukuba umonakalo we-tendon unzima kakhulu, ukulungiswa kunye nokwakhiwa kwakhona kunokufuneka kwenziwe ngamaxesha ahlukeneyo. Ugqirha uya kwenza utyando olunye ukulungisa inxenye yokwenzakala. Olunye utyando luyakwenziwa kamva ukugqiba ukulungisa okanye ukuvuselela ithenda.

Injongo yokulungiswa kwethenda kukubuyisa umsebenzi oqhelekileyo wamalungu okanye izicubu ezijikelezileyo ukwenzakala kwethoni okanye ukulila.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zale nkqubo zibandakanya:

• Izicubu ezinqabileyo ezithintela intshukumo egudileyo
• Intlungu engapheliyo
• Ukuphulukana kwenxalenye yomsebenzi kwindibaniselwano ebandakanyekayo
• Ukuqina kwelungu
• Ithenda iyakhala kwakhona

Xelela ugqirha wakho wotyando ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, imifuno, kunye nezongezelelo ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa ikhaya lakho ukulungiselela ukuphuma kwakho esibhedlele.
• Ukuba uyatshaya okanye uyatshaya, kufuneka uyeke. Awungekhe uphilise xa utshaya okanye usebenzisa icuba. Buza umboneleli wezempilo ngoncedo lokuyeka.
• Landela imiyalelo yokumisa i-thinner yegazi. Oku kubandakanya i-warfarin (Coumadin), i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), okanye ii-NSAID ezinje nge-aspirin. Oku kunokubangela ukopha okuphezulu ngexesha lotyando.
• Thetha nogqirha wakho ukuba ubusele utywala obuninzi, ngaphezulu kweiglasi ezi-1 ukuya kwezi-2 ngosuku.
• Buza ugqirha wakho otyandayo ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando.
• Yazisa ugqirha wakho wotyando malunga nayo nayiphi na ingqele, umkhuhlane, umkhuhlane, ukuphuma kweherpes, okanye ezinye izifo onokuba unazo.

Ngomhla wotyando:

• Landela imiyalelo malunga nokungaseli okanye ungatyi nantoni na ngaphambi kwenkqubo.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Ukuphilisa kungathabatha iiveki ezi-6 ukuya kwezi-12. Ngelo xesha:

• Inxalenye eyenzakeleyo inokufuna ukugcinwa kwisicefe okanye isamente. Emva kwexesha, isibiyeli esivumela intshukumo sinokusetyenziswa.
• Uya kufundiswa ukuzivocavoca ukunceda ithenda iphilise kwaye unciphise izicwili ezibomvu.

Uninzi lolungiso lweethenda luyaphumelela ngonyango olululo kunye nokuqhubeka komzimba.

Ukulungiswa kwethenda

• Iitendon kunye nezihlunu

Ikhonkco DL. I-Flexor kunye ne-extensor tendon ukwenzakala. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 66.

Irwin TA. Ukulimala kweTendon elunyaweni kunye neqatha. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahl. 118.