I-Cheilectomy: Yintoni onokuyilindela

Umxholo

• Kutheni le nkqubo yenziwa?
• Ngaba ikho into ekufuneka ndiyenzile ukulungiselela?
• Kwenziwa njani?
• Yintoni ekufuneka ndiyenzile emva kwenkqubo?
• Kuthatha ixesha elingakanani ukuchacha?
• Ngaba bukhona ubungozi beengxaki?
• Umgca wezantsi

I-cheilectomy yinkqubo yotyando lokususa ithambo elingaphezulu kwilungu lezinzwane zakho ezinkulu, ezibizwa ngokuba yintloko ye-metors yentloko. Olu tyando lucetyiswa ukuba lomelele kancinci ukuya kumodareyitha ukusuka kwi-osteoarthritis (OA) yezinzwane ezinkulu.

Funda ukuze ufunde ngakumbi malunga nenkqubo, kubandakanya into ekufuneka uyenzile ukulungiselela, kwaye kuthatha ixesha elingakanani ukubuyisela kwimeko yesiqhelo.

Kutheni le nkqubo yenziwa?

I-cheilectomy yenziwa ukubonelela ngesiqabu seentlungu kunye nokuqina okubangelwa yi-hallux rigidus, okanye i-OA yobhontsi omkhulu. Ukwenziwa kwethambo lokudibana ngaphezulu kwelungu eliphambili leenzwane ezinkulu kunokubangela ukungqubana okucinezela kwisihlangu sakho kwaye kubangele iintlungu.

Inkqubo ihlala icetyiswa xa unyango olungafunekiyo lusilele ukubonelela ngoncedo, njenge:

• uhlengahlengiso lwezihlangu kunye ne-insoles
• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
• Unyango lwe-OA olunokujova, olunjengecorticosteroids

Ngexesha lenkqubo, ukukhula kwethambo kunye nenxalenye yethambo- ngesiqhelo ama-30 ukuya kuma-40 epesenti- iyasuswa. Oku kudala indawo ethe kratya kuzwane lwakho, olunokuthi lunciphise iintlungu kunye nokuqina ngelixa ubuyisela uluhlu lokuhamba kwizwane zakho ezinkulu.

Ngaba ikho into ekufuneka ndiyenzile ukulungiselela?

Uya kunikwa imiyalelo ethile ngendlela yokulungiselela i-cheilectomy yakho ngugqirha wotyando okanye umboneleli ngenkathalo.

Ngokubanzi, uvavanyo lokungeniswa kwangaphambili luyafuneka ukuqinisekisa ukuba inkqubo ikhuselekile kuwe. Ukuba kukho imfuneko, uvavanyo lwaphambi kokungeniswa luhlala lugqityiwe kwiintsuku ezili-10 ukuya kwezi-14 ngaphambi komhla wotyando. Oku kunokubandakanya:

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

Ezi mvavanyo ziya kunceda ekuchongeni nayiphi na imiba esempilweni enokwenza inkqubo ibe yingozi kuwe.

Ukuba ngoku uyatshaya okanye usebenzisa inicotine, uya kucelwa ukuba ume ngaphambi kwenkqubo. Kukho ukuba inicotine iphazamise inxeba kunye nokuphilisa amathambo emva kotyando. Ukutshaya kukonyusa umngcipheko wamahlwili egazi kunye nosulelo, ke kuyacetyiswa ukuba uyeke ukutshaya ubuncinci iiveki ezine ngaphambi kotyando.

Ngaphandle kokuba kuchazwe ngenye indlela, kuya kufuneka uphephe amayeza athile, kubandakanya ii-NSAID kunye neasprini okungenani iintsuku ezisixhenxe ngaphambi kotyando. Qinisekisa ukuxelela umboneleli wakho malunga nayiphi na enye i-OTC okanye amayeza amayeza owathathayo, kubandakanya iivithamini kunye namayeza e-herbal.

Kuya kufuneka uphinde uyeke ukutya ukutya emva kobusuku ngaphambi koqhaqho. Nangona kunjalo, unokuhlala usela amanzi acocekileyo kude kube ziiyure ezintathu ngaphambi kwenkqubo.

Okokugqibela, yenza izicwangciso zomntu oza kukuqhubela ekhaya emva kwenkqubo.

Kwenziwa njani?

I-cheilectomy idla ngokwenziwa ngelixa uphantsi kwe-anesthesia, oko kuthetha ukuba ulele inkqubo. Kodwa unokufuna kuphela i-anesthesia yendawo, ethambisa indawo yeenzwane. Ngayiphi na indlela, awuyi kuva nantoni na ngexesha lotyando.

Emva koko, ugqirha wotyando uya kwenza incakuba enye yamaqhosha ngaphezulu konzwane lwakho olukhulu. Baya kususa ithambo eligqithisileyo kunye nokwakhiwa kwethambo kwilungu, kunye nayo nayiphi na enye inkunkuma, enjengamaqhekeza amathambo akhululekileyo okanye intlala eyonakeleyo.

Nje ukuba basuse yonke into, baya kuvala ukusikeka besebenzisa izixhobo zokunyibilikisa. Baya kuthi emva koko babophe ibhontsi yakho neenyawo.

Uya kujongwa kwindawo yokubuyisela emva kweeyure ezimbini okanye ezintathu emva kotyando ngaphambi kokuba ukhutshelwe nakubani na okusa ekhaya.

Yintoni ekufuneka ndiyenzile emva kwenkqubo?

Uyakunikwa iintonga zokutya kunye nesihlangu esikhethekileyo ukukunceda uhambe. Oku kuyakuvumela ukuba ume kwaye uhambe emva kotyando. Qinisekisa ukuba awubeki ubunzima obuninzi ngaphambili kwonyawo lwakho. Uya kuboniswa indlela yokuhamba ngeenyawo ezithe tyaba, ubeke ubunzima ngakumbi kwisithende sakho.

Kwiintsuku ezimbalwa zokuqala emva kotyando, uya kuba neentlungu zokuqaqamba. Uya kumiselwa amayeza eentlungu ukuze ukhululeke. Ukudumba kuqhelekile, kodwa unokuhlala ulawula ngokugcina unyawo lwakho luphakanyisiwe xa kunokwenzeka ngeveki yokuqala okanye emva kotyando.

Ukufaka ipakethe yomkhenkce okanye ibhegi yemifuno ekhenkcezisiweyo kuya kunceda kwintlungu nokudumba. Umkhenkce indawo kangangemizuzu eli-15 ngexesha lonke losuku.

Umboneleli wakho uya kukunika imiyalelo yokuhlamba ukuqinisekisa ukuba awuphazamisi ukuthungwa okanye inkqubo yokuphilisa. Kodwa nje ukuba isiciko siphilile, uya kuba nakho ukufunxa unyawo lwakho emanzini abandayo ukunciphisa ukudumba.

Kwimeko ezininzi, uya kuthunyelwa ekhaya kunye nokuzolula kunye nokuzilolonga ukwenza njengoko uchacha. Qinisekisa ukuba uyayiqonda ngokupheleleyo indlela yokwenza ngayo, njengoko inokwenza umahluko omkhulu kwinkqubo yokubuyisela kwimeko yesiqhelo.

Kuthatha ixesha elingakanani ukuchacha?

Iibhandeji zakho ziya kususwa malunga neeveki ezimbini emva kotyando. Ngelo xesha, kuya kufuneka ukuba uqale ngokunxiba izihlangu eziqhelekileyo, ezixhasayo kunye nokuhamba ngendlela oqhele ukwenza ngayo. Kuya kufuneka kwakhona ukuba uqale ngokuqhuba kwakhona ukuba inkqubo yenziwe kunyawo lwakho lwasekunene.

Gcina ukhumbula ukuba indawo inokuba novakalelo oluncinci kwiiveki ezininzi, ke qiniseka ukuba unciphise kancinci ukubuyela kwimisebenzi enefuthe eliphezulu.

Ngaba bukhona ubungozi beengxaki?

Iingxaki ezivela kwi-cheilectomy zinokwenzeka kodwa zinokwenzeka, njengayo nayiphi na inkqubo yotyando.

Iingxaki ezinokubakho zibandakanya:

• amahlwili egazi
• izilonda
• usulelo
• ukopha

I-anesthesia ngokubanzi nayo inokubangela iziphumo ebezingalindelekanga, ezinjengokugabha kunye nokugabha.

Jonga ugqirha wakho ukuba unempawu zosulelo, ezinje:

• umkhuhlane
• ukwanda kwentlungu
• bomvu
• ukukhutshwa kwindawo yokucheba

Funa unyango olungxamisekileyo ukuba ubona iimpawu zegazi. Ngelixa kunqabile kakhulu, kunokuba nzima ukuba kunganyangwa.

Imiqondiso yegazi emlenzeni wakho ibandakanya:

• bomvu
• ukudumba kwethole lakho
• ukuqina kwethole lakho okanye ethangeni
• iintlungu eziya zisiba mbi kumathole okanye ethangeni lakho

Ukongeza, kuhlala kukho ithuba lokuba inkqubo ayizukulungisa umba osisiseko. Kodwa ngokusekwe kwizifundo esele zikho, inkqubo inezinga lokusilela nje.

Umgca wezantsi

I-cheilectomy inokuba lunyango olusebenzayo lomonakalo omnene ukuya kumodareyitha obangelwe kukugqithisa kwethambo kunye ne-arthritis kwizwane zakho ezinkulu. Kodwa iqhele ukwenziwa kuphela emva kokungaphumeleli kokuzama unyango lwezonyango.