Ukwelashwa kwe-Bunion: Ukwelapha, Ukubuyiselwa Kwe-Rehab, kanye Nezinkinga Ezikhona
Ukwelashwa kwe-bunion okudingekayo kuyadingeka uma ukwelashwa okulula akukwanele ukukhulula izimpawu zakho. Izinyathelo zokwelashwa ezilula kufanele zizame njalo ngaphambi kokucubungula ukuhlinzwa. Lokhu kuyiqiniso ngezizathu eziningi, okubaluleke kunazo zonke lezo zindlela zokwelapha ezilula zivame ukusebenza, futhi ukwelapha okungajwayelekile akusebenzi ngaso sonke isikhathi. Ngenxa yalezi zizathu, izinyathelo ezilula kufanele zizame ngaphambi kokucubungula izinketho eziningi ezingavamile.
Uma sekufika isikhathi sokuthi ukwelashwa okungekho emthethweni akusasebenzi, khona-ke ukuhlinzwa kungacatshangwa. Ukwelashwa okudingekayo kufanele kufeze imigomo emibili:
- Buyisela ukulungiswa okujwayelekile nemishini yonyawo
- Ukususa izici ezibuhlungu nokuvimbela ukuphindaphinda kwabo
I-Bunion Surgery
Ngokuvamile, i-bunion ingasuswa nje. Lokhu ngokuvamile kubonakala sengathi ukwelashwa okunengqondo, vele ususe i-bump ukuthi ifomu phansi kwesinqe esikhulu. Ngeshwa, le ndlela yokwelapha ayisebenziseki njalo ukuphatha inkinga ye-bunion deformity. Uma i-bump isuke ihlutshiwe i-bunion izobe ibuyele ngokuhamba kwesikhathi.
Ukuhlinzwa kwe-Bunion kuhilela ukuthi kuphule ithambo lezinyosi (metatarsal) ukulungisa inkinga yokuqondanisa eyenza ukuba i-bunion ifake, le nxenye yenqubo ibizwa ngokuthi i- osteotomy . Ukuhlinzwa kuhlanganisa nokuqinisa imigqa ngaphandle kwezinyosi, nokukhululeka kwemigqa ngaphakathi, ngakho-ke ukungezwani kwemigqa kuthinta izinyosi ezikhomba ukuqondisa okufanele.
Abanye odokotela abahlinzayo bakhetha ukusebenzisa izikhonkwane, amapuleti, noma izikuluvu ukuze babambe amathambo aphukile ngenkathi ephulukisa. Abanye bakhetha ukuvumela amathambo ukuba aphilise ngaphandle kwensimbi ephethe isikhundla.
Ngemuva kokuhlinzwa, unyawo kufanele luvikelwe ukuvumela i-bone ephukile ukuphulukisa, nokuvuvukala ukuphazamiseka. Ukusetshenziselwa ukukhubazeka kanye / noma izintambo kuzoxhomeka enkambisweni ethile edingekayo.
Kunezinhlobonhlobo zendlela nokuthi ungaphula kanjani ithambo kuye kokubili kokuthandwayo okuhlinzayo nodokotela obunzima.
Izinkinga zokuhlinzwa
Izinkinga ezikhona zokuhlinzwa zihlanganisa:
- Ukuphindaphinda kwezinyanga ze-bunion noma iminyaka phansi komgwaqo. Lokhu kuyiqiniso ikakhulukazi uma kukhona ukulungiswa okunganele kwe-deformity yokuqala. Njengoba kukhulunywe ngaphambili, lapho i-bunion ihlanjululwa, ivame ukubuya. Ngenxa yalesi sizathu, ukuhlinzwa okubanzi kakhulu kuyadingeka. Udokotela ohlinzayo onyawo kufanele akwazi ukucacisa izinga elifanele lokuhlinzwa.
- Ukwehliswa kokukhubazeka. Ngezinye izikhathi ukuhlinzwa kulungisa inkinga, kodwa kamuva kuholela enkingeni entsha ngokuma kwezwane. Inkinga eyodwa ibizwa ngokuthi i- hallux varus, isimo esibangela ukuba izinzwane ezinkulu zikhomba ukukhomba ngaphakathi.
- Ukulimala kwemisipha. Amagundane agijima ezinhlangothini zezinzwane futhi ahlinzekele ukuzwa kwezinyosi. Ukucwaninga okuhlinzekwayo kutholakala eduze nalapho ukuqhutshwa kokuhlinzekwa kwe-bunion kwenziwe khona futhi kungathathwa noma kwonakaliswe ngesikhathi sokuhlinzwa okuholela ekungenikeni kwezinzwani.
- Ukutheleleka. Ukutheleleka kuvamile kunabantu abaningi abacabanga. Ukuhlinzwa kwezinyawo kufinyeleleke ezinkingeni ngoba ukuphulukiswa ezinyaweni kungaba nzima ngezicathulo, ukulinganisa nokutheleleka.
- Ukungaboni ngaso sonke isikhathi kanye nokudla. Ukungaboni ngaso sonke isikhathi kwenzeka lapho amathambo engaphilisi ngemuva kwe-osteotomy nokuguquguquka. Ukuvimbela le nkinga, odokotela abaningi abahlinzayo banqanda umsebenzi emva kokuhlinzwa, kodwa ezinye izici zingabangela ekuthuthukiseni ukungaboni ngaso sonke isikhathi noma ukuxilongwa ngemva kokuhlinzwa.
Iziguli kufanele ziqonde nokuthi ububanzi be-frontfoot asishintshi ngokuphawulekayo uma kulungiswa ukulungiswa kwe-bunion. Ukulungiswa okulinganiselwe ububanzi be-frontfoot kungumklamo omncane we-intshi. Ngakho-ke, uma ukuhlinzekwa kwe-bunion kwenziwa ngoba iziguli zifuna ukugqoka izicathulo ezincane, umphumela uvame ukuhleleka.
Rehab Ngemuva Surgery Bunion
Ngemuva kokuhlinzwa kwe-bunion, iziguli zigqoka isihlangu esikhethekile sokuthutha ukuvimbela ingcindezi ethandeni lokuphulukisa. Iningi labantu lizosebenzisa imikhonto, okungenani kuze kube sekupheleni ubuhlungu bokuqala. Ukuhlinzwa kwe-Bunion kungakhulumi kahle, futhi kungadinga izinyanga ezintathu noma ngaphezulu ukuphulukisa ngokuphelele.
Imithombo:
UMann, R. "Ukuphazamiseka Kombuthano Wokuqala WeMetatarsophalangeal" J. Amer Acad Orthop Surg; I-Vol 3, No-1 ka-1995; p. 34-43.