I- Cheilectomy (ebizwa ngokuthi i- kī-lek'tō-mē) iyisenzo sokuhamba ngezinyawo sokususa i-bone spurs yezinzwane ezinkulu ezihlanganyelwe ukwelashwa kwe-arthritis ehlangene yama-toe (i-hallux rigidus). I-bone arsritic bone spurs ngokuvamile ikhula phezu kokuhlangana okukhulu kwezinzwane, okugcina ekunciphiseni ukunyakaza futhi kubangele ubuhlungu. Ukususa i-bone spurs nge-cheilectomy kubhekwa njengokusebenza okulula futhi okuphumelelayo kakhulu ukunciphisa ubuhlungu obukhulu bomjovo obukhulu obunama-arthritic ngenkathi kulondolozwa ukunyakaza okunamandla okuhlangene.
I-Arthritis Yokuhlanganiswa Okukhulu Kwezinyosi
I-arthritis yezinzwane ezinkulu ezihlangene , okuthiwa nge- " hallux rigidus ," iyisimo esibucayi se-cartilage esenza kube nzima, ubuhlungu, nokulahlekelwa kokuhamba okuhlangene. I-cartilage ehlangene evamile iyigqoke elimhlophe, eliqinile, eliqinile elinamathele ekupheleni kwethambo ukuvumela amathambo amabili ukuba ahambisane kahle. I-cartilage ehlanjululwayo iba mphuzi, iminyene futhi igxilile, engase iveze ithambo eliyisisekelo elibangelwa ubuhlungu nokunyakaza. Ukuguqulwa okuthuthukisiwe okungaphezulu kungabangela ama-cysts angenangqondo emathanjeni nje ngezansi kokuhlangana okuhlangene. I-bone evuthayo ngokuvamile ifomu nxazonke ezihlangene ne-arthritic joint njengendlela yokuzivikela ekunciphiseni ukuhamba okuhlangene kobuhlungu, futhi lezi zithebhu zethambo zingaba zikhulu kakhulu futhi zikhulu kakhulu.
I-arthritis yezinzwane ezinkulu ngokuvamile ihlukaniswa yinhlanganisela yezibonakaliso zomzimba kanye nokutholakala kwe-x-ray. Kunezigaba ezine ze-arthritis. Isigaba sokuqala (isigaba sokuqala 1) lapho kungekho khona ukutholakala kwe-x-ray kodwa kukhona ukulahlekelwa kwesimiso futhi lokhu kuthiwa nge- hallux limitus .
Isigaba sesibili, sesithathu nesine sesigaba se-correlate nesifo esibucayi se-arthritic senyuka futhi sibhekwa njengobumnene, esilinganiselwe, noma esiqinile (ekupheleni kwesigaba); ngokulandelana. I-arthritis enomzimba ngokuvamile ilahlekelwe i-cartilage engafanele. I-arthritis ejwayelekile ihlanganisa ukwakheka kwamathambo ngezinguquko ezincane ze-cystic. I-arthritis enamandla ilahlekelwa ngokuphelele yi-cartilage ehlangene noma ngaphandle kokubunjwa kwe-bone spur.
I-Cheilectomy Surgery
Isisekelo sokuhlinzwa kwe-cheilectomy ukususa ama-spurs ezithambo ezizungeze ukujoyina. Ngokujwayelekile, i-spurs ye-bone iphezulu ekuhlanganyeleni. I-Bone iqhuma ezinhlangothini zomhlanganiso ingasetshenziswa futhi ngesikhathi sokuhlinzwa kwe-cheilectomy.
Ukuchotshozwa kwe-cheilectomy ngokuvamile kuphezulu kwesigxobo esikhulu sezinzwane, nakuba ukuchotshozwa ohlangothini lwejoyina kungasetshenziswa kwezinye izimo. I-bone spurs ingasuswa ngesandla nge-chisel yomzimba noma nge-saw power. Uma isisindo se-bone sisusiwe ngokuvamile kuvame ukunyuka ukunyakaza okukhulu kwezinzwane ezihlangene. Odokotela bamazinyo ngokuvamile bafaka ama-wax okuhlinzeka ngamathambo ezindaweni eziluhlaza okwesibhakabhaka ukuze kuphulukiswe ama-bone spurs ekushintsheni. Ngaphezu kokususwa kwethambo, ukuhlanganiswa kuhlolwe nganoma yikuphi ukulimala kwangaphakathi kanye nezinye izindawo zokulahleka kwe-cartilage kanye nama-cysts amathambo angase aphathwe ukuze akhuthaze ukungena kwe-cartilage entsha.
Ukubuyiswa kwe-Cheilectomy
I-Cheilectomy enkulu yezinzwane zokuhlinza ngokuhlanganyela iyinye yezinqubo zokuhlinzwa zezinyawo ze-boney ezilula ukuze zilulame. Ukuhlinzeka ngokujwayelekile kuyinkqubo yokuphulukisa iziguli ngaphansi kwendawo yangaphandle nangaphandle kokuhlala. Ukuhlinzwa ngokuvamile kuthatha ngaphansi kwehora elilodwa. Ngokuvamile iziguli zihamba ngokushesha ngemva kokuhlinzwa esikhwameni sokuhlinzwa.
Ama-Sutures asuswe cishe amasonto amabili ngemuva kokuhlinzwa. Kuye ngesilinganiso se-arthritis, ukusizwa kungase kutholakale ngemva kwezinsuku ezimbalwa futhi ngokuvamile kuyinkathi yokulungiswa kokuhlanganiswa ukuvumelanisa nokunyuka okunyukayo.
Kungenziwa I-Cheilectomy Ne- Surgery ye-Bunion ?
Amabhononi kanye ne-arthritis kungenzeka ndawonye. I-bunion yinhlanganisela enkulu yezinyosi ezingalahliwe ezingabangela ukugqoka okungenalutho nokugqabisa ekuhlanganyeleni, okuholela ekutheni i-arthritis enkulu. Ukuhlinzeka nge-Bunion ngokuvamile kuhilela ukusikwa kwamathambo noma i-fusion yamathambo ukuze kulungiswe kabusha amathambo ahlakazekile. Iseluleko esingcono kakhulu sokuhlinzekwa kwe-bunion ngokuvamile sidinga ukuthi i-cheilectomy ihlangane nokuhlinzekwa kwe-bunion uma nje i-arthritis imnene ukulinganisela.
I-Cheilectomy nokuhlinzwa kwe-bunion kungase kube nenzuzo empilweni yesikhathi eside yokujoyina ngokuthuthukisa ukulungiswa kokujoyina.
Izinzuzo ze-Cheilectomy
Inzuzo enkulu ye-cheilectomy yukuthi ukusebenza okuphumelelayo ngoba i-spurs ye-bone ngokuvamile iyisici se-arthritis esibangela izimpawu eziningi zeziguli. Ukususa i-spurs bone ngokuvamile kuhlinzeka usizo olukhulu. Kuye ngesilinganiso se-arthritis cheilectomy kunganciphisa izimpawu ngokuphelele noma ziyanciphise. I-Cheilectomy ingase ingasebenzi ngempumelelo ye-arthritis yokuphela. Ukususa i-spurs bone akuvimbeli izinqubo eziphambili kakhulu zokubhekana nesifo sokuphefumula kwesifo sokuphela , kepha lokhu kuwe nakugqirha wakho ohlinzayo.