I-cheilectomy yindlela yokuhlinza eyenziwa ukususa ama-bone spurs kusukela phansi kwezinyawo ezinkulu ezinyaweni. Iziguli ezinezimo ezibizwa ngokuthi i- hallux rigidis , noma isifo samathambo ezinzwane ezinkulu, ziba nobuhlungu nokuqina kozinzwane ezinkulu.
Igama elithi cheilectomy livela egameni lesiGreki elithi Cheilos , elisho "lip." I-cheilectomy isusa i-spurs ye-bone, noma i-lip of bone, eyenza ngenxa ye-arthritis ye-joint.
Ngokususa i- bone spurs, iziguli zinenkinga encane yezinzwane ezinkulu.
I-Hallux Rigidus
Abantu abane-arthritis ezansi kwezwane ezincane bane-hallux rigidus. Uma ihlangene iguqa phansi kwesonto, ukunyakaza kwezinyawo kuyabuhlungu. Indawo evamile kakhulu yobuhlungu kubantu abanakho i-hallux rigidus ngokuqondile phezulu kwezinzwane ezinkulu. Lolu buhlungu lubizwa ngokuthi ukufakwa kwe-dorsal.
Ukumiswa kwe-dorsal kwenzeka lapho izinzwane zigoqa phezulu, futhi ithambo lishaya emaphethelweni e-pin pin phezu kwezinzwane ezinkulu. Ngokungafani nobuhlungu obuhambisana ne-bunions, ubuhlungu bokufakelwa kwe-dorsal ukuxoshwa akukhululwa ngokukhipha izicathulo. Ngezinye izikhathi, ubuhlungu bunganciphisa ngokugqoka isihlangu esikhwameni noma izinsipho ezingokwezifiso ezisekela kangcono ukujoyina kanye nokuzivimbela ukuba zingaqhubeki phezulu.
Ukwelapha
Inkambo yokwelapha evamile ukuqala ngezinyathelo ezilula ezifana nezinguquko ezicathulweni nemithi elwa nokuvuvukala.
Uma izimpawu zobuhlungu ziqhubeka, ngokuvamile udokotela wakho uzotusa umjovo we- cortisone ukusiza ukukhulula izimpawu. Uma i-cortisone idubula ayilusizo, ukwelashwa okuhlinzekwayo kunganconywa.
Ngokuvamile i-cheilectomy, kodwa hhayi njalo ewusizo. Inzuzo ukuthi ukutakula kusuka ku-cheilectomy kufushane, kunemingcele embalwa ezigulini ezilandela ukuhlinzwa.
Uma iziguli zingatholi ukukhululeka kobuhlungu bazo ngemuva kwe-cheilectomy, khona-ke ukuhlinzwa okungajwayelekile okubizwa ngokuthi i-fusion kungenziwa. I-Cheilectomy ijwayele ukusiza kakhulu abantu ababa nobuhlungu kuphela lapho inzwane enkulu iqhutshwa phezulu, okwenza i-bone spur iphinde ifakwe phezulu kunyawo. Uma ubuhlungu buyinto engavamile nje, khona-ke i-cheilectomy cishe ayiyona inqubo ewusizo.
Izinkinga zokuhlinzwa kwe-cheilectomy zingabandakanya:
- Ubuhlungu obungapheliyo: Uma inkinga ebangela ubuhlungu yayingeyona inqwaba yethambo, kodwa kunalokho i-cartilage eboshiwe ekuhlanganyeleni phansi kwezinzwane ezinkulu, khona-ke i-cheilectomy ingenakwanele ekunciphiseni izimpawu zobuhlungu. Yingakho kubalulekile ukuthi udokotela wakho ahlole ngokucophelela unyawo lwakho futhi anikeze isibonakaliso sokuthi cishe bazizwa kanjani i-cheilectomy ezosiza ekunciphiseni izimpawu zakho.
- Ukutheleleka: Ukufakelwa kwezinyawo kungase kutholakale ukutheleleka. Kubalulekile ukulandela imiyalelo yakho yokuhlinza ngokucophelela futhi unakekele kahle ukuchotshozwa kwakho ukuqinisekisa ukuthi unenkinga yokutheleleka.
- Ukulimala kwemisipha: Kunezinye izinzwa ezinikezwa izinzwa ezithombeni ezincane eziseduze nokuhlanganiswa kwe-cheilectomy. Udokotela wakho ohlinzayo angathatha izinyathelo zokuvikela lezi zinzwa ngesikhathi sokuhlinzwa, kodwa kukhona ingozi yokulimala kwenzwa.
- Ukuphindaphinda kwe-bone spur: Ukukhathazeka okuvamile ngale nqubo yokuhlinzwa ukuthi i-bone spur ingabuya. Inkinga yezinyosi ezinkulu ze-arthritic ayihambi ne-cheilectomy ukuhlinzwa, ngakho-ke izimpawu zingabuya, futhi i-spur bone ingakhula emuva emgwaqweni.
> Imithombo:
> Mann RA "Ukuphazamiseka koMhlangano Wokuqala WeMetatarsophalangeal" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Jan 1995; 3: 34 - 43.