Ukwakhiwa kabusha kwezitho kuyinqubo yokuhlinzwa esiza ukulungisa ukukhubazeka noma ukulimala kwezitho. Ukwelashwa kokwakhiwa kabusha kwezitho kungabhekana nenani elibanzi lezimo, okuhlanganisa ukungafani kobude bezitho, izifo zamathambo, okungezona inyunyana, nama-malunion. Odokotela abakhethekile banikeza ukwelashwa okukhethekile kokwakhiwa kabusha kwezitho eBhubaneswar ukubhekana nalezi zidingo ezahlukahlukene. Izibhedlela ze-CARE yisibhedlela sokuqala ukwethula umnyango we-Sports Injury & rehabilitation e-Odisha futhi ifakwe odokotela bemithi yezemidlalo abahamba phambili eBhubaneswar.
Ukwakhiwa kabusha kwezitho kuyindlela ebanzi yokwelapha ukulimala kwezitho eziyinkimbinkimbi, ukukhubazeka kanye nokukhubazeka kwamathambo. Kubandakanya ukusebenzisa amadivaysi okulungisa angaphandle, njengefreyimu ye-Ilizarov, ukuzinzisa nokuqondisa kabusha amathambo, okuvumela ukuba aphulukise ngendlela efanele. Le nqubo yenza ukuba amathambo ande kancane kancane futhi alungise ukukhubazeka ngokuhamba kwesikhathi. Ngosizo lwezindlela ezithuthukisiwe zokuhlinza, ezifana nokulungiswa kwangaphandle, ukulungiswa kwangaphakathi, ukuxhunyelelwa kwamathambo, nokwandisa izitho noma izinqubo zokufinyeza, ukwelashwa kokwakhiwa kabusha kwezitho kulawula izimo eziyinselele zamathambo.
Kunezizathu ezimbalwa zokuthi kungani umuntu engase adinge ukwakhiwa kabusha kwezitho noma ukwelashwa okunwetshwa kwezitho, njenge:
Izimpawu ezingase zibonise isidingo sokwelashwa kokwakhiwa kabusha kwezitho ziyahlukahluka kuye ngesimo esiyisisekelo.
Odokotela bangase batuse ukuhlinzwa kokwakhiwa kabusha kwezitho lapho ezinye izindlela zokwelapha ezilandelanayo, ezifana ne-physiotherapy, i-bracing, noma imithi, zehlulekile ukunikeza imiphumela egculisayo. Isinqumo sokuhlinzwa kokwakhiwa kabusha kwezitho sibandakanya ukuhlolwa okuphelele okwenziwa uchwepheshe. Bazobheka ubucayi besimo, impilo yesiguli iyonke, nezinjongo zomuntu ngamunye nalokho okulindelweyo. Odokotela bangancoma ukuhlinzwa kokwakhiwa kabusha kwezitho kulezi zimo ezilandelayo:
Udokotela uphetha ngokuthi ingabe umuntu udinga ukwelashwa kokwakhiwa kabusha kwezitho ngenhlanganisela yokuhlolwa komzimba, ukubuyekezwa komlando wezokwelapha, nokuhlolwa kwezithombe zokuxilonga. Ama-X-ray, ama-CT scan, nama-MRI scan asetshenziselwa ukuhlola isimo samathambo, amalunga, nezicubu ezithambile. Lokhu kuhlolwa kwezithombe kunikeza ulwazi oluningiliziwe mayelana nezinga lokulimala noma ukukhubazeka, okuvumela i- udokotela ohlinzayo ukuhlela indlela yokwelashwa efanele kakhulu.
Njenganoma iyiphi inqubo yokuhlinzwa, ukuhlinzwa kokwakhiwa kabusha kwezitho kunezingozi ezithile. Lezi zingozi zihlanganisa ukutheleleka, ukopha, ukulimala kwenzwa noma imithambo yegazi, kanye nezinkinga ezihlobene nokubulala izinzwa. Kukhona futhi ingozi yokungabi nonunion noma i-malunion, lapho amathambo ehluleka khona ukuphulukisa ngendlela efanele noma esesimweni esingalungile. Nokho, ngobuchwepheshe bodokotela abahlinzayo abanekhono kanye nokunakekelwa okufanele kwangemva kokuhlinzwa, izingozi ezihlobene nokwakhiwa kabusha kwezitho zingancishiswa.
Ukwelashwa kokwakhiwa kabusha kwezitho eBhubaneswar inikeza ithemba kubantu abakhubazekile noma abalimele. Ngamasu athuthukile nobungcweti bodokotela abahlinzayo abangcono kakhulu abalula izitho edolobheni, iziguli zingathola intuthuko kukhwalithi yazo yempilo. Uma wena noma othile omaziyo edinga ukwelashwa kokwakhiwa kabusha kwezitho, ungangabazi ukuxhumana nodokotela abangcono kakhulu bokwandisa izitho eBhubaneswar ukuze uthole ukubonisana.
Izibhedlela ze-CARE, i-Bhubaneswar ivelele ekwelapheni kokwakhiwa kabusha kwezitho, okuhlanganisa izakhiwo zesimanje kanye nethimba elinekhono lochwepheshe bamathambo. Izibhedlela ze-CARE, i-Bhubaneswar inikeza uhlobo lokwelashwa komuntu siqu oluhambisana nezidingo zesiguli ngasinye. Ubungcweti babo ekwakhiweni kabusha kwezitho zomzimba, okuhambisana namasu okuhlinza athuthukile nezinhlelo zokuvuselela, kuqinisekisa imiphumela emihle.
Ukuhlinzwa kokwandisa izitho ngokuvamile kuhlotshaniswa nokungakhululeki nobuhlungu phakathi nezigaba zokuqala. Kodwa-ke, umuntu angakwazi ukuphatha ubuhlungu ngokuphumelelayo ngemithi yobuhlungu efanele enqunywe udokotela ohlinzayo. Izinga lobuhlungu okuhlangenwe nakho lingase lihluke kumuntu nomuntu, kodwa udokotela wakho uzokwakha uhlelo lokwelapha ukuze aqinisekise ukunethezeka kwakho kulo lonke ukwelashwa.
Iminyaka engcono kakhulu yokwelulwa kwezitho incike ezicini ezihlukahlukene, okuhlanganisa isimo sokugxila kanye nempilo yesiguli iyonke. Imvamisa, udokotela angenza ukuhlinzwa okunwetshwa kwemilenze kubantu abavuthiwe amathambo, ngokuvamile acishe abe yi-18 kwabesilisa kanye ne-16 kwabesifazane. Nokho, isimo ngasinye sihlukile, futhi kubalulekile ukubonisana nochwepheshe oqeqeshiwe wokwelula izitho ukuze unqume iminyaka efaneleke kakhulu yokwelashwa.
Ukuhlinza izitho zomzimba, njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezithile. Lezi zingozi zihlanganisa ukutheleleka, ukopha, ukulimala kwenzwa noma imithambo yegazi, kanye nezinkinga ezihlobene ne-anesthesia. Kukhona futhi ingozi yokungabi nonunion noma i-malunion, lapho amathambo ehluleka khona ukuphulukisa ngendlela efanele noma ukuphulukisa endaweni engalungile. Nokho, ngobuchwepheshe bodokotela abahlinzayo abanekhono kanye nokunakekelwa okufanele kwangemva kokuhlinzwa, izingozi ezihlobene nokwelulwa kwezitho zingancishiswa.
Yebo, ngokunakekelwa okufanele kanye nokunamathela emiyalweni yangemva kokuhlinzwa enikezwa udokotela wakho ohlinzayo, kungenzeka ukuzuza ukululama okuphelele ngemva kokuhlinzwa kokwelula izitho. Ukwelapha ngokomzimba nokuvuselela kudlala indima ebalulekile enqubweni yokululama, kusiza ukubuyisela amandla, ukuguquguquka, nokusebenza esithweni esilashiwe.
Inani lokuphakama elifinyeleleka ngokunwetshwa kwezitho liyahlukahluka kuye ngezici eziningana, okuhlanganisa inqubo ethile eyenziwe, izimo zesiguli, kanye nezincomo zikadokotela ohlinzayo owelaphayo. Ngokuvamile, umuntu angakwazi ukuzuza ukuphakama kwamasentimitha ambalwa, kodwa kubalulekile ukubonisana nodokotela ohlinzayo oqeqeshiwe ukuze anqume okulindelwe okungokoqobo kwecala lakho elithile.
Izibhedlela ze-CARE zinethimba lodokotela abahlinzayo abanekhono eliphezulu nabangcono kakhulu abalula izitho eBhubaneswar. Kodwa-ke, ukunquma udokotela ohlinzayo ongcono kakhulu ngezidingo zakho ezithile kudinga ukucatshangelwa ngokucophelela kwezici ezifana neziqu zabo, ubuchwepheshe, nokubuyekezwa kwesiguli.