Ukunganeliseki ngesimo semvelo seenyawo zabo yingxaki yangempela kwi-20% yabasetyhini emhlabeni wonke. Kakade ke, kungekhona kuzo zonke iimeko le mbuzo we-pathology. Ngokuqhelekileyo umfazi "ubonakala" ukuba imilenze yakhe iphosakele, inqabile okanye igcwele kakhulu. Kodwa kukho iimeko xa imfuneko yokulungisa umlo wemilenze ibonakala. Apha awukwazi ukwenza ngaphandle kooncedo lweengcali.
Enyanisweni, isimo esifanelekileyo semilenze asiyinto engacacanga. Kukho iziphene ezintathu eziphambili ze-spindle eziphambili zomgca wangaphakathi wemilenze. Zixhomekeke kwi-crotch, i-knee joints, ivaliwe kunye, iindidi ezithambileyo zomlenze ongezantsi (isithathu esezantsi) kunye nama-ankle. Ingumlinganiselo wale parameters okwenza kube lula ukuthetha ukuba kukho isidingo sokutshintshisa umlo wemilenze.
Inkcazelo ngokubanzi yeendlela zokulungisa
Zonke iifowuni zeemilenze ziyahlukana zibe yinyaniso kunye nobuxoki. Kwimeko yokwenyanika kweemilenze, yinto eyenziwa yi-shin bone. Inokuthi ibe ngu-O okanye ifakwe nge-X. Ukukhawulwa kwamanga emilenzeni kuthintela iimpawu zesakhiwo kuzo zonke iziphelo ezingezantsi kwaye kubonakaliswe ngophulaphulo olucacileyo ngokungabikho kwenkcazelo yeethambo. Ikhefu lobuxoki lihlala lihambelana nokusabalaliswa kwezicubu ezithambileyo.
Ukulungiswa kobunzima bemilenze kunye nokuqhaqha kwamangqina kuxazululwa ngokukhawuleza ngokufakela iindlovu ze-gastrocnemius muscle. I-osteotomy yokulungisa kunye ne-osteosynthesis yangaphandle yenze indlela yokulungisa ukunyaniseka kwemvelo kwemilenze. Le ndlela ayigcini nje ukuphelisa ukungabikho kwamalungu, kodwa yandisa ukwanda.
Indlela ekhethekileyo yokulungisa umlo wemilenze yindlela yokulungisa i-osteotomi xa usebenzisa u-compression-distraction synthesis by Ilizarov. Isigulane sisesibhedlele iintsuku ezingama-20-25, kwaye emva koko sagcinwe ngokukhawuleza. Ixesha lokusetyenziswa kwezixhobo ezikhethekileyo zokulungiswa kwangaphandle ziyahluka kwiinyanga ezi-5 ukuya kwezi-8. Eli xesha lixhomekeke kwinqanaba lokuguqulwa kunye nokulungelelaniswa kokunciphisa inxalenye yesilungu.
Ukulungiswa kwemilenze emincinci
Inyawo yemilenze ilungiswa ngoncedo lwezimpembelelo ezizodwa, i-suturing ngexesha lotyando lweplastiki. Ziqukethe isalathisi esinamandla kunye ne-gel filler egciniweyo. Ubuninzi nobude bezimpembelelo zikhethiweyo ngokwabo. Kwiemilenze, ukubonwa okuncinci kwenziwa phantsi kwamadolo, izicubu ze-muscle zikhutshwa kwaye zahlukana ngokubanzi, kwaye izifakelo zifakwa phantsi kwazo. Abazenzeli kuphela ukusilela kobunzima, kodwa balungisa nendlela engafanelekanga yemisipha yomlenze.
Kukho iimeko xa utyando olunzulu lwezonyango lungenakukwazi ukulungisa isiphako. Ukuba ukukhawuleka kwemilenze kuphuma kwithambo, amaqabunga amaninzi ahlanganisani nonke, ekwakheni "imbobo" eqinile ukusuka emadolweni kuya kumaqebeni. Ngenxa yokwanda kwamathambo, uncedo lwemizimba luyadingeka, kwaye, mhlawumbi, ukugqithwa. Ngexesha lokusebenza kwamathambo, ukuma kwamathambo utshintsho, batyululwe kwaye bafakwe kwindawo echanekileyo.
Ukulungiswa kwemilenze epheleleyo
Imilenze epheleleyo ngumsebenzi ohlukileyo ngokupheleleyo ugqirha. Okokuqala, kuya kufuneka aqonde kakuhle ingcinezelo yokuphelela. Ukuba oku kungenxa ye-lymph flow and circulation, ngoko imo yemilenze ayikwazi ukutshintshwa ngokuhlinzwa. Ukumisela kuza kwandisa kuphela uxinzelelo lwangaphakathi kwiinqanawa ezifuna unyango.
Ukuba ukuzaliseka kuhambelana nokugqithisa kwiindawo ezinamafutha ezinemilenze, ke isiguli siya kuboniswa i-liposuction. Yenziwa nayiphi na inxalenye yemilenze, kwanawo umlenze ophantsi. Ngokuqhelekileyo, i-liposuction yenziwa emagqabini nasemadolweni. Ngaphambi kokusebenza, ugqirha ugqiba ukuhamba kunye nobukhulu befiber, kwaye ukhetha uhlobo lwenkqubo.
Into ebaluleke kakhulu kukuphelisa ukuzaliswa kwemilenze, ebangelwa yimisipha enamandla. Iisisu zomzimba azixhomekeke kumbambano, ukususwa kwayo kuya kubangelwa ukuba kungabikho nto. Nangona kunjalo, unako ukulungisa umzobo "wepumped" zamathole kunye nokuguqula ngokukhawuleza ukutshintshwa kwamathole atyebileyo kumacangci amancinci ngoncedo lwezimpembelelo ezifanayo. Ngokuqhelekileyo, akukho nto engenakwenzeka kwihlabathi le-plastic day.