Idolo le-arthroscopy
I-arthroscopy yamadolo yotyando olusebenzisa ikhamera encinci ukujonga ngaphakathi kwedolo lakho. Ukuncitshiswa okuncinci kwenzelwa ukufaka ikhamera kunye nezixhobo ezincinci zotyando emadolweni kule nkqubo.
Iintlobo ezintathu ezahlukeneyo zentlungu (anesthesia) inokusetyenziselwa utyando lwearthroscopy:
- I-anesthesia yendawo. Idolo lakho linokuba ndindisholo ngamayeza entlungu. Unokunikwa amayeza akupholisayo. Uya kuhlala uphaphile.
- I-anesthesia yomqolo. Oku kukwabizwa ngokuba yi-anesthesia yengingqi. Iyeza leentlungu lifakwa kwisithuba somqolo wakho. Uya kuvuka kodwa ungabi nakho ukuva nantoni na engezantsi kwesinqe sakho.
- I-anesthesia ngokubanzi. Uya kuba ulele kwaye ungenazintlungu.
- I-block ye-nerve yommandla (i-femal okanye i-adductor canal block). Olu lolunye uhlobo lwe-anesthesia yengingqi. Iyeza lentlungu lijojozwe ngaphakathi kwimbilini yakho. Uya kuba ulele ngexesha lokusebenza. Olu hlobo lwe-anesthesia luya kuthintela iintlungu ukuze ufune i-anesthesia engaphantsi ngokubanzi.
Isixhobo esinjengekhofu sinokufakwa apha ethangeni ukunceda ukulawula ukopha ngexesha lenkqubo.
Ugqirha uya kwenza i-2 okanye i-3 encinci ukusika ecaleni kwedolo lakho. Amanzi etyuwa (ityuwa) aya kufakwa emadolweni ukuze afumane idolo.
Umbhobho omncinci onekhamera encinci esiphelweni uya kufakwa kusiko olunye. Ikhamera incamathele kwimonitha yevidiyo evumela ugqirha ukuba abone ngaphakathi kwedolo.
Ugqirha unokubeka ezinye izixhobo ezincinci zoqhaqho ngaphakathi kwedolo lakho kwezinye izinto ezisikayo. Ugqirha ke uya kuyilungisa okanye ayisuse ingxaki edolweni.
Ekupheleni kotyando lwakho, i-saline iya kukhutshwa edolweni. Ugqirha uya kuvala ukusika kwakho ngemisonto (yokuthunga) kwaye ayigqume ngokunxiba. Oogqirha abaninzi bathatha imifanekiso yenkqubo kwi-video monitor. Unokwazi ukujonga le mifanekiso emva kotyando ukuze ubone okwenziweyo.
I-arthroscopy inokucetyiswa kwezi ngxaki zamadolo:
- I-meniscus eqhekekileyo. I-Meniscus i-cartilage ekhupha isikhala phakathi kwamathambo emadolweni. Utyando lwenziwa ukulungisa okanye ukususa.
- I-ligament yangaphambili okanye eyonakalisiweyo yangaphambili (ACL) okanye i-posterior cruciate ligament (PCL).
- I-ligament yesibambiso eyonakeleyo
- Ukudumba (ukudumba) okanye ulusu olonakeleyo lwamalungu. Eli bhanti libizwa ngokuba yi-synovium.
- I-Kneecap (patella) engaphandle kwesikhundla (ukungalungelelanisi).
- Amacandelo amancinci e-cartilage ephukileyo emadolweni.
- Ukususwa kwe-cyst Baker. Oku kukudumba emva kwedolo eligcwele ulwelo. Ngamanye amaxesha ingxaki ivela xa kukho ukudumba kunye nentlungu (ukudumba) kwezinye izizathu, njengesifo samathambo.
- Ukulungiswa kwesiphene kwi-cartilage.
- Olunye ulwaphulo lwamathambo emadolo.
Umngcipheko we-anesthesia kunye notyando zezi:
- Ukunyanga kwamayeza kunyango
- Iingxaki zokuphefumla
- Ukopha
- Usulelo
Imingcipheko eyongezelelweyo kolu tyando ibandakanya:
- Ukopha edolweni
- Umonakalo kwi-cartilage, i-meniscus, okanye iigaments emadolweni
- Igazi elijiyileyo emlenzeni
- Ukwenzakala kumthambo wegazi okanye kwimithambo-luvo
- Usulelo kwixolo elihlangeneyo
- Ukuqina kwamadolo
Soloko uxelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.
Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:
- Unokuxelelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Ezi ziquka i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye nezinye iincindi zegazi.
- Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
- Xelela umboneleli wakho ukuba ubusele utywala kakhulu (ngaphezulu kwe-1 okanye i-2 yeziselo ngosuku).
- Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kungathoba amanxeba kunye nokuphilisa amathambo. Ikwakhokelela kwinqanaba eliphezulu leengxaki zotyando.
- Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onaso ngaphambi kotyando lwakho.
Ngomhla wotyando lwakho:
- Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kwenkqubo.
- Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
- Uzakuxelelwa ukuba ufike nini esibhedlele.
Uya kuba ne-bandage ye-ace emadolweni ngaphezulu kokunxiba. Uninzi lwabantu luya ekhaya ngala mini bayayohlinzwa. Umboneleli wakho uya kukunika imithambo yokwenza ukuba uqalise emva kotyando. Unokuthunyelwa kwakhona kunyangi.
Ukubuyiselwa ngokupheleleyo emva kwe-arthroscopy yamadolo kuya kuxhomekeka kuhlobo luni lwengxaki olwaphathwa.
Iingxaki ezinje nge-meniscus eqhekekileyo, intlala ephukileyo, i-Baker cyst, kunye neengxaki ze-synovium zihlala zilungiswa ngokulula. Abantu abaninzi bahlala bekhuthele emva kolu tyando.
Ukuchacha kwiinkqubo ezilula kuyakhawuleza kwiimeko ezininzi. Kuya kufuneka usebenzise iintonga okwethutyana emva kweentlobo ezithile zoqhaqho. Umboneleli wakho unokumisela amayeza entlungu.
Ukuchacha kuya kuthatha ixesha elide ukuba unenkqubo enzima ngakumbi. Ukuba iinxalenye zamadolo akho ziye zalungiswa okanye zakhiwa kwakhona, ngekhe ukwazi ukuhamba ngaphandle kweentonga okanye idolo elolukiweyo edolweni iiveki ezininzi. Ukuchacha ngokupheleleyo kungathabatha iinyanga ezininzi ukuya kunyaka.
Ukuba unayo i-arthritis emadolweni akho, uya kuba neempawu ze-arthritis emva kokuhlinzwa ukulungisa omnye umonakalo emadolweni.
Ubungakanani bedolo-ukukhutshwa kwe-arthroscopic lateral retinacular release; I-synovectomy - idolo; Patellar (edolweni) ukuncitshiswa; Ukulungiswa kweMeniscus; Ukukhululwa kamva; Utyando lwamadolo; IMeniscus - iarthroscopy; I-ligament yesibambiso - iarthroscopy
- Ukwakhiwa kwakhona kwe-ACL-ukukhutshwa
- Ukulungisa ikhaya lakho - idolo okanye utyando lwenyonga
- Idolo i-arthroscopy - ukukhutshwa
- Unonophelo lwenxeba lotyando - luvulekile
- Idolo le-arthroscopy
- Idolo le-arthroscopy - uthotho
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UPhillips BB, uMihalko MJ. IArthroscopy yesiphelo esezantsi. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.
Waterman BR, Owens BD. IArthroscopic synovectomy kunye ne-arthroscopy yangemva kwedolo. Ku: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, ii-eds. Iindlela zokuSebenza: Ukuhlinzwa kwamadolo. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 3.