Iarthroscopy yamagxa

I-arthroscopy yamagxa yotyando olusebenzisa ikhamera encinci ebizwa ngokuba yiarthroscope ukuvavanya okanye ukulungisa izicwili ngaphakathi okanye ecaleni kwegxalaba lakho. I-arthroscope ifakwe kwi-cut cut (incision) elukhumbeni.

Ikhofu ejikelezayo liqela lezihlunu kunye neetoni zazo ezenza ikhomputha ngaphezulu kwendibaniselwano yamagxa. Ezi zihlunu kunye neetoni zibambe ingalo kwilungu lamagxa. Oku kunceda negxalaba lihambe kumacala ahlukeneyo. Iitoni kwiikhofu ezijikelezayo zinokukrazuka xa zisetyenziswa gwenxa okanye zenzakele.

Uya kufumana i-anesthesia ngokubanzi kolu tyando. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu. Okanye, unokuba ne-anesthesia yengingqi.Indawo yengalo negxala lakho ziya kuba ndindisholo, ngenxa yoko awuva ntlungu. Ukuba ufumana i-anesthesia yengingqi, uya kunikwa iyeza lokukwenza ulale xa usenziwa.

Ngexesha lenkqubo, ugqirha wotyando:

• Faka i-arthroscope egxalabeni lakho ngesicatshulwa esincinci. Umda uqhagamshelwe kwisibek'esweni sevidiyo kwigumbi lokusebenza.
• Ihlola zonke izicubu zelungu lakho kunye nendawo engaphezulu kwendibaniselwano. Ezi zicubu zibandakanya intlala, amathambo, imisipha kunye nemisipha.
• Ukulungisa naziphi na izicwili ezonakeleyo. Ukwenza oku, ugqirha wakho wotyando wenza i-1 ukuya kwi-3 incinci encinci kwaye afake ezinye izixhobo ngazo. Ukuqhawulwa kwemisipha, i-tendon, okanye i-cartilage kulungisiwe. Nasiphi na isicwili esonakeleyo siyasuswa.

Ugqirha wakho angenza enye okanye ezininzi kwezi nkqubo ngexesha lotyando.

Ukulungiswa kwekhafu yerotator:

• Imiphetho yethenda iyadityaniswa. Ithenda incamathele kwithambo nge-sutures.
• Iirivets ezincinci (ezibizwa ngokuba yi-suture anchors) zihlala zisetyenziselwa ukunceda ukuncamathelisa ithoni kwithambo.
• Iiankile zingenziwa ngentsimbi okanye ngeplastiki. Akukho mfuneko yokuba zisuswe emva kotyando.

Utyando lwe-impingement syndrome:

• Izicubu ezonakalisiweyo okanye ezivuthayo zicocwa ngaphandle kwendawo edibeneyo yegxalaba.
• I-ligament ebizwa ngokuba yi-coracoacromial ligament inganqunyulwa.
• Ngaphantsi kwethambo elibizwa ngokuba yi-acromion linokuchetywa. Ukukhula kwe-bony (spur) kwicala elingaphantsi kwe-acromion kuhlala kubangela isifo se-impingement. I-spur inokubangela ukudumba kunye nentlungu egxalabeni lakho.

Utyando lokungazinzi kwamagxa:

• Ukuba une-labrum eqhekekileyo, ugqirha uya kuyilungisa. Ilebhu yi-cartilage ebeka umgca womdibaniso wegxalaba.
• Imigca ebambelela kule ndawo nayo iya kulungiswa.
• Isilonda seBhanki siinyembezi kwi-labrum kwinqanaba elisezantsi legxala.
• Isilonda se-SLAP kubandakanya ilabrum kunye ne-ligament kwinxalenye ephezulu yedibeneyo.

Ekupheleni kotyando, ukusikwa kuya kuvalwa ngemithungo kwaye kugutyungelwe ngokunxiba (ibhandeji). Uninzi lotyando luthatha imifanekiso kwividiyo yokujonga ngexesha lenkqubo ukukubonisa into abayifumeneyo kunye nolungiso olwenziwe.

Ugqirha wakho ugqirha unokufuna ukwenza utyando oluvulekileyo ukuba kukho umonakalo omkhulu. Ukuhlinzwa ngokuvulekileyo kuthetha ukuba uya kuba nokusikwa okukhulu ukuze ugqirha akwazi ukufikelela ngqo emathanjeni nakwizicubu zakho.

I-arthroscopy inokucetyiswa kwezi ngxaki zamagxa:

• Isangqa esikrazukileyo okanye esonakalisiweyo se-cartilage (labrum) okanye iigaments
• Ukungazinzi kwamagxa, apho idibaniselwano lamagxa likhululekile kwaye lityhutyha kakhulu okanye lishenxiswa (liphuma ngaphandle kwebhola kunye nokudityaniswa kwesokethi)
• Ithenda yeebiceps ekrazukileyo okanye eyonakeleyo
• Ikhafu yerotator eqhekekileyo
• Ukuthanjiswa kwethambo okanye ukudumba okujikeleze ikhafu yerotator
• Ukudumba okanye ulwalamano olonakeleyo lwamalungu, oluhlala lubangelwa kukugula, njengesifo samathambo
• Isifo samathambo sokuphela kwe-clavicle (collarbone)
• Izicubu ezikhululekileyo ezifuna ukususwa
• I-syndrome ye-impingement syndrome, ukwenza indawo eninzi yokuba igxalaba lijikeleze

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Umngcipheko wearthroscopy yamagxa yile:

• Ukuqina kwamagxa
• Ukusilela kotyando ukukhulula iimpawu
• Ukulungiswa kwehluleka ukuphilisa
• Ubuthathaka begxalaba
• Umthambo wegazi okanye ukwenzakala kwemithambo-luvo
• Ukonakala kwintlala yegxalaba (chondrolysis)

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye namanye amayeza.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho unokukucela ukuba ubone ugqirha wakho okunyangayo kwezi meko.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu, ngaphezulu kwesiselo esi-1 okanye esi-2 ngosuku.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokunciphisa inxeba kunye nokuphilisa amathambo.
• Tshela ugqirha wakho malunga nayiphi na ingqele, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onokuthi ubenaso ngaphambi kotyando.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha nawaphi na amayeza oceliwe ukuba uwathabathe ngesiphunga esincinci samanzi.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Landela nayiphi na imiyalelo yokukhutshwa kunye neyokuzinyamekela oyinikiweyo.

Ukuchacha kungathatha iinyanga ezi-1 ukuya kwezi-6. Kuya kufuneka unxibe isilingi ngeveki yokuqala. Ukuba ubunokulungiswa okuninzi, kuya kufuneka unxibe isilingi ixesha elide.

Ungathatha iyeza ukulawula iintlungu zakho.

Xa unokubuyela emsebenzini okanye udlale imidlalo kuya kuxhomekeka ekubeni utyando lwakho lubandakanya ntoni. Isenokubakho ukusuka kwiveki e-1 ukuya kwiinyanga ezininzi.

Unyango lomzimba lunokukunceda uphinde ufumane intshukumo kunye namandla egxalabeni lakho. Ubude bonyango buya kuxhomekeka kwinto eyenziweyo ngexesha lotyando.

IArthroscopy ihlala ikhokelela kwintlungu encinci kunye nokuqina, iingxaki ezimbalwa, ukuhlala mfutshane (ukuba kukho) ukuhlala esibhedlele, kunye nokubuyela kwimeko yesiqhelo ngokukhawuleza kunotyando oluvulekileyo.

Ukuba ulungisiwe, umzimba wakho udinga ixesha lokuphilisa, kwanasemva kotyando lwearthroscopic, kanye njengokuba ubuya kufuna ixesha lokuphinda wenze utyando oluvulekileyo. Ngenxa yoku, ixesha lakho lokufumana kwakhona lisenokuba lide.

Ugqirha ukulungisa iinyembezi zekhatriji kudla ngokwenziwa ukwenza igxalaba lizinze ngakumbi. Abantu abaninzi bachacha ngokupheleleyo, kwaye igxalaba labo lihlala lizinzile. Kodwa abanye abantu banokungazinzi kwamagxa emva kokulungiswa kwearthroscopic.

Ukusebenzisa i-arthroscopy yokulungisa i-rotator cuff okanye i-tendinitis ihlala ikhulula iintlungu, kodwa ngekhe uphinde ubuye namandla akho onke.

Ukulungiswa kwe-SLAP; Isilonda seSLAP; IAcromioplasty; Ukulungiswa kwebhanki; Isilonda seBhanki; Ukulungiswa kwamagxa; Utyando lwamagxa; Ukulungiswa kwekhafu yerotator

• Ukuziqhelanisa nekhafu yerotator
• Ikhomishini yerotator - ukuzikhathalela
• Utyando lwamagxa - ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile
• Sebenzisa igxalaba lakho emva kotyando

• Iarthroscopy yamagxa

UDeBerardino TM, uScordino LW. Iarthroscopy yamagxa. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 39.

UPhillips BB. IArthroscopy yesiphelo esiphezulu. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 52.