Ukutshintshwa kweModiscal allograft

Ukufakelwa kwe-Meniscal allograft kutyando apho i-meniscus - i-cartilage efana ne-c edolweni-ifakwe kwidolo lakho. I-meniscus entsha ithathwa kumntu osweleke (i-cadaver) kwaye wanikela ngezihlunu zabo.

Ukuba ugqirha wakho ufumanisa ukuba ungumgqatswa ofanelekileyo wokufakwa kwe-meniscus, i-x-reyi okanye i-MRI yamadolo akho ihlala ithathwa ukufumana i-meniscus eya kulungela idolo lakho. I-meniscus enikelweyo iyavavanywa elebhu kuso nasiphi na isifo kunye nosulelo.

Olunye utyando, olunjenge-ligament okanye i-cartilage repairs, lunokwenziwa ngexesha lokufakwa kwe-meniscus okanye ngoqhaqho olwahlukileyo.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu. Okanye, unokuba ne-anesthesia yengingqi. Indawo yomlenze kunye nedolo lakho iya kuba ndindisholo ukuze ungeva zintlungu. Ukuba ufumana i-anesthesia yengingqi, uya kunikwa iyeza lokukwenza ulale xa usenziwa.

Ngexesha lotyando:

• Ukutshintshwa kwe-meniscus kudla ngokusetyenziswa kwe-arthroscopy yamadolo. Ugqirha wenza ukusika kabini okanye kathathu okujikeleze idolo lakho. Amanzi etyuwa (ityuwa) aya kufakwa emadolweni ukuze afumane idolo.
• Iarthroscope ifakwe emadolweni ngokusebenzisa incision encinci. Umda uqhagamshelwe kwisibek'esweni sevidiyo kwigumbi lokusebenza.
• Ugqirha uhlola i-cartilage kunye nemisipha yamadolo akho, eqinisekisa ukuba ukufakelwa kwe-meniscus kufanelekile, kwaye awunayo isifo samathambo esiqatha emadolweni.
• I-meniscus entsha ikulungele ukulungela idolo ngokuchanekileyo.
• Ukuba kukho naziphi na izicubu ezishiyekileyo kwi-meniscus yakho endala, iyasuswa.
• I-meniscus entsha ifakwe emadolweni akho kwaye ixutywe (ithungiwe) endaweni. Izikrini okanye ezinye izixhobo zingasetyenziselwa ukubamba i-meniscus endaweni.

Emva kokugqitywa kotyando, ukusikwa kuvaliwe. Ukunxiba kubekwa phezu kwenxeba. Ngexesha le-arthroscopy, uninzi lotyando luthatha imifanekiso yenkqubo evela kumvavanyi wevidiyo ukukubonisa oko kwafunyanwa noko kwenziwa.

Amakhonkco amabini e-cartilage aphakathi kwedolo ngalinye. Enye ingaphakathi (i-meniscus yangaphakathi) kwaye enye ingaphandle (i-meniscus esecaleni). Xa i-meniscus ikrazukile, ihlala isuswa ngamadolo arthroscopy. Abanye abantu banokuba nentlungu emva kokuba i-meniscus isuswe.

Ukutshintshwa kwe-meniscus kubeka i-meniscus entsha emadolweni apho i-meniscus ilahlekile. Le nkqubo yenziwa kuphela xa iinyembezi ze-meniscus zinzima kangangokuba zonke okanye phantse zonke i-meniscus cartilage ikrazukile okanye kufuneka isuswe. I-meniscus entsha inokunceda ngeentlungu zamadolo kwaye mhlawumbi inokuthintela i-arthritis yexesha elizayo.

Ukufakelwa kweMeniscus allograft kunokucetyiswa kwiingxaki zamadolo ezinje:

• Ukuphuhliswa kwamathambo kwangoko
• Ukungakwazi ukudlala imidlalo okanye eminye imisebenzi
• Intlungu yedolo
• Idolo elinika indlela
• Idolo elingazinzanga
• Ukudumba okungapheliyo

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zokwenza utyando lwe-meniscal zezi:

• Umonakalo wemithambo
• Ukuqina kwamadolo
• Ukusilela kotyando ukukhulula iimpawu
• Ukungaphumeleli kwe-meniscus yokuphilisa
• Ukulila kwe-meniscus entsha
• Isifo esivela kwi-meniscus efakwe kwenye indawo
• Intlungu emadolweni
• Ubuthathaka bamadolo

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 uya kukucela 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.
• Xelela ugqirha wakho ukuba uhlakulela ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi koqhaqho. Inkqubo inokufuna ukuba ihlehliswe.

Ngomhla wotyando:

• Landela imiyalelo yokuba uyeke nini ukutya nokusela ngaphambi kotyando.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Landela nayiphi na imiyalelo yokukhutshwa kunye neyokuzinyamekela oyinikiweyo.

Emva koqhaqho, uya kunxiba idolo lokulinganisa elolukiweyo kwiiveki zokuqala ezi-6. Uya kudinga iintonga zokuthwala iiveki ezintandathu ukukhusela ukubeka ubunzima bakho emadolweni. Uya kuba nakho ukuhambisa idolo kanye emva kotyando. Ukwenza njalo kunceda ukuthintela ukuqina. Iintlungu zihlala zilawulwa ngamayeza.

Unyango lomzimba lunokukunceda uphinde ufumane intshukumo kunye namandla emadolweni. Unyango luhlala phakathi kweenyanga ezi-4 ukuya kwezi-6.

Kwangoko ungabuyela emsebenzini kuxhomekeke emsebenzini wakho. Ingathatha kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. Kungathatha iinyanga ezi-6 ukuya kunyaka ukubuyela ngokupheleleyo kwimidlalo nakwimidlalo.

Ukufakelwa kwe-Meniscus allograft kukuhlinzwa okunzima, kwaye ukubuyela kwimeko yesiqhelo kunzima. Kodwa kubantu abalahlekileyo i-meniscus kwaye banentlungu, inokuba yimpumelelo kakhulu. Uninzi lwabantu luneentlungu ezingaphantsi kwamadolo emva kwale nkqubo.

Ukutshintshwa kweMeniscus; Utyando-idolo-ukufakelwa kwe-meniscus; Utyando - idolo - intlala; Ukutshintshwa kweArthroscopy - idolo-meniscus

• Idolo i-arthroscopy - ukukhutshwa

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.

URuzbarsky JJ, Maak TG, Rodeo SA. Ukulimala kwamadoda. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez noMiller's Orthopedic Sports Medicine: Imigaqo kunye nokuziqhelanisa. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahl. 94.