Utyando lwe-Knee microfracture

Utyando lwe-microfracture emadolweni yinkqubo eqhelekileyo esetyenziselwa ukulungisa intlala yedolo eyonakeleyo. I-Cartilage inceda ukubamba kunye nokugubungela indawo apho amathambo adibana khona kumalungu.

Awuyi kuva ntlungu ngexesha lotyando. Iintlobo ezintathu ze-anesthesia zingasetyenziselwa utyando lwe-arthroscopy:

• I-anesthesia yendawo-Uya kunikwa izithonga zamayeza okuphelisa iintlungu ukuze ubethe idolo. Unokunikwa amayeza akupholisayo.
• Umqolo (wengingqi) i-anesthesia - Amayeza entlungu atofelwe kwisithuba somqolo wakho. Uya kuvuka, kodwa ungabi nakho ukuva nantoni na engezantsi kwesinqe sakho.
• I-anesthesia ngokubanzi-Uya kuba ulele kwaye ungenazintlungu.

Ugqirha uya kwenza la manyathelo alandelayo:

• Yenza ikota ye-intshi (i-6 mm) yokusika utyando emadolweni.
• Beka ityhubhu ende, ebhityileyo enekhamera ekugqibeleni ngale ndlela isikiweyo. Oku kubizwa ngokuba yiarthroscope. Ikhamera iqhotyoshelwe kwisohlo sevidiyo kwigumbi lokusebenza. Esi sixhobo sivumela ugqirha ukuba ajonge ngaphakathi kwedolo lakho kwaye asebenze ngokudibeneyo.
• Yenza olunye usiko kwaye udlulise izixhobo ngokuvula. Isixhobo esincinci esikhonjisiweyo esibizwa ngokuba yi-awl sisetyenziselwa ukwenza imingxunya encinci kakhulu ethanjeni kufutshane nentlala eyonakeleyo. Oku kubizwa ngokuba yimicrofractures.

Le mingxunya idibanisa umongo wethambo ukuze kukhululwe iiseli ezinokwakha intlala entsha ukubuyisela izicwili ezonakeleyo.

Unokuyidinga le nkqubo ukuba wonakele intlala:

• Kwidolo elihlangeneyo
• Ngaphantsi kwe-kneecap

Injongo yolu tyando kukuthintela okanye ukucothisa umonakalo ongaphezulu kwi-cartilage. Oku kuya kunceda ukukhusela i-arthritis. Inokukunceda ukulibazisa isidingo sokutshintsha kwamadolo ngokwenxalenye okanye ngokupheleleyo.

Le nkqubo ikwasetyenziselwa ukunyanga iintlungu emadolweni ngenxa yokwenzakala kwe-cartilage.

Utyando olubizwa ngokuba yi-matrix autologous chondrocyte implantation (MACI) okanye i-mosaicplasty nayo inokwenziwa kwiingxaki ezifanayo.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha
• Amahlwili egazi
• Usulelo

Iingozi zotyando lwe-microfracture zezi:

• Ukuqhekeka kweCartilage ekuhambeni kwexesha - Intlala entsha eyenziwe ngotyando oluncinci ayinamandla njengentloko yoqobo yomzimba. Ingaphuka ngokulula.
• Indawo ene-cartilage engazinzanga inokuba nkulu kunye nexesha njengoko ukonakala kuqhubeka. Oku kunokukunika iimpawu kunye nentlungu.
• Ukwanda kokuqina kwamadolo.

Soloko uxelela umboneleli wakho wezempilo ukuba zeziphi iziyobisi ozithathayo, kubandakanya amayeza, amayeza, okanye izongezo ozithengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Lungisa umzi wakho.
• Kuya kufuneka uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye nezinye.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli 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 kungathoba amanxeba kunye nokuphilisa amathambo.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onokuba naso ngaphambi kotyando.

Ngomhla wotyando lwakho:

• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Ugqirha okanye umongikazi wakho uza kukuxelela ukuba ufike nini esibhedlele.

Unyango lomzimba lungaqala kwigumbi lokubuyisela kanye emva kotyando. Uya kudinga ukusebenzisa umatshini, obizwa ngokuba ngumatshini we-CPM. Lo matshini uya kuwusebenzisa ngobunono umlenze wakho iiyure ezi-6 ukuya kwezi-8 ngosuku kangangeeveki ezininzi. Lo matshini uqhele ukusetyenziselwa iiveki ezi-6 emva kotyando. Buza umboneleli wakho ukuba uza kuyisebenzisa ixesha elingakanani.

Ugqirha wakho uya kuyonyusa imithambo oyenzayo ekuhambeni kwexesha de ube uphinde uhambise idolo lakho kwakhona. Ukuzivocavoca kungenza i-cartilage entsha iphilise ngcono.

Kuya kufuneka ugcine ubunzima bakho edolweni iiveki ezi-6 ukuya kwezi-8 ngaphandle kokuba uxelelwe ngenye indlela. Uya kudinga iintonga zokuhamba. Ukugcina ubunzima emadolweni kunceda i-cartilage entsha ikhule. Qiniseka ukuba ujongana nogqirha wakho ukuze ufumanise ukuba ungabeka ubunzima obungakanani emlenzeni wakho nokuba lide kangakanani.

Kuya kufuneka uye kunyango lomzimba kwaye wenze imithambo ekhaya iinyanga ezi-3 ukuya kwezi-6 emva kotyando.

Abantu abaninzi benza kakuhle emva kolu tyando. Ixesha lokubuyisela kwimeko yesiqhelo linokuhamba kancinci. Abantu abaninzi banokubuyela kwezemidlalo okanye kwezinye izinto ezinzulu malunga neenyanga ezili-9 ukuya kwezi-12. Iimbaleki kwezemidlalo ezinamandla kakhulu azinakho ukubuyela kwinqanaba lazo langaphambili.

Abantu abangaphantsi kweminyaka engama-40 kunye nokwenzakala kutshanje baneziphumo ezilungileyo. Abantu abangatyebanga kakhulu baneziphumo ezingcono.

Ukuhlaziywa kweCartilage - idolo

• Ukulungisa ikhaya lakho - idolo okanye utyando lwenyonga
• Idolo i-arthroscopy - ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile

• Ubume bedibeneyo

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UFrank RM, uVidal AF, uMcCarty EC. Imida kunyango lwe-articular cartilage. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahl. 97.

IHarris JD, uCole BJ. Iinkqubo zokuvuselelwa kwe-cartilage ye-articular. Ku: I-Noyes FR, iBarber-Westin SD, ii-eds. Ukuphazamiseka kwamadolo eNoyes: Uqhaqho, Ukubuyisela kwimo yesiqhelo, Iziphumo zeKlinikhi. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 31.

UMiller RH, uAzar FM. Ukulimala kwamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 45.