Iarthroscopy yeqatha

I-ankle arthroscopy ngotyando olusebenzisa ikhamera encinci kunye nezixhobo zoqhaqho ukuvavanya okanye ukulungisa izicwili ngaphakathi okanye ngeenxa zonke eqatheni lakho. Ikhamera ibizwa ngokuba yiarthroscope. Inkqubo ivumela ugqirha ukuba afumane iingxaki kwaye enze ukulungiswa kweqatha lakho ngaphandle kokwenza ukusika okukhulu kulusu nakwizicubu. Oku kuthetha ukuba unokuba nentlungu encinci kwaye ufumane ngokukhawuleza kunokuhlinzwa.

Unokufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu. Okanye, uya kuba ne-anesthesia yengingqi. Umlenze kunye neqatha liza kuba ndindisholo ukuze ungeva zintlungu. Ukuba ufumana i-anesthesia yengingqi, uya kunikwa iyeza lokukwenza ulale xa usenziwa.

Ngexesha lenkqubo, ugqirha wotyando wenza oku kulandelayo:

• Faka i-arthroscope kwi-ankle yakho ngokusebenzisa incision encinci. Umda uqhagamshelwe kwisibek'esweni sevidiyo kwigumbi lokusebenza. Oku kuvumela ugqirha ukuba abone ngaphakathi kweqatha lakho.
• Ihlola zonke izicubu zenyawo yakho. Ezi zihlunu 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.

Ekupheleni kotyando, ukusikwa kuya kuvalwa ngemithungo kwaye kugutyungelwe ngokunxiba (ibhandeji). Uninzi lotyando luthatha imifanekiso kwividiyo esweni ngelixa lenkqubo ikubonisa oko bakufumanisileyo kunye nolungiso abalwenzileyo.

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 ze-ankle:

• Intlungu yeqatha. I-Arthroscopy ivumela ugqirha ukuba ahlole into ebangela ukuba iintlungu zakho ziqatha.
• Iinyembezi zeligament. I-ligament libhendi yethishu edibanisa ithambo nethambo. Imisipha emininzi eqatheni iyanceda ukuyigcina izinzile kwaye iyivumele ukuba ihambe. Imisipha eqwengiweyo inokulungiswa ngolu hlobo lotyando.
• Ukufakwa kweqatha. Izicubu eziseqatheni lakho zinokudumba kwaye zibe buhlungu kukusetyenziswa gwenxa. Oku kwenza ukuba kube nzima ukuhambisa ngokudibeneyo. IArthroscopy inokususa ithishu ukuze ukwazi ukuhambisa ngokudibeneyo.
• Isiva. Oku kunokubakho emva kokonzakala eqatheni. Olu tyando lunokususa izicwili ezibomvu.
• Isifo samathambo. IArthroscopy ingasetyenziselwa ukunceda ukunciphisa iintlungu kunye nokuphucula intshukumo.
• Ukulimala kweCartilage. Olu tyando lunokusetyenziselwa ukufumanisa okanye ukulungisa intlala kunye nokwenzakala kwethambo.
• Iziqwengana ezikhululekileyo. Ezi ziqhekeza zethambo okanye i-cartilage ngaphakathi kwe-ankle enokubangela ukuba idibeneyo ivalwe. Ngexesha le-arthroscopy la maqhekeza angasuswa.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha, ihlwili legazi, okanye usulelo

Umngcipheko we-ankle arthroscopy zezi:

• Ukusilela kotyando ukukhulula iimpawu
• Ukusilela ukulungiswa ukuze kuphile
• Ubuthathaka beqatha
• Ukwenzakala kwithenda, umthambo wegazi, okanye imithambo-luvo

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 okanye kumongikazi. Ukutshaya kunokunciphisa inxeba kunye nokuphilisa amathambo.
• Xelela ugqirha wakho ukuba uhlakulela ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi koqhaqho. Ukuba uyagula, inkqubo inokufuna ukuba imiswe.

Ngomhla wotyando:

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

Unakho ukubuyela ekhaya kwangolo suku lunye emva kokuba uphinde wachacha kwi-anesthesia. Kufuneka ubenomntu okuqhubela ekhaya.

Landela nayiphi na imiyalelo yokukhutshwa oyinikiweyo. Oku kunokubandakanya:

• Gcina iqatha lakho liphakame ngaphezu kwentliziyo yakho kangangeentsuku ezi-2 ukuya kwezi-3 ukunceda ukunciphisa ukudumba nentlungu. Unokufaka ipakethi ebandayo ukunciphisa ukudumba.
• Gcina ibhandeji yakho icocekile kwaye yomile. Landela imiyalelo yendlela yokutshintsha indlela yokunxiba.
• Unokuthatha ukuphelisa iintlungu, ukuba kufuneka njalo, ukuba ugqirha wakho ukhuselekile ukwenza njalo.
• Kuya kufuneka usebenzise i-walker okanye iintonga, kwaye ugcine ubunzima kunyawo lwakho ngaphandle kokuba umboneleli wakho uthi KULUNGILE ukubeka ubunzima elunyaweni lwakho.
• Kuya kufuneka unxibe isinqe okanye isiqwenga seeveki ezi-1 ukuya kwezi-2 okanye ngaphezulu ukugcina iqatha lizinzile njengoko liphilisa.

IArthroscopy isebenzisa ukusikwa okuncinci kulusu. Xa kuthelekiswa nokuhlinzwa okuvulekileyo, unokuba:

• Intlungu encinci kunye nokuqina
• Zimbalwa iingxaki
• Ukuchacha ngokukhawuleza

Ukusikwa okuncinci kuyaphola ngokukhawuleza, kwaye unokukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Kodwa, ukuba uninzi lweethishu kwiqatha lakho kuye kwafuneka lulungiswe, kungathatha iiveki ezininzi ukuphola. Ukukhawuleza kwakho ukuphilisa kuxhomekeke kwindlela olunzima ngayo utyando.

Unokuboniswa indlela yokwenza umthambo omnene njengoko uphilisa. Okanye, ugqirha wakho ugqirha unokucebisa ukuba ubone ugqirha womzimba ukukunceda uphinde usebenzise ngokupheleleyo i-ankle yakho.

Uqhaqho lwamaqatha; IArthroscopy - iqatha; Utyando - iqatha - iarthroscopy; Utyando - iqatha - iarthroscopic

UCerrato R, uCampbell J, uTriche R.I-Ankle arthroscopy. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 114.

Ishikawa SN. IArthroscopy yonyawo neqatha. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 50.