I-arthroscopy yesihlahla

I-arthroscopy yesandla kukuhlinzwa okusebenzisa ikhamera encinci kunye nezixhobo zoqhaqho ukuvavanya okanye ukulungisa izicubu ngaphakathi okanye ngakwisihlahla sakho. Ikhamera ibizwa ngokuba yiarthroscope. Inkqubo ivumela ugqirha ukuba afumane iingxaki kwaye enze ulungiso esihlahleni ngaphandle kokwenza ukusika okukhulu kulusu nakwizicubu. Oku kuthetha ukuba unokuba nentlungu encinci kwaye ufumane ngokukhawuleza kunokuhlinzwa.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu. Okanye, uya kuba ne-anesthesia yengingqi. Ingalo yakho kunye nendawo yesihlahla iya 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 kwisikristsi sakho ngento encinci. Umda uqhagamshelwe kwisibek'esweni sevidiyo kwigumbi lokusebenza. Oku kuvumela ugqirha ukuba abone ngaphakathi kwesihlahla sakho.
• Ihlola zonke izihlunu zesandla sakho. 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.

Unokufuna i-arthroscopy yesandla ukuba unayo enye yezi ngxaki:

• Intlungu yesihlahla. IArthroscopy ivumela ugqirha ukuba ahlole ukuba yintoni ebangela iintlungu zangalo yakho.
• Ukususwa kweqela. Le yingxowa encinci, egcwele ulwelo ekhula kwilungu lesihlakala. Ayinabungozi, kodwa inokuba buhlungu kwaye inokunciphisa umda kubuchule bakho bokuhambisa isihlahla sakho ngokukhululekileyo.
• Iinyembezi zeligament. I-ligament libhendi yethishu edibanisa ithambo nethambo. Imigudu emininzi esihlahleni iyanceda ukuyigcina izinzile kwaye iyivumele ukuba ihambe. Imisipha eqwengiweyo inokulungiswa ngolu hlobo lotyando.
• Unxantathu we-fibrocartilage complex (TFCC) iinyembezi. I-TFCC yindawo ye-cartilage esihlahleni. Ukonzakala kwi-TFCC kunokubangela iintlungu kwinkangeleko yangaphandle yesandla. IArthroscopy inokulungisa umonakalo we-TFCC.
• Ukukhululwa kwetonela yeCarpal. Isifo seCarpal tunnel syndrome senzeka xa inwebu edlula kumathambo athile nakwizicubu esihlahleni sakho idumbile kwaye iyacaphuka. Nge-arthroscopy indawo apho le mithambo-luvo idlula khona inokwenziwa ibe nkulu ukunciphisa uxinzelelo kunye nentlungu.
• Ukuqhekeka kwesihlahla. IArthroscopy inokusetyenziselwa ukususa amasuntswana amathambo kunye nokunceda ukulungelelanisa amathambo esihlahleni sakho.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi ze-arthroscopy yesandla zezi:

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

Ngaphambi kotyando:

• Xelela ugqirha wakho wotyando ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.
• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye namanye amayeza.
• Buza umboneleli wakho wezempilo ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando 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 malunga nayiphi na ingqele, umkhuhlane, umkhuhlane, ukuphuma kweherpes, okanye esinye isifo. Ukuba uyagula, utyando lwakho lunokufuna ukuba limiswe elinye ixesha.

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.

Ungaya ekhaya kwangolo suku lunye emva kokuchitha iyure okanye ukubuyela kwimeko yesiqhelo. Kufuneka ubenomntu okuqhubela ekhaya.
Landela nayiphi na imiyalelo yokukhutshwa oyinikiweyo. Oku kunokubandakanya:

• Gcina isihlahla sakho sinyuswe ngaphezu kwentliziyo yakho kangangeentsuku ezi-2 ukuya kwezi-3 ukunceda ukunciphisa ukudumba nentlungu. Unokufaka ipakethi ebandayo ukunceda ngokudumba.
• Gcina ibhandeji yakho icocekile kwaye yomile. Landela imiyalelo yendlela yokutshintsha indlela yokunxiba.
• Unokuthatha ukuphelisa iintlungu, ukuba kukho imfuneko, okoko nje ugqirha wakho esithi kukhuselekile ukwenza njalo.
• Kuya kufuneka unxibe isplint kwiiveki ezi-1 ukuya kwezi-2 okanye ngaphezulu ukugcina isihlahla sizinzile njengoko siphilisa.

IArthroscopy isebenzisa ukusikeka okuncinci kulusu, ke xa kuthelekiswa nokuhlinzwa okuvulekileyo, unokuba:

• Intlungu encinci kunye nokuqina ngexesha lokuchacha
• Zimbalwa iingxaki
• Ukuchacha ngokukhawuleza

Ukusikwa okuncinci kuyaphola ngokukhawuleza kwaye unokukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Kodwa, ukuba zininzi izicwili esihlahleni sakho ekufuneka zilungisiwe, kungathatha iiveki ezininzi ukuphola.

Unokuboniswa indlela yokwenza umthambo omnene ngeminwe nangesandla sakho. Ugqirha wakho unokuphinda akucebise ukuba ubone ugqirha oza kukunceda uphinde uphinde usebenzise isihlahla sakho.

Utyando esihlahleni; IArthroscopy - isihlahla; Utyando - isihlahla - iarthroscopy; Utyando - isihlahla - iarthroscopic; Ukukhululwa kwetonela yeCarpal

Ikhonkco DL. Ukuphazamiseka kwesihlahla. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 69.

UGeissler WB, Keen CA. I-arthroscopy yesihlahla. 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 73.