Inketho Yonyango Ngezinye Iibangela Zobunzima Bobuhlungu
Utyando lwe-arthroscopic elbow lungaba yindlela yokonyango kwiintlobo ezithile zeentlungu . Utyando lwe-arthroscopic yinkqubo yokucwangcisa ukufaka ikhamera encinane ngaphakathi kwendibano. Ngaphandle kwezinye izinto ezincinci, izixhobo zingeniswa ukuze zilungiswe okanye zisuse izakhiwo ezonakalisiweyo. Utyando lwe-Arthroscopic elbow, ebizwa ngokuthi "ukukhangela ibhokhwe," yindlela yokwelashwa kwezinye iintlobo zeentlungu.
Izizathu zokwenza u-Arthroscopic Surgery Elbow
Azikho zonke izizathu zentlungu yomlenze inokuphathwa kakuhle ngenkqubo ye-arthroscopic. Ezinye zezizathu zokwenza utyando lwe - arthroscopic elbow , okanye i-arthroscopy ye-elbow, ifaka:
- Ukususa i-Debris eLawulayo: Umxube we-elbow unokuqokelela i-debris okanye i-cartilage ephumayo ngenxa ye-arthritis okanye ukulimala. Le mizimba evulekileyo ngaphakathi kwimbambano ingabangela intlungu kunye nokunyakaza okufutshane. Utyando lwe-arthroscopic yindlela encinci yokususa le ngxaki.
Ukususa I-Bone Spurs: Kwiimpawu zokuqala zesifo se-arthritis, i- bone spurs ingazenza ijikeleze idibene kunye, kwaye inqande ukunyakaza okuqhelekileyo kokubambisana. Inqubo ye-arthroscopic ingasifanele ukususa ithambo le-bone ukuze libuyisele ukunyakaza okuqhelekileyo kwendibano yomgca.
Ingxaki ethile ye-elbow ebizwa ngokuthi "i-caster's bowbow", ivela ekuphoseni abadlali abafana neengqwembe zebhola. Ngenxa yempembelelo enkulu kwi-elbow, i- bone spur iyakwenza emva kwendibano. Ukuba unyango lwezonyango aluphumelelanga iimpawu, utyando lwe-arthroscopic lunokuba luncedo ukususa le ntshukumo.
- Ukukhulula iCape Capsule: Umxube we-elbow uyaziwayo ngokuba unzima ngenxa yokulimala, ukuhlinzwa okanye enye intlungu edibeneyo; le meko ibizwa ngokuba yi- elbow arthrofibrosis . Kwezinye izigulane, i-capsule ye-elbow iyamanyaniseka kangangokuba isinyathelo sinqunyelwe. Ngokukhululeka ukukhulula i-capsule edibeneyo inokubakho kwezi zi gulane. Inzuzo yendlela yokwenza i-arthroscopic kukuba i-tissue engaphantsi kakhulu inokuyilwa emva kokuhlinzwa, ngaloo ndlela yenza ithuba lokuphindaphinda ngakumbi.
- Ukuhlawula i-Cartilage Dommage: Iingxaki ezithile ze-cartilage, ininzi i- osteochondritis dissecans (OCD) , inokubangela iingxaki kwi-jointbow. I-X-ray kunye nee-MRI zingenakho ngokwaneleyo ukubonisa ubungakanani bomonakalo, kunye nokuhlinzwa okwenziwe nge-arthroscopic kungasetyenziswa ukuhlola ubuninzi bomonakalo we-cartilage ukuqinisekisa ukuba ngaba kufuneka unyango olungaphezulu.
- I-Elbow Tennis: I-elbow ye-tennis ibonakala xa kukho ukukhwabanisa kwamathambo kwi-outer collar. Nangona abaninzi abantu bephucula unyango olungaphelelanga kwi-tennis elbow, ngamanye amaxesha kuyadingeka ukuhlinzwa. Utyando lweNdabuko lugqithisa i-tendon ephuma kwithambo, lususa i-tendon eyonakalisiwe, ilandelwa ukulungiswa okanye ukufakwa kwakhona kwesithoni. Utyando lwe-arthroscopic luye lwaba yinkqubo yokonyango kwinqwelo le-tennis. Iimpawu ze-arthroscopic zivumela ukuba ugqirha wakho akhangele umxube we-elbow ukuqinisekisa ukuba ayikho enye imvelaphi yentlungu, kwaye ivumela ukuba kususwe itonthoni eyonakaliswe ngaphandle kwintambo yesithoni esithambo. Nangona utyando lwe-arthroscopic kwi-tennis elbow luyinto emitsha, iziphumo zakuqala ziye zakhuthaza ngokuphumelela kwezinga lempumelelo.
Ukwenza uphando lwe-Arthroscopic Elbow
I-arthroscopy ye-Elbow ingenziwa phantsi kwe -anesthesia jikelele okanye yesithili .
Emva kwe-anesthesia eyaneleyo, ugqirha wakho uza kudala 'ama-portals' ukuba afumane ukufikelela kwendibano yomgca. Amanqaku afakwa kwiindawo ezithile ukunciphisa amandla okulimala kwiisondlo ezijikelezayo, imithana yegazi kunye neetoni. Ngomnye wesango, ikhamera ifakwa kwidibeneyo, kunye nabanye, izitya ezincinci zisetyenziselwa ukulungisa ingxaki.
Inkqubo ye-arbowroscopy inkqubo iyahluka ngokuxhomekeke kwinto ugqirha wakho kufuneka uyenze. Emva kokuhlinzwa, i-elbow yakho iya kufakwa kwi-bandage esithambileyo. Uninzi lwezigulane ziza kusebenza kunye nomzimba wenyama ukuze uphinde uvuselele kunye namandla odibeneyo.
Ubude bokubuyiselwa buya kuhluka ngoxhomekeke kwinto eyenziwa ngexesha lotyando.
Iingxaki
Into eninzi malunga noxinzelelo lwe-arthroscopic ukuhlinzwa ngokugqithiseleyo kukulimala kwenye yeentlungu ezinkulu ezijikeleze umxube we-elbow. Iimvumi eziliqela ezibaluleke kakhulu ekunikezeni umsebenzi zijikelezileyo. Ezinye iingxaki zibandakanya ukusuleleka kunye nomonakalo kwi-cartilage ehlanganyeneyo ukusuka kwizixhobo ze-arthroscopy.
Imithombo:
Dodson CC, et al. "Elbow Arthroscopy" J. Am. Acad. IOrn. Ugqirha, Oktobha 2008; 16: 574 - 585.