Option Treatment For Other Causes of Knee Pain
Utyando lwe-arthroscopic ngamadolo luya kuba yindlela yokonyango kwiintlobo ezithile zeentlungu zamadolo . Utyando lwe-Arthroscopic yinkqubo ebandakanya ukufaka ikhamera encinane ngaphakathi. Ngaphandle kwezinye izinto ezincinci, izixhobo zingeniswa ukuze zilungiswe okanye zisuse izakhiwo ezonakalisiweyo. Ugqirha lwe-Arthroscopic edlalwa ngamadolo ngokuqhelekileyo kuthiwa " ugxotha i knee " okanye idolo i-arthroscopy .
Izizathu zokwenza iArthroscopic Knee Surgery
Ayikho yonke imbangela yeentlungu zedolo inokuphathwa kakuhle ngenkqubo ye-arthroscopic. Ezinye zezizathu zokwenza utyando lomzimba we-arthroscopic ziquka:
- Ukuqwengulwa kweKartilage / i-Meniscus Surgery
I-Meniscectomy igama elisemthethweni lotyando olubandakanya ukususwa kwesahlulo se-meniscus cartilage ukusuka emadolweni . I-meniscus yinto ebangela ukutshitshiswa kwe-cartilage ehlala phakathi kwethambo iphelile ukubonelela ukuxhaswa kunye nenkxaso. Iindoda ezincinci zezinye iinyembezi ziyakuncitshiswa ukuze zithintele iimpawu ze-meniscus eziqhekekileyo. Ukulungiswa kweMeniscus
Ukulungiswa kwe-meniscus yinkqubo yophenyo eyenziweyo ukulungisa i-meniscus ewonakele. Ukulungiswa kwe-meniscus kunokubuyisela isifo esivamile samadolo kwaye sinokugqithisa ixesha elide xa uphumelele. Nangona kunjalo, ukulungiswa kwe-meniscus kubaluleke kakhulu . Ukubuyiselwa kukude, kwaye, ngenxa yokunikezelwa kwegazi kwi-meniscus, ukulungiswa kwe-meniscus akusoloko kunokwenzeka.
I-ACL Yokwakhiwa kwakhona
Ingqungquthela yomhlaba , okanye i-ACL, yenye yezona ezine zigulane zamadolo . I-ACL ibaluleke kakhulu ekuzinzileni kwamadolo , kwaye abantu abalimaza ii-ACL zabo bahlala bekhalaza ngamadolo abo banikela phantsi kwabo. Ngoko ke, izigulane ezininzi ezigcina i-ACL izinyembezi zikhethwa ukuba zonyango lwalolu hlobo. Uninzi lwe-ACL utyando lwenziwe nge-arthroscopically.
Plica Excision
I-plica iyintsalela yezicubu ezishiywe ukusuka ekukhuleni komntwana. Ekuphuhlisweni kokuqala, idolo lakho lahlulwa ngamacandelo ahlukeneyo. Abahluli bamacandelo balahleka ngokukhawuleza kwexesha, kodwa intsalela esele ihlala. Xa le ntsalela ithambo libalaseleyo, libizwa ngokuba yi-plica. Xa i-plica isicasulayo, ibizwa ngokuba yi- plica syndrome . I-plica resection isenziwa ukuze kususwe le tissue.Ukukhululwa kwexesha
I-kneecap ihamba isenyuka iphantsi kwehla kwethambo lethanga kwi-groove ye-cartilage. I-kneecap iyakuthatyathwa ngaphandle kwe-grooves, okanye inokuthi ihambe kwindawo yokudla, ibangela intlungu ngokuguqulwa kwamadolo. Ukukhululwa ngokusemthethweni kwenziwa ukuba kukhululeke iigaments ezidonsa i-kneecap ngasemva kwe-groove.Microfracture
I-microfracture yonyango esetyenziselwa ukuvuselela umzimba ukuba ukhule i- cartilage entsha kwindawo yendawo yokulimala. Kwiinkqubo ezincinci , i-outer layer of bone isingeniswe, ukubonisa intlupheko yangaphakathi yethambo apho iiseli zesebe zikhona. Ezi iiseli ziza kufinyelela kwindawo ewonakalisiweyo kwaye zizalise isithuba se-cartilage .Ukufakelwa kwe-Autologous Chondrocyte
Ukutshintshwa kwe- cartilage kubandakanya ukudlulisa i- cartilage kwimimandla enempilo yendawo edibeneyo kwiindawo ezonakalisiweyo. Iiplagi ezincinane ze-cartilage zisuswe, kunye nenxalenye yetshe, kwaye idluliselwe kwindawo yomonakalo. Iiplagi zithathwa kwiindawo zokudibanisa apho kungabikho isidumbu se-cartilage .
I-Cartilage Transfer / OATS
Ukutshintshwa kwe-cartilage kubandakanya ukudlulisa i-cartilage kwimimandla enempilo yendawo edibeneyo kwiindawo ezonakalisiweyo. Iiplagi ezincinane ze-cartilage zisuswe, kunye nenxalenye yetshe, kwaye idluliselwe kwindawo yomonakalo. Iiplagi zithathwa kwiindawo zokudibanisa apho kungabikho isidumbu se-cartilage.
Ukwenza uphando lwe-Arthroscopic Knee Surgery
I-knee arthroscopy ingenziwa phantsi kwe-anesthesia jikelele, yesithili, okanye yendawo . Emva kwe-anesthesia eyaneleyo, ugqirha wakho uya kudala 'ama-portals' ukuze afumane ukufikelela emadolweni. 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. Izigulane ezine-arthroscopic ukuhlinzwa ngedolo phantsi kwe- anesthesia yesithili okanye yengingqi zihlala zijonge ukuhlinzwa kwabo kwi-monitor ukuze zibone oko kubangela ingxaki yabo.
Ubude be-arthroscopy inqubo iguquka ngokuxhomekeke kwinto efunekayo ugqirha wakho. Emva kokuhlinzwa, idolo lakho liyakusongelwa kwi-bandage elula. Ngokuxhomekeka kohlobo lotyando olwenziweyo, ugqirha wakho unokuthi okanye akanakukuvumela ukuba ubeke isisindo kumlenze ochaphazelekayo. Uninzi lwezigulane ziza kusebenza kunye nomzimba wenyama ukuze uphinde uvuselele kunye namandla odibeneyo. Ubude bokubuyiselwa buya kuhluka ngohlobo lwenkqubo eyenziwa ngexesha lotyando .
Iingxaki zeArthroscopic Knee Surgery
Iingxaki ze- arthroscopic ukuguqulwa kwamadolo ziquka ukusuleleka, ukuvuvukala, kunye namacwecwe egazi emlenzeni. Iingxaki ziyinto engavamile emva kwe-knee arthroscopy, kwaye ngelixa zibangele inkxalabo, i-knee arthroscopy ithathwa njengenkqubo ephantsi yobungozi.
Enye ingxaki enomdla bekuye kusetshenziswe i-arthroscopy idolo ukuze unyango lwe-knee arthritis . Kukho uphando olubhekiselele ekusebenzisweni kwe-arthroscopic ukuguqulwa kwamadolo kwizigulana ezine-osteoarthritis zakuqala zedolo . Ngokuqhelekileyo, izigulane ezine-osteoarthritis zamadolo zihamba kakuhle ngophenyo lwe-arthroscopic xa iimpawu zabo ziza zivela kwi- cartilage ephosakeleyo okanye enqwengqelekileyo , kanti ukungahambi kakuhle kwinto engenakwenzeka ukuba kuphuculwe ngophenyo lwe-arthroscopic. Ukuqulunqa umthombo wokungahambi kakuhle kubaluleke kakhulu ukuqikelela isiphumo sokuhlinzwa kule ngxaki.
ILizwi
Utyando lwasemadolweni lwe-arthroscopic luphakathi kweenkqubo ezigqithisileyo ezigqithwe ngumzimba wamazinyo. Iinkqubo ezahlukeneyo zokuphanda ziyakwenziwa i-arthroscopically, esebenzisa izinto ezincinci kunye nokunciphisa umonakalo we-tissue. Ayikho yonke inkqubo yokucoca ingenziwa ngeendlela ezincinci, kwaye kukho ezinye iinkqubo ezinokuthi zenziwe ngcono ngokubonakalisa ngokuthe ngqo kunokuba zibude. Oko kwathiwa, i-arthroscopy inezinzuzo ezininzi kwiintlobo ezininzi zokuhlinzwa ngedolo, kwaye inokunceda abantu babuyele kwimisebenzi yezemidlalo kunye nemihla ngemihla kungekudala ababebenokukwazi ukuyenza.
Imithombo:
Richmond J, et al. "Unyango lwe-Osteoarthritis ye-Knee (Nonarthroplasty)" J. Am. Acad. IOrn. Ugqirha, Septemba 2009; 17: 591 - 600.