Utyando lwe-arthroscopic yinkqubo yokucwangcisa ukufaka ikhamera encinane ngaphakathi kwendibano. I-arthroscopy inokwenziwa kuyo nayiphi na intlangano emzimbeni, kodwa iqhutshwa ngokubanzi ngamadolo kunye namagxa asegxeni. Oko kwathiwa, abaninzi oogqirha benza uphando lwe-arthroscopic kwezinye iimbumba ezibandakanya izikhwebu, isangqa, i-elbow kunye nesandla. Ngokusebenzisa izinto ezincinane, izixhobo zingeniswa ukuze zilungiswe okanye zisuse izakhiwo ezonakalisiweyo.
I-arthroscopy yesandla, ebizwa ngokuthi "ukukhangela isalathisi," yindlela yokwelashwa kwezinye iintlobo zentlungu yesandla .
Izizathu ezifanelekileyo zokufikelela i-Wrist
Kukho iinkqubo zokuphanda ezinokuthi zenziwe nge-arthroscopically okanye nge-incision. Nangona kunjalo, ezinye zifezekiswe ngokusetyenziswa kwe-arthroscopic approach. Mhlawumbi isizathu esona sizathu sokuqwalasela inkqubo yesikhumba se-arthroscopic, xa kuthelekiswa nokuhlinzwa okwemveli, ukuguqulwa kweengxaki ze-cartilage, kubandakanywa umonakalo kwi- complex fibrocartilage (TFCC). I-TFCC yintambo ye-cartilage, enjenge- meniscus emadolweni , kubalulekile ukuzinza kwesandla kunye nokunyakaza. Ukulimala kwi-TFCC kunokubangela ubuhlungu, ukuvuvukala, kunye nokucofa kwintlungu.
Iingonyama zeTFCC iinyembezi zisoloko zifezekile ngokugqithiseleyo, kwaye mhlawumbi isizathu esona sizathu sokuqwalasela indlela ye-arthroscopic kwi-joint joint. Izinyembezi ezincinci ze-TFCC zinokucinywa, ngelixa iindleko ezininzi ze-TFCC ziza kulungiswa.
Kukho ezinye iimeko ezingabhekiswa kakuhle ngophenyo lwe-arthroscopic.
Izizathu ezinokwenzeka ze-Arthroscopy
- Ukunyanga kweLigament Inobungozi / Ukukhubazeka
Ukulimala kwegilisi yesandla kunokuba nzima ukuvavanya ngaphandle kokuhlola i-ligament. Inkqubo ye-arthroscopic inokukunceda ukuchaza ubungakanani bokulimala kwegilament. Ukuba i-ligament umonakalo ufunyenwe, ngoko utyando lungafuna ukukhutshwa okukhulu ukulungisa iigaments.
- Unyango lweeNdidi eziKhethekileyo zeSandla seSandla
Ukuqhekeka kwesibindi okubandakanya i-cartilage ye-joint joint (kunokuba ithambo liqhubeke kude nomxube) lingaphathwa nge-arthroscopy yesandla. Abanye oogqirha banokukhetha ukusebenzisa ikhamera ukuba bahlolisise i-cartilage yombutho ngokubambisana ukuqinisekisa ukuba ihlanganiswe ngokugqibeleleyo. Kuphela ipesenteji zentsimbi eziqhekezayo zifuna ukusetyenziswa kwe-arthroscopy ekuncedeni kunyango lwabo. - Unyango lwe-Ganglion Cysts
Abanye oogqirha bakhetha ukunyanga i- cysts i- arthroscopically. Uninzi lwama-cysts amaninzi luvela kwi-capsule ezungeze iqhagamshelo, kunye ne-cyst ngokwayo izaliswe ngamanzi ahlangeneyo. Ngokujongana ne-cyst evela kwingxaki yolu ngxaki, abanye oogqirha baziva ukuba banokunciphisa ithuba le-cyst ye-ganglion ebuya.
I-Arthroscopy Ayinakuhlala Ilungile
Akukho zizathu zonke zentlungu yesandla ezinokuncedwa ngenkqubo ye-arthroscopic. Ukongezelela, ezinye zezi nkqubo aziqhelekanga kwaye zimele zenziwe kuphela ngabagqirha abasebenza rhoqo kwi-arthroscopy. Ukuba unemibuzo malunga nokuba ingaba i-arthroscopy isilungele imeko yakho, kufuneka uxoxe nale ngogqirha wakho.
Ukwenza i-Arthroscopy
Inkqubo yokugocula ukwenza i-arthroscopy inokwenziwe yenziwe phantsi kwe -anesthesia jikelele okanye yesithili .
Emva kwe-anesthesia eyaneleyo, ugqirha wakho uza kudala 'iifowuni' ukufumana ukudibanisa kwesandla somnxeba. 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.
Ubude benkqubo ye-arthroscopy yenkohlakalo ihluka ngoxhomekeke kwinto efunekayo ugqirha wakho. Emva kokuhlinzwa, i-bandage ephothiweyo okanye ububanzi buza kufakwa. Uninzi lwezigulane ziza kusebenza kunye nomzimba wenyama ukuze uphinde uvuselele kunye namandla odibeneyo.
Ubude bokubuyiselwa buya kuhluka ngoxhomekeke kwinto eyenziwa ngexesha lotyando.
Iingxaki ze-arthroscopy yesandla kwaye ziqhelekanga, kodwa ziyakwenzeka. Ezi ngxaki zibandakanya ukulimala kwentsholongwane, ukulimala kwetonyon, ukusuleleka, kunye ne- reflex dystrophy . Ezinye iingxaki zinokuba nomngcipheko ophezulu xa kuthelekiswa nokuhlinzwa okwejwayelekile, ngelixa i-arthroscopy inganciphisa ithuba lezinye iingxaki. Xoxa nodokotela wakho ugqirha ingozi yenkqubo ecacileyo ocingelayo eyenziwe kwisandla sakho.
Imithombo:
Gupta R, et al. "I-Arthroscopy: Iimpawu kunye nezicelo zezonyango." J. Am. Acad.