Inkxalabo yeArthroscopic Surgery Surgery
Ugqirha lwe-arthroscopic yinkqubo eyenziwa kumalungu omzimba, kuquka namagxa. Udokotela ogqirha ubeka ikhamera yevidiyo ngaphakathi kwintsebenziswano, kunye kunye nezixhobo ezizodwa, ukwenza utyando ngokusebenzisa izinto ezincinci. Utyando lwe-arthroscopic ngokuqhelekileyo lukhokelela ekuphuculeni ngokukhawuleza xa kuthelekiswa nokuhlinzwa okwemveli "ngokuvulwa" ngenxa yokuba umonakalo ongaphantsi we-tissue uvele ngenxa yezixhobo ezingenakuncinci.
Utyando lucatshangelwa lukhuselekile kakhulu, kwaye iingxaki ezinzulu aziqabile. Nangona kunjalo, njengoko kunjalo nangayiphi na intsebenzo, kukho iingxaki. Ezinye zezi zinto zinokuba nemiphumo emibi. Xa le nkcenkceshelo ye- arthroscopy ibizwa ngokuba yi-chondrolysis.
Yintoni iChondrolysis?
I-Chondrolysis yimeko edala ukutshabalalisa ngokukhawuleza kwe-cartilage ngaphakathi kwendibano. Idibaniselwano apho amathambo amabini adibanisa khona. Kwimeko eqhelekileyo, iziphelo zethambo zihlanganiswe ngoluhlu olusisigxina, olusisigxina, olusisigxina lwezinto ezibizwa ngokuthi "i-cartilage." I-cartilage iqukethe iiseli ezibizwa ngokuthi i-chondrocytes, zijikelezwe yipafold yeprotheni kunye namanzi abizwa ngokuthi "matrix."
Kwizigulane ezine-chondrolysis, i-chondrocytes ziyafa kunye nesafa se-matrix siwahlukana. Xa i-cartilage ihambe, ayiyi kubuya okanye iphilise. Xa isalathisi esilahlekileyo silahlekile, ithambo elincinci liphantsi.
Ukubonakala kwe-chondrolysis kufana ne- osteoarthritis yeli gxalaba .
Nangona kunjalo, i-osteoarthritis yimeko echaphazela abantu asebekhulile kwaye ikhula ngaphezu kwamashumi eminyaka. I-chondrolysis yamagxa ekhula ngokukhawuleza, ngamanye amaxesha kwiiveki okanye kwiinyanga. Ngokuqhelekileyo kubakho kwizigulane ezincinci kwaye zidla ngokuqhagamshelana nophando lwe-arthroscopic lwangoku. Umyinge weminyaka yesigulane ofumana i-chondrolysis emva kwe-shoulder arthroscopy eyi-26.
Izizathu zeChondrolysis
Ukuqonda imbangela ye-chondrolysis emva kwe-shoulder arthroscopy ibe ngumngeni. Kwiminyaka emibini edlulileyo, oogqirha baye bavakalisa ngezikhathi ngezizathu zenkcenkceshelo, kuphela ukufumanisa ukuba kunokwenzeka ukuba mhlawumbi bekungekho imibutho ekhankanywayo. Ezinye zezi zinto zibandakanya:
- I-probe ye-Heat: I- proth heat exbes yayisetyenziswe ngokuqhelekileyo kwiintsuku zokuqala ze-arthroscopy. Ukutshintsha kwe-heat usetyenziso lwefowuni ye-radiofrequency ukuhambisa ukushisa ngokuthe ngqo kumathambo athambileyo. I-probes yokushisa ingasetyenziselwa ukukhupha umkhumbi wegazi okanye ukunciphisa izicubu ezithambileyo. Ziye zabandakanya ukulimala kwe-cartilage. I-probe ye-Heat yayisetyenziselwa ukunciphisa igalelo elihlangeneyo kwiigulane ezinokungazinzi kwegxininisa ukuqinisa intsebenziswano. Le nqubo, ebizwa ngokuthi "ukutshatyalaliswa kwe-thermal," ayisenziwa.
- Iindlela eziphambili zokuhlinzwa : Iziphene ezininzi zokupheka zingabangela umonakalo we-cartilage, kuquka ukulimaza i-cartilage kunye nezixhobo ze-arthroscopic, ukushiya izimpembelelo ezivelele okanye ukubeka uxinzelelo kwi-cartilage ngezinto zokugcina izinto.
- Iipompo zobuhlungu: Iipompo zeentlungu zihambisa iindawo eziphakamileyo ze-anesthetic zendawo ngqo kwidibeneyo. Iipompo zashiywe endaweni emva kokuhlinzwa ukuba zikuncede ukulawula intlungu, kodwa ezinye zicinga ukuba ingxube ephezulu ye-anesthetic inokukhokelela kwi-chondrolysis.
Ayaziwa ukuba omnye okanye zonke ezi zinto zingabangela i-shoulder chondrolysis. Uninzi lwagqirha luye lwasuka kwiintlungu zamapompo kunye nefuthe lokushisa ukuqinisekisa ukuba izigulane zabo zikhuselekile kunokwenzeka.
Ukwelashwa kweCondrolysis
Ngelishwa, ngexesha le-chondrolysis lifunyenwe, imeko iqhubekele phambili kwizinga elibi. Akukho ndlela eyaziwayo yokunqanda ukuqhubela phambili kwe-chondrolysis, kwaye akukho ndlela eyaziwayo yokubuyisela iziphumo zayo. Kungenzeka ukuba ngezinye ixesha elizayo, kuya kuba neyeza okanye ijojo engasetyenziselwa "ukuvala" ingxaki yeselula ebangela ukuba i-cartilage iyonakalise.
Nangona kunjalo, ngelo xesha, akunjalo.
Ulwaphulo kuphela lulawulo lweentlungu kunye nemisebenzi yokutshintsha. Uninzi lwezigulane aluhlaziyi kwaye luya kulahlekelwa ukuhamba ngokubambisana. Ezinye izigulane ziya kukhetha ukuba zibe neengcambu zendawo ; Nangona kunjalo, kunikwe ukuba i-chondrolysis iqhubekile ngexesha lomntwana wesigulane okanye iminyaka engamashumi amabini, oku akunakho ukukhetha unyango olululo. Ukutshintshwa kweendwangu zenzelwe izigulane ezinde kwaye ziza kuhlala emashumi ambalwa eminyaka. Kwisigulane esincinci, oku kungathi ukutshintshwa kwegxalaba kuphelelwa ngamandla, mhlawumbi ngaphezu kweyodwa. Ukuphinda kufakwe iindawo zengxowankulu kunzima ukwenza, kwaye akunakho ukuphumelela njengeziphumo ezilungileyo.
> Imithombo:
> Yeh PC & Kharrazi FD. "I-Postarthroscopic Glenohumeral Chondrolysis" J Am Acad Orthop Surg ngoFebruwari 2012; 20: 102-112; i-doi: 10.5435 / JAAOS-20-02-10