Iingxaki ze-Arthroscopic Surgery Surgery

Iingxaki ezinokwenzeka ezinxulumene neNgxowa yamacala

I-arthroscopy yamacandelo yindlela yokuhlinzwa eyenziwa ngokuphindaphindiweyo ukwenzela unyango oluncinci lweemeko ezahlukeneyo. I-arthroscopy yamanzi idlalwa rhoqo ukuze unyango lwezinyembezi , iinyembezi kunye ne- bursitis . Iimpawu ze-Arthroscopic ngamanye amaxesha zisetyenziselwa unyango lwe -arthritis yokuqala .

Nangona i-arthroscopy ibhethri ithathwa njengenkqubo ekhuselekileyo yokupanda, kukho iingxaki ezinokuthi ziqwalaselwe ngaphambi kokuba utyunjelwe unyango lwakho. Izigulane kufuneka ziqaphele iingxaki ezinokwenzeka, kwaye amathuba okuba iingxaki ziya kwenzeka.

1 -

Sulelo

Ukukhulelwa kukukhathazeka kakhulu xa kunesifo sokuhlinzwa, nokuba ngaba yinkqubo enkulu yokuhlinzwa okanye unyango oluncinane. Iibhaktheriya zikhona esikhumbeni nakwimimandla, kwaye kunye nokulumkisa okukhulu, kukho ithuba lokuhlawula isifo sukuba naluphi na utyando.

Ukunyangwa kwamagqabi kunokwenzeka ukuba kuphuhliswe izifo ezinjenge- staph kunye ne- strep - iintlobo eziqhelekileyo zezifo zokugula. Ukongezelela, ibhaktheriya engaphantsi kakhulu ebizwa ngokuba yiPropionibacterium acnes idla ngokuxhomekeka kwizifo zentlungu . I-P. acnes ikhona kwesikhumba ejikeleze umxhelo kwaye kunokuba nzima ukufumana iimvavanyo eziqhelekileyo zokusuleleka kwebhaktheriya.

Kukho amanyathelo onokuyithatha ukukunceda ukukhusela izifo ezikhuselweyo . Unyango lwezonyango zingadinga iinkqubo zonyango ezongezelelweyo kunye namayeza omlomo wexesha elide, ngoko kuyafaneleka ukuba izigulane zithathe la manyathelo ukukhusela amathuba okusuleleka.

Kaninzi

2 -

Injury

Inzondo yomdla ayiqhelekanga, kodwa kunye nenani leentlungu ezinkulu ezijikeleze umxhelo wegxalaba, oku kuyinkxalabo yokuhlinzwa. Xa umsebenzi ufunwa phantsi kwephahla (i-capsule engaphantsi okanye i-labrum) kukho inkxalabo ethile yokulimala kwiimbilini. Amagulane angalimaza ngamacandelo asebenza ngaphakathi kwimixhelo yamagxa, okanye ngokufakela izixhobo ezisondele kakhulu kwiimbilini ezijikeleze umxhelo wegxala.

3 -

Ngamahlombe

Enye yeengxaki eziqhelekileyo emva kokuhlinzwa kwegxalaba kukuqina komxhelo. Kwimiqathango ethile yokuhlinzwa, ixesha lokudambisa liyimfuneko ukuvumela ukunyanga okwaneleyo. Nangona kunjalo, ukuchithwa kwexabiso lokubambisana kungabangela ukuba izigulane ziphuhlise imeko ebizwa ngokuba ngumxholongwane.

Izigulane ezihlakulela igalelo eliqhenqileyo zinamafomu amanxeba amaninzi kwi-capsule ehlangene, kunye neethambo ezijikeleza ibhola kunye ne-socket joint joint. Ixhepha elinyanzelisiweyo ngokuqhelekileyo liphathwa ngonyango olubi kwaye ngamanye amaxesha i- injection cortisone . Amaninzi amaninzi ehlombe eliqingqiweyo kuthatha inyanga okanye ixesha elide ukulungisa.

Kaninzi

4 -

Chondrolysis

I-Chondrolysis yinto engabonakaliyo kodwa enokuba yinto enzima kakhulu ye-arthroscopy. I-Chondrolysis ibangele umonakalo kwi-cartilage yomhlaba odibeneyo kwaye ingakhokelela ekuhambeni kwangaphambili kwe-arthritis ye-joint. Oku kunengxaki ngokukodwa kwizigulane ezincinci eziphuhlisa le meko emva kokonyango kokulimala kwezemidlalo. Ngokuqhelekileyo, ukulindela kwezi gulane kukubuyisela umsebenzi opheleleyo wegxala, kwaye i-chondrolysis ingakhokelela kwiingxaki ezisisigxina kunye nomxhelo wexalaba ukuba i-cartilage yonakaliswe kakubi.

Ngethamsanqa, i-chondrolysis yinto enqabileyo kakhulu, kwaye oogqirha baye bafunda amanyathelo okuthatha ukuthatha ukunceda ukukhusela ingxaki enzima.

Kaninzi

5 -

Intloko / iNgen Ukulimala

Enye yemingeni yokuhlinzwa kwegulane yindawo yokudibanisa. I-drape yokupakisha igubungela intloko nentamo yengqumbo ngexesha lotyando lokuthintela ukungcola nokusuleleka, kodwa oku kunokunciphisa ikhono lokubona intloko nentamo ngumntu onesi-anesthesiologist. Abagqirha kufuneka banakekele kakhulu ukukhusela nokuxhasa intloko nentamo ukuqinisekisa ukuba akukho nzakalo ngenxa yesigxina esifanelekileyo.

_Imithombo:

_{Moen TC, et al. "Iingxaki ze-Arthroscopy" I-Am Acad Orthop Surgery ngoJulayi 2014 vol. 22 no. 7 410-419.}