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Arthroscopy SurgeryI-Arthroscopy, okanye utyando lwe-arthroscopic, yinkqubo yamathambo ehlola amaqumrhu omzimba. Ngokuqhelekileyo kuthiwa "umda," njengokuba "ndiya kuguqa ngamadolo." Esikhundleni sokusebenzisa i-incision enkulu ukuhlola umonakalo kwi-joint, le nkqubo isebenzisa ukuboniswa okuncinci apho ikhamera encinane (i-arthroscope ) ifakiwe. Ugqirha unako ukuhlola idibeneyo kwaye uthathe iifoto okanye iisampula zeetyhuse apho ukuze ufumane ubungakanani okanye uhlobo lomonakalo olwenzekayo.
Le nkqubo ingasetyenziselwa kunye neendlela zokuphanga ezongezelelweyo. Ngokomzekelo, ukuba ugqirha wenza i-arthroscopy ekuhlanganyeleni kwegxeni kwaye uqikelela ukuba i-rotator cuff ichithwe, ukulungiswa kwekhafu yokujikeleza kungongezwa kutyando.
Enye yeenzuzo zale ndlela encinci yongenayo yile ndlela yokuba ukuhlinzwa kuqhutyelwa kwisigulana, kunye nesigulane ebuyela ekhaya ngaloo mini. Ukubuyiselwa kudla ngokukhawuleza kuneendlela ezinokufaniswa " ezivulekileyo " ngokuchaneka okukhulu.
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Kutheni Kubalulekile Ukuba IArthroscopy?Ugqirha lwe-Arthroscopic usetyenziswa ukuhlolisisa amaqumrhu omzimba ukucacisa nokuba yintoni imbangela yomonakalo odibeneyo okanye umonakalo. Utyando lwenziwa xa oogqirha bengakwazi ukufumana umthombo wengxaki edibeneyo. Umzekelo, ukuba ucinga ukuba udibeneyo unobungozi kodwa ezinye iimvavanyo zokuxilonga ezinjenge-x-ray, i-CT okanye i- MRI ayinakukwazi ukucacisa uhlobo lomonakalo, i-arthroscopy inokwenziwa ukuze ixilongwe.
I- biopsy , ukuthatha isiqwenga seesishuwu semviwo, sinokuyenza ngexesha le-arthroscopy. Ezi zicubu zingasetyenziselwa ukuxilongwa xa izicubu zihlolwe phantsi kwe-microscope. I-Fluid evela kwidibeneyo inokuphinda isampuli ngexesha lwenkqubo, ngokuqhelekileyo ukuchonga uhlobo lwaluphi na usulelo olukhoyo.
Uphando lwangoku lubonisa ukuba i-arthroscopy yamadolo ayinakunceda izigulane ezine-arthritis, kodwa ukuzimisela ukuba inkqubo kufuneka yenziwe kwimeko ngesiseko ngokubonisana nodokotela ogqirha.
Amalungu amaninzi ahlolisiswa ngeArthroscopy
- Knee
- Ankle
- I-Hip
- Elbow
- Wrist
- Ngamahlombe
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Ingozi yeArthroscopy SurgeryUkongeza kwimingcipheko eqhelekileyo enxulumene nokuhlinzwa kunye neengozi ze-anesthesia , i-arthroscopy inobungozi bayo, njengomngcipheko omncinci womonakalo odibeneyo ngexesha le nkqubo, kunye nomonakalo kwimibhobho kunye nemivilini ejikeleze intsebenziswano.
Kwimiqathango eyenziwa ngaphantsi kwelinqeni, kukho umngcipheko wamacwecwe egazi eyaziwa ngokuba yi- thrombosis okanye i-DVT. Umngcipheko wosulelo ukhona ngeli xesha, kodwa umngcipheko ungaphantsi kweenkqubo zenkcubeko ngokuchaneka ngokupheleleyo.
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I-Arthroscopy: Inkqubo yokuPhephaInkqubo yokujoyina i-arthroscopy ngokuqhelekileyo yenziwa nge- aneshesia yendawo , yesithili okanye ye- anesthesia .
Kwimeko ezininzi utyando lwenziwa njengenkqubo yonyango apho isiguli siya ekhaya ngaloo mini. Uhlobo lwe- anesthesia olusetyenzisiweyo luxhomekeke kumonakalo ogqirha alindele ukuwufumana kunye nohlobo lwenkqubo ogqirha alindele ukuyenza.
Xa i-anesthesia iqalisa ukusebenza, ugqirha ugqirha ngokuzenza izinto ezincinci malunga no-1 ukuya kweyesi-2 ububanzi obude kufuphi ne-joint. Oku kuya kuphinda kulandeleke njengoko kufuneka ukuvumela ugqirha ukuba acinge ngokucacileyo ukudibanisa okonakalisiweyo.
Izixhobo zifakwe kwii-incisions, kubandakanywa ikhamera encinane. Udokotela ogqirha ubonakalisa intsebenziswano kwisikrini somabonwakude, kunokuba ukhangele ukukhangela. Enye yezinto eziboniswe ngayo isetyenziselwa ukucoca ngobumnene idibene kunye nomnatha. Oku kukhulisa izicubu ezungeze umdibaniso, okwenza igumbi elongezelelweyo lonyango kunye nokuphucula imifanekiso ethunyelwe yikhamera.
Ugqirha ke ukhangele nawuphi na umonakalo okanye umthombo weentlungu, ukukhangela iingxaki zethambo, iigaments, iintoni kunye nezicubu ezijikelezayo. Ukuba i-tip chips okanye impahla yangaphandle ifunyenwe, isuswa. Ukuba kuyimfuneko, i-biopsies yezicubu kunye neesampula zamanzi zingathathwa.
Emva kokuhlola i-sampuli kunye nokuthatha iisampuli ezifunekayo, i-arthroscopy inxalenye yale nkqubo iphelile. Kwiimeko ezininzi, kunjalo, utyando olongezelelweyo luya kwenziwa ukulungisa nayiphi na ingxaki efunyenweyo.
Ukuba utyando olongezelelweyo alufunanga, izixhobo ziyakhutshwa kwidibene kunye kunye nezigqibo zivaliwe nge-staples, sutures , ster-strips okanye glue ogqityiweyo, kuxhomekeke kwintando yesigqirha kunye nendawo yokuhlinzwa.
I-anesthesia iya kugqitywa kwaye unyango lunikwe ukukunceda uvuke. Uya kuthathwa kwindawo yokubuyisela ukuba uhlolwe ngokugqithiseleyo ngexesha lonke i-anesthesia liphela.
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Ukubuyisela emva kokuPhepha kweArthroscopicEmva kokuhlinzwa kwakho kwe-arthroscopy kugqityiwe, uya kuthathwa kwigumbi lokubuyisela ukuze uhlolwe xa i-anesthesia igqithisa. Unokunikezelwa ngamachiza enhlungu ngeli xesha. Xa usuphaphekile kwaye uqaphele, kufuneka ukwazi ukubuyela ekhaya (ukuba utyando lwakho luye lwacwangciswa njengenkqubo yokuphulukana nesifo sengqondo). Uya kufuneka ulungiselele ukuba umntu akuqhube ekhaya, njengoko awuyi kukwazi ukuqhuma emva kokuba ube ne-anesthesia.
Ukuba kuyimfuneko, isixhobo esingenakulungiswa sisetyenziselwa ukukhusela intsebenziswano kunye nokukhusela naluphi na ukugoba okanye ukunyakaza ngexesha lokuphilisa. Ngokomzekelo, ukubethelwa kwesigxina okanye i-knee brace inokuma xa uvuka kwi-arthroscopy yakho. Unokuba unikwe iinqununu okanye umjelo ozisebenzisayo ukukhusela ukubeka ingcinezelo eninzi kwidibeneyo emva kokuhlinzwa.
Xa usukhaya, kuya kufuneka uhlolisise ukungena kwakho kwiimpawu zentsholongwane kwaye wenze ukunyamekelwa kokunyanzelisa . Ukuba ufumanisa ukuba ukutsalwa kwakho kubonisa iimpawu zentsholongwane uya ku funeka uxelele ugqirha wakho. Uyakufuna kwakhona ukwazisa ugqirha wakho ukuba ugqame ukukhukhuza okungaxeliweyo, njengoko oku kungabonisa ukuba i-clot yegazi ikhona.
Udokotela wakho ugqirha kufuneka anikeze imiyalelo ethile malunga nezinga elimkelekileyo lomsebenzi kwiintsuku ezilandelayo ukuhlinzwa. Unokuxelelwa ukuba usebenzise umdibaniso njengento encinci okanye ugqirha wakho unokucela ukuba uqale unyango lomzimba ukulungisa kwakhona umdibaniselwano ngokukhawuleza.
Ubungakanani bexesha elifunekayo lokubuyisela luyahlukahluka ngokusetyenzwa kwindlela yakho yokuhlinzwa kunye nobukhulu bokulimala kwakho. I-arthroscopy echanekileyo inokufuna ukubuyiswa kweeveki ezimbini nje, kodwa ukuba le nkqubo idibene kunye nokulungiswa kwegilament okanye olunye utyando olubandakanyekayo, ukubuyiswa kwakho kungase kube kakhulu.
Ulwazi olungakumbi: Iimpendulo Zemibuzo Eqhelekileyo Emva kokuPiliswa
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ImithomboImithombo:
Isikhokelo soMonde kwiArthroscopy. Eorthopod.com http://www.eorthopod.com/public/patient_education/6601/arthroscopy.html