I-Arthroscopic Release Capsular for Frozen Blulder
Ihlombe elinyanzelisiweyo yimeko ebuhlungu, ebizwa ngokuba yi-adhesives capsulitis. Izigulane ezinamahlombe aqingqiweyo zinzima nakwiimpawu ezilula zokudibanisa. Iimpawu eziqhelekileyo zengxowanxu ekhuniweyo zibandakanya intlungu xa ishukumisa ingalo, nangemisebenzi elula njengokuhlamba iinwele, ukukhangela i-seatbelt, okanye ukubopha ibhokhwe. Le mqathango ibangelwa ukutshabalalisa i- capsule yamagxa , i-lining encane yomxhelo.
Unyango lwamahlombe ashushu luhlala luphumelele ngonyango olulula, olungagqirha. Nangona unyango lunokuba lulula, ukuhlenga kwimeko kungathabatha inyanga, nokuba neminyaka kunye nezigulane zihluleka ukuphucula ngokupheleleyo. Izigulane eziye zazama ezi ndlela ziphucula ukuhamba kwazo, kwaye ziyakunqandwa yintlungu nokuqina, utyando lunokuthi lucatshungulwe ngenxa yegxala eligcwebileyo.
Ukugqithiswa Kwamahlombe Aphelileyo
Utyando oluqhelekileyo lotyando lwe-shoulder shoulder lubizwa ngokuba yi-arthroscopic capsular release. Njengoko kubonakala kwigama, le nto i- arthroscopic opervicular operation apho ikhamera encinci ifakwa kwi-joint joint. Ngamanye amacandelo amancinci, izixhobo ezincinci nazo zingeniswa ekujongeni ingxaki.
Kwimeko yecala eligciniweyo, ingxaki yinkxalabo eqinile yamagxa, kwaye ngoko unyango olujongene nalo lokunquma i-capsule enamandla ukuvumela inkululeko enkulu yokuhamba.
Izixhobo zifakwe ukuze zinqumle i-capsule ejikeleze i-socket.
Into ebaluleke kakhulu yokukhululwa kwe-arthroscopic iyakuqinisekisa ukuba nayiphi na intuthuko ekuhambeni kwamagxa kuya kugcinwa emva kokuhlinzwa. Ngamanye amaxesha izigulane ziza kuba neengalo zabo ezigqityiweyo ukuze kugcinwe i-capsule yehlombe.
Olunye unyango olusenyameni luya kuqala ngokukhawuleza emva kokuhlinzwa ukuze kuqinisekiswe ukuba izicubu ezinqamlekileyo aziqali ukuphinda zifake ngeenxa zonke.
Ezinye iindlela zokuKhululwa kweArthroscopic
- Unyango lwezonyango: Uninzi lwezigulane ziye zazama unyango olungabandakanyeki kwixhefu labo eliqingqiweyo ngaphambi kokuqwalasela nayiphi na imithi. Nangona kunjalo, izigulane ezininzi aziqapheli ubude bexesha elithatyathwa ngumgca ogciniweyo, kunye nokuba unyango olungenakunyango lungathabatha iinyanga ezili-12 ukuya kweenyanga ngaphambi kokuba iimpawu zenze isigqibo. Ngenxa yoko, abaninzi abagqirha abayicingi ukuba unyango olungapheliyo luye lwahluleka ngaphandle kokuba bezame kwiinyanga ezininzi.
- Ukunyanzeliswa Ngaphantsi kwe-Anesthesia: Eyenziwe ngaphantsi kwindlela ekhethwe ngayo i-arthroscopic yonyango, i-maniestration under anesthesia (MUA) ngokuqhelekileyo isetyenziselwa ukunqumla ihlombe lakho ngelixa ulele. Inzuzo kukufumana ulula olungcono lwe-capsule ehlangeneyo, kodwa kukho iingxaki ezinokwenzeka. Ubuhlungu buya kwenzeka emva kwalo mgaqo, kwaye xa uphunyuzwa ngamandla, kunokwenzeka ukuba amathambo aphule ngaphantsi kwamandla amaninzi. Ngokuqhelekileyo i-MUA yenziwa emva kokukhululwa kwe-capsular arthroscopic.
- Vula ukukhutshwa kwe-Capsular: Ukukhululwa kwe-capsular evulekile yinkqubo engaphantsi kakhulu eyenziwa ngophando, ngoku ukuba unyango lwe-arthroscopic luqhelekile. Ngokufana nenkqubo ye-arthroscopic, i-capsule yamagxa iyahlula, kodwa ugqirha wakho ukhangele ngqo ngaphakathi kwiphepha. Utyando lwe-arthroscopic ngokuqhelekileyo lubonakala luphakamileyo kuba lubangele ubuhlungu obungaphantsi, luya kungena emncinci kwaye luvumela ukufikelela okupheleleyo kwi-joint joint.
Ukubuyisela kwi-Arthroscopic Capsular Release
Nangona ukukhululwa kwe-capsular arthroscopic kunceda kakhulu ukufumana ukuhamba kwamagxa, inkohliso igcina ukuphucula ukuhamba. Ngenxa yentlungu ehambelana notyando, kuyazama ukunciphisa ukunyamezela emva kokukhutshwa, kodwa ukwenza oko kuya kubangela ukuba kuphinde kuvele ingxaki. Njengoko kubhekiswe ukuba abanye oogqirha baqhekeza ngokucacileyo igalelo, kwaye bonke baya kuqala ukunyakaza nokunyanga emva kokuhlinzwa kwizame zokugcina ukuphucula kwindlela yokunyathela.
ILizwi
Utyando luyasetyenziswa rhoqo kunyango lwenqabileyo, kodwa kukho izihlandlo apho unyango olungapheliyo lusebenza kakuhle kulo mqathango.
Ukuba unyango olungapheliyo lwezonyango alukhokelela ekuphumuleni kweempawu, utyando lunokuthathwa njengolukhetho. Into ebaluleke kakhulu kunoma yiluphi uhlobo lotyando olwenzelwe unyango lwegxala eliqingqiweyo kukuqinisekisa ukuba ufumene ihlombe ekuhambeni ngokukhawuleza emva kokuhlinzwa ukuze ukhusele nayiphi na inzuzo ekuhambeni nasekukhuseleni izicubu ezinobumba obunzima ekusebenzeni ngokuhlangeneyo.
Imithombo:
Warner, JJ. Amacandelo athatywayo: Ukuxilongwa kunye noLawulo "J. Am. Acad. IOrn. Ugqirha, ngoMeyi 1997; 5: 130 - 140.