I-Arthroscopy yamadolo - kunye nonke into ofuna ukuyiqonda malunga nenkqubo kunye nokubuyiselwa

I-Arthroscopy yamadolo edibeneyo yinkqubo ethandwa kakhulu. Ikuvumela ukuba ufumene i-pathology ngexesha kwaye ukhawuleze ukulwa nesifo. Kwixesha elidlulileyo, ukuhlinzwa ngokugqithiseleyo kwakusetyenziselwa ukuqeda iingxaki zamadolo. Nangona kunjalo, ngokuphuhliswa kobuchwephesha, indlela yokwenza unyango lwezo pathologi ishintshile kakhulu.

Yintoni i-arthroscopy yedolo?

Le nkqubo yinkqubo yokucwangcisa encinci. Kuqhutyelwa kusetyenziswa isistim esithile - i-arthroscope. Le yunithi ifakwe inaliti encinci enekhamera yefiber optic. Umfanekiso wonke uboniswa. Ukuqonda ukuba yiyiphi i-arthroscopy, ugqirha uyakunceda, ngubani oya kumxelela isigulane zonke iimpawu zolawulo olunjalo. Kukho iintlobo ezininzi ze nkqubo:

Okwangoku, le nqubo ithathwa njengesiqhelo "segolide" ekulwa nokulwa neentlobo ze-musculoskeletal system. Le ndlela ayinayo ifanane. Kunamathuba amaninzi:

Kukho ukuphazamiseka kule ndlela:

I-arthroscopy yamadolo-ebonisa

Ukudluliselwa kule nkqubo kunikezwa ngumculi we-traumatologist, i-rheumatologist okanye i-orthopedist. Ukusetyenziswa kwe-arthroscopy yexolo elixhasayo kunconywa kwiimeko ezinjalo:

Ukuxilonga i-arthroscopy yedolo

Le nkqubo ithathwa njengolwazi. Ndiyabulela kuye, imeko yexolo edibeneyo ihlolwe ngaphakathi. Yonke inkcazelo iboniswa kweso sihlandlo ngexesha langempela. I-knee arthroscopy inceda ukufumana olo lwazi:

I-arthroscopy yonyango

Le ndlela inconywa xa unyango lweziyobisi olulondolozayo lungasebenzi. Ngokomzekelo, i-arthroscopy yokugonywa kwamadolo edibeneyo imiselweyo, ukuthengiswa kwe-meniscus kule meko kwenzeka ngeengxaki ezincinci. Inkqubo enjalo yonyango ithathwa njengento engathandekiyo: emva kokuba umgca omncinci uhlala. Ukongezelela, ukulungiswa kwakhona akulibalanga ixesha elide. Njengoko uqeqesho lubonisa, izigulana zibuyela ngokukhawuleza endleleni yazo yokuphila.

I-Arthroscopy - ingqinano

Nangona le nkqubo inenzuzo eninzi, kwezinye iimeko kuya kufuneka ishiywe. Isigqibo sokugqibela kukuba ingaba i-arthroscopy yamadolo edibeneyo yenziwe ngugqirha emva kokuvavanywa ngokugqithiseleyo kwesigulane. Zonke iingqinisiso ekuphunyezweni kwalo mgaqo zinokuhlulwa ngokweemeko zibe ngamaqela amabini: ngokupheleleyo kunye nezihambelana. Iyokuqala ibandakanya oku kulandelayo:

Ukuchasana okuhambelanayo kubandakanya:

I-knee arthroscopy yenziwa njani?

Ngaphambi kokuhamba ngale ndlela, isiguli kufuneka silungiselele. I-arthroscopy yamadolo ehlangene inikezela ukuba ezi zilandelayo ziza kwenziwa kwangaphambili:

Ngobusuku ngehora lomhla xa i-arthroscopy ye-knee ehlangene i-meniscus isenziwa, isigulane sihlambulukile nge-enema. Ngaphambi kokulala, bamnika iipilisi zokulala zesenzo sokukhanya. Kanti nakusihlwa awukwazi ukutya okanye ukusela nayiphi na into. Ngentsasa kwangoko ngaphambi kokuba usebenze uhlambele iinwele zakho emadolweni. Inkqubo ngokwayo ayithathi ngaphezu kweyure.

I-Arthroscopy yamadolo ehlangene yenziwa ngale ndlela:

  1. Isigulane silele kwitafile yokusebenza (ngasemva). Amadolo apho umsebenzi oza kwenziwa khona kufuneka ulungele kwi-angle ye-90 ° kwaye ulungiswe kunye nezixhobo ezizodwa.
  2. Ikhumba liyaqhathaniswa.
  3. Ukunciphisa ukugeleza kwegazi ukuya emadolweni, i-tourniquet ifakwe kwithanga.
  4. I-aneshesia.
  5. Udokotela ohlinzayo wenza iincwadana ezingama-3-6 ubude ubude.
  6. I-arthroscope ifakwe kwisangqa. Ugqirha uyayihlolisisa indawo echaphazelekayo. Ukuba kuyimfuneko, iphompoza i-exudate, ihlambulule isigxina kwaye iqhuba zonke iindlela ezifunekayo.
  7. Ngotshwala, ithuluzi elifakiwe likhishwe.
  8. Kwiindawo eziphathwayo, amabhanji angaphantsi angaphantsi ayasetyenziswa.

I-Arthroscopy yamadolo ehlangene - i-anesthesia

Ngokusekelwe kwiziphumo zeemvavanyo ezingeniswe ngaphambi kokusebenza kunye nokuqwalasela ubude bokusebenza okuzayo, i-anesthetist inquma ukuba iyiphi indlela ye-anesthesia yokukhetha. I-Anesthesia nge-arthroscopy yamadolo ehlangene ingaba ngale ndlela:

  1. I-Local - inikeza inkunkuma engaphantsi kwesigxina se-anesthetic (Lidocaine, Novocaine okanye i-Ultrakain) kufuphi neendlela ezizayo. Impendulo yale ndlela yithuba elifutshane. I-anesthesia yendawo yenziwe xa i-arthroscopy yexolo ibandakanya ukuxilongwa.
  2. Umgudu (uphinde wabizwa ngokuba yi-epidural) - isicatshulwa sijojowe ngekathetha kwindawo yomgca wesipelini. Inzuzo ephambili yale ndlela ye-anesthesia kukuba ngethuba lo msebenzi ugqirha ugcina edibanisa nesigulane. Ukuba kukho isidingo sokwandiswa kwe-anesthesia, oku kwenziwa ngekathati yonyango.
  3. Ngokuqhelekileyo - isetyenziselwa kuphela unyango lwezilwanyana ezinzulu kakhulu.

I-arthroscopy yamadolo

Izigqibo ezintathu zokuhlinzwa zenziwa ngexesha lotyando. Ezi zixhobo zimelelwa yi-arthroscopy - lobu buchule lulandelayo:

  1. Ikhefu lokuqala - ngolu mngxuma kumgca odibeneyo, ikhamera ebonakalayo ifakwe. Le sixhobo ixhunyiwe kweso sithuthi apho uthunyelwa khona umfanekiso.
  2. Isicatshulwa sesibini kukuba i-injini ifakwe kwisigxina (umz., I-Adrenaline, i-sodium chloride). La machiza asetyenziswa ukunciphisa umngcipheko wokuphaphaka ngexesha lotyando kunye nokwandisa iseshoni soviwo.
  3. Ukuchithwa kweyesithathu - ngokungena kwintsika kuqaliswe isixhobo sokusebenza esona sikhulu.

I-arthroscopy yamadolo axolo - emva kokuhlinzwa

Ekupheleni kwenkqubo, ugqirha uya kunika iziphakamiso zesigulane malunga nendlela yokuziphatha ngexesha lokubuyisela. Ba landele imfuneko yokuba baqaphele. Ezi ngcebiso zibaluleke kakhulu njengoko kwenziwa i-arthroscopy ngokufanelekileyo, ukulungiselela ukuhlinzwa. Kwiimeko ezininzi, zikhishwa ngosuku emva kokuhlinzwa. Inqabile kakhulu isigulane sishiywa phantsi kweliso lugqirha kwizinye iintsuku ezimbalwa.

Arthroscopy - iingxaki

Nangona ukungenelela okunjalo kuthathwa njengenkqubo ekhuselekileyo, kukho umngcipheko wokuba kube nemiphumo emibi emva kwayo. Ngokuqhelekileyo uqaphele iingxaki ezinjalo:

Ubuhlungu emva kwe-arthroscopy yedolo

Ukuziva okunjalo kakubi emva kokusebenza kuyinto eqhelekileyo. Kwimiba amaninzi, bayeka ukusetyenziswa kweziyobisi. Ngenxa yesi sizathu, isigulane akufanele sikhathazeke kwaye sikhathazeke kukuba into ethile ayiphumelekanga. Ukuba, emva kwe-arthroscopy ye-meniscus, idolo libuhlungu kakhulu, kwaye i-painkillers egqitywe ngugqirha ayincede, uncedo lwezonyango kufuneka lufunwe ngokukhawuleza. Kungenzeka ukuba kukho umphumo omkhulu emva kokusebenza. Iintlungu ezithinteka kakhulu zihamba kunye neengxaki ezilandelayo:

Ukuchofoza emadolweni emva kwe-arthroscopy

Ukuqhekeka ngexesha lexesha lokuhamba emva kwexesha libhekwa njengesiqhelo somzimba. Izizathu zalo zilandelayo:

Ukuba iidolo ezinqeni emva kwe-arthroscopy emva kweenyanga ezi-4-5, oku kubonisa ukuphuhliswa kwe-arthrosis. Ngesi sifo, i-cartilage ye-articular iyancitshiswa kwaye ukulungiswa kwemfudu kuphazamiseka. Amadolo aqhuma, okwenyuka kwindalo yobushushu. Ulusu kule ndawo lushisa kwaye lufumana umbala obomvu. Konke oku kuhambelana nentlungu enzima.

Amadolo awaguqa emva kwe-arthroscopy

Kwiintsuku zokuqala emva kokusebenza kule nto ayikho into embi. Nangona kunjalo, ukuba idolo i-arthroscopy ayiguquli idolo emva kweveki, oku sele isilumkiso sesilumkiso. Izizathu zokuhamba okuncinci zingaba:

Ukubuyiselwa emva kwe-arthroscopy yedolo

Inkqubo yokubuyisela phambili iqala ngeeyure zokuqala emva kokuhlinzwa. Iyakwazi ukuhlala kwiiveki ezi-3 ukuya kwezi-8. Emva koko isiguli siya kubuya ubomi obupheleleyo. Ukubuyiselwa emva kwe-arthroscopy yamadolo ehlangene kuncitshiswa kwezi ziphakamiso ezilandelayo:

  1. Ukuthintela ukuqala kwenkqubo yokuvuvukala, isigulane kufuneka sithathe amachiza e-antibiotics anqunywe ngugqirha.
  2. Gcina umlenze osebenzayo kwindawo ephakanyisiweyo. Iqhwa kufuneka isetyenziswe emadolweni. Ukusetyenziswa okunjalo kuya kunciphisa intlungu kunye nokuvuvukala.
  3. Kubalulekile ukwenza iimpahla zonke iintsuku ezingama-2-3.
  4. Ukuphucula imeko yesigulane, ukuthatha amayeza entlungu kufuneka.
  5. Kubalulekile ukukhuphela umthwalo kwi-knee esebenzayo. Unokuvuka ngosuku lwesithathu emva kokusebenza. Kule meko, unokuhambisa kuphela usebenzisa iimfonto.
  6. Kwiintsuku ezi-2-3 ezalandelayo emva kokusebenza, ukushayela akuvumelekile!
  7. I-arthroscopy ye-knee recovery after joint surgery izakukhawulezisa unyango loqeqesho.
  8. Iiveki zokuqala emva kweeveki, ukuhlamba okutshisayo akuvunyelwe. Akuvumelekanga kunye ne-hypothermia.
  9. Ukubuyisela izicubu ze-cartilage, i-chondroprotectors kufuneka ithathwe.

I-LFK emva kwe-arthroscopy yedolo

I-gymnastics yokwelapha inceda ukuqinisa imisipha kunye nokukhawulezisa inkqubo yokubuyisela. Ngaphambi kokuba uhlalise idolo emva kwe-arthroscopy, kufuneka uqhagamshelane neengcali. Ukulungiswa ngokungafanelekanga kunokubangela ingozi enkulu. Emva kokuba i-arthroscopy ye-knee echaphazelekayo iqhutywe, ukubuyiselwa kuyanconywa ukuqala ngomthwalo omncinci, ngokunyuka ukwandisa. Ukuzivocavoca kunoku: