I-Arthroscopy yendibaniselwano yamagxa yindlela yokuhlaziya kunye neyonyango ekhoyo namhlanje evumela ukufunda nokuxazulula iingxaki ngamalungu. Inkqubo yinto encinci-inokuthi iyenziwe ngefowuni encinci efakwe kwiisisiti ze-articular ngokusebenzisa ukuvulwa kwe-microscopic. Siyabulela oku, emva kwe-arthroscopy emzimbeni akukho zibonakaliso ezibonakalayo zokungenelela.
Arthroscopy - izibonakaliso
Ingcali kufuneka ithunyelwe kwinkqubo. I-arthroscopy ye-shoulder igqitywe yi-rheumatologist ye-tendon dystrophy engapheliyo, i-muscle rupture, ukungazinzi ngokuhlangeneyo, i-acromolecular-clavicular arthrosis. Ngokuqhelekileyo ukuhanjiswa kwenkqubo kunikwa abagijimi xa ikhefu yokujikeleza iphuka. Esinye isibonakaliso sokuthi i-arthroscopy yinto ebizwa ngokuba yinto yokutshintsha.
I-arthroscopy yokuxilonga
Kuqhutywa kuphela xa zonke ezinye iindlela ezikhoyo zophando zingasebenzi, kwaye izizathu zeempawu zentsholongwane zihlala zingasebenzi. I-arthroscopy ye-Diagnostic ye-joint joint ikuvumela ukuba ufunde ngokubanzi kwaye "uzive" zonke iinxalenye zomdibaniselwano, uvavanye imeko yazo, ukuchonga ukuphulwa okukhoyo. Inkqubo yokuxilonga ihluke kwinkqubo yonyango ukuba ikhamera ifakwe kwisigxina, ukwenza iifoto ezicacileyo.
I-Arthroscopy yamanyathelo emigxeni imiselweyo kwimeko:
- Ukukhubazeka kwendima ehlangene. Kule meko, iigamente ayikwazi ukugcina intloko ye-humerus kwindawo echanekileyo, kwaye ngenxa yoko, ukuchithwa kwezihlomelo kwenzeka. Ukuxilongwa kunokumisela umonakalo kumalungu, iigaments, iifomsules.
- Ubuhlungu obungapheliyo. Ziyakwazi ukuvela ngaphandle kwemvelaphi yeenguqu zengqondo ngaphakathi kweefayili ezihlangeneyo.
- Ukulimala kwentloko ye-bicep. Kwiimeko ezininzi, balimala. I-arthroscopy yokuxilonga ye-joint joint ayikwazi kuphela ukubona umonakalo, kodwa iphinda imisele imvelaphi yayo.
- Isifo samagciwane. Ivela ngenxa yokuvuvukala kunye nokukhula kwethambo kwiqhekeza leli gxalaba. Ephathekayo ngokunyamezela, ukuhamba kakuhle kokubambisana.
- Ukulimala kwimilebe yomlomo. Le ngozi iyabangelwa yixinzelelo okanye izifo kwaye ifunyanwe ngaphandle kwe-arthroscopy inzima kakhulu.
- ICondromatosis. Esi sifo sikhokelela ekugqibeleni kwimbumba ye synovial ye-capsule kunye kunye nokubonakala kweenqununu zomzimba.
- Ukuphakanyiswa kwebhokisi lokujikeleza. Kule meko i-arthroscopy yamalungu ehlombe ingabonisa indawo yokuqhekeka kweetoni , apho i-cuff yenziwe khona.
I-arthroscopy yonyango
Le nkqubo inzima kakhulu. I-arthroscopy yonyango yeengqinamano ezihlanganyelweyo kunye neendlela ezilandelayo:
- Ukungafihli. Ngolu hlobo lokuxilonga, igalelo lihamba kwi-amplitude, idlulile ngamandla omgudu kunye neengqungquthela, ngenxa yokuba le nzakalo ingalimala.
- I-periarthritis ye-shoulder-scapular periarthritis . Esi sifo sibheka kwimvelaphi yokuzikhandla ngokwemvelo kwaye sibonakaliswe intlungu ezandleni, ukuxinwa.
- Imizimba yamahhala kwintlambo edibeneyo. Iifomati ziqukethe amathambo kunye nezicubu zomzimba. I-Arthroscopy unyango lomxhelo wegxininisa unceda ukususa "iziqwenga" ezongezelelweyo ngaphandle kokulimaza izicubu zezixhobo ezidibeneyo.
- Dysplasia ye-articular fossa ye-scapula. Ngenxa yentsholongwane, amathambo e-humerus alula ukuphuma ngaphandle kwesiqwenga, okwandisa umngcipheko wokulimala kwidibeneyo.
- Ukulimala kwiBhanart. Ngalesi sifo, ama-joints kunye neepsulules ziyahlukana nasethambo. I-Arthroscopy imiselwe ukuba ibeke i-suture ekhethekileyo.
- Ukwelula rhoqo. Kuye kwenzeka, njengomthetho, kubabhukumi. Ukulimala ngokuthe rhoqo kwenza amajoyina afutshane.
- Ukwahlukana kwesintu . Kwiimeko ezininzi, kubangelwa ukulimala kwegxala kunye nokunyanga okungafanelekanga. Umsebenzi uquka ukuhambisa intloko ye-biceps ende ukuze ikwazi ukuzinzisa ukudibanisa.
- Ukuphuka kwentamo ecindezelekileyo. Ukuxakeka okunjalo kubangele kukhokelela ekuphazamiseni ukunyuka kwamanyathelo. Ukubuyisela yonke into, ngexesha le-arthroscopy, ugqirha udinga ukuwela i bone kunye nokulungisa zonke iinqununu ngendlela entsha.
I-Arthroscopy - ingqinano
Zonke iinkqubo zichasene, kunye ne-arthroscopy yamalungu, nazo. Akukhuthazwa ukuba usebenzise le ndlela yokuxilongwa kunye nonyango xa:
- i-fibrotic okanye ithambo i-ankylosis;
- ubukho bezilonda ezinegciwane;
- iinkqubo ezivuthayo ezivuthayo kwiimpawu zeperiary;
- jikelele imeko enkulu yesigulane.
Ezi ngqinano ziqwalaselwa ngokupheleleyo. Ngaphantsi kwezi meko, umsebenzi awuvunyelwe ngokupheleleyo. Kukho izichaso ezichaseneyo. Phakathi kwazo ziimeko apho kwezinye iimeko iingcali zikwazi ukwenza umsebenzi. Ezi ziquka:
- umonakalo omkhulu (iimbophu eziqhekekileyo kunye neefowuni ezidibeneyo, ukuphulwa koxinzelelo oluhlangeneyo);
- ukukhulelwa kwamanzi amakhulu.
I-arthroscopy yenziwe njani?
Ngaphambi kwenkqubo, uvavanyo olupheleleyo luyimfuneko. Isigulane kufuneka sidlule ukuhlalutya ngokubanzi komchamo, igazi, ukwenza i-ECG, uhlolisiswe ngongcali oncinci. Ngomhla wokuhlinzwa, awukwazi ukuyidla okanye ukusela ekuseni, kwaye ngobusuku ngaphambi komhla ofuna ukubeka i- enema yokuhlambulula . Kwiintsuku ezimbalwa ngaphambi kokungenelela ngesigulane, oogqirha kunye nabahlengikazi kufuneka banxibelelane.
Ukunyanzelisa ngokwayo kwenziwa kanje:
- I-arthroscopy yamalungu ehlombe iqala ngesigulane kwindawo yokusebenza. Njengomthetho, ubeka kwicala eliphilileyo, kwaye isandla sesigulane siphakanyiswa kwaye sitshiswe usebenzisa izisindo ezinqanyuliweyo.
- Ngaphambi kokungena kwi-arthroscope, inani elithile le-saline linikezwa ngenaliti ngokusebenzisa inaliti. Oku kuyimfuneko ukunweba isigxina.
- Kwinqanaba elilandelayo, kuqhutyelwa isikhokelo apho ifowuni efakwe khona.
- Xa ingxaki ifunyenwe, ugqirha ufaka izixhobo eziyimfuneko kwidibeneyo ngokusebenzisa izinto ezongezelelweyo kwesikhumba, kwaye emva koko uyayifaka kunye ne-bandage.
I-Arthroscopy yamalungu ehlombe - yintoni i-anesthesia?
Kwiimeko ezininzi i-arthroscopy ye-joint anesthesia yendawo iphakamisa. Isiqhelo sisetyenziswa kuphela kwiimeko ezinzima kakhulu. Isigulane senza isigqibo sokugqibela kunye neengcali. Okukhethiweyo ngumntu ngamnye, kwaye ngelixa enye ifanelekile ukuba i-anesthesia ye-mask, abanye kufuneka bajobe i-anesthetic kwi-canal ye-vertebral ukuze i-anesthesia iphunyezwe kwinqanaba lomgcini womgogodla.
Kuze kube nini usebenze ngokubambisana kwi-shoulder-arthroscopy?
Bobabini ukusebenza kunye nokubuyiselwa emva kokuba i-arthroscopy ayithathi ixesha elingaphezulu. Inkqubo, njengomgaqo, ayihlali ngaphezu kwemizuzu engama-60. Izicubu emva kokuphulukisa ukuphulukisa ngokukhawuleza - umonakalo wabo awuncinci - kwaye izibhedlele zihlala zingapheli iintsuku ezine. Ndiyabulela kule ntsebenzo, i-arthroscopy iye yabonwa yiingcali emhlabeni jikelele.
I-Arthroscopy yamanyathelo ehlombe - ukulungiswa emva kokuhlinzwa
Eli nqanaba lonyango lubaluleke kakhulu. Ukubuyiselwa emva kwe-arthroscopy yamanyathelo ehlombe kumela isethi yamanyathelo okujoliswe ekulondolozeni ukusebenza kunye nokubuyisela ukusebenza komanyano. Ngokukhawuleza emva kokuhlinzwa, ugqirha uyalumkisa ngokusuleleka ngokubhinqa izibonda. Ezinye izigulana zifuna i-compress epholileyo. Ukongezelela, ukulungiswa emva kwe-arthroscopy kuphakamisa:
- Ukulawulwa kwamachiza entlungu;
- kuthatha i antibiotics;
- bembethe i-fixative-orthesis-bandages;
- benzisa unyango;
- ukukhawulelwa kwemigudu emininzi yonyaka emva kokusebenza.
I-LFK emva kwe-arthroscopy yamalungu ehlombe
Ukuze ufunde, akufuneki ukuya kwindawo yokuzivocavoca. Ukuzivocavoca emva kokuba i-arthroscopy yamalungu ehlombe ilula, kwaye iyakwenziwa ekhaya:
- Cindezela iminwe yakho. Ukuze kube lula, ungasebenzisa i-expander.
- Bend kwaye ungaligodli i-brush.
- Hambisa ibhinqa lehlombe: ukunciphisa nokuhlaziya iigxala, uphakamise kwaye wenze ukunyakaza okujikelezayo kunye neengaphambili.
Iingxaki emva kwe-arthroscopy yamalungu ehlombe
Xa kusebenze ngokufanelekileyo kunye nabo kunzima ukuhlangana, kodwa kubalulekile ukwazi ngabo. Iingxaki zeArthroscopy zinoku:
- ukuvuvukala;
- intlungu kwindawo edibeneyo;
- ukunciphisa ububele kunye nobunzima bomzimba;
- kuphuma.