I-arthroscopy yehlangothini lwezinhlanzi yindlela yokwaziswa yesimanje kanye nokwelashwa evumela ukuthi kufundwe futhi kuxazululwe izinkinga ngamalungu. Le nqubo iyingxenye encane - okungukuthi, eyenziwa ngedivayisi encane efakwe emathisini e-articular ngokusebenzisa ukuvula okuncane. Ngenxa yalokhu, ngemuva kwe-arthroscopy emzimbeni awekho imidwebo ebonakalayo yokungenelela kokuhlinzwa.
I-arthroscopy - izinkomba
Isazi kufanele sithunyelwe kwinqubo. I-arthroscopy ehlangene imiswe ama-rheumatologists we-tendon dystrophy engapheli, imisipha ihlukana, ukungazinzi okuhlangene, i-acromolecular-clavicular arthrosis. Ukuvame ukudluliselwa kule nqubo kunikezwa abagijimi lapho ikhophu yokujikeleza iphuka. Esinye isibonakaliso se-arthroscopy yilokhu okubizwa ngokuthi ukukhubazeka okuvamile.
I-arthroscopy yokuxilonga
Kuyenzeka kuphela uma zonke ezinye izindlela zokwenza ucwaningo zingasebenzi, futhi imbangela yezibonakaliso zokugula zihlala zingasebenzi. I-arthroscopy yokuxilonga ye-joint joint ikuvumela ukuba ufunde ngokuningiliziwe futhi uzwe "zonke izingxenye zokujoyina, uhlole isimo sabo, ukukhomba ukwephulwa okwamanje. Inqubo yokuxilonga ihlukile kwinkqubo yokwelapha ngoba ikhamera efakwe ekugqibeleni, okwenza izithombe eziningiliziwe.
I-arthroscopy ye-joint joint ihlelwe ezinjalo:
- Ukukhubazeka kokuhlanganyela kwehlombe. Kulesi simo, imigqa ayikwazi ukugcina ikhanda le-humerus endaweni efanele, futhi ngenxa yalokho, ukuhlukaniswa okungahambisani ne-subluxations kwenzeka. Ukuxilonga kunganquma ukulimala kwamalunga, imigaments, ama-capsules.
- Ubuhlungu obungapheliyo. Zingavela ngaphandle kwesizinda sezinguquko ze-pathological ngaphakathi kwe-apparatus ehlangene.
- Ukulimala kuya enhloko ye-bicep. Ezimweni eziningi, balimala. I-arthroscopy yokuxilonga yenhlanganisela yehlombe ayikwazi ukubona kuphela umonakalo, kodwa futhi iveza umsuka wayo.
- Impeachment syndrome. Lokhu kuvela ngenxa yokuvuvukala nokukhula kwamathambo emgqonyeni wehlombe. Eyaziwa ngokukhathazeka, ukuhamba kahle kokujoyina.
- Ukulimala emlonyeni we-cartilaginous. Lesi sifo sibangelwa ukuhlukunyezwa noma izifo futhi kutholakala ngaphandle kwe-arthroscopy kunzima kakhulu.
- I-Chondromatosis. Lesi sifo siholela ekuqothuleni kwekhanda le-synovial le-capsule elihlangene nokubonakala kwamagundules ezinama-cartilaginous kuso.
- Ukuphakama kwebhokisi le-rotator. Kulesi simo i-arthroscopy ye-joint joint ingabonisa indawo yokuphuka kwamathonti , okwakhiwa ngayo i-cuff.
I-arthroscopy yokwelashwa
Le nqubo iyanzima kakhulu. I-arthroscopy yokwelapha yobufakazi obuhlangene obuhlangene inokulandelayo:
- Ukungaqondakali. Ngalokhu kuhlolisiswa, ihlombe lihamba ngamaplitude, lidlula amandla omgogodla nge-cartilages, ngenxa yokuthi le ngozi ingalimala.
- I-périarthritis ene-shoulder-scapular . Lesi sifo sibhekene nesimo sokuzikhandla ngokweqile ngokomzimba futhi sibonakala ubuhlungu ezandleni, ukunganaki.
- Imizimba yamahhala emgodleni ohlangene. Amafomu ahlanganisa amathambo namathambo asemathunjini. Ukwelashwa kwe-arthroscopy ye-joint joint kusiza ukususa "izingcezu" ezengeziwe ngaphandle kokulimaza izicubu zezinto ezihlangene.
- I-Dysplasia ye-articular fossa ye-scapula. Ngenxa yokukhubazeka, amathambo e-humerus kulula ukuphuma emgodini, okwandisa ingozi yokulimala ekuhlanganyeleni.
- Ukulimala ku-Bankart. Ngalesi sifo, amalunga nama-capsules ahlukana nethanga. I-arthroscopy inqunyelwe ukuba ibeke i-suture ekhethekile.
- Ukwelula njalo. Iyenzeka, njengomthetho, kwabashukumi. Ukulimala njalo kwenza amajoyina afinyelele kakhudlwana.
- Ukukhubazeka komkhuba . Ezimweni eziningi, kubangelwa ukulimala kwehlombe kanye nokuphathwa okungalungile. Ukusebenza kuhlanganisa ukuhambisa ikhanda elide le-biceps ukuze likwazi ukuzinzisa ukujoyina.
- Ukuphuka kwentamo ecindezelekile. Ukuhlukunyezwa okunjalo kuvame ukuholela ekuphazamiseni ukunyakaza kokuhlanganiswa kwehlombe. Ukubuyisela konke, ngesikhathi se-arthroscopy, udokotela ohlinzayo udinga ukuwela ithambo futhi alungise zonke izingcezu ngendlela entsha.
I-Arthroscopy - ukuphikisana
Yonke inqubo ine-contraindications, kanye ne-arthroscopy yamalungu, futhi. Akunconywa ukuba asebenzise le ndlela yokuxilongwa nokuphathwa uma:
- i-fibrotic noma ithambo i-ankylosis;
- ukutholakala kwamanxeba anegciwane;
- izinqubo zokuvuvukala ezingxenyeni ezingxenyeni ze-periarticular;
- jikelele isimo esibi sesiguli.
Lezi zingqinamba zibhekwa njengento ephelele. Ngaphansi kwalezi zimo, ukusebenza akuvunyelwe ngokuphelele. Kukhona nokuphikisana okuhlobene. Phakathi kwazo yizimo lapho kwezinye izimo khona isazi singenza umsebenzi. Lokhu kufaka:
- umonakalo omkhulu (ligaments eziqhekekile kanye nama-capsules ohlangene, ukwephula ukuqina okuhlangene);
- isisindo esikhulu segazi esihlangene.
I-arthroscopy yenziwe kanjani?
Ngaphambi kwenqubo, ukuhlolwa okuphelele kuyimpoqo. Isiguli kumele sidlulise ukuhlaziywa okujwayelekile komchamo, igazi, ukwenza i-ECG, uhlolwe ngophethiloli omncane. Ngosuku lokuhlinzwa, awukwazi ukudla noma ukuphuza ekuseni, futhi kusihlwa ngaphambi kosuku odinga ukubeka i- enema yokuhlanza . Ezinsukwini ezimbalwa ngaphambi kokungenelela nesiguli, odokotela abahlinzayo nabahlengikazi kufanele baxoxe.
Ukuzikhandla ngokwakho kwenziwa kanje:
- I-arthroscopy ye-joint joint iqala ngesiguli endaweni etafuleni lokusebenza. Njengomthetho, ibeke eceleni, futhi isandla sesiguli siphakanyisiwe futhi sithathwe ngokusebenzisa izisindo ezimiswe okwesikhashana.
- Ngaphambi kokufaka i-arthroscope, inani elithile le-saline linikezwa ngenaliti ngokusebenzisa inaliti. Lokhu kuyadingeka ukwelula umcengezi.
- Esikhathini esilandelayo, ukuqhuma kwenziwa lapho idivayisi efakwe khona.
- Uma inkinga itholakele, udokotela ufaka amathuluzi adingekayo ekuhlanganyeleni ngokusebenzisa ukucutshungulwa okwengeziwe kwesikhumba, abese ewagcina futhi ewavala nge-bandage.
I-arthroscopy ye-joint joint - yiphi i-anesthesia?
Ezimweni eziningi i-arthroscopy ye-anesthesia yendawo ehlangene yendawo iphakamisa. I-general isetshenziswa kuphela ezimweni ezinzima kakhulu. Isiguli senza isinqumo sokugcina kanye nochwepheshe. Ukuzikhethela kungumuntu ngamunye, kanti ngenkathi umuntu efanelwe ukugqoka i-anesthesia, abanye kufanele bajobe ama-anesthetic emgodini we-vertebral ukuze i-anesthesia ifinyelelwe ezingeni lomgogodla.
Kusebenza isikhathi esingakanani ukuhlanganiswa kwehlombe - i-arthroscopy?
Kokubili ukuhlinzwa nokulondoloza ngemuva kwe-arthroscopy ayithathi isikhathi esiningi kakhulu. Inqubo, njengombuso, ingapheli imizuzu engaphezu kwengu-60. Ama-tissu emva kokuphulukisa ngokuphulukisa ngokushesha - umonakalo wabo awuncane - futhi izibhedlela zihlala isikhathi esingaphezu kwezinsuku ezine. Ngenxa yalokhu kusebenza, i-arthroscopy iye yaqaphela ochwepheshe emhlabeni jikelele.
I-arthroscopy ye-joint joint - ukuvuselelwa ngemva kokuhlinzwa
Lesi sigaba sokwelashwa sibaluleke kakhulu. Ukuvuselelwa ngemuva kwe-arthroscopy yenhlanganisela yehlombe kumelela izinyathelo zezinyathelo ezihloswe ekulondolozeni ukusebenza nokubuyisela ukusebenza kokujoyina. Ngokushesha ngemva kokuhlinzwa, udokotela uyaxwayisa ngokutheleleka ngokufaka amabhande. Ezinye iziguli zidinga i-compress epholile. Ngaphezu kwalokho, ukulungiswa emva kokuthathwa kwe-arthroscopy kusikisela:
- ukuphathwa kwemithi yobuhlungu;
- ukuthatha ama-antibiotics;
- sigqoke i-fixative - orthesis - amabhandeshi;
- sebenzisa i-therapy;
- ukuvinjelwa kokuzama okukhulu ngokomzimba okwesikhashana sonyaka ngemuva kokusebenza.
I-LFK ngemuva kwe-arthroscopy yenhlanganisela yamahlombe
Ukuze ufunde, ungahambi ukuya ejimini. Ukuzivocavoca emva kwe-arthroscopy yenhlanganisela yamahlombe kulula, futhi kungenziwa ekhaya:
- Cindezela iminwe yakho. Ukuze kube lula, ungasebenzisa i-expander.
- Bend futhi ungavumeli ukushayela.
- Hambisa ibhande lehlombe: unciphise futhi uhlaziye amahlombe ehlombe, uphakamise futhi wenze izinyathelo zokujikeleza ngezingaphambili.
Izinkinga emva kwe-arthroscopy yenhlanganisela yamahlombe
Uma kusebenza kahle nabo kunzima ukuhlangana nabo, kodwa kubalulekile ukwazi ngabo. Izinkinga ze-arthroscopy zingaba nalokhu okulandelayo:
- ukuvuvukala;
- ubuhlungu esifundeni esihlangene;
- ukwehlisa ukuzwela kanye nokuphazamiseka kwesigungu;
- ukuphuma.