I-Scar Tissue Formation Emayelana Nokulandela Ukulimala Noma Ukuhlinzwa Okuhlangene
I-Arthrofibrosis yisimiso esiholela ekubunjweni kwamathiski omzimba okuzungezile okuhlangene. Lesi simo ngokuvamile silimala ukulimala okubuhlungu noma inqubo yokuhlinza. Ibeka umkhawulo ekuhambeni kokuhamba futhi ingaba buhlungu. Ngokuvame ukubonwa emva kwezinqubo ezifana nokuhlinzekwa kabusha kwe-ACL , i-arthrofibrosis ingenxa yokuvuvukala nokwanda kwezicubu ezibomvu.
Izimbangela
I-arthrofibrosis ingahlakulela ngemuva kokulimala emadolweni noma ekutheleleni.
Umzimba wakho wenza izicubu ezinzima ziphendule ukulimala. Ngokuvamile kubonakala ukulandela ukuhlinzwa kwamadolo, kufaka phakathi ukuhlinzwa kabusha kwe-ACL kanye ne-knee arthroplasty (TKA). Ukuhlinzwa okulandelayo, kungase kuthuthuke uma ulungele ukhiqiza izicubu ezinzima kakhulu noma kungase kuthuthuke ngoba kwakukhona isifo noma inkinga yendawo engavumele ukuphulukiswa okungaqondakali. Lokhu kungaholela ezivumelwaneni kanye nezicubu ezibomvu.
Lapho i-arthrofibrosis ivela, amafense aminyene ama-fibrous amafomu amaningi. Lokhu kungafaka phansi ukujoyina futhi kuvimbele ukuhamba okujwayelekile okuhambayo .
Ukuvimbela i-arthrofibrosis kungcono kakhulu ukufezwa ngokunyakaza kokuqala ngemuva kokuhlinzwa. I-Arthrofibrosis yayivame ukuvame kakhulu ngemva kokuhlinzwa kwe-ACL lapho odokotela basebenzisa ukuvimbela ukuhamba kweziguli. Manje, odokotela abaningi abahlinzayo bafundisa iziguli zabo ukuba zihambisane phakathi kwamahora okuhlinzwa, futhi i-arthrofibrosis ayifani kakhulu. Lokhu kuqhubekela phambili kwe-rehab kuye kwancipha amathuba okuba i-arthrofibrosis.
Izimpawu Nezibonakaliso
Izimpawu kukhona ubuhlungu, ukuqina, nokulahlekelwa uhla olugcwele lokuhamba emadolweni akho. Ngeke ukwazi ukuqondisa umlenze wakho. Ungabona futhi ukuvuvukala, ubomvu, nokushisa ekuhlanganyeleni. Ungase uzwe noma uzwe i-crepitus. Ungase uhlakulele i-limp.
Ukuxilongwa
Udokotela wakho uzokunikeza ukuhlolwa komzimba futhi uxoxe ngomlando wakho wokulimala nokuhlinzwa.
Uzothola i-MRI ne-X-ray ukuxilonga i-arthrofibrosis nobukhulu bezinkinga. Ukukwazi kwakho ukuvumelanisa idolo lakho nakho kuzobekwa phansi.
Ukwelapha
Ukwelashwa kokuqala kwe-arthrofibrosis ukuphumula, iqhwa, nemithi elwa nokuvuvukala ukunciphisa ubuhlungu nokuvuvukala. Izenzo zokuhamba kancane ezisezingeni eliphansi zisetshenziselwa ukwandisa ukuguquguquka. Ukwelapha ngokomzimba kuqalwa ukuthuthukisa ukusetshenziswa kwakho kokujoyina.
Uma inkinga ye-arthrofibrosis ayikwazi ukuxazululwa ngelashwa oluyingozi, khona-ke ukuhlinzwa kungadingeka ukuze kuthuthukiswe ukunyakaza okuhlangene. Lezi zikhetho ezimbili kungaba ukuxhaphazwa ngaphansi kwe-anesthesia noma ukuchithwa okuhlinzekwayo noma ukususwa kwezicubu ezibomvu. Ukuxhaphaza kuyinkqubo engeyona yokuhlinzeka lapho udokotela wakho egoqa ngokubambisana ngenkathi isiguli singaphansi kwe-anesthesia ukuze siphume ukubunjwa kobunzima.
Ukuhlinzwa ukukhipha izicubu ezinzima kuvame kakhulu, futhi ngokuvamile lokhu kungenziwa njengendlela yokuhlinza i-arthroscopic, ukuchitha ukunamathela kunokuba wenze ukukhathala okuvulekile. Ukuhlinzwa okulandelayo, kubalulekile ukuqala ukwelashwa ngokomzimba okuhlukumezayo ukuze uphinde uthole ukunyakaza. Lokhu kuhloswe ukuvimbela ukwakheka okuqhubekayo kwezicubu ezibomvu.
Ekubuyekezeni i-arthrofibrosis ngemuva kokuvuselelwa kwe-ACL, kwaphawula ukuthi isigamu seziguli saphathwa ngempumelelo ngaphandle kokuhlinzwa, esikhombisa impumelelo yezindlela ezingenasidingo uma zisetshenziswe kuqala.
> Imithombo:
> Cheuy VA, Foran JR, Paxton RJ, uBade MJ, Zeni JA, Stevens-Lapsley JE. I-Arthrofibrosis Ehlanganiswe Ne-Total Knee Arthroplasty. I-Journal of Arthroplasty . 2017; 32 (8): 2604-2611. doi: 10.1016 / j.arth.2017.02.005.
> Ekhtiari S, Horner NS, Sa DD, et al. I-Arthrofibrosis emva kokuvuselelwa kwe-ACL iphathwa ngokucophelela endleleni ehlakaniphile yokuqaphela nokuqashelwa kokuqala nokungenelela: ukubuyekezwa okuhlelekile. Ukuhlinzwa Kneezinyathelo, I-Traumatology Yezemidlalo, I-Arthroscopy . Ngo-Ephreli 2017. kufanele: 10.1007 / s00167-017-4482-1.