Ukuhlinzeka nge-arthroscopic kuyindlela yokuhlinzekwa ukufaka ikhamera encane ngaphakathi kokujoyina. I-arthroscopy ingenziwa kunoma yiluphi uhlangene emzimbeni, kodwa luvame ukuqhutshwa emajoyini amadolo kanye namahlombe. Lokho kusho ukuthi odokotela abaningi abahlinzayo benza ukuhlinzeka nge-arthroscopic kwamanye amajoyina, kuhlanganise neziqhwa, isinki, i-elbow kanye nesihenqo. Ngokubheka okuncane, izinsimbi zingeniswa ukuze zilungiswe noma zisuse izakhiwo ezimele.
I-arthroscopy yesibindi, evame ukubizwa ngokuthi "ukushaya isikhumba," kuyindlela yokwelapha yezinye izinhlobo zobuhlungu besibindi .
Izizathu Ezinhle Zokufinyelela Isikhali
Kunezinqubo ezithile zokuhlinzeka ezingenziwa noma i-arthroscopically noma nge-incision evamile. Kodwa-ke, ezinye zifezekiswe ngokusebenzisa indlela ye-arthroscopic. Mhlawumbe isizathu esihle kakhulu sokucubungula inqubo yesibindi se-arthroscopic, uma kuqhathaniswa nokuhlinzekwa kwendabuko evulekile, ukulungisa izinkinga ze-cartilage, kuhlanganise nokulimala kwinkimbinkimbi ye-fibrocartilage engunxantathu (TFCC). I-TFCC iyinqaba le-cartilage, njengokufana ne- meniscus emadolweni , okubalulekile ekuqineni kwesibindi nokunyakaza. Ukulimala ku-TFCC kungabangela ubuhlungu, ukuvuvukala, nokuchofoza izinzwa.
Ukwelashwa kwezinyembezi ze-TFCC kuvame ukufezwa kahle kakhulu, futhi mhlawumbe isizathu esihle kakhulu sokucabangela indlela yokubamba i-arthroscopic eya ehlangothini lesikhumba. Izinyembezi ezincane ze-TFCC zingakhanjiswa, kanti izinyembezi ezinkulu ze-TFCC zizolungiswa ngokuvamile.
Kukhona nezinye izimo ezingahle zibhekiswe ngokuhlinzwa kwekhanda le-arthroscopic.
Izizathu Zingenzeka Ze-Arthroscopy Isikhali
- Ukwelashwa KwemaLigament Ukulimala / Ukukhubazeka
Ukulimala kwesigungu sekhanda kungaba nzima ukuhlola ngaphandle kokuhlola ngeso lengqondo i-ligament. Inqubo ye-arthroscopic ingasiza ukuchaza izinga lokulimala kwesigament. Uma umonakalo we-ligament utholakala, khona-ke ukuhlinzwa kungadinga ukucubungula okukhulu ukulungisa imigqa.
- Ukwelashwa Kwezinhlobo Ezikhethekile Zezingqimba Zamaqhawe
Ukuqhekeka kwesibindi okubandakanya i-cartilage yenhlanganisela yesandla (kunokuba ithambo lisuke lihlangene nohlangene) lingelashwa nge-arthroscopy yesandla. Abanye odokotela abahlinzayo bangase bakhethe ukusebenzisa ikhamera ukuze bahlolisise ukuhlolwa kwe-cartilage ye-joint ukuze kuqinisekiswe ukuthi ihlanganisiwe ngokuphelele. Iphesenti elincane kuphela lezinhlanzi zesibindi zidinga ukusetshenziswa kwe-arthroscopy ukusiza ekwelapheni kwabo. - Ukwelashwa kwe-Ganglion Cysts
Abanye odokotela abahlinzayo bakhetha ukuphatha ama-cysts e-ganglion arthroscopically. Ama-cysts amaningi ama-ganglion athuthuka avela ku-capsule azungeze ukujoyina, futhi i-cyst ngokwayo igcwele uketshezi oluhlangene. Ngokubhekana ne-cyst emthonjeni wenkinga, abanye odokotela abahlinzayo bazizwa banganciphisa ithuba le-cyst ye-ganglion ebuyela emuva.
I-Arthroscopy Ye-Articroscopy Ayisoze Yaba Ncono Kakhulu
Akuzona zonke izimbangela zobuhlungu bekhanda ezingasizwa ngenqubo ye-arthroscopic. Ngaphezu kwalokho, ezinye zalezi zinqubo zingavamile futhi kufanele zenziwe kuphela odokotela abahlinzayo abavame ukwenza i-arthroscopy yesandla. Uma unemibuzo mayelana nokuthi i-arthroscopy yesigqila noma ingabe ingafanele yini isimo sakho, kufanele uxoxisane nalokhu nodokotela wakho.
Ukwenza i-Arthroscopy ye-Wrist
Inqubo yokuhlinzwa yokwenza i-arthroscopy yesibindi ingenziwa ngaphansi kwe- anesthesia ejwayelekile noma yesifunda .
Ngemuva kwe-anesthesia eyanele, udokotela wakho ohlinzayo uzodala 'ama-portals' ukuze athole ukujoyina kwesibindi. Ama-portals afakwa ezindaweni ezithile ukuze kuncishiswe amathuba okulimala emiphakathini eyayizungezile, imithwalo yegazi kanye namathenda. Ngaphakathi kwesinye portal, ikhamera ifakwe kuhlangene, futhi kwabanye, izinsimbi ezincane zingasetshenziswa ukuxazulula inkinga.
Ubude benkambiso ye-arthroscopy yesibindi kuyahlukahluka kuye ngokuthi yini udokotela wakho adinga ukuyifeza. Ngemuva kokuhlinzwa, i-bandage elithambile noma i-splint izobekwa. Iziguli eziningi zizosebenza nomhlengikazi womzimba ukuze aphinde athole isikhalazo namandla okuhlanganyela.
Ubude bokuvuselelwa buzohlukahluka kuye ngokuthi kwenzekani ngesikhathi sokuhlinzwa.
Izinkinga ze-arthroscopy yesihenqo futhi ezingavamile, kodwa zingenzeka. Lezi zinkinga zingase zibandakanye ukulimala kwesibindi, ukulimala kwetendon, ukutheleleka, nokuzizwa komzwelo wokuzwela . Ezinye izinkinga zingase zibe nomngcipheko omkhulu lapho kuqhathaniswa nokuhlinzwa okuvamile, ngenkathi i-arthroscopy inganciphisa ithuba lezinye izinkinga. Xoxa nodokotela wakho ohlinzayo izingozi zanoma yiluphi uhlelo oluthile olucabangela ukuthi luyenziwe esikhwameni sakho.
Imithombo:
I-Gupta R, et al. "I-Arthroscopy ye-Wrist: Izimiso kanye nezicelo zomtholampilo." J. Am. Acad. Ortho. Surg., Meyi / Juni 2001; 9: 200 - 209.