Ukuphikisana Nokuhlinzwa Kwezinyopho E-Arthroscopic
Ukuhlinzeka nge-arthroscopic kuyinkqubo eyenziwa emalungeni omzimba, kuhlanganise namahlombe. Udokotela ohlinzayo ubeka ikhamera yevidiyo ngaphakathi kokubambisana, kanye nezinsimbi ezikhethekile, ukwenza ukuhlinzwa ngokusebenzisa ukucubungula okuncane. Ukuhlinzeka nge-arthroscopic kuvame ukuholela ekuphulukeleni okusheshayo uma kuqhathaniswa nokuhlinzwa "okuvulekile" okwejwayelekile "ngoba ukulimala okuncane okunamatheleki kubonakala ngenxa yamasu amancane ahlaselayo.
Ukuhlinzwa kubhekwa njengokuphephile kakhulu, futhi izinkinga ezinkulu zingavamile. Nokho, njengoba kunjalo nanoma yikuphi ukuhlinzwa, kunezinkinga ezingenzeka. Ezinye zazo zingaba nemiphumela emibi kakhulu. Uma ukuhlukunyezwa okunjalo kwe- shoulder arthroscopy kubizwa ngokuthi i-chondrolysis.
Kuyini i-Chondrolysis?
I-Chondrolysis yisimo esibangela ukuhlakazeka okusheshayo kwe-cartilage ngaphakathi kokujoyina. Okuhlangene lapho amathambo amabili axhuma khona. Ngokuhlanganyela okujwayelekile, ukuphela kwethambo kuhlanganiswe noqweqwe olushelelayo, olubushelelezi, oluthinta izicubu ezibizwa ngokuthi "i-cartilage." I-cartilage iqukethe amaseli okuthiwa ama-chondrocytes, azungezwe i-scaffold yamaprotheni namanzi okuthiwa "i-matrix."
Ezigulini ezine-chondrolysis, ama-chondrocytes ayafa kanye ne-scaffold ye-matrix iyahlukana. Uma isidumbu siphelile, ngeke sibuye noma siphulukise. Uma ungqimba lwe-cartilage ulahlekile, ithambo elibi lingaphansi livezwe.
Ukuvela kwe-chondrolysis kufana ne- osteoarthritis yehlombe .
Kodwa-ke, i-osteoarthritis yisimo esithinta kakhulu asebekhulile futhi sakhula eminyakeni engaphezu kwamashumi eminyaka. I-chondrolysis ye-shoulder iqhubekela phambili ngokushesha, ngezinye izikhathi ngaphezu kwamasonto noma izinyanga. Kuvame ukuvela ezigulini ezincane futhi ngokuvamile kuvame ukuhlotshaniswa nokuhlinzwa kwamanje kwe-arthroscopic. Isilinganiso seminyaka yesiguli esithola i-chondrolysis ngemuva kwe-arthroscopy ye-shoulder i-26.
Izimbangela ze-Chondrolysis
Ukuqonda imbangela ye-chondrolysis ngemuva kwe-arthroscopy yehlombe bekuyinselele. Eminyakeni engamashumi amabili edlule, odokotela baye bamemezela ngezikhathi ezithile imbangela yale nkinga, ukuze bathole ukuthi kungenzeka ukuthi bebengabambisene nabo. Ezinye zalezo zimbangela zihlanganisa:
- I-probe yokushisa : Ukushisa okushisa okushisa kwakusetshenziswa ngokuvamile ezinsukwini zokuqala ze-arthroscopy. I-probe yokushisa isebenzisa idivaysi ye-radiofrequency ukuletha ukushisa ngokuqondile ezithambile-tissue. I-probe yokushisa ingasetshenziselwa ukukhipha isitsha segazi noma ukunciphisa izicubu ezithambile. Ziye zathinteka ekulimazeni kwe-cartilage. I-probe ye-heat yabuye yasetshenziselwa ukunciphisa i-joint joint lining ezigulini ezinokuhlunga kwehlombe ukuqinisa ukujoyina. Le nqubo, ebizwa ngokuthi "ukuguqulwa okushisa," ayisenzi.
- Amasu okuhlinzeka ampofu: Amaphutha amaningi okuhlinzwa angabangela ukulimala kwe-cartilage, kuhlanganise nokulimaza i-cartilage ngezinsimbi zomculo we-arthroscopic, okushiya izimploma zivelele noma zibeka ukucindezela ngotshani ngezinto zokugqoka.
- Amapompo okuphuza: Amapompo okuhlungu ahambisa ukuphakama okuphezulu kwe-anesthetic yangaphakathi ngokuqondile. Amapompu ashiywe endaweni ngemuva kokuhlinzwa ukuze asize ukulawula ubuhlungu, kodwa abanye bacabanga ukuthi ukuhlushwa okuphezulu okuphezulu kungaholela ku-chondrolysis.
Ayaziwa ukuthi eyodwa noma zonke lezi zingase zibe imbangela ye-shoulder chondrolysis. Odokotela abaningi abahlinzayo baye basuka emapompumeni okuphuza nokushisa kwe-probes ukuqinisekisa ukuthi iziguli zabo ziphephile ngangokunokwenzeka.
Ukwelashwa kwe-Chondrolysis
Ngeshwa, ngesikhathi i-chondrolysis ifunyenwe, isimo sesivele sithuthukile kuya ezingeni elibi. Ayikho indlela eyaziwa yokumisa ukuqhubeka kwe-chondrolysis, futhi ayikho indlela eyaziwayo yokuguqula imiphumela yayo. Kungenzeka ukuthi ngezinye izikhathi esikhathini esizayo, kuyoba nemithi noma umjovo ongasetshenziselwa "ukuvala" inkinga yamaselula edala ukubola komzimba.
Nokho, kulokhu, akunjalo.
Ukwelashwa okuwukuphela kokulawula ubuhlungu nemisebenzi eguqukayo. Iningi leziguli lihlukumezekile futhi lizolahlekelwa ukuhamba kwesigxobo sehlombe. Ezinye iziguli zizokhetha ukushintshwa kwamahlombe ; Kodwa-ke, kunikezwe ukuthi i-chondrolysis ivame ukuvela ngesikhathi sesiguli noma iminyaka engamashumi amabili, lokhu kungase kungabi yindlela yokwelapha efanele. Izindleko ezithintekayo zenzelwe iziguli ezindala futhi zizohlala emashumini ambalwa eminyaka. Ngesiguli esincane, lokhu kungase kusho ukuthi ukushintshwa kwehlombe kuphelelwe yisikhathi, mhlawumbe okungaphezu kwesisodwa. Ukuphinda kufakwe esikhundleni sehlombe kunzima ukwenza, futhi ngeke kufeze imiphumela emihle.
> Imithombo:
> Yeh PC & Kharrazi FD. "Chondrolysis ye-Glenohumeral Postarthroscopic" J Am Acad Orthop Surg ngoFebruwari 2012; 20: 102-112 .; doi: 10.5435 / JAAOS-20-02-10