Ukwelashwa Okuncane Okumangalisa Ye-Hip Joint
I-arthroscopy yama-Hip yenziwa ngokusebenzisa ukucubungula okuncane usebenzisa ikhamera ukuze ubone ngeso lengaphakathi ngaphakathi kokujoyina. Ngokuzibandakanya eziningana eziningana (cishe u-1 ububanzi ngamunye) udokotela wakho ohlinzayo uzofaka ikhamera ibe yinto eyodwa, kanye nezinsimbi ezincane ngokusebenzisa ezinye izinto.
Izinto Ezintathu Okwazi Ngayo Nge-Hip Arthroscopy
I-arthroscopy ye-Hip inciphise inzuzo engaba khona lapho sikhula. Ucwaningo oluningi luye lwabonisa ukuthi i-hip arthroscopy yindlela yokwelashwa okufanele isetshenziswe kuncane (ngaphansi kweminyaka engama-40).
Nakuba kungase kube nabantu abadala kunalokho abathola lokhu ukwelashwa okuwusizo, ukubikezelwa akuphumelelanga kakhulu ngemva kweminyaka engu-40.
Izinzuzo zesikhathi eside ze-hip arthroscopy aziwa. I-arthroscopy ye-hip iyindlela enkulu yokwelapha izimpawu zamanje, futhi kukhona abanye abathemba ukuthi lokhu kuzoholela ekuzuzeni isikhathi eside. Noma kunjalo, lokhu akukwaziwa nje. Isibonelo, abantu abanezifuba zethambo ezakha nxazonke zomhlanganiso we-hip bacatshangwa ukuthi banezinhlobo zakudala ze-arthritis ye-hip. Ukukhipha lezi zithebhu ze-bone kungase kungabi nethonya ekuthuthukiseni i-arthritis ye-hip kamuva ekuphileni.
Akuzona zonke izinkinga ezihlangene ze-hip ezingelashwa nge-arthroscopic operation. I-arthroscopy ye-Hip iyindlela yokwelashwa okukhulu, kodwa hhayi yonke inkinga ye-hip. Ngenkathi kunemibandela eminingi engasiza ngohlelo lwe-arthroscopic, kunezinye ezingase zingasizwa. Ngaphezu kwalokho, ngenxa yokuthi izinyembezi ezibomvu zibonakala kwi-MRI, kungase kungabi umthombo wobuhlungu.
Ukusebenza nodokotela ohlinzayo we-hip arthroscopy kubalulekile ekuqinisekiseni ukuthi uphumelela ngemithi.
Ingxenye enhle mayelana ne- arproscopy ye- hip yukuthi ingabhubhisa kakhulu kunokwenziwa kwe-hip yokuhlinzwa. Lokhu kusho:
- Ukuqala kabusha
- Inkambo ye-rehab esheshayo
- Inqubo yokuphulukisa iziguli
- Imibiko emincane
- Ukubuyela ekuqaleni kwezemidlalo
Izimo Eziphathwa Ngama-Hip Arthroscopy
- I-Labral Tear
I-labrum ye-hip iyinhloko yezincubu ezinzima ezizungezile isokha se-hip. I-labrum isiza ukusekela ukuhlanganyela kwe-hip. Uma kwenzeka izinyembezi ezinqunu ze-hip, ucezu lwalezi zicubu lungabanjelwa ekuhlanganyeleni kubangela ubuhlungu nokubamba izinzwa. - Amabutho alahlekile
Imizimba ekhululekile yizingcezu ze-cartilage ezakha ngaphakathi kokujoyina. Zibukeka njengeamabhule amancane athambile ngaphakathi kwendawo ehlangene. Lezi zitho zangasese zingabanjwa ngaphakathi kwesikhumba ngesikhathi sokunyakaza. - I-Snapping Hip Syndrome
Ukuphuza i-hip syndrome kunezimbangela eziningi, ezinye zazo ezingelashwa nge-hip arthroscopy. Uma kukhona okubanjwe ngaphakathi kwe-hip joint, i-hip arthroscopy ingasetshenziselwa ukukhulula lokhu ku-snapping. Futhi, i-hip arthroscopy ingasetshenziswa ukwenza i-psoas tendon release in cases of internal snapping hip syndrome. - I-Cartilage Damage
Ezigulini ezinomonakalo we-cartilage oyigugu, okusho ukuthi akuyona i-arthritis esandazekayo, i-hip arthroscopy ingaba usizo. Lezi ziguli zingase zisekele ukulimala okubangela uhlaka lwe-cartilage ukuze luhlukane ne-bone. Lezi ziguli zingase zizuze ekususweni kwaleyo ngxube ye-cartilage. - I-Arthritis yasekuqaleni
Lesi sihloko esiyinkinga, njengoba iziguli ezinesifo samathambo ngokuvamile ngeke zizuze kwi-hip arthroscopy. Iziguli ezivame ukuzuza zinokutholakala okuqondile kokufaka (ukuchofoza) ngaphakathi kokuhlanganiswa kwe-hip , futhi kungase kuzuze ekususweni kwe-spurs bone okwenza lokhu kuphazamiseka . Lokhu kungenzeka kuphela ezinyathelweni zakuqala zesifo samathambo, futhi ngisho nangaleso sikhathi angeke unikeze ukukhululeka kwezimpawu.
Izinkinga Ezikhona Zokuhlinzwa
Okuphathelene nokucindezeleka kwe-hip arthroscopy kuhlobene nezinzwa eziningana ezibalulekile nemithambo yegazi ezizungeze ukujoyina. Ukulimala kwamagciwane akuvamile, kodwa kungaba inkinga ebalulekile. Izindebe ezivame ukwedlula zonke zifaka izinzwa zesisindo , i-lateral femoral cutaneous nerve (ukunzwa kuya kwethangeni), kanye nesisindo somswakama . Ukulimala kunoma yiziphi izinzwa kungabangela ubuhlungu nezinye izinkinga.
Ezinye izinkinga ezikhona ezivela ku-hip arthroscopy zifaka ukulimala okungenzeka kuzinhlaka ezijwayelekile, ukutheleleka, nokubuhlungu okuqhubekayo ngemva kokuhlinzwa. Izinga lalezi zinkinga ziphansi, kodwa iziguli kudingeka ziqonde ukuthi kungenzeka yini ngaphambi kokuthola i-hip arthroscopy.
Imithombo:
UMcCarthy, JC "I-Hip Arthroscopy: Izicelo Nezobuchwepheshe" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi 1995; 3: 115 - 122.