Izinkinga ze-Arthroscopic Surgery Surgery

Izinkinga Ezingenzeka Ezihlanganiswe Ngamahlombe Amandla

I-arthroscopy ehlangene yindlela yokuhlinza eyenziwa ngokuphindaphindiwe yokwelashwa okuncane okungavamile kwemibandela ehlukahlukene. I-arthroscopy ehlangene ivame ukuhlinzwa ukwelashwa kwezinyembezi ze- rotator , izinyembezi ezinamahlombe , kanye ne- shoulder bursitis . Izinqubo ze-arthroscopic nazo ngezinye izikhathi zisetshenziselwa ukwelashwa kwe- arthritis yasekuqaleni .

Nakuba i-arthroscopy ye-shoulder ibhekwa njengendlela ephephile yokuhlinzwa, kunezinkinga ezingase zibhekwe ngaphambi kokuhlinzwa okuqhubekayo ukwelashwa kwesimo sakho. Iziguli kufanele ziqaphele izinkinga ezingenzeka, futhi kungenzeka ukuthi lezi zinkinga zenzeka.

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Ukutheleleka

Ukutheleleka kuyinkinga enkulu lapho kunesifo sokuhlinza, kungakhathaliseki ukuthi kuyindlela enkulu yokuhlinzwa noma ukwelashwa okuncane. Ama-bacterium akhona esikhumbeni sethu nasemvelweni, futhi ngokuqapha okukhulu, kunethuba lokuthuthukisa ukutheleleka nganoma yisiphi isikhathi lapho uhlinzwa khona.

Ukuhlinzeka ngamapulangwe kunomkhuba wokuthuthukisa izifo ezivamile zesikhumba ezifana nesifo se- staph ne- strep - izinhlobo ezivame kakhulu zokutheleleka kwezifo. Ngaphezu kwalokho, amabhaktheriya ajwayelekile okuthiwa i- Propionibacterium acnes ngokuvamile ahlotshaniswa nezifo zehlombe. I-P. acnes ikhona esikhumbeni esizungeze ihlombe futhi kungaba nzima ukuthola izivivinyo ezijwayelekile zokutheleleka kwebhaktheriya.

Kunezinyathelo ongazithatha ukuze usize ukuvimbela izifo zokuhlinzwa . Ukwelashwa kwezifo kungadinga izinqubo zokuhlinzekwa ezengeziwe kanye nama-antibiotic ahlala isikhathi eside, ngakho-ke kuyafaneleka ukuthi iziguli zithathe lezi zinyathelo ukusiza ukuvimbela amathuba okutheleleka.

Okuningi

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Inhlekelele Yokulimala

Ukulimala kwemisipha akuvamile, kodwa ngenani lezinzwa ezinkulu ezizungezile ukuhlanganyelwa kwehlombe, lokhu kungukuthi kungenzeka ukuthi ukuhlinzwa kuyinkimbinkimbi. Lapho umsebenzi udinga ngaphansi kwehlombe (i-capsule engaphansi noma i-labrum) kukhona ukukhathazeka okukhethekile kokulimala emithanjeni. Amagundane angalimala ngamathuluzi asebenza ngaphakathi kwehlangothini lwehlombe, noma ngokufaka izinsimbi kakhulu eduze kwemizwa ezungeza uhlangothini lwehlombe.

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Ihlombe eligcwele

Enye yezinkinga ezivame kakhulu emva kokuhlinzwa kwe-shoulder is stiffness joint joint. Kwezinye izinqubo zokuhlinza, isikhathi sokuphulukiswa kuyadingeka ukuze uvumele ukuphulukiswa okwanele. Kodwa-ke, ukungasebenzi kahle komzimba kungabangela iziguli ukuba zithuthukise isimo esibizwa nge-shoulder shoulder.

Iziguli ezakha ihlombe elifakwe efrijini zinezicucu eziqhekekile zesisindo esikhungweni se-capsule ehlangene, izicubu ezizungezile ibhokisi le-ball-and-socket joint. Amahlombe afriziwe ngokuvamile aphathwa nge-aggressive therapy futhi ngezinye izikhathi umjovo we- cortisone . Amacala amaningi ehlombe elifriziwe athatha izinyanga noma ngaphezulu ukuxazulula.

Okuningi

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I-Chondrolysis

I-Chondrolysis iyinkimbinkimbi engavamile kepha engase ibe yinkimbinkimbi ye-arthroscopy ye-shoulder. I-Chondrolysis ibangela ukulimala kwe-cartilage ye-joint joint futhi kungaholela ekuthuthukeni kokuqala kwe-arthritis ye-joint. Lokhu kuyinkinga ikakhulukazi iziguli ezincane ezithuthukisa lesi simo ngemuva kokwelashwa kokulimala kwezemidlalo. Ngokuvamile, ukulindela kwalezi ziguli ukubuyisela umsebenzi ogcwele wehlombe, futhi i-chondrolysis ingaholela ezinkingeni ezingunaphakade ngehlangothini lwehlombe uma uqwanga lonakaliswe kabi.

Ngenhlanhla, i-chondrolysis iyinkimbinkimbi engavamile kakhulu, futhi odokotela abahlinzayo baye bafunda izinyathelo zokuzivikela ukuze basize ukuvimbela le nkinga engaba yingozi.

Okuningi

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Inhloko / Inyawo Ukulimala

Enye yezinselelo zokuhlinza ngehlombe yizindawo zokujoyina. I-drapes yokuhlinza igubungela indawo yekhanda nentamo ngesikhathi sokuhlinzwa ukuvimbela ukungcola nokutheleleka, kepha lokhu kunganciphisa ikhono lokubona ikhanda nentamo ngumuntu we-anesthesiologist. Odokotela abahlinzayo kufanele baqaphele kakhulu ukuvikela nokusekela ikhanda nentamo ukuqinisekisa ukuthi akukho ukulimala ngenxa yokuma kwesiguli.

_Imithombo:

_{Moen TC, et al. "Izinkinga Ze-Arthroscopy Yezintambo" J Am Acad Orthop Surg July 2014 22 cha. 7 410-419.}