Ukukhishwa kwe-Capsular ye-Arthroscopic ye-Capsular Ehlathini
Ihlombe elivuthiwe yisimo esibuhlungu, esibizwa nangokuthi i-adhesive capsulitis. Iziguli ezinamahlombe afriziwe zinzima ngisho nokunyakaza okulula kokujoyina. Izimpawu ezijwayelekile zehlombe elifriziwe zifaka ubuhlungu lapho uhambisa ingalo, ngisho nemisebenzi elula efana nokugeza izinwele, ukubopha isihlalo sobukhosi noma ukuqinisa ibra. Lesi simo sibangelwa ukukhishwa kwe- capsule yehlombe , ubhedu obukhulu obuhlangene behlombe.
Ukwelashwa kwamahlombe afriziwe kuhlale kuphumelele ngezokwelapha ezilula, ezingahlinzeki. Ngenkathi ukwelashwa kungase kube lula, ukutakula kusuka esimweni kungathatha izinyanga, noma ngisho neminyaka nezinye iziguli zihluleka ukuthuthukisa ngokuphelele. Iziguli eziye zazama lezi zindlela ukuthuthukisa ukuhamba kwazo kwehlombe, futhi zisalokhu zivinjelwe ubuhlungu nokuqina, ukuhlinzwa kungacatshangelwa ihlombe elifriziwe.
Ukuhlinza Ngezinhlanzi Eziqinile
Ukwelapha okuvamile okuhlinzekwa kwehlombe elifriziwe kubizwa ngokuthi ukukhululwa kwe-capsular arthroscopic. Njengoba kubonakala egameni, lokhu kuyindlela yokuhlinza i- arthroscopic ehlombe lapho ikhamera encane ifakwa khona ekuhlanganyeleni kwehlombe. Ngenye eminye imibono encane, izinsimbi ezincane nazo zingeniswa ukuze ziphathwe inkinga.
Uma kwenzeka ihlombe elifriziwe, inkinga yi-capsule ye-shoulder cap, ngakho-ke ukwelashwa okuzobhekana nalokhu ukusika i-capsule eqinile ukuze kuvunyelwe inkululeko eyengeziwe yokuhamba.
Ama-instrument afakwa ukuze aqede i-capsule ezungeze isikhwama sehlombe.
Isici esibaluleke kunazo zonke sokukhululwa kwe-arthroscopic siqinisekisa ukuthi yikuphi ukuthuthukiswa kokuhamba kwehlombe kugcinwa emva kokuhlinzwa. Ngesinye isikhathi iziguli zizobe zihlangene ngokukhethekile ukuze kugcinwe i-capsule yehlombe.
Ngokuvamile ukwelapha ngokomzimba kuzoqala ngokushesha ngemva kokuhlinzwa ukuze kuqinisekiswe ukuthi izicubu ezincane aziqali ukuphinde zifake nxazonke.
Ezinye izindlela zokukhishwa kwe-Arthroscopic
- Ukunakekelwa Kwegazi: Iziguli eziningi ziye zazama ukwelashwa okungenasisindo ngenxa yehlombe labo elibandisiwe ngaphambi kokucubungula noma yikuphi ukwelapha okungahambi kahle. Kodwa-ke, iziguli eziningi aziqapheli ubude besikhathi amahlombe afriziwe angaphikelela, futhi ukuthi ukwelashwa okungenasidingo kungathatha izinyanga ezingu-12-18 ngaphambi kokuba izimpawu zixazulule. Ngakho-ke, odokotela abaningi abahlinzayo ababheki izindlela zokwelashwa ezingenasidingo sokuhluleka ngaphandle kokuba bezame izinyanga eziningi.
- Ukuxhaphazwa Ngaphansi Kwe-Anesthesia: Okwenziwe kancane kakhulu ngoba ukhetho lwe-arthroscopic luvamile, ukuxhaphazwa ngaphansi kwe-anesthesia (i-MUA) ngokuyinhloko ukululazwa kwehlombe lakho ngenkathi ulele. Inzuzo ukuthola ukwelula okungcono kwe-capsule ehlangene, kodwa kunezinkinga ezingenzeka. Ubuhlungu bungenzeka ngemva kwalolu hlelo, futhi uma uphonswa ngamandla, kungenzeka ukuthi amathambo aphule ngaphansi kwamandla amakhulu. Ngokuvamile i-MUA yenziwa ngemuva kokukhishwa kwe-capsular ye-arthroscopic.
- Vula ukukhululwa kwe- Capsular: Ukukhululwa kwe-capsular evulekile yinkambiso yokuhlinzwa ejwayelekile kakhulu, manje ukuthi ukwelashwa kwe-arthroscopic kuvamile. Ngokufana nenqubo ye-arthroscopic, i-capsule yehlombe ihlukaniswe, kodwa udokotela wakho ohlinzayo ubheka ngqo ngaphakathi kwehlombe. Ukuhlinzeka nge-arthroscopic ngokuvamile kubonakala sengathi iphakeme ngoba ibangela ubuhlungu obuncane, kungenasiphelo esincane futhi kuvumela ukufinyelela okuphelele okuhlangene ekuhlanganyeleni kwehlombe.
Ukubuyiswa Okuvela Ku-Release Arsroscopic Capsular
Nakuba ukukhululwa kwe-capsular ye-arthroscopic kuyasiza kakhulu ukuthola ukuhamba kwehlombe, ukukhohlisa kugcina ukuthuthukiswa kokuhamba. Ngenxa yobuhlungu obuhambisana nokuhlinzwa, kuyamangalisa ukunciphisa ukunyakaza ngemuva kokukhululwa kokuhlinzwa, kodwa ukwenza kanjalo kuyoholela ekuphindeni kwenkinga yangempela. Njengoba kuboniswe ukuthi abanye odokotela abahlinzayo baqhekeke kakhulu ihlombe, futhi bonke bazoqala ukunyakaza kanye nokwelapha ngokushesha ngemuva kokuhlinzwa ngokuzama ukuqhubeka nokuthuthukiswa ekuhambeni kwehlombe.
Izwi elivela
Ukuhlinzwa kuvame ukusetshenziselwa ukwelashwa kwehlombe elifriziwe, kodwa kunezikhathi lapho ukwelashwa okungenasidingo akuphumelelanga ukuphathwa kwalesi simo.
Uma ukwelashwa okwesikhashana okungekho emthethweni akuholele ekuphuculeni kwezimpawu, ukuhlinzwa kungacatshangwa njengendlela yokukhetha. Isici esibucayi kakhulu kunoma yiluphi uhlobo lohlinzekwa olusetshenziselwa ukwelashwa kwehlombe elifakwe efrijini ukuqinisekisa ukuthi uthola ihlombe lihamba ngokushesha ngangokunokwenzeka emva kokuhlinzwa ukuvikela noma yikuphi ukuzuza ekuhambeni nasekuvimbeleni izicubu ezintsha zesikhumba ekubunjweni kokuhlangene.
Imithombo:
Warner, JJ. "Ihlombe elinyanyisiwe: Ukuxilongwa nokuPhathwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi 1997; 5: 130 - 140.