Ukuhlinzekwa okujwayelekile okuguqulwa ngamadolo kwenziwa nge-incision phezu kwegceke langaphambili elilinganisa amasentimitha angu-6 kuya kwangu-10 ubude. I-minimalally-invasive (ebizwa nangokuthi i-minimal-incision) esikhundleni sokuguqula idolo izama ukwenza ukuhlinzwa okufanayo ngokusebenzisa ukuqubuka okuncane. Ukuze kuthiwa ukuhlinzwa okungenasidingo okungavamile, ukuvama ngokuvamile kuvame ukulinganiselwa ngaphansi kwamasentimitha angu-5 ubude, futhi ukuxubana kuhlala ngaphandle kwemisipha ye-quadriceps ngaphezu kwamadolo.
Izindlela zokuhlinzeka zanamuhla zivame ukulungiswa ukuthuthukisa izindlela ezintsha zokufeza imigomo yokuhlinzwa ngenkathi kunciphisa imiphumela emibi. Ukushintshwa kwamadolo kusetshenziselwa ukuthatha indawo ye-cartilage egugile kusuka emadolweni ehlangene nomfutho wensimbi nesiplastiki. Ukuguqulwa kwamadolo okunciphisa amancane kusetshenziselwa izimpande ezifanayo njengendlela yokuguqula ibhande elijwayelekile, kodwa lezi zifutho zifakwa ngendlela encane.
Izinzuzo Zokumangalisa Okuncane
Abagqugquzeli bokungena esikhundleni samadolo angenawo amanga bathi bazokwenza inqubo efanayo yokuhlinzwa nemiphumela emibi embalwa. Noma kunini lapho ukwelashwa kungaba nemiphumela embalwa emibi, kubonakala sengathi kuthuthukiswa. Ithemba elincishisiwe lokuguqulwa kwamadolo ukuthi iziguli zizobhekana nalokhu:
- Ubuhlungu obungaphansi
- Ukutakula ngokushesha
- Isidingo esincane sokumpompela igazi
- Isikali esincane sokwakheka kwezicubu
Ingabe Kukhona Umcansi?
Asikho isiqiniseko se-100% okwamanje, futhi yilokho okukhathazayo abaningi abahlinzayo bama-orthopedic abaphathelene nokuhlinzekwa okuncane okuyi-incision.
Kumele kukhunjulwe ukuthi nakuba izinzuzo ezibalwe ngenhla zokuhlinza okuncane okuyi-incision, ziwubuciko obaluleke kunazo zonke zokuhlinzwa okuguqulwa ngamadolo ukuhlinzeka isiguli ngenhlanganisela engenabuhlungu eyohlala isikhathi eside. Ukukhathazeka ngokuguqula amadolo ngokunciphisa okuncane kungukuthi izimpande zingenakubeka ngendlela efanele futhi njengezinyosi, ngakho-ke zingakwazi ukuphuma ngokushesha.
Ucwaningo olusanda kutholakala ukuthi iziguli ezidinga ukuhlinzekwa kwesibili ( ukubuyekezwa kwamadolo okubukezwa ) zenze le nqubo ngokushesha uma zinezohlinzekwa ezincane zokuzibopha. Iziguli ezazifuna ukuhlinzwa okubuyiselwe ngemva kokuguqulwa kwamadolo okunciphisa okuncane okuyizintambo zazibukeziwe ezinyangeni eziyi-15 emva kwenqubo yazo yokuqala. Lokhu kuqhathaniswa nesilinganiso sezinyanga ezingu-80 ngemuva kokuguqulwa kwamadolo endabuko. Lona umehluko omkhulu kakhulu.
Okubalulekile
Kungenxa yokuthi ngibonisa isifundo esisodwa esibonisa inkinga, akusho ukuthi ukuguqulwa kwamadolo okunciphisa okuncane kakhulu ukuhlinzwa okubi. Ivele iphakamisa ukukhathazeka. Kube khona izifundo ezikhomba izinzuzo ezibalulwe ngenhla futhi. Ukukhathazeka okunye ngalezi zifundo kubonisa imiphumela emihle kusuka ekuhlinzekeni okuncane okuyi-incision ukuthi abanye babhalwa odokotela abahlinzayo abanezinkinga ezingase zibe nezithakazelo zezezimali, kanye nabahlinzayo abaqhuba amakhulu yalezi zinqubo, kunokuba bambalwa nje.
Ucwaningo lwamuva luqinisekisa ukukhathazeka kwabaningi odokotela abahlinzayo mayelana nokuguqulwa kwamadolo okwenziwe nge-incision "mini". Uma une-kneeling-incision esikhundleni esikhundleni, qiniseka ukuthi udokotela wakho ohlinzayo wenze le nqubo kaningi, futhi uqonde ukuthi kungase kube nethuba eliphakeme lokudinga ukuhlinzwa eyengeziwe esikhathini esidlule phansi komgwaqo.
Abahlinza abahlinzayo abazobe sebekulungele ukwenza ukuchotshozwa okukhulu uma kusho ukuhlinzwa kangcono - hhayi ukuyekethisa umphumela wenhloso yokugcina ukubhekwa okuncane.
Imithombo:
UMiller DW "Ukuhlinzekwa okuncane okuyi-incision njengengozi ebangela ukuhluleka kokuqala kwegolo esikhundleni" Iphepha # 272. Kuthulwe ku-American Academy of Orthopedic Surgeons Umhlangano Wonyaka Wama-76. Feb. 25-28, 2009. Las Vegas.