Option Treatment Ngezinye Izimbangela Ze-Elbow Pain
Ukuhlinza nge-arthroscopic elbow kungase kube ukhetho lwezokwelapha ngezinhlobo ezithile zobuhlungu be- elbow . Ukuhlinzeka nge-arthroscopic kuyindlela yokuhlinzekwa ukufaka ikhamera encane ngaphakathi kokujoyina. Ngenye eminye imibono encane, izinsimbi zingeniswa ukuze zilungiswe noma zisuse izakhiwo ezimele. Ukuhlinzeka nge-arthroscopic elbow, okuvame ukubizwa ngokuthi "ukushaya isikhumba," kuyindlela yokwelapha yezinhlobo ezithile zobuhlungu be-elbow.
Izizathu zokwenza ukuhlinza kwe-Arthroscopic Elbow
Akuzona zonke izimbangela zobuhlungu be-elbow ezingaphathwa ngendlela efanele nge-arthroscopic inqubo. Ezinye zezizathu zokwenza ukuhlinzwa kwe-elthroscopic , noma i-arthroscopy ye-elbow, zifaka:
- Ukususa i-Debris Loose: Isihlanganisi se-elbow singakwazi ukuqoqa ama-debris noma i-cartilage evulekile ngenxa ye-arthritis noma ukulimala. Lezi zidumbu ezingezansi ngaphakathi zingabangela ubuhlungu nokunyakaza okulinganiselwe. Ukuhlinzeka nge-arthroscopic kuyindlela encane engavamile yokususa le nkinga yezinkinga.
Ukususa i-Bone Spurs: Ekuqaleni kwe-arthritis ye-elbow, ama- bone spurs angase ahlanganise azungeze ukujoyina, futhi avimbele ukuhamba okuvamile kokujoyina. Inqubo ye-arthroscopic ingahle ifanele ukususa i-spurs ye-bone ukuze ubuyisele ukunyakaza okujwayelekile kwesigxobo se-elbow.
Inkinga ethize ye-elbow ebizwa ngokuthi "igoli lomphangi," livela ekuphonseni abagijimi njengama-pitchers e-baseball. Ngenxa yamandla amakhulu ohlangothini, i- bone spur ingafaka ngemuva komunye. Uma ukwelashwa okungenasidakamizwa kwehluleka ukuqeda izimpawu, ukuhlinzeka nge-arthroscopic kungase kusize ukususa lesi sipho.
- Ukukhulula i-Capsule Joint: Ihlangothini le-elbow liyaziwa kakhulu ngenxa yokulimala ngenxa yokulimala, ukuhlinzwa, noma enye inselele ekuhlanganyeleni; lesi simo sibizwa ngokuthi i- elbow arthrofibrosis . Kwamanye iziguli, i-capsule yehlangothini ye-elbow ingase iqiniseke kangangokuthi ukunyakaza kunciphile. Ukukhulula ngokukhululekile i-capsule ehlangene kungenzeka kulezi ziguli. Inzuzo ye-arthroscopic ndlela yukuthi izicubu ezincane ezincane ezingase zenziwe ngemuva kokuhlinzwa, ngaleyo ndlela zenze amathuba okuphinde aphinde athuthuke.
- Ukuhlola Ukulimala Kwe-Cartilage: Izinkinga ezithile ze-cartilage, ngokuvamile i- osteochondritis dissecans (OCD) , ingabangela izinkinga emhlangothini wesigqoko. I-X-ray ne-MRIs kungenzeka ingabonisi ngokwanele izinga lomonakalo, futhi ukuhlinzwa kwe-arthroscopic kungasetshenziselwa ukuhlola ubukhulu bomonakalo we-cartilage ukunquma ukuthi ngabe ukwelashwa okwengeziwe kuyadingeka yini.
- I-Elbow Tennis: I- elbow tennis ibonakala lapho kukhishwa ama-tendon ngaphandle kwehlangothini lwe-elbow. Nakuba iningi labantu lithuthukisa ngezokwelapha okungezona okuhlinzekwa nge-tennis elbow, ngezinye izikhathi ukuhlinzwa kuyadingeka. Ukuhlinzwa kwendabuko kudonsa ithemponi esitheni, kususwe isithoni esonakalisiwe, kulandelwe ukulungiswa noma ukufakwa kabusha kwethenda. Ukuhlinzeka nge-arthroscopic kuye kwaba yindlela yokwelashwa yombhoxo we-tennis. Izinqubo ze-arthroscopic zivumela udokotela wakho ohlinzayo ukuba abuke umhlanganiso we-elbow ukuqinisekisa ukuthi akekho omunye umthombo wobuhlungu, futhi uvumela nokususwa kwethenda enonakele ngaphandle kwempi yethendonini ithambo. Ngenkathi ukuhlinzwa kwe-arthroscopic ye-tennis elbow kuyinto emisha, imiphumela yokuqala iye yakhuthaza ngezinga eliphakeme lempumelelo.
Ukwenza ukuhlinzwa kwe-Elbow Arthroscopic
I-arthroscopy ye-Elbow ingenziwa ngaphansi kwe-anesthesia jikelele noma yesifunda .
Ngemuva kwe-anesthesia eyanele, udokotela wakho ohlinzayo uzokwenza 'ama-portals' ukuze afinyelele ukujoyina umgodi. Ama-portals afakwa ezindaweni ezithile ukuze kuncishiswe amathuba okulimala emiphakathini eyayizungezile, imithwalo yegazi kanye namathenda. Ngaphakathi kwesinye portal, ikhamera ifakwe kuhlangene, futhi kwabanye, izinsimbi ezincane zingasetshenziswa ukuxazulula inkinga.
Ubude be-arthroscopy inqubo ye-elbow kuyahluka kuye ngokuthi yini udokotela wakho adinga ukufeza. Ngemuva kokuhlinzwa, igoli lakho lizofakwa ebhanjeni elithambile noma ngokugqamile. Iziguli eziningi zizosebenza nomhlengikazi womzimba ukuze aphinde athole isikhalazo namandla okuhlanganyela.
Ubude bokuvuselelwa buzohlukahluka kuye ngokuthi kwenzekani ngesikhathi sokuhlinzwa.
Izinkinga
Okuphathelene nokucindezeleka kwe-arthroscopic ukuhlinzwa kwe-elbow ukulimala kwesinye sezinzwa ezinkulu ezizungeze umhlanganiso wesigqoko. Izinzwa eziningana ezibaluleke kakhulu ekunikezeni umsebenzi zizungeze ukujoyina. Ezinye izinkinga zibandakanya ukutheleleka nokulimala kwe-cartilage ehlangene kusuka ku-instrument arthroscopy.
Imithombo:
Dodson CC, et al. "I-Arthroscopy Elbow" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2008; 16: 574 - 585.