Option Treatment Ngezinye Izimbangela Zokuhlunguphaza Knee
Ukuhlinza ngamathambo e-arthroscopic kungaba yindlela yokwelashwa ngezinhlobo ezithile zamadolo ezinyawo . Ukuhlinzeka nge-arthroscopic yinkqubo efaka ukufaka ikhamera encane ngaphakathi kokujoyina. Ngenye eminye imibono encane, izinsimbi zingeniswa ukuze zilungiswe noma zisuse izakhiwo ezimele. Ukuhlinzeka ngamathambo e-arthroscopic kuvame ukubizwa ngokuthi " ukukhanda ngamadolo " noma i- knee arthroscopy .
Izizathu Zokwenza Ukuhlinzwa Kwe-Arthroscopic Knee Surgery
Akuzona zonke izimbangela zezinhlungu zamadolo ezingaphathwa ngendlela efanele nge-arthroscopic inqubo. Ezinye zezizathu zokwenza ukuhlinzwa kwamathambo e-arthroscopic zihlanganisa:
- Ukuqothulwa kwe-Cartilage / Ukuhlinzwa Kwezinsizwa
I-Meniscectomy yigama elisemthethweni lohlinzekwa elibandakanya ukususwa kwesinye se-meniscus cartilage kusuka emadolweni . I-meniscus iyinhloko yokuqhaqhazela kwe-cartilage ehlezi phakathi kwethambo ekupheleni ukuhlinzeka ukuxhaswa nokusekelwa. Izinyembezi ezincane zezinsizi zivame ukucutshungulwa ukuze kunqunywe izimpawu ze-meniscus ephukile. Ukulungisa i-Meniscus
Ukulungiswa kwe-meniscus kuyinkqubo yokuhlinzwa eyenziwe ukuze kulungiswe i-meniscus ewonakele. Ukulungiswa kwe-meniscus kungabuyisa isisu esivamile samadolo futhi kube nokubikezela okungcono kwesikhathi eside uma uphumelele. Noma kunjalo, ukulungiswa kwe-meniscus kungukuhlinzwa okuphawulekayo . Ukutakula kuyinde, futhi, ngenxa yokunikezwa kwegazi elinganiselwe kwimenyu, ukulungiswa kwe-meniscus akusi njalo njalo.
Ukuvuselelwa kwe-ACL
I- anterior cruciate ligament , noma i-ACL, ingenye yama- kneam ligaments amakhulu amane. I-ACL ibalulekile ekuzinzeni kwamadolo , futhi abantu abalimaza i-ACL yabo bavame ukukhalaza ngamadolo abo abaphuma ngaphansi kwabo. Ngakho-ke, iziguli eziningi ezisekela i-ACL izinyembezi zikhethe ukwelapha ukwelashwa kwalokhu ukulimala. Iningi lokuhlinzwa kwe-ACL lwenziwa ngokuthinta i-arthroscopically.
I-Plica Excision
I-plica iyinsalela yezicubu ezishiywe ekuthuthukiseni ingane. Ekuthuthukiseni okuqala, idolo lakho lahlukaniswa ngamakamelo ahlukene. Abahlukanisi bamakomidi balahlekelwa kancane kancane ngokuhamba kwesikhathi, kepha abanye abasalayo bahlala. Uma le tissue izicubu zivelele kakhulu, ibizwa ngokuthi i-plica. Uma i-plica icasuliwe, ibizwa ngokuthi i- plica syndrome . I-resetic resell isenziwa ukuze kususwe lezi zicubu ezicasuliwe.Ukukhishwa kwe-Lateral
I-kneecap ihamba phezulu nangaphansi kokuphela kwethanga lesenzeni ku-groove of cartilage. I-kneecap ingadonselwa ngaphandle kwale groove, noma ingase isuke emgodini, ibangele ubuhlungu ngokuguqa ngamadolo. Ukukhululwa kwe-lateral kwenziwa ukuze kukhululeke imigqa edonsa i-kneecap engaphandle kwendawo.Ukukhipha okuncane
Ukukhipha imfucuza kuyindlela yokwelapha esetshenziselwa ukugqugquzela umzimba ukuba ukhule uqwanga olusha endaweni ye-cartilage ewonakele. Ngenkambiso ye-microfracture , ungqimba lwangaphandle lwethambo lufakiwe, ukudalula izingxenyana zangaphakathi zethambo lapho kukhona khona amakholomu. Lawa maseli angakwazi ukufinyelela endaweni emelekile futhi agcwalise igebe le-cartilage .Ukwakhiwa kwe-Chondrocyte Autologous
Ukudluliswa kwe- cartilage kuhilela ukuhamba kwe-cartilage kusuka ezingxenyeni ezinempilo yezinto ezihlangene ezindaweni ezimele. Ama-plugs amancane we-cartilage asuswa, ngengxenye yamathambo angaphansi, adluliselwe endaweni yomonakalo. Amaphakheji athathwa ezindaweni zokujoyina lapho ubuso be-cartilage engadingeki khona.
Ukudluliswa kwe-Cartilage / i-OATS
Ukudluliswa kwe-cartilage kuhilela ukuhamba kwe-cartilage kusuka ezingxenyeni ezinempilo yezinto ezihlangene ezindaweni ezimele. Ama-plugs amancane we-cartilage asuswa, ngengxenye yamathambo angaphansi, adluliselwe endaweni yomonakalo. Amaphakheji athathwa ezindaweni zokujoyina lapho ubuso be-cartilage engadingeki khona.
Ukwenza Ukuhlinzwa Kwe-Arthroscopic Knee Surgery
I-arthroscopy ye-knee ingenziwa ngaphansi kwe-anesthesia ejwayelekile, yesifunda, noma yendawo . Ngemuva kwe-anesthesia eyanele, udokotela wakho ohlinzayo uzokwenza 'ama-portals' ukuze athole ukufinyelela emadolweni. 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. Iziguli ezine-arthroscopic ukuhlinzwa kwegciwane ngaphansi kwe-anesthhesia yesifunda noma yendawo zingase zibuke ukuhlinzwa kwazo kumqapha ukuze zibone ukuthi yini ebangela inkinga yabo.
Ubude bendlela yokuguqula i-arthroscopy kuyahluka kuye ngokuthi yini udokotela wakho adinga ukufeza. Emva kokuhlinzwa, idolo lakho lizofakwa ebhanini elithambile. Ngokuya ngohlobo lokuhlinzwa olwenziwe, udokotela wakho angase angakuvumeli ukuthi ubeke isisindo emlenzeni othintekile. Iziguli eziningi zizosebenza nomhlengikazi womzimba ukuze aphinde athole isikhalazo namandla okuhlanganyela. Ubude bokuvuselelwa buzohlukahluka kuye ngokuthi iyiphi inqubo eyenziwa ngesikhathi sokuhlinzwa .
Izinkinga ze-Arthroscopic Knee Surgery
Izinkinga zokuhlinza ngamadolo ezinama-arthroscopic zifaka ukutheleleka, ukuvuvukala, kanye nama- blood clots emlenzeni. Izinkinga zingavamile emva kwe-knee arthroscopy, kanti kuyilapho ziyisizathu sokukhathazeka, i-knee arthroscopy ibhekwa njengendlela ephansi yokuhlinzeka ngezinhlekelele.
Inkinga eyodwa ezithakazelisayo bekulokhu kusetshenziswa i-knee arthroscopy ekwelapheni kwe-arthritis yamadolo okuqala . Kube khona izifundo ezibheke ekusetshenzisweni kokuhlinzwa kwamathambo e- arthroscopic ezigulini ezine-osteoarthritis zakuqala zamadolo. Ngokuvamile, iziguli ezine-osteoarthritis emadolweni zihamba kahle ngokuhlinzeka ngamathambo lapho izimpawu zabo zivela ngokuyinhloko emanzini aphephile noma aqothukile , kanti ukungajabuli okujwayelekile akunakwenzeka ukuthuthukisa ukuhlinzwa kwamathambo e-arthroscopic. Ukunquma umthombo wokukhathazeka kubaluleke kakhulu ukubikezela umphumela wokuhlinzwa kule nkinga.
Izwi elivela
Ukuhlinza ngamathambo e-arthroscopic kungenye yezinqubo ezivame kakhulu zokuhlinzekwa ngamathambo. Izinqubo ezihlukahlukene zokuhlinzeka zingenziwa nge-arthroscopically, besebenzisa ukucubungula okuncane nokunciphisa ukulimala kwezicubu ezithambile. Akuyona yonke inqubo yokuhlinzeka engenziwa ngezingqinamba ezincane, futhi kunezinqubo ezithile ezingase zenziwe kangcono ngokuboniswa ngokuqondile kunokuba zifinyelele. Lokhu kusho ukuthi i-arthroscopy inezinzuzo ezinkulu kakhulu ezinhlotsheni eziningi zokuhlinzwa kwamadolo, futhi ingasiza abantu babuyele emisebenzini yezemidlalo nemisebenzi yansuku zonke ngokushesha kakhulu kunalokho ababekwazi ukukwenza.
Imithombo:
U-Richmond J, et al. "Ukwelashwa kwe-Osteoarthritis ye-Knee (Nonarthroplasty)" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2009; 17: 591 - 600.