I-Arthroscopy iyindlela yokwelapha ngezinye izimbangela ze-Ankle Pain
Ukuhlinzwa kwe-ankle ye-arthroscopic kungase kube ukhetho lwezokwelapha ngezinhlobo ezithile zobuhlungu be- ankle . Ekuhlinzekeni kwe-arthroscopic , ikhamera encane ifakwa ngaphakathi kokujoyina. Ngenye eminye imibono encane, izinsimbi zingeniswa ukuze zilungiswe noma zisuse izakhiwo ezimele. Ukuhlinzeka nge-ankle ye-arthroscopic ngokuvamile kuvame ukubizwa ngokuthi "ukushaya isikhumba" noma i-arthroscopy.
Izizathu ezine zokwelashwa
Akuzona zonke izimbangela zobuhlungu be-ankle ezingaphathwa ngendlela efanele nge-arthroscopic inqubo.
Ezinye zezizathu zokwenza ukuhlinzwa kwe-ankle ye-arthroscopic zihlanganisa:
1. Ukubuyisela i-Ankle Cartilage Damage
Izindawo ezincane ezihlukanisiwe zomonakalo we- cartilage (hhayi isifo samathambo esasakazeke) zivame ukutholakala kubantu abaye balimala ngokubambisana. Eqinisweni, ukulimala kwe-cartilage kucatshangwa ukuthi kwenzeke kubantu abangaba ngu-5% abanesisindo esikhwameni . Ezingakaphenduliwe, lezi zindawo zokuqothulwa zingase ziholele ekuthuthukiseni i-arthritis ejwayelekile yokujoyina.
I-anthle arthroscopy ivame ukusetshenziselwa ukuhlola lezi zindawo zomonakalo we-cartilage nokuzama ukubuyisela indawo evamile ye-cartilage ehlangene. Ukubuyiselwa kwendawo yokuqothulwa komzimba kungenziwa ngokulungisa i-cartilage eyonakalisiwe, noma ngokuzama ukukhuthaza ukukhula kwe-cartilage entsha nge- microfracture , ukudluliswa kwe-cartilage , noma inqubo yokufakelwa kwe-chondrocyte .
2. Ukususa i-Bone Spurs ku-Joint Ankle
I-bone spurs ingaba khona phambi komhlanganiso we-ankle, okwenza ukuba i-ankle iqede lapho unyawo luqhutshwa yonke indlela eya phezulu.
Lesi simo, esibizwa kahle ngokuthi i-ankle impingement syndrome , uye wabizwa ngokuthi i-ankle's ankle noma ibhola lezinyawo. I-anthle arthroscopy ingasetshenziselwa ukugoba phansi i-bone spur ngaphambili kwehlangene, ukuvumela ukunyakaza okuthuthukisiwe kokujoyina kwe-ankle.
3. Ukususa i-Lox Debris / Scar Tissue
I-anthle arthroscopy ingaba usizo nanoma yikuphi isimo esibangela ukuqoqwa kwezidakamizwa ezilahlayo noma izicubu ezinzima ngaphakathi kokujoyina kwe-ankle.
Ukukhipha ama-debris noma izicubu ezincane kungaba usizo ekubuyiseleni ukunyakaza nokunciphisa ukuvuvukala nobuhlungu ngaphakathi kokujoyina.
4. Ukwelashwa Kwe-Posterior Ankle Pain
Ubuhlungu ngemuva kwe-ankle ngezinye izikhathi kungaphathwa nge-arthroscopically. Ngenkathi kunesikhala esilinganiselwe sokwenza inqubo ye-arthroscopic ngemuva kwe-ankle, kunezimo ezithile ezingasiza lapho abantu bebuhlungu be-ankle obuphansi . Izinhlobo ezithile ze-tendonitis kanye nesinye isifuba esisemuva kwe-ankle zingaphathwa nge-arthroscopically.
Inqubo Yokuhlinza
I-anthle arthroscopy ingenziwa ngaphansi kwe-anesthesia jikelele noma yesifunda . Ngemuva kwe-anesthesia eyanele, udokotela wakho ohlinzayo uzokwenza 'ama-portals' ukuze afinyelele ukujoyina kwe-ankle. 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 bezinqubo ze-ankle arthroscopy ziyahlukahluka kuye ngokuthi yini udokotela wakho adinga ukufeza. Ngemuva kokuhlinzwa, i-ankle yakho izogoqwa ebhandini elithambile noma eliqhekekile. Iziguli eziningi zizosebenza nomhlengikazi womzimba ukuze aphinde athole isikhalazo namandla okuhlanganyela.
Ubude bokuvuselelwa buzohlukahluka kuye ngokuthi iyiphi inqubo eyenziwa ngesikhathi sokuhlinzwa.
Izinkinga
Okuphathelene nokucindezeleka kwe-arthroscopic ukuhlinzwa kwe-ankle kulimaza kwenye yezinzwa noma izintambo ezizungezile ukuhlangana kwe-ankle. Ezinye izinkinga zibandakanya ukutheleleka nokulimala kwe-cartilage ehlangene kusuka ku-instrument arthroscopy.
Imithombo:
U-Niek van Dijk C no-van Bergen CJ "Ukuthuthukiswa kwe-Ankle Arthroscopy" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2008; 16: 635 - 646.