I-arthroscopy yamadolo

I-arthroscopy yamadolo ukuhlinzwa okusebenzisa ikhamera encane ukubuka ngaphakathi kwedolo lakho. Ukusikwa okuncane kwenziwa ukufaka ikhamera namathuluzi amancane okuhlinza emadolweni akho ngenqubo.

Izinhlobo ezintathu ezihlukene zokuphumula kobuhlungu (i-anesthesia) zingasetshenziselwa ukuhlinzeka ngamadolo i-arthroscopy:

• I-anesthesia yendawo. Idolo lakho lingahlushwa umuthi wezinhlungu. Unganikezwa nemithi ekuthambisa. Uzohlala uphapheme.
• I-Spinal anesthesia. Lokhu kubizwa nangokuthi i-anesthesia yesifunda. Umuthi wezinhlungu ufakwa esikhaleni somgogodla wakho. Uzobe uphapheme kodwa ngeke ukwazi ukuzwa noma yini engezansi kwesinqe sakho.
• I-anesthesia ejwayelekile. Uzobe ulele futhi ungenazinhlungu.
• Isigaxa sezinzwa zesifunda (i-femal noma i-adductor canal block). Lolu olunye uhlobo lwe-anesthesia yesifunda. Umuthi wezinhlungu ujojelwa ezungeze imizwa ebuchosheni bakho. Uzobe ulele ngesikhathi sokuhlinzwa. Lolu hlobo lwe-anesthesia luzovimba izinhlungu ukuze udinga i-anesthesia ejwayelekile.

Idivayisi efana nekhafu ingafakwa ethangeni lakho ukusiza ukulawula ukopha phakathi nenqubo.

Udokotela ohlinzayo uzokwenza ukusikeka okungu-2 noma oku-3 okuncane edolweni lakho. Amanzi kasawoti (usawoti) azofakwa emadolweni akho ukuze kufuthwe idolo.

Ishubhu encane enekhamera encane ekugcineni izofakwa ngesinye sokusikeka. Ikhamera inamathiselwe kuqapha ividiyo evumela udokotela ohlinzayo ukuthi abone ngaphakathi kwedolo.

Udokotela ohlinzayo angafaka amanye amathuluzi okuhlinza amancane ngaphakathi kwamadolo akho ngokusikeka okunye. Udokotela ohlinzayo uzobe elungisa noma asuse inkinga edolweni lakho.

Ekupheleni kokuhlinzwa kwakho, i-saline izokhishwa emadolweni akho. Udokotela ohlinzayo uzovala ukusikeka kwakho ngemisipho (imithungo) bese embozwa ngokugqokiswa. Odokotela abaningi abahlinzayo bathatha izithombe zenqubo kusuka kumqapha wevidiyo. Ungahle ukwazi ukubuka lezi zithombe ngemuva kokuhlinzwa ukuze ukwazi ukubona okwenziwe.

Kunganconywa i-arthroscopy kulezi zinkinga zamadolo:

• I-meniscus eqhekekile. IMeniscus yi-cartilage evala isikhala phakathi kwamathambo emadolweni. Kuhlinzwa ukwenziwa ukulungisa noma ukususa.
• I-ligament yangaphakathi ye-cruciate ephukile noma eyonakele (ACL) noma i-posterior cruciate ligament (PCL).
• Umgogodla wesibambiso odabukile noma owonakele.
• Uhlaka oluvuvukile (oluvuvukele) noma olonakele lwelungu. Lololwelwesi lubizwa nge-synovium.
• I-kneecap (patella) engekho esimeni (ukungalungiswa kahle).
• Izingcezu ezincane ze-cartilage ephukile emadolweni.
• Ukususwa kwe-Baker cyst. Lokhu ukuvuvukala ngemuva kwedolo eligcwele uketshezi. Kwesinye isikhathi inkinga ivela lapho kukhona ukuvuvukala nobuhlungu (ukuvuvukala) kwezinye izimbangela, njengesifo samathambo.
• Ukulungiswa kwesici kuqwanga.
• Okunye ukuphuka kwamathambo edolo.

Izingozi ze-anesthesia nokuhlinzwa yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha
• Ukutheleleka

Izingozi ezingeziwe zalokhu kuhlinzwa zifaka:

• Ukopha edolweni
• Ukulimala kwe-cartilage, i-meniscus, noma i-ligaments emadolweni
• Ukuqina kwegazi emlenzeni
• Ukulimala esitsheni segazi noma emsipheni
• Ukutheleleka emadolweni
• Ukuqina kwamadolo

Hlala utshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungatshelwa ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nezinye izinciphisi zegazi.
• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Tshela umhlinzeki wakho uma uphuze utshwala obuningi (ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku).
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo. Futhi kuholela ezingeni eliphakeme lezinkinga zokuhlinzwa.
• Njalo vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula onakho ngaphambi kokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Uzoba nebhandeshi le-ace emadolweni akho phezu kokugqoka. Iningi labantu ligoduka ngosuku olufanayo lapho lihlinzwa khona. Umhlinzeki wakho uzokunika izivivinyo zokwenza lokho ongakuqala ngemuva kokuhlinzwa. Ungathunyelwa nakumelaphi womzimba.

Ukululama ngokugcwele ngemuva kwe-arthroscopy yamadolo kuzoya ngokuthi hlobo luni lwenkinga olwalashwa.

Izinkinga ezinjenge-meniscus edabukile, uqwanga oluphukile, i-Baker cyst, nezinkinga nge-synovium zivame ukulungiswa kalula. Abantu abaningi bahlala bekhuthele ngemuva kwalokhu kuhlinzwa.

Ukubuyiselwa ezinkambisweni ezilula kuyashesha ezimweni eziningi. Ungahle udinge ukusebenzisa izinduku okwesikhashana ngemuva kwezinhlobo ezithile zokuhlinzwa. Umhlinzeki wakho angaphinde anikeze umuthi wezinhlungu.

Ukubuyiselwa esimeni kuzothatha isikhathi eside uma ngabe ube nenqubo eyinkimbinkimbi. Uma izingxenye zamadolo akho sezilungisiwe noma zakhiwa kabusha, ungahle ungakwazi ukuhamba ngaphandle kwezinduku noma ukuqiniswa ngamadolo amasonto ambalwa. Ukululama ngokugcwele kungathatha izinyanga ezimbalwa kuya onyakeni.

Uma une-arthritis emadolweni akho, usazoba nezimpawu ze-arthritis ngemuva kokuhlinzwa ukulungisa omunye umonakalo emadolweni akho.

Ububanzi bamadolo - ukukhishwa kwe-arthroscopic lateral retinacular release; I-Synovectomy - idolo; Ukukhishwa kwePatellar (edolweni); Ukulungiswa kweMeniscus; Ukukhululwa kamuva; Ukuhlinzwa ngamadolo; I-Meniscus - i-arthroscopy; I-ligament yesibambiso - i-arthroscopy

• Ukwakhiwa kabusha kwe-ACL - ukukhishwa
• Ukulungisa ikhaya lakho - ukuhlinzwa ngamadolo noma okhalweni
• I-arthroscopy yamadolo - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-arthroscopy yamadolo
• I-arthroscopy yamadolo - uchungechunge

UGriffin JW, uHart JA, uThompson SR, uMiller MD. Izisekelo ze-arthroscopy yamadolo. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 94.

UPhillips BB, uMihalko MJ. I-arthroscopy yomkhawulo ophansi. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

I-Waterman BR, i-Owens BD. I-arthroscopic synovectomy kanye ne-posterior knee arthroscopy. Ku: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, abahleli. Amasu Okusebenza: Ukuhlinzwa Kwamadolo. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 3.