I-arthroscopy ehlombe

I-shoulder arthroscopy ukuhlinzwa okusebenzisa ikhamera encane ebizwa ngokuthi i-arthroscope ukuhlola noma ukulungisa izicubu ngaphakathi noma eduze kwejoyini lakho. I-arthroscope ifakwa ngokusika okuncane (ukusika) esikhunjeni sakho.

Isigaxa se-rotator siyiqembu lemisipha kanye nemisipha yaso eyenza ikhafu phezu kwejoyini lehlombe. Le misipha nemisipha ibambe ingalo ehlangene ehlombe. Lokhu kusiza nokuthi ihlombe lihambe ngezindlela ezihlukile. Imisipha esenkomishini ye-rotator ingadabuka lapho isetshenziswe ngokweqile noma ilimele.

Cishe uzothola i-anesthesia ejwayelekile yalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma, ungahle ube ne-anesthesia yesifunda.Ingalo nehlombe lakho lizobanjwa izinzwa, ngenxa yalokho awuzwa buhlungu. Uma uthola i-anesthesia yesifunda, uzophinde unikezwe umuthi ozokukwenza uzele kakhulu ngesikhathi sokuhlinzwa.

Ngesikhathi senqubo, udokotela ohlinzayo:

• Ifaka i-arthroscope ehlombe lakho ngokusebenzisa imbobo encane. Ububanzi buxhunywe esibonelweni sevidiyo egumbini lokusebenza.
• Ihlola zonke izicubu zokuhlangana kwehlombe lakho nendawo engaphezulu kwejoyinti. Lezi zicubu zifaka uqwanga, amathambo, imisipha nemisipha.
• Ukulungisa noma yiziphi izicubu ezilimele. Ukuze wenze lokhu, udokotela wakho ohlinzayo wenza ukusikeka okuncane okungu-1 kuye koku-3 futhi ufaka ezinye izinsimbi ngabo. Ukulungiswa kwemisipha, i-tendon, noma i-cartilage kulungisiwe. Noma yisiphi isicubu esonakele siyasuswa.

Udokotela wakho ohlinzayo angenza eyodwa noma ngaphezulu yalezi zinqubo ngesikhathi sokuhlinzwa kwakho.

Ukulungiswa kwekhafu ye-Rotator:

• Imiphetho yethenda iyahlanganiswa. Ithenda inamathele ethanjeni ngama-sutures.
• Ama-rivets amancane (abizwa ngokuthi ama-suture anchors) ajwayele ukusetshenziselwa ukusiza ukunamathisela umsipha ethanjeni.
• Amahange angenziwa ngensimbi noma ngepulasitiki. Azidingi ukususwa ngemuva kokuhlinzwa.

Ukuhlinzwa kwe-impingement syndrome:

• Izicubu ezilimele noma ezivuthayo ziyahlanzwa endaweni engaphezulu kwejoyini lehlombe.
• I-ligament ebizwa ngokuthi i-coracoacromial ligament inganqunywa.
• Ngaphansi kwethambo elibizwa ngokuthi i-acromion lingaphuculwa. Ukukhula kwamathambo (spur) ngaphansi kwe-acromion kuvame ukudala impingement syndrome. I-spur ingadala ukuvuvukala nobuhlungu ehlombe lakho.

Ukuhlinzwa kokungazinzi kwehlombe:

• Uma une-labrum edabukile, udokotela ohlinzayo uzokulungisa. I-labrum yi-cartilage ebeka umugqa wokuhlangana kwehlombe.
• Imigqa enamathisela kule ndawo nayo izolungiswa.
• Isilonda se-Bankart siyisilonda ku-labrum engxenyeni engezansi yehlangothini lehlombe.
• Isilonda se-SLAP sihilela i-labrum ne-ligament engxenyeni ephezulu yokuhlangana kwehlombe.

Ekupheleni kokuhlinzwa, ukusikeka kuzovalwa ngemithungo futhi kumbozwe ngengubo yokugqoka (ibhandishi). Odokotela abaningi abahlinzayo bathatha izithombe eziqapha ividiyo ngesikhathi senqubo ukukhombisa abakutholile nokulungiswa okwenziwe.

Udokotela wakho ohlinzayo angadinga ukwenza ukuhlinzwa okuvulekile uma kukhona umonakalo omkhulu. Ukuhlinzwa okuvulekile kusho ukuthi uzoba nokusikeka okukhulu ukuze udokotela ohlinzayo afike ngqo emathanjeni nasezicutshini zakho.

Kunganconywa i-arthroscopy kulezi zinkinga zehlombe:

• Indandatho edwenguliwe noma elimele (labrum) noma imigqa
• Ukungazinzi kwamahlombe, lapho ukuhlangana kwehlombe kukhululekile futhi kushelelezela kakhulu noma kususwa (kuphuma ngaphandle kwebhola nokuhlangana kwesokhethi)
• Ithenda ye-biceps edabukile noma elimele
• Ikhafu ye-rotator edabukile
• I-bone spur noma ukuvuvukala okuzungeze ikhafu ye-rotator
• Ukuvuvukala noma ulwelwesi olonakele lwelungu, okuvame ukubangelwa ukugula, okufana nesifo samathambo
• Isifo samathambo sokuphela kwe-clavicle (collarbone)
• Izicubu ezixekethile ezidinga ukususwa
• I-shoulder impingement syndrome, ukwenza indawo eningi yehlombe lokuhambahamba

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi ze-arthroscopy yamahlombe yilezi:

• Ukuqina kwamahlombe
• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukulungiswa kwehluleka ukwelashwa
• Ubuthakathaka behlombe
• Isitsha segazi noma ukulimala kwemizwa
• Ukulimala kwe-cartilage yehlombe (chondrolysis)

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kanye neminye imithi.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo angakucela ukuthi ubone udokotela wakho okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma uphuze kakhulu utshwala, ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo.
• Tshela udokotela wakho nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha noma imiphi imithi oceliwe ukuyiphuza ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Landela noma imiphi imiyalo yokukhipha nokunakekela onikezwa yona.

Ukutakula kungathatha izinyanga ezi-1 kuye kwezi-6. Kuzodingeka ukuthi ugqoke isihlibhi ngesonto lokuqala. Uma ngabe ulungiswe kakhulu, kungadingeka ukuthi ugqoke indwayimane isikhathi eside.

Ungathatha umuthi ukulawula izinhlungu zakho.

Lapho ungabuyela emsebenzini noma udlale imidlalo kuzoncika kulokho ukuhlinzwa kwakho okuhilelekile. Ingaba kusuka evikini elingu-1 kuye ezinyangeni ezimbalwa.

Ukwelashwa ngokomzimba kungakusiza ukuthi uphinde uthole ukunyakaza namandla ehlombe lakho. Ubude bokwelashwa buzoncika kulokho okwenziwe ngesikhathi sokuhlinzwa kwakho.

I-arthroscopy ivame ukuletha ubuhlungu obuncane nokuqina, izinkinga ezimbalwa, ukuhlala okufushane (uma kukhona) esibhedlela, nokubuyiselwa ngokushesha kunokuhlinzwa okuvulekile.

Ukube ubulungiswa, umzimba wakho udinga isikhathi sokuphulukisa, noma ngabe ngemuva kokuhlinzwa nge-arthroscopic, njengoba nje uzodinga isikhathi sokululama ekuhlinzeni okuvulekile. Ngenxa yalokhu, isikhathi sakho sokutakula kungenzeka siside.

Ukuhlinzwa ukulungisa izinyembezi ze-cartilage kuvame ukwenziwa ukwenza ihlombe lizinze kakhudlwana. Abantu abaningi balulama ngokuphelele, futhi ihlombe labo lihlala lizinzile. Kodwa abanye abantu basengaba nokungazinzi kwehlombe ngemuva kokulungiswa kwe-arthroscopic.

Ukusebenzisa i-arthroscopy yokulungisa izinkomishi ze-rotator noma i-tendinitis kuvame ukudambisa ubuhlungu, kepha kungenzeka ungawabuyisi wonke amandla akho.

Ukulungiswa kwe-SLAP; Isilonda se-SLAP; I-Acromioplasty; Ukulungiswa kwebhange; Isilonda se-Bankart; Ukulungiswa kwamahlombe; Ukuhlinzwa ihlombe; Ukulungiswa kwekhafu ye-Rotator

• Ukuzivocavoca kwekhafu yeRotator
• Ikhafu yeRotator - ukuzinakekela
• Ukuhlinzwa ihlombe - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Usebenzisa ihlombe lakho ngemuva kokuhlinzwa

• I-arthroscopy ehlombe

UDeBerardino TM, uScordino LW. I-arthroscopy ehlombe. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez, noMiller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 39.

UPhillips BB. I-arthroscopy yomkhawulo ophezulu. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 52.