Ukuhlinzwa kwemikhono emincane yemilenze

Ukuhlinzwa kwe-microfracture emadolweni kuyindlela ejwayelekile esetshenziselwa ukulungisa uqwanga lwamadolo olimele. Uqwanga lusiza ukugoqa nokumboza indawo lapho kuhlangana khona amathambo emajoyintini.

Ngeke ubuzwe ubuhlungu ngesikhathi sokuhlinzwa. Izinhlobo ezintathu ze-anesthesia zingasetshenziselwa ukuhlinzeka ngamadolo i-arthroscopy:

• I-anesthesia yendawo - Uzonikezwa isibhamu samaphilisi ezinhlungu ukuze ukhulule idolo. Unganikezwa nemithi ekuthambisa.
• I-Spinal (Regional) anesthesia - Umuthi wezinhlungu ujojelwa esikhaleni somgogodla wakho. Uzobe uphapheme, kodwa ngeke ukwazi ukuzwa noma yini engezansi kwesinqe sakho.
• I-anesthesia ejwayelekile - Uzobe ulele futhi ungenazinhlungu.

Udokotela ohlinzayo uzokwenza lezi zinyathelo ezilandelayo:

• Yenza ukusika kokuhlinzwa okukota-intshi (6 mm) emadolweni akho.
• Beka ithubhu ende ezacile enekhamera ekugcineni ngalokhu kusika. Lokhu kubizwa ngokuthi i-arthroscope. Ikhamera inamathiselwe kwithrekhi yevidiyo egumbini lokusebenza. Leli thuluzi livumela udokotela ohlinzayo abheke ngaphakathi kwamadolo akho futhi asebenze ngokuhlanganyela.
• Yenza okunye ukusika nokudlulisa amathuluzi ngalokhu kuvulwa. Ithuluzi elincane elikhonjiwe elibizwa ngokuthi i-awl lisetshenziselwa ukwenza izimbobo ezincane kakhulu ethanjeni eduze koqwanga olimele. Lokhu kubizwa ngama-microfractures.

Lezi zimbobo zixhuma emnkantsheni wethambo ukuze kukhishwe amaseli angakha uqwanga olusha esikhundleni sezicubu ezilimele.

Ungadinga le nqubo uma unomonakalo ku-cartilage:

• Ekuhlanganyeleni kwedolo
• Ngaphansi kwe-kneecap

Inhloso yalokhu kuhlinza ukuvimbela noma ukunciphisa ukulimala okuqhubekayo kuqwanga. Lokhu kuzosiza ukuvimbela isifo samathambo emadolweni. Kungakusiza ukuthi ubambezele isidingo sokushintshwa kwamadolo okuyingxenye noma okuphelele.

Le nqubo isetshenziselwa ukwelapha ubuhlungu bamadolo ngenxa yokulimala kwe-cartilage.

Ukuhlinzwa okubizwa nge-matrix autologous chondrocyte implantation (MACI) noma i-mosaicplasty nakho kungenziwa ngezinkinga ezifanayo.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha
• Amahlule egazi
• Ukutheleleka

Izingozi zokuhlinzwa nge-microfracture yilezi:

• Ukuwohloka koqwanga ngokuhamba kwesikhathi - I-cartilage entsha eyenziwe ukuhlinzwa kwe-microfracture ayinamandla njenge-cartilage yokuqala yomzimba. Ingaphuka kalula.
• Indawo ene-cartilage engazinzile ingakhula ngokuhamba kwesikhathi njengoba ukonakala kuqhubeka. Lokhu kungakunika izimpawu nobuhlungu obengeziwe.
• Ukwanda kokuqina kwamadolo.

Hlala utshela umhlinzeki wakho wezempilo ukuthi imiphi imithi oyiphuzayo, kufaka phakathi imithi, amakhambi, noma izithako ozithengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Lungisa ikhaya lakho.
• Ungadinga ukuyeka ukusebenzisa izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nezinye.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone umhlinzeki 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.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Ungacelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha izidakamizwa udokotela wakho akutshele ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Udokotela wakho noma umhlengikazi uzokutshela ukuthi ufika nini esibhedlela.

Ukwelashwa ngokomzimba kungaqala egumbini lokululama ngemuva nje kokuhlinzwa kwakho. Uzodinga futhi ukusebenzisa umshini, obizwa ngomshini we-CPM. Lo mshini uzozivocavoca kahle umlenze wakho amahora angu-6 kuya kwangu-8 ngosuku amasonto ambalwa. Lo mshini uvame ukusetshenziselwa amasonto ayisithupha ngemuva kokuhlinzwa. Buza umhlinzeki wakho ukuthi uzoyisebenzisa isikhathi esingakanani.

Udokotela wakho uzokwandisa ukuzivocavoca okwenzayo ngokuhamba kwesikhathi uze ukwazi ukuhambisa ngokuphelele idolo lakho futhi. Ukuzivocavoca kungenza uqwanga olusha luphole kangcono.

Uzodinga ukususa isisindo sakho emadolweni amasonto ayisithupha kuya kwayisishiyagalombili ngaphandle kokuthi utshelwe ngenye indlela. Uzodinga izinduku zokuhamba. Ukugcina isisindo emadolweni kusiza u-cartilage omusha ukuba ukhule. Qiniseka ukuthi ubuza nodokotela wakho ukuthola ukuthi ungabeka isisindo esingakanani emlenzeni wakho nokuthi isikhathi esingakanani.

Uzodinga ukuya ekwelashweni ngokomzimba futhi wenze izivivinyo ekhaya izinyanga ezi-3 kuya kwezi-6 ngemuva kokuhlinzwa.

Abantu abaningi benza kahle ngemuva kwalokhu kuhlinzwa. Isikhathi sokutakula singahamba kancane. Abantu abaningi bangabuyela emidlalweni noma kweminye imisebenzi ebucayi ezinyangeni eziyi-9 kuye kwezingu-12. Abasubathi kwezemidlalo enamandla kakhulu bangase bangakwazi ukubuyela ezingeni labo langaphambili.

Abantu abangaphansi kweminyaka engama-40 abanokulimala kwakamuva bavame ukuba nemiphumela emihle kakhulu. Abantu abangakhuluphali ngokweqile banemiphumela engcono.

Ukuvuselelwa kwe-cartilage - idolo

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

• Ukwakheka kokuhlanganiswa

UFrank RM, uLehrman B, uYanke AB, uCole BJ. Chondroplasty kanye microfracture. Ku: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, abahleli. Amasu Okusebenza: Ukuhlinzwa Kwamadolo. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 10.

UFrank RM, uVidal AF, uMcCarty EC. Imingcele yokwelashwa kwe-articular cartilage. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez, noMiller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 97.

UHarris JD, uCole BJ. Izinqubo zokubuyiselwa kwe-articular cartilage zokubuyisela. Ku: Noyes FR, Barber-Westin SD, ama-eds. Ukuphazamiseka Kwamadolo kaNoyes: Ukuhlinzwa, Ukuvuselelwa, Imiphumela Yomtholampilo. Okwesibili. IPhiladelphia, PA: Elsevier; I-2017: isahluko 31.

UMiller RH, u-Azar FM. Ukulimala kwamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 45.