I-ankle arthroscopy

I-Ankle arthroscopy ukuhlinzwa okusebenzisa ikhamera encane namathuluzi okuhlinza ukuhlola noma ukulungisa izicubu ngaphakathi noma eduze kweqakala lakho. Ikhamera ibizwa nge-arthroscope. Inqubo ivumela udokotela ukuthi abone izinkinga futhi alungise iqakala lakho ngaphandle kokusika kakhudlwana esikhunjeni nasezicutshini. Lokhu kusho ukuthi ungaba nobuhlungu obuncane futhi ululame ngokushesha kunokuhlinzwa okuvulekile.

Ungathola i-anesthesia ejwayelekile ngaphambi kwalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma, uzoba ne-anesthesia yesifunda. Indawo yakho yomlenze neqakala izobanjwa izinzwa ukuze ungezwa buhlungu. Uma uthola i-anesthesia yesifunda, uzophinde unikezwe umuthi ozokukwenza uzele kakhulu ngesikhathi sokuhlinzwa.

Ngesikhathi senqubo, udokotela ohlinzayo wenza lokhu okulandelayo:

• Ifaka i-arthroscope ku-ankle yakho ngokusebenzisa imbobo encane. Ububanzi buxhunywe esibonelweni sevidiyo egumbini lokusebenza. Lokhu kuvumela udokotela ohlinzayo ukuthi abuke ingaphakathi leqakala lakho.
• Ihlola zonke izicubu zeqakala lakho. 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.

Ekupheleni kokuhlinzwa, ukusikeka kuzovalwa ngemithungo futhi kumbozwe ngengubo yokugqoka (ibhandishi). Odokotela abaningi abahlinzayo bathatha izithombe eziqapha ividiyo ngesikhathi senqubo ukukhombisa ukuthi batholani nokuthi balungise ini.

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 ze-ankle:

• Ubuhlungu beqakala. I-arthroscopy ivumela udokotela ohlinzayo ukuthi ahlole ukuthi yini ebangela ubuhlungu be-ankle yakho.
• Izinyembezi zeLigament. I-ligament ibhande lezicubu elixhuma ithambo nethambo. Imigqa eminingana eqakaleni isiza ukuyigcina izinzile futhi iyivumele ihambe. Imigqa eqhekekile ingalungiswa ngalolu hlobo lokuhlinzwa.
• Ukufakwa kweqakala. Izicubu eziseqakaleni lakho zingavuvukala futhi zibe buhlungu ngenxa yokusebenzisa ngokweqile. Lokhu kwenza kube nzima ukuhambisa ilunga. I-arthroscopy ingasusa izicubu ukuze ukwazi ukuhambisa ilunga lakho.
• Izicubu ezibomvu. Lokhu kungakha ngemuva kokulimala eqakaleni. Lokhu kuhlinzwa kungasusa izicubu ezibomvu.
• Isifo samathambo. I-arthroscopy ingasetshenziswa ukusiza ukunciphisa ubuhlungu nokwenza ngcono ukunyakaza.
• Ukulimala kwe-cartilage. Lokhu kuhlinzwa kungasetshenziselwa ukuxilonga noma ukulungisa ukulimala kwe-cartilage kanye namathambo.
• Izingcezu ezikhululekile. Lezi yizicucu zethambo noma uqwanga ngaphakathi kweqakala okungadala ukuthi ilunga livaleke. Ngesikhathi se-arthroscopy lezi zingcezu zingasuswa.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha, ukunqamuka kwegazi, noma ukutheleleka

Izingozi ze-ankle arthroscopy yilezi:

• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukwehluleka ukulungiswa ukulungisa
• Ubuthakathaka beqakala
• Ukulimala kwethenda, isitsha segazi, noma inzwa

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 uzokucela 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 noma umhlengikazi. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo.
• Tshela udokotela wakho ohlinzayo uma uba nomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho. Uma ugula, inqubo ingadinga ukuhlehliswa.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza ngaphambi kwenqubo.
• Thatha noma imiphi imithi oceliwe ukuyiphuza ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Fika ngesikhathi.

Ngokuvamile ungaya ekhaya ngosuku olufanayo ngemuva kokululama ku-anesthesia. Kufanele ube nomuntu okushayela ekhaya.

Landela noma imiphi imiyalo yokukhishwa oyinikiwe. Lokhu kungafaka:

• Gcina iqakala lakho liphakeme ngaphezu kwenhliziyo yakho izinsuku ezimbili kuya kwezingu-3 ukusiza ukunciphisa ukuvuvukala nobuhlungu. Ungafaka futhi iphakethe elibandayo ukunciphisa ukuvuvukala.
• Gcina ibhandeshi lakho lihlanzekile futhi lomile. Landela imiyalo yokuthi ungakushintsha kanjani ukugqoka.
• Ungathatha ukudambisa izinhlungu, uma kudingeka, inqobo nje uma udokotela wakho ethi kuphephile ukwenza njalo.
• Uzodinga ukusebenzisa i-walker noma izinduku futhi ugcine isisindo onyaweni lwakho ngaphandle uma umhlinzeki wakho ethi kulungile ukubeka isisindo onyaweni lwakho.
• Ungadinga ukugqoka i-splint noma ibhuthi amasonto ayi-1 kuya kwangu-2 noma ngaphezulu ukuze ugcine iqakala lizinzile njengoba liphola.

I-arthroscopy isebenzisa ukusikeka okuncane esikhunjeni. Uma kuqhathaniswa nokuhlinzwa okuvulekile, ungahle ube:

• Ubuhlungu obuncane nokuqina
• Zimbalwa izinkinga
• Ukululama ngokushesha

Ukusikeka okuncane kuzolulama ngokushesha, futhi ungakwazi ukuqala kabusha imisebenzi yakho ejwayelekile ezinsukwini ezimbalwa. Kepha, uma izicubu eziningi eqakaleni lakho kufanele zilungiswe, kungathatha amasonto ambalwa ukuphola. Ukuphulukisa kwakho ngokushesha kuncike ekutheni ukuhlinza kwakunzima kangakanani.

Ungakhonjiswa ukuthi ungakwenza kanjani ukuzivocavoca okuncane njengoba uphulukisa. Noma, udokotela wakho ohlinzayo angancoma ukuthi ubone owelapha ngokomzimba ukukusiza ukuthi uphinde usebenzise ngokugcwele iqakala lakho.

Ukuhlinzwa kweqakala; I-arthroscopy - iqakala; Ukuhlinzwa - iqakala - i-arthroscopy; Ukuhlinzwa - iqakala - i-arthroscopic

UCerrato R, uCampbell J, uTriche R. Ankle arthroscopy. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 114.

Ishikawa SN. I-arthroscopy yonyawo neqakala. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 50.