I-arthroscopy yesihlakala

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

Ngokuqinisekile uzothola i-anesthesia ejwayelekile ngaphambi kwalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma, uzoba ne-anesthesia yesifunda. Ingalo yakho nendawo yesihlakala kuzobanjwa 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 esihlakaleni sakho ngokusika okuncane. Ububanzi buxhunywe esibonelweni sevidiyo egumbini lokusebenza. Lokhu kuvumela udokotela ohlinzayo ukuthi abuke ingaphakathi lesandla sakho.
• Ihlola zonke izicubu zesihlakala sakho. 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.

Ungadinga i-arthroscopy yesandla uma unenye yalezi zinkinga:

• Ubuhlungu besihlakala. I-arthroscopy ivumela udokotela ohlinzayo ukuthi ahlole ukuthi yini ebangela ubuhlungu besihlakala sakho.
• Ukususwa kwe-Ganglion. Lesi yisikhwama esincane esigcwele uketshezi esikhula esihlangwini sesihlaka. Akunangozi, kepha kungaba buhlungu futhi kungakhawulela amandla akho okuhambisa isihlakala sakho ngokukhululeka.
• Izinyembezi zeLigament. I-ligament ibhande lezicubu elixhuma ithambo nethambo. Imigqa eminingi esihlakaleni isiza ukuyigcina izinzile futhi iyivumele ihambe. Imigqa eqhekekile ingalungiswa ngalolu hlobo lokuhlinzwa.
• Izinyembezi ezingunxantathu ze-fibrocartilage (TFCC). I-TFCC yindawo yoqwanga esihlakaleni. Ukulimala kwe-TFCC kungadala ubuhlungu engxenyeni engaphandle yesihlakala. I-arthroscopy ingalungisa umonakalo we-TFCC.
• Ukukhishwa komhubhe weCarpal. I-Carpal tunnel syndrome yenzeka lapho inzwa edlula emathanjeni athile nakwizicubu esihlakaleni sakho iyavuvukala futhi icasuke. Nge-arthroscopy indawo lapho le nerve idlula khona ingenziwa ibe nkulu ukunciphisa ingcindezi nobuhlungu.
• Ukuphuka kwesihlakala. I-arthroscopy ingasetshenziselwa ukususa izingcezu ezincane zethambo futhi usize ukuqondisa kabusha amathambo esihlakaleni sakho.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi ze-arthroscopy yesihlakala yilezi:

• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukwehluleka ukulungiswa ukulungisa
• Ubuthakathaka besihlakala
• Ukulimala kwethenda, umthambo wegazi, noma inzwa

Ngaphambi kokuhlinzwa:

• Tshela udokotela wakho ohlinzayo ukuthi iyiphi imithi oyisebenzisayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.
• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kanye neminye imithi.
• Buza umhlinzeki wakho wezokunakekelwa kwempilo 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 nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula. Uma ugula, ukuhlinzwa kwakho kungadinga 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.

Ungaya ekhaya ngosuku olufanayo ngemuva kokuchitha ihora noma ngaphezulu ululama. Kufanele ube nomuntu okushayela ekhaya.
Landela noma imiphi imiyalo yokukhishwa oyinikiwe. Lokhu kungafaka:

• Gcina isihlakala sakho siphakeme ngaphezu kwenhliziyo yakho izinsuku ezimbili kuya kwezingu-3 ukusiza ukunciphisa ukuvuvukala nobuhlungu. Ungafaka futhi iphakethe elibandayo ukusiza ngokuvuvukala.
• 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.
• Ungahle udinge ukugqoka i-splint isonto elilodwa kuya kwele-2 noma ngaphezulu ukuze ugcine isihlakala sizinzile njengoba siphulukisa.

I-arthroscopy isebenzisa ukusikeka okuncane esikhunjeni, ngakho-ke uma kuqhathaniswa nokuhlinzwa okuvulekile, ungahle ube:

• Ubuhlungu obuncane nokuqina ngesikhathi sokululama
• Zimbalwa izinkinga
• Ukululama ngokushesha

Ukusikeka okuncane kuzolulama ngokushesha futhi ungakwazi ukuqala kabusha imisebenzi yakho ejwayelekile ezinsukwini ezimbalwa. Kepha, uma izicubu eziningi esihlakaleni sakho bekufanele zilungiswe, kungathatha amasonto ambalwa ukuphola.

Ungakhonjiswa ukuthi ungakwenza kanjani ukuzivocavoca okuncane ngeminwe nangesandla sakho. Udokotela wakho futhi angancoma ukuthi ubone owelapha ngokomzimba ukukusiza ukuthi uphinde usebenzise isihlakala sakho ngokugcwele.

Ukuhlinzwa esihlakaleni; I-arthroscopy - isihlakala; Ukuhlinzwa - isihlakala - i-arthroscopy; Ukuhlinzwa - isihlakala - i-arthroscopic; Ukukhishwa komhubhe weCarpal

I-Cannon DL. Ukuphazamiseka kwesihlakala. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 69.

UGeissler WB, uKeen CA. I-arthroscopy yesihlakala. 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 73.