Kuyini i-Meniscectomy?

-Delile

• Kungani kwenziwa?
• Ngabe ngidinga ukwenza noma yini ukulungiselela?
• Kwenziwa kanjani?
• Ukuhlinzwa kwe-arthroscopic
• Vula ukuhlinzwa
• Ngabe ngidinga ukwenza noma yini ngemuva kokuhlinzwa?
• Kuthatha isikhathi esingakanani ukululama?
• Ingabe zikhona izingozi?
• Uyini umbono?

I-meniscectomy uhlobo lokuhlinzwa olusetshenziselwa ukwelapha i-meniscus elimele.

I-meniscus isakhiwo esenziwe ngoqwanga olusiza amadolo akho ukuthi asebenze kahle. Unayo emibili edolweni ngalinye:

• i-lateral meniscus, eduze komphetho ongaphandle wedolo lakho elihlangene
• i-meniscus yangaphakathi, eduze komphetho ngaphakathi kwamadolo akho

Ama-menisci akho asiza ukuhlangana kwamadolo ngoku:

• ukusabalalisa isisindo sakho endaweni enkulu, esiza idolo lakho ukuphakamisa isisindo sakho
• ukuzinzisa ilunga
• ukuhlinzeka ukuthambisa
• ukuthumela amasiginali akho obuchopho ukuze wazi ukuthi idolo lakho likuphi esikhaleni esihlobene nomhlabathi, okusiza ngokulinganisela
• esebenza njenge-absorber absorber

I-meniscectomy ephelele ibhekisela ekususweni kokuhlinzwa kwe-meniscus yonke. I-meniscectomy engaphelele isho ukususwa kwengxenye eyonakele kuphela.

Kungani kwenziwa?

I-meniscectomy ivame ukwenziwa uma une-meniscus edabukile, okuwukulimala okuvamile kwamadolo. Cishe abantu abangama-66 kwabangu-100 000 badabula i-meniscus ngonyaka.

Umgomo wokuhlinzwa ukukhipha izingcezu ze-meniscus ezinamathela kujoyini. Lezi zingcezu zingaphazamisa ukunyakaza okuhlangene futhi zenze ukukhiya kwakho idolo.

Izinyembezi ezincane zivame ukuzelapha zodwa ngaphandle kokuhlinzwa, kepha izinyembezi ezinzima kakhulu zidinga ukulungiswa kokuhlinzwa.

Ukuhlinzwa kudingeka njalo lapho:

• izinyembezi azipholi ngokwelashwa okulondolozayo, njengokuphumula noma iqhwa
• idolo lakho elihlangene liphuma ekuqondeni
• idolo lakho liyakhiywa

Lapho kudingeka ukuhlinzwa, noma ngabe uzodinga i-meniscectomy engaphelele noma ephelele kuncike ku:

• iminyaka yakho
• usayizi wezinyembezi
• indawo yezinyembezi
• imbangela yezinyembezi
• izimpawu zakho
• izinga lomsebenzi wakho

Ngabe ngidinga ukwenza noma yini ukulungiselela?

Kuyasiza ukuqala ukuqinisa izivivinyo emasontweni amabili kuya kwamane ngaphambi kokuhlinzwa. Uma imisipha yakho iqina emadolweni akho, ukululama kwakho kuzoba lula futhi kusheshe.

Ezinye izinto ongazenza ukulungiselela ukuhlinzwa kwakho zifaka:

• ukukhuluma nodokotela wakho ngalokho ongakulindela ngesikhathi sokuhlinzwa nangemva kokuhlinzwa
• ukutshela udokotela wakho yonke imishanguzo kadokotela oyisebenzisayo kanye nemithi oyisebenzisayo
• ukubuza udokotela wakho ukuthi imiphi imishanguzo okufanele uyiyeke ngaphambi kokuhlinzwa, njengaleyo engakwenza ukuthi uphume igazi kalula
• ukwenza isiqiniseko sokuthi unomuntu ozokushayela ekhaya ngemuva kokuhlinzwa, ikakhulukazi uma uya ekhaya ngosuku olufanayo

Ngosuku lokuhlinzwa, cishe uzotshelwa ukuthi ungadli noma uphuze amahora ayi-8 kuya kwayi-12 ngaphambi kwenqubo.

Kwenziwa kanjani?

Kunezindlela ezimbili eziyinhloko ezisetshenziselwa i-meniscectomy:

• ukuhlinzwa kwe-arthroscopic kuvame ukwenziwa kusetshenziswa umgogodla noma i-anesthesia ejwayelekile njengokuhlinzwa kweziguli, okusho ukuthi ungaya ekhaya ngosuku olufanayo nokuhlinzwa
• ukuhlinzwa okuvulekile kudinga i-anesthesia ejwayelekile noma yomgogodla futhi mhlawumbe nokuhlala esibhedlela

Uma kunokwenzeka, ukuhlinzwa kwe-arthroscopic kuyathandwa ngoba kubangela ukulimala okuncane kwemisipha nezicubu futhi kuholele ekululameni ngokushesha. Kodwa-ke, kwesinye isikhathi iphethini yezinyembezi, indawo, noma ukuqina kwenza ukuhlinzwa okuvulekile kudingekile.

Ukuhlinzwa kwe-arthroscopic

Ngale nqubo:

1. Imvamisa, kwenziwa imisiko emincane emithathu edolweni lakho.
2. Ububanzi obukhanyisiwe ngekhamera bufakwa phakathi kokuqhekeka okukodwa futhi amathuluzi asetshenziselwa ukwenza inqubo afakwa kokunye.
3. Zonke izakhiwo emadolweni akho ziyahlolwa kusetshenziswa ikhamera.
4. Isinyembezi sitholakele bese kususwa ucezu oluncane (i-meniscectomy engaphelele) noma i-meniscus ephelele (iyonke i-meniscectomy).
5. Amathuluzi nobubanzi buyasuswa, futhi okusikiwe kuvaliwe nge-suture noma nge-tape tape strips.

Vula ukuhlinzwa

Nge-meniscectomy evulekile:

1. Kusikwa imbobo enkulu phezu kwedolo lakho ukuze kuhlangane lonke idolo ngokuhlangana kwakho.
2. Kuhlolwa ilunga lakho, kukhonjwe izinyembezi.
3. Ingxenye elimele noma yonke i-meniscus isusiwe.
4. Ukuqhekezwa kuthungiwe noma kufakwe isitapula.

Ngabe ngidinga ukwenza noma yini ngemuva kokuhlinzwa?

Ngemuva kokuhlinzwa, uzobe usegumbini lokutakula ihora noma amabili. Njengoba uvuka noma umthambo uphela, idolo lakho lizoba buhlungu futhi livuvuke.

Ukuvuvukala kungalawulwa ngokukhulisa nokufaka uqweqwe lwedolo ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa.

Imvamisa uzonikezwa umuthi wezinhlungu, mhlawumbe i-opioid, ezinsukwini ezimbili kuya kwezintathu zokuqala. Idolo lingajovwa ngomuthi wokubulala izinzwa wendawo noma osebenza isikhathi eside ongahle wenze ukuphuza i-opioid amathuba amancane. Ngemuva kwalokho, izidakamizwa ezingezona ukuvuvukala, ezifana ne-ibuprofen, kufanele zanele ukuqeda izinhlungu zakho.

Kufanele ukwazi ukubeka isisindo emadolweni akho ukuze ume futhi uhambe ngokushesha nje lapho uphuma egumbini lokutakula, kodwa mhlawumbe uzodinga izinduku zokuhamba isikhathi esingangesonto elilodwa. Udokotela wakho uzokutshela ukuthi ungabeka isisindo esingakanani emlenzeni.

Cishe uzonikezwa izivivinyo zasekhaya ukusiza idolo lakho lithole amandla nokuhamba. Kwesinye isikhathi ungadinga ukwelashwa ngokomzimba, kepha imvamisa izivivinyo zasekhaya zanele.

Kuthatha isikhathi esingakanani ukululama?

Ukululama kuzothatha cishe amasonto amane kuya kwayisithupha, kuya ngendlela yokuhlinzwa esetshenzisiwe. Isikhathi sokululama ngemuva kokuhlinzwa kwe-arthroscopic kuvame ukuba sifushane kunaleso sokuhlinzwa okuvulekile.

Ezinye izinto ezithinta isikhathi sokutakula zifaka:

• uhlobo lwe-meniscectomy (okuphelele noma okuyingxenye)
• ubunzima bokulimala
• impilo yakho yonke
• izinga lomsebenzi wakho ojwayelekile
• impumelelo yokwelashwa kwakho ngokomzimba noma izivivinyo zasekhaya

Ubuhlungu nokuvuvukala kuzoba ngcono ngokushesha. Cishe ngosuku lwesibili noma lwesithathu ngemuva kokuhlinzwa, kufanele ukwazi ukwenza imisebenzi yansuku zonke, efana nemisebenzi elula yasendlini. Kufanele futhi ukwazi ukubuyela emsebenzini uma umsebenzi wakho ungabandakanyi ukuma okuningi, ukuhamba, noma ukuphakamisa okunzima.

Isonto elilodwa kuya kwamabili ngemuva kokuhlinzwa, kufanele ube nohambo oluphelele lokunyakaza emadolweni akho. Kufanele futhi ukwazi ukusebenzisa umlenze wakho ukushayela ngemuva kweviki elilodwa kuya kwamabili, inqobo nje uma ungasebenzisi umuthi wezinhlungu opiate.

Cishe uzobuyisa amandla omzimba wakho wangaphambilini emlenzeni emasontweni amabili noma amathathu ngemuva kokuhlinzwa.

Emasontweni amane kuya kwayisithupha ngemuva kokuhlinzwa, kufanele ukwazi ukuqala ukudlala ezemidlalo bese ubuyela emsebenzini okubandakanya ukuma okuningi, ukuhamba nokuphakamisa okunzima.

Ingabe zikhona izingozi?

Ama-meniscectomies aphephe impela, kepha kunezingozi ezimbili ezinkulu okufanele wazi ngazo:

• Ukutheleleka. Uma ukusika kwakho kungagcinwa kuhlanzekile, amabhaktheriya angangena ngaphakathi kwedolo lakho futhi abangele ukutheleleka. Izimpawu okufanele uzibheke ukwanda kobuhlungu, ukuvuvukala, ukufudumala, kanye nokukhishwa kwamanzi kusuka kusike.
• I-thrombosis ejulile ye-venous. Leli yihlule legazi elenzeka emthanjeni womlenze wakho. Ingozi yakho yokukhuphuka ngemuva kokuhlinzwa kwedolo ngoba igazi lihlala endaweni eyodwa uma ungahambisi umlenze wakho kaningi ngenkathi uthola amandla akho. Ithole elifudumele, elivuvukile, nelithenda lingakhombisa ukuthi une-thrombosis. Isizathu esiyinhloko sokugcina idolo nomlenze wakho kuphakanyisiwe ngemuva kokuhlinzwa ukuvimbela lokhu ukuthi kungenzeki.

Uma ubona noma yiziphi zalezi zimpawu nezimpawu, xhumana nodokotela wakho ohlinzayo noma umhlinzeki wezempilo ngokushesha. Kubalulekile ukuqala ama-antibiotic ngokushesha okukhulu ukuze ukutheleleka kungabi kubi kakhulu okudinga ukuthi kungeniswe futhi esibhedlela okunye ukuhlinzwa.

Amahlule egazi kufanele alashwe ngama-thinner wegazi ngokushesha ngaphambi kokuba ucezu luqhekeze luye emaphashini akho, lubangele ukubumbana kwamaphaphu.

Ngaphezu kwalokho, ukuba ne-meniscectomy ephelele kungakushiya uthambekele ekuthuthukiseni i-osteoarthritis emadolweni akho. Kodwa-ke, ukushiya isililo singelashwa kungakhuphula ubungozi bakho. Ngenhlanhla, i-meniscectomy ephelele ayidingeki kangako.

Uyini umbono?

I-meniscectomy ingakushiya ungasebenzi kancane kunokujwayelekile isikhathi esingangenyanga noma ngaphezulu, kepha kufanele ukwazi ukubuyela emisebenzini yakho ngemuva kwamasonto angaba yisithupha.

Yize bobabili benemiphumela emihle yesikhashana, i-meniscectomy engaphelele inomphumela wesikhathi eside ongcono kune-meniscectomy ephelele. Uma kunokwenzeka, i-meniscectomy engaphelele yinqubo ekhethwayo.