Esikhathini sokwelashwa kwanamuhla nokuxilongwa kwezifo ezisabekayo zesistimu ye-musculoskeletal, inqubo efana ne-arthroscopy yamadolo ehlangene kuvame ukuphakanyiswa - iyini futhi yenzalo yazo zonke iziguli. Ngaphezu kwalokho, kuphakama imibuzo eningi ngokuphathelene nendlela yokwenza ukuxhaphazwa, izingozi zezinkinga, isidingo sokuvuselelwa.
I-arthroscopy yokuxilonga yamadolo ahlangene
Le ndlela yokucwaninga inguquko yokungenela kokuphela kokuphela. I-arthroscopy yokuxilonga iqukethe ukuthi udokotela wenza inhlanganisela encane (engaba ngu-4-5 mm) ukuhlanganiswa okuqala lapho umjoqo wokuqala uqala khona uketshezi lwamanzi okunisela okudingekayo ukuze kuthuthukiswe ukubonakala nokukhipha izingxenye ezihlangene zomzimba. Emva kwalokho, ikhamera ye-fiber optic encane ifakiwe, ehambisa isithombe ngesilinganiso esikhulisiwe kwikhompyutha. Uma kudingekile ukubuka ezinye izingxenye ze-joint, ukucubungula okwengeziwe kungenziwa.
Kufanele kuqaphele ukuthi eminyakeni yamuva, i-arthroscopy isetshenziswe kancane kancane ukuze ihlolwe, ikhetha ukucabanga kwe-resonance magnetic.
Ukusebenza kwe-arthroscopy yehlangothini lamadolo
Inqubo yokuhlinzwa echazwe iboniswe ngezinkinga ezinjalo:
- izilonda zamadoda ezehlukene;
- ukuphazamiseka, ukungazinzi kwe-patella;
- Isifo sikaHoff ;
- ukuvuvukala kwe-synovium;
- izingxenyana zama-cartilage, amathambo angaphakathi ngaphakathi kokujoyina;
- ukuphumula komgudu;
- i-chondromalacia;
- Isifo se-Kening;
- i-deforming arthrosis;
- i-hyperplasia engapheli emzimbeni wamafutha.
Okusemqoka kokusebenza ukufeza ukusika okungu-2 kuya ku-6 mm ubude. Omunye wabo ufaka i-arthroscope (ikhamera) enekhono lokukhulisa isithombe kuze kube izikhathi ezingu-60. Ukukhishwa kwesibili kutholakala ukuthola izinsimbi zokuhlinzwa ezincane ezivela e-alloy ekhethekile. E-arthroscopy yemigqa yehlangothini lamadolo, isilwane esakhiwa izicubu zesiguli ngokwaso noma umnikezeli uyasungulwa. Ngemuva kokubuyiselwa okugcwele kwezindawo ezilimele, ixazulula.
Ukuxhaphazwa okunjalo kuhlinzeka kancane kancane, okungenanjengegazi, kuthatha isikhathi esifushane sokuvuselelwa futhi uhlale esibhedlela (ngokuvamile izinsuku ezingu-2-3).
Imiphumela ye-arthroscopy yamadolo ahlangene
Naphezu kokusebenza okuphezulu kwezokuphepha kwekhono elibonisiwe, kunemiphumela ethile engase iphakame kokubili ngesikhathi sokusebenza ngokwaso nangemva kokuqaliswa kwayo.
Izinkinga ezivamile ekungeneleleni kokuhlinzwa:
- ukulula kwesiguli sangaphakathi sangaphakathi;
- ukuphazamiseka kokujikeleza emithanjeni ye-popliteal noma i-artery;
- ukuhlukana nokuhlehliswa kwezinsimbi zamathuluzi ezihlangene;
- umonakalo emagatsheni amancane ezinsiza endaweni yesicingo.
Imiphumela efanayo ifana kakhulu, engaphansi kwe-0.005% yazo zonke izimo.
Izinkinga emva kwe-arthroscopy yehlangothini lamadolo:
- i-arthritis ;
- ukukhuluma komthamo ohlangene;
- izifo ze-thromboembolic;
- i-algodystrophic syndrome;
- ukutheleleka kwe-postoperative;
- hemarthrosis ngaphakathi kokujoyina;
- ukuvuvukala endaweni yesikhumba.
Lezi zinkinga azivame ukutholakala emisebenzini yezokwelapha (ezingaphansi kwezingu-0.5% zamacala), kodwa ngenxa yesisombululo sabo singadinga ukuhlinzeka ngokuphindaphindiwe, amajoyini okuhlanza, ukugoba, ukungena kwangaphakathi noma ukwelashwa okuqondile, kuhlanganise nokuthatha izidakamizwa zokulwa ne-antibacterial, ama-hormone glucocorticosteroid. Futhi, ukutholakala kwezinkinga ezinkulu kubonisa ukwanda esikhathini sokuvuselela kuya ezinyangeni ezingu-18-24.