Ngaba uneentlungu ezingapheliyo edolweni? Ngaba uyasiva isandi sokuklikha xa uhamba okanye ugoba idolo lakho, okanye idolo lakho livakala ngathi liyabhajwa? Kusenokuba kukwenzakala kwezemidlalo. Ngamaxesha anje, ugqirha wakho unokukuxelela 'ngotyando lwe-keyhole', inkqubo ebandakanya ukufaka ikhamera edolweni lakho. Abantu abaninzi baye beva ngale nto, kodwa abazi ukuba yenziwa njani okanye kutheni. Ungakhathazeki, namhlanje sithetha nge-knee arthroscopy.

Yintoni iKnee Arthroscopy?

Ngamafutshane, le yindlela ekhethekileyo yotyando esetyenziselwa ukujonga ngaphakathi kwedolo kunye nokunyanga iingxaki apho. Eyona nzuzo inkulu yoku kukuba ayifuni ukusikwa okukhulu edolweni njengotyando lwendabuko oluvulekileyo.

Khawucinge nje, olu tyando lonke lwenziwa ngokusikwa kabini okanye kathathu okuncinci, njengesitshixo.

Ngokusikwa nje okuncinci, isixhobo (i-arthroscope) esilingana nepensile kwaye sixhotyiswe ngekhamera encinci sifakwa kwilungu ledolo.
Le khamera ikhulisa yonke into engaphakathi edolweni, njenge-cartilage, i-ligaments, kunye ne-meniscus, kwaye iyibonisa ngokucacileyo kwisikrini seTV kwigumbi lotyando.
Ugqirha angayijonga aze afumanise ukuba yintoni kanye kanye ingxaki, kwaye ukuba kufuneka unyango, angafaka izixhobo zotyando ezibuthathaka kwezinye iindawo ezincinci aze alungise umonakalo apho.

Oku kubizwa ngokuba yinkqubo engaphantsi kakhulu , oko kuthetha ukuba akukho monakalo mkhulu kunye namanxeba emzimbeni.

Ngubani odinga olu tyando?

Ngokwesiqhelo, into yokuqala esiyenzayo xa sibuhlungu edolweni kukuphumla, sikhenkce, sithathe iintlungu zentlungu (ii-NSAID), size senze unyango lomzimba (PT). Nangona kunjalo, ukuba ezi zinto azinciphisi iintlungu kwaye ukusebenza kwedolo kuyaphazamiseka, ugqirha unokuqwalasela olu tyando lweKnee Arthroscopy.

Isetyenziswa kakhulu xa kusenziwa izingozi kwezemidlalo, ingakumbi kubantwana abancinci. Ezi zingozi zixhaphakile kwimidlalo yokutsiba efana nevolibholi kunye nemidlalo yokudibanisa efana nebhola ekhatywayo.

Kodwa into enye ekufuneka uyikhumbule kukuba olu tyando alusoloko luyisisombululo esiphumelelayo kwi-osteoarthritis, imeko eyenzeka emadolweni njengoko sikhula. Kufuneka uxoxe ngale nto nogqirha wakho ngaphambi kokuba wenze isigqibo.

Zeziphi izinto ezisetyenziselwa le ndlela?

Oogqirha basebenzisa olu tyando ngeenjongo ezintathu eziphambili. Masiyiqonde kwitheyibhile efana nale.

Injongo ephambili	Kwenzekani?
Uxilongo	Chonga ngokubonakalayo unobangela wentlungu nokudumba ngaphakathi edolweni. Ikhamera inokuwubona ngokucacileyo umonakalo kwizicubu ezifana ne-cartilage kunye ne-ligaments.
Ukulungiswa kwezicubu ezonakeleyo	Imisipha ekrazukileyo, imisipha, okanye i-meniscus cartilage zinokuthungwa kunye kusetyenziswa izixhobo ezincinci. Umzekelo, isetyenziselwa ukunyanga iimeko ezifana nokukrazuka kwe-anterior cruciate ligament (ACL) kunye nokukrazuka kwe-meniscus .
Ukususwa kweendawo ezonakeleyo okanye ezingabalulekanga	Ngamanye amaxesha, ukuba iziqwenga ze-cartilage ezonakeleyo, iziqwenga zamathambo, okanye i-synovium evuvukileyo zibangela iingxaki edolweni, ziyakhuhlwa ngezi zixhobo.

Kwenzeka ntoni ngaphambi nangexesha lotyando?

Ngaphambi kotyando

Emva kokucwangcisa utyando lwakho, ugqirha wakho uza kukubuza ngamayeza owasebenzisayo. Ungacelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi kwiintsuku ezimbalwa ngaphambi kotyando lwakho. Ugqirha wakho uza kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngobusuku bangaphambi kotyando lwakho.

Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia. Ngoko ke awuyi kuva ntlungu ngexesha lotyando. Ugqirha uza kukhetha enye yezi ndlela kuxhomekeke kwimeko yakho:

I-anesthetic yendawo: Ibulala idolo kuphela.
I-anesthetic yengingqi: Isixhobo sokudambisa iintlungu ukusuka esinqeni ukuya ezantsi (iyeza elifakwe emgogodleni).
I-anesthesia eqhelekileyo: I-anesthesia ekwenza ulale ubuthongo ngokupheleleyo de utyando lugqitywe.

Ngexesha lotyando

1. Okokuqala, umlenze wakho uza kucocwa kakuhle kwaye idolo lakho liza kuvalwa ngesixhobo esikhethekileyo sokulithintela ukuba lingashukumi ngexesha lotyando.

2. Emva koko ugqirha wenza umngxuma omncinci edolweni aze afake isixhobo esifakwe ikhamera (i-arthroscope) endisikhankanyileyo ngaphambili.

3. Ngoku ugqirha angabona ukuba yintoni engaphakathi edolweni kwiscreen seTV. Angayibona ngqo ingxaki, aze, ukuba kuyimfuneko, ayinyange ngokwenza umsike omnye okanye emibini emincinci aze afake izixhobo ezithambileyo kuzo.

4. Ezi zixhobo zisetyenziselwa ukuthunga izicwili ezikrazukileyo, ukukhuhla i-cartilage eyonakeleyo, okanye ukususa izicwili ezidumbileyo.

5. Okokugqibela, loo mingxunya mincinci ivalwa ngezititshi okanye iiplasta ezikhethekileyo (iintambo zotyando), kwaye ibhandeji enkulu ifakwa edolweni.

Ndingahlala njani ekhaya emva kotyando?

Le nkqubo idla ngokuba yeyokunyanga ngaphandle kwesibhedlele. Utyando ludla ngokuthatha malunga neyure. Nangona kunjalo, ngamanye amaxesha kusenokufuneka uhlale esibhedlele usuku lonke. Awuyi kukwazi ukuqhuba imoto usiya ekhaya, ngoko ke kuya kufuneka umntu oza kukuqhuba usiya ekhaya.

Kufuneka ulumke kakhulu ngezi zinto kwiintsuku zokuqala emva kotyando:

Musa ukutyeba emlenzeni: Kuphephe ukutyeba emlenzeni otyandiweyo de ugqirha wakho akuxelele ukuba wenjenjalo. Kuya kufuneka usebenzise iintonga zokuhamba xa uhamba.
Gcina umlenze wakho uphezulu: Ukuze unciphise ukudumba kwaye ulawule iintlungu, zama ukugcina umlenze wakho uphezulu ngaphezu kwenqanaba lentliziyo yakho nanini na xa kunokwenzeka, njengakumqamelo.
Sela iintlungu ngokuchanekileyo: Sela iintlungu zempilo kunye namanye amayeza (umz., amayeza okunciphisa igazi) achazwe ngugqirha wakho kanye njengoko eyalelwe nangexesha elifanelekileyo.
Gcina inxeba licocekile: Musa ukususa ibhandishi. Ligcine licocekile kwaye lomile. Buza ugqirha wakho okanye umongikazi ukuba ulitshintshe nini ibhandishi kwaye ungahlamba nini.

Emva kokuba uphilile kancinci, ugqirha wakho uza kukuthumela kwi- physiotherapy . Oko kuyimfuneko. Apho, baza kukufundisa imithambo yokuqinisa izihlunu ezijikeleze idolo lakho kunye nokukunceda ugobe kwaye ulungise idolo lakho ngokufanelekileyo. Oko kubaluleke kakhulu kuwe ukuze uphile ngokukhawuleza nangokupheleleyo.

Ixesha lokubona ugqirha emva kotyando

Ukuba ufumana naziphi na ezi mpawu emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane nawe.

Ukuba amanxeba aqhubeka nokopha.
Ukuba ubona iimpawu zosulelo, ezinje ngomkhuhlane, ukudumba okugqithisileyo, ukubomvu, kunye nobomvu obujikeleze inxeba.
Ukuba unentlungu enzima engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu.
Ukuba ubona into efana nokungaziva mnandi emlenzeni wakho okanye utshintsho kumbala wonyawo lwakho.

Olu tyando lunyango olukhuselekileyo nolusebenzayo. Ukuba ulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye wenze unyango lomzimba ngokuchanekileyo, uya kukwazi ukubuyela kubomi bakho besiqhelo ngokukhawuleza.

Umyalezo Wokuya Ekhaya

I-Knee Arthroscopy "lutyando lwe-keyhole" apho ikhamera ifakwa khona ngokusebenzisa imingxunya emincinci, ngaphandle kokwenza umngxuma omkhulu edolweni.
Oku kuvumela ukuchongwa kunye nokunyangwa kokwenzakala edolweni (umz. i-ACL, iinyembezi ze-meniscus).
Ixesha lokuchacha, iintlungu, kunye nomngcipheko wokosuleleka zincinci kunezo zotyando oluvulekileyo.
Kubalulekile ukulandela imiyalelo kagqirha kunye nonyango lomzimba ukuqinisekisa ukuba uyachacha ngokupheleleyo emva kotyando.
Ukuba ufumana iimpawu ezinje ngomkhuhlane, iintlungu eziqatha, okanye ukuphuma kobovu enxebeni emva kotyando, qhagamshelana nogqirha wakho ngoko nangoko.