Ingabe unesihlungu sedolo? Kungenzeka ukuthi uke wabhekana naso ngenkathi udlala imidlalo, uhamba, noma umi nje. Uma ubuhlungu bakho bungakapheli naphezu kokuthatha imithi nokwenza izinto ezahlukene, udokotela wakho kungenzeka ukuthi uncome ukuhlinzwa okuncane ukuze kubhekwe ngaphakathi kwedolo lakho. Yilokho esikubiza ngokuthi i-knee arthroscopy ngokwezokwelapha. Ungesabi uma uzwa leli gama. Lena inqubo yokuhlinzwa elula kakhulu, ethuthukisiwe kakhulu eyenziwa ngokusikwa okuncane. Ake sixoxe ngakho kusukela ekuqaleni.
Iyini le ndlela yokuhlinzwa kwe-arthroscopy yamadolo?
Kalula nje, lena inqubo ekhethekile yokuhlinzwa esetshenziselwa ukuxilonga nokwelapha izinkinga edolweni. Esikhundleni sokwenza ukusikwa okukhulu edolweni njengasesikhathini esidlule, lokhu kuhlinzwa kwenziwa ngokusikwa okuncane okuningana okufana nembobo yokhiye . Yingakho kubizwa nangokuthi "ukuhlinzwa kwembobo yokhiye."
Cabanga nje, udokotela ufaka ithuluzi elincane elifana nethubhu edolweni ngokusebenzisa ukusikwa okuncane. Ekugcineni kwaleli thubhu kukhona ikhamera encane kakhulu kanye nokukhanya. Lokhu sikubiza ngokuthi 'i-arthroscope'. Le khamera ikhulisa ngokusobala konke okungaphakathi kwejoyinti ledolo, okuhlanganisa i-cartilage, imisipha, namathambo, futhi iyibonisa esikrinini se-TV endaweni yokuhlinzwa.
Manje udokotela useyabona kahle ukuthi yini engalungile ngaphakathi kwedolo. Uma kukhona umonakalo, njengokudabuka, angenza omunye umsike omncane bese efaka amathuluzi akhethekile amahle kakhulu ukuze alungise umonakalo.
Ubani odinga lokhu kuhlinzwa futhi kuziphi izimo?
Ngokuvamile, uma uzwa ubuhlungu edolweni, udokotela wakho ngeke akuncomele ukuhlinzwa ngokushesha. Bazokweluleka kuqala ukuthi uphumule, ufake iqhwa, usebenzise imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID), bese wenza ukwelashwa ngokomzimba (i-PT).
Kodwa uma kungekho kulezi zinto eziqeda ubuhlungu bedolo lakho, khona-ke udokotela wakho uzocabangela ukuhlinzwa kwe-arthroscopic.
Lokhu kuhlinzwa kuvame ukudingwa kubadlali abasebasha, ikakhulukazi labo abadlala imidlalo, ngenxa yokulimala kwamadolo abo. Kodwa-ke, nge-osteoarthritis, lokhu kuhlinzwa akulona ikhambi eliphumelelayo ngaso sonke isikhathi. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Ukuhlinzwa kwe-arthroscopic kwenziwa kakhulu ngalezi zizathu ezintathu:
| Inhloso eyinhloko | Kalula nje... |
|---|---|
| Ukuxilonga ukulimala | Qiniseka ukuthi uyakwazi ukubona kahle ukuthi yini engalungile ngaphakathi kwedolo. Izindawo ezonakele zibonakala kahle uma zibukwa ngekhamera. |
| Lungisa izicubu ezilimele | Uma imisipha, imisipha, noma i-cartilage edolweni idabukile noma yonakele, la mathuluzi athambile angasetshenziswa ukuwathunga ndawonye futhi awalungise. |
| Susa izicubu ezonakele | Ngezinye izikhathi, izingcezu ze-cartilage egugile, izingcezu zamathambo ezonakele, noma izicubu ezivuvukele ziyabhajwa ngaphakathi edolweni futhi zibangele ubuhlungu. Izingxenye ezinjalo ezingafuneki zingasuswa ngalokhu kuhlinzwa. |
Yiziphi izimo eziyinhloko eziphathwa nge-arthroscopy?
Lokhu kuhlinzwa kungelapha izinkinga ezahlukene zamadolo.
- Ukulimala kwezicubu ezithambile: Lokhu kufaka phakathi ukulimala kwemisipha exhumanisa amathambo ethu kanye nemisipha exhumanisa imisipha namathambo. Isibonelo:
- I-meniscus edabukile
- Ukudabuka kwe-Anterior Cruciate Ligament (ACL)
- Ukwephuka kwe-Medial Collateral Ligament (MCL)
- I-Bursitis (ukuvuvukala kwedolo)
- I-Patellar tendonitis
- Ukuphuka: Izingcezu zamathambo ngaphakathi kwedolo zingaphuka futhi zikhululeke. Futhi, izingcezu ze-cartilage zingakhululeka futhi zinamathele ngaphakathi kwejoyinti.
- Ukuvuvukala: Ubuhlungu obubangelwa ukuvuvukala kwe-synovium, ulwelwesi lwedolo. Lesi simo sibizwa nangokuthi i-synovitis.
Yini okudingeka uyazi ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokuxilonga futhi akunike imiyalelo edingekayo.
- Tshela udokotela wakho nganoma yimiphi imithi oyithathayo: Uma uthatha noma yimiphi imithi ekhethekile, njengemithi yokunciphisa igazi, kufanele nakanjani utshele udokotela wakho ngayo. Kungase kudingeke uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Ukudla neziphuzo:Udokotela wakho uzokutshela ukuthi kufanele uyeke nini ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa kwakho. Landela leyo miyalelo kahle.
- I-Anesthesia: Uzonikezwa i-anesthesia ukuze uvikeleke ekuzweleni ubuhlungu ngesikhathi sokuhlinzwa. Kuye ngesimo sakho, udokotela wakho uzokhetha enye yalezi zindlela:
- I-anesthetic yendawo: iqeda ubuhlungu endaweni ezungeze idolo kuphela.
- I-anesthetic yesifunda: Kufakwa umjovo emhlane wakho, okukwenza uzizwe ungakhululekile kusukela okhalweni kuye phansi. Usuqaphile.
- I-anesthetic evamile: Uzolaliswa kuze kube yilapho ukuhlinzwa kuqediwe.
Kwenziwa kanjani ukuhlinzwa?
Ngemva kokuyiswa endaweni yokuhlinza, ukuhlinzwa kwenzeka kanje.
1. Okokuqala, umlenze wakho uzohlanzwa kahle bese ufakwa kudivayisi ekhethekile ezogcina idolo lakho lisendaweni eyodwa ngesikhathi sokuhlinzwa.
2. Ngemuva kwalokho, kwenziwa ukusika okuncane edolweni, bese kufakwa i-arthroscope, enekhamera, ngayo.
3. Manje udokotela ubheka okungaphakathi kwedolo esikrinini se-TV. Uthola indawo eqondile yenkinga.
4. Uma kudingeka ukwelashwa, kwenziwa ukusikwa okuncane okukodwa noma okubili bese kufakwa amathuluzi okuhlinza abucayi ngawo.
5. Ukuthunga izicubu ezidabukile, ukushelela izingcezu ze-cartilage noma amathambo ezonakele, noma ukususa izicubu ezivuvukele ezingafuneki.
6. Ekugcineni, ukusikwa okuncane kuvalwa ngezitishi noma ngeplasta ekhethekile, bese kufakwa ibhandishi edolweni.
Lonke lolu hlelo luvame ukuthatha cishe ihora .
Yini ongayilindela ngemva kokuhlinzwa?
Esikhathini esiningi, lokhu kuyindlela yokulaliswa esibhedlela ngaphandle kwesibhedlela. Lokho kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, njengoba ungakwazi ukushayela, uzodinga umuntu ozokuhambisa ekhaya.
Qaphela lezi zinto ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa.
- Ungabeki isisindo emlenzeni: Gwema ukubeka isisindo emlenzeni ohlinzwe izinsuku ezimbalwa. Uma udinga ukuhamba ngezinyawo, kuzodingeka usebenzise izinduku zokusikela.
- Phakamisa umlenze wakho: Ukuze unciphise ukuvuvukala nobuhlungu, gcina umlenze wakho uphakeme ngangokunokwenzeka, njengasesicamelweni. Kungcono ukuwugcina ungaphezulu kwezinga lenhliziyo yakho.
- Phuza amaphilisi okudambisa izinhlungu: Phuza amaphilisi okudambisa izinhlungu anikezwe udokotela ngesikhathi esifanele.
- Gcina inxeba lihlanzekile: Buza udokotela wakho ukuthi uzolikhipha nini ibhandishi nokuthi ungageza nini. Gcina inxeba lihlanzekile futhi lomile.
Ngemva kwezinsuku ezimbalwa zokuphulukiswa, udokotela wakho uzokudlulisela ekwelashweni ngokomzimba (PT). Lokhu kubalulekile ukuze uthole amandla nokuguquguquka edolweni lakho.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izinzuzo
Inzuzo enkulu yokuhlinzwa "kwe-keyhole" okunje ukuthi kuvumela ukululama okusheshayo kunokuhlinzwa okuvulekile.
- Ubuhlungu buncane.
- Izibazi zincane kakhulu.
- Ingozi yokutheleleka iphansi.
- Ungabuyela emisebenzini evamile ngokushesha.
Izingozi/Izinkinga
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane, kodwa izinkinga azivamile.
- Ukopha kanye nokutheleleka.
- Amahlule egazi emilenzeni.
- Ubunzima bokugoba idolo (ukuqina kwedolo).
- Ukuvuvukala okubangelwa ukuqongelela kwegazi ngaphakathi kwejoyinti (lokhu kwenzeka kaningi kakhulu).
Yiziphi izimpawu okufanele ngibone udokotela ngazo ngemva kokuhlinzwa?
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuya ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Inxeba liyaqhubeka nokopha.
- Izimpawu zokutheleleka: umkhuhlane, ukuvuvukala okukhulu, ukubomvu, kanye nobomvu obuzungeze inxeba.
- Ubuhlungu obukhulu obungenakubekezelelwa ngisho nangemva kokuthatha imithi yobuhlungu.
I-Arthroscopy iyindlela yokuhlinzwa ephephile kakhulu futhi esebenza kahle. Ingalapha izinkinga eziningi zamadolo ngaphandle kokusikwa okukhulu. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngemuva kokuhlinzwa, ikakhulukazi izivivinyo zokwelapha ngokomzimba. Ngemuva kwalokho uzolulama ngokushesha futhi ukwazi ukuqhubeka nomsebenzi wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-knee arthroscopy inqubo yokuhlinzwa ethuthukisiwe eyenziwa ngokusika okuncane kunokusika okukhulu.
- Isetshenziselwa ukuthola imbangela yobuhlungu edolweni kanye nokulungisa imisipha edabukile kanye ne-cartilage.
- Izinzuzo eziyinhloko ukululama okusheshayo, ubuhlungu obuncane, kanye nengozi encishisiwe yokutheleleka kunokuhlinzwa okuvamile.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela nokwenza izivivinyo zokwelapha ngokomzimba ukuqinisekisa ukuthi uyalulama ngokuphelele ngemva kokuhlinzwa.
- Uma uzwa ubuhlungu obukhulu, umkhuhlane, noma ubomvu obuphuma esilondeni ngemva kokuhlinzwa, xhumana nodokotela wakho ngokushesha.
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