Kulo unyango lwangoku kunye nokuxilongwa kwezifo eziphazamisayo zesistim se-musculoskeletal, inkqubo efana ne-arthroscopy yexolo idityaniswe rhoqo - yintoni na kwaye inomdla kuzo zonke izigulane. Ukongezelela, kukho imibuzo eninzi eyongeziweyo malunga nokusetyenziswa kokuphathwa, ingozi yeengxaki, isidingo sokuvuselelwa.
Ukuxilonga i-arthroscopy yedolo
Le ndlela yophando yinto enokungenelela ngoncedo lokuphela kwe-endoscopic. I-arthroscopy ye-Diagnostic iqulethwe kukuba udokotela wenza into encinci (malunga no-4-5 mm) ngokuchaneka kokuqala kokuqala ukuhambisa umbane wokunkcenkcesha okuyimfuneko ukuphucula ukubonakala kunye nokuhluthwa kwamalungu amacandelo. Emva koko, ifakwe ikhamera ye-fiber optic efakwe kwikhompyutheni yekhompyuter. Ukuba kuyimfuneko ukujonga ezinye iindawo zomdibaniselwano, ukubandakanywa okongeziweyo kunokwenziwa.
Kubalulekile ukuba uqaphele ukuba kwiminyaka yamuva, i-arthroscopy isetyenziswe ngaphantsi nangaphantsi kwii-diagnostics, ukhetha ukucinga ngomfanekiso wamagnetic.
Ukusebenza kwe-arthroscopy yedolo
Inkqubo yokuhlinzwa eyenziwe ichazwe ngeengxaki:
- ezahlukeneyo zezilwanyana;
- ukuphazamiseka, ukungazinzi kwe patella;
- Isifo sikaHoff ;
- ukuvuvukala kwe synovium;
- iziqhekeza zamahhala zomzimba, amathambo angaphakathi ngaphakathi;
- ukugqithwa komgudu;
- chondromalacia;
- Isifo soKeni;
- ukuguqula i-arthrosis;
- i-hyperplasia engapheliyo emzimbeni onamafutha.
Ingundoqo yentshukumo ukuqhuba ukusika oku-2 ukuya kwi-6 mm ubude. Omnye wabo uzisa i-arthroscope (ikhamera) kunye nethuba lokunyusa umfanekiso ukuya kumaxesha angama-60. Isicatshulwa sesibini sinceda ukufikelela kwizixhobo zokupakisha ezincinci kwi-alloy ekhethekileyo. Kwi-arthroscopy yemigqaliselo yexolo elihlangene, ukufakelwa kwimizimba yesigulane ngokwaso okanye umniki-mali naye uyaziswa. Emva kokubuyiselwa ngokupheleleyo kweendawo ezonakalisiweyo, iyanquma.
Ukuxhaphaza okunjalo kuncinci, kungabikho kwegazi, kuthatha ixesha elifutshane lokuvuselelwa kwaye kuhlala kwisibhedlele (ngokuqhelekileyo iintsuku ezingama-2-3).
Iziphumo ze-arthroscopy yamadolo
Nangona ukukhuseleka okuphezulu kwokhuseleko lobugcisa obubonisiweyo, kunemiba enokuthi ivele phakathi kokusebenza kunye nangemva kokuphunyezwa kwayo.
Iingxaki eziqhelekileyo kunyango lokungenelela:
- Ukwelula kwesigxina sangaphakathi sangaphakathi;
- iziphazamiso zentsholongwane kwi-veil poplitis okanye i-artery;
- ukuphuka kunye nokudibanisa kwezixhobo zeeteksi kwidibeneyo;
- umonakalo kumasebe amancinci esitratweni kwisiza sokungena.
Imiphumo efanayo ifumaneke kakhulu, ngaphantsi kwe-0.005% yazo zonke iimeko.
Iingxaki emva kwe-arthroscopy yexolo elihlangeneyo:
- arthritis ;
- ukuxubusha komlambo ohlangeneyo;
- ukukhathazeka kwe-thromboembolic;
- algodystrophic syndrome;
- usulelo lwangemva;
- hemarthrosis ngaphakathi kwendibano;
- ukuvuvukala kwindawo yecala.
Ezi ngxaki azifumaneki rhoqo kwiinkqubo zonyango (ngaphantsi kwe-0.5% yamatyala), kodwa isisombululo sabo singadinga ukuhlinzwa ngokuphindaphindiweyo, amajoyini okuhlambulula, ukugqithisa, ukungena kwangaphakathi okanye unyango oluthile, kuquka nokuthatha izidakamizwa zokulwa ne-antibacterial, i-glucocorticosteroid hormones. Kwakhona, ubukho beengxaki ezinzulu kubonisa ukwanda kwithuba lokuvuselela ukuya kwiinyanga ezili-18-24.