Arthroscopy yamapewa

Arthroscopy wam'manja ndi opaleshoni yomwe imagwiritsa ntchito kamera yaying'ono yotchedwa arthroscope kuti ifufuze kapena kukonza zotupa mkati kapena mozungulira paphewa panu. Arthroscope imalowetsedwa kudzera pakadulira kakang'ono pakhungu lanu.

Chofukizira cha rotator ndi gulu la akatumba ndi ma tendon awo omwe amapanga khafu pamapewa. Minofu ndi minyewa imeneyi imagwira mkonowo paphewa. Izi zimathandizanso kuti phewa lisunthire mbali zosiyanasiyana. Minyewa yomwe ili mumtambo wa rotator imatha kung'amba ikagwiritsidwa ntchito mopitirira muyeso kapena kuvulala.

Mwinanso mulandila mankhwala ochititsa dzanzi a opaleshoniyi. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka. Kapena, mutha kukhala ndi anesthesia yachigawo.Dzanja lanu ndi phewa lanu zidzachita dzanzi, chifukwa chake simumva kupweteka. Mukalandira mankhwala ochititsa dzanzi a m'chigawo, mumapatsanso mankhwala omwe amakuthandizani kuti muzitha kugona kwambiri mukamagwira ntchito.

Pochita izi, dokotalayo:

• Imaika arthroscope m'mapewa anu kudzera pang'ono pang'ono. Kukula kwake kulumikizidwa ndikuwonera makanema m'chipinda chogwirira ntchito.
• Imayang'ana minofu yonse yamapewa anu ndi dera lomwe lili pamwambapa. Minofu imeneyi imaphatikizapo mafupa, mafupa, minyewa, ndi minyewa.
• Kukonza ziwalo zilizonse zomwe zawonongeka. Kuti muchite izi, dotolo wanu amapanga 1 mpaka 3 zocheperako ndikuyika zida zina kudzera mwa iwo. Misozi mu minofu, tendon, kapena cartilage ndizokhazikika. Minofu iliyonse yowonongeka imachotsedwa.

Dokotala wanu akhoza kuchita imodzi kapena zingapo mwa njirazi panthawi ya opaleshoni yanu.

Kukonza khafu ya Rotator:

• Mphepete mwa tendon imasonkhanitsidwa pamodzi. Mtunduwu umalumikizidwa ndi fupa ndi sutures.
• Ma rivets ang'onoang'ono (otchedwa suture anchor) amagwiritsidwa ntchito nthawi zambiri kuti athandizire kulumikiza tendon ku fupa.
• Anangula amatha kupangidwa ndi chitsulo kapena pulasitiki. Sayenera kuchotsedwa pambuyo pa opaleshoni.

Kuchita opaleshoni ya impingement syndrome:

• Minofu yowonongeka kapena yotupa imatsukidwa m'dera lomwe lili pamwamba paphewa.
• Mitsempha yotchedwa coracoacromial ligament ikhoza kudulidwa.
• Pansi pake pa fupa lotchedwa acromion limatha kumetedwa. Kukula kwamfupa (spur) pansi pamunsi pa acromion nthawi zambiri kumayambitsa matenda amkati. Kuthamanga kumatha kuyambitsa kutupa ndi kupweteka phewa lanu.

Kuchita opaleshoni yamapewa osakhazikika:

• Ngati muli ndi labu wang'ambika, dokotalayo amakonzanso. Labu ndi chichereŵechereŵe chomwe chimayendetsa m'mphepete mwa chophatikizira paphewa.
• Magulu omwe amalumikizana ndi malowa adzakonzedwanso.
• Chotupa cha Bankart ndikung'ambika kwa labu m'munsi mwamapewa.
• Chotupa cha SLAP chimaphatikizapo labrum ndi ligament pamwamba pamapewa.

Pamapeto pa opaleshoniyi, malowo adzatsekedwa ndi zokopa ndikuphimbidwa ndi (bandage). Ochita opaleshoni ambiri amatenga zithunzi kuchokera pa kanema kanema panthawiyi kuti akuwonetseni zomwe apeza ndikukonzanso komwe kwapangidwa.

Dokotala wanu angafunike kuchita opaleshoni yotseguka ngati pakhala kuwonongeka kwakukulu. Opareshoni yotseguka amatanthauza kuti mudzakhala ndi tinyemba tating'onoting'ono kuti dokotalayo azitha kufikira mafupa ndi ziwalo zanu.

Arthroscopy itha kulimbikitsidwa pamavuto amapewa awa:

• Mphete yang'ambika kapena yowonongeka (labrum) kapena mitsempha
• Kusakhazikika pamapewa, momwe cholumikizira chamapewa chimamasulika ndikungoyenda mozungulira kwambiri kapena kutayika (kutuluka mu mpira ndi chophatikizira)
• Tebulo lokhazikika kapena lowonongeka la biceps
• Chingwe chozungulira chozungulira
• Kutupa kwa mafupa kapena kutupa mozungulira kachingwe ka rotator
• Kutupa kapena kuwonongeka kwa cholumikizira, komwe kumayambitsidwa ndi matenda, monga nyamakazi ya nyamakazi
• Matenda a nyamakazi kumapeto kwa clavicle (kolala)
• Minofu yotayirira yomwe imayenera kuchotsedwa
• Matenda ophatikizira amapewa, kuti apange mpata wambiri kuti phewa lizungulire

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa zamatenda am'mapewa ndi:

• Kuuma kwamapewa
• Kulephera kwa opaleshoniyi kuti muchepetse zizindikilo
• Kukonza kumalephera kuchira
• Kufooka kwa phewa
• Mitsempha yamagazi kapena kuvulala kwamitsempha
• Kuwonongeka kwa karoti wamapewa (chondrolysis)

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa magazi pang'ono. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), ndi mankhwala ena.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotalayo angakufunseni kuti muonane ndi dokotala yemwe amakuchitirani izi.
• Uzani wothandizira wanu ngati mumamwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa bala komanso kupoletsa mafupa.
• Uzani dokotala wanu za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Patsiku la opareshoni:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala aliwonse amene mwafunsidwa kumwa pang'ono pokha madzi.
• Tsatirani malangizo pa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Tsatirani malangizo aliwonse otulutsidwa ndi kudzisamalira omwe mwapatsidwa.

Kuchira kumatha kutenga miyezi 1 mpaka 6. Muyenera kuti muvale gulaye sabata yoyamba. Mukadakonzedwa zambiri, mungafunikire kuvala legeni nthawi yayitali.

Mutha kumwa mankhwala kuti muchepetse ululu wanu.

Mukamabwerera kuntchito kapena kusewera masewera zimadalira zomwe opareshoni yanu idachita. Itha kukhala kuyambira sabata limodzi mpaka miyezi ingapo.

Thandizo lakuthupi lingakuthandizeni kuyambiranso kuyenda komanso kulimbitsa mphamvu paphewa. Kutalika kwa mankhwala kumatengera zomwe zidachitika panthawi yochita opareshoni.

Arthroscopy nthawi zambiri imabweretsa kupweteka pang'ono komanso kuuma, zovuta zochepa, kukhala mchipatala mwachidule (ngati chilipo), ndikuchira mwachangu kuposa opaleshoni yotseguka.

Mukakonzedwa, thupi lanu limafunikira nthawi yochira, ngakhale mutachitidwa opaleshoni yamagetsi, monganso momwe mungafunikire nthawi kuti muchiritse opaleshoni yotseguka. Chifukwa cha ichi, nthawi yanu yochira itha kukhala yayitali.

Kuchita opaleshoni yokonza khungwa nthawi zambiri kumachitika kuti phewa likhale lolimba. Anthu ambiri amachira kwathunthu, ndipo phewa lawo limakhala lolimba. Koma anthu ena atha kukhalabe osakhazikika paphewa pambuyo pokonzanso nyamakazi.

Kugwiritsa ntchito arthroscopy pamakina ozungulira kapena ma tendinitis nthawi zambiri kumachepetsa ululu, koma mwina simungabwezeretse mphamvu zanu zonse.

Kukonza SLAP; Chilonda cha SLAP; Chotsitsa; Kukonza Bankart; Chotupa cha Bankart; Kukonza phewa; Kuchita opaleshoni yamapewa; Kukonza khafu wa Rotator

• Zochita za Rotator
• Makapu a Rotator - kudzisamalira
• Opaleshoni yamapewa - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka
• Kugwiritsa ntchito phewa lanu mutatha opaleshoni

• Arthroscopy yamapewa

DeBerardino TM, Scordino LW. Arthroscopy yamapewa. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chaputala 39.

Phillips BB. Zojambulajambula zam'munsi. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 52.