Zojambula m'chiuno

Hip arthroscopy ndi opaleshoni yomwe imachitika pocheka pang'ono m'chiuno mwako ndikuyang'ana mkati pogwiritsa ntchito kamera yaying'ono. Zida zina zamankhwala zitha kuphatikizidwanso kuti mupimidwe kapena kuthandizira kulumikizana kwanu.

Pa nthawi yojambula m'chiuno, dokotalayo amagwiritsa ntchito kamera yaying'ono kwambiri yotchedwa arthroscope kuti awone m'chiuno mwanu.

• Arthroscope imapangidwa ndi chubu kakang'ono, mandala, ndi gwero lowala. Kudulidwa kocheperako kumapangidwira kuti kulowetse m'thupi lanu.
• Dokotalayo amayang'ana mkati mwanu m'chiuno mwanu kuti muwonongeke kapena matenda.
• Zida zina zamankhwala zitha kuphatikizidwanso kudzera mu kudula kamodzi kapena kawiri. Izi zimathandiza dokotalayo kuchiza kapena kukonza mavuto ena, ngati kuli kofunikira.
• Dokotala wanu akhoza kuchotsa zidutswa zina za mafupa omwe ali omangika m'chiuno mwanu, kapena kukonza khungu kapena zinthu zina zomwe zawonongeka.

Msana kapena epidural kapena anesthesia wamba amagwiritsidwa ntchito nthawi zambiri, chifukwa chake simumva kupweteka. Mwinanso mutha kugona kapena kulandira mankhwala kuti akuthandizeni kupumula.

Zifukwa zofala kwambiri za nyamakazi ya m'chiuno ndi izi:

• Chotsani zidutswa zazing'ono zam'mafupa kapena ma cartilage zomwe zimatha kukhala zotayirira mkati mwanu m'chiuno ndikupweteka.
• Matenda a Hip impingement (omwe amatchedwanso femoral-acetabular impingement, kapena FAI). Njirayi imachitika pomwe mankhwala ena sanathandize.
• Konzani chovala chang'ambika (misozi mu cartilage yomwe imalumikizidwa m'mphepete mwa fupa lanu lam'chiuno).

Zifukwa zochepa zodziwika bwino za nyamakazi ya m'chiuno ndi izi:

• Kupweteka kwa mchiuno komwe sikumatha ndipo dokotala amakayikira vuto lomwe mchiuno mwake lingathe kukonza. Nthawi zambiri, dokotala wanu amayamba amubaya mankhwala osokoneza bongo m'chiuno kuti awone ngati kupweteka kumatha.
• Kutupa m'chiuno mwanjira yomwe siyimvera mankhwala osagwira ntchito.

Ngati mulibe imodzi mwamavutowa, chiuno cha arthroscopy mwina sichingakuthandizeni pochiza nyamakazi yanu.

Zowopsa za anesthesia ndi opaleshoni iliyonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira
• Magazi
• Matenda

Zowopsa zina za opaleshonizi ndi izi:

• Kuthira magazi m'chiuno
• Kuwonongeka kwa karoti kapena mitsempha m'chiuno
• Kuundana kwamagazi mwendo
• Kuvulala pamitsempha yamagazi kapena mitsempha
• Matenda m'chiuno
• Kuuma m'chiuno
• Dzanzi ndi kumva kulasalasa mu ntchafu ndi ntchafu

Nthawi zonse uzani wothandizira zaumoyo mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), opopera magazi monga warfarin (Coumadin), ndi mankhwala ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• 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 ndi mafupa.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe munauzidwa kuti mumwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Kaya mutha kuchira pambuyo poti arthroscopy ya m'chiuno zimadalira mtundu wanji wamankhwala omwe amathandizidwa.

Ngati muli ndi nyamakazi m'chiuno mwanu, mudzakhalabe ndi matenda a nyamakazi mukatha opaleshoni ya m'chiuno.

Pambuyo pa opaleshoni, muyenera kugwiritsa ntchito ndodo kwa milungu iwiri kapena isanu ndi umodzi.

• Sabata yoyamba, simuyenera kulemera mbali yomwe idachitidwa opaleshoni.
• Pang'onopang'ono mudzaloledwa kulemera mchiuno komwe mudachitidwa opaleshoni sabata yoyamba.
• Onetsetsani kuti mufunsane ndi dokotala wanu wa opaleshoni za nthawi yomwe mudzalemekeze mwendo wanu. Maulendo pa nthawi yomwe amatenga amatha kukhala osiyanasiyana kutengera mtundu wa njira zomwe zidachitika.

Dokotala wanu angakuuzeni ngati zili bwino kubwerera kuntchito. Anthu ambiri amatha kubwerera kuntchito mkati mwa sabata limodzi kapena awiri ngati angathe kukhala nthawi yayitali.

Mudzatumizidwa kuchipatala kuti muyambe kuchita masewera olimbitsa thupi.

Arthroscopy - mchiuno; Matenda a Hip impingement - arthroscopy; Impingement ya akazi-acetabular - arthroscopy; FAI - nyamakazi; Labrum - arthroscopy

Wachinyamata JD. Zojambula m'chiuno. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 79.

Mijares MR, Baraga MG. Mfundo zoyambirira za arthroscopic. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: mutu 8.