Kurapa Kuda Kwezvimwe Zvimwe Zvinokonzera Knee Pain
Arthroscopic chirwere chegumbo chinogona kuva kurapwa kwemamwe marudzi emarwadzo emabvi . Kuvhiya kweArthroscopic inzira inosanganisira kuisa kamu kamera mukati memubatanidzwa. Kuburikidza nezvimwe zviduku zviduku, zviridzwa zvinogona kuiswa kuti zvigadzire kana kubvisa zvivako zvakakanganiswa. Arthroscopic chirwere chemafu chinowanzonzi " scoping the knee " kana mabvi arthroscopy .
Zvikonzero zvekuita Arthroscopic Knee Surgery
Hazviiti zvose zvinokonzera kurwadziwa kwemabvi zvinogona kunyatsorapwa nenzira ye arthroscopic. Zvimwe zvezvikonzero zvekuita chirwere chemafu chinonzi arthroscopic chinosanganisira:
- Yakabvarurwa Cartilage / Meniscus Surgery
Meniscectomy ndiro zita rekuvhiyiwa iro rinosanganisira kubviswa kwechimwe chikamu chemazino chinonzi meniscus cartilage kubva pamabvi akabatanidzwa . I-meniscus iyi inotyisa inokonzera mushututi inogara pakati pemafupa kumagumo kuti ipe rubatsiro uye rutsigiro. Minis meniscus misodzi inowanzogadziriswa kuti isunungure zviratidzo zve meniscus yakabvaruka. Meniscus Repair
A meniscus repair ndiyo nzira yekuvhiya yakagadzirirwa kugadzirisa meniscus yakaora. Kugadzirisa meniscus kunogona kudzorera tsika yakakwana yemabvi uye ine nguva yakareba kwenguva refu inofanirwa kana ichibudirira. Kunyange zvakadaro, kugadzirisa meniscus chirongwa chinonyanya kukosha . Kudzoka kwakanyanya, uye, nekuda kweropa risina kukwana kune meniscus, kugadziridzwa kwemazinesi hakusi nguva dzose inogoneka.
ACL Kuvakazve
Anterior cruciate ligament , kana ACL, ndiyo imwe yemakumbo makuru mana emabvi . IAACL inokosha kune kugadzikana kwemabvi , uye vanhu vanokuvadza ACL yavo vanowanzonyunyuta pamabvi avo vachibva pasi pavo. Saka, varwere vazhinji vanotsigira ACL kusvimha misodzi kuti vawane kurapwa kwekukuvara uku. Chizhinji chekuvhiya kweAACL kunoitwa arthroscopically.
Plica Excision
A plica ndiyo yakasara yemaviri yakasara kubva pakukura kwe fetus. Mukutanga kukura, mabvi ako akaparadzaniswa kuva makamuri akasiyana. Vaparadzi vemakamuri vanorasikirwa nekufamba kwenguva, asi vamwe vakasara varipo. Apo izvo zvakasara zvisikwa zvakakurumbira, zvinonzi plica. Apo iyo plica inotsamwiswa, inonzi plica syndrome . A plica resection inobviswa kuti ibvise zvisikwa izvi zvinotsamwiswa.Kubudiswa kwekatevedzeri
Bhuchuputi inofamba ichikwira uye ichidzika kumagumo efupa rehudyu mu groove ye-cartilage. Iyo bhupapu inogona kutorwa kune imwe kunze kwegoroove iyi, kana kuti inogona kubuda kubva ku groove, ichikonzera marwadzo nekukotama kwemabvi akabatanidzwa. Kusunungurwa kwekupedzisira kunoshandiswa kusunungura mitsipa iyo inokwevera bhuteputi kune kunze kwegoroove.Microfracture
Kushandisa michina ndiyo mushonga unoshandiswa kukurudzira muviri kuti uwedzere ruvara rutsva mune imwe nzvimbo yekartilage yakaora. Muchidimbu chemaitiro , iyo yakadzika yekunze kwepfupa inopinda, kuti ibudise mukati mechidzitiro chepafu apo marora masero aripo. Aya masero anogona kukwanisa kusvika kune zvakakanganisika uye kuzadza mukana wetikitikiti .Autologous Chondrocyte Implantation
Kudyiswa kwekatekiti kunosanganisira kufamba kwechikafu kubva kune hutano hwakanaka hwesangano pamwe nenzvimbo dzakaparadzwa. Zvikwata zviduku zvetikititi zvinodzingwa, pamwe nechikamu chepfupa, ndokuendeswa kunharaunda yekukuvara. Mipurusi inotorwa kubva kune imwe nzvimbo iyo inogadziriswa iyo martilage yepamusoro isingadiwi.
Cartilage Transfer / OATS
Kudyiswa kwekatekiti kunosanganisira kufamba kwechikafu kubva kune hutano hwakanaka hwesangano pamwe nenzvimbo dzakaparadzwa. Zvikwata zviduku zvetikititi zvinodzingwa, pamwe nechikamu chepfupa, ndokuendeswa kunharaunda yekukuvara. Mipurusi inotorwa kubva kune imwe nzvimbo iyo inogadziriswa iyo martilage yepamusoro isingadiwi.
Kuita Arthroscopic Knee Surgery
Knee arthroscopy inogona kuitwa pasi pese, inharaunda, kana kuti inzvimbo yeanesthesia . Mushure mekuwana anesthesia yakakwana, chiremba wako anogadzira 'portals' kuti awane kugona kubatana. Aya mahofisi akaiswa munzvimbo dzakasiyana-siyana kuti kuderedze zvinogona kukuvara kumitsipa yakakomberedza, mitsipa yeropa, uye tendons.
Nenharaunda imwe, kamera yakaiswa mubatanidzwa, uye kuburikidza nevamwe, zvigadzirwa zviduku zvingashandiswa kugadzirisa dambudziko racho. Varwere vane chirwere chemafu chinonzi arthroscopic pasi peanesthesia munharaunda kana munharaunda vanogona kutarisa kuvhiyiwa kwavo pachitarisiko kuti vaone chinokonzera dambudziko ravo.
Utsi hwemabvi arthroscopy nzira inopesana zvichienderana nezvinodiwa nachiremba wako. Mushure mekuvhiyiwa, mabvi ako achaputirwa mubhokisi rakanyorova. Zvichienderana nerudzi rwekuvhiyiwa kunoitwa, chiremba wako anogona kana kuti haagoni kukubvumira kuti uise uremu pamakumbo akabatwa. Vakawanda varwere vachabata pamwe nechiremba wepanyama kuti adzoke zvakare uye simba rekubatana. Kureba kwekuvandudza kuchazosiyanawo zvichienderana nezvinoitwa sei panguva yekuvhiyiwa .
Matambudziko eArthroscopic Knee Surgery
Zvinetso zvekuvhiyiwa kwemafu arthroscopic zvinosanganisira utachiona, kuzvimba, neropa mujinga. Matambudziko haana kujairika mushure mekunge arthroscopy, uye pavanenge vari kukonzera kunetseka, mabheti arthroscopy inonzi inenge isina ngozi yekuvhiya.
Chimwe chinetso chinonakidza chave chiri kushandiswa kwemabvi arthroscopy pakurapwa kwemafuro ekutanga arthritis . Pakave nekuongororwa kutarisa kushandiswa kwechirwere cheArthroscopic kuvepa varwere vane osteoarthritis vekutanga vebvi . Muzhinji, varwere vane osteoarthritis yemabvi vanoita zvakanaka nekuvhiyiwa kweArthroscopic apo zviratidzo zvavo zviri kuuya zvikurukuru kubva pakusuruvara kana kubvongodzwa , asi kushungurudzika kwakawanda hakusviki kuvandudzika nekuvhiyiwa kwemafu arthroscopic. Kusarudza kugadzikana kunonyanya kukosha kufanotaura nezvekuguma kwekuvhiyiwa kwechinetso ichi.
Shoko Rinobva
Arthroscopic chirwere chegumbo ndechimwe chezvokuvhiya zvakajairika zvakaitwa nemapfupa emagetsi. Kuvhiya kwakasiyana-siyana kunogona kuitwa arthroscopically, uchishandisa zvinyorwa zvishoma uye kuderedza kushandiswa kwezvinhu zvishoma. Kwete nzira dzose dzekuvhiya dzinogona kuitwa kuburikidza nekufungisisa kuduku, uye kune dzimwe nzira dzingave dziri nani kuburikidza nekuratidzwa zvakananga panzvimbo yepamusoro. Izvozvo zvakati, arthroscopy ine zvikomborero zvakawanda kune marudzi akawanda ekuvhiyiwa kwemabvi, uye inogona kubatsira vanhu kudzokera kumitambo uye mabasa ezuva nezuva nekukurumidza kudarika zvavaimbogona.
Sources:
Richmond J, et al. "Kurapa kweOsteoarthritis yeKnee (Nonarthroplasty)" J. Am. Acad. Ortho. Surgery., September 2009; 17: 591 - 600.