Kugadzikana kweArthroscopic Yega Surgery
Kuvhiya kweArthroscopic inzira inobatanidzwa pamasangano emuviri, kusanganisira mapepa. Mumwe chiremba anoisa vhidhiyo kamera mukati memubatanidzwa, pamwe chete nezviridzwa zvakananga, kuti aite chirwere kuburikidza nekuita zvishoma. Kuvhiyiwa kweArthroscopic kazhinji kunotungamirira kukurumidza kusimbiswa kana ichienzaniswa nechetsika "kuvhiyiwa pachena" nokuti kukanganisa kwakanyanya kunokonzera kusvibiswa kunowanikwa semagumisiro ezvishoma zvisingasviki.
Kuvhiyiwa kunoonekwa kwakachengeteka, uye zvinetso zvakakomba hazviwanzoitiki. Zvisinei, sezvinoitika kune chero basa, pane zvinogona kuitika. Zvimwe zveizvi zvinogona kuva nemigumisiro yakaipa. Kamwe kusangana kwakadaro kwepfudzi arthroscopy kunonzi chondrolysis.
Chondrolysis Chii?
Chondrolysis mamiriro ezvinhu anokonzera kuparadzaniswa kwakakurumidza kwekatekete mukati memubatanidzwa. Nhengo iyo apo mapfupa maviri anobatana. Muchibatanidza chenguva dzose, magumo emapfupa akafukidzwa neinobhururuka, yakasvibiswa, kukonzera mutsara wematutu anonzi "cartilage." Chikoroticho chinosanganisira masero anonzi chondrocytes, akakombwa ne-scaffold yeprotheni uye mvura inonzi "matrix."
Mune varwere vane chondrolysis, chondrocytes kufa uye scaffold matrix inowira kunze. Kamwe katetilage yaenda, haizozodzoki kana kupora. Apo katetilasi yakasara, maronda akaoma pasi ari pachena.
Kuonekwa kwechiondrolysis kwakafanana neosteoarthritis yepafudzi .
Zvisinei, osteoarthritis ndiyo mamiriro ezvinhu anowanzokonzera vakwegura uye anowedzera kwemakumi emakore. Bhabhironi chondrolysis inowanzokurumidza zvikuru, dzimwe nguva kwevhiki kana mwedzi. Inowanzoitika kuvarwere vaduku uye inowanzobatanidzwa nekuvhiya kwemazuva ano. Ivhareji yemakore yemurwere anoona chondrolysis mushure mepafudzi arthroscopy ndeye 26.
Zvinokonzera Chondrolysis
Kunzwisisa chinokonzera chondrolysis mushure mepafudzi arthroscopy kwave kwakaoma. Mumakumi maviri emakore apfuura, vanachiremba vakagara vachizivisa chikonzero chekugadzirisa uku, kungoona kuti pane kana zvichida kunge isiri sangano raifungidzirwa. Zvimwe zvezvikonzero zvinosanganisira:
- Heat probes: Kupisa kwemafuta kunopisa kwaishandiswa kakawanda mumazuva ekutanga epfudzi arthroscopy. Inonzi probes inopisa inoshandisa chidimbu chemafirofrequency kuti inopisa kupisa zvakananga kune zvinyoro-tishu. Serofu inopisa inogona kushandiswa kukonzera ropa mudziyo kana kupedza-tissue-tissue. Izvo zvakabatanidzwa mukukuvara kwekatetila. Chirwere chinopisa chakanga chashandiswa kukonzera michina yekubatanidza mapepa muvarwere vane musana kusagadzikana kusimbisa musungo. Iyi nzira, inonzi "thermal shrinkage," haisisiri kuitwa.
- Nzira isina kunaka yekuvhiya: Zvikanganiso zvakasiyana-siyana zvokuvhiya zvinogona kukonzera kukuvara kwetikakiti, kusanganisira kukuvadza katekete nemagetsi eti arthroscopic, zvichiita kuti mapiritsi ave akakurumbira kana kuisa zvinetso pamusana wezvokudya.
- Pain pamapompo: Pain pamapupa anotakura kuwanda kwemaanesheti epanzvimbo zvakananga mubatanidzwa. Mipumburu yakasiiwa munzvimbo mushure mekuvhiyiwa kuti ibatsire kudzora marwadzo, asi vamwe vanofungidzira kuti kukwirira kwakanyanya kwekunyepedzera kunogona kutungamirira ku chondrolysis.
Hazvizivikanwe kana chimwe kana izvi zvose zvingava chikonzero chefudzi chondrolysis. Nyanzvi dzakawanda dzechiremba dzakabva kure nemarwadzo emarwadzo uye kupisa kupisa kuti vaone kuti varwere vavo vakachengeteka sezvazvinogona.
Chondrolysis Treatment
Zvinosuruvarisa, nenguva iyo chondrolysis yave ichiongororwa, chirwere chacho chave chichifambira mberi kusvika pane zvakakosha. Hapana nzira inonyatsozivikanwa yokumisa kufambira mberi kwechiondrolysis, uye hapana nzira inozivikanwa yekudzosera migumisiro yayo. Zvinokwanisika kuti pane imwe nguva mune ramangwana, kuchave nemimwe mishonga kana jekisi inogona kushandiswa "kuvhara" chinetso chemasero chinokonzera maronda kukanganisa.
Zvisinei, panguva ino, izvo hazvisizvo.
Iyo chete kurapwa kunorwadza uye kuchinja mabasa. Vakawanda varwere vane urombo uye vacharasikirwa nekufamba kwemajoko epafudzi. Vamwe varwere vachasarudza kuva nefudzi rinotsiviwa ; zvisinei, zvakapiwa kuti chondrolysis inowanzoitika panguva yemukomana wemukomana kana makumi maviri, izvi zvingasava nzira yakakodzera yekurapa. Nzvimbo dzakatsiviwa dzakagadzirirwa varwere vakwegura uye zvinotora makore makumi emakore. Kune murwere muduku, izvi zvinogona kureva kuva nefudzi rinotsiviwa kupera, zvichida kanopfuura kamwe. Kudzokorora kubhekwa kwefudzi kwakaoma kuita, uye hakukwanisi kubudirira semigumisiro yakanaka.
> Sources:
> Yeh PC & Kharrazi FD. "Postarthroscopic Glenohumeral Chondrolysis" J Am Acad Orthop Surg February 2012; 20: 102-112 .; doi: 10.5435 / JAAOS-20-02-10