Arthroscopy yemabvi akabatanidzwa - zvose zvaunoda kuzive pamusoro pechirongwa uye kupora

Arthroscopy yemabvi akabatanidzwa inzira inonyanya kufarirwa. Iko inokubvumira kuziva chirwere ichi munguva uye nokukurumidza kukunda chirwere chacho. Munguva yakapfuura, kuvhiyiwa kwekurwadziwa kwakashandiswa kubvisa matambudziko emabvi. Zvisinei, nekuvandudzwa kwemichina, nzira yekurapa maitiro akadaro akachinja zvikuru.

Chii chinonzi arthroscopy yemabvi akabatana?

Iyi nzira inobata chirongwa chekuvhiya. Inogadziriswa uchishandiswa nhumbi inokosha - arthroscope. Ichi chikwata chakagadzirwa nesinono shoma ine fiber optic kamera. Mufananidzo wose unoratidzwa. Kuti anzwisise kuti arthroscopy chii, chiremba anobatsira, ndiani angaudza murwere zvinhu zvose zvekushandiswa kwakadaro. Kune mhando dzakasiyana-siyana dzeizvi:

• kuongorora;
• kuporesa.

Kusvika iye zvino, iyi nzira inoonekwa se "yegoridhe muzinga" mukurwisana nehutachiona hwehutachiona. Iyi nzira haina mifananidzo. Iine zvakawanda zvinobatsira:

• Minimally invasive - iyo nzira inoitwa nekusanyanya kupinda mukati mechipfuva chembatanidzwa;
• zvose zvinoshandiswa zvinoitwa nekururama kunoshamisa;
• iyo mutezo wepati-articular haifaniri kusangana nemunhu asina kusimba wekunze kwenzvimbo;
• Panguva yekugadzirisa, mvura inonaya inogona kuitwa panguva imwe chete;
• nokuti kushanda kunoitwa pasina kufungidzirwa, nguva yekufamba kwayo yakaderedzwa kusvika awa, uye inotevera inoramba iri muchipatara - kusvika mazuva maviri;
• hapana chikonzero chekudzikisa chitsiko kwenguva refu.

Kune zvipingamupinyi kune nzira iyi:

• Nzira yacho inodhura, nokuti inoitwa pamidziyo inodhura;
• chiremba achiita basa iri anofanira kunge ari nyanzvi yepamusoro-soro, sezvo kupindira kwechiremba asina ruzivo kunogona kukonzera kukura kwezvinetso.

Arthroscopy yemabvi akabatanidzwa - zviratidzo

Kuendeswa kune nzira iyi kunopiwa nehutachiona, rheumatologist kana mutsva. Kushanda kweArthroscopy yemabvi akabatanidzwa kunokurudzirwa mumamiriro ezvinhu akadaro:

• pamwe nekudzima ;
• apo kucheneswa kwemabvi kunokosha apo kana kuunganidzwa kwevanhu vakawanda;
• kana zvichidiwa, biopsy yemaviri;
• munyaya iyo kushandiswa kwekubatana kwakakonzerwa kunodiwa;
• ane rheumatoid arthritis ;
• apo kutendeseka kwemasitoriji kunoputsika;
• pamberi peumwe mutumbi kunze kwemukati wemabvi akabatanidzwa;
• munyaya yeiyo hyperplasia yomuviri wakakora.

Kuongorora arthroscopy yemabvi akabatanidzwa

Iyi nzira inofungidzirwa inyanzvi. Kuvonga kwaari, mamiriro emabvi akabatanidza anoongororwa kubva mukati. Zvose zvese zvinoratidzwa pazhenje munguva chaiyo. Knee arthroscopy inobatsira kuwana ruzivo rwakadaro:

• sarudza nzvimbo yekuwana nzvimbo yehutano;
• kufanotaura chiyero chekupararira kwayo;
• kunyatsoongorora.

Therapeutic arthroscopy

Iyi nzira inokurudzirwa kana chirongwa chinodhaka chemishonga ichi chisina kubudirira. Semuenzaniso, chirwere chinoputika chemabvi chakabatanidzwa chinorayirirwa, kushandiswa kwemazino edzimhosva kunowanzoitika nekusagadzikana kwakanyanya. Nzira yekurapa yakadaro inofungidzirwa kunge isingatambudziki: mushure mokunge mushure mutsvuku uripo. Mukuwedzera, kugadziriswa hakunonoki kwenguva yakareba. Sezvakaratidzwa zvinoratidza, varwere vanokurumidza kudzokera kumararamiro avo.

Arthroscopy - zvinopesana

Kunyange zvazvo nzira iyi ine mikana yakawanda, pane dzimwe nguva inofanira kusiyiwa. Chigumo chekupedzisira ndechekuti arthroscopy yemabvi akabatanidzwa inogadzirwa nachiremba mushure mekunyatsorongororwa kwemurwere. Zvose zvinopesana nezvakaitwa mukushandiswa kweizvi zvinogona kugadziriswa mumapoka maviri: zvakakwana uye zvisizvo. Yokutanga inosanganisira zvinotevera:

• kuputika kunoenderana nekuumbwa kwepus;
• fibrous kana bone ankylosis;
• chirwere chakanyanya chemu murwere.

Zvinyorwa zvinopesana zvinosanganisira:

• fractures of condyles;
• kukanganisa kwehutano hwemashutu, ari pedyo nehomwe yejoka;
• hemarthrosis .

Mabvi arthroscopy anoitwa sei?

Usati wapfuura nenzira yakadai, murwere anofanira kuigadzirira. Arthroscopy yemabvi akabatanidza inopa kuti zvinotevera zvinoshandiswa mberi:

• ECG yakaitwa;
• kukanganiswa kweropa kwakayerwa;
• icho chakavhara chakanga chakagadziriswa;
• X-ray yebhokisi;
• MRI yemabvi akabatanidzwa yakaitwa;
• ropa uye urinedzo zvakaiswa.

Manheru manheru ezuva iro arthroscopy yemabvi akabatanidzwa meniscus inoitwa, murwere anonatswa neenema. Vasati vaenda kunorara, vanomupa mapiritsi ekurara kwechiedza. Uyewo manheru iwe haugoni kudya kana kumwa chero chinhu. Mambakwedza kusati kwatanga kushanda kuveura bvudzi rako mumabvi. Iyo nzira yacho pachayo haitoreri kupfuura awa.

Arthroscopy yemabvi akabatanidzwa inoitwa sezvinotevera:

1. Murwere anorara patafura yekushanda (kumashure). Mabvi apo basa racho richaitwa rinofanira kunge rakasungirirwa pamakona 90 ° uye rakagadzirirwa nemichina yakakosha.
2. Ganda rinodonhedzwa.
3. Kuti kuderedze kuyerera kweropa kusvika pamabvi akabatanidzwa, kutenderera kunoiswa pahudyu.
4. Yakagadzirwa anesthesia.
5. Chiremba anovhiya anoita 3 notch 3-6 mm kureba.
6. An arthroscope inowanikwa nepakati. Chiremba anonyatsoongorora nzvimbo yakakanganiswa. Kana zvichidikanwa, inoputira kunze, inogadzirisa denga uye inoita zvose zvinoshandiswa zvinoshandiswa.
7. Kuburikidza nechechi, chidimbu chakaiswa chinobviswa.
8. Panzvimbo inotarisirwa, mabheji asina kusimbiswa anoshandiswa anoshandiswa.

Arthroscopy yemabvi akabatanidzwa - anesthesia

Kubva pamigumisiro yemayero akaiswa pamberi pekushanda uye achifunga nezvehutano hwekushanda kunouya, anesthetist anosarudza kuti ndeipi nzira yeanesthesia yekupa. Anesthesia ne arthroscopy yemabvi akabatanidzwa inogona kunge iinotevera:

1. Mharaunda - inopa kuvharwa kwemuviri weAnesthetic drug (Lidocaine, Novocaine kana Ultrakain) pedyo nechaitika munguva yemberi. Iko kusagadzikana kweiyi nzira ndiyo nguva pfupi. Local anesthesia yakaitwa kana arthroscopy yemabvi akabatanidza kuongororwa.
2. Mharapara (inonziwo epidural) - mishonga inoshandiswa kuburikidza ne catheter munharaunda yemutsara wespinha. Kubudirira kukuru kwemuitiro we anesthesia ndechokuti panguva yekushanda chiremba anoramba achikurukura nemurwere. Kana pane chido chekuwedzera kweanesthesia, izvi zvinoitwa kuburikidza nekateti yezvokurapa.
3. Kazhinji - inoshandiswa chete mukurapwa kwemaitiro akaoma zvikuru.

Arthroscopy yemabvi akabatanidzwa

Zviratidzo zvitatu zvokuvhiya zvinogadzirwa panguva yokuvhiyiwa. Aya maitiro anomiririrwa neArthroscopy - iyo nzira inotevera:

1. Iyo yekutanga yekuvhara - kuburikidza nehomwe iyi mumakati akabatanidzwa, kamera ye optical inowanikwa. Ichi chigadzirwa chakabatanidzwa nechitarisiko uko chifananidzo chiri kutumirwa.
2. Chechi yechipiri chinoshandiswa nemishonga inoshandiswa mujecha rekubatana (semuenzaniso, Adrenaline, sodium chloride). Iyi mishonga inoshandiswa kuderedza dambudziko rekubuda ropa panguva yekuvhiyiwa uye kuwedzera ruzivo rwekuongorora.
3. Kutsikwa kwechitatu - kuburikidza nayo mukati mechipfuva kunotanga kushandiswa kwekushandisa.

Arthroscopy yemabvi akabatanidzwa - mushure mekuvhiyiwa

Pakuguma kwegadziriro, chiremba achapa mazano ekurapa pamusoro pokuti angazvibata sei munguva yekudzorera. Tevera ivo vadikanwa kuti vanyatsoongorora. Aya mazano anonyanya kukosha sezvaakanyatsoita arthroscopy, kugadzirira kuvhiyiwa. Muzviitiko zvakawanda, vanobudiswa musi wekuvhiyiwa. Kakawanda kazhinji murwere anasiyiwa pasi pekuongororwa kwachiremba kwemazuva mashoma.

Arthroscopy - zvinetso

Kunyange zvazvo kupindira kwakadaro kunofungidzirwa kuti yakachengeteka, pane ngozi yokuti pane zvingava nemigumisiro yakaipa shure kwayo. Kazhinji kaona matambudziko akadaro:

• Mabvi mushure mokunge arthroscopy inowedzera;
• muviri wekupisa muviri unomuka;
• kune kukanganisika mubhokisi (murwere akaoma kufema);
• nekuda kwechirwere chekuvadzwa, arthritis inokura;
• matambudziko muvascular system anoonekwa;
• kuenderera kwekubatana hakuna kukwana;
• pane kuvhara paunenge uchifambisa;
• bhu rakanyanya kwazvo;
• kune hyperemia yeganda;
• very rare hemarthrosis.

Pain mushure meArthroscopy yemabvi akabatanidzwa

Izvozvo hazvishamisi zvinonzwa mushure mokuvhiya zvikaitika. Muzviitiko zvakawanda, vanomiswa nemishonga yekushaya mishonga. Nokuda kwechikonzero ichi, murwere haafaniri kushushikana nekufunganya kuti chimwe chinhu chakakanganisika. Kana, mushure mokunge arthroscopy ye meniscus, mabvi anorwadza zvikuru, uye mapainisere anorayirwa nachiremba haabatsiri, rubatsiro rwezvechiremba runofanira kutsvaga pakarepo. Zvingangodaro, zvakaguma zvakashata zvakasimuka. Kazhinji kurwadziwa kusingaregi kunosangana nezvinetso zvinotevera:

• kuvhara mishonga yeropa nemagazi eropa (inowanikwa kune varwere vane kuneta);
• arthritis ;
• kufungidzira kwemajoini akabatana, kunokonzerwa nemutoro wakanyanya pamabvi;
• hemarthrosis;
• algodystrophic syndrome;
• kuputika kwemasumbu e rumen.

Kudonha mumabvi mushure meArthroscopy

Kuoma kwemazuva panguva yekushandura kunoonekwa sechimiro chepanyama. Zvikonzero zvaro zvinotevera:

• Muchikamu chegasi gasi rinowedzera;
• murwere ane kuwandisa kwema salt;
• pakanga paine kuwedzerwa kwemashoko emukati.

Kana bhu rakanyura mushure meArthroscopy mushure memwedzi 4-5, izvi zvinoratidza kukura kweArthrosis. Nechirwere ichi, goroti yakanyanyisa yakapfava uye kubviswa kwekufamba kunovhiringidzika. Mabvi anowira, zvichiita kuti kuwedzera kwemahombekheni kuwedzere. Ganda iri munharaunda ino inopisa uye inowana ruvara rutsvuku. Zvose izvi zvinosangana nekutambudzika kukuru.

Mabvi haapfugame shure kweArthroscopy

Mumazuva ekutanga mushure mekushanda muzviitiko izvi hapana chakaipa. Zvisinei, kana mabheti arthroscopy asingakotamire bhandi mushure mevhiki, iyi inenge iri chiratidzo chekuyeuchidza. Zvikonzero zvekufambisa kunogona kuva:

• hemarthrosis;
• kuvhiringidzika kwechigadziro chinonzi postoperative;
• kutsanangurwa kwekubatana kwemvura;
• algodystrophic syndrome.

Kuvandudza mushure mokunge arthroscopy yemabvi akabatanidzwa

Kudzokorora kunotanga mumaawa ekutanga mushure mekuvhiyiwa. Inogona kupera kubva pamasvondo matatu kusvika ku8. Ipapo murwere anodzokera kuhupenyu huzere. Kudzorerwa mushure mokunge arthroscopy yemabvi akabatanidzwa yakaderedzwa kune zvinotevera zvinokurudzirwa:

1. Kudzivirira kutanga kwekuvhiringidza, murwere anofanira kutora mishonga inorwisa mishonga inorayirwa nachiremba.
2. Chengetedza gumbo rakashanda munzvimbo yakakwirira. Ichando inofanira kushandiswa pamabvi. Maitiro akadaro achaderedza marwadzo uye kuzvimba.
3. Zvinotarisirwa kuti zvipfeke mazuva maviri maviri.
4. Kuti unyatsogadzirisa mamiriro ekurapa, kutora mishonga inorwadza inomanikidzwa.
5. Zvakakosha kubvisa mutoro pamabhanhire akabatanidzwa. Iwe unogona kusimuka pazuva rechitatu mushure mekushanda. Muchiitiko ichi, unogona kungotama uchishandisa michina.
6. Mumavhiki matatu anotevera mushure mokuvhiyiwa, kutyaira kunorambidzwa!
7. Arthroscopy yemabvi akabatanidza kurapwa mushure mekuvhiyiwa kuchakurumidza kupora maitiro ekurapa.
8. Mavhiki mashoma apfuura mushure mekuvhiyiwa, mabhati anotonhorera haabvumirwi. Izvo hazvina kutenderwa uye kuwedzerwa.
9. Kuti kugadziriswa kwechikafu kemukati, vashandi vanofanirwa kutorwa.

LFK mushure mokunge arthroscopy yemabvi akabatanidzwa

Gymnastics yekurapa inobatsira kusimbisa musimba uye kukurumidza kushandura. Iwe usati waita bhute mushure meArthroscopy, unofanirwa kutarisa unyanzvi. Kuvandudzwa kusina kunaka kunogona kukonzera kukuvadza kukuru. Mushure mokunge arthroscopy yemabatanidzwa akabatwa nemabvi akaitwa, kudzorerwa kunorudzirwa kutanga nemutoro muduku, zvishoma nezvishoma kuwedzera. Kudzidzira kunogona kuva:

• kukanganiswa kwemahudyu ehudyu;
• kusimudza rutsoka;
• kuichengeta pakuyera;
• kushambira;
• kufamba uye zvakadaro.