Arthroscopy yekubatanidzwa kwepafudzi ndiyo nzira yemazuva ano yekuongorora uye yekurapa iyo inobvumira kudzidza uye kugadzirisa zvinetso nemajoini. Nzira yacho inowanzosavhiringidzika - kureva, yakaitwa nechechi duku inowanikwa muhutano hwemaartic kuburikidza nekuzarura microscopic. Kuvonga neizvi, mushure mokunge arthroscopy mumuviri hapana maitiro anooneka ekupindira kwekupererwa.
Arthroscopy - zviratidzo
Nyanzvi inofanirwa kutumirwa kunzira. Rimwe arthroscopy rinorondedzerwa ne rheumatologists nokuda kwechirwere chetronic dystrophy, kushungurudzika kwemaviri, kubatana kusagadzikana, acromolecular-clavicular arthrosis. Kakawanda kazhinji kunyoreswa kune nzira inopiwa kuvatambi kana hutambo hwekufuratira hukauka. Chimwe chinoratidza kuti arthroscopy ndiyo inonzi inowanzobviswa.
Kuongorora chirwere cheputika
Inoitwa kunze kwekuti dzimwe nzira dzose dziripo dzekutsvakurudza hadzibatsiri, uye chikonzero chezvirwere zvepachirwere chinoramba chisina kugadzikana. Kuongorora zvirwere zvekubatana kwemafudzi kunokubvumira kudzidza zvakadzama uye "kunzwa" zvikamu zvose zvekubatana, kuongorora mamiriro avo ezvinhu, kuziva kutyora kwezvino. Iyo nzira yekuongororwa inopesana nemutambo wekurapa mune kuti kamera inowanikwa mukati mekuvhara, ichiita mifananidzo yakajeka.
Arthroscopy yekubatana kwepafudzi inorayirwa mumamiriro ezvinhu akadaro:
- Kusagadzikana kwekubatana kwepafudzi. Mumamiriro ezvinhu aya, mitsipa haigone kuchengeta musoro we-humerus munzvimbo yakakodzera, uye semugumisiro, kuparadzaniswa nemagumisiro anoitika. Kuongororwa kunogona kugadzirisa kukanganisa kwemajoini, ligaments, capsules.
- Kurwara kwenguva refu. Vanogona kutarisana nechepamusoro pemararamiro ekuchinja kwepakati mukati memashandi akabatanidzwa.
- Kukuvadza kusvika kumusoro we bicep. Muzviitiko zvakawanda, vanokuvara. Kuongorora chirwere chemafupa ejoka refudzi hakungogoni kuona kuti kukuvara, asiwo kunoguma kwaro.
- Impeachment syndrome. Izvo zvinoitika nekuda kwekuputika uye mapfupa ekukura mumucheka wefudzi. Inozivikanwa nokuora mwoyo, kushayiwa simba kwekubatana.
- Kukuvadza kumutsipa wemakumbo. Izvi zvinokonzerwa nekushungurudzika kana zvirwere uye kuongororwa pasina arthroscopy yakaoma zvikuru.
- Chondromatosis. Chirwere chacho chinotungamirira kumagetsi echinovial membrane ejoini capsule uye kuonekwa kwehutundu hwemudumbu.
- Kuputika kwechikwata chokutora. Muchiitiko ichi arthroscopy yekubatana kwepafudzi inogona kuratidza nzvimbo yekuparara kwematoni , ayo iyo yakagadzirwa.
Therapeutic arthroscopy
Iyi nzira yakaoma zvikuru. Kurapa arthroscopy yehupupuriro hwakabatanidzwa pamwe chete kune izvo zvinotevera:
- Hypermobility. Nezvo kuongororwa, mafudzi anofambisa mumakwikwi, kupfuura kudarika kwemitsipa neyeti cartilages, nekuda kweiyo yekupedzisira inogona kukuvadzwa.
- Shoulder-scapular periarthritis . Chirwere ichi chinopesana nechekuita kwekunyanyisa muviri uye kunoratidzwa nekurwadziwa mumaoko, kupera.
- Miviri isina rusununguko mubatanidzwa. Maumbirwo akabatanidzwa nemapfupa uye mapfupa emakumbo. Arthroscopy kurapwa kwekubatanidzwa kwemafudzi kunobatsira kubvisa "zvimwe" zvidimbu pasina kukuvadza mishonga yezvibatanidza zvigadzirwa.
- Dysplasia ye articular fossa ye scapula. Nemhaka yehutachiona, mapfupa e-humerus ari nyore kukwira kunze kwemukati, iyo inowedzera mukana wekukuvadza kune chibatanidzwa.
- Kukuvadza kwaBartart. Nechirwere ichi, mafundo nemapisisumu anoputika kubva pfupa. Arthroscopy inorayirwa kuti iwedzere suture chaiyo.
- Kuramba uchidzora. Zvinoitika, semurairo, muvashambi. Kukuvara nguva dzose kunoita kuti majoints awedzere.
- Chimiro chekudzivisa . Muzviitiko zvizhinji, zvinoguma nekukuvadzwa kwepafudzi uye kusakodzera kurapwa. Basa racho rinosanganisira kutamisa musoro biceps refu kuitira kuti inogona kugadzirisa kubatana.
- Kushungurudzika mutsipa kuputsika. Kushungurudzika kwakadaro kunowanzokonzera kukanganiswa kwekufamba kwemajeri. Kudzorera zvinhu zvose, munguva ye arthroscopy, chiremba anovhiya anoda kuyambuka pfupa uye kugadzirisa zvese zvitsva nenzira itsva.
Arthroscopy - zvinopesana
Zvose zvinopesana zvinopesana, uye arthroscopy yemagungano, zvakare. Hazvikurudzirwi kuti tishandise nenzira iyi yekuongororwa uye kurapwa apo:
- tsvina kana bone ankylosis;
- kuvapo kwemavanga ane utachiona;
- purulent kuvhiringidza maitiro mu periarticular tissues;
- kazhinji yakaoma mamiriro ezvinhu omurwere.
Izvi zvinopesana nezvinoonekwa zvakakwana. Pasi pemamiriro ezvinhu aya, basa racho rakarambidzwa zvachose. Panewo zvimwe zvinopesana nezvimwe. Pakati pavo pane mamiriro ezvinhu ayo mune dzimwe nguva nyanzvi inogona kuita chirwere. Izvi zvinosanganisira:
- kuwandisa kwakanyanya (ligaments dzakabvongodzwa uye majosi akabatanidzwa, kuputsa kwekubatana kwechisungo);
- kuwedzera kwechirwere chekuita muhutano.
Izvozvo zvakagadzirwa sei?
Pamberi penzira yacho, kuongorora kwakakwana kunomirirwa. Murwere anofanira kupfuudza kuongorora kwemuti, ropa, kuita ECG, kuongororwa nechepanzvi. Pazuva rekuvhiyiwa, haugoni kudya kana kunwa mangwanani, uye manheru masikati zuva raunoda kuisa enema yekuchenesa . Mazuva mashomanana vasati vapindira nemurwere, vanachiremba uye vanaesthesiologist vanofanira kutaura.
Iko kushandiswa kwayo pachayo kunoitwa seizvi:
- Arthroscopy yekubatana kwepafudzi inotanga nenzvimbo yemurwere panzvimbo yekushandisa tafura. Sezvo mutemo, unoiswa pahutano hwakanaka, uye ruoko rwomurwere hunosimudzirwa uye hukatorwa uchishandisa zviyereso zvimiswa.
- Asati apinda muArthroscope, imwe nzvimbo ye saline inowanikwa kuburikidza nenyuchi kuburikidza nenyuchi. Izvi zvakakosha kutambanudza cavity.
- Panhanho inotevera, kusanganisa kunogadzirwa apo chigadzirwa chacho chakaiswa.
- Kana dambudziko racho richiwanikwa, chiremba anoisa matanho anodiwa muhutano kuburikidza nekuwedzerwa kwezvakawedzerwa muganda, ndokubva aita sutures navo ndokuvhara nebandage.
Arthroscopy yekubatana kwepafudzi - chii anesthesia?
Muzviitiko zvizhinji arthroscopy yemapfudzi akabatanidza anesthesia munharaunda inoratidza. Mutungamiri mukuru anoshandiswa chete mumatambudziko akaoma. Murwere anoita chisarudzo chokupedzisira pamwe chete nevanyanzvi. Sarudzo ndeyoga, uye kana imwe yakakodzera maskiki anesthesia, vamwe vanofanira kuvhara uneshetiki mumugwagwa wegungwa kuitira kuti aneshesia inogadziriswa pamwero wepelinha.
Inguva yakareba sei kushanda pamusana pefudzi - arthroscopy?
Kwose kushanda uye kupora mushure mekunge arthroscopy isatora nguva yakawanda. Nzira yacho, sekutonga, haigoni kupfuura maminitsi 60. Maviri acho mushure mekuporesa vanorapa kupora nokukurumidza - kukanganisa kwavo hakusi kudarika - uye hospitali inoramba isiri kwemazuva mana. Kutenda kushanda uku, arthroscopy yakagamuchirwa nenyanzvi munyika yose.
Arthroscopy yekubatanidzwa kwepafudzi - kugadziriswa mushure mekuvhiyiwa
Iyi nhanho yekurapa inokosha zvikuru. Kuvandudza mushure mokunge arthroscopy yemubatanidzwa wemapfudzi inomiririra mitezo yechinangwa chekuchengetedza kushanda nekudzorera kushanda kwekubatana. Pakarepo mushure mekuvhiyiwa, chiremba anonyevera nezvehutachiona kuburikidza nekusunga zvikamu. Vamwe varwere vanoda compress yakadzikama. Mukuwedzera, kudzokera shure shure kweArthroscopy inoratidza kuti:
- kutungamirira mishonga inorwadza;
- kutora antibiotics;
- kupfeka fixative - orthesis - mabhaniji;
- kushandisa therapy;
- kugadziriswa kwekushanda kukuru kwemuviri kwehafu yegore mushure mekushanda.
LFK mushure mokunge arthroscopy yakabatana nefudzi
Kuti iwe udzidze, haufaniri kuenda kumitambo yekurovedza. Kudzidzira mushure meArthroscopy yekubatana kwefudzi iri nyore, uye inogona kuitwa kumba:
- Finyidza minwe yako. Kuti uwane nyore, unogona kushandisa expander.
- Bend uye usabvisa brush.
- Simbura bhandi refudzi: kuderedza uye kuchenesa mapepa emafudzi, kusimudza uye kuita maitiro ekufambisa nemapuranga.
Matambudziko mushure meArthroscopy yekubatana kwepafudzi
Kana zvakaitwa zvakanaka pamwe navo zvakaoma kwazvo kusangana, asi zvakafanira kuziva pamusoro pavo. Arthroscopy zvinetso zvinogona kuita zvinotevera:
- kuzvimba;
- kurwadziwa munharaunda yakabatana;
- kunonoka kwekunzwa uye kupera kwechikwata;
- kubuda ropa.