Arthroscopy na haɗin gwiwa na yau da kullum shine hanyar bincike na yau da kullum da ke ba da damar karatu da magance matsaloli tare da mahalli. Hanyar yana da kishi sosai - wato, an yi tare da karamin na'urar da aka saka a cikin jikin mutum ta hanyar buɗewa ta microscopic. Mun gode da wannan, bayan da ke kan jiki a jikin mutum babu alamun da ake gani na tsoma baki.
Arthroscopy - alamomi
Dole ne a aika da gwani a hanya. Kwararrun maganin arthroscopy wajibi ne ga masu rheumatologists don maganin dystrophy na yau da kullum, tsofaffin ƙwayoyin tsohuwar jiki, haɗuwa da haɗin gwiwa, arthrosis mai tsaka-tsakin acromolecular-clavicular. Sau da yawa masu ba da shawara ga hanya ana ba wa 'yan wasan lokacin da ragowar masu cin nasara. Wani abin nuni ga arthroscopy shi ne abin da ake kira rikicewar al'ada.
Bincike arthroscopy
Ana gudanar da shi ne kawai idan duk sauran hanyoyin bincike ba su aiki ba, kuma hanyar cututtukan cututtuka sun kasance ba tare da damu ba. Harshen bayanan da aka gano na haɗin gwiwa ya ba ka damar nazarin cikakken bayani kuma "ji" dukkan bangarori na haɗin gwiwa, tantance yanayin su, gano abubuwan da suka faru a yanzu. Hanyar binciken ta bambanta daga hanyar kulawa da cewa an saka kyamara a cikin fashewa, yin hotunan hotuna.
Arthroscopy na haɗin gwiwa na haɗin gwiwa an tsara shi a cikin waɗannan lokuta:
- Daidaitawar haɗin gwiwa. A cikin wannan yanayin, ligaments ba zai iya ci gaba da kai a cikin matsakaicin matsayi ba, kuma a sakamakon haka, ƙaura da subluxations faruwa. Bincike na iya ƙayyade lalacewar gidajen abinci, ligaments, capsules.
- Jin zafi. Za su iya bayyana a kan ƙarshen sauye-sauye a cikin na'urar haɗin gwiwa.
- Damage zuwa kan bicep. A mafi yawan lokuta, sun ji rauni. Binciken arthroscopy na kwakwalwa na tarayya ba zai iya gane lalacewar kawai ba, amma yana ƙayyade asali.
- Ciwon gwagwarmaya. Yana tasowa saboda kumburi da girma cikin kashi a cikin kullun kafa. Yawancin ciwo, rashin haɗari na haɗin gwiwa.
- Damage ga lipar cartilaginous. Wannan cututtukan da aka lalacewa ta hanyar cututtuka ko cuta kuma bincikar lafiya ba tare da arthroscopy ba ne mai wuya.
- Chondromatosis. Haka kuma cutar tana haifar da ƙaddamar da membrane na synovial na haɗin gwiwa tare da bayyanar nodules na cartilaginous.
- Rupture na rotator cuff. A cikin wannan yanayin harkar ƙwallon ƙafa na haɗin gwiwa zai iya bayyana wurin rupture na tendons , wanda aka ƙera shi.
Kwararrun maganin arthroscopy
Wannan hanya ya fi rikitarwa. Ƙwararren ilimin maganin ƙwaƙwalwar ƙwararrun shaidar shaidar ƙwaƙwalwar ƙafa ɗaya tana da waɗannan:
- Hypermobility. Tare da wannan ganewar asali, kafada yana motsawa, yana wucewa da damar haɗin gwiwa tare da cartilages, saboda wanda za'a iya ji rauni.
- Hanya-scapular periarthritis . Kwayar tana tasowa akan yanayin da yake da kisa ta jiki kuma yana da ciwo a hannunsa, ƙidaya.
- Ƙungiyoyin jiki a cikin kwakwalwa. Tsarin suna kunshe da kasusuwa da ƙwayoyin cartilaginous. Magungunan arthroscopy na hadin gwiwa na kwakwalwa yana taimakawa wajen cire gutsuttsarin "karin" ba tare da cutar da kyallen takalmin kayan haɗin gwiwa ba.
- Dysplasia na fossa na fasaha na scapula. Saboda sifofin jiki, kasusuwan ƙasusuwan sun fi sauƙin tsalle daga cikin rami, wanda zai kara hadarin rauni ga haɗin gwiwa.
- Damage zuwa Bankart. Tare da wannan ciwo, gidajen abinci da capsules sun karya daga kashi. Arthroscopy an umarce shi don samarda suture na musamman.
- Tsarawa da yawa. Ya yi, a matsayin mai mulkin, a cikin masu iyo. Rashin raunin lokaci ya sa daɗaɗɗa ya zama m.
- Rushewar jama'a . A mafi yawancin lokuta, yana haifar da ciwo na rauni da rashin lafiya. Wannan aikin yana kunshe da motsawa da tsayi mai tsawo don ya iya karfafa haɗin gwiwa.
- Ƙarƙashin wuyan wuyansa ya rushe. Irin wannan mummunan hali yakan haifar da rushewa daga ƙungiyoyi na haɗin gwiwa. Don mayar da komai, a lokacin arthroscopy, likitan likita ya buƙatar ƙetare kashi kuma ya gyara duk ɓangarori a sabon hanyar.
Arthroscopy - contraindications
Duk hanyoyi suna da contraindications, da kuma arthroscopy na gidajen abinci, ma. Ba'a ba da shawarar yin amfani da wannan hanya na ganewar asali da magani lokacin da:
- fibrotic ko kashi ankylosis;
- gaban kamuwa da cutar.
- purulent inflammatory matakai a cikin periarticular kyallen takarda;
- yanayin tsanani mai tsanani na mai haƙuri.
Wadannan contraindications suna dauke cikakken. A karkashin waɗannan sharuɗɗan, aikin yana ƙuntatawa sosai. Har ila yau, akwai wasu takaddama. Daga cikinsu akwai sharuɗɗa wanda a wasu lokuta wani gwani zai iya yin aiki. Wadannan sun haɗa da:
- lalacewa mai yawa (haɗin haɗari da haɗin gwiwa da haɗin gwiwa, haɗuwa da ƙulla gwiwa);
- babban jini a cikin haɗin gwiwa.
Ta yaya ake yin arthroscopy?
Kafin aikin, cikakken jarrabawar wajibi ne. Dole ne mai haƙuri ya yi nazari na fitsari, jini, yin ECG, tare da gwadawa tare da gwani. A ranar tiyata, ba za ku iya ci ko sha da safe ba, kuma a maraice kafin ranar da kuke buƙatar saka tsaftacewa . Bayan 'yan kwanaki kafin acewa tare da masu haƙuri, likitocin likitoci da masu nazarin magunguna zasu sadarwa.
A magudi kanta an yi kamar wannan:
- Arthroscopy na haɗin gwiwa ya fara tare da wurin mai haƙuri a kan tebur aiki. A matsayinka na mulkin, ana sanya shi a gefen lafiya, kuma an ɗauke hannun da mai haɗin gwiwa ta amfani da ma'aunin da aka dakatar.
- Kafin shiga cikin arthroscope, ana samun adadin saline ta hanyar allura ta hanyar allura. Wannan wajibi ne don kunna ɓangaren.
- A mataki na gaba, an sanya incision a inda aka saka na'urar.
- Lokacin da aka gano matsala, likita ya sanya kayan aikin da ya dace a cikin haɗin gwiwa ta hanyar ƙarin ƙwayar cikin fata, sa'an nan kuma sutures su kuma ya rufe su da bandeji.
Arthroscopy na haɗin gwiwa - abin da ke faruwa?
A mafi yawancin lokutta arthroscopy na karamar kwakwalwa kungiya mai kwakwalwa ta nuna. Ana amfani da janar ne kawai a cikin lokuta mafi wuya. Mai haƙuri ya yanke shawarar karshe tare da kwararru. Wannan zabi shine mutum, kuma yayin da daya ya dace da cutar shan iska, wasu sunyi amfani da rigakafi a cikin canjin vertebral don samun ciwo a matakin ƙwararre.
Yaya tsawon aiki a kan kafada haɗin gwiwa - arthroscopy?
Dukkan aiki da sake dawowa bayan arthroscopy ba sa dauki lokaci mai tsawo. Hanyar, a matsayin mai mulkin, ba ta wuce minti 60 ba. Da kyallen takalma bayan warkar da cututtuka da tsai da sauri - lalacewar su ne kadan - kuma asibiti ba zai wuce kwanaki 4 ba. Mun gode wa wannan aiki, masana kimiyya sun gane cewa arthroscopy a duniya.
Arthroscopy na hadin gwiwa - hadin gwiwa bayan tiyata
Wannan mataki na magani yana da matukar muhimmanci. Gyaran bayan gyara bayan kwaskwarima na kafaɗɗun kafa ɗaya yana wakiltar salo na matakan da aka tsara don kiyaye aikin da kuma sake fasalin haɗin gwiwa. Nan da nan bayan da tiyata, likita ya yi gargadin kamuwa da cuta ta hanyar banda shafukan. Wasu marasa lafiya suna buƙatar sanyaya mai sanyi. Bugu da ƙari, gyaran bayan arthroscopy ya nuna cewa:
- Gudanar da magani mai zafi;
- shan maganin rigakafi;
- saka wani fixative - orthis - bandages;
- motsa jiki;
- ƙuntatawa ga manyan motsin jiki don rabin shekara bayan aiki.
LFK bayan arthroscopy na haɗin gwiwa
Domin nazarin, ba dole ba ne ka tafi gidan motsa jiki. Aikace-aikace bayan arthroscopy na haɗin gwiwa na da sauki, kuma ana iya yin su a gida:
- Matsi yatsunsu. Don saukakawa, zaka iya amfani da mai fitarwa.
- Gyare kuma yarda da goga.
- Matsar da takalmin kafada: rage da tsarke rassan kafada, tashi da kuma yin ƙungiyoyi masu juyayi tare da forelegs.
Nemo bayan arthroscopy na haɗin gwiwa
Lokacin da aka yi aiki tare da su yana da matukar wuya a haɗu, amma dole ne mu san game da su. Matsalar Arthroscopy na iya samun wadannan:
- kumburi;
- zafi a cikin yankin haɗin gwiwa;
- rage yawan ƙwarewa da ƙididdigewa na limbin;
- zub da jini.