Arthroscopy ni iki

Indwara ya Arthroscopie nuburyo bworoshye butuma abaganga babaga amagufwa bareba imbere mu gihimba bakoresheje igikoresho cyoroshye, gifite kamera cyitwa arthroscope. Kwinjizamo unyuze kumurongo umwe cyangwa nyinshi, urwego rwimishinga rusobanura neza amashusho ya karitsiye, ligaments, menisci, synovium, nizindi nzego kuri monitor. Muri icyo cyiciro kimwe, ibikoresho byihariye bya miniature birashobora gusuzuma no kuvura ibibazo nkamarira ya menici, imibiri irekuye, synovium yaka, cyangwa karitsiye yangiritse. Ugereranije no kubagwa kumugaragaro, arthroscopie mubusanzwe itera ububabare buke, ingorane nke, ibitaro bigufi bigumaho, hamwe no gukira byihuse mugihe ubitse neza, mugihe nyacyo cyo kubona amashusho.

Intangiriro kuri Arthroscopy

Incamake n'uruhare rwa Clinical

• Arthroscopie, bakunze kwita “endoscopi ihuriweho,” yavuye mu buhanga bwo gusuzuma, ihinduka uburyo butandukanye bwo kuvura byoroheje.

• Bikunze gukorwa kumavi nigitugu kandi bigenda byiyongera kubibuno, amaguru, inkokora, nintoki mubuvuzi bwa siporo nubuvuzi rusange.

• Ibice bito byuruhu (portal) bigabanya ihungabana ryumubiri, inkovu, nigihe cyo kukazi cyangwa siporo ugereranije nuburyo bweruye.

Impamvu kubaga bahitamo Arthroscopy

• Kubona mu buryo butaziguye imiterere-yimitsi ituma hasuzumwa neza mugihe ibimenyetso nibishusho bidashoboka.

• Isomo rimwe rishobora guhuza kwisuzumisha hamwe no kuvura, kugabanya anesthesia yuzuye hamwe nigiciro.

• Tekiniki n'ibikoresho bisanzwe bishyigikira ibisubizo byororoka muburyo butandukanye bwa patologi.

Uburyo Arthroscopy ikora

Imiterere y'ibikoresho bya Arthroscope

• Ingano ikomeye cyangwa igice cyoroshye cya mm 4-6 z'umurambararo hamwe na fibre optique cyangwa LED yamurika hamwe na kamera yibisobanuro bihanitse.

• Imiyoboro imwe cyangwa myinshi ikora yemerera kunyura kogosha, gufata, gukubita, burrs, iperereza rya radiofrequency, hamwe nibikoresho bya suture.

• Sisitemu yo kuhira ikwirakwiza saline sterile kugirango yagure umwanya uhuriweho, imyanda isukuye, kandi ikomeze kugaragara.

• Amashusho yerekanwa kuri monite aho itsinda riyobora kandi ryandika ibyingenzi byingenzi.

Kubona amashusho no gukora

• Nyuma yo kwitegura neza no gushushanya, portal ikorwa hamwe nicyuma cyangwa trocar ahantu nyaburanga hatuje.

• Ingano ikora ibice mubice bikurikiranye, byerekana hejuru ya karitsiye, ligaments, na synovium.

• Niba patologiya ibonetse, ibikoresho byinjira byinjira binyuze kumurongo winyongera kugirango bisibe, bisane, cyangwa byubake imyenda.

• Mugusoza, saline irimurwa, portal zifunze hamwe na suture cyangwa imirongo ifata, hanyuma hagashyirwaho imyambarire ya sterile.
  
  

Impamvu zubuvuzi bwa Arthroscopy

Ibimenyetso Rusange

• Amavi: amarira ya menici, imibiri irekuye, ibikomere byimbere / inyuma bikomeretsa ligament, inenge yibanze ya karitsiye, synovitis.

• Igitugu: rotator cuff amarira, amarira ya labral / guhungabana, biceps patology, subacromial impingement, kurekura capsulitis.

• Ikibuno / Amaguru / Wrist / Inkokora: impingement ya femoroacetabular, ibikomere bya osteochondral, amarira ya TFCC, amarira ya epicondylitis.

• Isuzumabumenyi ryo gusuzuma ububabare buhoraho cyangwa kubyimba mugihe ikizamini cyamavuriro no gufata amashusho bitumvikana.

Kurinda no Kugenzura Ibice

• Kuvura hakiri kare ibimenyetso byubukanishi birinda kwambara karitsiye ya kabiri no gutera imbere kwa osteoarthritis.

• Intego yo gukuraho cyangwa gutuza birashobora kugabanya ibyago byo gusubira mu bakinnyi bahatanira amarushanwa.

• Biopsy ya synovium cyangwa karitsiye isobanura etiologiya yanduza cyangwa yanduza kuyobora imiti ihindura indwara.

Imyiteguro ya Arthroscopy

Isuzuma ryibanze

• Amateka nisuzuma ryumubiri byibanze ku guhungabana, gufunga, kubyimba, no gukomeretsa mbere cyangwa kubagwa.

• Gusubiramo amashusho: X-ray yo guhuza amagufwa, MRI / ultrasound kubice byoroshye; laboratoire nkuko bigaragara.

• Gahunda yimiti: guhindura by'agateganyo anticoagulants / antiplatelets; gusuzuma allergie na anesthesia gusuzuma ingaruka.

• Amabwiriza yo kwiyiriza ubusanzwe amasaha 6-8 mbere yo gutera anesteziya; tegura ubwikorezi nyuma yibikorwa.
  
  

Anesthesia hamwe nuburere bwabarwayi

• Ahantu hamwe na sedation, bloks zo mukarere, umugongo, cyangwa anesthesia rusange yatoranijwe hamwe, inzira, hamwe nibishobora kubaho.

• Muganire ku nyungu, ubundi buryo, hamwe ningaruka, wongeyeho igihe nyacyo cyo gusubira kukazi na siporo.

• Igisha gushushanya, kuzamuka, kurinda uburemere, n'ibimenyetso byo kuburira (umuriro, ububabare bukabije, kubyimba inyana).

Uburyo bwa Arthroscopy

Intambwe ku yindi

• Umwanya (urugero, ivi mu gufata amaguru, urutugu mu ntebe-yinyanja cyangwa kuruhande rwa decubitus) hamwe na padi kugirango urinde imitsi nuruhu.

• Shyira ibimenyetso biranga ibimenyetso; kora kureba no gukora portal mubihe bidasanzwe.

• Ubushakashatsi bwo gusuzuma: gusuzuma amanota ya karitsiye, menisci / labrum, ligaments, synovium; fata amafoto / videwo.

• Ubuvuzi: meniscectomy igice hamwe no gusana, gusana rotate cuff gusana, guhagarika labral, microfracture cyangwa osteochondral.

• Gufunga: kuvanaho amazi, gufunga portal, koresha imyambarire ikanda, gutangiza protocole nyuma yo gutangira.

Ibyo abarwayi bafite

• Ntibisanzwe; benshi basobanura igitutu cyangwa gukomera kuruta ububabare bukabije amasaha 24-72 yambere.

• Gusohora umunsi umwe birasanzwe; inkoni cyangwa umugozi birashobora gukenerwa kurinda.

• Analgesia ikomatanya acetaminofeni / NSAIDs, guhagarika uturere, no gukoresha muri make ibikoresho bikomeye nibiba ngombwa.

• Kwimuka hakiri kare birashishikarizwa kugabanya gukomera no guteza imbere ubuzima bwa karitsiye.

Ingaruka hamwe no gutekereza ku mutekano

Ingaruka zishobora kubaho

• Indwara, kuva amaraso, trombose ndende, imitsi cyangwa imitsi irakara, kuvunika ibikoresho (byose ntibisanzwe).

• Kwinangira gukomera cyangwa kubabara biturutse ku nkovu cyangwa indwara idakemuwe.

• Kunanirwa gusanwa (urugero, meniscal cyangwa rotator cuff retear) bisaba kubagwa gusubiramo.

Ingamba z'umutekano

• Tekiniki itajenjetse, antibiyotike ya prophylaxis iyo yerekanwe, hamwe no gushyira portal neza.

• Gukomeza kubona amashusho, kugenzura imiyoboro ya pompe, hamwe na hemostasis yitonze.

• Inzira zisanzwe zo gusubiza mu buzima busanzwe hamwe no kumenya hakiri kare ibibazo.
  
  

Arthroscopie nubundi buryo bwo gusuzuma

Kugereranya no Kwuzuzanya

• X-ray yerekana kuvunika no guhuza ariko ntabwo ari imyenda yoroshye; arthroscopy igenzura neza na karitsiye hamwe na ligaments.

• MRI ntabwo idahwitse kandi ni nziza mugusuzuma; arthroscopy yemeza ibyagaragaye kumupaka kandi ikabivura ako kanya.

• Ugereranije no kubaga kumugaragaro, arthroscopy igera ku ntego zisa nuduce duto kandi tugaruka vuba mubikorwa.

Gukira no Kwitaho

Gukira ako kanya

• Urubura, kwikanyiza, kuzamuka, hamwe no gukingira kwikorera uburemere cyangwa sling immobilisation nkuko byateganijwe.

• Kuvura ibikomere: komeza imyenda yumye amasaha 24-48 hanyuma ukurikirane umutuku cyangwa amazi.

• Tangira ubwitonzi bworoheje-bwimyitozo hakiri kare keretse iyo bibujijwe na rep

Arthroscopy yahinduye ubuvuzi bufatanije no guhuza neza no kuvura bidasubirwaho, bifasha abarwayi gusubira ku kazi na siporo vuba bafite ibibazo bike. Umwirondoro wumutekano wacyo, uhindagurika, hamwe niterambere ryikoranabuhanga rihoraho bituma uba umurongo wambere kumurongo uhuriweho. Kubigo nababitanga bashaka ibisubizo byizewe, gufatanya nuwabitanze wizewe byongera umusaruro nibikorwa byiza. Iyo inzira irangiye - kuva kwisuzumisha kugeza gukira - ibikoresho byatoranijwe neza hamwe nitsinda ryatojwe neza bigira itandukaniro, kandi abatanga nka XBX barashobora gutanga sisitemu yuzuye, ibikoresho, ninkunga kugirango byuzuze ibipimo bigezweho byo kubaga.

Ibibazo

1. Ni ubuhe bwoko bwa arthroscopes buboneka mugukoresha ibitaro?

   Arthroscopes mubisanzwe ni metero 4-6 z'umurambararo, zagenewe ivi, ibitugu, ikibuno, amaguru, inkokora, cyangwa uburyo bwo kuboko. Ibitaro birashobora guhitamo uburyo bwo gusuzuma cyangwa kuvura bitewe nibisabwa kwa muganga.

2. Nigute ibitaro byemeza ko arthroscopy sisitemu yubahiriza amahame mpuzamahanga?

   Abatanga isoko bagomba gutanga ibyemezo bya CE, ISO, cyangwa FDA, kwemeza uburyo bwo kuboneza urubyaro, hamwe nibyangombwa byemeza ubuziranenge kugirango bemeze kubahiriza amabwiriza.

3. Nibihe bikoresho birimo hamwe na arthroscopy?

   Amaseti asanzwe arimo kogosha, gufata, gukubita, gutambutsa suture, iperereza rya radiofrequency, pompe zo kuhira, hamwe n’urumogi rwa sterile.

4. Ibikoresho bya arthroscopie birashobora gushyigikira gusuzuma no kubaga?

   Nibyo, sisitemu ya arthroscopie igezweho ituma abaganga basuzuma imiterere ihuriweho kandi bagahita bakora inzira nko gusana menisque, kwiyubaka kwa ligament, cyangwa kuvura karitsiye.

5. Nibihe bintu nyamukuru byerekana amashusho ugomba gusuzuma mugihe ugura ibikoresho bya arthroscopy?

   Kamera isobanura cyane kamera, LED kumurika, ubushobozi bwo gufata amajwi, no guhuza na sisitemu ya PACS yibitaro nibintu byingenzi bikoreshwa mubuvuzi.

6. Ni ubuhe butumwa bwa garanti no kubungabunga busanzwe butangwa hamwe na sisitemu ya arthroscopy?

   Abatanga ibicuruzwa muri rusange batanga garanti yimyaka 1-3, kubungabunga ibidukikije, kuzamura software, hamwe nubufasha bwa tekiniki hamwe namahugurwa.

7. Abatanga isoko batanga amahugurwa kumatsinda yubuvuzi bakoresheje ibikoresho bya arthroscopy?

   Nibyo, abatanga isoko benshi barimo amahugurwa kurubuga, inyigisho za digitale, hamwe nubufasha bwa tekiniki kugirango abaganga n'abakozi bizeye imikorere yibikoresho.

8. Ni izihe ngamba z'umutekano zigomba gukurikizwa mugihe ukoresheje ibikoresho bya arthroscopie?

   Ibikoresho bigomba gushyigikira igitutu cya pompe igenzurwa, kugaragara neza, hamwe na protocole sterile. Abatanga isoko nabo bagomba gutanga ubuyobozi kubikemura byihutirwa.

9. Nigute ibitaro bishobora gucunga ibiciro mugihe bishora muri sisitemu ya arthroscopy?

   Amatsinda atanga amasoko agomba kugereranya ibisobanuro, ibipapuro bya serivisi, inkunga y'amahugurwa, hamwe na garanti, guhitamo abaguzi bafite uburambe bwubuvuzi bwagaragaye kandi nyuma yo kugurisha kwizerwa.

10. Urubuga rwa arthroscopy rushobora gutegurwa kubikorwa byinshi bihuriweho?

    Nibyo, sisitemu nyinshi ni modular, yemerera kamera imwe nisoko yumucyo gukoreshwa mumavi, ibitugu, ikibuno, cyangwa imigeri hamwe nibikoresho byihariye.