Kodi Arthroscopy ndi chiyani

Arthroscopy ndi njira yocheperako yomwe imalola maopaleshoni a mafupa kuyang'ana mkati mwa olowa pogwiritsa ntchito chida chopyapyala chokhala ndi kamera chotchedwa arthroscope. Kulowetsedwa kudzera m'kang'ono kakang'ono kamodzi kapena kuposerapo, kukulako kumapanga zithunzi zodziwika bwino za cartilage, ligaments, menisci, synovium, ndi zina zina pa polojekiti. Mu gawo lomwelo, zida zazing'ono zapadera zimatha kuzindikira ndi kuchiza mavuto monga misozi ya meniscal, matupi otayirira, synovium yotupa, kapena chichereŵechereŵe chowonongeka. Poyerekeza ndi opaleshoni yotseguka, arthroscopy nthawi zambiri imabweretsa kupweteka pang'ono, zovuta zochepa, kukhala m'chipatala kwaufupi, ndi kuchira msanga ndikusunga mawonekedwe olondola, enieni a olowa.

Chiyambi cha Arthroscopy

Mwachidule ndi Udindo Wachipatala

• Arthroscopy, yomwe nthawi zambiri imatchedwa "joint endoscopy," idachokera ku njira yodziwira matenda kukhala nsanja yosunthika yopangira chithandizo chocheperako.

• Amachitidwa pafupipafupi pa bondo ndi phewa komanso mochulukirachulukira, akakolo, chigongono, ndi dzanja muzamankhwala azamasewera komanso mafupa ambiri.

• Tizilombo tating'ono ta khungu (zipata) timachepetsa kuvulala kwa minofu, zipsera, komanso nthawi yotalikirana ndi ntchito kapena masewera poyerekeza ndi njira zotseguka.

Chifukwa Chake Ochita Opaleshoni Amasankha Arthroscopy

• Kuwona kwachindunji kwa mapangidwe a intra-articular kumathandizira kuti adziwe bwino pamene zizindikiro ndi zojambula sizikudziwika.

• Gawo limodzi likhoza kuphatikiza matenda ndi chithandizo, kuchepetsa kuwonetseredwa kwathunthu kwa anesthesia ndi mtengo wake.

• Njira zokhazikika komanso zida zothandizira kuberekana kumathandizira pakupanga ma pathologies osiyanasiyana.

Momwe Arthroscopy Imagwirira Ntchito

Kapangidwe ka Chipangizo cha Arthroscope

• Kukula kolimba kapena kosinthika pang'ono 4-6 mm m'mimba mwake kokhala ndi fiber-optic kapena nyali ya LED komanso kamera yotanthauzira kwambiri.

• Njira imodzi kapena zingapo zogwirira ntchito zimalola kudutsa kwa shavers, graspers, punch, burrs, ma radiofrequency probes, ndi zida zodutsira suture.

• Dongosolo la ulimi wothirira limazungulira saline wosabala kuti awonjezere malo olowa, kuchotsa zinyalala, ndikusunga mawonekedwe.

• Zithunzi zimawonetsedwa pamoniti pomwe gulu limayendera ndikulemba zomwe zapezedwa.

Kuwona ndi Kuyenda kwa Ntchito

• Pambuyo pokonzekera ndi kudontha, ma portal amapangidwa ndi tsamba kapena trocar pamalo otetezeka a anatomical.

• Kuchulukaku kumawunikira zigawo motsatizana mwadongosolo, zolembera za cartilage, ligaments, ndi synovium.

• Ngati ma pathology apezeka, zida zowonjezera zimalowa kudzera pazipata zowonjezera kuti ziwononge, kukonza, kapena kumanganso minofu.

• Pamapeto pake, saline imachotsedwa, mawindo amatsekedwa ndi sutures kapena zomatira, ndipo zobvala zosabala zimayikidwa.
  
  

Zifukwa Zachipatala za Arthroscopy

Common Zizindikiro

• Bondo: misozi ya meniscal, matupi otayirira, kuvulala kwapambuyo / kumbuyo kwa cruciate ligament, kuwonongeka kwa cartilage, synovitis.

• Mapewa: misozi ya rotator cuff, labral misozi / kusakhazikika, biceps pathology, subacromial impingement, zomatira capsulitis kumasulidwa.

• Hip / Ankle / Wrist / Elbow: kulowetsedwa kwa femoroacetabular, zotupa za osteochondral, misozi ya TFCC, kuchotsedwa kwa epicondylitis.

• Kuwunika kwachidziwitso cha kupweteka kwa mgwirizano kosalekeza kapena kutupa pamene kuyesedwa kwachipatala ndi kujambula sikumagwirizana.

Kupewa ndi Kuwunika Contexts

• Kuchiza koyambirira kwa zizindikiro zamakina kumalepheretsa kuvulazidwa kwamtundu wachiwiri komanso kupita patsogolo kwa osteoarthritis.

• Kuwonongeka kokhazikika kapena kukhazikika kungathe kuchepetsa chiopsezo cha reinjury mwa othamanga othamanga.

• Biopsy ya synovium kapena cartilage imamveketsa zotupa kapena zopatsirana kuti ziwongolere chithandizo chamankhwala.

Kukonzekera kwa Arthroscopy

Pre-Procedure Evaluation

• Mbiri ndi kufufuza kwa thupi kunayang'ana kusakhazikika, kutseka, kutupa, ndi kuvulala koyambirira kapena maopaleshoni.

• Ndemanga yojambula: X-ray kuti agwirizane ndi fupa, MRI / ultrasound kwa minofu yofewa; ma laboratories monga momwe zasonyezedwera.

• Dongosolo la mankhwala: kusintha kwakanthawi kwa anticoagulants / antiplatelet; kuwunika kwa chiwopsezo cha ziwengo ndi anesthesia.

• Malangizo osala kudya nthawi zambiri maola 6-8 musanayambe opaleshoni; kupanga postoperative transport.
  
  

Anesthesia ndi Maphunziro Odwala

• Malo okhala ndi sedation, midadada yachigawo, msana, kapena anesthesia wamba osankhidwa ndi olowa, ndondomeko, ndi comorbidities.

• Kambiranani maubwino, njira zina, ndi zoopsa, kuphatikiza nthawi yeniyeni yobwerera kuntchito ndi masewera.

• Phunzitsani icing, kukwera, kutetezedwa kolemera, ndi zizindikiro zochenjeza (kutentha thupi, kupweteka kowonjezereka, kutupa kwa ng'ombe).

Njira ya Arthroscopy

Pang'onopang'ono mwachidule

• Kuyika (mwachitsanzo, bondo m'miyendo, phewa pampando wam'mphepete mwa nyanja kapena lateral decubitus) ndi zotchingira kuteteza mitsempha ndi khungu.

• Lembani zizindikiro za anatomical; pangani zipata zowonera ndikugwira ntchito m'malo osabala.

• Kafukufuku wofufuza: fufuzani magiredi a cartilage, menisci / labrum, ligaments, synovium; kujambula zithunzi/mavidiyo.

• Chithandizo: meniscectomy pang'ono motsutsana ndi kukonza, kukonza makapu ozungulira, kukhazikika kwa labral, microfracture kapena osteochondral grafting.

• Kutseka: chotsani madzimadzi, kutseka zitseko, gwiritsani ntchito mavalidwe ophatikizika, yambitsani protocol yaposachedwa.

Zimene Odwala Amakumana Nazo

• Kusapeza bwino kwapang'ono; ambiri amafotokoza kupanikizika kapena kuuma m'malo mopweteka kwambiri maola oyambirira a 24-72.

• Kutuluka tsiku lomwelo ndikofala; ndodo kapena gulaye zingafunike kuti atetezedwe.

• Analgesia imaphatikiza acetaminophen/NSAIDs, midadada yachigawo, ndikugwiritsa ntchito mwachidule othandizira amphamvu ngati kuli kofunikira.

• Kuyenda koyambirira kumalimbikitsidwa monga momwe amalangizira kuti achepetse kuuma komanso kulimbikitsa thanzi la cartilage.

Zowopsa ndi Zolinga Zachitetezo

Zowopsa Zomwe Zingatheke

• Matenda, kutuluka magazi, thrombosis yakuya, mitsempha kapena chotengera kukwiya, kusweka kwa zida (zonse zachilendo).

• Kuuma kosalekeza kapena kuwawa kochokera ku zipsera kapena ma pathology osayankhidwa.

• Kulephera kukonzanso (mwachitsanzo, meniscal kapena rotator cuff retear) kumafuna opaleshoni yokonzanso.

Njira Zachitetezo

• Njira yokhwima yosabala, maantibayotiki prophylaxis akasonyezedwa, ndikuyika mosamala zipata.

• Kuwona mosalekeza, kuthamanga kwa pampu yoyendetsedwa, ndi hemostasis mosamalitsa.

• Njira zochiritsira zokhazikika ndi kuzindikira koyambirira kwa zovuta.
  
  

Arthroscopy vs. Njira Zina Zodziwira

Kufananiza ndi Kukwanirana

• X-ray imasonyeza fractures ndi kuyanjanitsa koma osati minofu yofewa; arthroscopy imayang'ana mwachindunji ma cartilage ndi ligaments.

• MRI ndi yosasokoneza komanso yabwino kwambiri yowunika; arthroscopy imatsimikizira zomwe zapezeka m'malire ndikuzichitira nthawi yomweyo.

• Poyerekeza ndi opaleshoni yotseguka, arthroscopy imakwaniritsa zolinga zofanana ndi zochepa zazing'ono ndikubwerera mofulumira kuntchito.

Kubwezeretsa ndi Kusamalira Pambuyo

Kuchira Mwamsanga

• Madzi oundana, kuponderezana, kukwera, ndi kuteteza kunyamula zolemera kapena gulaye kusuntha monga momwe adalamulira.

• Chisamaliro cha mabala: sungani zovala zouma kwa maola 24-48 ndikuwunika kufiira kapena ngalande.

• Yambani masewera olimbitsa thupi pang'onopang'ono pokhapokha ngati akutsutsana ndi rep

Arthroscopy yasintha chisamaliro chophatikizana ndikuphatikiza kuwonera bwino ndi chithandizo chocheperako, kuthandiza odwala kubwerera kuntchito ndi masewera posachedwa ndi zovuta zochepa. Mbiri yake yachitetezo, kusinthasintha, komanso kupita patsogolo kwaukadaulo kumapangitsa kuti ikhale njira yoyamba pamavuto ambiri olumikizana. Kwa mabungwe ndi ogulitsa omwe akufuna mayankho odalirika, kuyanjana ndi ogulitsa odalirika kumawonjezera zotsatira ndi magwiridwe antchito. Pamapeto pa njira-kuchokera ku matenda kupita kuchira-zida zosankhidwa bwino ndi magulu ophunzitsidwa bwino amapanga kusiyana, ndipo opereka chithandizo monga XBX angapereke machitidwe, zida, ndi chithandizo chokwanira kuti akwaniritse miyezo yamakono ya opaleshoni.

FAQ

1. Ndi mitundu yanji ya arthroscope yomwe ilipo kuti igwiritsidwe ntchito m'chipatala?

   Arthroscope nthawi zambiri imakhala yolimba 4-6 mm m'mimba mwake, yopangidwira mawondo, phewa, chiuno, akakolo, chigongono, kapena dzanja. Zipatala zimatha kusankha njira zodziwira matenda kapena zochizira malinga ndi zomwe zikufunika kuchipatala.

2. Kodi zipatala zingawonetse bwanji kuti machitidwe a arthroscopy akutsatira miyezo yapadziko lonse lapansi?

   Otsatsa akuyenera kupereka ziphaso za CE, ISO, kapena FDA, kutsimikizira kutsekereza, ndi zolembedwa zotsimikizira kuti akutsatira malamulowo.

3. Ndi zida ziti zomwe zimaphatikizidwa ndi seti ya arthroscopy?

   Ma seti okhazikika amaphatikizapo shaver, graspers, punch, suture passers, radiofrequency probes, mapampu amthirira, ndi cannulas osabala.

4. Kodi zida za arthroscopy zimathandizira kuzindikira komanso kukonza opaleshoni?

   Inde, machitidwe amakono a arthroscopy amalola madokotala ochita opaleshoni kuti azindikire mikhalidwe yolumikizana ndipo nthawi yomweyo amachita njira monga kukonza meniscus, kukonzanso mitsempha, kapena chithandizo cha cartilage.

5. Kodi ndi zinthu ziti zomwe muyenera kuziganizira pogula zida za arthroscopy?

   Makamera apamwamba kwambiri a digito, kuwunikira kwa LED, luso lojambulira, komanso kugwirizana ndi machitidwe achipatala a PACS ndizinthu zazikulu zomwe zimagwiritsidwa ntchito pachipatala.

6. Ndi ntchito ziti za chitsimikizo ndi kukonza zomwe nthawi zambiri zimaperekedwa ndi ma arthroscopy system?

   Othandizira nthawi zambiri amapereka chitsimikizo cha zaka 1-3, kukonza zodzitetezera, kukweza mapulogalamu, ndi chithandizo chaukadaulo ndi njira zophunzitsira.

7. Kodi othandizira amapereka maphunziro kwa magulu azachipatala pogwiritsa ntchito zida za arthroscopy?

   Inde, othandizira ambiri amaphatikiza maphunziro apawebusayiti, maphunziro a digito, ndi chithandizo chaukadaulo kuwonetsetsa kuti maopaleshoni ndi ogwira ntchito ali ndi chidaliro pakugwiritsira ntchito zida.

8. Ndi njira ziti zotetezera zomwe ziyenera kutsatiridwa mukamagwiritsa ntchito zida za arthroscopy?

   Zida ziyenera kuthandizira kuthamanga kwa pampu, kuwonetsetsa bwino, ndi ma protocol osabala. Othandizira akuyeneranso kupereka chitsogozo chazovuta zadzidzidzi.

9. Kodi zipatala zingasamalire bwanji ndalama mukamagwiritsa ntchito ma arthroscopy system?

   Magulu ogula zinthu akuyenera kufananiza tsatanetsatane, maphukusi a ntchito, chithandizo chamaphunziro, ndi mawu otsimikizira, kusankha othandizira omwe ali ndi chidziwitso chotsimikizika chachipatala komanso kudalirika pambuyo pogulitsa.

10. Kodi nsanja za arthroscopy zingasinthidwe kuti zizigwiritsidwa ntchito mophatikizana zambiri?

    Inde, machitidwe ambiri ndi okhazikika, kulola kamera yomweyi ndi gwero lowala kuti ligwiritsidwe ntchito pa mawondo, mapewa, m'chiuno, kapena pamapazi pogwiritsa ntchito zida zogwirizanitsa.