Yintoni Arthroscopy

I-Arthroscopy yinkqubo yongenelelo kancinane eyenza ukuba oogqirha bamathambo bajonge ngqo ngaphakathi kwindawo edibeneyo besebenzisa isixhobo esicekethekileyo esinekhamera esibizwa ngokuba yi-arthroscope. Ifakwe ngesinye okanye ngaphezulu kokusikeka okuncinci, iprojekthi yobubanzi iprojekthi yenkcazo ephezulu yemifanekiso yecartilage, iiligaments, menisci, synovium, kunye nezinye izakhiwo kwimonitha. Kwiseshoni enye, izixhobo ezikhethekileyo ezincinci ziyakwazi ukuxilonga kunye nokunyanga iingxaki ezifana neenyembezi ze-meniscal, imizimba ekhululekile, i-synovium evuthayo, okanye i-cartilage eyonakele. Xa kuthelekiswa notyando oluvulekileyo, i-arthroscopy ngokubanzi iphumela kwiintlungu ezincinci, iingxaki ezimbalwa, ukuhlala esibhedlele okufutshane, kunye nokuchacha ngokukhawuleza ngelixa ugcina ukubonwa okuchanekileyo, okwenyani kwexesha lokudibanisa.

Intshayelelo yeArthroscopy

Isishwankathelo kunye nendima yoNyango

• I-arthroscopy, edla ngokubizwa ngokuba "yi-joint endoscopy," yavela kubuchule bokuxilonga ukuya kwiqonga eliguquguqukayo lonyango olungenelelayo oluncinci.

• Yenziwa rhoqo kwidolo kunye negxalaba kwaye iyanda kwi-hip, i-ankle, i-elbow, kunye nesandla kwiyeza lezemidlalo kunye ne-orthopedics jikelele.

• Izithintelo ezincinci zesikhumba (iiportal) zinciphisa ukwenzakala kwezicubu, amanxeba, kunye nexesha kude nomsebenzi okanye umdlalo xa kuthelekiswa neendlela ezivulekileyo.

Kutheni ooGqirha bakhetha i-Arthroscopy

• Ukuboniswa ngokuthe ngqo kwezakhiwo ze-intra-articular kwenza ukuxilongwa ngokuchanekileyo xa iimpawu kunye nokucinga kungagqibekanga.

• Iseshoni enye inokudibanisa ukuxilongwa kunye nonyango, ukunciphisa ukubonakaliswa kwe-anesthesia epheleleyo kunye neendleko.

• Ubuchule obusemgangathweni kunye nezixhobo zixhasa iziphumo ezinokuphinda ziphinde ziphinde zivele kuluhlu olubanzi lwe-pathologies.

Isebenza njani i-arthroscopy

Ulwakhiwo lweSixhobo seArthroscope

• Umda oqinileyo okanye oguquguqukayo we-4-6 mm ububanzi kunye nefiber-optic okanye ukukhanya kwe-LED kunye nekhamera yedijithali ecacileyo.

• Itshaneli enye okanye ngaphezulu esebenzayo ivumela ukudlula kweeshaver, iigraspers, punch, burrs, radiofrequency probes, kunye nezixhobo zokudlula i-suture.

• Inkqubo yokunkcenkceshela ijikeleza i-saline eyinyumba ukwandisa indawo edibeneyo, i-debris ecacileyo, kunye nokugcina ukubonakala.

• Imifanekiso iboniswa kwimonitha apho iqela likhangela kwaye lirekhode iziphumo eziphambili.

Ukubonwa kunye nokuHamba okuSebenzayo

• Emva kolungiselelo oluyinyumba kunye nokudonsa, iiphothali zenziwe ngeblade okanye i-trocar kwiindawo ezikhuselekileyo ze-anatomical.

• I-scope ihlola amacandelo ngolandelelwano olucwangcisiweyo, ibhala umphezulu we-cartilage, i-ligaments, kunye ne-synovium.

• Ukuba i-pathology ifunyenwe, izixhobo ze-accessory zingena ngee-portals ezongezelelweyo ukutshabalalisa, ukulungisa, okanye ukwakha kwakhona izicubu.

• Ekugqibeleni, i-saline ikhutshwe, ii-portals zivaliwe nge-sutures okanye i-adhesive strips, kunye neengubo eziyinyumba zisetyenziswa.
  
  

Izizathu zonyango zeArthroscopy

Iimpawu eziqhelekileyo

• Idolo: iinyembezi ze-meniscal, imizimba ekhululekileyo, i-anterior / posterior cruciate ligament ukulimala, i-focal cartilage defects, i-synovitis.

• Igxalaba: iinyembezi ezijikelezayo, iinyembezi ze-labral / ukungazinzi, i-biceps pathology, i-subacromial impingement, ukukhutshwa kwe-capsulitis enamathelayo.

• I-Hip / Ankle / Wrist / Elbow: i-femoroacetabular impingement, izilonda ze-osteochondral, iinyembezi ze-TFCC, i-lateral epicondylitis debridement.

• Uvavanyo lokuxilonga lwentlungu edibeneyo eqhubekayo okanye ukuvuvukala xa iimvavanyo zeklinikhi kunye ne-imaging ingavumelani.

Imixholo yoThintelo kunye nokuHlola

• Ukunyangwa kwangoko kweempawu zoomatshini kuthintela ukunxiba kwe-cartilage yesibini kunye nokuqhubela phambili kwi-osteoarthritis.

• Ukutshatyalaliswa okujoliswe kuyo okanye ukuzinzisa kunokunciphisa umngcipheko wokubuyisela kwakhona kwiimbaleki ezikhuphisanayo.

• I-Biopsy ye-synovium okanye i-cartilage icacisa i-etiologies evuthayo okanye esosulelayo ukukhokela unyango lokuguqula isifo.

Ukulungiselela Arthroscopy

UVavanyo lwangaphambili lweNkqubo

• Imbali kunye nokuhlolwa komzimba kugxininise ukungazinzi, ukutshixa, ukuvuvukala, kunye nokulimala kwangaphambili okanye utyando.

• Ukuphononongwa komfanekiso: I-X-ray yokulungelelanisa kunye nethambo, i-MRI / i-ultrasound yezicubu ezithambileyo; iilebhu njengoko kubonisiwe.

• Isicwangciso sonyango: ukulungiswa kwexeshana kwe-anticoagulants / antiplatelet; Uvavanyo lwengozi yokwaliwa kunye ne-anesthesia.

• Imiyalelo yokuzila ukutya ngokuqhelekileyo kwiiyure ezingama-6-8 ngaphambi kwe-anesthesia; cwangcisa izithuthi zasemva kokusebenza.
  
  

I-Anesthesia kunye neMfundo yesigulane

• Indawo ene-sedation, iibhloko zengingqi, i-spinal, okanye i-anesthesia jikelele ekhethwe ngokudibeneyo, inkqubo, kunye ne-comorbidities.

• Xoxa ngeenzuzo, iindlela ezizezinye, nemingcipheko, kunye namaxesha asengqiqweni okubuyela emsebenzini nakwezemidlalo.

• Fundisa i-icing, ukuphakama, ukukhusela ubunzima, kunye neempawu zokulumkisa (umkhuhlane, intlungu ekhulayo, ukudumba kwethole).

Inkqubo yeArthroscopy

Inyathelo ngeNyathelo Overview

• Ukuma (umzekelo, idolo kwisibambi somlenze, igxalaba kwisitulo esiselwandle okanye i-decubitus esecaleni) kunye ne-padding ukukhusela imithambo-luvo kunye nolusu.

• Phawula iimpawu zomhlaba ze-anatomical; yenza iiphothali zokujonga kunye nokusebenza phantsi kweemeko ezingcolileyo.

• Uphando lokuxilonga: ukuvavanya amabanga e-cartilage, i-menisci / labrum, i-ligaments, i-synovium; thatha iifoto/ividiyo.

• Unyango: inxalenye ye-meniscectomy vs ukulungiswa, ukulungiswa kwe-rotator cuff, ukuzinza kwe-labral, i-microfracture okanye i-osteochondral grafting.

• Ukuvalwa: susa ulwelo, vala ii-portals, sebenzisa i-compressive dressing, qalisa iprotocol yasemva kokuhlinzwa.

Izinto Eziviwa Ngabaguli

• Ubuncinci bokungakhululeki; uninzi luchaza uxinzelelo okanye ukuqina kunentlungu ebukhali kwiiyure zokuqala ze-24-72.

• Ukukhutshwa kwemini efanayo kuqhelekileyo; iintonga okanye isilingi zisenokufuneka ukukhusela.

• I-Analgesia idibanisa i-acetaminophen / i-NSAID, iibhloko zengingqi, kunye nokusetyenziswa okufutshane kwama-agent anamandla xa kuyimfuneko.

• Ukunyakaza kwangaphambili kuyakhuthazwa njengoko kuqondiswe ukunciphisa ukuqina kunye nokukhuthaza impilo ye-cartilage.

Imingcipheko kunye neNgqwalasela yoKhuseleko

Imingcipheko enokubakho

• Usulelo, ukopha, i-thrombosis enzulu ye-vein, i-nerve okanye isitya sokucaphuka, ukuphuka kwesixhobo (konke okungaqhelekanga).

• Ukuqina okuzingisileyo okanye iintlungu ezibangelwa kukukrala okanye ukugula okungalungiswanga.

• Ukungaphumeleli ukulungiswa (umzekelo, i-meniscal okanye i-rotator cuff retear) efuna utyando oluhlaziyiweyo.

Amanyathelo okhuseleko

• Ubuchule obungqongqo obunyumba, i-antibiotic prophylaxis xa ibonisiwe, kunye nokubekwa kwe-portal ngononophelo.

• Ukuboniswa okuqhubekayo, uxinzelelo lwempompo olulawulwayo, kunye ne-hemostasis ecokisekileyo.

• Iindlela ezisemgangathweni zokubuyisela kwisimo sangaphambili kunye nokuqondwa kwangaphambili kweengxaki.
  
  

I-arthroscopy vs. Ezinye iindlela zokuxilonga

Uthelekiso kunye nokuThelelana

• I-X-ray ityhila ukuphuka kunye nokulungelelaniswa kodwa kungekhona izicubu ezithambileyo; i-arthroscopy ihlola ngokuthe ngqo i-cartilage kunye nemigqa.

• I-MRI ayifuni kwaye igqwesileyo ekuhloleni; i-arthroscopy iqinisekisa ukufunyaniswa kwemida kwaye iphatha ngokukhawuleza.

• Xa kuthelekiswa notyando oluvulekileyo, i-arthroscopy ifezekisa iinjongo ezifanayo kunye neengqungquthela ezincinci kunye nokubuyela ngokukhawuleza kumsebenzi.

Ukuchacha kunye noLondolozo lwasemva

UkuBuyisa kwangoku

• Umkhenkce, ucinezelo, ukuphakama, kunye nokukhuselwa kokuthwala ubunzima okanye isilingi immobilization njengoko kuyalelwe.

• Ukunyamekela amanxeba: gcina iingubo zomile iiyure ezingama-24-48 kwaye ubeke iliso kubomvu okanye ukukhupha amanzi.

• Qalisa imithambo ethambileyo yoluhlu lwentshukumo kwangethuba ngaphandle kokuba uchasiwe ngummeli

I-arthroscopy iguqule ukhathalelo oludibeneyo ngokudibanisa ukubonwa okuchanekileyo kunye nonyango oluncinci, ukunceda izigulane zibuyele emsebenzini kunye nezemidlalo ngokukhawuleza kunye neengxaki ezimbalwa. Iprofayile yayo yokhuseleko, ukuguquguquka, kunye nenkqubela phambili yetekhnoloji eqhubekayo iyenza ibe lukhetho lokuqala kwiingxaki ezininzi ezidibeneyo. Kumaziko kunye nabasasazi abafuna izisombululo ezithembekileyo, ukusebenzisana nomthengisi othembekileyo kwandisa iziphumo kunye nokusebenza kakuhle. Ekupheleni kwendlela-ukusuka kwi-diagnostic ukuya ekubuyiseleni-izixhobo ezikhethiweyo kakuhle kunye namaqela aqeqeshwe kakuhle enza umehluko, kwaye ababoneleli abafana ne-XBX banokunika iinkqubo ezibanzi, izixhobo kunye nenkxaso yokuhlangabezana nemigangatho yokuhlinzwa yanamhlanje.

FAQ

1. Zeziphi iintlobo ze-arthroscopes ezikhoyo ukuze zisetyenziswe esibhedlele?

   IArthroscopes ngokuqhelekileyo yimida eqinile 4-6 mm ububanzi, eyenzelwe idolo, igxalaba, ihip, iqatha, ingqiniba, okanye iinkqubo zesandla. Izibhedlele zinokukhetha iimodeli zokuxilonga okanye zonyango ngokuxhomekeke kwimfuno yeklinikhi.

2. Izibhedlele zingaqinisekisa njani ukuba iinkqubo ze-arthroscopy zithobela imigangatho yamazwe ngamazwe?

   Ababoneleli kufuneka babonelele nge-CE, ISO, okanye iziqinisekiso ze-FDA, ukuqinisekiswa kokuvalwa, kunye namaxwebhu okuqinisekisa umgangatho wokuqinisekisa ukuthotyelwa kwemithetho.

3. Ziziphi izincedisi ezifakwe kunye nesethi ye-arthroscopy?

   Iiseti ezisemgangathweni ziquka iishaver, ii graspers, punchs, suture passers, radiofrequency probes, impompo zokunkcenkceshela, kunye neecannulas ezilahlwayo.

4. Ngaba izixhobo ze-arthroscopy zinokuxhasa ukuxilongwa kunye nokulungiswa kotyando?

   Ewe, iinkqubo zanamhlanje ze-arthroscopy zivumela oogqirha ukuba bahlolisise iimeko ezidibeneyo kwaye ngokukhawuleza benze iinkqubo ezifana nokulungiswa kwe-meniscus, ukwakhiwa kwakhona kwe-ligament, okanye unyango lwe-cartilage.

5. Zeziphi iimpawu eziphambili zokucinga ekufuneka ziqwalaselwe xa kuthengwa izixhobo ze-arthroscopy?

   Iikhamera zedijithali ezicacileyo, ukukhanya kwe-LED, amandla okurekhoda, kunye nokuhambelana neenkqubo ze-PACS zesibhedlele zizinto eziphambili zokusetyenziswa kweklinikhi.

6. Zeziphi iinkonzo zewaranti kunye nolondolozo oludla ngokubonelelwa ngeenkqubo ze-arthroscopy?

   Ababoneleli ngokubanzi babonelela ngewaranti yeminyaka eyi-1–3, ulondolozo lothintelo, uphuculo lwesoftware, kunye nenkxaso yobugcisa ngeendlela zoqeqesho.

7. Ngaba ababoneleli babonelela ngoqeqesho kumaqela ezonyango asebenzisa izixhobo ze-arthroscopy?

   Ewe, uninzi lwababoneleli babandakanya uqeqesho olukwisiza, izifundo zedijithali, kunye nenkxaso yobugcisa ukuqinisekisa ukuba oogqirha botyando kunye nabasebenzi bazithembile ngokusebenza kwezixhobo.

8. Ngawaphi amanyathelo okhuseleko ekufuneka alandelwe xa usebenzisa izixhobo ze-arthroscopy?

   Izixhobo kufuneka zixhase uxinzelelo lwempompo olulawulwayo, ukubonwa okucacileyo, kunye neeprothokholi ezinyumba. Ababoneleli kufuneka kwakhona banike isikhokelo malunga nokusombulula ingxaki kaxakeka.

9. Izibhedlele zingalawula njani iindleko xa kutyalwa imali kwiinkqubo ze-arthroscopy?

   Amaqela okuthenga kufuneka athelekise iinkcukacha, iiphakheji zenkonzo, inkxaso yoqeqesho, kunye nemigaqo yewaranti, ukukhetha ababoneleli abanamava ekliniki aqinisekisiweyo kunye nokuthembeka emva kokuthengisa.

10. Ngaba amaqonga e-arthroscopy angenziwa ngokwezifiso kwizicelo ezidityanisiweyo ezininzi?

    Ewe, iinkqubo ezininzi ziyimodyuli, evumela ukuba ikhamera enye kunye nomthombo wokukhanya usetyenziswe kuwo wonke amadolo, amagxa, ihip, okanye iinkqubo ze-ankle ngezixhobo ezihambelana ngqo.