I-Arthroscopy & Nemithi Yezemidlalo

Isibhedlela Sokuhlinzwa Kwe-Arthroscopic e-Hyderabad, India

Imithi yezemidlalo

Okukhethekile kwe-Sports Medicine kuphathelene nokuvimbela, ukuxilonga, ukwelapha, nokuvuselela ukulimala okudalwe umsebenzi wokusubatha. Iningi lalezi zinkinga zelashwa kusetshenziswa ukuhlinzwa kwe-arthroscopic, inqubo ehlasela kancane. Ukulimala kwezemidlalo okudinga ukusekelwa kungelashwa ngemijovo ye-PRP nezindlela zokuthepha ze-Kinesio.

Kwezemithi Yezemidlalo, odokotela abahlinza amathambo, ongoti bezemidlalo abangahlinzeki, ochwepheshe bokubuyisela esimweni esihle, abaqeqeshi bezemidlalo, nabelaphi bomzimba basebenza ndawonye njengeqembu. I-CARE Hospitals ingesinye sezibhedlela ezingcono kakhulu zokulimala kwezemidlalo esineThimba Lezokwelapha elinekhono nelinolwazi kakhulu. Ochwepheshe bethu benza izinkulungwane zokuhlinza kwezemidlalo kubasubathi bawo wonke amazinga unyaka ngamunye besebenzisa izindlela zokuhlinza ezithuthukisiwe nezisetshenziswa ezithuthukisiwe. 

I-Arthroscopy

Ezibhedlela ze-CARE, odokotela bamathambo ukwelapha izifo ezihlukahlukene zamathambo namalunga ngezindlela ezithuthukile nezingangeneleli kancane. Ukuhlinzwa kwamathambo okunamasu angena kancane ngokuvamile kwenziwa kusetshenziswa i-arthroscope, ithuluzi elincanyana, elikhethekile eliklanyelwe ukubuka nokwelapha izinkinga ngaphakathi kwamalunga. Ngokungafani nezimbobo ezinkulu, i-arthroscope idinga ukusikeka okukodwa noma ngaphezulu okuncane esikhumbeni ukuze kufinyelelwe esihlokweni.

I-arthroscope ifakwe ikhamera encane ethuthukisiwe kanye nesistimu yokukhanyisa ekhethekile eyenza kube nokwenzeka ukuthi izakhiwo ezingaphakathi kwejoyinti zibukwe kumonitha. Ngaphandle kwe-arthroscope, udokotela ohlinzayo angakwazi ukunamathisela amathuluzi ekugcineni ukuze asuse izicubu noma ithambo eliye lavutha.

Kunconywa nini i-arthroscopy?

I-arthroscopy ivame ukuphakanyiswa odokotela abahlinzayo ukuze kulungiswe izinyembezi ezigcwele noma eziyingxenye ye-ligament, ukubhekana ne-cartilage ephukile, ukwelapha izimo ezifana nezinyembezi ze-rotator cuff, ihlombe eliqandisiwe, izinkinga ze-hip, nezinkinga zomgogodla njengama-disc herniated noma izifo ze-disc degenerative. Ukwengeza, kunconywa ukubhekana nokuhlukumezeka komgogodla okuvamile kanye ne-femoroacetabular impingement (FAI), kanye nezinye izimo eziwohlokayo. Ukuze enze ukuxilongwa, udokotela ngokuyinhloko uthembele ekuhlolweni kwe-MRI, okunezelwa ngama-X-ray uma kunesidingo.

I-Arthroscopy yenziwa kanjani?

I-Arthroscopy iyinqubo yokuhlinzwa engavamile esetshenziselwa ukuxilonga nokwelapha izinkinga emalungeni. Ngokuvamile kwenziwa emadolweni, emahlombe, emaqakaleni, ezihlakaleni, ezinqulwini, nasezindololwaneni. 

• Ukulungiselela: Ngaphambi kwenqubo, isiguli ngokuvamile sinikezwa i-anesthesia ukuqinisekisa ukuthi sikhululekile futhi asinabuhlungu ngesikhathi sokuhlinzwa. Uhlobo lwe-anesthesia esetshenziswayo lungahluka kuye ngokuthi ilunga elihlinzwayo kanye nomlando wezokwelapha wesiguli.
• I-incision: Udokotela ohlinzayo wenza izimbotshana ezincane eduze kwelunga elihlolwayo noma elilashwayo. Lezi zimbobo ngokuvamile zilingana nosayizi we-buttonhole.
• Ukufakwa Kwe-Arthroscope: I-arthroscope, okuyishubhu elincanyana, eliguquguqukayo elinekhamera nomthombo wokukhanya okunamathiselwe kulo, lifakwa ngomunye wemicu. Lokhu kuvumela udokotela ohlinzayo ukuthi abone ngaphakathi kwelunga ngaphandle kwesidingo sokusika okukhulu.
• Ukubona ngeso lengqondo: Ikhamera enamathiselwe ku-arthroscope ithumela izithombe zesikhathi sangempela zangaphakathi kwelunga kumonitha egunjini lokuhlinza. Lokhu kunikeza udokotela ohlinzayo umbono ocacile wezakhiwo ezingaphakathi kwesihlanganisi, kuhlanganise ne-cartilage, imigqa, nama-tendon.
• Ukwelashwa (uma kunesidingo): Uma kutholwa izinkinga phakathi nesigaba sokuxilonga, udokotela ohlinzayo angase asebenzise amathuluzi okuhlinza amancane afakwe ngokunye ukusika ukuze enze ukulungisa noma okunye ukwelapha. Izinqubo ezivamile ezenziwa nge-arthroscopy zihlanganisa ukulungisa imigqa edabukile noma uqwanga, ukususa izingcezwana ezixegayo zethambo noma uqwanga, nokushelela izindawo ezimahhadlahhadla.
• Ukuvala: Uma inqubo isiqediwe, izinsimbi zokuhlinza ziyasuswa, futhi izimbobo zivalwa nge-sutures noma imicu yokunamathisela. Kwezinye izimo, ukugqoka okuyinyumba noma ibhandishi kungase kusetshenziswe kumasayithi okusika.
• Ukubuyisela: Ngemva kokuhlinzwa, isiguli siyiswa endaweni yokululama lapho sibhekwa khona kuze kube yilapho imiphumela ye-anesthesia iphela. Kuye ngobunkimbinkimbi benqubo nezimo zesiguli ngasinye, zingase zikwazi ukuya ekhaya ngalo lolo suku noma zingase zidinge ukulala esibhedlela ukuze zibhekwe.
• Ukunakekelwa kwangemva kokuhlinzwa: Udokotela ohlinzayo uzonikeza imiyalelo yokunakekelwa kwangemva kokuhlinzwa, okuhlanganisa ukuphathwa kwezinhlungu, ukunakekelwa kwesilonda, nokuzivocavoca kokuvuselela. Ukwelashwa ngokomzimba kungase kunconywe ukusiza ukubuyisela amandla nokuhamba kwelunga.

Izinzuzo ze-Arthroscopy

I-arthroscopy inikeza izinzuzo eziningana ngaphezu kokuhlinzwa okuvulekile kwendabuko, okwenza kube inketho ekhethwayo ezigulini eziningi nodokotela abahlinzayo ngokufanayo. Nazi ezinye zezinzuzo ezibalulekile:

• Ihlasela Kancane: Njengoba i-arthroscopy ibandakanya ukusika okuncane, ayihlaseleki kakhulu uma iqhathaniswa nokuhlinzwa okuvulekile. Lokhu kunciphisa umonakalo ezicutshini ezizungezile.
• Ubuhlungu Obuncishisiwe Nokungaphatheki kahle: Iziguli ngokuvamile zithola ubuhlungu obuncane ngemva kokuhlinzwa kanye nokungakhululeki ngenxa yesimo esingavamile sokwenza inqubo.
• Isikhathi Esifushane Sokubuyisela: Isikhathi sokululama esilandela i-arthroscopy ngokuvamile sifushane kunangemva kokuhlinzwa okuvulekile. Lokhu kuvumela iziguli ukuthi zibuyele emisebenzini yazo yansuku zonke futhi zisebenze ngokushesha okukhulu.
• Ingozi Ephansi Yezinkinga: Ingozi yezinkinga ezifana nokutheleleka nokopha iphansi ngezinqubo ze-arthroscopic kunokuhlinzwa kwendabuko.
• Ukunemba Okuthuthukisiwe: Ukusetshenziswa kwekhamera kunikeza odokotela abahlinzayo umbono ocacile wengaphakathi lelunga. Lokhu kuboniswa okuthuthukisiwe kungaholela ekuxilongweni okunembe kakhudlwana nokwelashwa.
• Ukuba Nezibazi Ezincane: Izibazi ezincane zisho ukuba nezibazi ezincane, okuyinzuzo yezimonyo nokusebenza kahle, njengoba izibazi ezinkulu kwesinye isikhathi zingakhawulela ukunyakaza.
• Inqubo Yeziguli Zangaphandle: Ukuhlinzwa okuningi kwe-arthroscopic kungenziwa ngesisekelo sesiguli esingalalisiwe, okusho ukuthi iziguli zingabuyela ekhaya ngosuku olufanayo lwenqubo.
• Ukubuyela Ngokushesha Emisebenzini Yomzimba: Abasubathi kanye nabantu abakhuthele ngokomzimba bavame ukukhetha i-arthroscopy njengoba ivumela ukubuya okusheshayo kwezemidlalo nemisebenzi yomzimba uma kuqhathaniswa nokuhlinzwa okuvulekile.
• I-Diagnostic and Therapeutic: I-Arthroscopy ingasetshenziswa kokubili ukuxilonga nokwelapha izinkinga ezihlangene, okusho ukuthi isimo singaqinisekiswa futhi silungiswe ngenqubo eyodwa.

Ezibhedlela ze-CARE, izinqubo ze-arthroscopic ezingaphezu kuka-300 zenziwa unyaka ngamunye. Izinqubo zokuhlinza ezibandakanya amalunga, njenge-arthroscopic noma i-keyhole, zenziwa njalo. I-arthroscopy ngokuvamile isetshenziselwa ukulungisa umonakalo we-cartilage noma i-meniscus edolweni kanye nezinyembezi ze-rotator cuff ehlombe kanye ne-hip resurfacing.