25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
I-anterior cruciate ligament (ACL) iyona evame ukulimala kakhulu emadolweni. Ukwakhiwa kwe-ACL amanani akhuphuke kakhulu kule minyaka engamashumi amabili edlule. Abantu abaningi manje bafuna ukwelashwa okusebenzela lokhu kulimala okuthena amandla. Imithi yesimanje inikeza izixazululo ezinhle kakhulu ngokwakhiwa kabusha kwe-arthroscopic—indlela engenele kancane esiza iziguli zibuyele ekuphileni kwazo okusebenzayo.
Ukwakhiwa kabusha kwe-arthroscopic ye-anterior cruciate ligament kuhlala kuwukwelashwa okujwayelekile kwegolide kokulimala kwe-ACL, futhi ngesizathu esihle, futhi. Ucwaningo lwezokwelapha lubonisa ngokucacile ukuthi ukwakhiwa kabusha kwe-ACL (i-ligamentoplasty) iletha imiphumela engcono kunokulungisa okulula kwe-ACL (i-suturing). Iziguli zingabuyela emisebenzini yokusubatha kanye nomsebenzi onzima ngokomzimba phakathi nezinyanga eziyisi-6 kuye kweziyi-9 ngemva kwenqubo yazo.
Lesi sihloko sihlanganisa konke iziguli okufanele zikwazi mayelana nokwakhiwa kabusha kwe-arthroscopic yamadolo-kusukela ekulungiseleleni ngokusebenzisa ukululama-ukuze zizisize zenze izinqumo ezinolwazi mayelana nokunakekelwa kwazo.

Izibhedlela ze-CARE ziphayona amasu okwakhiwa kabusha kwe-arthroscopic ngokusebenzisa ochwepheshe bazo abazinikele bokuhlinza kanye nemishini yesimanje.
Odokotela Abahlinza Kabusha Be-Arthroscopic eNdiya
Ochwepheshe be-CARE basebenzisa izinqubo ze-arthroscopic ezidinga kuphela izimbobo ezincane, ezinosayizi wembobo kakhiye mayelana nosayizi wesihloko somunwe. Odokotela abahlinzayo bangakwazi ukubona ngeso lengqondo futhi belaphe izinkinga ezihlangene ngokunemba okuphawulekayo ngala masu. Ikhamera encane (i-arthroscope) idlulisela izithombe ezinencazelo ephezulu kumamonitha asendaweni yokusebenza, okunikeza odokotela abahlinzayo ukubukwa okungakaze kubonwe ngaphakathi kwelunga. I-fiber optic yesibhedlela ethuthukisiwe kanye nezinsimbi ezikhethekile zokuhlinza zisiza odokotela abahlinzayo ukuba benze ukwakhiwa kabusha okuyinkimbinkimbi ngokuphazamiseka okuncane ezicutshini ezizungezile.
Amasu asezingeni eliphezulu afana nokuhlinzwa kwe-ACL okugcina insalela kubonisa imiphumela ethembisayo. Lezi zindlela zinikeza amandla aphezulu okuphulukisa kusenesikhathi kanye nemiphumela engcono yokusebenza uma kuqhathaniswa nezindlela zendabuko. Ukwakhiwa kabusha kwe-Knee arthroscopy ACL kuqhubeka nokuba ngcono, kuthuthukisa umuzwa wesiguli kanye nezikhathi zokululama.
Isibhedlela i-CARE siphatha izimo ezihlangene zazo zonke izinhlobo ngokwakhiwa kabusha kwe-arthroscopic, okuhlanganisa:
Odokotela abahlinzayo be-CARE benza izinqubo ezikhethekile ze-arthroscopic ezihambisana nesimo esithile sesiguli ngasinye. Benza ukwakhiwa kabusha kwe-ACL yonke-arthroscopic besebenzisa izicubu zokuxhunyelelwa ukubuyisela ukuzinza kwamadolo. Odokotela abahlinzayo bangase benze ukulungisa i-arthroscopic eyinhloko ye-ACL kumakhandidethi afanelekayo anezinyembezi ze-ACL eziseduze, ezigcina umsipha womdabu kanye nomsebenzi wawo wokwamukela. Ochwepheshe be-CARE baphinde benze ukwakhiwa kabusha kwe-arthroscopic yemigqa ye-coracoclavicular yokungazinzi kwehlombe, besebenzisa amasu athuthukile abhekana nokungazinzi kwe-superoinferior kanye ne-anteroposterior. Iziguli ngokuvamile zichitha ihora elilodwa kuya kwamabili zihlinzwa futhi zibuyela ekhaya ngalo lolo suku.
Udokotela wakho udinga ukukusula ngokukuhlola ngokomzimba kanye nokuhlolwa kwegazi ukuze aqiniseke ukuthi uphile saka ngokwanele ukuba ungahlinzwa. Ithimba kufanele libuyekeze imithi yakho yansuku zonke. Izithako zegazi nezithako zemithi kufanele ziyeke izinsuku ezimbalwa ngaphambi kokuhlinzwa ukuze kugwenywe ukopha kakhulu. Ukusethwa kahle kwekhaya kubalulekile. Kumele:
Udokotela ohlinzayo uqala nge-anesthesia-yendawo, isifunda, noma jikelele-ngokusekelwe ekuhloleni kwabo. Izimbobo ezincane ze-keyhole zenziwa eduze kwesihlanganisi, futhi i-arthroscope ixhunywe kusiqaphi sevidiyo.
Ngesikhathi sokwakhiwa kabusha kwe-ACL, udokotela ohlinzayo ususa izicubu ze-ligament ezilimele, udala imigudu yamathambo, futhi ufake i-graft yezicubu (kungaba emzimbeni wakho noma kumnikeli). Izikulufu noma izinkinobho zivikela i-graft ngenkathi ilulama. Ngemva kokuhlola ngokucophelela, odokotela bahlanza indawo yokusikwa futhi bayihlobe.
Ukwelashwa ngokomzimba kuqala cishe ngaso leso sikhathi—imvamisa phakathi kwamahora angama-24-48. Ukuvuselela kwakho kunalezi zinto ezibalulekile:
Iziguli ezinempilo, ezikhuthele ngokuvamile zidinga izinyanga ezingu-6-9 ukuze zilulame ngokugcwele ekwakhiweni kabusha kwe-ACL.
Ukuhlinzwa kwe-arthroscopic ngokuvamile kuphephile. Izinkinga ezingaba khona zihlanganisa:
Ukwakhiwa kabusha kwe-arthroscopic kunezinzuzo eziningi uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko. Lezi zinzuzo zihlanganisa:
Iningi lezinhlelo zomshuwalense wezempilo zihlanganisa ukwakhiwa kabusha kwe-arthroscopic odokotela ababona kudingekile ngokwezokwelapha. Kufanele uthole imininingwane yekhava kanye nokugunyazwa kwangaphambili ngaphambi kokuqhubekela phambili ngokuhlinzwa.
Isikhathi esiyinkimbinkimbi nesikhathi sokuthola kabusha kwenza ukuthola umbono wesibili ngaphambi kokuhlinzwa kwedolo kube ukukhetha okuhlakaniphile, ikakhulukazi ukwakhiwa kabusha kwe-ACL. Lokhu kuxoxisana okwengeziwe kungase kwembule izinketho zokwelashwa ezihlukene, kuqinisekise ukuxilongwa kwakho kwasekuqaleni, futhi kuholele emiphumeleni engcono.
Ukwakhiwa kabusha kwe-arthroscopic kumelela impumelelo emithini yesimanje yamathambo. Odokotela abanekhono manje sebengakwazi ukulungisa ukulimala kwamadolo ngokusikwa okuncane. Lokhu kuyinto enkulu njengoba kusho ukuthi ukuhlinzwa okubanzi kwendabuko kanye nezikhathi zokululama ezinde azisadingeki. Izinga eliphezulu elihlaba umxhwele lempumelelo libonisa ukuthi kungani odokotela manje bekhetha le nqubo yokulimala kwe-ACL.
Isibhedlela i-CARE sinikeza ubuchwepheshe obukhethekile bokuhlinza ngobuchwepheshe besimanje ukuze kuthuthukiswe ukunemba kanye nemiphumela. Uhambo lwakho olusuka ekuxilongweni kuya ekululameni lulandela indlela ecacile. Inqubo yokuphulukisa ithatha izinyanga ezingu-6-9 futhi uzodinga ukubekezela.
Imiphumela yokwakhiwa kabusha kwe-ACL ivamise ukuba ngcono kunokulindelekile. Abasubathi babuyela emidlalweni yabo. Abasebenzi babuyela emisebenzini enzima. Imisebenzi yansuku zonke ibuye ingabi nabuhlungu. Indlela idinga ukuzinikela, ikakhulukazi uma unokwelashwa ngokomzimba. Idolo elizinzile, elisebenzayo lenza konke kukufanele.
I-Arthroscopic Reconstruction Surgery Hospitals eNdiya
Ukwakhiwa kabusha kwe-arthroscopic kulungisa imigqa eyonakele ngokusikwa okuncane. Udokotela ohlinzayo usebenzisa i-arthroscope—ishubhu elincanyana elinekhamera—elifakwe ejoyintini ngembobo encane yokusika. Ikhamera ibonisa izithombe ezicacile zejoyinti kumonitha kamabonakude. Udokotela ohlinzayo uthatha indawo yemigqa edabukile ngokuphelele njenge-ACL ne-graft evela kwenye ingxenye yomzimba noma onikelayo. Izikulufu zivikela ukuxhunyelelwa emathanjeni, futhi ukuphulukiswa kuthatha izinyanga ezimbalwa.
Odokotela baphakamisa ukuthi lokhu kuhlinzwa ngemva kokuba ezinye izindlela zokwelapha zingasebenzi. Lezi zindlela zokwelapha zangempela zihlanganisa ukuphumula, imithi, ukwelapha ngokomzimba, ukubopha, noma imijovo ye-steroid. Ukuhlinzwa kuba yisinqumo esifanele:
Amakhandidethi ahamba phambili ngabantu abana:
Yebo, ukuhlinzwa kwe-arthroscopic kufakazele ukuthi kuphephe kakhulu ngezinkinga ezincane kuphela. Inqubo iphephe kakhulu kunokuhlinzwa okuvulekile okuvamile ngoba isebenzisa ukusikeka okuncane futhi iphazamisa izicubu ezincane.
Ukuhlinzwa okuningi kuthatha imizuzu engama-30. Izimo eziyinkimbinkimbi ezidinga umsebenzi owengeziwe zingathatha imizuzu engama-45. Iziguli ngokuvamile zithola i-anesthesia evamile, nakuba ezinye zingase zibe ne-anesthesia yomgogodla esikhundleni salokho.
Le nqubo engangeneleli kancane isabalwa njengokuhlinzwa okukhulu. Izinzuzo zidlula ukuhlinzwa okuvamile ngokuhlukumezeka okuncane, ukuphulukiswa okusheshayo, nokubuyela ngokushesha emisebenzini yansuku zonke. Impumelelo incike ekulandeleni ukunakekelwa okufanele kwangemva kokuhlinzwa kanye nemihlahlandlela yokubuyisela esimweni esihle.
Izingozi ezibalulekile zihlanganisa:
Isikhathi sakho sokululama sincike ekutheni inqubo yakho iyinkimbinkimbi kangakanani kanye nezici zakho zempilo yomuntu siqu. Iziguli ezinempilo ezakha kabusha i-ACL ngokuvamile zidinga izinyanga ezingu-6-9 ukuze zilulame ngokugcwele. Indawo yokuhlinzwa iphola phakathi kwamaviki angu-6-8. Izinqubo ezihlanganisiwe zithatha isikhathi eside - iziguli ezithola ukwakhiwa kabusha kwe-ACL ngokulungiswa kwe-meniscus zidinga amasonto ayi-12-16.
Ucwaningo lubonisa ukuthi kokubili ukwakhiwa kabusha kwe-autologous kanye ne-allogeneic kuveza imiphumela egculisayo. Iziguli zithola amaphuzu amahle okusebenza.
Odokotela bangakhetha ezinhlotsheni ezintathu ze-anesthesia: