Wrist arthroscopy

Wrist arthroscopy kuvhiya kunoshandisa kamera diki uye maturusi ekuongorora kana kugadzirisa zvinyama mukati kana kutenderedza ruoko rwako. Iyo kamera inonzi arthroscope. Maitiro acho anotendera chiremba kuti aone matambudziko uye agadzirise pachiuno pasina kuita akacheka mahombe paganda nemucheka. Izvi zvinoreva kuti iwe unogona kuve nemarwadzo mashoma uye kupora nekukurumidza kupfuura kuvhura kwakavhurika.

Iwe ungango gamuchira general anesthesia pamberi pekuvhiya uku. Izvi zvinoreva kuti unenge wakarara uye usingakwanise kunzwa kurwadziwa. Kana, iwe unenge uine dunhu anesthesia. Ruoko rwako uye nzvimbo yechiuno zvichavezwa kuitira kuti usanzwa chero kurwadziwa. Kana iwe ukatambira yedunhu anesthesia, iwe zvakare uchapihwa mushonga wekukuita iwe uve nehope zvakanyanya panguva yekuvhiya.

Munguva yekuita, chiremba anovhiya anoita zvinotevera:

• Inoisa arthroscope muchanza chako kuburikidza nekacheka kadiki. Iyo chiyero chakabatanidzwa kune vhidhiyo yekutarisa mukamuri yekushandisa. Izvi zvinobvumira chiremba anovhiya kuti atarise mukati mewrist yako.
• Inoongorora matukisi ese echiuno chako. Aya matishu anosanganisira shwashwa, mapfupa, tendon, uye ligaments.
• Kugadzirisa chero nyama dzakakuvadzwa. Kuti uite izvi, chiremba wako anovhiya anoita 1 kusvika ku3 zvimwe zvidiki zvidiki uye anoisa zvimwe zviridzwa kuburikidza nazvo. Kuchema mumhasuru, tendon, kana shwashwa kwakagadziriswa. Chero chero nyama yakakuvadzwa inobviswa.

Pakupera kwekuvhiyiwa, izvo zvinovharwa zvichavharwa nezvisungo uye zvakafukidzwa nekupfeka (bhandeji). Vazhinji vanovhiya vanotora mifananidzo kubva muvhidhiyo yekutarisa panguva yekuita kuti vakuratidze zvavakawana uye nekugadzirisa kwavakaita.

Chiremba wako anovhiya angangoda kuvhiyiwa pachena kana paine zvakawanda zvekukuvara. Kuvhura kuvhiya zvinoreva kuti uchave neakakura incision kuitira kuti chiremba anovhiya asvike akananga kumapfupa ako uye zvinyama.

Iwe ungangoda wrist arthroscopy kana uine imwe yeaya matambudziko:

• Kurwadziwa kwechiuno. Arthroscopy inobvumira chiremba anovhiya kuti aongorore chiri kukonzera marwadzo echiuno chako.
• Kubviswa kwechikwata. Ichi chidiki, chihomwe-chakazara chinozunguzirwa icho chinokura kubva mubatanidzwa wechiuno. Iyo haina kukuvadza, asi inogona kuva inorwadza uye inogona kudzikamisa kugona kwako kufambisa ruoko rwako zvakasununguka.
• Ligament misodzi. Ligament ibhandi rezvinyama rinobatanidza bone nebfupa. Mitezo yakati wandei muchiuno inobatsira kuigadzikana uye kuitendera kuti ifambe. Misungo yakabvaruka inogona kugadziridzwa nemhando iyi yekuvhiya.
• Triangular fibrocartilage yakaoma (TFCC) kuchema. Iyo TFCC inzvimbo yekatekete muchirugu. Kukuvadza kune TFCC kunogona kukonzera marwadzo pane yekunze chimiro chewrist. Arthroscopy inogona kugadzirisa kukuvara kweiyo TFCC.
• Carpal tunnel kuburitswa. Carpal tunnel syndrome inoitika kana iyo tsinga inopfuura nepakati pemamwe mapfupa uye matishu muchanza chako inozvimba nekutsamwa. Iine arthroscopy iyo nzvimbo inopfuura neiyi nerve inogona kuitwa yakakura kuregedza kumanikidza uye kurwadziwa.
• Wrist kuputsika. Arthroscopy inogona kushandiswa kubvisa zvidimbu zvidiki zvefupa uye kubatsira kugadzirisa mapfupa ari muchanza chako.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuvhara ropa, kana hutachiona

Ngozi dzewrist arthroscopy ndeiyi:

• Kukundikana kwekuvhiyiwa kubvisa zviratidzo
• Kukundikana kwekugadzirisa kupora
• Kushaya simba kwechiuno
• Kukuvadza kune tendon, ropa reropa, kana tsinga

Asati avhiyiwa:

• Udza chiremba wako anovhiya mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.
• Iwe unogona kukumbirwa kuti umbomira kutora vatete veropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nemimwe mishonga.
• Kumbira mupi wako wezvehutano kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe marapirwo, chiremba wako anovhiya anokukumbira kuti uone chiremba wako anokubata iwe kune aya mamiriro.
• Udza mupiki wako kana wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
• Ukasvuta, edza kurega. Kumbira rubatsiro kana mukoti wako rubatsiro. Kusvuta kunogona kunonoka maronda uye kupora kwemapfupa.
• Udza chiremba wako wezvechiremba nezve chero kutonhora, dzihwa, kupisa, herpes breakout, kana chimwe chirwere. Kana iwe ukarwara, kuvhiya kwako kungangoda kumbomiswa.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa usati waitwa.
• Tora chero mishonga yaunokumbirwa kunwa nemvura shoma.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Svika nenguva.

Iwe unogona kuenda kumba zuva rimwe chetero mushure mekupedza awa kana zvakadaro mukudzoka. Iwe unofanirwa kunge uine mumwe munhu anokuendesa kumba.
Tevera chero mirayiridzo yekubuda iwe yaunopihwa. Izvi zvinogona kusanganisira:

• Chengetedza ruoko rwako rwakakwidziridzwa pamusoro pemoyo wako kwemazuva maviri kusvika matatu kuti ubatsire kudzora uye kurwadziwa. Iwe unogona zvakare kuisa inotonhorera pakiti kubatsira nekuzvimba.
• Chengeta bhandeji rako rakachena uye rakaoma. Tevedzera rairo yekuti ungachinja sei kupfeka.
• Iwe unogona kutora marwadzo ekudzora, kana zvichidikanwa, chero bedzi chiremba wako achiti zvakachengeteka kuita saizvozvo.
• Iwe ungangoda kupfeka chimedu kwe1 kusvika kumavhiki e2 kana kupfuura kuti uchengetedze ruoko rukagadzike sezvo ruchipora.

Arthroscopy inoshandisa zvidimbu zvidiki paganda, saka zvichienzaniswa nekuvhiya kwakavhurika, unogona kunge uine:

• Kusanyanya kurwadziwa uye kuomarara panguva yekupora
• Zvishoma matambudziko
• Kukurumidza kupora

Iyo micheka midiki inopora nekukurumidza uye iwe unokwanisa kuzotangazve zviito zvako zvakajairwa mumazuva mashoma. Asi, kana akawanda matissue muchanza chako aifanira kugadziriswa, zvinogona kutora mavhiki akati kuti apore.

Unogona kuratidzwa maitiro ekuita zvinyoro nyoro nezvigunwe uye ruoko. Chiremba wako anogona zvakare kukurudzira kuti iwe uone murapi wepanyama kuti akubatsire iwe kuti utorezve kushandiswa kwakazara kwechiuno chako.

Kuvhiya kwechiuno; Arthroscopy - chiningoningo; Kuvhiya - chiningoningo - arthroscopy; Kuvhiya - chiningoningo - arthroscopic; Carpal tunnel kuburitswa

Cannon DL. Matambudziko eWrist. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 69.

Geissler WB, Anoda CA. Wrist arthroscopy. Mune: Miller MD, Thompson SR, eds. DeLee naDrez's Orthopedic Sports Mushonga: Maitiro uye Maitiro. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 73.