Kuchita opaleshoni yamakono ndi njira yopaleshoni yopangira kamera kakang'ono mkati mwake. Kachilombo kameneka kangakhoze kuchitidwa pa chophatikiza chirichonse mu thupi, koma kawirikawiri imachitidwa m'magulu ndi pamapewa. Izi zinati, madokotala ambiri opaleshoni akuchita opaleshoni yambiri pamapiko ena kuphatikizapo m'chiuno, pachikopa, m'litali, ndi mkono. Kupyolera muzing'onoting'ono zing'onozing'ono, zida zikhoza kulowetsedwa kukonza kapena kuchotsa ziwonongeko.
Mankhwala ojambula nyenyezi, omwe amatchedwa "scoping wrist," ndi njira yothandizira mitundu ina ya ululu wa dzanja .
Zifukwa Zabwino Zopangira Wrist
Pali njira zina zopangira opaleshoni zomwe zingatheke kupyolera m'thupi kapena kupyolera m'thupi. Komabe, zina zimapindula bwino pogwiritsira ntchito njira yodabwitsa kwambiri. N'kutheka kuti chifukwa chabwino kwambiri choganizira njira yowongoka yowongoka kwambiri, poyerekeza ndi opaleshoni yotseguka, ndiyo kukonzekera mavuto a kateteti, kuphatikizapo kuwonongeka kwa makina atatu a fibrocartilage (TFCC). TFCC ndi khalala kakang'ono, mofanana ndi meniscus pa bondo , chomwe chili chofunika kwambiri kuti likhale bata komanso kuyenda. Kuwonongeka kwa TFCC kungayambitse kupweteka, kutupa, ndi kudumpha kumva.
Kuchiza kwa TFCC misozi nthawi zambiri kumapindulitsa kwambiri, ndipo mwina chifukwa chabwino cholingalira njira yodabwitsa kwambiri yowonjezeretsa dzanja. Misozi yochepa ya TFCC ikhoza kukonzedwa, pamene misozi yaikulu ya TFCC imatha kukonzedwa.
Palinso zina zomwe zingathetsedwe bwino ndi opaleshoni yapamwamba yowongoka.
Zifukwa Zowonjezera Zowona Nkhono
- Kuchiza Mankhwala a Ligament / Kulephera
Kuvulala kwa mliri wa wamba kungakhale kovuta kuunika popanda kuyang'ana mowirikiza. Njira yowonongeka ingathandize kufotokoza kukula kwa kugunda kwa ligament. Ngati kuwonongeka kwa ligament kumapezeka, ndiye kuti opaleshoni ikhoza kukhala ndi incision yayikulu kukonzanso mitsempha.
- Kuchiza Mitundu Yeniyeni ya Fractures Wowona
Mapuloteni amtunduwu omwe amapezeka makamaka ndi khungu la ovala (m'malo mopangira fupa lopitirira pambali) akhoza kupatsidwa mankhwala a nyamakazi. Ochita opaleshoni ena angasankhe kugwiritsa ntchito kamera kuti ayang'ane mofulumira kanyumba kameneka kuti agwirizane bwino. Ndikochepa kokha kochepa kwa khungu kakang'ono kamene kamakhala kofunikanso kumafuna kugwiritsa ntchito nyamakazi kuti athandize kuchipatala. - Kuchiza kwa Ganglion Cysts
Madokotala ena opaleshoni amachititsa kuti tizirombo ta ganglion tizilombo toyambitsa matenda. Magulu ambirimbiri a khunguli amayamba kuchokera ku capsule yomwe imayandikana nawo, ndipo chimwalacho chimadzaza ndi madzi amodzi. Pogwiritsa ntchito kansalu kuchokera ku gwero la vutoli, madokotala ena opanga opaleshoni amaona kuti akhoza kuchepetsa mwayi wa ganglion cyst kubwerera.
Kusowa Kwambiri Kwambiri Kwambiri Sikuyenera Kukhala Koposa Kwambiri
Sizifukwa zonse zomwe zimapweteketsa ululu zingathandizidwe ndi ndondomeko yamakono. Komanso, zina mwa njirazi sizodziwika ndipo ziyenera kuchitidwa ndi madokotala ochita opaleshoni omwe nthawi zonse amapanga nyenyezi. Ngati muli ndi mafunso okhudza ngati thupi lanu lili ndi kachilombo koyenera, muyenera kukambirana ndi dokotala wanu.
Kupanga Chida Chokwanira Kwambiri
Kuchita opaleshoni yopanga kachipangizo kameneka kameneka kangathe kuchitidwa pansi pa anesthesia .
Pambuyo pa anesthesia yokwanira, dokotala wanu opanga opaleshoni adzapanga 'ma portal' kuti apeze mbali yowonjezera. Zowonongeka zimayikidwa m'malo enieni kuti zichepetse zomwe zingathe kuvulaza mitsempha yoyandikana, mitsempha ya mitsempha, ndi matope. Kupyolera pakhomo limodzi, kamera imayikidwa muphatikizidwe, ndipo kupyolera mwa ena, zida zing'onozing'ono zingagwiritsidwe ntchito kuthetsa vutolo.
Kutalika kwa ndondomeko ya nyenyezi yosiyana-siyana ikusiyana malinga ndi zomwe dokotala akufunikira kuti akwaniritse. Pambuyo pochita opaleshoni, bandeji wofewa kapena ubweya wake udzaikidwa. Odwala ambiri amagwira ntchito ndi wodwalayo kuti ayambenso kuyendetsa komanso mphamvu.
Kutalika kwa kukonzanso kudzasinthasintha malinga ndi zomwe zimachitidwa pa nthawi ya opaleshoni.
Zovuta za mphamvu yokoka nyamakazi ndi zachilendo, koma zikhoza kuchitika. Zovuta zimenezi zingakhale ndi kuvulala kwa mitsempha, kuvulala kwa mitsempha, matenda, komanso kugwidwa ndi chisoni . Zovuta zina zingakhale ndi chiopsezo chachikulu poyerekezera ndi opaleshoni yotseguka, pomwe nyamakazi imachepetsa mwayi wa mavuto ena. Kambiranani ndi dokotala wanu zaopsa za njira iliyonse yomwe mukuganiza kuti mukuchita pa dzanja lanu.
Zotsatira:
Gupta R, et al. "Wrist Arthroscopy: Mfundo ndi Zipangizo Zamakono J. J. Am. Acad. Ortho. Surgery., May / June 2001; 9: 200 - 209.