M'masiku amachiritso amasiku ano ndi matenda a chifuwa chothetsa mitsempha ya minofu, njira monga arthroscopy ya bondo nthawi zambiri imalimbikitsidwa - kodi ndi chiyani chomwe odwala onse ali nacho. Kuonjezerapo, pali mafunso ambiri oonjezera okhudzana ndi njira yowonongolera, zoopsa za mavuto, kufunika kokonzanso.
Kupenda nyenyezi pamagulu
Njira yofufuzirayi ndi mtundu wa mapulogalamu opanga opaleshoni. Katswiri wodziwa bwino matenda a nyenyezi amadziwika kuti dokotala amapanga pang'ono (pafupifupi 4-5 mm) kutengeka kumene mliri woyamba umayambitsa madzi okwanira oyenera kuti athe kuwonekera ndi kuwongolera mbali zomwe zimagwirizana. Pambuyo pake, makina opangidwa ndi tizilombo tating'ono ting'onoting'ono timayika, zomwe zimatulutsa chithunzichi pazowonjezera pa kompyuta. Ngati kuli kofunikira kuti muwone mbali zina za mgwirizano, zowonjezereka zingathe kuchitidwa.
Tiyenera kuzindikira kuti m'zaka zaposachedwapa, kugwiritsira ntchito nyamakazi kwagwiritsidwa ntchito mochepetsetsa kuti mupeze matenda, ndikusankha kujambula maginito.
Kugwiritsira ntchito nyamakazi ya bondo
Kuchita opaleshoni komweku kufotokozedwa kumapangidwira mavuto awa:
- mitundu yosiyanasiyana ya meniscus;
- kusokoneza, kusakhazikika kwa patella;
- Matenda a Hoff ;
- kutupa kwa synovium;
- zidutswa zamagazi za mafupa, mafupa omwe ali mkati mwa olowa;
- chithunzi;
- chondromalacia;
- Matenda a Kening;
- kupweteka kwa arthrosis;
- thupi lopweteka kwambiri.
Chofunika kwambiri cha opaleshoniyi ndi kukwera 2 kuchoka pa 4 mpaka 6 mm m'litali. Mmodzi mwa iwo amayamba kufotokozera arthroscope (kamera) ndi mwayi wowonjezera chithunzi mpaka maulendo 60. Chombo chachiwiri chimathandiza kupeza zipangizo zamakono zopangira opaleshoni kuchokera ku chipangizo chapadera. Pogwiritsa ntchito nyamakazi pamagulu a mawondo, mawonekedwe a minofu a wodwalayo kapena wopereka amaperekanso. Pambuyo pokonzanso malo oonongeka, imatsimikiza.
Kuchita opaleshoni kotereku kumakhala kosawonongeka pang'ono, popanda magazi, kumatenga nthawi yayitali yokonzanso ndikukhala m'chipatala (nthawi zambiri masiku 2-3).
Zotsatira za kugwiritsira ntchito nyamakazi ya bondo
Ngakhale kuti chitetezo chapamwamba chogwira ntchitoyi chili ndipamwamba, zimakhala ndi zotsatira zina zomwe zingathe kuchitika panthawi yomwe ikugwira ntchitoyo komanso pambuyo pake.
Zowonongeka zomwe zimachitika pochita opaleshoni:
- kutambasula kwagwedezeka mkati mwake;
- matenda ozungulira pakati pa mitsempha kapena mitsempha;
- kusweka ndi kupanikizana kwa zidutswa zamagulu muzowonongeka;
- kuwonongeka kwa nthambi zazing'ono zamagulu pa malo a incision.
Zotsatira zofananazi zimachitika kawirikawiri, osachepera 0.005% pa milandu yonse.
Zotsatira zovuta pambuyo pa kugwiritsira ntchito nyamakazi ya bondo:
- nyamakazi ;
- kufotokoza kwa madzi ophatikizana;
- matenda a thromboembolic;
- matenda a algodystrophic;
- matenda opatsirana;
- hemarthrosis mkati mwa olowa;
- kutupa pachimake.
Matendawa samapezeka kawirikawiri m'zipatala (osachepera 0,5%), koma pofuna kuthana ndi vuto lawo angafunike opaleshoni mobwerezabwereza, kumangiriza ziwalo, kutsitsa, kulowa mkati kapena mankhwala enaake, kuphatikizapo kumwa mankhwala ophera antibacterial, glucocorticosteroid mahomoni. Komanso, kukhalapo kwa mavuto aakulu kumatanthauza kuwonjezeka kwa nthawi yobwezeretsa mpaka miyezi 18-24.