A magani na zamani da kuma ganewar asalin cututtuka na degenerative na tsarin ƙwayoyin cuta, an yi amfani da tsari irin su arthroscopy na hadin gwiwar gwiwa - mece ce kuma abin da yake sha'awa ga dukkan marasa lafiya. Bugu da ƙari, yawancin tambayoyin da suka taso game da fasaha na yin magudi, da hadari na rikitarwa, da bukatar sake gyarawa.
Arthroscopy bincike na gwiwa gwiwa
Wannan hanyar bincike shine wani nau'i na maganin maganin endoscopic. Arthroscopy bincike ya ƙunshi gaskiyar cewa likita ya sanya karamin karamin (game da 4-5 mm) wanda ta haɗuwa da farko ya gabatar da ruwa mai ban ruwa da ake bukata don inganta haɓaka da kuma ƙaddamar da sassan sassa na haɗin gwiwa. Bayan haka, an saka kyamarar fira na microscopic, wanda ke watsa hoton a kan sikelin girman girman kwamfutar. Idan ya zama dole don duba sauran sassa na haɗin gwiwa, za a iya yin wasu ƙira.
Ya kamata a lura da cewa a cikin 'yan shekarun nan, an yi amfani da arthroscopy da ƙasa da ƙasa don maganin ƙwaƙwalwar jini, filayen hotunan haɓaka mai kyau.
Ayyukan arthroscopy na gwiwa gwiwa
Hanyar aikin ƙwayar da aka bayyana an nuna don irin waɗannan matsalolin:
- daban-daban jigilar meniscus;
- dislocation, rashin lafiya na patella;
- Hoff ta cuta ;
- ƙonewar synovium;
- gutsuttsarin guringuntsi, kasusuwa dake cikin haɗin gwiwa;
- haɗin gwiwar ligament;
- chondromalacia;
- Cutar Kening;
- deforming arthrosis;
- hyperplasia na kullum na jikin jiki.
Jigon aikin shine a aiwatar da 2 yanke daga 4 zuwa 6 mm a tsawon. Ɗaya daga cikin su ya gabatar da wani arthroscope (kamara) tare da yiwuwar ƙara hoto har zuwa sau 60. Hanya na biyu shine don samun damar yin amfani da ƙananan ƙananan kiɗa na ƙananan kayan aiki. A arthroscopy na ligaments na gwiwa gwiwa, an gabatar da implant wanda ya ƙunshi nauyin mai haƙuri ko kuma mai bayarwa. Bayan kammala sabuntawa na yankunan lalacewa, ta warware.
Irin wannan motsa jiki ne mai mahimmanci, wanda ba shi da jini, yana da jinkirin tsaftacewa kuma ya zauna a asibiti (yawanci 2-3 days).
Sakamakon arthroscopy na gwiwa gwiwa
Duk da ingantaccen aikin fasaha da aka gabatar, yana da wasu sakamako wanda zai iya tashi a yayin aiki da kanta kuma bayan aiwatarwa.
Matsaloli na yau da kullum a cikin tsoma baki:
- ƙaddamar da ligament na ciki na waje;
- ƙwayoyin cuta a cikin farfadowa na popliteal;
- shinge da jamming kayan aikin kayan aiki a cikin haɗin gwiwa;
- lalacewa kananan ƙananan rassan a shafin yanar gizo.
Sakamakon irin wannan sakamako ya faru sosai, ba tare da kasa da 0.005% na duk lokuta ba.
Rarraba bayan arthroscopy na gwiwa gwiwa:
- arthritis ;
- hadin gwiwa na haɗin gwiwa;
- cututtuka na thromboembolic;
- algodystrophic ciwo;
- rashin kamuwa da cututtuka;
- hemarthrosis cikin haɗin gwiwa;
- ƙonewa a cikin yanki.
Wadannan matsalolin ba a samo su a lokuta na likita ba (kimanin kashi 0.5%), amma don maganin su na buƙatar sake tiyata, tsabtace haɗin gwiwa, fashewa, gyare-gyare na ciki ko kuma takamaiman magani, ciki har da shan kwayoyi masu cutar antibacterial, hormones glucocorticosteroid. Har ila yau, kasancewar haɗari mai tsanani yana nuna ƙarawa a lokacin tsaftacewa zuwa watanni 18-24.