Muchirapa chemazuva ano uye kuongororwa kwezvirwere zvinokanganisa zve musculoskeletal system, nzira yakadai seArthroscopy yemabvi akabatanidzwa inowanzokurudzirwa - chii icho uye chii chinodiwa nevarwere vose. Mukuwedzera, mimwe mibvunzo yakawedzerwa inomuka pamusoro pegadziriro yekuita kudzvinyirira, njodzi dzezvinetso, chido chekuvandudza.
Kuongorora arthroscopy yemabvi akabatanidzwa
Iyi nzira yekutsvakurudza inoratidziro rwekupedzisira kupindira kwokuvhiya. Chirwere chekuongorora chirwere chepachirwere chinosanganisira kuti chiremba anoita imwe duku (inenge 4-5 mm) kusanganisa iyo iyo yekutanga inotanga kuisa mvura inodiridza inodiwa kuti ichinatsire kuonekwa nekudururwa kwezvikamu zvekubatanidzwa. Pashure pacho, microscopic fiber optic kamera inowanikwa, iyo inoendesa chifananidzo pane chikwata chakawedzerwa kumakombiyuta. Kana zvakakosha kutarisa zvimwe zvikamu zvekubatana, zvingawedzerwa zvimwe zvinogona kuitwa.
Zvakakosha kuziva kuti mumakore achangobva kupfuura, arthroscopy yakashandiswa zvishomanana kudonongodza, kusarudza magnetic resonance imaging.
Kushandisa arthroscopy yemabvi akabatanidzwa
Nzira yekuvhiya inotsanangurwa inoratidzirwa pamatambudziko akadaro:
- meniscus various lesions;
- kusagadzikana, kusagadzikana kwepatella;
- Hoff's disease ;
- kuvhuvhuta kwe synovium;
- kusununguka zvidimbu zvehututi, mapfupa ari mukati memubatanidzwa;
- kugadzirisa kuputika;
- chondromalacia;
- Kanning's disease;
- deforming arthrosis;
- chronic hyperplasia yemuviri muviri.
Icho chinokosha chekushanda ndechekuita 2 kudhura kubva 4 kusvika 6 mm murefu. Mumwe wavo anotanga arthroscope (kamera) ine mukana wekuwedzera chifananidzo kusvika kusvika makumi matanhatu. Ikoko yechipiri inoshandiswa inosvika pakuwana zvigadzirwa zvekuvhima zvishoma kubva kune rimwe rairo. Mu arthroscopy yemagetsi emabvi akabatanidzwa, kuiswa kunosanganisira maronda omurwere pachayo kana kuti anopawo anowanikwa zvakare. Pashure pokudzorera zvakakwana nzvimbo dzakakanganisika, inogadzirisa.
Kudzvinyirira kwakadaro kunopedzisira kusingaiti, zvisingatauri ropa, kunotora nguva pfupi yekuvandudza uye kugara muchipatara (kazhinji mazuva maviri).
Migumisiro yeArthroscopy yemabvi akabatanidzwa
Pasinei nehupamhi hwekuchengetedzwa kwehutano hwehutano hwakaratidzwa, huine mimwe migumisiro inogona kuitika panguva yekushanda kwayo pachayo uye shure kwekushandiswa kwayo.
Zvinetso zvakajairika mukupindira kwokuvhiya:
- kutambanudza kwepakupedzisira mukati megungwa;
- kushungurudzika kwemhirizhonga mumapiniti emapliteal kana arteri;
- breakage uye jamming yezvigadzirwa zviduku mubatanidzwa;
- kukanganisa kumatavi mashoma emagetsi panzvimbo yekambiso.
Mimwe mamiriro ezvinhu anowanzoitika kazhinji, pasi pe005% yezviitiko zvose.
Matambudziko pashure peArthroscopy yemabvi akabatanidzwa:
- arthritis ;
- kutsanangurwa kwekubatana kwemvura;
- thromboembolic dambudziko;
- algodystrophic syndrome;
- postoperative utachiona;
- hemarthrosis mukati memubatanidzwa;
- kuvhuvhuta munharaunda.
Aya matambudziko haawanzowaniki mune zvechiremba (pasi pe5,5% yezviitiko), asi nokuda kwekugadzirisa kwavo zvinogona kushanda kuvhiyiwazve, kushambidza maziso, kuvhara mukati, kupinda mukati kana kurapa kwakananga, kusanganisira kushandisa antibacterial drugs, glucocorticosteroid hormone. Uyewo, kuvapo kwezvinetso zvakakomba zvinoreva kuwedzera munguva yekudzorera kusvika pamwedzi 18-24.