Ƙungiyar Hutun Arthroscopic Hakan
Jirgin Arthroscopic wata hanya ce da aka yi a kan gawar jiki, ciki har da kafadu. Kwararren likitoci yana sanya kyamarar bidiyo a cikin haɗin gwiwa, tare da kayan kwarewa, don yin aikin tiyata ta hanyar kananan ƙura. Jirgin Arthroscopic yakan haifar da sauri sau da yawa idan aka kwatanta da al'ada "bude tiyata" saboda ƙananan lalacewar nama yana faruwa ne sakamakon sakamakon fasaha maras kyau.
An yi amfani da tiyata sosai lafiya, kuma matsala masu wuya suna da wuya. Duk da haka, kamar yadda yanayin yake tare da kowane aiki, akwai yiwuwar rikitarwa. Wasu daga cikin waɗannan suna iya haifar da sakamakon lalacewa. Da zarar irin wannan rikici na arthroscopy an kira chondrolysis.
Mene ne Chondrolysis?
Chondrolysis shine yanayin da ke haifar da raguwa da yatti a cikin haɗin gwiwa. Haɗin haɗuwa ne inda kasusuwa biyu suka haɗa. A cikin haɗin kai na al'ada, ƙarshen kasusuwa an rufe shi da mai laushi, mai laushi, mai laushi na nama wanda ake kira "guringunti." Kwayuntsi yana kunshe da kwayoyin da ake kira chondrocytes, kewaye da wani nau'i na gina jiki da ruwa da ake kira "matrix."
A cikin marasa lafiya tare da chondrolysis, chondrocytes ya mutu kuma matsi na matrix ya fadi a baya. Da zarar guringuntsi ya tafi, ba zai dawo ko warkar ba. Lokacin da ɗakin maruran ya ɓace, an nuna mummunan kashi a ƙasa.
Harshen chondrolysis yana kama da osteoarthritis na kafada .
Duk da haka, osteoarthritis shine yanayin da yakan rinjaye tsofaffi kuma yana tasowa a cikin shekarun da suka gabata. Hanya chondrolysis yawanci tasowa sosai, wani lokaci a cikin makonni ko watanni. Yawanci yana faruwa ne a cikin ƙananan marasa lafiya kuma yawanci yana hade da aikin tiyata na arthroscopic. Matsakaicin shekaru na mai haƙuri wanda ke jin dadin ƙwaƙwalwar bayan bayan kafa arthroscopy yana da 26.
Dalilin Chondrolysis
Fahimtar dalilin hanyar chondrolysis bayan ƙwaƙwalwar arthroscopy ya zama kalubale. A cikin shekaru ashirin da suka gabata, likitoci sunyi shelar wannan ƙaddamar, a lokaci-lokaci, don gano cewa akwai wata ƙungiya da ake zargi. Wasu daga cikin waɗannan abubuwa sun haɗa da:
- Rashin bincike mai zafi : An yi amfani da zafi mai zafi na zafi a farkon kwanakin kafa na arthroscopy. Rashin bincike yana amfani da na'urar rediyon rediyo don ya ba da zafi ta kai tsaye zuwa kyakyawa. Za a iya amfani da bincike mai zurfi don cauterize jirgi mai jini ko ƙyama kayan nama. An lalace su cikin cututtukan ƙwayoyi. An yi amfani da shi a lokacin da aka yi amfani da ita don rage ƙwayar hannu a cikin marasa lafiya tare da rashin kwanciyar kafa don ƙara ƙarfafa haɗin gwiwa. Wannan hanya, da ake kira "thermal shrinkage," ba a yi ba.
- Hanyoyi mara kyau: Da dama ƙananan kurakurai na iya haifar da lalacewar sigati, ciki har da ciwo da ƙwayar wucin gadi tare da kayan aikin arthroscopic, yana barin manyan abubuwan da suka fi dacewa ko yin matsin lamba a kan guringuntsi da kayan suture.
- Turawa na shan wahala: Kwanar da bala'in ya haifar da ƙananan cibiyoyin ƙwayar cutar ta hanyar kai tsaye a cikin haɗin gwiwa. An yi amfani da tsalle-tsalle a wurin bayan aikin tiyata don taimakawa wajen magance ciwo, amma wasu sunyi la'akari da babban zubar da hankali na cututtuka na iya haifar da chondrolysis.
Ba a sani ba idan daya ko duk waɗannan na iya zama dalilin yunkurin kafada chondrolysis. Yawancin likitoci sun tashi daga ciwon zafi da zafi don bincikar cewa marasa lafiyarsu suna lafiya kamar yadda zai yiwu.
Chondrolysis Jiyya
Abin baƙin cikin shine, a lokacin da aka bincikar chondrolysis, yanayin ya ci gaba da ci gaba zuwa matakan tsanani. Babu hanyar da za a iya dakatar da ci gaban chondrolysis, kuma babu wata hanyar da za a iya juyawa sakamakonsa. Zai yiwu cewa a wani lokaci a nan gaba, akwai magani ko allura wanda za'a iya amfani dashi don "rufe" matsalar layin salula wanda ke haifar da lalacewa.
Duk da haka, a wannan batu, wannan ba haka bane.
Abin sani kawai magani ne mai sarrafa ciwo da kuma canza ayyukan. Yawancin marasa lafiya suna da rashin jin daɗi kuma zasu rasa haɗin gwiwa na haɗin gwiwa. Wasu marasa lafiya za su yi watsi da maye gurbin kafada ; duk da haka, ana ba da wannan ƙwayar ƙwayar cuta a lokuta na matasa ko na ashirin, wannan bazai zama wani zaɓi na dace ba. An tsara nauyin maye gurbin magunguna don tsofaffin marasa lafiya da kuma dacewa zasu ci gaba da shekarun da suka gabata. Ga wani mai haƙuri, wannan yana nufin sa maye gurbin ƙafa ya ƙare, watakila fiye da sau daya. Maimaita maye gurbin kafada yana da wuya a yi, kuma bazai cimma nasara ba.
> Sources:
> Yeh PC & FD Kharrazi. "Harkokin Gudanar da Lafiya na Postarthroscopic Chondrolysis" J Am Acad Orthop Surg Fabrairu 2012; 20: 102-112; Doi: 10.5435 / JAAOS-20-02-10