Izinto eziluncedo kunye nobuchule bokusebenzisa i-passer ye-suture kwi-rotf yotyando ye-rotf

Ngaba ukhe uzibuze ukuba yintoni eqhubekayo emva kweziganeko xa ugqirha ugqirha ulungisa i-quuff quuff? Ayisiyo nje malunga nokuxhawula izinto; Kungumdaniso obuthathaka bokuchaneka, ubuchule, kwaye ngamanye amaxesha, izixhobo ezinobuqili. Namhlanje, siza kuyibuyisa ikhuselo kummangaliso onjalo Esi asilosinye isixhobo; Ngumdlalo-oyitshintshayo oye wadibana ngokwenene indlela oogqirha bogqirha be-orthopenic osondela kwenye yezona zinto zixhaphakileyo kwaye zibuhlungu. Ke, up, kuba simalunga nokuntywila kwihlabathi  le-rotator cuff, iphonononge ukuba kutheni i-storser ingabalulekanga kwigumbi lokusebenza, kwaye njani ugqirha olawula igunya lokubuyisela i-wine kunye nokunciphisa iintlungu.

Ukuqonda i-quartor cuff kunye nokulimala kwayo

Phambi kokuba singene kwi-nitty-gritty yoBakhweli abahamba-ntetho, masiqiniseke ukuba sonke sikwiphepha elinye malunga nento esiyilungisa ngayo. Khawufane ucinge igxalaba lakho - ludibene kakhulu, olukhona kuluhlu olumangalisayo lwentshukumo. Kodwa ngaba bhetyebhetye kakhulu kuza ukuba sengozini enkulu, akunjalo?

Yintoni kanye kanye i-rostator cuff?

Cinga nge-rototor yakho ye-cuff njengegorha legxalaba lakho. Ayisiyo msipha enye, kodwa endaweni yeqela lemisiphane ezine kunye nemisipha yazo ejikeleze igxalaba. Ezi zihlunu-i-Supraspinatus, i-infraspinatus, i-tess ezincinci, kunye nogcino-umsebenzi ngokuhambelana. Umsebenzi wabo ophambili? Ukuzinzisa igxalaba lakho, ukuvumela ukuba uphakamise ingalo yakho, jikeleza, kwaye wenze zonke ezo ntshukumo zemihla ngemihla oyithathayo, ngokungathi indebe yekofu okanye ukuphosa ibhola. Ngokwenene bayenza i- 'i-cuff ' entloko ye-humers yakho (ithambo lakho elingaphezulu), nto leyo imbethe ngespikisi egxalabeni legxalaba lakho. Ngaphandle kwe-Cufstitor ye-Cuff esempilweni, nkqu imisebenzi elula inokuba buhlungu kakhulu kwaye kunzima.

Ukulimala kwe-qull qub

Ke, kwenzeka ntoni xa le qela libalulekileyo lezons lithatha isigqibo sokuyeka isiporho? Ukulimala kwe-qurtator cuff kuyaxhaphake kakhulu, echaphazela izigidi zabantu kwihlabathi liphela. Banokusukela kwi-wag abagungxulayo kwintlungu ebukhali ebukhali eyenza nokuba ulele umngeni.

Iindidi zeenyembezi: ukusuka ekrwada kwintlekele egcweleyo

Iinyembezi ze-rotator cuff ayizizo-zinengxaki-yonke ingxaki. Beza ngeencasa ezahlukeneyo, nganye ineempembelelo zayo kunyango kunye nokuchacha.

Okokuqala, sineenyembezi zenxenye . Khawufane ucinge ngentambo eqala kwi-fray-ezinye zemitya yayo zaphukile, kodwa ayizange ifundwe ngokupheleleyo. Yingxondorha yenxalenye. I-tendon yonakalisiwe, kodwa ayikabiliki ngokupheleleyo kwithambo. Oku kunokubangela intlungu kunye nobuthathaka obukhulu, kodwa zihlala ziphendula kakuhle kunyango olungatyangwanga njengonyango lomzimba.

Emva koko, kukho iinyembezi ezigcweleyo ngokupheleleyo . Kulapho intambo ithe tyaba. I-tendon ihluleke ngokupheleleyo kwithambo, yenza umngxunya okanye umsantsa. Ezi ndizi ngeenyembezi ziphantse zifuna ungenelelo lwe-regical to reattach i-tendon. Ngaphakathi iinyembezi ezigcweleyo, unokuva amagama afana 'abuyiselwe ' okanye 'i-' i- 'i-' i- 'i-' i- 'i-' iperated i-tendon ikhuphe umngeni ngakumbi.

Ukutyhila oonobangela kunye nezinto zomngcipheko

Kutheni le nto iinyembezi zenzeka? Ihlala idityaniswa zezinto, ukuzibeka ngokugqibeleleyo kwesaqhwithi egxalabeni lakho.

I-culprerit enye eqhelekileyo kukulimala . Le yi 'Oops ' oh '-ima kwingalo eyoluliweyo, ukuphakamisa into enzima kakhulu, okanye ngequbuliso, inyathelo elinamandla eligqithisela i-theans. Cinga nge-baseball picher okanye umsebenzi wokwakha; Amagxa awo ahlala etyhafile.

Rhoqo, nangona kunjalo, iinyembezi ze-cufftor ze-cuff ziziphumo zotshintsho eziguqukayo ngokuhamba kwexesha. Njengoko sineminyaka esidala, iithenda zethu ngokwendalo zinxiba, zingabi lula ukuqina kwaye zithambekele ngakumbi ekuphetheni. Yiyo loo nto iinyembezi ze-cuftitor ze-geftar zixhaphake kakhulu kubantu abadala abadala. Ukuphindaphinda i-Powbures ngaphezulu kweMisebenzi, njengokupeyinta, i-borpentry, okanye nokuba ukuqubha, kunokukhawulezisa ukunxiba kunye nokukrakra. Khawufane ucinge ngebhendi yerabha esele ikhutshiwe amaxesha ngamawaka-ekugqibeleni, iphulukana ne-Snap yayo.

Ezinye izinto zomngcipheko zibandakanya ithambo le-spurs (ukukhula okuncinci kwe-bony ezinokuthi irhola i-pitions, ezibangela ukucaphukisa kunye nokuma okuhlwempuzekileyo, kunye nendalo yemvelo , kwanaye kwafumana inkolo yemfuza . Ngamanye amaxesha, kuvakala ngathi ngumzimba wakho uthatha isigqibo sokungcatsha, akunjalo?

I-filipse kwiindlela zokulungisa ii-Cuff

Kangangamashumi eminyaka, ilungisa i-qurt quuff cuff idla ngokubandakanya izihlandlo ezininzi, ezivulekileyo. Oogqirha baya kuvulela ngokwenyani igxalaba ukuze bafumane umbono ocacileyo womonakalo, emva koko sebenzisa izixhobo zesiko kunye I-sutures kwi-paintickech reattach i-tendon kwithambo. Ngelixa le ndlela ifike kunye neembaleki ezibalulekileyo: Izikali ezinkulu, iintlungu ezingaphezulu kwentsebenzo, amaxesha okubuyela kwakhona, kunye nomngcipheko ophezulu wokucinezelwa.

Emva koko yeza I-Arthroscopy , indlela encinci yokungahlaseli etshintsha yonke into. Khawufane ucinge ngokwenza utyando nge-'isholes 'usebenzisa ikhamera encinci kunye nezixhobo ezizodwa. Olu yayilimongeli jikelele phambili, ukunciphisa ukungahambi kakuhle kwesigulana kunye nokukhawulezisa ukubuyela kwimeko yesiqhelo. Nangona kunjalo, nkqu ne-arthroscopy, umngeni wokudlulisa ngokuguquguqukayo ngokuhamba nzima, ihlala irhoxise i-thedon tissuon kwaye emva koko ngethambo, yonke indawo, ihleli. Kulapho iqhawe lethu, i-passer yomsulwa, ingena ngokwenyani.

Ukwazisa i-Suture Sporser: Ukuguqula utyando lwe-Orthopedic

Ke, sithini esi sixhobo somlingo? Masiqhelane noPasterser Storser, isixhobo esitshintshe imbonakalo yendawo ye-rotator cuff.

Yintoni eyenza ipasi yohlobo olukhethekileyo?

 

Kwisiqhelo, i-passer ye-suture yesona sisixhobo esenzelwe ukwenza lula kwaye iphucule inkqubo yokudlulisela izicubu kunye nethambo ngexesha lotyando lwe-arthroscopic. Yicinge njengenaliti ekhethekileyo, ekhethekileyo enomgangatho onobunkunkqele okanye obuyiselweyo kwindlela yayo. Endaweni yokuba inyibilikiswe ngesandla inaliti, enokuba nzima kakhulu kwaye ichitha ixesha le-arthroscopic, i-suter passer ivumela ugqirha ukuba ahlawule ngokuthe ngqo kwi-tishu, ayirhoxise i-suture, kwaye iyokuyitsalela kwintshukumo enye. Kufana nokuba ne-mineature, umatshini wokuthunga we-Agile ngaphakathi kweNtlawulo.

Kutheni le nto inkulu? Kungenxa yokuba utyando lwe-arthroscopic, ngelixa uhlasela kancinci, uveza imiceli mngeni eyodwa. Usebenza kwizithombi ezincinci, ezixhomekeke kwiscreen sevidiyo ngokujonga kwakho, kunye nezixhobo ezinciphileyo. Ukulawulwa kwe-neadlel ene-onecele kunokuba yinto enokubakho, kukhokelela ekukhathazekeni, ukunyusa ixesha lokusebenza, kunye nomonakalo onokubakho kwizakhiwo ezijikelezileyo. UPasters Passer wazalwa ngaphandle kwemfuno yokufumana indlela efanelekileyo, echanekileyo, kunye neyona ntlungu yokuphatha amandla kule ndawo inzima.

Indaleko yokuchaneka kolawulo: kwiinaliti abadlulayo

Uhambo olusuka kotyando oluvulekileyo oluneemfuno ezinkulu ze-Arthroscopic kunye ne-Suted Sutes yiTestamente ePhezulu kwezoNyango. Iindlela zokuqala ze-Arthroscopic zixhomekeke ngeendlela ezahlukeneyo zokudlula, zihlala zibandakanya i-maneuvers entsonkothileyo kunye nezixhobo ezininzi okanye ezinenzekileyo ezikhoyo ekunzima ukuzilawula.

    

Isizukulwana sokuqala esingabadlisi abakhweli bodwa sasilula, sihlala sifana nenaliti egobileyo kunye ne-hook encinci okanye igrabber. Ixesha elingaphezulu, njengamagqirha achonge iimfuno ezithile kunye nemiceli mngeni, iinjineli kunye neenkampani zezonyango zihlaziye izixhobo. Bagxile ekuphuculeni uyilo lwengcebiso ukuze bangenelele kwi-tissures engcono, baphucule indlela yokubamba ekhuselekileyo yokubuyisa, kunye nokwandisa isibambo se-ergonomic intuthuzelo kunye nolawulo.

Le nto ivela nje ibingekukwenza izinto zibe lula; Kwakuza kubangela ngcono. Itreyini nganye ye-passer Sutred ijolise ekunciphiseni ijika lokufunda ngoogqirha, ukunciphisa umngcipheko wengxaki, kwaye ekugqibeleni, ukuphucula umgangatho wokulungiswa kunye nokubuyiswa kwesigulana. Ngumzekelo weklasi wendlela ukuphuculwa okuqinisekileyo kwezixhobo kunokukhokelela kwinkqubela phambili yendalo kwinkathalo yesigulana.

Ukuhambahamba kweLizwe eyahlukeneyo labadluleleyo

Kanye njengokuba iimoto ziza kwiimodeli ezahlukeneyo kwaye zenze, ngoko ke bakhwela abadlulapho. Kukho iintlobo ezothusayo, nganye yenzelwe ukujongana nemeko kunye nezinto ezikhethwayo. Ukuqonda le mehluko kusinceda ukuba sikuxabise ukufezekiswa kwesi sixhobo.

Ngqo i-vs i-curped: Ukukhetha i-engile yakho yokuhlaselwa

Enye yezona zinto zibalulekileyo ziphakathi kwabadlulayo abakhweli abathunyelweyo kwaye bagoba.

Abaqhubi abathe tye , njengoko igama libonisa, ngqo. Bagqwesile ukufikelela ngokuthe ngqo kwizicubu kunye nokudluliselwa kwefashoni yefashoni. Cinga ngazo njengemisebenzi yakho yokuhamba ngqo apho unomgca ocacileyo wokubona kunye nemiqobo encinci ye-anatomical. Banikezela ngentshukumo eqingqiweyo kwaye bahlala bekhetha ukupasisela okokuqala okanye xa besebenza kwiindawo ezingafunekiyo.

Abakhweli abakhweli abakhwelileyo , kwelinye icala, banesigodlo kufutshane nencam yabo. Le jika iluncedo ekuhambeni kwezakhiwo ze-anatomical, ukufikelela kwiindawo ezinzima zokufikelela, okanye ukudala ukufundiswa okukhethekileyo. Khawufane ucinge ukuzama ukuzama ukuthunga i-patch ngaphakathi kwe-termeve eqinileyo-inaliti egodini iya kuba isebenza ngakumbi kunenye ngokuthe ngqo, injalo? Ngokufanayo, egxalabeni, i-passer ejikelezwe ivumela oogqirha ukuba bajikeleze intloko ye-humeral okanye bafikelele kwi-warerfator ye-rostator cuff kunye nezicubu ezinqabileyo. Inqanaba le-curvature ingakwazi ukwahluka, ihambisa ngakumbi ukhetho olukhethekileyo.

Umthwalo omnye we-vs.

Olo hluko uthetha ukuba ilayishwe njani i-sture kwaye idlulile.

Abakhweli-umthwalo omnye abakhweli benzelwe ukugqithisa i-strand enye ngexesha. Ufaka isitayile, yidlulisele kwi-tishu, uyifumane, kwaye emva koko iphinde inkqubo yetrand elandelayo. Zihlala zilula kuyilo kwaye zinokukhetha kakhulu ekupakiweni komntu ngamnye.

Umthwalo ohlukeneyo (okanye umthwalo we-pired-umthwalo) abakhweli balinyibilikisile. Ezi zixhobo zenzelwe ukugqithisa imitya emininzi yokuzala, okanye i-sutred ye-suture elayishwe ngaphambili, kunye nokufakelwa enye nokuvula. Khawufane ucinge i-stappler enokucima imililo emininzi ye-staiples nganye. Oku kunokunciphisa kakhulu ixesha lokulungiswa, ngakumbi kulungiselelo olunzima oludinga ukugqitha. Nangona kunjalo, banokufuna iliso kakhulu kwiNkosi.

I-vs enokuphinda isebenze: Ukuqwalaselwa okusebenzayo

Oku kuyinto esebenzayo ngakumbi, kodwa ayibalulekanga kangako, umahluko, uhlala uqhutywa yimigaqo-nkqubo yezibhedlele, iindleko kunye neeprothokholi zokucoca.

Abaqhubi abanokuphila abanokuphinda bafumaneke benziwe ngezinto ezinyanyelweyo, ngentsimbi engenasibala, kwaye zenzelwe ukuba zisetyenziswe kwaye zisetyenziswe amaxesha amaninzi. Zibonisa utyalomali lokuqala oluphezulu kodwa lunokuba neendleko ngakumbi kwiindleko ezinde zokusebenzisa amaziko aphezulu. Nangona kunjalo, bafuna iinkqubo zokucofa kunye neenkqubo zokucoca ukukhusela usulelo kwaye zigcine ukusebenza kwazo.

Ukulahla (okanye ukusetyenziswa okungatshatanga) Ababembalwa be-Sutard yenzelwe ukusetyenziswa kwexesha elinye kwaye emva koko kulahliwe. Beza bathatha i-PRE-PRE-STERTEL Ngelixa iindleko zazo zeyunithi kufuneka ziphezulu, zinokunika izibonelelo ngokweyokhuseleko, lula, kunye nokusebenza okungaguqukiyo. Oogqirha abaninzi bakhetha izixhobo zokulahla iinkqubo ezibalulekileyo ngenxa yokuqinisekiswa okuqinisekileyo kunye nokungasebenzi.

Uyilo olukhethekileyo: Xa ubuchule buyadibana ne-Anatomy (umzekelo, i-ntaka, i-scorpion, vir)

Ngaphandle kweendidi ezisisiseko, umhlaba wabadlali abakhwela bazele yimizobo ekhethekileyo, ngamnye ogama lingumbandela ukubonisa umsebenzi owodwa. Ezi zixhobo zihlala ziphuhliswa ukujongana nemiceli mingeni ethile efunyenweyo kwiRetator Cuff.

Thatha umphengululi wentaka , umzekelo. Igama layo lichaza icebiso layo - umncinci, obukhali, ojijekileyo, egudileyo anokuyiqonda ngokuchanekileyo nangokudlulisela izicubu ezinokuphazamiseka okuncinci. Kukhethwa nje ekubuyiseleni izithuba ezivela kwizithuba eziqinileyo.

I- Scorpion Passion ngomnye umzekelo onomdla. Esi sixhobo sihlala sibonisa indlela eyahlukileyo yokuhlaselwa kunye nokufumana i-Suture Log ukusuka kwicala elikwizicubu, lisenza ukuba libe yi-tidges, isebenze ngendlela efanelekileyo yokubekwa i-suture sutges okanye i-thendon enzima. I-' ' i-stinger 'njengenyathelo lokufaka ifake umnyhadala kulapho ifumana igama.

Kwaye ke kukho i -viper parser, enokuba ne-visser ye-viper, enokuba ne-wipy-gethi ye-winsi ephindwe kabini evumela ukungena nge-tissution nge-tissuren kunye nokubuyiselwa kwe-surterican ngaxeshanye, ngakumbi ukulungelelanisa inkqubo. Oluyilo olukhethekileyo yiTestamente kwi-drive eqhubekayo yoNyango lwe-Ortoped, ngokufuna ukwenza iinkqubo zikhuseleke, kwaye ekugqibeleni ziphumelele izigulana. Amaziko onyango afuna izixhobo ezinjalo, i-xcleco (xcledico (xcledico.com) ibonelela ngoluhlu lweemveliso zenkqubo yezonyango eziphezulu, kubandakanya neenkqubo ze-anutes kunye neenkqubo zokulungisa i-ligament, ezilungele ukuxhasa utyando lwe-cuff rought gofgries ye-cuff qublere trong gofgries ye-cufsties ye-cufsties ye-cuff rought gofger gober rour ropgeries ye-cuff qublere turf.

Izibonelelo ezingenakuchazwa kokufaka i-passer yokuphumla

Ngoku siqonda ukuba yintoni umsunguli olwenziwayo kunye neendlela ezahlukeneyo, masithethe malunga nokuba kutheni kuyinto enkulu. Kutheni le nto oogqirha abaninzi be-oridhed bavuma esi sixhobo ngeengalo ezivulekileyo? Izibonelelo ziyanyanzela kwaye zifikelela kude, zichaphazela yonke into ukusuka ekuchazeni ukubuyela kwimeko yesigulana.

Ukuchaneka kwePinapotical kunye nokuchaneka okungafunekiyo

Khawufane ucinge ukuzama ukuzama ukuthoba inaliti ngomngxunya omncinci ngelixa ujonge kwiscreen seTV, usebenzisa amathanga amade. Yinto efana ne-arthroscopic utyando ngaphandle kwezixhobo ezifanelekileyo. I-passer passer ixhasa amandla anokukhula kwe-surgeon ukubeka ngqo apho kufuneka ibe khona. I-shaft yayo ye-rigid kunye nengcebiso echanekileyo ivumela ukungena kwe-tissure ye-tissure kunye nokubekwa kwe-furuticare echanekileyo, nkqu nakwezinye iindawo ezinzima. Oku kuchaneka kubalulekile ekufezekiseni ilungisa, elikhuselekileyo lelondolozo ekhuthaza ukuphiliswa ngokugqibeleleyo. Sithetha malunga neemilimitha apha, kwaye sihlule, kwimilinganiselo yemilimi.

Ukunciphisa i-Soute Sute: I-Tissue yeTrissu, iphilise

Enye yeendlela eziphambili zotyando oluncinci kakhulu kukunciphisa ukonakala kwentembeko. Ukudlula kwenaliti yendabuko kunokubangela uxinzelelo olungafunekiyo kwizicubu ezinempilo, kukhokelela kwimopha, ukudumba, kunye nentlungu yentsebenzo. Abakhweli abakhululiweyo, kunye neengcebiso zabo ezikhethekileyo kunye nentshukumo elawulwayo, zenzelwe ukwenza idlule kwi-tishu ezijolise kuzo. Esi sigulana esinciphile ngokuthe ngqo kwizibonelelo ezininzi zesigulana: ezincinci emva kotyando, ukunciphisa ukuvuvukala, kunye nenkqubo enokubakho ngokukhawuleza. Imalunga nokuba nethambeka kangangoko kunokwenzeka.

Ixesha lezinto ezisisiseko: Inkqubo yokuSebenza

Kwigumbi lokusebenza, yonke imizuzu ibala. Amaxesha amafutshane osebenzayo athetha ukuba i-anesthesia engaphantsi kwesigulana, ukuncitshiswa komngcipheko wokosuleleka, kwaye kusetyenziswe ngokufanelekileyo izixhobo ezixabisekileyo. I-passer passer ilungelelanisa kakhulu inkqubo yokupasa. Endaweni yamanyathelo amaninzi abandakanya izixhobo ezahlukeneyo zokuqonda, ukubhoboza, kwaye zibuyise, abakhweli abaninzi abadlulayo banokuphumeza le misebenzi kwi-smarting enye okanye ezimbini. Esi sibonelelo sokusebenza sinokufumana imizuzu exabisekileyo, okanye ishumi lemizuzu emizuzu, ukulungisa i-cufstir quberestrator cuff, ixhamle isigulana kunye neqela lotyando. Kufana nokuphuculwa ukusuka kwi-Calculator ye-Calculator kwi-supercomputer-umahluko wesantya awunakuphikiswa.

I-STATE YOLAWULO: Yenza lula ingxaki

Ukuba ukhe wazama ukubopha iqhina ngomtya omanzi, uyakuwuxabisa imiceli mngeni yokulawula ugcino ngaphakathi. I-Arthroscopic fing fing yimbonakalo yobugcisa ngokwayo, kwaye ukulawula imitya yokutshutshiswa okuyintloko kunokuba yinto yobusuku. Abadlelayo banceda kakhulu ngale nto. Ngokunikezela ngokuthe ngqo ukufuduka ngokusebenzisa izicubu kwaye kuvumele ukubuyiselwa kolawulo, banciphisa amathuba okubanjwa komzi, ukramisa, okanye ukunqunyulwa ngengozi. Oku kwenza ukuba inkqubo yokubopha iqatha i-fit-fihla i-theat kwaye ithembekile, iqinisekisa ukulungiswa okuqinileyo kunye nokuhlala ixesha elide. Imalunga nokuzisa i-odolo kwinto enokuba yi-changle ye-chatic.

I-ERGEGOMOMICK yeNgcali: Intuthuzelo kunye nolawulo lonyango

Oogqirha benza umsebenzi onyanzelekileyo ukuba bafumane umsebenzi, bahlala bemi iiyure kwizikhundla ezibi, besenza ukuphindaphinda, imisebenzi entle. Iindlela zemveli zokudlula komzimba zinokuba nerhafu emzimbeni, ekhokelela ekukhathaleni nasekuhanjisweni. Abakhweli be-Suture bahlala beyile nge-ergonomic hardiles kunye neendlela zentsusa ezinciphisa uxinzelelo kwizandla zonyango kunye neebhulukhwe. Olu thuthuzo luphuculweyo ayisiyonto inqabileyo; Inokukhokelela ekutyesheni ugqirha ongaphantsi komhlaba, ulawulo olungcono kwinkqubo yenkqubo, kwaye ekugqibeleni, lukhuseleke kwaye lusebenze ngakumbi kwisigulana. Ugqirha ofanelekileyo ngugqirha ogxile kunyango.

Ngaphandle kwegumbi lokusebenza: Idinga leziPhumo ezingcono

Ekugqibeleni, zonke ezi zinto zingenelelayo kwinjongo enye egqithileyo: Iziphumli ezingcono. Xa ukulungiswa kubalulekile ngakumbi, kubangela ukuba kusetyenziswe i-thrauma, kwaye kugqitywe ngokukuko, kwaye kukhuselekile, amathuba okukhula okuphumeleleyo. Izigulana zinokufumana iintlungu ezincinci zentsebenzo, zifuna amayeza anentlungu, kwaye ube nakho ukuqalisa ukuvuselela imeko yalo. Ukulungiswa okuqinileyo, ngakumbi i-anatomird ngokuchanekileyo kunciphisa umngcipheko wenyembezi, kukhokelela kwimpumelelo yexesha elide kunye nokubuyela kwimisebenzi yesiqhelo. Imalunga nokufumana ubomi bakho, simahla.

Yoyisa ukungafikeleleki: Ukujongana neendawo ze-Aatomical Aatomical

Igxalaba elidibeneyo linesabelo sayo esifanelekileyo sezikona eziqinileyo kunye ne-angles enqabileyo. Amanye amacandelo e-quartotor cuff, ngakumbi izinto ezingasemva okanye ezingaphandle, zinokufakwa kunzima ukufikelela kwaye zilungiswe izixhobo zemveli. Oku kulapho uyilo olukhethekileyo kunye novelwano lwabadlulayo abadlulayo lukhanya ngokwenyani. Abakhweli abagugiweyo, umzekelo, banokuhambahamba ngentloko ye-humeral okanye ezinye izakhiwo ze-bony ukufikelela kwindawo echanekileyo apho kufuneka kubekwe khona. Oku kukwazi ukufikelela kunye nokulungisa iindawo ze-Aatomical ezinzima kuthetha ukuba kwanenye iinyembezi kunokujongana ne-arthroscopic, ukunqanda ngemfuneko yenkqubo enkulu enkulu, engahlambulukanga. Kufana nesixhobo esinokuthi sijikeleze iikona, sikuvumela ukuba ulungiselele izinto ongazange uzicinge ukuba unokufikelela.

Ukuxhasa ubugcisa: Iindlela zokusebenzisa i-sutards abakhweli kwi-rotf roll

Ke, oogqirha bogqirha besebenzisa njani ezi zinto zikrelekrele? Ayisiyonto yokukhomba kwaye icofe; Bubugcisa obuhlaziyiweyo obudibanisa ulwazi lwe-anatomical, ubuchule botyando, kunye nokuqonda okunzulu kwezakhono zesixhobo. Masihambe ngenkqubo eqhelekileyo.

Ukubeka isiseko: Ukucwangciswa kwangaphambili kwentsebenziswano kunye nendawo yezigulana

Njengayo nayiphi na imisebenzi ephumeleleyo, ukulungisa i-Cuff Cuff iqala ixesha elide ngaphambi kokuba i-veloon yokuqala. Isicwangciso sentsebenzo sangaphambi kokuba sibalulekile. Ugqirha ugqirha uphonononge isigulana se-MRI, uvavanya ubungakanani kunye nohlobo lweenyembezi, kwaye umisela icebo lokulungisa ngokugqibeleleyo. Oku kubandakanya isigqibo sokuba yeyiphi na i-ankile (izixhobo ezincinci ezifakwe kwithambo ukuba zibambe imihlaba) ziya kusetyenziswa, ukuba uninzi luza kufuneka luphumelele, kwaye yeyiphi i-passired esebenzayo kakhulu kwigxalaba lecala elikhethekileyo.

Ukubekwa kwesigulana kubaluleke kakhulu. I-Arthroscopic utyando legxalaba, izigulana zihlala zikwindawo nganye 'kwisitulo se-' 'i-Torso iphinde iphinde iphinde iphinde iphinde iphinde isitulo) okanye kwisikhundla sika-Detalititus (silele kwicala labo). Zombini ezi zikhundla zinika izibonelelo ezahlukeneyo zokufikelela kunye nokubona. Ukuma ngendlela efanelekileyo kuqinisekisa ukuba ugqirha ugqirha unezinto eziphezulu kwigxalaba edibeneyo kwaye ukuba amandla angancedisi ekuvuleleni indawo edibeneyo, enza kube lula ukusebenza.

NgeKighthole: I-Arthroscopic Portals kunye nokubonwa

Nje ukuba isigulana sibekwe, ugqirha ohlelayo udala izithuba ezincinci, zihlala zingaphantsi kwesentimitha ubude, zijikeleze igxalaba. Oku kubizwa ngokuba ziindawo ze-arthroscopic . Ngepakethi enye, ikhamera encinci, ebizwa ngokuba yi-arthroscope, ifakiwe. Le khamera idlulisela umfanekiso owongeziweyo ngaphakathi kwi-dibanise inkcazo ephezulu kwigumbi lokusebenza. Le yindlela utyando 'ibona ' into abayenzayo.

Ngezinye izithambisi, izixhobo ezahlukeneyo ezikhethekileyo, kubandakanya i-storser passere, ifakiwe. Ugqirha ugqirha usebenzisa ngokubukela usweni, ukukhokela izixhobo ngentshukumo echanekileyo yezandla zabo. Yinto encinci njengokudlala umdlalo wevidiyo enobuchule, kodwa ngeziphumo zobomi bokwenyani! Ukugcina ulwazi olucacileyo lubaluleke kakhulu; Ngamanye amaxesha, i-fluid iqhubeka ityhutyha kwiNtlawulo yokuLinda ukuze igcinwe ilahlekile kwaye ihlambe nayiphi na inkunkuma okanye igazi.

Iintshukumo eziphambili: I-Sute Sutres esisiseko sutel

Ngoku, masibe sehle kwinyani 'ukuthunga '. Sebenzisa i-SUSSER SURSEURE kubandakanya uthotho lweendlela ezisisiseko, kanye emva koko, ukuba ugqirha wesibini kugqirha onamava.

Ukubamba kwaye ungene nge-gonel: Umdaniso obuthathaka kunye nezicubu

Inyathelo lokuqala kukuziqonda ngokuchanekileyo izicubu kwaye ulingene ngencam yomsunguli. Oku kufuna iliso elineliso kunye nesandla esiqinileyo. Ugqirha oxhokonxa utsalelo kumphetho we-thengon, faka inqaku layo kwindawo oyifunayo lokubekwa. Ngesindululo esilawulwayo, inqaku elibukhali lommisi liqhubela phambili kwi-tendon. Injongo yindlela ecocekileyo, ye-beraumatic icocekile, iqinisekisa ukuba isitayile siya kuba sengozini ngaphandle kokwenzakalisa i-tendon fibers. Kulapho uyilo oluthile lwengcebiso ye-passer - ukuba yinto ebukhali, umlomo, okanye umhlathi owodwa - udlala indima ebalulekileyo.

Ukubuyisa kunye nokudlula: Uhambo lokuyalela

Nje ukuba i-passer ingene kwi-tishu, inyathelo elilandelayo elibalulekileyo kukubuyisa . Kulapho umlingo we-passer suterser shoni. Indlela yeNdawo yeNdawo (i-hook encinci, i-wire ye-wiretle) yenziwa ukuba ifake isitayile. Oku kunokubandakanya ukutyhala iqhosha okanye ukukhulula i-trigger kwisibambo. I-suture efakiweyo emva koko itsaliwe emva kwezicubu, yenza ilogo.

Khawufane ucinge ukutyhala inaliti ngelaphu, ke ukuba nerobhothi encinci kwelinye icala ibamba intambo kwaye ibuyele kuwe. Yiyo le nto yenzekayo. Isikhuselo sidlulela kwi-tendon, silungele inyathelo elilandelayo lokulungiswa. Oku kulawulwa, isicatshulwa sesixhobo esinye sikunciphisa amathuba okubanjwa okubanjwa, ukutshitshiswa, okanye ukulahleka ngaphakathi kweNtlawulo.

I-Bridges yokwakha: Ubugcisa bendalo yelopi

Rhoqo, oogqirha bafuna ukwenza i-lops ye-sutres okanye 'i-bridges ' ukukhusela i-tendon ukuya kwithambo. Oku kubandakanya ukugqitha abaninzi nge-passer passer. Umzekelo, ubuchwephesha obuqhelekileyo bubandakanya ukudlula kwilungu elinye lomngxunya osebenzisa i-tendon, emva koko udlulise omnye umlenze ngenxalenye eyahlukileyo ye-tendon okanye ithambo, ukudala ukwakha okuqinileyo. Umqhubi we-storsere wenza indalo yezi zinto zichanekileyo, ezibaluleke kakhulu kwiindlela ezahlukeneyo zokulungisa, ngakumbi ezo zenzelwe ukwandisa indawo yoqhakamshelwano phakathi kweTendon kunye nethambo lokuphiliswa ngokugqibeleleyo. Ilogo nganye yibhloko yesakhiwo kwilungisa, kwaye umqhubi uqinisekisa ezi bhloko ebekwe ngokugqibeleleyo.

Izicwangciso eziphambili: Iindlela ezithile zokulungisa zokulungisa ezinabakhweli

I-stoser pastore ayisiyo nje isixhobo esiqhelekileyo; Kuyinto ebalulekileyo kwiindlela ezithile zendlela ezikhethekileyo, eziphezulu zendlela eziye zaphuculwa kakhulu iziphumo zenye iinyembezi zeRuff.

Indlela yendlela enye: Indlela ethe ngqo yokulungisa

Ukulungiswa komqolo omnye yenye yeendlela ezithe ngqo. Kule ndlela, i-tenn ye-tenn iphinda iphinde iphinde iphinde iphinde ibuyele kwithambo usebenzisa umqolo we-anchors kunye noxolo. Khawufane ucinge ngokutsala ikhibhu yelaphu ngqo kwiBhodi. I-passer ye-suture isetyenziselwa ukugqithisa ukungcungcutheka ngomda we-tendon, kwaye ezi meko zikhuselwe kwi-ankile ebekwe ecaleni kwethambo. Ngelixa isebenza impumelelo encinci, ipeyintiweyo irhoxisiwe iinyembezi, indlela yendlela enye ibonelela ngendawo encinci yonxibelelwano phakathi kwe-tendon kunye nethambo. UPrismer Storsere uvumela ukubekwa ngokukuko kunye nokubekwa phambili kolu hlaselo lunye, ukuqinisekisa uxinzelelo olufanelekileyo kunye nokulungiswa okukhuselekileyo.

Ingqengqelo ye-REARD

Ukulungiswa kwe-mbini , ngakumbi ubuchule bobugebenga bobuthwe , umele inkqubela phambili ebalulekileyo kwilungisa le-rotf rotf. Le ndlela ijolise ekudaleni i-soustrint ebanzi, ngaphezulu konxibelelwano phakathi kwe-tendon kunye nethambo, inyibilikisile ukufakelwa kwendalo.

Nantsi indlela esebenza ngayo ngokubanzi: Umqolo wokuqala wee-anchors ubekwe kwindawo ye-articular (edibeneyo) yecala lomfanekiso oqingqiweyo, kufutshane neNtlanganiso. I-sutures idluliselwa kwi-tendon esebenzisa i-passer passer kwaye ikhuselwe kule anchors. Emva koko, iziphelo ezikhululekileyo zezi subres ziziswa ngaphezulu kwe-tendon kwaye zikhuselwe kumqolo wesibini wee-anchers ezibekwe kamva (kude ne-jonent) kwithambo. Oku kudala ibridge 'suture ' equlunqa i-tendon phantsi kwithambo ngaphezulu kwendawo enkulu engaphezulu, ekhuthaza ukuphiliswa okukhulu ngakumbi. I-passer ye-storser ibaluleke kakhulu apha, njengoko ivumela ukuhamba ngokuchanekileyo kunye nokuhamba ngendlela efanelekileyo kwi-tendon nangaphaya komqolo wesibini wee-ankile, ngokufuthi abakhweli bagobile okanye abakhweli abakhethekileyo bagobile.

Ukulungiswa okulinganayo okulinganayo: Ukulinganisa amandla endalo

Ukulungiswa okulinganayo (i-TOE) yenye indlela enobuchule efikelela kwimithetho-siseko yebhulorho yokufunda ukufezekisa i-aatomical engaphezulu kunye ne-goldp. Ibizwa ngokuba 'i-' ilingana ne- 'kuba ijolise ekuphindeni ububanzi bendlela yokulungisa i-ofisi edluleyo (apho kudluliselwa ngqo kwimithombo yethambo) kodwa ngendlela ye-arthroscopic.

I-TOE, i-passer passer isetyenziselwa ukwenza indawo yokucinezelwa ngokubanzi. I-sutures idluliselwe kwi-tendon kwaye ikhuseleke kwi-ankile kuzo zombini iMedial (kufutshane neNtlawulo) kunye nokuThunyelwa (ngokuhamba ngokudibeneyo) kwicandelo lethambo. Ukubekwa kwezinto ngoko kubotshwe ngendlela ebonisa uxinzelelo olubanzi, olufanayo lwe-tendon kwithambo, ukwandisa amandla okuphilisa. Obu buchule buhlala buquka ukugqitha okuninzi kunye nokuhamba ngononophelo, kokwenza ukuba kuchaneke kunye nokusebenza kakuhle kwe-suter passer passer engathandekiyo. Imalunga nokubuyisela kwakhona indalo 'ye-tendon kwithambo.

Ngaphaya kokulungiswa: I-Aunterment kunye ne-bitchec ye-biologic

Ngamanye amaxesha, i-tempretor ye-cuff ye-cuff yenzekile kakhulu, okanye umgangatho we-tishu uhlwempuzeke kakhulu, ukuba ukulungiswa ngokuthe ngqo akunakwanela. Kwiimeko ezinjalo, oogqirha banokuthi basebenzise ubuchule bobugcisa okanye amachaphaza e-biologic yokuqinisa ukulungiswa. Ezi ziqwengana, zihlala zenziwa kwizicubu ezixhasayo okanye kwizinto zokwenziwa, zibekwe ngaphezulu kweThendo elilungisiweyo ukubonelela ngamandla ongezelelweyo kwaye kukhuthaze ukuvuselelwa kwe-tism.

I-passer passer idlala indima ebalulekileyo yokufumana ezi pathes kwi-teon ekhoyo kunye / okanye ithambo. Ivumela ukubekwa ngokuthe ngqo kunye nokulungiswa kwepaki, ukuqinisekisa ukuba idibanisa kakuhle ngezicubu zemveli kwaye ibonelela ngenkxaso ekucetyiswayo. Le yiTestamente eguquguqukayo yomphathi-siseko-ayisiyondawo nje yokulungiswa okokuqala kodwa nokwandisa imizamo eyakhayo.

Iingcebiso ze-irider kunye namaqhinga kwimpumelelo yoSuture Pays

Nokuba zezona zixhobo zilungileyo, i-mastery iza ngokuziqhelanisa nokuqonda ukuthandabuza. Nazi ezinye iingcebiso zonyango zihlala ziqwalasele i-Surser Preser Prouters.

Indawo yeGoldlock: Gcina uxinzelelo olufanelekileyo

Enye yezona zinto zibaluleke kakhulu kuzo nakuphi na ukulungiswa kwe-ratotor cuff kuya kufezekisa i 'ekunene ' nje '. Kukhululekile kakhulu, kwaye ukulungisa akuyi kubambe; iqinile kakhulu, kwaye umngcipheko wokukhulula i-tendon okanye utsala izicubu nge-tishu. I-passer passere, ngelixa iququzelela iPass, ayiqinisekanga ngokuzenzekelayo uxinzelelo olugqibeleleyo. Oogqirha kufuneka bahlolisise imbambano ngononophelo njengoko befumana kwakhona kwaye bakhuseleke. Oku kuhlala kubandakanya inxenye ethambileyo kumhlaba ophelileyo kunye nokuhlolwa kokubonakalayo kwe-tendon kwithambo. Kuyimali esemngciphekweni, kwaye umqhubi unceda ekwenzeni indawo yokuqala yelo nqanaba libalulekileyo.

IWebhusayithi: Ukuphepha ukuntywila

Ukuhlaziya kudala, i-man mists, nakwindawo evaliweyo ye-arthroscopic, banokufumana lula omnye komnye, ngezixhobo, okanye nekhamera. Oku kukukhathazeka okuqhelekileyo kwaye kunokuphinda kwenzeke kakhulu. Unyango sebenzisa iindlela ezininzi zokuthintela le 'sparhettti. '

Isitshixo esinye silawula ngononophelo kwiiphemu ezikhululekileyo zochungezo. Emva kokupasa nganye, ugqirha wotyando unokukhusela okwethutyana ukuphepha okwethutyana uphela ngaphandle kweNtlawulo okanye usebenzise izixhobo zoLawulo lwezoNqaku. Olunye uhlobo lweqhinga kukukhumbula i-odolo lokutshekisha ukugqitha kunye nokugcina intsimi yenkqubo icacile. Uyilo loMsinguli we-storser, ngokubonelela ngepass elawulwayo, inciphisa inxenye yomngcipheko, kodwa ukuhlala uphaphile kusoloko kufuna. Kufana nokugcina imigca yakho yokuloba engafakwanga-umzamo oqhubekayo!

Ukuthoba ingxaki kwimpukane: Ukuqonda ukusebenza kwesixhobo

Njengaso nasiphi na isixhobo, abadlulayo abakhweli banokungasebenzi ngamanye amaxesha. Inqaku linokugoba, indlela yokubamba isenokungaphumeleli ukubandakanyeka, okanye isikhuselo sinokuthathwa. Oogqirha abanamava bayakwazi ukuqaphela le micimbi ngokukhawuleza kwaye babacaphukise. Oku kunokubandakanya ukurhoxisa isixhobo ngononophelo isixhobo, ukuyihlola, okanye ukutshintshela kwi-passer eyahlukileyo. Ukuba nesixhobo se-backup kuyafumaneka ngokulula. Ngelixa kunqabile, ukuqonda indlela yokusombulula njani iimeko ezifana nokuqinisekisa ukhuseleko lwezimonde kunye nokuqhubeka kokuqhubeka kwenkqubo. Imalunga nokulungiswa nantoni na, nokuba izinto zingayi ngqo kanye njengoko bekucwangcisiwe.

Ukuhamba ngeenyawo: Imiceli mngeni enokubakho kunye nokuqwalaselwa okuphambili

Ngelixa i-passer passer inikezela i-plethora yezinto ezilungileyo, ayikho ngaphandle kokuqwalaselwa kwayo. Njengaso nasiphi na isixhobo esiphambili, siza ngokusetwa kwemiceli mngeni kunye neemeko apho ukusetyenziswa kwayo kunokufuna ingcinga ngononophelo.

Ijika lokufunda: Ukutyala imali kubuchule botyando

Nokuba isixhobo esingesosixhobo esinjani, kusoloko kukho ijikajika lokufunda ebandakanyekileyo ekusebenzeni. Ngelixa abagibeli be-suture benza lula utyando lwe-arthroscopic, basafuna ubuchule obukhulu kunye nokuziqhelanisa nokusebenzisa ngokufanelekileyo. Oogqirha bafuna ukuphuhlisa i-Tactile baziva ngathi banyange isicubu, bafunde ukungathobeli isixhobo ngokuchanekileyo kwiscreen se-2D, kwaye sifumane iindlela ngeendlela zokuvula ezahlukeneyo. Oku kuhlala kubandakanya uqeqesho olubanzi kwi-caanaver labs, iimodeli zokulinganisa, kunye neemeko zotyando ezigunyazisiweyo. Ugqirha omtsha, imali yotyalo mali yokuqala enokuqwalaselwa, kodwa izibonelelo zexesha elide ngokusebenza kakuhle kunye nezigulana zifanelekile.

Ukulinganisa iindleko: Iimpembelelo zemali zesixhobo esiphambili

Izixhobo zotyando eziphezulu, kubandakanya iintlobo ezininzi zabagibeli, zinokubiza kakhulu. Iimodeli ezilahlayo, ngelixa zibonelela ngokulula kunye nokugula, zinegalelo kwindleko nganye yetyala. Izixhobo ezinokuphinda zifumaneke zinexabiso eliphezulu lezinto eziphakamileyo kodwa iindleko eziphantsi zokusebenzisa, zinikezelwe ngokufanelekileyo kwaye zifakwe ntbhilifa. Izibhedlele kunye namaziko otyahliweyo kufuneka azicingele ezi mpembelelo zemali ngokuchasene nezibonelelo zeklinikhi. Ngelixa ukhuseleko lomonde kunye neziphumo zibaluleke kakhulu, iindlela zoqoqosho zokhathalelo lwempilo azinakuhoywa. Kuyinto yokulinganisa phakathi kwetekhnoloji yokusika kunye noxanduva lwemali.

Ikrele eli-adreyid: Ukunciphisa umngcipheko wokulimala kwe-iatrogenic

Ngexesha lenzelwe ukunciphisa umothuko, nasiphi na isixhobo esibukhali esiziswe sidibeneyo sithwala umngcipheko wethiyori ye -iatrogenic yokulimala - ukulimala okubangelwa lungenelelo lwezonyango. Oku kunokubandakanya umonakalo onganyamezeliyo kwi-cartilage, i-nerve, okanye imithambo yegazi ukuba umntu otyhidiweyo akaphathwa ngononophelo olukhulu kunye nokuchaneka. Indawo evaliweyo ye-dibane kunye nokuxhomekeka kwiscreen yevidiyo kuthetha ukuba oogqirha kufuneka bahlale besazi ngesimo sencam yesixhobo sabo kunye nezakhiwo ezibalulekileyo. Kungenxa yoko le nto ubuchule be-meciculous, ukubonwa okucacileyo, kunye nokuqonda okucokisekileyo kwe-anatomy engathandekiyo ayinakuphikiswa xa usebenzisa ukuphelisa umsunguli.

Ukwazi ukuba uqhuba nini

Ngelixa abadlulayo abahamba ngendlela eguqukayo beguqulelwe kakhulu, kukho iimeko ezithile apho ugqirha ogqirha unokukhetha indlela eyahlukileyo okanye indibaniselwano yeendlela. Umzekelo, kwiimeko zokukhululeka kakhulu, ukunganyangeki, kwaye urhoxise iinyembezi apho umgangatho we-tishu wonakaliswa kakhulu, okanye ukuba kukho izicubu ezinobunzima, okanye ukuba kukho i-tisser ebalulekileyo, i-storser inokuthi isokola ukufumana i-tendon. Kwiimeko ezinjalo ezinqabileyo, indlela evulekileyo isenokuqwalaselwa, okanye uhlobo olwahlukileyo lwesixhobo sinokukhetha ubuqhetseba bokuqala kwe-tissies. Imalunga nebhokisi yezixhobo epheleleyo kunye nokwazi ukuba sesiphi sixhobo esifanelekileyo somsebenzi, kunokuba sithembele kwisisombululo esinye sengxaki nganye.

I-therizon ngaphambili: Ikamva labadluleleyo kwi-Orthoric utyando

Uhambo lwe-passer passer ukude kakhulu. Njengoko itekhnoloji iqhubeka iqhubela phambili, sinokulindela ukuqondakala okungakumbi kunye nokukrelekrele kwesi sixhobo esibonakalayo. Ikamva lithembisa izinto ezibangela ukuba kuphuculwe uphuculo oluphucula ukuchaneka, ukusebenza ngokufezekileyo, kunye nezigulana kwilungisa le-Cuff rotutor cuff.

Imida yokutyhala: Iminxuwa yoyilo lwesixhobo

Lindela ukubona i-Innovations eqinisekisiweyo ngoyilo lwesixhobo . Oku kunokubandakanya:

• I-Minimination: Nabakhweli abancinci, ngakumbi be-subble suture enokuthi ibaleke izithuba ezinyangeka kwaye inciphise ubungakanani bezinto ze-arthroscopic nangaphezulu.

• I-accounds ephuculweyo: Izixhobo ezinamanqanaba inkundla enkulu, ivumela ii-angles ezinzima ngakumbi kunye nobisi olungeneyo. Khawufane ucinge ngomsaseli onokuthi ugobe kwaye ujijeke njengenyoka!

• Ingqondo ehlanganisiweyo: Abadlulisele abakhweli bangaphambili ababonelela ngengxelo yexesha lokwenyani kugqirha wexinzelelo lwezicubu, ubunzulu be-Peneting, okanye ukuba nobunzulu be-Peneting, okanye ukuba nobunzulu be-Peneting, okanye i-TISEE. Oku kunokuba ngumdlalo we-game-tshintsha amandla okulungisa.

• eziSonds Izinto

Inkqubela phambili yoyilo iya kwenza umsebenzi kagqirha ongugqirha kwaye ichanekile ngakumbi ngerhafu, ekugqibeleni ixhamle isigulana.

I-robotic relolution: Abakhweli abakhutshelweyo kuhlelo oluzenzekelayo

Intsimi yohlelo lokuhlinzwa elincediswayo likhulisa ngokukhawuleza, kwaye utyando lwethambo lonyango alukho njalo. Xa kulungiswa ngokupheleleyo i-Cuff-RufOmouse ye-Cuff-Cuff-quble inokuba lixesha elizayo, ukudityaniswa kwabagibeli be-sutards kwiinkqubo zerobhothi yithemba lokwenyani nelonakalisayo.

Khawufane ucinge ngengalo yerobhothi, ekhokelwa ngugqirha otyandayo, onokuphumeza ukudlula kozinzo olungenazinzo olungenazinzo kunye nokuncitshiswa kwengca. Iinkqubo zerobhoti zinokubonelela ngokwakhiwa okubonisiweyo okubonakalayo, ingxelo ye-haptic (imvakalelo yokuchukumisa), kunye neentshukumo zenkqubo yokuphinda iphindaphindeka. Abakhweli abafudukayo enzelwe ngokukodwa amaqonga erobhoti kuya kufuneka ukuba babe nengqungquthela kwaye badibane nentshukumo engenamthungo ngentshukumo yengalo yerobhothi. Oku kunokukhokelela kukhetho olukhulu ngakumbi, ngakumbi kwiimeko ezintsonkothileyo, kwaye okunokubakho kuvumela oogqirha ukuba benze iinkqubo ezinomzimba ongaphantsi komzimba. Imalunga nokudibanisa ubungcali boluntu ngokuchaneka kokuthintela.

Ukubona ngaphaya: Ukudityaniswa kunye netekhnoloji yokucinga ephezulu

Okwangoku, oogqirha baxhomekeke kwi-Arthroscopy (ikhamera) yobume. Nangona kunjalo, ikamva linokubona indibaniselwano kunye netekhnoloji yeengcinga eziphambili ngokuthe ngqo kwi-storser ngokwayo okanye kwindawo yotyando.

Oku kunokubandakanya:

• Inyani yenyani (i-AR): I-ARTAL ye-Anatomical ye-Aatomical okanye i-Expressing premineng data ngqo kwimbonakalo yonyango, ibonelela nge- GPS 'kwi-' kwi-GPS 'ye-GPS ' kwi-GPS engaphakathi ye-. Khawufane ucinge ukuba ubona owona mzekelo ufundayo kufuneka uthathe ngaphambi kokuba wenze idlule.

• I-Fluorescence icinga: ukusebenzisa i-dyes ekhethekileyo kunye nokukhanya ukuqaqambisa izicubu ezithile, ezinjengeendawo zokubonelela ngegazi okanye iindlela ze-nerve, ekwenzeni okujolise ngakumbi kwaye kuphephe.

• Ukudityaniswa kwe-Ultrasound: I-Minicature Stripducers Transphacers kwincam ye-Sutreser Passer inokuthi ibonelele ngenene, ukuvumela ugqirha, ukuvumela ugqirha 'Bona ' ngaphaya komphezulu wezicubu.

Le qubiso liza kubonelela ngootyelelo kunye nenqanaba elingazange lenziwa ngaphandle kwengcaciso kunye nesikhokelo, ukulungisa i-qubtor cuff nangakumbi kwaye siphumelele. Imalunga nokuguqula igumbi lokusebenza libe yiZiko leMiyalelo yeTekhnoloji ephezulu.

ISIQINISEKISO: Ukuphakamisa i-rouftor ye-rouftor ye-rouftor ukuya kwiindawo eziphakamileyo kunye nabakhweli bomhlaba

Ke, unakho. I-passer yokuthobeka, ekubeni ingabi ekubeni yinki elula, imele njengeTestamente efumana ubuchule boluntu kunye nokulandela ukhathalelo olungcono. Ukusuka kumsebenzi wayo osisiseko wokwenza indawo yokuhamba-hlula ukuya kwindima yayo ekwenzeni ubuchwephesha obunzima, ubuchwephesha bokulungisa ubuchwephesha, ifuthe layo kwi-Crotor Cuff Cuff ingenakuphikwa.

Sihlolisile ukuba iyongeza njani, inciphisa ixesha lesicubu, ligcina ixesha lokuhlala elinqabileyo, kwaye ekugqibeleni, lithembisa iziphumo ezingcono kwabo banesifo segxalaba. Siye sachukumisa ubunzima boyilo lwayo olwahlukeneyo kunye neendlela ezinobunkunkqele zisebenzisa ukusebenzisa ngokufanelekileyo. Kwaye ujonge phambili, ikamva lesixhobo, elihambelana nerobhothi kunye nengcinga ephambili, ibonakala iqaqambile kunangaphambili.

Kwixesha elizayo xa uva malunga nokulungiswa kwe-rototor cuff, uya kuyazi ukuba isigama esincinci esinemifanekiso idlala indima enkulu, enceda ugqirha ohamba utyando, intlabalo ye-steine. Sisikhumbuzo sokuba ngamanye amaxesha, ezona zinto zincinci zinokwenza umahluko omkhulu.

Iimveliso ezicetyiswayo