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The H.B.T.M.C. Shoulder Arthroscopy Course 2019: Only Basics
Daim Duab: The H.B.T.M.C. Shoulder Arthroscopy Course 2019: Only Basics

Dab teg arthroscopy yog kev phais mob uas siv lub koob yees duab me me thiab cov cuab yeej phais mob los tshuaj lossis kho cov ntaub so ntswg sab hauv lossis ib ncig ntawm koj lub dab teg. Lub koob thaij duab no hu ua arthroscope. Cov txheej txheem tso cai rau tus kws kho mob txhawm rau kuaj xyuas teeb meem thiab kho kom zoo rau lub dab teg tsis muaj kev txiav ntau dua ntawm daim tawv nqaij thiab cov nqaij mos. Qhov no txhais tau tias koj yuav muaj qhov mob me dua thiab rov zoo sai dua qhib kev phais.

Koj yuav tau txais kev tso tshuaj kom tsaug zog ua ntej qhov kev phais mob. Qhov no txhais tau tias koj yuav tsaug zog thiab tsis tuaj yeem hnov ​​mob. Los yog, koj yuav muaj tshuaj loog hauv cheeb tsam. Koj sab caj npab thiab dab teg yuav zaws kom koj thiaj li tsis hnov ​​mob. Yog tias koj tau txais tshuaj loog hauv ib cheeb tsam, koj tseem yuav muab cov tshuaj ua rau koj tsaug tsaug zog thaum lub sijhawm ua haujlwm.

Thaum ua txoj kev, tus kws phais mob ua raws li nram no:

  • Ntxig rau arthroscope rau hauv koj lub dab teg los ntawm kev phais mob me me. Qhov duav tau txuas nrog lub vijtsam saib hauv chav ua haujlwm. Qhov no tso cai rau tus kws phais mob saib sab hauv koj lub dab teg.
  • Tshawb xyuas txhua qhov nqaij ntawm koj lub dab teg. Cov ntaub so ntswg no suav nrog pob txha mos, pob txha, pob txha thiab leeg.
  • Kho cov ntaub so ntswg uas puas lawm. Txhawm rau ua qhov no, koj tus kws phais mob ua 1 mus rau 3 ntau qhov phais me me thiab ntxig lwm yam khoom siv dhau los ntawm lawv. Lub kua muag nyob rau hauv cov leeg, leeg, lossis pob txha mos yog kho. Cov ntaub so ntswg uas raug tshem tawm yog tshem tawm.

Thaum kawg ntawm kev phais, cov phais yuav raug kaw nrog hlua khi thiab them nrog hnav khaub ncaws (ntaub qhwv). Cov neeg phais feem ntau siv cov duab los ntawm cov duab saib hauv lub sijhawm ua cov txheej txheem los qhia koj tias lawv pom dab tsi thiab lawv tau kho dab tsi.


Koj tus kws phais yuav tsum tau qheb phais yog tias muaj ntau qhov puas. Qhib kev phais txhais tau tias koj yuav muaj phais loj kom tus kws phais neeg tuaj yeem ncaj qha rau koj cov pob txha thiab cov nqaij.

Koj yuav tsum muaj pob qij txha caj dab yog tias koj muaj ib qho ntawm cov teeb meem no:

  • Dab teg mob. Arthroscopy pub rau tus kws phais mob tshawb nrhiav qhov ua rau koj lub dab teg mob.
  • Kev Tshem Tawm Ganglion. Qhov no yog lub hnab me me, kua dej puv uas loj hlob los ntawm pob qij tes. Nws yog qhov tsis muaj mob, tab sis nws tuaj yeem mob thiab yuav txwv koj txoj kev muaj peev xwm txav koj lub dab teg dawb.
  • Ligament kua muag. Txoj hlua khi yog cov ntaub qhwv ntsej muag uas txuas cov pob txha rau pob txha. Ntau txoj phuam hauv lub dab teg pab kom nws ruaj khov thiab cia nws txav mus. Lub qog ua tau tuaj yeem kho nrog hom kev phais mob no.
  • Daim duab peb sab kua muag fibrocartilage (TFCC) kua muag. TFCC yog pob txha mos nyob hauv lub dab teg. Kev raug mob rau TFCC tuaj yeem ua rau mob sab nraud ntawm lub dab teg. Arthroscopy tuaj yeem kho kev puas tsuaj ntawm TFCC.
  • Carpal qhov tso tawm. Carpal tunnel syndrome tshwm sim thaum lub paj hlwb uas hla dhau ntawm cov pob txha thiab cov nqaij hauv koj lub dab teg yuav o thiab khaus. Nrog arthroscopy thaj chaw los ntawm qhov no cov hlab ntsha hla tuaj yeem ua qhov loj dua los daws lub siab thiab mob.
  • Dab teg pob txha lov. Arthroscopy tuaj yeem siv los tshem cov pob txha me me thiab pab ua kom pob txha hauv koj lub dab teg.

Kev phom sij ntawm cov tshuaj loog thiab phais feem ntau yog:


  • Kev fab tshuaj rau cov tshuaj
  • Cov teeb meem ua pa
  • Los ntshav, txhaws ntshav, lossis kis tus kab mob

Kev phom sij rau lub dab teg arthroscopy yog:

  • Ua tsis tiav txoj kev phais kom txo cov tsos mob
  • Ua tsis tiav kho tsis kho
  • Kev tsis muaj zog ntawm lub dab teg
  • Kev raug mob rau cov leeg, leeg ntshav hlab ntsha, lossis hlab ntsha

Ua ntej kev phais:

  • Qhia koj tus kws phais mob tias koj noj tshuaj dab tsi. Qhov no suav nrog cov tshuaj, tshuaj noj, lossis tshuaj ntsuab uas koj yuav yam tsis tas yuav tshuaj.
  • Koj yuav raug hais kom tsum tsis txhob noj cov ntshav thinner ib ntus. Cov no suav nrog tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), thiab lwm yam tshuaj.
  • Nug koj tus kws saib xyuas kev noj qab haus huv seb koj yuav tsum tau noj cov tshuaj hnub twg hnub phais koj tus mob.
  • Yog tias koj muaj ntshav qab zib, mob plawv, lossis lwm yam mob, koj tus kws phais yuav hais kom koj mus ntsib koj tus kws kho mob uas kho koj rau cov mob no.
  • Qhia koj tus kws kho mob yog tias koj tau haus cawv ntau, ntau dua 1 lossis 2 khob ib hnub.
  • Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob lossis kws saib xyuas neeg mob kom pab. Kev haus luam yeeb tuaj yeem ua rau lub qhov txhab qeeb thiab mob pob txha.
  • Qhia koj tus kws phais mob txog ib tus mob khaub thuas, mob khaub thuas, kub cev, mob pob txuv, lossis lwm yam mob. Yog koj mob, koj yuav tsum raug phais.

Hnub ntawm kev phais mob:


  • Ua raws li cov lus qhia txog thaum twg kom tsis txhob noj thiab haus ua ntej cov txheej txheem.
  • Siv ib yam tshuaj twg uas koj tau hais kom noj nrog ib khob dej me me.
  • Ua raws li cov lus qhia txog thaum tuaj txog hauv tsev kho mob. Tuaj txog raws sijhawm.

Koj tuaj yeem mus tsev nyob tib hnub tom qab siv sijhawm ib teev lossis rov qab rau hauv kev rov qab los. Koj yuav tsum muaj ib tug neeg tsav koj mus tsev.
Ua raws li cov lus qhia tso tawm uas koj tau muab. Cov no suav nrog:

  • Ua kom koj lub dab teg kom siab tshaj koj lub siab ntev 2 mus rau 3 hnub kom pab txo qhov o thiab mob. Koj tuaj yeem thov lub pob txias los pab kom o.
  • Khaws koj daim ntaub qhwv huv thiab qhuav. Ua raws li cov lus qhia rau seb yuav hloov pauv li cas.
  • Koj tuaj yeem siv tshuaj kho mob, yog tias xav tau, tsuav yog koj tus kws kho mob hais tias muaj kev nyab xeeb los ua.
  • Koj yuav tsum tau hnav khaub noom rau 1 mus rau 2 lub lim tiam lossis ntev dua kom ua kom lub dab teg ruaj khov thaum nws kho.

Arthroscopy siv kev txiav me me hauv daim tawv nqaij, yog li piv rau qhib qhov phais, koj yuav muaj:

  • Tsawg mob thiab mob txhav thaum lub sijhawm rov ua haujlwm
  • Tsawg qhov teeb meem
  • Kev rov qab sai dua

Cov kev txiav me me yuav kho sai thiab koj tuaj yeem rov ua koj li haujlwm ib txwm nyob hauv ob peb hnub. Tab sis, yog tias ntau qhov nqaij ntawm koj lub dab teg yuav tsum tau kho, nws yuav siv sijhawm ntev li ob peb lub lis piam kom zoo.

Tej zaum koj yuav raug qhia ua li cas yuav ua kev tawm dag zog kom nruj nrog koj cov ntiv tes thiab tes. Koj tus kws kho mob tseem yuav hais kom koj mus ntsib ib tus kws kho mob hauv lub cev kom pab koj rov qab siv koj lub dab teg tag nrho.

Kev phais lub dab teg; Arthroscopy - dab teg; Kev phais mob - dab teg - arthroscopy; Kev phais mob - dab teg - arthroscopic; Carpal qhov tso tawm

Phwv DL. Dab teg mob. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 69.

Geissler WB, Keen CA. Dab teg arthroscopy. Hauv: Miller MD, Thompson SR, eds. DeLee thiab Drez Kev Ua Si Ncaws Pob Kho Mob: Cov Ntsiab Cai thiab Kev UaCov. 4 tug ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 73.

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