{"id":76730,"date":"2017-03-28T12:54:58","date_gmt":"2017-03-28T12:54:58","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/artroscopie-de-sold-in-cazul-pacientilor-tineri\/"},"modified":"2017-03-28T12:54:58","modified_gmt":"2017-03-28T12:54:58","slug":"artroscopie-de-sold-in-cazul-pacientilor-tineri","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/artroscopie-de-sold-in-cazul-pacientilor-tineri\/","title":{"rendered":"Artroscopie de \u0219old \u00een cazul pacien\u021bilor tineri"},"content":{"rendered":"

Artroscopie de \u0219old \u00een cazul pacien\u021bilor tineri<\/h2>\n

 <\/p>\n

Artroscopia de \u0219old permite vizualizarea articula\u021biei f\u0103r\u0103 a deschide articula\u021bia \u00een sine. P\u00e2n\u0103 \u00een urm\u0103 cu c\u00e2\u021biva ani, aceast\u0103 metod\u0103 a fost folosit\u0103 \u00een principal pentru scopuri diagnostice, doar \u00eembun\u0103t\u0103\u021birea acesteia a permis aplicarea acesteia \u0219i \u00een domeniul chirurgical pentru rezolvarea diferitelor tipuri de probleme, f\u0103r\u0103 a fi nevoie s\u0103 se recurg\u0103 la o opera\u021bie deschis\u0103. Ast\u0103zi este utilizat \u00een principal pentru tratarea pacien\u0163ilor tineri.<\/p>\n

 <\/p>\n

Ce este artroscopie de \u0219old \u00een cazul pacien\u021bilor tineri?<\/h2>\n

Artroscopia de \u0219old este o tehnic\u0103 minim invaziv\u0103, care ofer\u0103 vizualizarea articula\u021biei \u0219oldului \u0219i permite o interven\u021bie chirurgical\u0103 pe \u0219old, f\u0103r\u0103 a face incizii mari. Instrumentele necesare pentru observare \u0219i operare sunt introduse prin incizii mici, care las\u0103 cicatrici mari. Artroscopia de \u0219old este indicat\u0103 la pacien\u021bi tineri, pentru tratamentul displaziei de \u0219old prin osteotomia femurului sau acetabulului, pentru a rezolva problemele de coxa vara ceea ce poate duce la artrit\u0103, pentru a trata boala Alzheimer Perthes (cunoscut\u0103, de asemenea, ca o boal\u0103 a Legg-Calve-Perthes), c\u00e2t \u0219i \u00een cazul impingementului femural-acetabular.<\/p>\n

<\/h2>\n

Cum se efectueaz\u0103 artroscopia de \u0219old \u00een cazul pacien\u021bilor tineri?<\/h2>\n

Opera\u021bia se realizeaz\u0103 sub anestezie general\u0103 sau spinal\u0103 epidural\u0103. \u00cenainte de interven\u021bia chirurgical\u0103 pacientul este plasat \u00een pozi\u021bia culcat pe spate pe pat sau pe lateral \u0219i piciorul care urmeaz\u0103 s\u0103 fie tratat este plasat \u00een trac\u021biune, pentru a permite introducerea instrumentelor \u0219i mi\u0219carea acestora \u00een articula\u021bia \u0219oldului. Apoi este realizat\u0103 o radiografie pentru a verifica deschiderea rostului. Dac\u0103 procedura se realizeaz\u0103 la nivelul colului femural, trac\u021biunea nu este necesar\u0103 \u0219i \u0219oldul este pur \u0219i simplu flexat la 45 de grade \u0219i rotit 30 de grade. \u00cen practica general\u0103, sunt 2, 3, sau (mai rar), 4 incizii cu l\u0103\u021bime de aproximativ 1 cm, prin care sunt introduse instrumentele. Dup\u0103 o evaluare a situa\u021biei vom continua cu opera\u021bia propriu-zis\u0103.<\/p>\n

<\/h2>\n

Care sunt avantajele artroscopiei de \u0219old \u00een cazul pacien\u021bilor tineri?<\/h2>\n

Comparativ cu alte abord\u0103ri chirurgicale artroscopie de \u0219old reduce timpul de spitalizare dup\u0103 o interven\u021bie chirurgical\u0103.<\/p>\n

<\/h2>\n

Este artroscopia de \u0219old \u00een cazul pacien\u021bilor tineri dureroas\u0103 sau periculoas\u0103?<\/h2>\n

Artroscopia de \u0219old este \u00een general bine tolerat\u0103, dar imediat dup\u0103 opera\u021bie durerea poate ap\u0103rea \u00een partea inferioar\u0103 a spatelui, \u00een \u0219olduri, fese \u0219i genunchi. Umflarea temporar\u0103 la fese, coaps\u0103 sau abdomen este deasemenea frecvent\u0103, \u00eens\u0103 tinde s\u0103 se rezolve \u00een c\u00e2teva zile. Alte posibile complica\u021bii includ o leziune rar\u0103 la nivelul pielii, mu\u0219chilor, a nervilor sau a vaselor de s\u00e2nge cauzate de trac\u021biune sau de infec\u021bii. Cea mai frecvent\u0103 complica\u021bie este un sentiment de “piele adormit\u0103”, \u00een organele genitale. \u00cen general, aceste probleme sunt rezolvate \u00een c\u00e2teva zile sau cel mult c\u00e2teva s\u0103pt\u0103m\u00e2ni.<\/p>\n

<\/h2>\n

C\u0103ror pacien\u021bi li se poate efectua artroscopie de \u0219old?<\/h2>\n

Artroscopia de \u0219old este contraindicat\u0103 \u00een cazul osteoartritei, osteonecrozei avansate al capului femural asociat cu pr\u0103bu\u0219irea epifizei, \u00een prezen\u021ba unei anchiloze sau coxei vara grave. V\u00e2rst\u0103 poate reprezenta, de asemenea, o contraindica\u021bie relativ\u0103 \u00een cazul \u00een care pacientul este prea b\u0103tr\u00e2n pentru procedur\u0103.<\/p>\n

<\/h2>\n

Control<\/h2>\n

Imediat dup\u0103 opera\u021bie durerea poate ap\u0103rea \u00een partea din spate, la fese, \u0219old \u0219i genunchi, dar analgezicele sunt de obicei suficiente \u00een ameliorarea durerii. Timpul de recuperare este de aproximativ dou\u0103 luni, \u00een care trebuie s\u0103 se urmeze un program de terapie fizic\u0103 pentru a recupera tonusului muscular \u0219i de a reda \u0219oldului mobilitatea pierdut\u0103. Aceasta poate implica, de asemenea, utilizarea de c\u00e2rje, purtate timp de aproximativ dou\u0103 p\u00e2n\u0103 la patru s\u0103pt\u0103m\u00e2ni, \u00een func\u021bie de caz. Timpul de recuperare necesar\u0103 pentru pacien\u021bii care doresc s\u0103 continue practicarea unui sport la nivel competitiv este de \u00eentre 3 \u0219i 6 luni.<\/p>\n

 <\/p>\n

Standarde de preg\u0103tire<\/h2>\n

Pacientul trebuie s\u0103 urm\u0103reasc\u0103 regulile de preg\u0103tire pentru anestezie chirurgical\u0103.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-76730","cure","type-cure","status-publish","hentry"],"yoast_head":"\nArtroscopie de \u0219old \u00een cazul pacien\u021bilor tineri - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Artroscopie de \u0219old \u00een cazul pacien\u021bilor tineri - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Artroscopie de \u0219old \u00een cazul pacien\u021bilor tineri   Artroscopia de \u0219old permite vizualizarea articula\u021biei f\u0103r\u0103 a deschide articula\u021bia \u00een sine. 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