\u00a0<\/strong><\/p>\nArtroskopija kolka je minimalno invazivna tehnika, ki omogo\u010da vizualizacijo kol\u010dnega sklepa in omogo\u010da operacijo na njem brez velikih zarez. Orodja, potrebna za opazovanje in delovanje na njem, se vnesejo skozi majhne zareze, ki pu\u0161\u010dajo velike brazgotine. Artroskopija kolka je indicirana pri mladih bolnikih za zdravljenje displazije kolkov z osteotomijo stegnenice ali acetabuluma, za re\u0161evanje te\u017eav koksa vare ali epifiziolize, ki lahko privede do artritisa, za zdravljenje Alzheimerjeve Perthes (znane tudi kot bolezen Legg-Calve -Perthes) in v primeru utesnitve stegnenice-acetabular.<\/p>\n
<\/p>\n
Kako deluje artroskopija kolka pri mladih bolnikih?<\/h2>\n
\u00a0<\/strong><\/p>\nOperacija se izvaja pod splo\u0161no ali spinalno-epiduralno anestezijo. Pred operacijo je bolnik name\u0161\u010den v le\u017ee\u010dem polo\u017eaju na postelji ali na boku, noga, ki jo je treba zdraviti, pa je vle\u010dena, da omogo\u010di vstavljanje instrumentov in njihovo gibanje v kol\u010dnem sklepu. Nato se opravi radiograf za preverjanje odpiranja sklepa. \u010ce postopek vklju\u010duje raven vratu stegnenice, oprijem ni potreben in kolk preprosto upognemo na 45 stopinj in zavrtimo za 30 stopinj. V splo\u0161ni praksi obstajajo 2, 3 ali (redko) 4 zareza \u0161irine pribli\u017eno 1 cm, skozi katere se instrumenti uvajajo. Po oceni situacije nadaljujemo s samo operacijo.<\/p>\n
<\/p>\n
Kak\u0161ne so prednosti artroskopije kolka pri mladih bolnikih?<\/h2>\n
V primerjavi z drugimi kirur\u0161kimi pristopi artroskopija kolka zmanj\u0161a \u010das hospitalizacije po operaciji.<\/p>\n
<\/p>\n
Ali je artroskopija kolka pri mladih bolnikih bole\u010da ali nevarna?<\/h2>\n
\u00a0<\/strong><\/p>\nArtroskopija kolka se na splo\u0161no dobro prena\u0161a, vendar se takoj po operaciji lahko pojavijo bole\u010dine v spodnjem delu hrbta, bokih, zadnjici in kolenu. Obstaja tudi pogosta, a za\u010dasna oteklina zadnjice, stegna ali prepona, ki se nagiba v nekaj dneh. Drugi mo\u017eni zapleti vklju\u010dujejo redko po\u0161kodbo ko\u017ee, mi\u0161ic, \u017eivcev ali krvnih \u017eil zaradi vleke ali oku\u017eb. Najpogostej\u0161i zaplet je ob\u010dutek “zaspanosti ko\u017ee” v genitalijah. Na splo\u0161no se te te\u017eave odpravijo v nekaj dneh ali kve\u010djemu nekaj tednov.<\/p>\n
<\/p>\n
Kateri bolniki lahko opravijo artroskopijo kolka?<\/h2>\n
Artroskopija kolka je kontraindicirana v primeru osteoartritisa, napredne osteonekroze glave stegnenice, povezane s propadom epifize, ob prisotnosti sklepne anhilotice ali koksije, ki \u0161trli resno. Starost lahko predstavlja tudi relativno kontraindikacijo, \u010de je bolnik prestar za postopek.<\/p>\n
Nadaljnje ukrepanje<\/h2>\n
Takoj po operaciji se lahko pojavijo bole\u010dine v spodnjem delu hrbta, zadnjici, kolku in kolenu, vendar protibole\u010dinska zdravila obi\u010dajno zadostujejo za laj\u0161anje bole\u010din. \u010cas okrevanja je pribli\u017eno dva meseca, v katerem morate slediti programu fizikalne terapije, da obnovite tako izgubljeni gibljivost mi\u0161i\u010dnega kol\u010dnega tonusa. Vklju\u010duje lahko tudi uporabo \u0161\u010detk, ki jih nosite pribli\u017eno dva do \u0161tiri tedne, odvisno od primera. Od 6 do 6 mesecev je potreben \u010das okrevanja za paciente, ki \u017eelijo \u0161e naprej ukvarjati s \u0161portom na tekmovalni ravni.<\/p>\n
<\/p>\n
Standardi priprave<\/h2>\n
Pacient mora upo\u0161tevati pravila priprave, potrebna za kirur\u0161ko anestezijo.<\/p>\n
<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-78440","cure","type-cure","status-publish","hentry"],"yoast_head":"\n
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