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Krwiaki i zakażenia możliwymi powikłaniami artroskopii kolana

Marta2 553 komentarze
Ten tekst przeczytasz w 2 min.

Krwiaki wewnątrzstawowe, zakażenie miejscowe czy zakrzepica – to tylko niektóre powikłania, które wystąpić mogą po zabiegu artroskopii kolana. Zwiększone ryzyko ich wystąpienia obserwuje się szczególnie u osób chorujących na cukrzycę, choroby serca, z żylakami kończyn dolnych, obniżoną odpornością, a nawet z próchnicą zębów.

Zabieg artroskopii kolana przeprowadza lekarz ortopeda. Operacja nie wymaga otwierania stawu kolana. Chirurg poprzez dwa nacięcia (około 8 mm) w kolanie wprowadza kamerę oraz miniaturowe narzędzia. Wnętrze kolana obserwowane jest na monitorze podczas zabiegu. Operację artroskopii kolana wykonuje się najczęściej u osób po przebytym urazie stawu lub jego przeciążeniu w wyniku aktywności fizycznej, a także w przypadku uszkodzenia łąkotki, chrząstki, więzadeł czy rzepki.

Zabieg artroskopii kolana nie jest mocno inwazyjny. Pacjenci już po 1 dniu mogą wrócić ze szpitala do domu, a po około 3-6 tygodniach od zabiegu wracają do pełnej sprawności.

Powikłania

Artroskopia, jak każdy zabieg chirurgiczny, obarczona jest ryzykiem wystąpienia wielu powikłań. Wśród osób szczególnie narażonych wymienia się cukrzyków, osoby cierpiące na choroby serca, zmagające się z żylakami kończyn dolnych, osoby z obniżoną odpornością lub przyjmujące leki immunosupresyjne, osoby z bakteriami chorobotwórczymi w gardle, nosie, drogach moczowych, a nawet osoby ze stanem zapalnym zębów.

Krwiaki wewnątrzstawowe, wysięki, zakażenia

Jednym z powikłań, jakie może pojawić się po artroskopii, są krwiaki wewnątrzstawowe. Krwiak może powodować puchnięcie stawu i ograniczenie jego ruchomości. Konieczne może okazać się odbarczenie stawu poprzez nakłucie jego jamy i odciągnięcie zalegającej tam krwi. Z kolei mniejsze krwiaki mogą wchłaniać się samodzielnie, jednak konieczne jest wtedy odprowadzenie zgromadzonej w kolanie krwi.

Inne przypadki powikłań po zabiegu artroskopii to m.in. przewlekłe wysięki czy zakażenia miejscowe. W pierwszym przypadku konieczne są punkcje w celu usunięcia płynu z kolana. Lekarz może ponadto zalecić RTG stawu kolanowego czy USG kolana. Po zabiegu artroskopii, by nie doszło do zakażenia rany pooperacyjnej, pacjenci powinni zachować szczególną ostrożność przy zmianie opatrunku. Okolice ran pooperacyjnych powinno przemywać się środkiem odkażającym, a nowy opatrunek zawsze powinien być jałowy. Do czasu zdjęcia szwów pacjenci powinni też unikać moczenia rany, kąpiel może odbywać się tylko pod prysznicem po dokładnym zabezpieczeniu okolicy operowanej, np. folią lub specjalnym ochraniaczem.

Po zabiegu artroskopii kolana może dojść także do innych powikłań, jak ograniczenie ruchomości stawu, uszkodzenie nerwów lub chrząstki stawowej. Artroskopia zwiększa również ryzyko wystąpienia zakrzepicy żył głębokich. Pacjentom po zabiegu artroskopii przepisuje się preparaty przeciwzakrzepowe.

Źródła:

swiat-zdrowia.pl, zdrowie.radiozet.pl, artromedical.pl, zdrowie.tvn.pl, etermed.pl

 

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