I-meniscus yintlobo ye-cartilage emadolweni . Kwidolo ngalinye, kukho i-menisci emibini, enye engxenyeni yangaphakathi yamadolo (i-meniscus ephakathi), enye ibe ngecala langaphandle lamadolo (i-meniscus esecaleni). Imisebenzi ye-meniscus ukukunceda ukusabalalisa amandla kumanyano kwaye kubalulekile ekukhuseleni nasekukhuseleni i-cartilage yamadolo. Nangona kunjalo, abaninzi abantu abazange bazi ukuba bane-meniscus.
Oko kude banolimaza i-meniscus yabo. I-Meniscus iinyembezi ziyingozi ngokuqhelekileyo emadolweni kwaye zibangele ubuhlungu, ukuvuvukala, nokuhamba ngokukhawuleza. Enye yezona ntlobo ezinzima kakhulu zezintambo ze-meniscus zibizwa ngokuthi i-meniscus ye-bucket-handle handle.
Iyintoni Intlungu neMpawu Zaso
Isibambiso sebhakethi ye-meniscus ivela kwingxenyana yangaphandle ye-meniscus cartilage kwaye ibangela isahluko esicacileyo nge-meniscus. Iziqhotyoshelweyo ze-meniscus zihlala zihambelana, kwaye inxalenye ehluthiweyo ye-meniscus ikhupha kwiziko ledibeneyo. Isizathu sokuba kuthiwa i-bhakethi-mbambano ukukrazula kukuba iqela eliqhekekileyo le-meniscus likhupha kude libe yingxenye yombumba wee-meniscus tissue ezilimele.
Iimpawu zebhakethi zokubamba iziqabana zifana ne-meniscus eziqhekezayo, nangona kunjalo, ngokuqhelekileyo kubangela ukudibanisa idolo. Ibhokisi elikhiweyo livela xa idolo lingenakulungisa ngokupheleleyo ukusuka kwindawo egobileyo. Ngenxa yokuba ibhakethi liphethe isahluko se-meniscus cartilage lifudukela kwindawo engaphambili, liyakuthintela idolo libe liqondise ngokupheleleyo.
Ngokugqithiseleyo, umhloli onobuchule unokugqiba ukuba ngaba i-meniscus izinyembezi kungenzeka ngokuhlolisisa idolo. Ngokuqhelekileyo i-MRI yenziwa ukuze kuchongwe uhlobo kunye nendawo ye-meniscus. Iimbombo zokuphatha iibhakethi zibonakala ngokucacileyo kwi-MRIs, kwaye zivame ukubonisa uphawu lwe-PCL 'kabini lwePCL' apho i-fisco ye-meniscus ihlala eceleni kwe-PCL eyenza i-ligament ibonakale iphindwe.
I-Bucket isingatha i-meniscusmbezi iinyembezi zihlala zidibaniswa nokulimala kwangaphambili kwe-ligament (i- ACL izinyembezi ). Kule nzalo yezemidlalo eziqhelekileyo, enye yegam ligaments eyingozi yonakaliswe, kwaye ngelo xesha, ibhakethi isingatha i-meniscus yezinyembezi ivela.
Izinyango Zonyango
Unyango oluqhelekileyo lunokuhlinzwa okwenziwa ngamathambo e-arthroscopic . Ngethuba ngamanye amaxesha ugqirha wakho unokusebenzisa iimbozi kwiindawo ezifanelekileyo, utyando luyafuneka ukulungisa umonakalo. Utyando aluyingozi kodwa lufanele lwenziwe ngokukhawuleza ukwenzela ukuba idolo liguqe kwaye liqondise ngokuqhelekileyo. Kukho iindlela ezimbini zokuphatha indlela yokuqhawula i-meniscus:
- I-Menitcectomy ekhethekileyo : Oku kutyunjwa okwenziwe ukuba kususwe isahluko esonakalisiweyo se-meniscus. I-meniscus ehlanjulweyo isuswe kwidibeneyo ebangela ukuba i-meniscus esele ibe yincinci kunesiqhelo. Ukuba kukho ukuphulukiswa okuncinci kwe-meniscus, le yonyango olungcono. Enye inzuzo yokususa i-meniscus eyinqabileyo kukuba ukubuyiswa kukukhawuleza kuninzi lwabadlali ababuyela kwimidlalo kwiminyaka engama-6.
- Ukulungiswa kweMeniscus : Ukulungiswa kwe -meniscus kwenzelwa ukudibanisa inxalenye ehluthiweyo ye-meniscus kwindawo efanelekileyo. Le nkqubo inokwenzeka kuphela xa kunika igazi elifanelekileyo kummandla wonakalo ukuvumela ukuphiliswa kweentlungu. Ukuphulukiswa kokulungiswa kwe-meniscus kudinga ukuvuselelwa ixesha elide elisoloko lifuna iinyanga ezintathu okanye ngaphezulu ukubuyela kwimidlalo yemidlalo.
Emva kokuhlinzwa, ezininzi izigulane ziya kunonyango kunye nokuvuselelwa ukuze kuphinde kuphuluke ukuhamba ngokubambisana kunye namandla kumkhawulo. Ubude be-rehab emva kokuhlinzwa buya kuxhomekeka kumanani amaninzi kubandakanywa unyango olukhethiweyo. Kukho iingxaki ezinokuthi uphando lwe-arthroscopic emadolweni. Nangona ezi ziqhelekanga, kukho amanyathelo onokuyenza ukuze uqinisekise ukuba isiphumo esihle kakhulu.
> Umthombo:
> Luks HJ, MD. I-Bucket Handle I-Meniscus Tear. 2017.